Steering mechanism for bi-directional catheter

• US 20050277874A1
• Filed: 06/14/2004
• Published: 12/15/2005
• Est. Priority Date: 06/14/2004
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Selkee, Thomas V.
• Granted Patent: US 7,591,799 B2
• Time in Patent Office: Days
• US Class Current: 604/95.40
• CPC Class Codes: A61M 2025/015 Details of the distal fixation of the movable mechanical means
• CPC Class Codes: A61M 2025/0166 Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A bi-directional catheter with nearly double the throw in its catheter tip deflection defines a puller wire travel path having a U-turn a pulley which minimizes the offset angle between the puller wire and the longitudinal axis of the control handle while maximizing the travel distance of that puller wire for any given distance traveled by the pulley drawing the puller wire. In particular, the control handle of the catheter which includes a steering assembly having a lever arm carrying a pair of pulleys for drawing corresponding puller wires to deflect the tip section of the catheter. The pulleys are rotatably mounted on opposing portions of the lever arm such that one pulley is moved distally as the other pulley is moved proximally when the lever arm is rotated. Because each puller wire is trained on a respective pulley, rotation of the lever arm causes the pulley that is moved proximally to draw its puller wire to deflect the tip section in the direction of the off-axis lumen in which that puller wire extends.

Claims

1. A bi-directional catheter comprising:

an elongated catheter body having proximal and distal ends;

a catheter tip section at the distal end of the catheter body and first and second diametrically-opposed off-axis lumens;

a control handle at the proximal end of the catheter body, the control handle having a longitudinal axis and comprising at least a steering assembly having a lever arm rotatable about an axis substantially perpendicular to the longitudinal axis, the steering assembly including at least two pulleys rotatably mounted on opposing portions of the lever arm;

first and second puller wires, each puller wire having proximal and distal ends and extending from the control handle through the catheter body, wherein the first puller wire extends into the first lumen in the tip section and the second puller wire extends into the second lumen in the tip section, and wherein the distal end of each puller wire is anchored to the tip section; and

a first stop member that defines a first stop position for the first puller wire and a second stop member that defines a second stop position for the second puller wire;

wherein each puller wire is trained on a respective pulley and rotation of the lever arm results in proximal movement of one of said pulleys relative to the control handle thereby drawing proximally at least a segment of its respective puller wire for deflecting the tip section in the direction of the off-axis lumen in which that puller wire extends; and

wherein each stop position is adjustable proximally and distally within the control handle.

2. A bi-directional catheter of claim 1, wherein each of the puller wires is trained about its respective pulley for at least about 180 degrees.

3. A bi-directional catheter of claim 1, wherein each puller wire extends from the distal end of the control handle to its respective pulley at an angle of no greater than about 10 degrees from the longitudinal axis of the control handle.

4. A bi-directional catheter of claim 1, wherein each puller wire extends from the distal end of the control handle to its respective pulley at an angle ranging between about 7 and 10 degrees from the longitudinal axis of the control handle.

5. A bi-directional catheter of claim 1, wherein the control handle further comprises a deflection knob, wherein the deflection knob and the lever arm are rotationally coupled to each other.

6. A bi-directional catheter of claim 1, further comprising first and second constant force springs, each having a free end that is attached to a proximal end of a different puller wire.

7. A bi-directional catheter of claim 1, wherein the constant force springs are positioned distal of the pulleys.

8. A bi-directional catheter of claim 6, wherein the first and second stop members are positioned proximally of their respective springs.

9. A bi-directional catheter of claim 1, further comprising a divider extending along the longitudinal axis of the control handle, said divider directing the puller wires at a predetermined angle toward their respective pulleys.

10. A bi-directional catheter of claim 1, further comprising an adjustment knob configured to adjust tension of the deflection knob.

11. A bi-directional catheter of claim 9, wherein each stop is adjustably engaged with the divider.

12. A bi-directional catheter of claim 1, wherein each stop comprises means for finely adjusting the stop position.

13. A bi-direction catheter of claim 12, wherein the means for finely adjusting comprises a set screw.

14. A bi-directional catheter of claim 1, wherein each stop member is configured to guide at least a segment of its respective puller wire.

15. A bi-directional catheter comprising:

an elongated catheter body having proximal and distal ends;

a catheter tip section at the distal end of the catheter body comprising first and second diametrically-opposed off-axis lumens;

a control handle at the proximal end of the catheter body, the control handle having a longitudinal axis and comprising at least a steering assembly having a lever arm rotatable about an axis substantially perpendicular to the longitudinal axis, the lever arm having two pulleys rotatably mounted thereon;

first and second puller wires, each puller wire having proximal and distal ends and extending from the control handle through the catheter body;

means for adjustably setting a stop position for each puller wire; and

wherein the first puller wire extends into the first lumen in the tip section and the second puller wire extends into the second lumen in the tip section, and wherein the distal end of each puller wire is anchored to the tip section, and wherein a travel path of each puller wire within the control handle includes a turn away from the longitudinal axis of at least 180 degrees about a respective pulley; and

wherein rotation of the lever arm results in movement of one of said pulleys relative to the control handle thereby drawing at least a segment of its respective puller wire for deflecting the tip section in the direction of the off-axis lumen in which that puller wire extends.

16. A bi-directional catheter of claim 15, wherein the proximal end of each puller wire is connected to a constant force spring.

17. A bi-directional catheter of claim 15, wherein a travel distance of a segment of a puller wire drawn by a pulley for deflection is about twice the travel distance of that pulley.

18. A bi-directional catheter of claim 15, wherein a segment of a puller wire drawn by a pulley for deflection extends at an angle of less than about 7 degrees from the longitudinal axis.

19. A bi-directional catheter of claim 15, wherein the means for stopping comprises stop members, each of which releasably engages with an elongated member extending along the longitudinal axis of the control handle.

20. A bi-directional catheter of claim 19, wherein the general proximal end of each puller wire is prevented from moving proximally past its stop position.

21. A bi-directional catheter comprising:

an elongated catheter body having proximal and distal ends;

a catheter tip section at the distal end of the catheter body;

a control handle at the proximal end of the catheter body, the control handle having a longitudinal axis and comprising at least a steering assembly having a lever arm rotatable about a throw axis, the steering assembly including at least two pulleys rotatably mounted on opposing portions of the lever arm;

first and second puller wires, each puller wire having proximal and distal ends and extending from the control handle through the catheter body; and

a first stop member that defines a first stop position for the first puller wire and a second stop member that defines a second stop position for the second puller wire;

wherein each puller wire is trained on a respective pulley and rotation of the lever arm results in proximal movement of one pulley and distal movement of the other pulley, the one pulley moved proximally drawing proximally at least a segment of its respective puller wire for deflecting the tip section.