JP2025154054A - Electrode catheter - Google Patents

Abstract

[Problem] To provide an electrode catheter with improved discernibility of splines in an opaque image. [Solution] The electrode catheter (1) comprises a shaft (2), a plurality of splines, and a tip member (4). The plurality of splines are connected to the tip side of the shaft (2). The tip member (4) is connected to the tip side of each of the plurality of splines. Of the plurality of splines, at least two adjacent splines have different radiopacities. Of the plurality of splines, at least three splines may have different radiopacities. [Selected Figure] Figure 1

Description

The present disclosure relates to an electrode catheter.

A catheter is a type of medical device that is inserted into the body for diagnosis or treatment. One known example is an electrode catheter that includes a shaft and a basket electrode assembly connected to the tip of the shaft (see, for example, Patent Document 1). Here, the basket electrode assembly includes multiple splines.

Special Publication No. 2016-507349

During procedures using electrode catheters, doctors and other specialists may use opaque images using radiation such as X-rays to determine the position and movement of each spline. To improve visibility in opaque images, contrast markers may be attached to each spline. However, there is still room for improvement in the identification of splines.

The present disclosure has been made in consideration of the above circumstances, and its purpose is to provide an electrode catheter that improves the discernibility of splines in opaque images.

The electrode catheter of the present disclosure comprises a shaft, a plurality of splines, and a tip member. The plurality of splines are connected to the tip side of the shaft. The tip member is connected to the tip side of each of the plurality of splines. At least two adjacent splines of the plurality of splines have different radiopacities.

Any combination of the above components, or any transformation of the expressions of this disclosure into methods, devices, systems, etc., are also valid aspects of this disclosure.

The electrode catheter disclosed herein can improve the discernibility of splines in opaque images.

FIG. 1 is a perspective view schematically showing an example of a deformation state near the tip of the electrode catheter according to the first embodiment. 2 is a view of the electrode catheter shown in FIG. 1 as viewed from the distal end toward the proximal end in the axial direction. FIG. 2 is a view of a portion of the electrode catheter shown in FIG. 1 including a spline, viewed from a direction perpendicular to the axial direction. FIG. 1. FIG. 4 is a view of a portion of a modified electrode catheter shown in FIG. 1 including a spline, viewed from a direction perpendicular to the axial direction. 2 is a diagram showing an example of an opaque image captured from the distal end side toward the proximal end side in the axial direction of the electrode catheter shown in FIG. 1. FIG. 1. FIG. 4 is a diagram showing an example of an opaque image of a portion of the electrode catheter shown in FIG. 1 including a spline, taken from a first direction perpendicular to the axial direction. 1. FIG. 4 is a diagram showing an example of an opaque image of a portion of the electrode catheter shown in FIG. 1 including the spline, taken from a second direction perpendicular to the axial direction. FIG. 2 is a diagram schematically illustrating an example of the overall structure of the electrode catheter shown in FIG. 1. 10 is a diagram showing an example of an opaque image captured from the distal end toward the proximal end in the axial direction of the electrode catheter according to the second embodiment. FIG. 10 is a diagram showing an example of an opaque image of a portion of the electrode catheter shown in FIG. 9 including a spline, taken from a first direction. FIG. 10 is a diagram showing an example of an opaque image of a portion of the electrode catheter shown in FIG. 9 including the spline, taken from a second direction. FIG.

The present disclosure will be described below with reference to the drawings based on preferred embodiments. The embodiments are illustrative and do not limit the present disclosure, and all features and combinations thereof described in the embodiments are not necessarily essential to the present disclosure. Identical or equivalent components, parts, and processes shown in each drawing will be given the same reference numerals, and redundant explanations will be omitted where appropriate. Furthermore, the scale and shape of each part shown in each drawing are set for convenience to facilitate explanation, and should not be interpreted as limiting unless otherwise specified. Furthermore, when terms such as "first" and "second" are used in this specification or claims, unless otherwise specified, these terms do not indicate any order or importance, but are intended to distinguish one configuration from another. Furthermore, some components that are not important for explaining the embodiments will be omitted from the drawings.

[First embodiment]
Fig. 1 is a perspective view schematically illustrating an example of a deformed state near the tip of an electrode catheter 1 according to a first embodiment of the present disclosure. As shown in Fig. 1, the electrode catheter 1 comprises a shaft 2 to be inserted into a body, a plurality of splines 3a to 3f connected to the tip side of the shaft 2, and a tip member 4 connected to the tip sides of each of the plurality of splines 3a to 3f. Hereinafter, in descriptions common to each of the plurality of splines 3a to 3f, they will also be simply referred to as splines 3.

Hereinafter, for the electrode catheter 1 and each of the components that make up the electrode catheter 1, the direction along the central axis of the shaft 2 will be referred to as the "axial direction," the radial direction with the central axis of the shaft 2 as the circle center will be referred to as the "radial direction," and the direction around the central axis of the shaft 2 will be referred to as the "circumferential direction." Furthermore, for the electrode catheter 1 and each of the components that make up the electrode catheter 1, of the two sides along the axial direction, the side of the electrode catheter 1 that is inserted into the body will be referred to as the "tip side," and the side that is placed outside the body will be referred to as the "base side."

The shaft 2 may be a long, cylindrical member. The length of the shaft 2 is, for example, 800 mm to 1800 mm. The outer diameter of the shaft 2 is, for example, 2.0 mm to 5.0 mm. For example, the shaft 2 is made of a known resin such as polyolefin or polyamide.

The spline 3 is a member that connects the shaft 2 and the tip member 4. The spline 3 may be a cylindrical member, similar to the shaft 2. The length of the spline 3 when extended linearly is, for example, 20 mm to 50 mm. The outer diameter of the spline 3 is, for example, 0.5 mm to 2.0 mm. The spline 3 is made of a material, similar to the shaft 2, such as a known resin, such as polyolefin or polyamide.

The splines 3 include at least adjacent splines 3a and 3b. Figure 1 illustrates an example in which there are six splines 3. Specifically, examples are shown in which splines 3a and 3b, splines 3b and 3c, splines 3c and 3d, splines 3d and 3e, splines 3e and 3f, and splines 3f and 3a are adjacent to each other.

The spline 3 is connected to the shaft 2. As an example, a portion of the spline 3, including its base end (base end), is inserted into the tip side of the shaft 2. The base end of the spline 3 and the shaft 2 are then joined to each other using a known joining method such as welding or bonding with an adhesive.

The splines 3 are configured to change shape in response to a deformation operation, which will be described later. Specifically, the shape of each spline 3 changes between a non-expanded or contracted shape in which the splines 3 are not expanded radially, and an expanded or expanded shape in which the splines 3 are expanded radially. In the expanded or expanded shape, at least a portion of each spline 3 is separated from one another. Figure 1 shows an example of an expanded shape.

As shown in FIG. 1, each spline 3 may have one or more electrodes 5. The electrodes 5 are ring-shaped electrodes for potential measurement or ablation. The electrodes 5 of each spline 3 are arranged spaced apart from one another along the longitudinal direction of the spline 3. In this case, the spacing between adjacent electrodes 5 may be constant or may vary. Furthermore, the number of electrodes 5 of each spline 3 may be the same or may vary.

The electrodes 5 are made of a metal with good electrical conductivity, such as aluminum (Al), copper (Cu), stainless steel, gold (Au), or platinum (Pt). The length of the electrodes 5 along the splines 3 is, for example, 0.5 mm to 2.0 mm. The outer diameter of the electrodes 5 may be equal to or greater than the outer diameter of the splines 3, for example, 0.5 mm to 2.0 mm. The sizes of the electrodes 5 may be the same or different.

Each electrode 5 is electrically connected to a separate conductor. The conductors pass from inside the spline 3 through the shaft 2 and the handle 8 (described below), and are connected to an external power supply device via the handle 8. As an example, the conductors connected to each electrode 5 of spline 3a pass through the lumen (not shown) of spline 3a while remaining electrically insulated from one another. The same applies to each spline 3 other than spline 3a.

As shown in Figure 1, the tip member 4 may house a portion of the spline 3, including the tip (hereinafter referred to as the "tip portion"). In other words, the tip portion of the spline 3 may be covered with the tip member 4. The tip member 4 may be made of a known resin such as nylon, nylon elastomer, polycarbonate, etc., or a known metal such as stainless steel, etc.

The tip of a long deformation member 14 is fixed to the tip member 4. The deformation member 14 passes through the shaft 2, and the base end of the deformation member 14 is fixed to the slide member 13 (see Figure 8), which will be described later. The deformation member 14 may have a lumen that extends axially and opens at the tip. The lumen of the deformation member 14 can accommodate a long member such as a guidewire, and the long member can protrude from the opening at the tip of the deformation member 14. In this case, the tip member 4 may have an opening that passes through in the axial direction, and this opening may be in communication with the lumen of the deformation member 14.

Figure 2 is a view of the electrode catheter 1 viewed from the distal end toward the proximal end. Figure 2 can also be said to be a view of the electrode catheter 1 viewed from the distal end of the distal end member 4 toward the proximal end.

In this embodiment, the splines 3 are fixed to the shaft 2 and the tip member 4. The positions at which the splines 3 are fixed are spaced at approximately equal angular intervals. The angular interval is the angle between the lines connecting the positions at which the splines 3 are fixed and the center of the shaft 2 when the electrode catheter 1 is viewed from the tip end toward the base end. In other words, for the six splines 3, the angular interval between the positions at which adjacent splines 3 are fixed to the tip member 4 is approximately 60°.

In this embodiment, each spline 3 extends from the position fixed to the tip member 4 to the position fixed to the shaft 2 so as to rotate around the axis of the shaft 2. In other words, each spline 3 extends from the tip side to the base end so as to twist around the axis of the shaft 2. In the example shown in Figure 2, the angular interval between the position where each spline 3 is fixed to the tip member 4 and the position where each spline 3 is fixed to the shaft 2 is approximately 30°. The multiple splines 3a to 3f include non-linear portions 20 when viewed from the tip of the tip member 4 toward the base end. In the example shown in Figure 2, each spline 3 includes a non-linear portion 20. The non-linear portions 20 in this embodiment result from the fact that each spline 3 is fixed in a twisted manner so as to rotate around the axis of the shaft 2.

Figure 3 is a view of a portion of the electrode catheter 1, including the splines 3, viewed from the radial direction. As shown in Figure 3, each spline 3 has a different shape when viewed from the radial direction. In particular, the shapes of two splines 3 that overlap when viewed from the radial direction are different from each other. In the example shown in Figure 3, splines 3a and 3c, which have an overlapping portion 22, have different shapes, and splines 3d and 3f, which also have an overlapping portion 22, have different shapes. These differences in shape result from the fact that multiple splines 3a to 3f include the non-linear portion 20 shown in Figure 2. Furthermore, as described above, each spline 3 extends from the distal end to the proximal end while twisting to rotate around the axis of the shaft 2. Therefore, depending on the direction of twist, it is possible to identify whether each spline 3 is located on the near side or the far side when viewed from a direction intersecting the axial direction.

Figure 4 is a radial view of a portion of an electrode catheter 9, a modified version of the electrode catheter 1, including the splines 3. In the electrode catheter 9, each spline 3 extends at the same circumferential position from the position fixed to the distal end member 4 toward the position fixed to the shaft 2. Each spline 3 extends from the distal end toward the proximal end without twisting around the axis of the shaft 2. In the example shown in Figure 4, the angular interval between the position where each spline 3 is fixed to the distal end member 4 and the position where each spline 3 is fixed to the shaft 2 is approximately 0°. The electrode catheter 9 is similar to the electrode catheter 1 in all other respects.

As shown in Figure 4, each spline 3 in the electrode catheter 9 has a similar shape when viewed radially. Each spline 3 in the electrode catheter 9 has a roughly arc shape when viewed radially. Unlike each spline 3 in the electrode catheter 1, each spline 3 in the electrode catheter 9 extends from the distal end to the proximal end without twisting around the axis of the shaft 2. Therefore, it is difficult to distinguish whether each spline 3 in the electrode catheter 9 is located on the near side or the far side when viewed in a direction intersecting the axial direction.

In this way, in the electrode catheter 1, the non-linear portions 20 cause each spline 3 to have a different shape when viewed from a direction intersecting the axial direction. Furthermore, in the electrode catheter 1, each spline 3 extends from the distal end toward the proximal end while twisting to rotate around the axis of the shaft 2. Therefore, depending on the direction of twist, it is possible to distinguish whether each spline 3 is located on the near side or the far side when viewed from a direction intersecting the axial direction. In addition, by combining these features with the different radiopacity of each spline 3, which will be described later, it becomes easier to further improve the distinguishability of the splines 3.

During procedures using the electrode catheter 1, physicians and other personnel may use opacity images obtained by irradiating the irradiated body with radiation such as X-rays to determine the position and movement of each spline 3. Here, opacity images are images that use shades of gray to represent differences in the radiopacity of the irradiated body relative to the irradiated radiation. In an opacity image, for example, areas of the irradiated body with lower radiopacity are displayed lighter, while areas of the irradiated body with higher radiopacity are displayed darker. Opacity images used during procedures using the electrode catheter 1 are expected to be captured primarily from a direction intersecting the axial direction, as shown in Figures 3 and 4. In this case, it is necessary to be able to identify each of the multiple splines 3a-3f, such as which electrode 5 of each spline 3 is in contact with biological tissue and how much each spline 3 has rotated when the electrode catheter 1 is rotated circumferentially. However, if each spline 3 is displayed with the same shade in the opacity image, it would be difficult to identify each spline 3. In opaque images taken from a direction intersecting the axial direction, it is particularly difficult to distinguish between splines 3 located on the front side and those located on the back side.

Figure 5 shows an example of an opaque image taken of the electrode catheter 1 from the distal end toward the proximal end. Figure 6 shows an example of an opaque image taken of a portion of the electrode catheter 1 including the spline 3 from a first radial direction. Figure 7 shows an example of an opaque image taken of a portion of the electrode catheter 1 including the spline 3 from a second radial direction. The opaque images taken from the radial direction shown in Figures 6 and 7 are examples of opaque images taken from a direction intersecting the axial direction. In the following figures showing opaque images, including Figures 5 to 7, with regard to the shading of the opaque image, areas with higher radiopacity are indicated by darker hatching, and areas with lower radiopacity are indicated by lighter hatching.

As shown in Figures 5 to 7, in this embodiment, of the multiple splines 3a to 3f, splines 3a, 3e, and 3f have higher radiopacity than the other splines 3, namely, splines 3b, 3c, and 3d. For example, the radiopacity of each spline 3 can be adjusted by adjusting the content of highly radiopaque material contained in each spline 3, as will be described in detail below.

In the electrode catheter 1 of this embodiment, of the multiple splines 3, at least two adjacent splines 3 have different radiopacities. Specifically, adjacent splines 3a and 3b, and adjacent splines 3d and 3e, respectively, have different radiopacities. As a result, at least two adjacent splines 3 are displayed with different shading in the opaque image, improving the distinguishability of the splines 3 in the opaque image.

In this embodiment, the multiple splines 3a-3f include two or more splines 3 that have different radiopacity from the other splines 3, and when viewed from the tip of the distal end member 4 toward the base end, the two or more splines 3 are arranged asymmetrically with respect to the central axis of the shaft 2. Specifically, the other splines 3 are splines 3b, 3c, and 3d, and the two or more splines 3 are splines 3a, 3e, and 3f. As shown in FIG. 5, when viewed from the tip of the distal end member 4 toward the base end, splines 3a, 3e, and 3f are arranged asymmetrically with respect to the central axis of the shaft 2, i.e., the approximate center position of the distal end member 4 in FIG. 5. In other words, when viewed from the tip of the distal end member 4 toward the base end, splines 3a, 3e, and 3f are arranged in positions that are not point-symmetric with respect to the central axis of the shaft 2. In particular, in this embodiment, when viewed from the tip of the tip member 4 toward the base end, splines 3a, 3e, and 3f are arranged on only one side of a straight line passing through the central axis of the shaft 2, in this case a line passing between splines 3a and 3b and between splines 3d and 3e.

In this embodiment, the multiple splines 3a-3f include two or more splines 3 that have different radiopacity from the other splines 3, and when viewed from the tip of the distal end member 4 toward the base end, the two or more splines 3 are arranged asymmetrically with respect to the central axis of the shaft 2. This further improves the distinguishability of the splines 3 in opaque images captured from a direction intersecting the axial direction. Specifically, this further improves the distinguishability of the splines 3 when the electrode catheter 1 is rotated circumferentially. In other words, when the electrode catheter 1 is rotated circumferentially, it is possible to distinguish whether each spline 3 is located on the near side or the far side. In particular, in this embodiment, when viewed from the tip of the distal end member 4 toward the base end, splines 3a, 3e, and 3f are arranged on only one side of a straight line passing through the central axis of the shaft 2. As a result, as shown in Figures 6 and 7, splines 3a, 3e, and 3f tend to be concentrated on the near side or the far side in an opaque image captured from a direction intersecting the axial direction, which further improves the distinction between splines 3 when the electrode catheter 1 is rotated circumferentially.

In this embodiment, among the multiple splines 3a to 3f, the two or more splines 3 that have different radiopacity from the other splines 3 include at least two adjacent splines 3. Specifically, of the two or more splines 3a, 3e, and 3f that have different radiopacity from the other splines 3, spline 3a and spline 3f are adjacent to each other, and spline 3e and spline 3f are adjacent to each other. As a result, in an opaque image captured from a direction intersecting the axial direction, two adjacent splines 3 tend to be concentrated toward the front or back, thereby further improving the distinction from other splines 3 when the electrode catheter 1 is rotated circumferentially.

In this embodiment, at least three of the multiple splines 3 may have different radiopacities. In this case, two or more of the "two or more splines 3 having radiopacity different from that of the other splines 3" may have different radiopacities, and all of the "other splines 3" may have the same radiopacity. Specifically, two of splines 3a, 3e, and 3f may have the same radiopacity, and the remaining spline 3 may have a different radiopacity. Furthermore, splines 3b, 3c, and 3d may have the same radiopacity. This causes the at least three splines 3 to appear with different shading in the opaque image, further improving the distinguishability of the splines 3 in the opaque image.

By adjusting the content of the highly radiopaque material (hereinafter also referred to as the "first material") contained in each spline 3, the radiopacity of each spline 3 can be made different. Specifically, the content of the first material contained in splines 3a, 3e, and 3f is higher than the content of the first material contained in splines 3b, 3c, and 3d. Examples of the first material include tungsten, barium, platinum, and gold. Among the multiple splines 3a to 3f, there may be some splines 3 that do not contain the first material.

As described above, the radiopacity of each spline 3 can be varied by adjusting the content of the first material contained in each spline 3. However, if the content of the first material varies, physical properties other than radiopacity may also vary. In particular, if the hardness of each spline 3 varies, this may affect operability.

Therefore, the difference in hardness between each spline 3 may be reduced by adjusting the content of the second material in addition to the first material for each spline 3. The radiopacity of the second material is less than that of the first material. Examples of the second material include talc, silica, and polyether block amide.

As described above, the "at least two adjacent splines 3" having different radiopacities may contain a first material and a second material. Here, it is sufficient that the "at least two adjacent splines 3" as a whole contain the first material and the second material. There may be splines 3 that do not contain the first material, or there may be splines 3 that do not contain the second material. The radiopacity of the first material is higher than the radiopacity of the second material. Among the "at least two adjacent splines 3" described above, the content of the first material in one spline 3 is higher than the content of the first material in the other spline 3. The content of the second material in one spline 3 is different from the content of the second material in the other spline 3. Either one spline 3 or the other spline 3 may not contain the second material. The content of the second material can be detected on an elemental or functional group basis by infrared spectroscopy (IR) or the like.

Figure 8 is a diagram showing a schematic example of the overall structure of the electrode catheter 1. As shown in Figure 8, the electrode catheter 1 may include a handle 8 connected to the proximal end of the shaft 2.

The slide member 13 is the part that accepts deformation operations, such as sliding, by the operator when changing the shape of the spline 3 between the previously described undeployed or contracted shape and the previously described expanded or expanded shape. The slide member 13 is slidable along the central axis of the shaft 2 in the handle body 11, and depending on the position of the slide member 13, the shape of the spline 3 can be changed to the previously described undeployed or contracted shape, the expanded or expanded shape, or any intermediate shape between the previously described undeployed and expanded shapes.

Second Embodiment
Fig. 9 is a diagram showing an example of an opaque image of an electrode catheter 1A according to a second embodiment of the present disclosure, imaged from the distal end toward the proximal end. Fig. 10 is a diagram showing an example of an opaque image of a portion of the electrode catheter 1A, including the splines 3Aa to 3Af, imaged from a first radial direction. Fig. 11 is a diagram showing an example of an opaque image of a portion of the electrode catheter 1A, including the splines 3Aa to 3Af, imaged from a second radial direction. The electrode catheter 1A according to this embodiment differs from the electrode catheter 1 according to the first embodiment in the radiopacity of some of its components, but is otherwise common. Regarding the electrode catheter 1A according to this embodiment, descriptions of matters common to the electrode catheter 1 according to the first embodiment will be omitted as appropriate. Hereinafter, descriptions of the splines 3Aa to 3Af that are common to each other will also be simply referred to as spline 3A.

As shown in Figures 9 to 11, in this embodiment, of the multiple splines 3Aa to 3Af, splines 3Aa and 3Ae have higher radiopacity than the other splines 3A, namely, splines 3Ab, 3Ac, 3Ad, and 3Af.

Similar to the electrode catheter 1 of the first embodiment, in the electrode catheter 1A of this embodiment, of the multiple splines 3A, at least two adjacent splines 3A have different radiopacities. Specifically, adjacent splines 3Aa and 3Ab, adjacent splines 3Ad and 3Ae, adjacent splines 3Ae and 3Af, and adjacent splines 3Af and 3Aa each have different radiopacities. The resulting effect is the same as in the first embodiment.

Similar to the first embodiment, in this embodiment, the multiple splines 3Aa-3Af include two or more splines 3A that have different radiopacity from the other splines 3A, and when viewed from the tip of the distal end member 4 toward the base end, these two or more splines 3A are arranged asymmetrically with respect to the central axis of the shaft 2. Specifically, the two or more splines 3A that have different radiopacity from the other splines 3A are splines 3Aa and 3Ae. In particular, in this embodiment, when viewed from the tip of the distal end member 4 toward the base end, splines 3Aa and 3Ae are arranged on only one side of a straight line passing through the central axis of the shaft 2 (here, a line passing between splines 3Aa and 3Ab and a line passing between splines 3Ad and 3Ae). The effects achieved thereby are the same as those of the first embodiment.

Unlike the first embodiment, in this embodiment, some splines 3A of two or more splines 3 having different radiopacity from the other splines 3A are arranged between the other splines 3. Specifically, of the two splines 3Aa and 3Ae having different radiopacity from the other splines 3A, spline 3Aa is arranged between the other splines 3Af and 3Ab. Similarly, spline 3Ae is arranged between the other splines 3Ad and 3Af. This means that adjacent splines 3A have different radiopacity from each other in at least two locations, thereby further improving the distinguishability of splines 3A in radiopaque images.

As in the first embodiment, in this embodiment, at least three splines 3A of the multiple splines 3 may have different radiopacities. Specifically, spline 3Aa and spline 3Ae may have different radiopacities, and the other splines 3A may have the same radiopacity. This provides the same effect as in the first embodiment.

The above provides a detailed description of the embodiments of the present disclosure. The above-described embodiments merely illustrate specific examples of how the present disclosure may be implemented. The content of the embodiments does not limit the technical scope of the present disclosure, and many design changes, such as changes, additions, and deletions of components, are possible within the scope of the concept of the present disclosure as defined in the claims. A new embodiment with a design change will combine the effects of the combined embodiments and modifications. Any combination of the components included in each embodiment is also valid as an aspect of the present disclosure. Hatching on cross sections in the drawings does not limit the material of the hatched objects.

For example, while each embodiment has been described with an example in which there are six splines 3 or splines 3A, the number of splines 3 or splines 3A may be three or more. Furthermore, each embodiment has been described with an example in which each spline 3 or spline 3A is fixed to the shaft 2 at a position rotated circumferentially relative to the position at which it is fixed to the tip member 4. However, each spline 3 or spline 3A may be fixed to the shaft 2 at the same circumferential position relative to the position at which it is fixed to the tip member 4. Even in this case, if the splines 3 or splines 3A include non-linear portions 20, the splines 3 or splines 3A may have different shapes when viewed from a direction intersecting the axial direction. Furthermore, the splines 3 or splines 3A do not necessarily have to include non-linear portions 20.

Embodiments may be identified by the following items:

[First item]
A shaft (2),
a plurality of splines (3) connected to the tip side of the shaft (2);
a tip member (4) connected to the tip side of each of the plurality of splines (3),
At least two adjacent splines (3) of the plurality of splines (3) have different radiopacities.
Electrode catheter (1).

The electrode catheter (1) according to the first item displays at least two adjacent splines (3) in different shades in the opaque image, thereby improving the discernibility of the splines (3) in the opaque image.

[Second item]
At least three of the splines (3) have different radiopacities.
The electrode catheter (1) described in the first item

With the electrode catheter (1) according to the second item, at least three splines (3) are displayed in different shades in the opaque image, further improving the distinguishability of the splines (3) in the opaque image.

[Third item]
the plurality of splines (3) includes two or more splines (3) having a different radiopacity than the other splines (3);
When viewed from the tip of the tip member (4) toward the base end side, the two or more splines (3) are arranged asymmetrically with respect to the central axis of the shaft (2).
An electrode catheter (1) according to the first or second item.

With the electrode catheter (1) according to the third item, in an opaque image captured from a direction intersecting the axial direction, the two or more splines (3) tend to be concentrated on one half of the circumference in the circumferential direction, thereby further improving the distinguishability from other splines (3).

[4th item]
4. The electrode catheter (1) according to item 3, wherein the two or more splines (3) include at least two adjacent splines (3).

With the electrode catheter (1) according to the fourth item, in an opaque image captured from a direction intersecting the axial direction, adjacent splines (3) tend to be concentrated on the same half-circumferential side in the circumferential direction, thereby further improving the distinguishability of the splines (3) from other splines.

[Item 5]
Some of the two or more splines (3) are disposed between other splines (3).
An electrode catheter (1) according to item 3 or 4.

With the electrode catheter (1) according to the fifth item, adjacent splines (3) have different radiopacity at at least two locations, thereby further improving the distinguishability of the splines (3) in radiopaque images.

[Item 6]
The plurality of splines (3) include a non-linear portion when viewed from the tip of the tip member (4) toward the base end side.
An electrode catheter (1) according to any one of items 1 to 5.

In the electrode catheter (1) according to the sixth aspect, the non-linear portions tend to make the multiple splines (3) have different shapes when viewed from a direction intersecting the axial direction, making it easier to further improve the distinguishability of the splines (3).

[Item 7]
At least two adjacent splines (3) comprise a first material and a second material;
the radiopacity of the first material is greater than the radiopacity of the second material;
The content of the first material in one of at least two adjacent splines (3) is higher than the content of the first material in the other of the at least two adjacent splines (3),
the content of the second material in one is different from the content of the second material in the other;
An electrode catheter (1) according to any one of items 1 to 6.

According to the electrode catheter (1) of item 7, when the radiopacity is varied by adjusting the content of the first material in each spline (3), the difference in other physical properties such as hardness can be reduced by also adjusting the content of the second material.

1, 1A...electrode catheter, 2...shaft, 3...spline, 4...tip member, 5...electrode, 20...non-linear portion.

Claims (7)

A shaft,
a plurality of splines connected to a tip end side of the shaft;
a tip member connected to a tip side of each of the plurality of splines,
At least two adjacent splines of the plurality of splines have different radiopacities.
Electrode catheter. At least three of the splines have different radiopacities.
The electrode catheter of claim 1 . the plurality of splines includes two or more splines having a different radiopacity than other splines;
When viewed from the tip of the tip member toward the base end side, the two or more splines are arranged asymmetrically with respect to the central axis of the shaft.
The electrode catheter of claim 1 . The electrode catheter of claim 3, wherein the two or more splines include at least two adjacent splines. some splines of the two or more splines are disposed between the other splines;
4. The electrode catheter of claim 3. The plurality of splines include a non-linear portion when viewed from the distal end of the distal end member toward the proximal end.
The electrode catheter of claim 1 . the at least two adjacent splines include a first material and a second material;
the radiopacity of the first material is greater than the radiopacity of the second material;
the content of the first material in one of the at least two adjacent splines is higher than the content of the first material in the other of the at least two adjacent splines;
the content of the second material in the one is different from the content of the second material in the other;
7. An electrode catheter according to any one of claims 1 to 6.