Soft linear mapping catheter with stabilizing tip

• US 7,412,273 B2
• Filed: 11/15/2004
• Issued: 08/12/2008
• Est. Priority Date: 11/15/2004
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Lee, James K., Hill, Irma P., Mest, Robert A., Jais, Pierre
• Primary Examiner(s): Cohen; Lee S
• Application Number:
  US10/990,146
• Publication Number:
  US 20060106295A1
• Time in Patent Office: 1,366 Days
• Field of Search: 600/374, 600/381
• US Class Current: 600/374
• 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 2018/00351 Heart
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6857 with a distal pigtail shape

Abstract

A catheter adapted for mapping near a tubular region of a heart, has an elongated tubular catheter body having proximal and distal ends, an intermediate section distal of the catheter body, and a mapping assembly at the distal end of the intermediate section. The electrode-carrying mapping assembly has a generally circular main segment with a support member having shape-memory, and a generally linear proximal segment which has greater flexibility than either the intermediate section or the generally circular main segment. The generally circular main segment is adapted to releasably anchor itself in the tubular region and to map circumferentially around the tubular region and the generally linear segment is adapted to contact generally along its length heart wall tissue near an ostium of the tubular region. In another embodiment of the present invention, the mapping assembly extends from the distal end of the catheter body, where the generally linear proximal segment of the mapping assembly has greater flexibility than either the catheter body or the generally circular main segment.

Claims

1. A mapping catheter adapted for mapping near a tubular region of a heart, comprising:

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

an intermediate section having proximal and distal ends, the intermediate section being distal of the catheter body; and

a mapping assembly at the distal end of the intermediate section, the mapping assembly having;

a generally circular main segment with a support member having shape-memory disposed within at least the main segment of the mapping assembly,

a generally linear segment proximal the generally circular main segment, the generally linear segment having greater flexibility than either of the intermediate section and the generally circular main segment, and

a plurality of ring electrodes on the generally linear segment,

wherein the generally circular main segment is adapted to releasably anchor itself in the tubular region and wherein the generally linear segment is adapted to contact generally along its length heart wall tissue near an ostium of the tubular region.

2. A catheter according to claim 1, further comprising a second plurality of electrodes on the generally circular main segment.

3. A catheter according to claim 1, wherein the proximal segment carrying the electrodes is adapted to conduct mapping of said wall tissue along a linear pattern extending radially from the ostium.

4. A catheter of claim 3, wherein the mapping assembly is adapted to be rotated about the ostium to perform mapping of said wall tissue along different radially-extending linear patterns about the ostium.

5. A catheter of claim 1, wherein the support member is nitinol.

6. A catheter of claim 1, wherein the generally linear segment comprises a tubing with flexibility durometer rating of about 55 D.

7. A catheter of claim 1, wherein the generally linear segment has an exposed length ranging between about 30 mm to 70 mm.

8. A catheter of claim 1, wherein the generally linear segment has an exposed length of about 30 mm.

9. A catheter of claim 1, further comprising a first puller wire to manipulate deflection of the intermediate section.

10. A catheter of claim 1, wherein the mapping assembly further comprises a generally straight distal segment distal of the generally circular segment.

11. A catheter of claim 1, wherein the generally circular main segment has an outer diameter ranging to about 10 mm to about 35 mm.

12. A catheter of claim 1, wherein the generally circular main region has an outer diameter ranging between about 12 mm to about 20 mm.

13. A catheter of claim 1, wherein the plurality of ring electrodes comprises a plurality of ring electrode pairs, wherein a number of ring electrode pairs along the generally linear proximal segment ranges from about two to about twenty.

14. A catheter of claim 1, comprising ten ring electrode pairs along the generally linear segment.

15. A catheter of claim 1, further comprising additional ring electrodes carried on the generally circular segment.

16. A catheter according to claim 1, further comprising means for deflecting the intermediate section without altering the shape of the mapping assembly.

17. A catheter according to claim 16, wherein the deflecting means comprises:

a puller wire extending through a lumen of the catheter body, said puller wire being fixedly attached at its distal end to the intermediate section near the distal end of the intermediate section; and

a control handle for moving the puller wire longitudinally relative to the catheter body to thereby cause deflection of at least the intermediate section.

18. A catheter of claim 1, wherein the generally linear segment of the mapping assembly comprises an elongated proximal segment that is generally devoid of electrodes and adapted to define an angle with the intermediate section ranging between about 45 degrees to about 315 degrees.

19. A method for mapping electrical activity of wall tissue near a tubular region of or near the heart, the method comprising:

inserting the generally circular segment of a catheter according to claim 1 into a tubular region of or near the heart;

releasably anchoring the generally circular segment in the tubular region near its ostium;

contacting the generally linear segment of the catheter generally along its length with wall tissue near the ostium; and

mapping the electrical activity of the wall tissue along a linear pattern extending radially from the ostium.

20. A method of claim 19, further comprising:

rotating the mapping assembly about the ostium and mapping the electrical activity of the wall tissue along a different linear pattern extending radially from the ostium.

21. A method according to claim 19, wherein the tubular region is selected from the group consisting of pulmonary veins, the coronary sinus, the superior vena cava, and the inferior vena cava.

22. A method according to claim 19, wherein the tubular region is a pulmonary vein.

23. A mapping catheter adapted for mapping near a tubular region of a heart, comprising:

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

an intermediate section having proximal and distal ends, the intermediate section being distal of the catheter body; and

a mapping assembly at the distal end of the intermediate section, the mapping assembly having a distal portion and a generally linear segment proximal the distal portion, the generally linear segment having greater flexibility than either of the intermediate section and the distal portion, and a plurality of ring electrodes carried on the generally linear segment,

wherein the distal portion is adapted to releasably anchor itself in the tubular region and wherein the generally linear segment is adapted to contact generally along its length heart wall tissue near an ostium of the tubular region.

24. A catheter according to claim 23, wherein the proximal segment carrying the electrodes is adapted to conduct mapping of said wall tissue along a linear pattern extending radially from the ostium.

25. A catheter of claim 24, wherein the mapping assembly is adapted to be rotated about the ostium to perform mapping of said wall tissue along different radially-extending linear patterns about the ostium.

26. A catheter of claim 23, wherein the generally linear segment comprises a tubing with flexibility durometer rating of about 55 D.

27. A catheter of claim 23, wherein the generally linear segment has an exposed length ranging between about 30 mm to 70 mm.

28. A catheter of claim 23, wherein the generally linear segment has an exposed length of about 42 mm.

29. A catheter of claim 23, further comprising a first puller wire to manipulate deflection of the intermediate section.

30. A mapping catheter adapted for mapping near a tubular region of a heart, comprising:

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

a mapping assembly distal of the distal end of the catheter body, the mapping assembly having;

a generally circular main segment with a support member having shape-memory disposed within at least the main segment of the mapping assembly,

a generally linear segment proximal the generally circular main segment, the generally linear segment having greater flexibility than both the catheter body and the generally circular main segment, and

a plurality of ring electrodes on the generally linear segment,

wherein the generally circular main segment is adapted to releasably anchor itself in the tubular region and wherein the generally linear segment is adapted to contact generally along its length heart wall tissue near an ostium of the tubular region.

31. A catheter according to claim 30, further comprising a second plurality of electrodes on the generally circular main segment.

32. A catheter according to claim 30, wherein the generally linear segment carrying the electrodes is adapted to conduct mapping of said wall tissue along a linear pattern extending radially from the ostium.

33. A catheter of claim 32, wherein the linear segment is adapted to guide a second catheter to move along said linear pattern.

34. A catheter of claim 30, wherein the mapping assembly is adapted to be rotated about the ostium to perform mapping of said wall tissue along different radially-extending linear patterns about the ostium.

35. A catheter of claim 34, wherein the linear segment is adapted to guide a second catheter to move along said linear patterns.

36. A catheter of claim 30, further comprising a puller wire to manipulate deflection of an intermediate section between the catheter body and the mapping assembly.

37. A catheter of claim 30, further comprising a puller to manipulate deflection of the linear segment of the mapping assembly.