Medtronic, Inc.

Mark A Taube

Mark T Stewart

Eduardo N Warman

Johnson E Goode

James M Speckien

Michael D Baudino

Brian T Stolz

Steerable electrophysiology catheters for use in mapping and/or ablation of accessory pathways in myocardial tissue of the heart wall and methods of use thereof are disclosed. The catheter comprises a catheter body and handle, the catheter body having a proximal section and a distal section and manipulators that enable the deflection of a distal segment of the distal tip section with respect to the independently formed curvature of a proximal segment of the distal tip section through a bending or knuckle motion of an intermediate segment between the proximal and distal segments. A wide angular range of deflection within a very small curve or bend radius in the intermediate segment is obtained. At least one distal tip electrode is preferably confined to the distal segment which can have a straight axis extending distally from the intermediate segment. The curvature of the proximal segment and the bending angle of the intermediate segment are independently selectable. The axial alignment of the distal segment with respect to the nominal axis of the proximal shaft section of the catheter body can be varied between substantially axially aligned (0&#xb0; curvature) in an abrupt knuckle bend through a range of about &#x2212;90&#xb0; to about +180&#xb0; within a bending radius of between about 2.0 mm and 7.0 mm and preferably less than 5.0 mm. The proximal segment curve can be independently formed in a range of about &#x2212;180&#xb0; through about +270&#xb0; with respect to the axis of the proximal shaft section to provide an optimum angular orientation of the distal electrode(s). The distal segment can comprise a highly flexible elongated distal segment body and electrode(s) that conform with the shape and curvature of the heart wall.

Heart wall ablation/mapping catheter and method

Steerable electrophysiology catheters for use in mapping and/or ablation of accessory pathways in myocardial tissue of the heart wall and methods of use thereof are disclosed. The catheter comprises a catheter body and handle, the catheter body having a proximal section and a distal section and manipulators that enable the deflection of a distal segment of the distal tip section with respect to the independently formed curvature of a proximal segment of the distal tip section through a bending or knuckle motion of an intermediate segment between the proximal and distal segments. A wide angular range of deflection within a very small curve or bend radius in the intermediate segment is obtained. At least one distal tip electrode is preferably confined to the distal segment which can have a straight axis extending distally from the intermediate segment. The curvature of the proximal segment and the bending angle of the intermediate segment are independently selectable. The axial alignment of the distal segment with respect to the nominal axis of the proximal shaft section of the catheter body can be varied between substantially axially aligned (0&#xb0; curvature) in an abrupt knuckle bend through a range of about &#x2212;90&#xb0; to about +180&#xb0; within a bending radius of between about 2.0 mm and 7.0 mm and preferably less than 5.0 mm. The proximal segment curve can be independently formed in a about +180&#xb0; through about +270&#xb0; with respect to the axis of the proximal shaft section to provide an optimum angular orientation of the distal electrode(s). The distal segment can comprise a highly flexible elongated distal segment body and electrode(s) that conform with the shape and curvature of the heart wall.

A novel flexible and highly fatigue resistant neural lead is provided having a body with multiple lumens, one of which may receive a stiffening stylet, and the others of which serve as conduits for bundle stranded wire conductors which make contact with ring electrodes at the distal end of the lead. The ring electrodes will be constructed according to a novel technique in which the body of the lead is etched or milled to provide notches and the ring electrodes are formed by enplacing a C-shaped conductor over the notch and closing it into place to provide an isodiametric lead construction.

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Andover, MN, United States of America

Mark A Taube