Multiple-electrode catheter assembly and method of operating such a catheter assembly

• US 6,887,236 B2
• Filed: 05/03/2002
• Issued: 05/03/2005
• Est. Priority Date: 05/03/2002
• Status: Expired due to Term

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Super Dimension Ltd.
• Inventors: Gilboa, Pinhas
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): VRETTAKOS, PETER J
• Application Number:
  US10/137,415
• Publication Number:
  US 20030208102A1
• Time in Patent Office: 1,096 Days
• Field of Search: 606 27- 52
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe

Abstract

A multiple-electrode catheter assembly includes a hollow catheter having an internal elongated channel and a flexible distal portion. A number of electrodes are spaced along the flexible distal portion. An inner element, slidingly engaged within the elongated channel, has a steering mechanism configured for selectively deflecting a steerable distal portion of the inner element. According to additional, or alternative, features, the inner element includes sliding contacts for forming electrical connections with the electrodes, and displaceable locating elements for determining the position of an electrode during operation. Also provided is a method for operating such a catheter.

Claims

1. A multiple-electrode catheter assembly comprising:

(a) a hollow catheter having an internal elongated channel and a flexible distal portion, a plurality of electrodes being spaced along said flexible distal portion; and

(b) an inner element slidingly engaged within said elongated channel, said inner element having a steering mechanism configured for selectively deflecting a steerable distal portion of said inner element and wherein said inner element further includes at least one outwardly facing electrical contact, said electrical contact being configured such that, by moving said inner element along said internal elongated channel, said electrical contact is selectively brought into alignment for forming an electrical connection with each of at least two of said plurality of electrodes.

2. The catheter assembly of claim 1, wherein said steering mechanism is configured to be selectively operable from an initial curved form so as to tend to straighten said steerable distal portion.

3. The catheter assembly of claim 1, wherein said plurality of electrodes is implemented as n electrodes spaced evenly at an interval d along said flexible distal portion, n being at least 3, and wherein a distal end and a proximal end of said steerable distal portion are separated by a length L along said inner element, L being approximately equal to m×

d where m is a positive integer less than n, such that said distal end and said proximal end of said steerable distal portion come into simultaneous functional alignment with pairs of said electrodes.

4. The catheter assembly of claim 3, wherein m is no more that half of n such that each one of said electrodes is spaced by L from at least one other of said electrodes.

5. The catheter assembly of claim 3, wherein said inner element further includes a distal electrical contact located at said distal end of said distal steerable portion and a proximal electrical contact located at said proximal end of said distal steerable portion, said distal and said proximal electrical contacts being configured such that, by moving said inner element along said internal elongated channel, said distal and proximal electrical contacts are selectively brought into alignment for forming an electrical connection with said pairs of said plurality of electrodes.

6. The catheter assembly of claim 5, wherein said inner element further includes a distal locating element located at said distal end of said distal steerable portion and a proximal locating element located at said proximal end of said distal steerable portion, said distal and said proximal locating elements forming parts of a location sensing system for determining positions of said distal end and said proximal end, respectively, of said steerable distal portion.

7. The catheter assembly of claim 3, wherein said inner element further includes a distal locating element located at said distal end of said distal steerable portion and a proximal locating element located at said proximal end of said distal steerable portion, said distal and said proximal locating elements forming parts of a location sensing system for determining positions of said distal end and said proximal end, respectively, of said steerable distal portion.

8. The catheter assembly of claim 1, wherein said at least one outwardly facing electrical contact includes a distal electrical contact located at a distal end of said distal steerable portion.

9. The catheter assembly of claim 1, wherein said at least one outwardly facing electrical contact includes a proximal electrical contact located at a proximal end of said distal steerable portion.

10. The catheter assembly of claim 1, wherein said inner element further includes at least one locating element forming part of a location sensing system for determining a position of at least one point in said inner element.

11. The catheter assembly of claim 10, wherein said at least one locating element includes a distal locating element located at a distal end of said distal steerable portion.

12. The catheter assembly of claim 10, wherein said at least one locating element includes a proximal locating element located at a proximal end of said distal steerable portion.

13. The catheter assembly of claim 10, wherein said at least one locating element forms part of a locating system which determines said position of at least one point in said inner element in three dimensions.

14. The catheter assembly of claim 10, wherein said at least one locating element forms part of a locating system which is a non-imaging locating system.

15. The catheter assembly of claim 10, wherein said at least one locating element forms part of a locating system which generates coordinates of said position of at least one point relative to a given frame of reference.

16. A multiple-electrode catheter assembly comprising:

(a) a hollow catheter having an internal elongated channel and a hollow distal portion, a plurality of electrodes being spaced along said hollow distal portion; and

(b) an inner element slidingly engaged within said elongated channel, said inner element having an actuating distal portion including at least one outwardly facing electrical contact, said electrical contact being configured such that, by moving said inner element along said internal elongated channel, said electrical contact is selectively brought into alignment for forming an electrical connection with each of at least two of said plurality of electrodes.

17. The catheter assembly of claim 16, wherein said plurality of electrodes is implemented as n electrodes spaced evenly at an interval d along said flexible distal portion, n being at least 3, and wherein said at least one electrical contact includes a distal electrical contact and a proximal electrical contact separated by a length L along said inner element, L being equal to m×

d where m is a positive integer less than n, such that said distal electrical contact and said proximal electrical contact of said actuating distal portion come into simultaneous alignment with pairs of said electrodes.

18. The catheter assembly of claim 16, wherein said inner element further includes a locating element associated with said at least one electrical contact, said locating element forming part of a location sensing system for determining a position of said at least one electrical contact.

19. The catheter assembly of claim 18, wherein said at least one locating element forms part of a locating system which determines said position of at least one point in said inner element in three dimensions.

20. The catheter assembly of claim 18, wherein said at least one locating element forms part of a locating system which is a non-imaging locating system.

21. The catheter assembly of claim 18, wherein said at least one locating element forms part of a locating system which generates coordinates of said position of at least one point relative to a given frame of reference.

22. A multiple-electrode catheter assembly comprising:

(a) a hollow catheter having an internal elongated channel and a hollow distal portion, a plurality of electrodes being spaced along said hollow distal portion; and

(b) an inner element slidingly engaged within said elongated channel, said inner element having a sensing distal portion including at least one locating element, said locating element forming part of a location sensing system for determining a position of at least one point within said inner element, such that, by moving said inner element along said internal elongated channel, said locating element is selectively brought into alignment for determining the position of each of at least two of said plurality of electrodes.

23. The catheter assembly of claim 22, wherein said plurality of electrodes is implemented as n electrodes spaced evenly at an interval d along said flexible distal portion, n being at least 3, and wherein said at least one locating element includes a distal locating element and a proximal locating element separated by a length L along said inner element, L being equal to m×

d where m is a positive integer less than n, such that said distal locating element and said proximal locating element of said sensing distal portion come into simultaneous alignment with pairs of said electrodes.

24. The catheter assembly of claim 22, wherein said at least one locating element forms part of a locating system which determines said position of at least one point in said inner element in three dimensions.

25. The catheter assembly of claim 22, wherein said at least one locating element forms part of a locating system which is a non-imaging locating system.

26. The catheter assembly of claim 22, wherein said at least one locating element forms part of a locating system which generates coordinates of said position of at least one point relative to a given frame of reference.

27. A method for performing a procedure using a multiple-electrode assembly, the method comprising:

(a) providing a hollow catheter having a distal portion with a plurality of independently operable electrodes;

(b) deploying a steering mechanism within said hollow catheter so as to be slidable along a length of said distal portion;

(c) guiding the catheter to a position in which each of the electrodes lies adjacent to a corresponding region of tissue;

(d) sliding the steering mechanism along said distal portion to a first position and actuating the steering mechanism so as to ensure effective contact of at least a first of said electrodes with the corresponding region of tissue during operation of said first electrode; and

(e) sliding the steering mechanism along said distal portion to a second position and actuating the steering mechanism so as to ensure effective contact of at least a second of said electrodes with the corresponding region of tissue during operation of said second electrode.

28. The method of claims 27, wherein the catheter assumes a curved configuration when in said position in which each of the electrodes lies adjacent to a corresponding region of tissue, and wherein the steering mechanism is actuated so as to tend to straighten a selected part of said distal portion.

29. The method of claims 27, wherein the plurality of electrodes are implemented as n electrodes spaced evenly at an interval d along the distal portion, n being at least 3, and wherein the steering mechanism has an operative portion of length L, L being approximately equal to m×

d where m is a positive integer less than n, such that a distal end and a proximal end of the operative portion of the steering mechanism come into simultaneous functional alignment with pairs of said electrodes.

30. The method of claim 27, further comprising providing a locating system including at least one element associated with the steering mechanism, the locating system determining a current location of at least one electrode which the steering mechanism is currently maintaining in contact with the corresponding region of tissue.

31. The method of claim 27, further comprising providing at least one electrical contact associated with the steering mechanism and moving the electrical contact together with the steering mechanism along the distal portion such that the electrical contact is successively brought into alignment for forming an electrical connection with each of at least two of the plurality of electrodes.