Systems and methods for tripodic spines forming a spherical basket for improved tissue contact and current delivery
The disclosed technology includes a medical probe comprising a tubular shaft extending along a longitudinal axis and including a proximal end and a distal end. The medical probe further comprises an expandable basket assembly proximate the distal end of the tubular shaft. The basket assembly comprises a first unitary tripodic structure and a second unitary tripodic structure, each tripodic structure formed from a respective planar sheet of material that includes three linear spines converging at a respective central spine intersection and one or more electrodes coupled to each of the spines, each electrode defining a lumen through the electrode so that the spine extends through the lumen of each of the one or more electrodes. Each tripodic structure formed from a respective planar sheet of material that includes three linear spines converging at a respective central spine intersection.
1. A medical probe, comprising:
a tubular shaft including a proximal end and a distal end, the tubular shaft extending along a longitudinal axis;
an expandable basket assembly proximate the distal end of the tubular shaft, the basket assembly comprising a first unitary tripodic structure and a second unitary tripodic structure, each tripodic structure formed from a respective planar sheet of material that includes three linear spines converging at a respective central spine intersection, each spine of each tripodic structure including a respective end connected to the distal end of the tubular shaft, the central spine intersection of each tripodic structure being positioned on the longitudinal axis at a distal end of the basket assembly; and
one or more electrodes coupled to each of the spines, each electrode defining a lumen through the electrode so that the spine extends through the lumen of each of the one or more electrodes.
2. The medical probe according to claim 1 , wherein the three linear spines extend from the central spine intersection in an equiangular pattern such that respective angles between respectively adjacent spines are approximately equal.
3. The medical probe according to claim 2 , wherein the first and second unitary tripodic structures are rotated along the longitudinal axis such that the spines of the respective tripodic structure are non-overlapping.
4. The medical probe according to claim 1 , wherein the expandable basket assembly is approximately oblate-spheroid.
5. The medical probe according to claim 1 , wherein the expandable basket assembly comprises at least one discrete cutout located proximate the central spine intersection of at least one tripodic structure.
6. The medical probe according to claim 1 , wherein the expandable basket assembly comprises at least one discrete cutout located proximate the central spine intersection of each tripodic structure.
7. The medical probe according to claim 1 , wherein the planar sheet of material comprises nitinol.
8. The medical probe according to claim 1 , further comprising a spine retention hub disposed proximate the distal end of the tubular shaft, the spine retention hub comprising a cylindrical member including a plurality of relief lands disposed on the outer surface of the cylindrical member to allow each spine to be fitted into a relief land and retained therein, the retention hub further includes at least one electrode disposed at a distal portion of the retention hub.
9. The medical probe according to claim 1 , wherein the electrode lumen is disposed offset with respect to a longitudinal axis of the electrode.
10. The medical probe according to claim 9 , wherein each electrode comprises a wire relief adjacent the lumen to allow for one or more wires to extend adjacent to the lumen.
11. The medical probe according to claim 1 , wherein the one or more electrodes are configured to deliver electrical pulses for irreversible electroporation, the pulses including a peak voltage of at least 900 volts (V).
12. The medical probe according to claim 1 , further comprising irrigation openings disposed proximate the distal end of the tubular shaft, the irrigation openings configured to deliver an irrigation fluid to the one or more electrodes.
13. The medical probe according to claim 1 , further comprising a plurality of insulative sleeves each disposed over the respective given spine and within the lumen of the respective electrode.
14. The medical probe according to claim 1 further comprising a plurality of insulative sleeves, each insulative sleeve comprising a first lumen through which the respective given spine extends and a second lumen through which an electrical wire extends, that the first and second lumens being distinct from each other, and each insulative sleeve extends within the lumen of the respective electrode.
15. The medical probe according to claim 1 , further comprising:
a plurality of wires each electrically joined to a respective electrode of the one or more electrodes,
wherein at least a portion of the wires of the plurality of the wires respectively comprises an electrically conductive core material comprising a first electrical conductivity, an electrically conductive cover material comprising a second electrical conductivity less than the first electrical conductivity, the electrically conductive cover material circumscribing the electrically conductive core material, and an insulative jacket circumscribing the electrically conductive cover material.
16. The medical probe according to claim 1 , further comprising:
a plurality of wires each electrically joined to a respective electrode of the one or more electrodes,
wherein at least a portion of the wires of the plurality of the wires respectively comprises a plurality of strands and an insulative jacket circumscribing the plurality of the strands, and
wherein each strand of the plurality of strands respectively comprises an electrically conductive core material comprising a first electrical conductivity and an electrically conductive cover material comprising a second electrical conductivity less than the first electrical conductivity, the electrically conductive cover material circumscribing the electrically conductive core material.
17. A method of constructing a medical probe, the method comprising:
cutting a first sheet of planar material to form a first structure comprising three spines including a first central spine intersection;
cutting a second sheet of planar material to form a second structure comprising three spines including a second central spine intersection;
overlapping the central spine intersections of the first and second structures;
inserting each spine of the respective structure into a lumen of at least electrode; and
fitting ends of the spines of the respective structure to a tubular shaft sized to traverse vasculature such that the central spine intersections are positioned at a distal end of the medical probe and respective spines are movable from a tubular configuration to a bowed configuration.
18. The method according to claim 17 , further comprising cutting spines of each structure from a pattern comprising longitudinal and transverse scores.
19. The method according to claim 17 , further comprising cutting a discrete cutout at the central spine intersection of at least one structure.
20. The method according to claim 17 , rotating at least one structure along a longitudinal axis such that the spines of the respective structures are non-overlapping.