Electrode assembly

• US 9,848,795 B2
• Filed: 05/27/2015
• Issued: 12/26/2017
• Est. Priority Date: 06/04/2014
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Marecki, Andrew T., Hultz, Paul, Kozlowski, Michael C., Stewart, Brian
• Primary Examiner(s): Cohen, Lee S
• Application Number:
  US14/723,408
• Publication Number:
  US 20150351652A1
• Time in Patent Office: 944 Days
• 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 2017/00044 Sensing electrocardiography, i.e. ECG
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2562/125 characterised by the manufacture of electrodes
• CPC Class Codes: A61B 2562/164 the sensor is mounted in or on a conformable substrate or carrier
• CPC Class Codes: A61B 2562/166 the sensor is mounted on a specially adapted printed circuit board
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6855 with a distal curved tip
• CPC Class Codes: A61B 5/6856 with a distal loop
• CPC Class Codes: A61B 5/6857 with a distal pigtail shape
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket
• CPC Class Codes: A61B 5/6859 with multiple distal splines
• CPC Class Codes: Y10T 29/49119 Brush
• CPC Class Codes: Y10T 29/49126 Assembling bases

Abstract

An expandable electrode assembly for use in a cardiac mapping procedure includes multiple bipolar electrode pairs including a first electrode located on an outer surface and a second electrode located on an inner surface of the individual splines forming the expandable electrode assembly. Such an electrode arrangement may produce improved electrical activation signals which may be used to produce a more accurate map of the electrical activity of a patient'"'"'s heart.

Claims

1. A catheter comprising:

an elongate catheter body extending from a proximal end to a distal end; and

an expandable electrode assembly disposed at the distal end of the catheter body, the electrode assembly configured to transition from a collapsed configuration to an expanded configuration and comprising at least one flexible member having an outer surface and an inner surface, wherein the at least one flexible member comprises a first electrode disposed on the outer surface of the flexible member and a second electrode disposed on the inner surface of the flexible member, wherein the first electrode and the second electrode are configured to form a bipolar electrode pair and wherein a distance between the first electrode and the second electrode is less than 1.5 mm.

2. The catheter of claim 1, wherein the first electrode is located directly opposite the second electrode.

3. The catheter of claim 1, wherein the first electrode is offset from the second electrode.

4. The catheter of claim 1, further comprising two or more flexible members, each of the two or more flexible members comprising at least a first electrode disposed on the outer surface of the flexible member and at least a second electrode disposed on the inner surface of the flexible member.

5. The catheter of claim 1, wherein the flexible member comprises at least one flexible printed circuit.

6. The catheter of claim 5, wherein the flexible member comprises a single, dual sided flexible printed circuit wherein the first electrode is formed on an outer surface of the flexible printed circuit and the second electrode is formed on an inner surface of the flexible printed circuit.

7. The catheter of claim 1, wherein the distance between the first electrode and the second electrode is less than about 0.5 mm.

8. The catheter of claim 1, wherein the flexible member comprises multiple bipolar electrode pairs defined by a first electrode disposed on the outer surface of a flexible member and a second electrode disposed on the inner surface of the flexible member.

9. A catheter comprising:

an elongate catheter body extending from a proximal end to a distal end;

an expandable electrode assembly disposed at the distal end of the catheter body, the electrode assembly configured to transition from a collapsed configuration to an expanded configuration and comprising two or more flexible splines having an outer surface and an inner surface, wherein at least one of the two or more flexible splines comprises at least a first electrode disposed on the outer surface of the flexible spline and at least a second electrode disposed on the inner surface of the flexible spline, wherein the first electrode and the second electrode are configured to form a bipolar electrode pair and wherein a distance between the first electrode and the second electrode is less than 1.5 mm.

10. The catheter of claim 9, wherein the first electrode is located directly opposite the second electrode.

11. The catheter of claim 9, wherein the first electrode is offset from the second electrode.

12. The catheter of claim 9, wherein each of the two or more splines comprises multiple bipolar electrode pairs defined by a first electrode disposed on the outer surface of a flexible spline and a second electrode disposed on the inner surface of the flexible spline.

13. The catheter of claim 9, wherein each of the two or more flexible splines comprises at least one flexible printed circuit.

14. The catheter of claim 13, wherein the at least one flexible circuit is a single, dual sided flexible printed circuit having a first electrode is formed on an upper surface of the flexible printed circuit and a second electrode formed on a lower surface of the flexible printed circuit.

15. The catheter of claim 13, wherein each of the two or more flexible splines comprises a first flexible printed circuit defining a first electrode formed on an upper surface of a substrate and a second flexible printed circuit defining a second electrode formed on a lower surface of the substrate.

16. A method of forming a flexible electrode assembly, the method comprising:

forming a flexible electrode assembly comprising at least one flexible member having an outer surface and an inner surface, wherein the at least one flexible member comprises a first electrode disposed on the outer surface of the flexible member and a second electrode disposed on the inner surface of the flexible member and wherein the flexible electrode assembly is configured to transition from a collapsed configuration to an expanded configuration, wherein the first electrode and the second electrode are configured to form a bipolar electrode pair and wherein a distance between the first electrode and the second electrode is less than 1.5 mm; and

coupling the flexible electrode assembly to a distal end of an elongate catheter body.

17. The method of claim 16, further comprising:

forming a flexible layered sheet comprising at least one flexible printed circuit defining a first electrode on an outer surface of the flexible layered sheet and a second electrode on an inner surface of the flexible layered sheet;

separating the flexible layered sheet into two or more flexible members, each flexible member having a first electrode located on an outer surface and a second electrode located on an inner surface; and

forming the expandable electrode assembly from at least one of the flexible members.

18. The method of claim 16, further comprising forming an expandable electrode assembly from two or more flexible members by joining the two or more flexible members together at least at a first end of each of the two or more flexible members.