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 method of mapping or ablating tissue in a cavernous region, the method comprising:
introducing 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, the spines comprising a plurality of electrodes;
an expander having proximal and distal ends, the expander forming a longitudinal axis of the electrode assembly, the spines being attached at their proximal ends to the catheter body and at their distal ends to the expander;
at least one puller wire that extends through the expander, the at least one puller wire having a distal end anchored in the expander at a location distal of the distal end of the catheter body and proximal of the distal end of the electrode assembly; and
a control handle proximal of the catheter body, the control handle having an actuator adapted to move the at least one puller wire,
wherein the electrode assembly has an expanded arrangement when the expander is moved proximally along the longitudinal axis of the electrode assembly 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
wherein the expander is adapted to deflect in at least one direction when the at least one puller wire is moved by the actuator;
contacting the tissue in the cavernous region with the electrode assembly; and
mapping or ablating the tissue in the cavernous region with the plurality of electrodes.
2. The method of claim 1 , wherein the catheter further comprises 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 ring inside the distal end of the tubing, the ring having a through-hole; and
a tunnel member in the through-hole of the ring,
wherein the tunnel member has a lumen through which the expander extends and has longitudinal movement.
3. The method of claim 2 , wherein the tunnel member has at least one off-axis lumen.
4. The method of claim 1 , wherein the catheter further comprises 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 ring in the lumen of the outer tubing,
wherein distal ends of spine support members of the plurality of spines are anchored between the ring and the puller wire anchor.
5. The method of claim 4 , wherein the distal junction is proximal of the distal end of the electrode assembly and interior of the electrode assembly, the distal end of the electrode assembly having a generally smooth distal surface and profile.
6. The method of claim 5 , wherein the contacting the tissue in the cavernous region comprises pivoting the generally smooth distal surface of the electrode assembly or moving the generally smooth distal surface in a circular motion.
7. The method of claim 1 , wherein the spines are mounted in about 180 radial degrees around the expander.
8. The method of claim 1 , wherein the expander carries at least one ring electrode distal of the distal end of the catheter body.
9. The method of claim 1 , wherein the expander has a guidewire lumen, and the introducing the catheter comprises introducing the catheter over a guidewire.
10. The method of claim 1 , wherein the catheter further comprises at least one location sensor.
11. A method of ablating or mapping tissue in a cavernous region, the method comprising:
introducing 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 forming a longitudinal axis of the electrode assembly, the spines being attached at their proximal ends to the catheter body and at their distal ends to the expander;
at least one puller wire that extends through the expander, the at least one puller wire having a distal end anchored in the expander at a location distal of the distal end of the catheter body and proximal of the distal end of the electrode assembly; and
a control handle proximal of the catheter body, the control handle having an actuator adapted to move the at least one puller wire,
wherein the expander is adapted for longitudinal movement relative to the catheter body and for deflection relative to the longitudinal axis of the catheter body;
contacting the tissue in the cavernous region with the electrode assembly; and
mapping or ablating the tissue in the cavernous region with the plurality of electrodes.
12. The method 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 method 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 of the catheter body.
14. The method of claim 11 , wherein each spine is adapted to assume a bowed configuration with a degree of curvature.
15. The method of claim 14 , wherein the degree of curvature of each spine changes similarly in response to longitudinal movement of the expander relative to the catheter body.
16. The method of claim 14 , wherein the degree of curvature of each spine changes differently in response to deflection of the expander relative to the longitudinal axis of the catheter body.
17. The method of claim 11 , wherein the catheter further comprises a distal junction between a 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, and the distal end of the electrode assembly having a generally smooth distal surface and profile.
18. The method of claim 17 , wherein the contacting the tissue in the cavernous region comprises pivoting the generally smooth distal surface of the electrode assembly or moving the generally smooth distal surface in a circular motion.
19. The method of claim 11 , wherein the spines are mounted in about 180 radial degrees around the expander.
20. The method of claim 19 , wherein the expander carries at least one ring electrode.