LOCKABLE SUPPORT ASSEMBLY AND METHOD

• US 20100228191A1
• Filed: 03/05/2009
• Published: 09/09/2010
• Est. Priority Date: 03/05/2009
• Status: Abandoned Application

• Current Assignee: Hansen Medical Incorporated (Johnson & Johnson)
• Original Assignee: Hansen Medical Incorporated (Johnson & Johnson)
• Inventors: Romo, Enrique, Alvarez, Jeffery B., Tanner, Neal A.
• Application Number:
  US12/398,763
• Publication Number:
  US 20100228191A1
• Time in Patent Office: Days
• US Class Current: 604/95.10
• CPC Class Codes: A61B 1/0055 Constructional details of insertion parts, e.g. vertebral elements
• CPC Class Codes: A61B 1/0057 Constructional details of force transmission elements, e.g. control wires
• CPC Class Codes: A61B 1/01 Guiding arrangements therefore
• CPC Class Codes: A61M 2025/0161 wherein the distal tips have two or more deflection regions
• CPC Class Codes: A61M 25/0105 Steering means as part of the catheter or advancing means; Markers for positioning systems for detection of markers A61B
• CPC Class Codes: A61M 25/0138 having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

Assemblies and methods related to controllably lockable support structures are described. An assembly may comprise an interface defined by two adjacent tubular structures whereby the adjacent structures may be spatially locked and unlocked relative to each other with application of a load. The tubular structures may comprise one or more spring members configured to deflect with application of a load greater than a preconfigured threshold, thereby causing a locking state of the interface to change from a first locking state to a second locking state. Embodiments are described wherein such load may be a tensile and/or compressive load. Various embodiments are described wherein an interface may be locked without application of a load and unlocked upon application of the requisite load, or locked only after application of a load.

Claims

1. A support assembly for an elongate instrument portion having a changeable longitudinal axis, the support assembly comprising:

a. a proximal tubular structure having a distal interface and a longitudinal axis;

b. a distal tubular structure having a proximal interface and a longitudinal axis, and being sequentially and lockably coupled to the proximal tubular structure through engagement of the interfaces such that the longitudinal axes of the tubular structures and elongate instrument portion are substantially aligned;

wherein at least one of the tubular structures comprises a deflectable spring member biased to maintain a first positional locking status of the proximal tubular structure relative to the distal tubular structure, and wherein upon application of a deflecting load to the spring member, a second positional locking status is achieved.

2. The assembly of claim 1, wherein the distal and proximal interfaces comprise at least one male-female pivotal engagement.

3. The assembly of claim 2, wherein the male-female pivotal engagement comprises a female aspect and a male aspect, and wherein the female aspect comprises the spring member.

4. The assembly of claim 3, wherein the female aspect comprises a transverse member and a shoulder member, and wherein the spring member comprises the transverse member.

5. The assembly of claim 1, wherein the first status is an unlocked status, such that the proximal and distal tubular structures are free to move relative to each other, and wherein the second status is a locked status, such that relative movement between the proximal and distal tubular structures is prevented.

6. The assembly of claim 1, wherein the first status is a locked status, such that relative movement between the proximal and distal tubular structures is prevented, and wherein the second status is an unlocked status, such that the proximal and distal tubular structures are free to move relative to each other.

7. The assembly of claim 1, further comprising an actuating assembly coupled to a proximal end of the proximal tubular structure, and an elongate load-applying member coupled between the actuating assembly and the distal tubular structure, wherein the load-applying member is configured to apply the deflecting load to the spring member.

8. The assembly of claim 7, further comprising a load-isolating conduit movably coupled to the load applying member and at least one of the proximal tubular member and the distal tubular member.

9. The assembly of claim 1, further comprising a third tubular structure having a proximal interface and a longitudinal axis, wherein the third tubular structure is sequentially and lockably coupled to a proximal interface of the distal tubular structure.

10. The assembly of claim 9, wherein the each of the interfaces between the tubular structures is independently controllably lockable.

11. A method for positioning one or more elongate medical instruments, comprising:

a. inserting into a patient a first elongate instrument comprising a series of independently lockably coupled tubular structures defining a working lumen through the series, wherein an interface defined between each of the independently lockably coupled tubular structures has a locked and an unlocked locking state, and wherein switching between these states may be controlled remotely by an operator;

b. changing at least one of the interfaces from an unlocked state to a locked state; and

c. inserting a second elongate instrument through the working lumen of the series of independently lockably coupled tubular structures to expose a distal end of the second elongate instrument to a desired anatomical location within the patient.

12. The method of claim 11, further comprising changing at least one of the interfaces from a locked state back to an unlocked state subsequent to inserting the second elongate instrument.

13. The method of claim 11, wherein each of the interfaces is inserted in an unlocked locking state.

14. The method of claim 11, wherein changing at least one of the interfaces from an unlocked state to a locked state comprises actuating an elongate load applying member from a proximal position outside of the patient.

15. A method of minimally invasive treatment delivery, comprising:

a. inserting an elongate body into a patient body while the elongate body is in an unlocked state;

b. advancing the elongate body such that a first portion of the elongate body assumes a first curvature, while a second portion of the elongate body assumes a second curvature;

c. placing the first portion and second portion in a locked state, such that first portion maintains the first curvature, and the second portion maintains the second curvature; and

d. delivering a medical instrument through a distal portion of the elongate body.

16. The method of claim 15, further comprising:

a. placing the first portion and second portion in the unlocked state;

b. advancing the elongate body further into the patient'"'"'s body;

c. placing at least the first portion in the locked state; and

d. delivering a second medical treatment through the distal portion of the elongate body.

17. The method of claim 15, further comprising:

a. advancing a second elongate body within a lumen defined by the first elongate body, while the second elongate body is in an unlocked state;

b. placing at least a portion of the second elongate body in a locked state; and

c. delivering a medical treatment with the distal portion of the second elongate body.