Catheter having articulation system

• US 20040034365A1
• Filed: 08/16/2002
• Published: 02/19/2004
• Est. Priority Date: 08/16/2002
• Status: Abandoned Application

• Current Assignee: CryoCor Incorporated (Boston Scientific Corporation)
• Original Assignee: CryoCor Incorporated (Boston Scientific Corporation)
• Inventors: Lentz, David J., Salinas, Alvin B.
• Application Number:
  US10/223,077
• Publication Number:
  US 20040034365A1
• Time in Patent Office: Days
• US Class Current: 606/108
• CPC Class Codes: A61B 18/02 by cooling, e.g. cryogenic techniques devices for cooling specific reflex points of the body within cell-life limits A61H39/06
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2018/0212 using an instrument inserted into a body lumen, e.g. catheter
• CPC Class Codes: A61B 2018/0262 using a circulating cryogenic fluid
• CPC Class Codes: A61M 25/001 Forming the tip of a catheter, e.g. bevelling process, join or taper
• CPC Class Codes: A61M 25/0052 Localized reinforcement, e.g. where only a specific part of the catheter is reinforced, for rapid exchange guidewire port
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0141 having flexible regions as a result of using materials with different mechanical properties
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

An articulation system for catheter steering and selective positioning of the catheter distal tip includes an articulation segment having a cylindrically shaped wall that is attached between a tip member and a catheter tube. The cylindrically shaped wall defines a longitudinal axis and surrounds a central lumen. The wall of the articulation segment is formed with a first section made of a first material having flexural modulus, M₁, and a second section made of a second material having flexural modulus, M₂, with M₂ being larger than M₁ (M₂>M₁). One end of a control wire is attached to the tip member, while the control wire itself extends from the tip member, through the lumen of the articulation segment and through the catheter tube. The sections are arranged to cause the tip member to deflect in a pre-selected plane in response to axial movements of the control wire.

Claims

1. A system for articulating a catheter in the vasculature of a patient, said system comprising:

an articulation segment having an elongated, cylindrically shaped wall extending from a distal end to a proximal end and surrounding a lumen therebetween, said wall defining a longitudinal axis and formed with a first section made of a first material having flexural modulus, M₁, and a second section made of a second material having flexural modulus, M₂, wherein M₂, is larger than M₁ (M₂>

M₁), said second section of said articulation segment being elongated in a direction parallel to said longitudinal axis;

a tip member affixed to the distal end of said articulation segment;

a control wire having a portion disposed in said lumen of said articulation segment, said control wire having a first end and a second end with said first end attached to said tip member at an attachment point, said attachment point being distanced radially from said longitudinal axis; and

a means engaged with the second end of said control wire for axially moving said control wire to selectively bend said articulation segment and deflect said tip member through an arc in a plane to articulate the catheter.

2. A system as recited in claim 1 wherein said second section extends from said distal end of said wall to said proximal end of said wall.

3. A system as recited in claim 1 wherein said first material is a polyether block amide.

4. A system as recited in claim 1 wherein said second material is a polyamide.

5. A system as recited in claim 1 wherein said attachment point, said longitudinal axis and a portion of said second section lie within a common plane.

6. A system as recited in claim 1 wherein said arc has an arc length greater than approximately two hundred and seventy degrees (270°

) during a deflection of said tip member.

7. A system as recited in claim 1 wherein said wall has a length between said proximal end and said distal end and said length is greater than approximately ten millimeters.

8. A system as recited in claim 1 further comprising a metallic coil spring embedded in said wall to axially stiffen said articulation segment.

9. A system as recited in claim 1 further comprising a metallic braid embedded in said wall to axially stiffen said articulation segment.

10. A system as recited in claim 1 wherein said wall is formed with an inner surface and an outer surface and wherein said second section extends from said inner surface to said outer surface.

11. A system as recited in claim 1 wherein said wall is formed with an inner surface and an outer surface and wherein said second section is positioned between said inner surface and said outer surface and does not extend to said inner surface and does not extend to said outer surface, and wherein said wall is formed with an open lumen positioned between said inner surface and said outer surface.

12. A catheter for cryoablating target tissue, said catheter comprising:

a proximal tube having a proximal end and a distal end and forming a proximal tube lumen therebetween;

an articulation segment affixed to said distal end of said proximal tube, said articulation segment having a distal end, a proximal end and forming an articulation segment lumen therebetween, said articulation segment having an elongated, tubular shape defining a longitudinal axis and formed with a first section made of a first material having flexural modulus, M₁, and a second section made of a second material having flexural modulus, M₂, wherein M₂, is larger than M₁ (M₂>

M₁), said second section of said articulation segment being elongated in a direction parallel to said longitudinal axis;

a tip member affixed to the distal end of said articulation segment for contacting and cryoablating the target tissue;

a control wire extending through said proximal tube lumen and said articulation segment lumen from a first end to a second end with said first end attached to the tip member at an attachment point, said attachment point being distanced radially from said longitudinal axis; and

a means engaged with said second end of said control wire for axially moving said control wire to selectively bend said articulation segment and deflect said tip member through an arc in a plane to articulate the catheter.

13. A catheter as recited in claim 12 wherein said tip member is made of a thermally conductive material and said tip is in fluid communication with a cooling assembly which comprises:

a refrigerant source for providing a fluid having a temperature of approximately forty degrees Kelvin;

a tube extending through said proximal tube lumen and said articulation segment lumen to interconnect said refrigerant source in fluid communication with said tip member; and

a means for circulating said fluid through said tip member during a cardiac cryoablation procedure.

14. A catheter as recited in claim 12 wherein said control wire is attached to said tip member at an attachment point positioned to interpose said longitudinal axis of said articulation segment between said attachment point and said second section.

15. A catheter as recited in claim 12 wherein said first material is a polyether block amide.

16. A catheter as recited in claim 12 wherein said second material is a polyamide.

17. A method for manufacturing a catheter having an articulation system, said method comprising the steps of:

co-extruding a wall having a first section made of a first material having flexural modulus, M₁, and a second section made of a second material having flexural modulus, M₂, wherein M₂, is larger than M₁ (M₂>

M₁);

affixing a tip member to said wall;

connecting a catheter tube to said wall;

attaching a control wire to said tip member at an attachment point with the control wire extending proximally through said catheter tube; and

engaging said control wire with a control means for pulling said control wire in a proximal direction to bend said wall and deflect said tip member through an arc in a plane defined by said second section of said wall and said attachment point.

18. A method as recited in claim 17 wherein said first material is a polyether block amide.

19. A method as recited in claim 17 wherein said second material is a polyamide.

20. A method as recited in claim 17 wherein said wall extends from a distal end to a proximal end and wherein said second section extends from said distal end of said wall to said proximal end of said wall.