Catheter with flexible tether and introducer for a catheter

• US 8,945,118 B2
• Filed: 08/04/2010
• Issued: 02/03/2015
• Est. Priority Date: 08/04/2010
• Status: Active Grant

• Current Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Original Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Inventors: Tegg, Troy T.
• Primary Examiner(s): ROANE, AARON F
• Application Number:
  US12/850,494
• Publication Number:
  US 20120035466A1
• Time in Patent Office: 1,644 Days
• Field of Search: 606/41
• US Class Current: 606/41
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 5/068 using impedance sensors
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers
• CPC Class Codes: A61M 25/0158 with magnetic or electrical means, e.g. by using piezo materials, electroactive polymers, magnetic materials or by heating of shape memory materials

Abstract

A magnetically-guided catheter includes a tip positioning magnet in the distal electrode assembly configured to interact with externally applied magnetic fields for magnetically-guided movement. A magnetically-guided mapping catheter includes an electrically-conductive capsule in the form of a casing that includes a distal ablation surface and isolates the positioning magnet from bio-fluids to prevent corrosion. An open irrigation ablation catheter includes an isolated manifold that isolates the positioning magnet from contact with irrigation fluid to prevent corrosion. A device and method to manufacture a magnetically driven electrode-catheter with flexible tethering includes one or more KEVLAR® fibers, distributed centrally or peripherally within a catheter shaft and oriented longitudinally, transversely, angularly or spirally. A C-shaped extruded catheter introducer (and re-introducer) includes a longitudinally-extending opening for insertion of a magnetically-guided catheter, removal of the introducer from the catheter and which is constructed to facilitate its re-use in a medical procedure.

Claims

1. An electrode catheter, comprising:

a catheter shaft having a proximal end portion and a distal end portion;

a positioning magnet body extending along an axis and having a proximal shank portion and a distal portion wherein said shank is coupled to said distal end portion of said catheter shaft, said positioning magnet body including an axially-extending bore;

an electrode coupled to one of said positioning magnet body and said catheter shaft;

a tether having a distal end portion coupled to said positioning magnet body and a proximal end wherein said tether extends in a proximal direction, from a point where said distal end portion of said tether is coupled to said positioning magnet body, towards said proximal end portion of said catheter shaft, said tether tethering said positioning magnet body to said distal end portion of said catheter shaft by restraining stretching of said distal end portion of said catheter shaft, said tether comprising a para-aramid synthetic fiber, a portion of said tether extending through said axially-extending bore.

2. The catheter of claim 1 wherein said positioning magnet body is one of a permanent magnet, a permanent magnet comprising rare earth elements and an electro-magnet.

3. The catheter of claim 2 wherein said permanent magnet comprises neodymium iron boron (NdFeB) material.

4. The catheter of claim 1 wherein said fiber comprises KEVLAR®

material.

5. The catheter of claim 1 wherein said distal end portion of said tether is coupled to a proximal end portion of said positioning magnet body.

6. The catheter of claim 1 wherein said distal end portion of said tether is coupled to a distal end portion of said positioning magnet body.

7. The catheter of claim 1 wherein said tether is one of centrally-distributed within a lumen of said catheter shaft and peripherally-distributed within said lumen of said catheter shaft.

8. The catheter of claim 1 wherein said tether comprises fibers and wherein said fibers are fabricated in one of a thread configuration, mesh configuration and yarn configuration.

9. The catheter of claim 1 wherein said tether is one of longitudinally-oriented, transversely-oriented, angularly-oriented and spirally-oriented.

10. The catheter of claim 1 wherein said proximal end portion of said tether is terminated at a handle of said catheter.