Basket catheter with deflectable spine
A catheter adapted for mapping and/or ablation in the atria has a basket-shaped electrode array with two or more location sensors with a deflectable expander. The catheter has comprises a catheter body, a basket electrode assembly at a distal end of the catheter body, and a control handle at a proximal end of the catheter body. The basket electrode assembly has a plurality of electrode-carrying spines and an expander that is adapted for longitudinal movement relative to the catheter body for expanding and collapsing the assembly via a proximal end portion extending past the control handle that can be pushed or pulled by a user. The expander is also adapted for deflection in responsive to an actuator on the control handle that allows a user to control at least one puller wire extending through the catheter body and the expander.
1. A catheter comprising:
an elongated catheter body having proximal and distal ends and at least one lumen therethrough;
an electrode assembly at the distal end of the catheter body, the electrode assembly having proximal and distal ends and comprising a plurality of spines, one or more of the plurality of spines comprising one or more electrodes;
an expander having proximal and distal ends, the expander defining a longitudinal axis of the assembly, the distal end of the expander being located proximal of the distal end of the electrode assembly, each of the plurality of spines having a bowed proximal region extending from a proximal end of the spine and a generally straight distal region terminating in a distal end of the spine, the generally straight distal region of each spine being generally coaxial with the expander, and each of the plurality of spines being attached at their proximal ends to the catheter body and at their distal ends to the distal end of the expander;
at least one puller wire that extends through the expander, the puller wire having a distal end anchored in the expander;
at least one proximal location sensor at or near the proximal end of the electrode assembly and at least one distal location sensor distal of the proximal location sensor; and
a control handle proximal of the catheter body, the control handle having an actuator adapted to move the at least one puller wire,
the electrode assembly having an expanded arrangement when the expander is moved proximally along the longitudinal axis relative to the catheter body and the electrode assembly has a collapsed arrangement when the expander is moved distally along the longitudinal axis relative to the catheter body, and
the expander being configured to deflect in at least one direction when the at least one puller wire is moved by the actuator.
2. The catheter of claim 1 , further comprising a proximal junction at the distal end of the catheter body, the proximal junction comprising:
a tubing having a proximal end and a distal end, the proximal end being mounted over the distal end of the catheter body;
a proximal junction ring inside the distal end of the tubing, the proximal junction ring having a through-hole; and
a tunnel member in the through-hole of the proximal junction ring,
wherein the tunnel member has a lumen through which the expander extends and has longitudinal movement.
3. The catheter of claim 2 , wherein the tunnel member has at least one off-axis lumen.
4. The catheter of claim 2 , further comprising a distal junction at the distal end of the expander, the distal junction comprising:
an outer tubing having a lumen;
a puller wire anchor in the lumen of the outer tubing; and
a distal junction ring in the lumen of the outer tubing,
wherein distal ends of spine support members are anchored between the distal junction ring and the puller wire anchor.
5. The catheter of claim 4 , wherein the at least one proximal location sensor is in the proximal junction and the at least one distal location sensor is in the distal junction.
6. The catheter of claim 1 , wherein the spines are mounted in about 360 radial degrees around the expander.
7. The catheter of claim 1 , wherein the spines are mounted in about 180 radial degrees around the expander.
8. The catheter of claim 1 , wherein each of the plurality of spines carries at least one ring electrode.
9. The catheter of claim 1 , wherein the expander carries at least one ring electrode distal of the distal end of the catheter body.
10. The catheter of claim 1 , wherein the expander has a guidewire lumen.
11. A catheter comprising:
an elongated catheter body having proximal and distal ends and at least one lumen therethrough, the catheter body defining a longitudinal axis;
an electrode assembly at the distal end of the catheter body, the electrode assembly having proximal and distal ends and comprising a plurality of spines, the spines comprising a plurality of electrodes;
an expander having proximal and distal ends, the expander defining a longitudinal axis of the assembly, the distal end of the expander being located proximal of the distal end of the electrode assembly, each of the plurality of spines having a bowed proximal region extending from a proximal end of the spine and a generally straight distal region terminating in a distal end of the spine, the generally straight distal region of each spine being generally coaxial with the expander, and each of the plurality of spines being attached at their proximal ends to the catheter body and at their distal ends to the distal end of the expander;
at least one puller wire that extends through the expander, the puller wire having a distal end anchored in the expander; and
a control handle proximal of the catheter body, the control handle having an actuator adapted to move the at least one puller wire,
the expander having a proximal end portion extending past a proximal end of the control handle,
wherein the expander is adapted for longitudinal movement relative to the catheter body and for deflection relative to the longitudinal axis.
12. The catheter of claim 11 , wherein the electrode assembly is adapted to assume an expanded configuration in response to longitudinal movement of the expander relative to the catheter body.
13. The catheter of claim 11 , wherein the electrode assembly is adapted to assume an asymmetrical configuration in response to deflection of the expander relative to the longitudinal axis.
14. The catheter of claim 11 , wherein the bowed region of each of the plurality of spines has a degree of curvature that changes similarly in response to longitudinal movement of the expander relative to the catheter body.
15. The catheter of claim 11 , wherein the bowed region of each of the plurality of spines has a degree of curvature that changes differently in response to deflection of the expander relative to the catheter body.
16. The catheter of claim 11 , further comprising a distal junction between the distal end of the expander and distal ends of the spines, wherein the distal junction is proximal of the distal end of the electrode assembly.
17. The catheter of claim 11 , wherein the spines are mounted in about 360 radial degrees around the expander.
18. The catheter of claim 11 , wherein the spines are mounted in about 180 radial degrees around the expander.
19. The catheter of claim 11 , wherein each of the plurality of spines carries at least one ring electrode.