FLEXIBLE AND STEERABLE ELONGATE INSTRUMENTS WITH SHAPE CONTROL AND SUPPORT ELEMENTS

• US 20100280525A1
• Filed: 04/29/2009
• Published: 11/04/2010
• Est. Priority Date: 04/29/2009
• Status: Abandoned Application

• Current Assignee: Hansen Medical Incorporated (Johnson & Johnson)
• Original Assignee: Hansen Medical Incorporated (Johnson & Johnson)
• Inventors: TANNER, Neal A., ALVAREZ, Jeffery B., LEWIS, Casey, YEE, William K., MACNAMARA, Francis
• Application Number:
  US12/432,701
• Publication Number:
  US 20100280525A1
• Time in Patent Office: Days
• US Class Current: 606/130
• CPC Class Codes: A61B 1/00078 with stiffening means
• 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 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2034/306 Wrists with multiple vertebrae
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms

Abstract

An instrument having a flexible and elongated body includes at least a lumen and a flex member disposed within the lumen. The flex member may be capable of providing steering control to a first portion of the elongate body while providing load bearing support to a second portion of the elongate body. A pull wire may be disposed within the flex member, and at least a distal portion of the pull wire may be coupled to the elongate body and a proximal portion of the pull wire may be operatively coupled to a control unit. The control unit may be coupled to a proximal portion of the elongate body. In addition, a control member may be operatively coupled to the control unit such that a distal portion of the control member may be positioned near a proximal portion of the flex member. The control member may be configured to support the flex member and control the movement or displacement of the flex member. Furthermore, the flex member may be configured to selectively decouple articulation or steering forces of a first portion of the elongate body away from a second portion of the elongate body; thereby, preventing compression of the second portion of the elongate body while maintaining elasticity or flexibility of the second portion of the elongate body.

Claims

1. A steerable elongate instrument, comprising:

an elongate body having a first lumen and a second lumen within the elongate body;

a flex member disposed within the second lumen;

a pull wire disposed within the flex member, wherein a distal portion of the pull wire being coupled to a distal portion of the elongate body and a proximal portion of the pull wire being operatively coupled to a control unit, wherein the control unit being coupled to a proximal portion of the elongate body; and

a control member operatively coupled to the control unit wherein a distal portion of the control member being positioned near a proximal portion of the flex member.

2. The elongate instrument of claim 1, wherein a distal portion of the flex member being coupled to the elongate body.

3. The elongate instrument of claim 1, wherein a distal portion of the flex member being fixedly coupled to the elongate body.

4. The elongate instrument of claim 1, wherein the control unit includes a rack and a pinion, and the rack and pinion being positioned near a proximal portion of the control member.

5. The elongate instrument of claim 1, wherein the distal portion of the pull wire coupled to the elongate body through a control ring, the control ring being fixedly coupled to the elongate body.

6. The elongate instrument of claim 1, further comprising a liner disposed within the second lumen.

7. The elongate instrument of claim 6, wherein the liner being disposed between the second lumen and the flex member.

8. The elongate instrument of claim 1, further comprising a support member wherein a distal portion of the support member being fixedly coupled to the distal portion of the elongate body and a proximal portion of the support member being operatively coupled to a distal portion of the flex member.

9. The elongate instrument of claim 8, wherein the proximal portion of the support member slidably engages a distal portion of the flex member.

10. The elongate instrument of claim 9, wherein the support member engages the flex member through a lumen of the flex member.

11. The elongate instrument of claim 1, wherein the flex member is a coil tube.

12. The elongate instrument of claim 1, wherein the flex member is a ring tube.

13. The elongate instrument of claim 1, wherein the liner is a tube.

14. The elongate instrument of claim 1, wherein the liner is fabricated from a material selected from a group consisted of polyimide, stainless steel, and Nitinol.

15. A steerable elongate instrument, comprising:

an elongate body having a primary lumen and a plurality of secondary lumens within the elongate body;

a plurality of flex members, each of the plurality of flex members being respectively disposed within each of the secondary lumens;

a plurality of pull wires, each of the plurality of pull wires being respectively disposed within each of the flex members, wherein distal portion of each the pull wires being coupled to different locations or portions of the elongate body and proximal portion of each of the pull wires being operatively coupled to a control unit, wherein the control unit being coupled to a proximal portion of the elongate body; and

a plurality of control members operatively coupled to the control unit wherein distal portions of the control members being positioned near proximal portions of the flex members.

16. A steerable elongate instrument, comprising:

an elongate body having a plurality of lumens within the elongate body;

a plurality of flex members, each of the plurality of flex members being respectively disposed within each of the lumens;

a plurality of pull wires, each of the plurality of pull wires being respectively disposed within each of the flex members, wherein distal portion of each of the pull wires being coupled to different locations or portions of the elongate body and proximal portion of each of the pull wires being operatively coupled to a control unit, wherein the control unit being coupled to a proximal portion of the elongate body; and

a plurality of control members operatively coupled to the control unit wherein distal portions of the control members being positioned near proximal portions of the flex members.

17. A steerable elongate instrument, comprising:

an elongate body having a first lumen and a second lumen within the elongate body;

a flex member disposed within the second lumen, the flex member configured to provide steering control to a first portion of the elongate body and load bearing support to a second portion of the elongate body;

a pull wire disposed within the flex member, wherein a distal portion of the pull wire being coupled to a distal location or portion of the elongate body and a proximal portion of the pull wire being operatively coupled to a control unit, wherein the control unit being coupled to a proximal portion of the elongate body and the control unit configured to operate the pull wire for applying forces to articulate or steer the first portion of the elongate body; and

a control member operatively coupled to the control unit wherein a distal portion of the control member being positioned near a proximal portion of the flex member, the control member configured to support the flex member and control displacement of the flex member.

18. The elongate instrument of claim 17, wherein a distal portion of the flex member being coupled to the elongate body, the coupling configured to decouple articulation or steering forces of the first portion of the elongate body away from the second portion of the elongate body to the flex member, thereby preventing compression of the second portion of the elongate body from the articulation or steering forces while maintaining elasticity or flexibility of the second portion of the elongate body.

19. The elongate instrument of claim 17, wherein displacement of the flex member articulates or steers the second portion of the elongate body.

20. The elongate instrument of claim 18, wherein displacement of the flex member articulates or steers the second portion of the elongate body.

21. The elongate instrument of claim 17, wherein the control unit includes a rack and a pinion, and the rack and pinion configured to support the control member and direct movement of the control member.

22. The elongate instrument of claim 17, further comprising a liner being disposed within the second lumen configured to provide a slidable surface for the flex member to slide within the second lumen.

23. The elongate instrument of claim 17, wherein the pull wire coupled to the elongate body through a control ring, the control ring being fixedly coupled to the elongate body.

24. The elongate instrument of claim 17, further comprising a support member wherein a distal portion of the support member being fixedly coupled to the distal portion of the elongate body and a proximal portion of the support member being operatively coupled to a distal portion of the flex member, the support member configured to provide structural support to the distal portion of the elongate body.

25. The elongate instrument of claim 24, wherein the proximal portion of the support member configured to slide along the distal portion of the flex member.

26. The elongate instrument of claim 25, wherein the support member slides within a lumen of the flex member.

27. The elongate instrument of claim 17, further comprising:

a stop disposed within the second lumen, wherein the stop being configured to engage the elongate body with the flex member and prevent the flex member from advancing through the second lumen beyond the stop, and wherein the coupling of the stop with the flex member decouples forces from the first portion of the elongate body from being transmitted to the second portion of the elongate body, such that articulation or steering forces from the first portion are transmitted to the flex member.

28. An instrument, comprising:

a flexible and elongated body including at least a lumen;

a flex member disposed within the lumen, the flex member configured to provide steering control to a first portion of the elongate body while providing load bearing support to a second portion of the elongate body;

a pull wire disposed within the flex member, wherein at least a distal portion of the pull wire being coupled to the elongate body and a proximal portion of the pull wire being operatively coupled to a control unit, wherein the control unit being coupled to a proximal portion of the elongate body; and

a control member operatively coupled to the control unit wherein a distal portion of the control member being positioned near a proximal portion of the flex member, the control member configured to support the flex member and control displacement of the flex member.

29. The instrument of claim 28, wherein the flex member is configured to selectively decouple articulation or steering forces of a first portion of the elongate body away from a second portion of the elongate body, thereby preventing compression of the second portion of the elongate body while maintaining elasticity or flexibility of the second portion of the elongate body.

30. A steerable elongate instrument, comprising:

an elongate body having a primary lumen and a plurality of secondary lumens within the elongate body;

a plurality of flex members, each one of the plurality of flex members being disposed within each one of the secondary lumens, the flex members configured to provide steering control to different distal portions of the elongate body and load bearing support to different proximal portions of the elongate body;

a plurality of pull wires, each one of the plurality of pull wires being disposed within each one of the flex members, wherein distal portion of each the pull wires being coupled to different distal locations or portions of the elongate body and proximal portion of each of the pull wires being operatively coupled to a control unit, wherein the control unit being coupled to a proximal portion of the elongate body; and

a plurality of control members operatively coupled to the control unit wherein distal portions of the control members being positioned near proximal portions of the flex members, the control members configured to support the flex members and control movement or displacement of the flex members.

31. A steerable elongate instrument, comprising:

an elongate body having a plurality of lumens within the elongate body;

a plurality of flex members, each one of the plurality of flex members being disposed within each one of the lumens, the flex members configured to provide steering control to different distal portions of the elongate body and load bearing support to different proximal portions of the elongate body;

a plurality of pull wires, each one of the plurality of pull wires being disposed within each one of the flex members, wherein distal portion of each of the pull wires being coupled to different distal locations or portions of the elongate body and proximal portion of each of the pull wires being operatively coupled to a control unit, wherein the control unit being coupled to a proximal portion of the elongate body; and

a plurality of control members operatively coupled to the control unit wherein distal portions of the control members being positioned near proximal portions of the flex members, the control members configured to support the flex members and control movement or displacement of the flex members.

32. A method of shape control of an elongate instrument, comprising:

inserting at least a first portion of an elongate instrument into a patient through either an incision or orifice;

advancing at least the first portion of the elongate instrument through a pathway inside the patient;

manipulating at least a second portion of the elongate instrument to conform, adopt or match a shape or curvatures of the pathway as the elongate instrument is being advanced through the pathway; and

steering at least the first portion of the elongate instrument around other curvatures of the pathway.

33. The method of shape control of claim 32, further comprising:

advancing a control member against a proximal portion of a flex member of the elongate instrument; and

locking the conformed, adopted or matched shape or curvature of at least the second portion of the elongate instrument.

34. The method of shape control of claim 32, further comprising steering or articulating the second portion of the elongate instrument by advancing a control member against a proximal portion of a flex member of the elongate instrument such that at least the second portion of the elongate instrument conforms to the shape or curvature of the pathway as the elongate instrument is advanced through the pathway.

35. The method of shape control of claim 33, wherein the locked shape or curvature of the second portion of the elongate body maintains an angle of trajectory while an external force is applied to the elongate instrument or while an object is being advanced through a lumen of the elongate instrument.

36. The method of shape control of claim 33, wherein the flex member is disposed within a lumen of the elongate instrument.

37. The method of shape control of claim 34, wherein the flex member is disposed within a lumen of the elongate instrument.

38. The method of shape control of claim 33, wherein the control member is a tube.

39. The method of shape control of claim 32, further comprising decoupling articulation or steering forces of the first portion of the elongate instrument away from the second portion of the elongate instrument.

40. The method of shape control of claim 32, further comprising maintaining the conformed, adopted, or matched shape or curvatures of the pathway by the second portion of the elongate instrument through decoupling the first portion from the second portion, and steering the first portion of the elongate instrument.

41. A method comprising:

inserting an elongate instrument into a patient, wherein the elongate instrument comprises a distal portion, a mid portion and a proximal portion;

advancing the distal and mid portions of the elongate instrument through a pathway inside the patient;

manipulating the mid portion of the elongate instrument to conform or adopt to a shape or curvatures in the pathway as the elongate instrument is being advanced through the pathway; and

locking the mid portion of the elongate instrument such that the mid portion maintains the adopted shape or curvatures while the distal portion of the elongate instrument is manipulated to assume a curvature independent of the mid portion.

42. The method according to claim 41, wherein locking the mid portion of the elongate instrument further comprises advancing a control member against a flex member.

43. The method according to claim 42, wherein the flex member is disposed within a lumen of the elongated member and a distal portion of the flex member being coupled to the elongate instrument.