# US 12,004,801 B2 · Catheter tip with microelectrodes

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- Number: US 12,004,801 B2
- Document ID: US12004801B2
- Status: Granted
- Kind: B2
- Application number: 16/716,159
- Filed: 2019-12-16
- Published: 2020-04-16
- Granted: 2024-06-11
- Earliest claimed: 2014-05-16
- Assignees: Biosense Webster (Israel) Ltd.
- Applicants: Biosense Webster (Israel) Ltd.
- Inventors: Assaf Govari; Christopher Thomas Beeckler; Rowan Olund Hettel
- Web page: https://patentgrep.com/patent/US12004801B2

## CPC

- A61B 18/1492: {having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence)}
- A61B 5/0538: invasively, e.g. using a catheter
- A61B 5/287: Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
- A61B 5/6852: {Catheters}
- A61B 2018/00053: {Mechanical features of the instrument of device}
- A61B 2018/00351: {Heart}
- A61B 2018/00577: {Ablation}
- A61B 2018/00839: {Bioelectrical parameters, e.g. ECG, EEG}
- A61B 2018/1467: {using more than two electrodes on a single probe}
- A61B 2018/1497: {Electrodes covering only part of the probe circumference}
- Y10T 29/49004: including measuring or testing of device or component part
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- Y10T: TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION

## Abstract

Apparatus, having an insertion tube that is configured to be inserted into a body cavity. The apparatus also includes a distal tip connected to the insertion tube, the distal tip having an external surface and a cavity formed in the external surface, the cavity being surrounded by a region of the external surface having a curvature. The apparatus further includes a microelectrode configured to fit into the cavity so that a surface of the microelectrode is contoured, located and oriented to conform with the curvature of the region.

## Claims

### Claim 1

A method, comprising:
(a) providing an insertion tube that is configured to be inserted into a body cavity;
(b) connecting a distal tip to the insertion tube, the distal tip configured with an external surface and a first cavity and a second cavity formed in the external surface, the first cavity being surrounded by a cylindrical region of the external surface configured with a first curvature, the second cavity being surrounded by a curved annular region of the external surface configured with a second curvature, the first cavity being defined by a first cavity side surface and a first base receiving surface, the second cavity being defined by a second cavity side surface and a second base receiving surface; and
(c) fitting a first microelectrode into the first cavity and a second microelectrode into the second cavity so that:
(i) a first base surface of the first microelectrode mates with the first base receiving surface in the cylindrical region of the distal tip and a first side surface of the first microelectrode simultaneously mates with the first cavity side surface of the distal tip, the first side surface configured with a generally uniform length,
(ii) a first external surface of the first microelectrode is contoured, located and oriented to conform with the first curvature of the cylindrical region,
(iii) a second base surface of the second microelectrode mates with the second base receiving surface in the annular region of the distal tip and a second side surface of the second microelectrode simultaneously mates with the second cavity side surface of the distal tip, the second side surface configured with a tapered length,
(iv) a second external surface of the second microelectrode is contoured, located and oriented to conform with the second curvature of the annular region, and
(v) wherein the first side surface of the first microelectrode includes a first grooved surface with a first configuration, and the second side surface of the second microelectrode includes a second grooved surface with a second configuration different from the first configuration.

### Claim 2 (depends on 1)

The method according to claim 1, the external surface of the cylindrical region and the first external surface of the first microelectrode being defined by a first common equation, and the external surface of the curved annular region and the second external surface of the second microelectrode being defined by a second common equation.

### Claim 3 (depends on 1)

The method according to claim 1, and comprising locating insulation between each microelectrode and the distal tip so as to electrically insulate the respective microelectrode from the distal tip.

### Claim 4 (depends on 1)

The method according to claim 1, and comprising connecting at least one conductor, insulated from the distal tip, to a respective one of the microelectrodes and configuring the conductor to convey an electropotential generated by the body cavity and detected by the respective microelectrode.

### Claim 5 (depends on 1)

The method according to claim 1, and comprising connecting at least two conductors of two different materials at a junction to form a thermocouple, and connecting the junction to at least one of the microelectrodes so as to provide a signal representative of a temperature of the at least one microelectrode.

### Claim 6 (depends on 1)

The method according to claim 1, and comprising configuring the distal tip to receive radiofrequency (RF) energy at an ablation frequency adapted to perform ablation on the body cavity.

### Claim 7 (depends on 6)

The method according to claim 6, each of the first and second microelectrodes being configured to detect an electropotential at a lower frequency than the ablation frequency.

### Claim 8 (depends on 7)

The method according to claim 7, and comprising coupling a high pass filter, configured to block the lower frequency and to pass the ablation frequency, between each respective microelectrode and the distal tip.

### Claim 9 (depends on 7)

The method according to claim 7, and comprising configuring a handle for a user of the apparatus to hold the insertion tube, and locating the high pass filter within the handle.

### Claim 10 (depends on 1)

The method according to claim 1, the external surface of the cylindrical region and the first external surface of the first microelectrode having a common non-zero first principal curvature and a common second principal curvature equal to zero.

### Claim 11 (depends on 1)

The method according to claim 1, the external surface of the curved annular region and the second external surface of the second microelectrode having a common surface of revolution.

### Claim 12 (depends on 1)

The method of claim 1, the distal tip further comprising a plane region, the curved annular region terminating distally into the plane region.

### Claim 13 (depends on 1)

The method of claim 1, the distal tip defining an internal manifold.

### Claim 14 (depends on 13)

The method of claim 13, the distal tip defining a plurality of irrigation pathways in communication with the internal manifold.

### Claim 15 (depends on 11)

The method of claim 11, the insertion tube being attached to a handle.

### Claim 16 (depends on 1)

The method of claim 1, further comprising connecting at least two wires with one of the microelectrodes at a common joint configured to simultaneously measure a temperature of the one microelectrode and transmit potentials generated by the one microelectrode.

### Claim 17 (depends on 1)

The method of claim 1, each of the microelectrodes being coated with an insulating plastic, the insulating plastic comprising a parylene material.

### Claim 18 (depends on 1)

The method of claim 1, wherein the first microelectrode includes a first receptacle with a first receptacle configuration to receive at least a first conductive wire and the second microelectrode includes a second receptacle with a second receptacle configuration to receive at least a second conductive wire, the second receptacle configuration being different from the first receptacle configuration.