A 10 Fr ultrasound catheter with integrated micromotor for 4D intracardiac echocardiography

We developed prototype catheters for real-time three-dimensional intracardiac echo (4D ICE) imaging. The catheter tips contained a low profile 64-element, 6.2 MHz phased array transducer and integrated micromotor, allowing oscillation of the transducer in the elevation direction. The tips were integrated with two-way deflectable 10 Fr catheters and used in in-vivo animal testing at multiple facilities. The 4D ICE catheters were capable of imaging a 90° azimuth by up to 180° elevation field of view. Volume rates ranged from 1 vol/sec (180° elevation) to approximately 10 vol/sec (45° elevation). We successfully imaged electrophysiology catheters, atrial septal puncture procedures, and detailed cardiac anatomy. The elevation oscillation enabled 3D visualization of devices and anatomy providing new clinical information and perspective not possible with current 2D imaging catheters.