MEDICAL DEVICE CONTROL HANDLE

• US 20130131593A1
• Filed: 11/18/2011
• Published: 05/23/2013
• Est. Priority Date: 11/18/2011
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Selkee, Thomas V.
• Granted Patent: US 9,199,061 B2
• Time in Patent Office: Days
• US Class Current: 604/95.04
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61M 2025/09116 Design of handles or shafts or gripping surfaces thereof for manipulating guide wires
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires
• CPC Class Codes: A61M 25/09 Guide wires

Abstract

A medical device control handle has with a distal component which is adjustable by an actuator assembly by means of a puller member or wire. The actuator assembly includes a user interface rotational dial, a detent tab washer and a spool, where the dial is rotationally coupled to the detent tab washer which transmits rotational movement of the dial to the spool. The spool has a shaft body and a drum end onto which an proximal end portion of the puller member can be wound to manipulate or adjust the distal component. Rotational movement of the detent washer is limited to prevent overrotation and breakage of the puller member. At least one washer is mounted on the shaft body of the spool to help apply compression load on the actuator assembly in friction-inducing contact with one or more components of the actuator assembly.

Claims

1. A control handle for a medical device having an elongated body, a distal assembly distal the elongated body, the distal assembly having an adjustable configuration, the medical device further comprising a puller member extending through the elongated body and the distal assembly, the control handle comprising:

a housing having an outer surface formed with a channel;

an actuator assembly comprising;

a user interface rotational dial;

a spool having a shaft body inserted through a through-hole in the housing, the spool having a drum on which the puller member is wound;

a detent washer mounted on the shaft body, the first washer being rotationally coupled to the dial to transmit rotational movement from the dial to the shaft body, the washer having a tab that rides in the channel to guide movement of the detent washer;

at least one friction-inducing washer mounted on the shaft body; and

a fastener mounted on the shaft body adapted to generate a compression load on the friction inducing washer.

2. A control handle of claim 1, wherein the drum is inside the control handle housing.

3. A control handle of claim 1, wherein the washer is outside the control handle housing.

4. A control handle of claim 1, wherein the at least one friction-inducing washer is outside the control handle housing.

5. A control handle of claim 1, wherein the actuator assembly further comprises a second washer mounted on the shaft body inside of the control handle housing, the second washer in friction-inducing contact with a rim of the drum, the second washer being locked against rotation relative to the rim.

6. A control handle of claim 1, wherein the channel has a circular form that generally surrounds the through-hole in the control handle housing.

7. A control handle of claim 1, wherein the channel has a stop to limit movement of the tab in the channel.

8. A control handle of claim 1, wherein the actuator assembly further comprises another washer mounted on the shaft body in friction-inducing contact with the detent washer, the second washer being locked against rotation relative to the shaft body.

9. A control handle of claim 1, wherein the fastener is a nut threaded onto the shaft body.

10. A control handle of claim 1, wherein the actuator assembly further comprises an anchor, a proximal end of the puller member being attached to the anchor.

11. A catheter comprising:

an elongated body;

a distal assembly having an adjustable configuration;

a puller member extending through the elongated body and the distal assembly; and

a control handle comprising;

a housing having an outer surface formed with a channel;

an actuator assembly comprising;

a user interface rotational dial;

a spool having a shaft body inserted through a through-hole in the housing, the spool having a drum on which the puller member is wound;

a detent washer mounted on the shaft body, the first washer being rotationally coupled to the dial to transmit rotational movement from the dial to the shaft body, the washer having a tab that rides in the channel to guide movement of the detent washer;

at least one friction-inducing washer mounted on the shaft body; and

a fastener mounted on the shaft body adapted to generate a compression load on the friction inducing washer.

12. A catheter of claim 11, further comprising a pair of puller members extending from the control handle to at or near a distal end of the elongated body, wherein the control handle further comprises a deflection assembly adapted to act on the pair of puller members.

13. A catheter of claim 11, the distal assembly has a generally circular distal portion and a generally straight proximal portion, wherein adjustment of the puller member varies the generally circular distal portion.

14. A control handle of claim 11, wherein the actuator assembly further comprises a second washer mounted on the shaft body inside of the control handle housing, the second washer in friction-inducing contact with a rim of the drum, the second washer being locked against rotation relative to the rim.

15. A control handle of claim 11, wherein the channel has a circular form that generally surrounds the through-hole in the control handle housing.

16. A control handle of claim 11, wherein the channel has a stop to limit movement of the tab in the channel.

17. A control handle of claim 11, wherein the actuator assembly further comprises another washer mounted on the shaft body in friction-inducing contact with the detent washer, the second washer being locked against rotation relative to the shaft body.

18. A control handle of claim 11, wherein the fastener is a nut threaded onto the shaft body.

19. A control handle of claim 11, wherein the actuator assembly further comprises an anchor, a proximal of the puller member being attached to the anchor.

20. A control handle of claim 11, wherein the actuator assembly further comprises a bushing lining the through-hole in the control handle housing.