Multi-element tip electrode mapping catheter

• US 6,064,905 A
• Filed: 06/18/1998
• Issued: 05/16/2000
• Est. Priority Date: 06/18/1998
• Status: Expired due to Term

• Current Assignee: Cordis Webster, Inc. (Johnson & Johnson)
• Original Assignee: Cordis Webster, Inc. (Johnson & Johnson)
• Inventors: Ponzi, Dean M., Webster, Wilton W. Jr.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): LAYNO, CARL HERNANDZ
• Application Number:
  US09/099,796
• Time in Patent Office: 698 Days
• Field of Search: 600/374, 600/424, 600/509, 607/122, 607/125
• US Class Current: 600/424
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/6855 with a distal curved tip
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems

Abstract

A mapping catheter comprises a catheter body, a handle and a tip section. The catheter body has an outer wall, proximal and distal ends and at least one lumen extending therethrough. The handle is at the proximal end of the catheter body. The tip section comprises a flexible tubing having proximal and distal ends and at least one lumen extending therethrough. The proximal end of the flexible tubing is fixedly attached to the distal end of the catheter body. The tip section comprises an electromagnetic sensor for producing electrical signals indicative of the location of the electromagnetic sensor. The tip section further comprises a multi-element tip electrode mounted at the distal end of the tip section comprising a plurality of electrode members electrically isolated from one another and arranged such that, during use of the catheter within the heart, at least two different electrode members are capable of contacting the endocardium tissue at one time. An electromagnetic sensor cable electrically connect the electromagnetic sensor and extends through the tip section, catheter body and handle for carrying electrical signals from the electromagnetic sensor to a circuit board. The catheter further comprises a plurality of electrode lead wires, each lead wire being electrically corrected to an electrode member and extending through the tubing, catheter body and handle.

Claims

1. A mapping catheter comprising:

a catheter body having an outer wall, proximal and distal ends and at least one lumen extending therethrough;

a handle at the proximal end of the catheter body;

a tip section comprising;

a flexible tubing having proximal and distal ends and at least one lumen extending therethrough, wherein the proximal end of the flexible tubing is fixedly attached to the distal end of the catheter body;

an electromagnetic sensor for producing electrical signals indicative of the location of the electromagnetic sensor;

a multi-element tip electrode mounted at the distal end of the tip section comprising a plurality of cylindrical electrode members electrically isolated from one another by a non-conductive matrix and arranged such that, during use of the catheter within the heart, at least two different electrode members are capable of contacting the endocardium tissue at one time;

an electromagnetic sensor cable electrically connected to the electromagnetic sensor and extending through the tip section, catheter body and handle for carrying electrical signals from the electromagnetic sensor to a circuit board; and

a plurality of electrode lead wires, each lead wire being electrically connected to an electrode member and extending through the tubing, catheter body and handle.

2. A catheter according to claim 1, further comprising a rigid, generally tubular housing having proximal and distal ends, the proximal end being mounted on the distal end of the flexible tubing, and wherein the sensor is mounted, at least in part, within the housing and the multi-element tip electrode is mounted at the distal end of the housing.

3. A catheter according to claim 1, wherein the multi-element tip electrode comprises a plurality of electrode members electrically isolated from one another and arranged such that, during use of the catheter within the heart, at least three different electrode members are capable of contacting the endocardium tissue at one time.

4. A catheter according to claim 1, wherein the non-conductive matrix comprises a rigid material.

5. A catheter according to claim 1, wherein the non-conductive matrix has a generally closed, rounded distal end, a hollow interior, and an open proximal end.

6. A catheter according to claim 1, wherein the multi-element tip electrode comprises:

a non-conductive base made of a generally rigid material having a generally closed, rounded distal end and an open proximal end;

a plurality of electrode members electrically isolated from one another by a non-conductive matrix overlying the nonconductive base, said electrode members being electrically connected to a corresponding electrode lead wire, each lead wire extending through a hole in the non-conductive base.

7. A system for determining the direction and/or velocity of electrical activity in a heart , the system including:

(a) a mapping catheter comprising;

a catheter body having an outer wall, proximal and distal ends and at least one lumen extending therethrough;

a handle at the proximal end of the catheter body;

a tip section comprising;

a flexible tubing having proximal and distal ends and at least one lumen extending therethrough, wherein the proximal end of the flexible tubing is fixedly attached to the distal end of the catheter body;

an electromagnetic sensor for producing electrical signals indicative of the location of the electromagnetic sensor;

a multi-element tip electrode mounted at the distal end of the tip section comprising a plurality of electrode members electrically isolated from one another by a non-conductive matrix and arranged such that, during use different electrode members are capable of contacting the endocardium tissue at one time;

an electromagnetic sensor cable electrically connected to the electromagnetic sensor and extending through the tip section, catheter body and handle for carrying electrical signals from the electromagnetic sensor to a circuit board; and

a plurality of electrode lead wires, each lead wire being electrically connected to an electrode member and extending through the tubing, catheter body and handle;

(b) means for receiving, analyzing and displaying information concerning the location of the catheter tip section and of the electrical activity in the heart, and information concerning the direction and/or velocity of the electrical activity in the heart, the means being electrically connected to the electrode lead wires and to the sensor cable.

8. A method for determining the direction and/or velocity of electrical activity in a heart chamber, comprising:

(a) providing a mapping catheter comprising;

a catheter body having an outer wall, proximal and distal ends and at least one lumen extending therethrough;

a handle at the proximal end of the catheter body;

a tip section comprising;

a flexible tubing having proximal and distal ends and at least one lumen extending therethrough, wherein the proximal end of the flexible tubing is fixedly attached to the distal end of the catheter body;

an electromagnetic sensor for producing electrical signals indicative of the location of the electromagnetic sensor;

a multi-element tip electrode mounted at the distal end of the tip section comprising a plurality of electrode members electrically isolated from one another by a non-conductive matrix and arranged such that, during use of the catheter within the heart, at least two different electrode members are capable of contacting the endocardium tissue at one time;

an electromagnetic sensor cable electrically connected to the electromagnetic sensor and extending through the tip section, catheter body and handle for carrying electrical signals from the electromagnetic sensor to a circuit board; and

a plurality of electrode lead wires, each lead wire being electrically connected to an electrode member and extending through the tubing, catheter body and handle;

(b) inserting the catheter into the heart and contacting the distal end of the tip section with heart tissue whereby at least two electrode members are in contact with a location of the myocardium;

(c) determining the location of the myocardium in contact with the at least two electrode members and the direction and/or velocity of the electrical activity at that location.

9. A method according to claim 8, wherein at least three electrode members are in contact with the tissue.

10. A method according to claim 8, further comprising mapping the shape and electrical activity of the heart chamber by:

(a) advancing the catheter tip section into the heart chamber;

(b) repeatedly contacting the tip section with the heart wall, measuring the electrical activity, recording the location of and electrical activity measured at each position of contact; and

(c) displaying the recorded positions on the receiving, analyzing and displaying means.

11. A method according to claim 10, wherein at least three electrode members are in contact with the tissue.

12. A method according to claim 8 comprising:

determining the location of the myocardium in contact with the at least two electrode members and the velocity of the electrical activity at that location.