Catheter steering assembly providing asymmetric left and right curve configurations

• US 5,358,478 A
• Filed: 05/06/1993
• Issued: 10/25/1994
• Est. Priority Date: 02/02/1990
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: EP Technology (Boston Scientific Corporation)
• Inventors: Thompson, Russell B., Kelley, Robert A., Pumares, Fernando
• Primary Examiner(s): Yasko, John D.
• Assistant Examiner(s): CERMAK, ADAM
• Application Number:
  US08/058,319
• Time in Patent Office: 537 Days
• Field of Search: 604/95, 604/280, 604/282, 604/170, 128/656-658, 128/772
• US Class Current: 604/95.04
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/00952 rotatable
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0144 having flexible regions as a result of inner reinforcement means, e.g. struts or rods
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires
• CPC Class Codes: A61N 1/0565 Electrode heads
• CPC Class Codes: A61N 1/06 for high-frequency therapy

Abstract

A catheter has an electrode tip assembly that is bendable at the selection of the user in two different directions. The electrode tip assembly assumes different asymmetric predetermined curve configurations when bent in the two directions and is manipulated by means of steering wires adjustably connected tangentially to the lateral edges of a rotatable cam located in the catheter handle.

Claims

1. A catheter having an elongated tubular body bendable adjacent to its distal end in different first and second directions in response to external forces, and a proximal end attached to a handle for manipulating said tubular body by applying the external forces thereto comprising,

a steering assembly for applying bending forces on the body, the steering assembly including

a rotatable cam located in said handle,

a first steering wire and a second steering wire operable in response to movement of the rotatable cam for bending the tubular body in a first direction into a first non-linear configuration and in a second direction into a second predetermined nonlinear configuration, each of said steering wires being attached tangentially to the lateral edges of said rotatable cam by a means for connection, said means attaching each wire so that tensile forces are applied to said wire when said cam is rotated in a first direction but said wire is relaxed when said cam is rotated in a second direction opposite to said first direction.

2. A catheter according to claim 1

further including a guide tube having a distal end attached to said body and a proximal end attached to said steering assembly.

3. A catheter according to claim 1

wherein said body includes a flexible wire member having left and right faces,

wherein said steering assembly includes left and right steering wires having distal ends attached, respectively, to the left and right faces of the wire member,

wherein tension applied to the left steering wire causes bending of the wire member to the left into the first nonlinear configuration, and

wherein tension applied to the right steering wire causes bending of the wire member to the right into the second nonlinear configuration.

4. A catheter according to claim 3

wherein the points of attachment of the distal ends of the left and right steering wires are generally symmetrically spaced on the left and right faces of the wire member.

5. A catheter according to claim 1 wherein said means for connection comprises independently adjustable stop members which are threaded into threaded openings provided in the lateral edges of said rotatable cam, the proximal ends of said wires including terminal blocks, said adjustable stop members being engaged by said terminal blocks upon rotation of said rotatable cam to apply tension to said wires.

6. A catheter according to claim 5

wherein the steering wires are attached to said terminal blocks by means of the ends thereof being bent at an angle exceeding 90°

and being soldered to said blocks.

7. A catheter according to claim 6

wherein the rotatable cam comprises first and second cam faces that are formed as curves having different radii.

8. A catheter according to claim 1

wherein the handle includes a sleeve gripping the tubular body with a tight friction fit and having a co-efficient of friction that translates rotation of the handle about the axis of the tubular body into rotation of the tubular body about its axis.

10. A catheter according to claim 1 comprising adjustable stop members which are threaded into threaded openings provided in the lateral edges of said rotatable cam, the proximal ends of said wires including terminal blocks, said adjustable stop members being engaged by said terminal blocks upon rotation of said rotatable cam to apply tension to said wires.

11. A catheter according to claim 10 wherein the steering wires are attached to said terminal blocks by means of the ends thereof being bent at an angle exceeding 90°

and being soldered to said blocks.

9. A catheter comprising

a flexible wire member having left and right faces, the wire member being bendable toward the right and toward the left in response to external forces applied to the right face and left face, respectively,

left and right steering wires having distal ends and proximal ends,

means for attaching the distal ends of the left and right steering wires to the left and right faces of the wire member, respectively,

steering means movable in two paths for applying different external bending forces on the flexible wire member, the steering means including

a rotatable cam having a left side and a right side,

means for adjustably attaching the proximal ends of the left and right steering wires to the left and right lateral edges of said rotatable cam, respectively,

means for rotating the rotatable cam to the left and to the right,

a first cam surface that bears against and tensions the left steering wire in response to rotation of the rotatable cam to the left for bending the wire member toward the left and into a first nonlinear configuration, and

a second cam surface having a radius of curvature different from said first cam surface and which bears against and tensions the right steering wire in response to rotation of the rotatable cam to the right for bending the wire member toward the right and into a second nonlinear configuration different than the first nonlinear configuration.

12. A catheter having an elongated tubular body bendable adjacent its distal end in response to external forces, and a proximal end attached to a handle for manipulating said tubular body by applying the external forces thereto, comprising,

a steering assembly for applying bending forces on the body, the steering assembly including a movable component located in said handle,

a steering wire operable in response to movement of said movable component for bending the tubular body in a first direction into a non-linear configuration,

said steering wire being connected to said movable component by a means for connection, said means for connection attaching said wire so that tensile forces are applied to said wire when said movable component is moved in a first direction, but said wire is relaxed when said movable component is moved in a second direction opposite said first direction.

13. A catheter according to claim 12 wherein said means for connection comprises an adjustable stop member which is threaded into a threaded opening in said movable component, and the proximal end of said wire including a terminal block, said adjustable stop member being engaged by said terminal block upon movement of said movable component in said first direction to apply tension to said wire.

14. A catheter according to claim 13 wherein the steering wire is attached to said terminal block by means of the end thereof being bent at an angle exceeding 90°

and being soldered to said block.

15. A catheter according to claim 12 wherein said movable component comprises a rotatable cam.