Catheter with electrode spine assembly having preformed configurations for improved tissue contact
An electrophysiology catheter with a distal electrode assembly having covered spine carrying a plurality of microelectrodes. One or more spines have preformed configurations including at least a first portion with a first curvature and a second portion with a second curvature, and may include a linear portion. The linear portion may be between the first and second portions. The linear portion may be distal of the first and second portions. One or more spines have a narrower portion so that different portions of the spine can have different flexibility with a degree of independence in flexibility from adjacent portions.
1. An electrophysiology catheter comprising:
an elongated body;
a distal electrode assembly comprising:
a support structure having a proximal stem with a side wall having an inner surface defining a lumen, the side wall having an opening into the lumen;
a plurality of spines emanating from the proximal stem and diverging at their distal ends;
a plurality of nonconductive spine covers, each spine cover surrounding a respective spine;
a plurality of microelectrodes on each spine;
a housing insert received in the lumen of the proximal stem, the housing insert having an outer surface configured to provide a void between the outer surface of the housing insert and the inner surface of the proximal stem, the opening configured to provide viewing of the housing insert inside the proximal stem; and
an adhesive having a layer generally filling the void between the inner surface of the proximal stem and the outer surface of the housing insert, the adhesive having a portion passing through the opening in the sidewall of the proximal stem, the opening configured to provide injection of the adhesive into the void from a side location proximal of a distal edge of the housing insert.
2. The catheter of claim 1 , wherein each spine has a hinge along a lateral edge configured for in-plane deflection of the spine.
3. The catheter of claim 1 , wherein the housing insert has a lumen with a cross-section having an elongated kidney bean-shaped configuration.
4. The catheter of claim 1 , wherein the housing insert has a lumen with a cross-section having a C-shaped configuration.
5. The catheter of claim 1 , further comprising a sleeve circumferentially surrounding the proximal stem.
6. The catheter of claim 5 , wherein the sleeve is generally coextensive with the proximal stem.
7. The catheter of claim 1 , wherein each spine includes:
a proximal portion, a distal portion, and an indented portion between the proximal portion and the distal portion, the proximal portion with a first proximal end with width WP 1 and a first distal end with width WD 1 , the distal portion with a second proximal end with width WP 2 and a second distal end with width WD 2 , each spine configured with a taper in width from the first proximal end to the second distal end such that WP 1 >WD 2 , except for the indented portion with width WI, where WI<WD 1 and WI<WP 2 .
8. The catheter of claim 7 , wherein the taper in width from the first proximal end to the second distal end is linear except at the indented portion.
9. The catheter of claim 7 , wherein the indented portion is more flexible than both of the proximal portion and the distal portion.
10. The catheter of claim 7 , wherein the width WD 1 at the first distal end is generally equal to the width WP 2 at the second proximal end.
11. The catheter of claim 7 , wherein the width WI of the indented portion ranges between about 50%-80% of the width WD 1 .
12. The catheter of claim 7 , wherein the width WI of the indented portion ranges between about 50% -80% of the width WP 2 .
13. The catheter of claim 7 , wherein each spine has a length L along a longitudinal axis of the distal electrode assembly and the indented portion has a length LI that ranges between about 10% to 20% of the length L of the spine.
14. The catheter of claim 7 , wherein the indented portion has a proximal end that is located at about 55% -65% of a length of each spine, measured from a distal end of the proximal stem.
15. The catheter of claim 1 , wherein each spine includes:
a proximal portion, a distal portion, and a tapered portion between the proximal portion and the distal portion, the proximal portion with a uniform width W 1 along its length, the distal portion with a uniform width W 2 along its length where W 2 <W 1 , and the tapered portion configured with a taper in width with a proximal end with width WIP generally equal to the width W 1 and a distal end with width WID generally equal to the width W 2 .
16. The catheter of claim 15 , wherein the taper of the tapered portion is linear.
17. The catheter of claim 15 , wherein the distal portion is more flexible than the proximal portion.
18. The catheter of claim 15 , wherein the distal portion is configured with a first flexibility along its length, the proximal portion is configured with a second flexibility along its length, and the tapered portion is configured with a flexibility that increases from its proximal end to its distal end.