Device for the transvenous cardioversion of atrial fibrillation or atrial flutter including three coil electrodes

• US 5,913,887 A
• Filed: 02/27/1997
• Issued: 06/22/1999
• Est. Priority Date: 03/01/1996
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Michel, Ulrich
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): Imam, Ali M.
• Application Number:
  US08/807,519
• Time in Patent Office: 845 Days
• Field of Search: 600/373, 600/374, 600/375, 600/377, 607/6, 607/122, 607/123, 607/125, 607/126, 607/127
• US Class Current: 607/123
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems

Abstract

A transvenous catheter for the cardioversion of atrial fibrillation or atrial flutter and/or the stimulation of the heart'"'"'s activity. The catheter has an electrically active section within a heart and an electrically passive section carrying electrical cables. At least two defibrillation electrodes are located in the electrically active section and coupled to the electrical cables of the catheter. Additionally, there are at least one sensing ring electrode positioned between the at least two defibrillation electrodes and coupled to the electrical cables.

Claims

1. A transvenous catheter comprising:

an electrically active section;

an electrically passive section carrying electrical cables;

at least three defibrillation coil electrodes, including a first defibrillation coil electrode, a second defibrillation coil electrode, and a third defibrillation coil electrode, located in the electrically active section and coupled to the electrical cables, where the first defibrillation coil electrode is located towards a first end of the electrically active section and the third defibrillation coil electrode is located towards a second end of the electrically active section and the second defibrillation coil electrode is spaced from the first defibrillation coil electrode a distance that is less than a distance between the second defibrillation coil electrode and the third defibrillation coil electrode; and

at least one sensing ring electrode positioned between the second defibrillation coil electrode and the third defibrillation coil electrode and coupled to the electrical cables.

2. The transvenous catheter according to claim 1, where the second defibrillation coil electrode and the third defibrillation coil electrode have an axial spacing within the range of 10-100 millimeters.

3. The transvenous catheter according to claim 2, where the second defibrillation coil electrode and the third defibrillation coil electrode have an axial spacing of around 85 millimeters.

4. The transvenous catheter according to claim 1, further including a cap in the electrically active section, where the cap is spaced distally from the at least three defibrillation coil electrodes.

5. The transvenous catheter according to claim 4, where the cap is electrically connected to the electrically passive section by a pacing electrical cable.

6. The transvenous catheter according to claim 1, where the electrical cables further include external electrical connectors which can be connected to an external analysis, a pacemaker or a defibrillation unit.

7. The transvenous catheter according to claim 1, where the electrical cables further include fluid-sealed electrical connectors which can be connected to an implantable analysis, a pacemaker or a defibrillation unit.

8. The transvenous catheter according to claim 1, where the catheter further includes a stylet duct which extends along the length of the catheter with a wire which may be moved axially inside this duct and which has a defined malleability.

9. A transvenous catheter, comprising:

a longitudinal structure having an electrically passive section and an electrically active section;

external electrical connections in the electrically passive section;

a first spiral electrode in the electrically active section connected to a first external electrical connection of the electrical connections;

a second spiral electrode in the electrically active section connected to a second external electrical connection of the electrical connections;

a third spiral electrode in the electrically active section connected to a third external electrical connection of the electrical connections, where the first spiral electrode is located towards a first end of the electrically active section and the third spiral electrode is located towards a second end of the electrically active section and the second spiral electrode is spaced from the first spiral electrode a distance that is less than a distance between the second spiral electrode and the third spiral electrode.

10. The transvenous catheter according to claim 9, where the catheter is adapted to be positioned within a heart having a right-hand atrium, and a coronary sinus, with the first and second spiral electrodes in the coronary sinus and the third spiral electrode in the right-hand atrium or a main vein for the return of blood to the right-hand atrium.

11. The transvenous catheter according to claim 10, where the transvenous catheter is connected to a heart defibrillation unit through the external electrical connections at the electrically passive section such that electrical activity may be recorded and evaluated at least in two sections of a heart and therapy may be delivered to the heart.

12. The transvenous catheter according to claim 9, further including a ring electrode positioned between the second and third spiral electrodes, where the ring electrode is connected to an external electrical connection at the electrically passive section of the catheter.

13. The transvenous catheter according to claim 9, further including a cap at the distal end of the electrically active section of the catheter at a spacing from the first electrode.

14. The transvenous catheter according to claim 13, where the cap is designed in the form of a further electrode, and is electrically connected to an external electrical connection at the electrically passive section of the catheter.

15. The transvenous catheter according to claim 9, further including a ring electrode positioned between the second and third spiral electrodes, where the ring electrode is connected to an external electrical connection at the electrically passive section of the catheter;

and a cap at the distal end of the electrically active section of the catheter at a spacing from the first electrode.

16. The transvenous catheter according to claim 15, where the cap is designed in the form of a further electrode, and is electrically connected to an external electrical connection at the electrically passive section of the catheter.

17. The transvenous catheter according to claim 9, where the second and the third spiral electrodes are spaced apart on the longitudinal structure at a distance within a range of 10 to 100 millimeters.

18. The transvenous catheter according to claim 9, where the second and the third spiral electrodes are spaced apart on the longitudinal structure at a distance of about 85 millimeters.

19. The transvenous catheter according to claim 9, where the external electrical connections further include fluid-sealed electrical connectors which can be connected to an implantable analysis, a pacemaker or a defibrillation unit.

20. The transvenous catheter according to claim 9, where the catheter further includes a stylet duct which extends along the length of the catheter with a wire which may be moved axially inside this duct and which has a defined malleability.

21. The transvenous catheter according to claim 9, where the catheter further includes a duct which has a mechanical feed to an outfeed aperture for administering local doses of medication directly into a heart.