Integral electrode placement and connection systems

• US 8,894,643 B2
• Filed: 05/12/2010
• Issued: 11/25/2014
• Est. Priority Date: 10/10/2008
• Status: Active Grant

• Current Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Original Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Inventors: Tam, Edmund, Saadat, Vahid, Watson, John Paul
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): SCOTT, AMANDA L
• Application Number:
  US12/778,907
• Publication Number:
  US 20100262140A1
• Time in Patent Office: 1,658 Days
• Field of Search: 606 41- 45
• US Class Current: 606/41
• CPC Class Codes: A61B 1/0008 characterised by distal tip features
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• CPC Class Codes: A61B 1/00089 Hoods
• CPC Class Codes: A61B 1/012 characterised by internal passages or accessories therefor
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion
• CPC Class Codes: A61B 1/3137 for examination of the interior of blood vessels
• 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 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/06 for high-frequency therapy
• CPC Class Codes: Y10T 29/49155 Manufacturing circuit on or in base

Abstract

Electrode placement and connection systems are described which allow for the electrical connection and maintenance of one or more electrodes positioned on a substrate which is subjected to a variety of mechanical stresses. Electrodes may also be formed on flexible circuit assemblies integrated within or along the hood. The circuit assemblies may also provide structural support to the hood during delivery and/or deployment. Such a system may include an imaging hood having an aperture through which transparent fluid is flowed and one or more electrodes positioned along or about the hood. As the hood is configured between a low-profile and opened configuration, these electrodes may remain electrically coupled despite the mechanical stresses subjected to the electrodes and the connections thereto.

Claims

1. A tissue treatment assembly, comprising:

an elongate catheter extending along a longitudinal axis and defining a fluid lumen therethrough, the elongate catheter terminating at a distal opening in communication with the fluid lumen;

a fluid barrier projecting distally of the distal opening of the catheter and configurable between a low profile and a deployed profile, wherein in the deployed profile, the fluid barrier defines an open area in fluid communication with the distal opening of the catheter and includes a distal membrane extending in a plane that intersects the longitudinal axis, the distal membrane defining at least one aperture such that the open area is in communication with an environment external to the fluid barrier; and

at least one arm member formed from a polymeric assembly extending distally along the fluid barrier and at least partially upon the distal membrane.

2. The assembly of claim 1 wherein the fluid barrier is comprised of a fluid impermeable membrane.

3. The assembly of claim 1 wherein the aperture defines a diameter of at least 2 mm or greater.

4. The assembly of claim 1 further comprising four arm members formed from the polymeric assembly and extending distally along the fluid barrier.

5. The assembly of claim 1 wherein the at least one arm members inhibits distortion of the aperture.

6. The assembly of claim 1 wherein the polymeric assembly comprises at least one electrode exposed from the fluid barrier.

7. The assembly of claim 6 wherein the polymeric assembly further comprises one or more conductive traces electrically coupled to the at least one electrode.

8. The assembly of claim 1 wherein the polymeric assembly comprises a flexible printed circuit assembly.

9. The assembly of claim 1 wherein the polymeric assembly is molded integrally with the fluid barrier.

10. The assembly of claim 1 wherein the polymeric assembly is formed from a plurality of polymeric layers.

11. The assembly of claim 1 wherein the polymeric assembly comprises rigidized portions which provide structural support during flexing or bending of the assembly.