Inwardly Bent Catheter Tip Preventing Pulmonary Vein Perforation
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Solution Overview
Problem
Existing electro-physiology mapping catheters risk perforating the pulmonary vein during counter-clockwise rotation due to the tip catching onto the vein, leading to potential hemorrhaging and inability to retrieve the catheter, posing a risk to the patient.
Innovation Solution
The catheter features an elongated body with a circular mapping loop having an inwardly bent distal tip section that deflects radially inward, preventing contact with the pulmonary vein and reducing the likelihood of perforation, and includes a central bore for stylet accommodation to maintain a straightened configuration during vascular introduction.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Measurement precision
If the mapping catheter loop is rotated counter-clockwise to map the pulmonary vein, then the mapping function is improved, but the tip may catch onto and perforate the pulmonary vein causing hemorrhaging
Solution Approach 1:
The catheter tip is inverted by bending it inward toward the center of the loop, reversing the conventional outward-pointing tip design. This inversion ensures the tip cannot catch onto the pulmonary vein during counter-clockwise rotation, eliminating the perforation risk while preserving mapping capability
Solution Approach 2:
The inward bend creates preliminary anti-action by pre-positioning the tip in a protected orientation before rotation occurs. The tip is already configured to deflect away from the vein wall, preventing the harmful catching action before it can occur during the mapping rotation
2Stability of the object's composition
If the catheter tip is made rigid to maintain shape during insertion, then the structural stability is improved, but the tip may penetrate heart tissue when contacted in flat orientation
Solution Approach 1:
The catheter applies local quality by creating a specific bent configuration at the tip region while maintaining the overall structural integrity of the catheter body. The tip has a localized inward bend that provides both shape maintenance and tissue protection, combining rigidity where needed with flexibility where critical
3Reliability
If the loop configuration is modified to prevent tip contact, then the safety is improved, but the retrieval difficulty may increase if the loop exits the pulmonary vein
Solution Approach 1:
The catheter design incorporates dynamic characteristics by allowing the loop to flex and the tip to deflect during rotation and retrieval operations. This dynamic behavior enables the loop to navigate the pulmonary vein safely while maintaining retrievability through controlled manipulation
Data Source
AI summary
An electro-physiology mapping catheter is disclosed which includes an elongated body having opposed proximal and distal end portions and defining a longitudinal axis therebetween, the distal end portion of the body forming a generally circular mapping loop that extends through a plane oriented generally perpendicular to the longitudinal axis of the elongated body, the circular mapping loop having an inwardly bent distal tip section.


