Catheter electrode that can simultaneously emit electrical energy and facilitate visualization by magnetic resonance imaging

• US 8,175,679 B2
• Filed: 12/26/2007
• Issued: 05/08/2012
• Est. Priority Date: 12/26/2007
• Status: Expired due to Fees

• Current Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Original Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Inventors: Gerhart, John P., Puryear, Harry, Dando, Jeremy D., Petersen, Scott R.
• Primary Examiner(s): MEHTA, PARIKHA SOLANKI
• Application Number:
  US11/964,194
• Publication Number:
  US 20090171187A1
• Time in Patent Office: 1,595 Days
• Field of Search: 600/411, 600/422, 600/423, 607/5, 607/6, 607/2, 607/100, 607/101, 607/113, 607/116, 607/122, 607/127, 606/27, 606/32, 606/41
• US Class Current: 600/423
• 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 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/283 Invasive

Abstract

An electrode for use on a medical device is disclosed. The electrode may have a main body of electrically conductive material extending along an axis and having a proximal end and a distal end. The body may be configured to emit electrical energy in accordance with a predefined diagnostic or therapeutic function. The body may have a groove disposed over an outermost surface of the body. The electrode may also include a magnetic resonance imaging (MRI) tracking coil disposed in said groove. The MRI tracking coil may comprise electrically insulated wire, for example. A catheter including an electrode, as well as a method for determining the location of an electrode, are also disclosed.

Claims

1. An electrode assembly for use on a medical device comprising:

a main body of electrically conductive material extending along an axis and having a proximal end and a distal end, said body configured for connection to a first end of a first electrical conductor and said body being configured to emit electrical energy when a second end of the first electrical conductor is coupled to an energy source;

said body having a groove disposed at least in part over an outermost surface of said body;

a magnetic resonance imaging (MRI) tracking coil disposed in said groove, said MRI tracking coil comprising electrically insulated wire.

2. The electrode assembly of claim 1, wherein said body is configured to emit electrical energy for a radio frequency (RF) ablation function.

3. The electrode assembly of claim 1, wherein said groove comprises a continuous spiral niche.

4. The electrode assembly of claim 3, wherein said niche has a width substantially corresponding to a diameter of said wire.

5. The electrode assembly of claim 1, wherein said groove comprises a single channel having a width large enough to house said MRI tracking coil.

6. The electrode assembly of claim 1, wherein said groove comprises first and second channels, said first channel being axially offset from said second channel by a predetermined distance.

7. The electrode assembly of claim 6, wherein said first and second channels have a width along said axis that is substantially larger than a depth in the radial direction.

8. The electrode assembly of claim 6, wherein said predetermined distance is about 0.5 mm.

9. The electrode assembly of claim 5, wherein said MRI tracking coil has a first segment with a first predetermined number of turns and a second segment with a second predetermined number of turns.

10. The electrode assembly of claim 9, wherein said first segment is disposed in said first channel and said second segment is disposed in said second channel, said first and second segments being electrically series-connected.

11. The electrode assembly of claim 9, wherein said first and second predetermined number of turns is about five.

12. The electrode assembly of claim 1, wherein said body is solid.

13. The electrode assembly of claim 1, wherein said body comprises a non-ferrous material.

14. The electrode assembly of claim 1, wherein said body comprises a gold alloy.

15. The electrode assembly of claim 1, wherein said wire is electrically conductive.

16. The electrode assembly of claim 1, wherein said groove has an entry and an exit and extends a predetermined number of turns from said entry to said exit.

17. The electrode assembly of claim 16, wherein said predetermined number of turns is at least 10 turns.

18. The electrode assembly of claim 1, wherein said groove has a width equal to or less than about 0.5 mm.

19. The electrode assembly of claim 1, wherein said groove has a depth sufficient to receive said MRI tracking coil so that said MRI tracking coil is not disposed externally to said outermost surface of said body of said electrode.

20. The electrode assembly of claim 1, further comprising an electrically conductive polymer disposed in said groove so that an outermost surface of said polymer is substantially flush with said outermost surface of said body of said electrode assembly.

21. The electrode assembly of claim 20, wherein said polymer comprises silicone with gold particles dispersed therein at a predefined density.

22. The electrode assembly of claim 1, wherein said energy source comprises a radio frequency ablation generator.

23. The electrode assembly of claim 1, wherein said MRI tracking coil is configured for developing an induced signal having sufficient information encoded therewith to be indicative of a position of said body of said electrode assembly and to enable a magnetic resonance imaging (MRI) system to depict a location of said body of said electrode assembly in a patient.

24. The electrode assembly of claim 1, wherein said body includes a plurality of slits.

34. The electrode assembly of claim 1, wherein said MRI tracking coil is configured for connection to a first end of a second electrical conductor and wherein a second end of the second electrical conductor is configured for connection to a magnetic resonance imaging (MRI) system.

25. A catheter, comprising:

a shaft; and

an electrode assembly disposed on said shaft, said electrode assembly comprising;

a main body of electrically conductive material extending along an axis and having a proximal end and a distal end;

said body having a groove disposed at least in part over an outermost surface of said body;

a magnetic resonance imaging (MRI) tracking coil disposed in said groove, said MRI tracking coil comprising electrically insulated wire; and

an MRI receiving coil configured for MRI imaging disposed in said shaft proximate said electrode assembly, wherein said MRI receiving coil is configured for connection to an MRI system.

26. The catheter of claim 25, said MRI receiving coil comprising electrically conductive wire.

27. The catheter of claim 25, wherein said MRI receiving coil comprises a superconducting material.

28. The catheter of claim 25, further including a means for tuning or detuning said MRI receiving coil.

29. The catheter of claim 25, further including a second MRI tracking coil disposed in said shaft.

30. The catheter of claim 25, further comprising a micro-coaxial cable configured for connection to said MRI tracking coil, said cable extending through said shaft.

31. A method of providing an electrode assembly for use on a medical device, comprising:

providing an electrode having a main body of electrically conductive material extending along an axis and having a proximal end and a distal end, said body configured for connection to a first end of a first electrical conductor and said body being configured to emit electrical energy when a second end of the first electrical conductor is coupled to an energy source;

forming a groove in an outermost surface of said body; and

disposing a magnetic resonance imaging (MRI) tracking coil in said groove, said MRI tracking coil comprising electrically insulated wire, wherein said MRI tracking coil is configured for connection to a first end of a second electrical conductor and wherein a second end of the second electrical conductor is configured for connection to a magnetic resonance imaging (MRI) system.

32. The method of claim 31, further comprising:

inducing a signal in said MRI tracking coil; and

receiving said induced signal developed in said MRI tracking coil at said MRI system input.

33. The method of claim 31, further comprising transmitting a magnetic field with said MRI tracking coil, wherein said MRI tracking coil is configured for connection with said MRI system in order to facilitate tracking of said body of said electrode within said MRI system.