Biosense Webster, Inc.

Biosense Webster (israel) Ltd.

Jeffrey William Schultz

Keshava Datta

Assaf Govari

Eduardo J Jimenez

Jeffrey L Clark

Ariel Garcia

Daniele Ghidoli

Christopher Thomas Beeckler

Yaron Ephrath

Mario A Solis

Dean M Ponzi

Arnold Cruz Tuason

Shiva Sharareh

Michael Olen Zirkle

Chad Allen Lieber

Rogelio Plascencia

Kelvin M Chuu

Ryan A Hoitink

John Hardy Ashton

Meir Bar-Tal

Robert Alan Mest

Mark Stanley

Corey Rousu

Avri Hazan

Abraham Berger

Rajesh Pendekanti

Maria Duarte

Diana S Gallardo

Simon Jung

Diana Gallardo

Maria J Duarte

Mark T Stanley

An introducer has a shaft with a central lumen, a control handle with a deflection assembly, and a tensile member with a distal portion extending along opposing sides of within the shaft and a proximal portion extending within the control handle. The deflection assembly has a deflection arm, and a rotatable member rotationally coupled to the deflection arm, wherein the rocker member has at least one pulley engaged with the proximal tensile member portion. Rotation of the deflection arm in one direction draws the proximal tensile member portion for deflecting the shaft.

Deflectable sheath introducer

A patch and sensor assembly has a biosensor housed in a reusable portion that connects to a mapping and localization system (MLS) via biosensor wires. A disposable portion has an electrode layer through which signals are transmitted to the MLS via ACL wires. The biosensor and ACL wires extend through a single cable exiting the reusable portion. The disposable portion includes an adhesive layer for adhering the electrode layer to a patient, on the electrode layer, and an engagement element for detachably receiving at least a portion of the housing of the reusable portion. The reusable portion includes a housing in which the biosensor has biosensor wires that exit the reusable portion. The housing is also adapted to carry and/or provide support to an ACL contact member responsive to the electrode layer of the disposable portion, and ACL wires that exit the reusable portion.

Single radio-transparent connector for multi-functional reference patch

A catheter having an internal advancing mechanism that can advance stiffening wires or other devices, has a catheter with a catheter body, a tip section distal the catheter body, a device extending through at least the catheter body, and a control handle proximal the catheter body, where the control handle has an advancing mechanism with a threaded member, an adjustment member, and a guided member to which the device is connected, and the advancing mechanism is configured to advance and retract the device along the catheter body as controlled by a user. Each of the threaded member and the adjustment member has a generally cylindrical configuration. The threaded member has an outer surface configured with a helical guide channel. The adjustment member is configured to guide the guided member to move within the helical guide channel to advance and retract the device. The adjustment member can be rotatable over the threaded member by the user to control advancement and retraction of the device. The device may be a stiffener wire, a needle or any other device suitable for advancement and retraction in a catheter.

Control handle with device advancing mechanism

A catheter has a composite and segmented construction in a distal section that includes deflectable members and support member arranged in alternating sequence, with each support member carrying a ring electrode and the deflectable members being flexible to allow deflection of the distal section as a whole. Carried on an outer surface of the support member is a coil location sensor. The distal section is configured with a distal irrigation fluid path extending axially through the deflectable members and the support members to deliver irrigation fluid to the ring electrode and the tip electrode. A method of constructing a catheter includes building a section of the catheter from the inside out by mounting the support members on a tubing at predetermined locations and filling gaps in between with a more flexible material to form the deflectable members by extrusion segments or injection molding over assembled components internal to the catheter.

Catheter with composite construction

A medical device has a distal member with a configuration that can be changed by means of a control handle with a control assembly employing a rotational cam, a shaft, and a pulley, where the rotational cam is rotationally mounted on a portion of the control handle for rotation by a user. The rotational cam operates on the shaft to move it proximally or distally depending on the direction of rotation which in turn rotates the pulley to draw or release a puller wire to change the configuration of the distal member of the medical device. The shaft is oriented along a diameter of the control handle. The shaft has two ends which extends through two axial guide slots in the portion of the control handle to sit two opposing helical tracks formed on inner surface of the rotational cam. The guide slots are parallel with the longitudinal axis of the control handle and therefore maintain the shaft's diametrical orientation as the rotational cam is rotated to move the shaft proximally or distally. Actuation of the puller wire by means of the control assembly can result in a change of the distal member's configuration, including deflection, contraction and/or expansion.

Control handle with rotational cam mechanism for contraction/deflection of medical device

A catheter for use in a patient's heart, especially for mapping a tubular region of the heart, has a catheter body, a deflectable intermediate section and a distal a mapping assembly that has a generally circular portion adapted to sit on or in a tubular region of the heart. A control handle of the catheter allows for single-handed manipulation of various control mechanisms that can deflect the intermediate section and contract the mapping assembly by means of a deflection control assembly and a linear control assembly. The deflection control assembly has a deflection arm and a rocker member. The linear control assembly has a linear control member, an inner rotational member and a cam. A pair of puller members are responsive to the deflection control assembly to bi-directionally deflect the intermediate section. A third puller member is responsive to the linear control assembly to contract the generally circular portion of the mapping assembly.

Catheter with multi-functional control handle having linear mechanism

An irrigated electrophysiology catheter has a tip electrode having a shell, and a support member configured to plug the shell and support one or more tip components and/or facilitate their functions. Advantageously, the support member has an electrically-conductive interface portion and an insert-molded portion, wherein the interface portion, typically constructed of a precious metal alloy, is structurally minimized, yet still configured for electrical connection with the shell and the lead wire, so as to reduce the amount and hence the cost of its manufacture, whereas the insert-molded portion is constructed of a significantly less-costly material and is readily configured with micro-complex 3-D geometry adapted to support tip structure and functions including irrigation, force sensing and temperature sensing, as a further cost savings in the manufacturing of the tip electrode by reducing materials, labor and time.

Catheter with composite insert support member

A deflectable catheter with biased deflection characteristics has an elongated catheter body having a micro-injection molded spine that is configured with a center core, outwardly extending opposing struts, and one or more sets of longitudinally-aligned and discrete fins, wherein the struts resist deflection of the spine in a first plane and bias deflection of the spine in a second plane, wherein parameters of the discrete fins define deflection characteristics of the spine in the second plane.

Catheter with biased and discrete deflection characteristics and related methods

A catheter for ablating tissue is disclosed that has a self-centering multiray electrode assembly. The self-centering multiray electrode assembly may have a plurality of spines, each of which a preshaped, expanded configuration that curves to change an orientation of the spine from being directed towards the distal end of catheter body to being directed towards the proximal end of the catheter body. The ablation electrodes engage ostial tissue when a maximal outer diameter of the self-centering multiray electrode assembly is engaged with an inner diameter of a vessel. The compliance of each spine may vary along its length. When the self-centering multiray electrode assembly is engaged within a vessel, the ablation electrodes are brought into contact with tissue and may be used to form lesions in a circumferential path around the vessel.

Self-centering multiray ablation catheter

An electrophysiology catheter has a distal electrode section having a generally-cylindrical, hollow housing body, a lumen and an opening in a sidewall. A flex circuit has a first portion supported on the outer surface the housing body, and a second portion that extends into the lumen via the opening for connection to cables and/or wires in the lumen. The flex circuit has a first and second magnetic field sensing coil traces generally perpendicular to each other and a magnetic field sensing coil wire generally perpendicular thereto is wound around the housing body to form an x/y/z position sensor. One or more ring electrodes are carried on the housing body, separated by ring spacers. A force sensor is mounted on a distal end of the housing body, with strain gauges electrically connected to the flex circuit. The housing is configured to provide a distal anchor for a puller tensile.

Catheter with multifunctional microinjection&#x2014;molded housing

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Chino, CA, United States of America

Jeffrey William Schultz