Electrode arrangement for use in a medical instrument

• US 6,976,986 B2
• Filed: 01/05/2004
• Issued: 12/20/2005
• Est. Priority Date: 04/12/2000
• Status: Expired due to Fees

• Current Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Original Assignee: AFX, Inc. (Boston Scientific Corporation)
• Inventors: Berube, Dany
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US10/752,156
• Publication Number:
  US 20040138652A1
• Time in Patent Office: 715 Days
• Field of Search: 606/15, 606/21, 606/33, 606/41, 607100-102, 607/154, 607/156, 600/374
• US Class Current: 606/33
• 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/183 characterised by the type of antenna
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]

Abstract

A medical instrument is disclosed. The medical instrument includes a pair of spaced apart and electrically isolated elongated wire electrodes positioned adjacent one another on a working member. The wire electrodes are arranged for sensing electrical activity of biological tissues inside the body of the patient. The medical instrument also includes a pair of electrically isolated electrode wires that extend through the working member. Each of the electrode wires are electrically coupled to an associated wire electrode.

Claims

1. An ablation device for electrically isolating the pulmonary veins, comprising:

a longitudinal working member having a longitudinal axis and adapted to direct ablative energy predominantly in a first predetermined direction, that extends radially from the longitudinal axis of the longitudinal working member; and

a pair of electrodes operably attached to the longitudinal working member and spaced apart in a second predetermined direction lateral to the longitudinal axis of the longitudinal working member to sense electrical activity of biological tissues at a reference point for determining the position of the working member with respect to sensed biological tissue inside the body of the patient for properly aligning the working member with biological tissues about the pulmonary veins targeted for ablation.

2. The device as recited in claim 1 wherein the electrodes extend side by side longitudinally relative to the longitudinal working member and are spaced apart at an angular orientation about the longitudinal axis of the longitudinal working member that is less than approximately 45 degrees.

3. The device as recited in claim 1 wherein the electrodes have a width and a length that is substantially larger than the width.

4. The device as recited in claim 3 wherein the length of the electrodes is between about 0.5 and about 1 mm.

5. The device as recited in claim 3 wherein the width is between about 0.25 mm and about 0.625 mm.

6. The device as recited in claim 1 wherein each of the electrodes has an elongated axis that is substantially parallel to the longitudinal axis of the longitudinal working member.

7. The device as recited in claim 1 wherein each of the electrodes has an elongated axis that is angled relative to the longitudinal axis of the longitudinal working member at an angle less than about 45 degrees.

8. The device as recited in claim 1 wherein each of the electrodes is electrically coupled to a conductor through an associated resistor to reduce the coupling of electromagnetic energy along the conductor.

9. The device as recited in claim 1 wherein each of the electrodes is connected to a conductor of high resistance material for reducing the coupling of electromagnetic energy along the conductor.

10. The device as recited in claim 1 wherein conductors connected to the electrodes are arranged to extend substantially parallel to one another along the longitudinal working member.