Contact sensitive probes with indicators

• US 7,976,541 B2
• Filed: 02/15/2006
• Issued: 07/12/2011
• Est. Priority Date: 02/15/2006
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: McGee, David, Bryan, Robert, Crompton, Walter Harvey Jr.
• Primary Examiner(s): Gibson; Roy D
• Assistant Examiner(s): DELLA, JAYMI E
• Application Number:
  US11/354,481
• Publication Number:
  US 20070191829A1
• Time in Patent Office: 1,973 Days
• Field of Search: 606/41, 606/42, 606 45- 47
• US Class Current: 606/41
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• 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 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 2090/0807 Indication means

Abstract

Probes that are sensitive to electrode/tissue contact and that are configured to connect an electrode to a power supply and/or provide an indication when the desired level of electrode/tissue contact has been achieved.

Claims

1. A probe, comprising:

a probe shaft defining a longitudinal axis, a distal end and a proximal end;

an electrode defining a longitudinal axis;

a joint, secured to the probe shaft and to the electrode, that mounts the electrode distal of the distal end of the probe shaft such that the electrode is located in a first position when the joint is unstressed and the electrode is movable in the axial direction relative to the distal end of the probe shaft;

a handle secured to the proximal end of the probe shaft;

an indicator carried by the handle and having an off state and an on state; and

means for maintaining the indicator in an off state unless the electrode moves a predetermined non-zero distance in the axial direction from the first position and switching the indicator from the off state to the on state in response to the application of a suitable level of force on the electrode for an endocardial lesion formation procedure electrode moving the predetermined non-zero distance in the axial direction from the first position.

2. A probe as claimed in claim 1, wherein the probe shaft comprises a catheter shaft.

3. A probe as claimed in claim 1, wherein the indicator comprises at least one of an audible indicator and a visible indicator.

4. A probe as claimed in claim 1, wherein the joint is configured such that the electrode will move the predetermined distance when a force of about 0.5 g to about 10 g is applied to the electrode.

5. A probe, comprising:

a catheter shaft defining a distal end and a proximal end;

a power wire and a return wire extending though the catheter shaft; and

an electrode structure, associated with the distal end of the catheter shaft, including

an electrically conductive base mounted directly onto the distal end of the catheter shaft and secured to the return wire,

an electrode secured to the power wire, and

a joint, which is not integrally formed with any portion of the catheter shaft, that secures the electrode relative to the electrically conductive base such that the electrode is movable between a first position where the electrically conductive base and electrode are electrically disconnected from one another and a second position where the electrically conductive base and electrode are electrically connected to one another.

6. A probe as claimed in claim 5, wherein the joint is biased to the first position.

7. A probe as claimed in claim 5, further comprising:

an indicator associated with the proximal end of the catheter shaft and operably connected to the power wire and return wire such that the indicator is actuated when the joint is in the second position.

8. A probe as claimed in claim 7, further comprising:

a handle secured to the proximal end of the catheter shaft.

9. A probe as claimed in claim 8, wherein the indicator is carried by the handle.

10. A probe as claimed in claim 7 wherein the indicator comprises at least one of an audible indicator and a visible indicator.

11. A probe as claimed in claim 5, wherein the electrode defines an interior region and at least a portion of the electrically conductive base is located within the interior region of the electrode.

12. A probe as claimed in claim 5, wherein

the catheter shaft defines an inner lumen;

and

the electrically conductive base includes a mounting post that is located within the inner lumen and secured to the catheter shaft.

13. A probe as claimed in claim 5, wherein the electrically conductive base includes a connector post that contacts the electrode when the electrode is in the second position.

14. A probe as claimed in claim 5, wherein the electrode defines a distal end, the probe further comprising:

a temperature sensor carried by the distal end of the electrode; and

a signal wire connected to the temperature sensor.

15. A probe as claimed in claim 14, wherein

the electrically conductive base defines proximal and distal ends and includes a signal wire lumen that extends from the proximal end to the distal end;

and

the signal wire passes through and extends distally beyond the distal end of the signal wire lumen.

16. A probe as claimed in claim 5, wherein

the catheter shaft defines an inner diameter;

and

the electrically conductive base includes a portion with an outer diameter that is substantially equal to the inner diameter of the catheter shaft.

17. A probe as claimed in claim 16, wherein the electrically conductive base includes a portion with an outer diameter that is greater than the inner diameter of the probe shaft.

18. A probe as claimed in claim 5, wherein

the catheter shaft defines an inner surface;

and

a portion of the electrically conductive base abuts the inner surface of the probe shaft at the distal end of the catheter shaft.

19. A probe as claimed in claim 5, wherein the electrically conductive base is rigid.

20. A probe as claimed in claim 5, wherein at least the entire portion of the electrically conductive base that is distal of the probe shaft distal end is rigid.

21. A probe, comprising:

a catheter shaft defining a distal end;

a power wire and a return wire extending though the catheter shaft; and

an electrode structure, associated with the distal end of the catheter shaft, including

an electrically conductive base mounted directly onto the distal end of the catheter shaft and secured to the return wire,

an electrode secured to the power wire, and

a flexible tube that defines an inner diameter and that secures the electrode relative to the electrically conductive base such that the electrode is movable between a first position where the electrically conductive base and electrode are electrically disconnected from one another and a second position where the electrically conductive base and electrode are electrically connected to one another

wherein the catheter shaft defines an inner diameter that is less than inner diameter of the flexible tube.

22. A probe, comprising:

a probe shaft defining a distal end and a proximal end;

a power wire and a return wire extending though the probe shaft; and

an electrode structure, associated with the distal end of the probe shaft, including

an electrically conductive base mounted on the distal end of the probe shaft, secured to the return wire, formed from a base material, and defining a stiffness and a base configuration,

an electrode secured to the power wire, formed from an electrode material, and defining an electrode configuration, and

a joint that defines a flexibility and secures the electrode relative to the electrically conductive base

wherein the stiffness of the electrically conductive base and the flexibility of the joint are such that the electrode structure is movable, without bending of the electrically conductive base, between a first state where the electrically conductive base and electrode are electrically disconnected from one another and a second state where the electrically conductive base and electrode are electrically connected to one another, and

wherein the respective configurations and materials of the electrode and the electrically conductive base are such that the electrically conductive base will not deflect when the electrode applies force to the electrically conductive base.

23. A probe as claimed in claim 22, wherein the probe shaft comprises a catheter shaft.

24. A probe as claimed in claim 22, wherein the joint is biased to the first position.

25. A probe as claimed in claim 22, further comprising:

an indicator associated with the proximal end of the probe shaft and operably connected to the power wire and return wire such that the indicator is actuated when the joint is in the second position.

26. A probe as claimed in claim 22, wherein the joint comprises a flexible tube.

27. A probe as claimed in claim 22, wherein the electrode defines an interior region and at least a portion of the electrically conductive base is located within the interior region of the electrode.

28. A probe as claimed in claim 22, wherein

the probe shaft defines an inner lumen;

and

the electrically conductive base includes an electrically conductive mounting post that is located within the inner lumen and mounted directly onto the probe shaft.

29. A probe as claimed in claim 22, wherein the electrode and the electrically conductive base are formed from a material in the group consisting of silver, platinum gold, stainless steel and platinum iridium.