Control handle for steerable catheter

• US 5,395,329 A
• Filed: 01/19/1994
• Issued: 03/07/1995
• Est. Priority Date: 01/19/1994
• Status: Expired due to Term

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: Daig Corporation (Abbott Laboratories Incorporated)
• Inventors: Kurth, Laurel A., Ockuly, John D., Fleischhacker, John J.
• Primary Examiner(s): YASKO JR, JOHN D
• Application Number:
  US08/183,655
• Time in Patent Office: 412 Days
• Field of Search: 604/95, 604/164, 604/165, 604/167, 604/281, 604/282, 604/280, 128/657, 128/698, 128/772
• US Class Current: 604/95.04
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A steerable catheter comprised of an elongated catheter body containing one or more lumen; a catheter tip fixedly secured to the distal end of the catheter body and a steerable catheter handle attached to the proximal end of the catheter body wherein said steerable catheter handle is comprised of a mounting shaft containing a geared slide, a slide block, a slide block adjustment screw, and an adjustment screw guide; an adjustment knob comprised of a geared inset and an external rotation element for rotating the adjustment knob, a handle grip which fits over the mounting shaft and electrical connectors for attachment to the proximal end of the mounting shaft and which contain electrode electrical wires.

Claims

1. A steerable catheter comprising

(a) a flexible elongated catheter body containing one or more lumens, having proximal and distal ends,

(b) a flexible catheter tip fixedly secured to the distal end of the catheter body,

(c) an elongated pull wire running through the catheter body having its distal end secured to the catheter tip, and

(d) a steerable catheter handle secured to the proximal end of the catheter body wherein said catheter handle is comprised of a mounting shaft containing securing means for securing the proximal end of the pull wire, tensioning means for putting the pull wire in tension and relieving the tension on the pull wire within the catheter body, an adjustment knob containing an internally geared portion which operates in conjunction with the tensioning means to put the pull wire in tension and relieve the tension on the pull wire, a handle grip secured to the mounting shaft and an electrical connector connected to the proximal end of the mounting shaft.

2. The steerable catheter of claim 1 wherein the mounting shaft incorporates a geared slide, a slide block to secure the pull wire in place, and a slide block adjustment screw threaded through the slide block.

3. The steerable catheter of claim 2 wherein a spacer block is secured to the slide block adjustment screw.

4. The steerable catheter of claim 2 wherein an adjustment screw guide is incorporated within the mounting shaft to operate in conjunction with the slide block adjustment screw.

5. The steerable catheter of claim 4 wherein the slide block adjustment screw is divided into four sections comprising a geared section, a non-geared circular section, a ring section and a tip section secured to the proximal end of the circular section.

6. The steerable catheter of claim 5 wherein the tip of the slide block adjustment screw interacts with an opening in the distal end of the adjustment screw guide.

7. The steerable catheter of claim 2 wherein the adjustment knob includes an external rotation element, a geared insert, a wire guide and a catheter retaining nut.

8. The steerable catheter of claim 7 wherein the proximal end of the wire guide has a square cross-section to interact with a square opening in the distal tip of the geared slide of the mounting shaft.

9. The steerable catheter of claim 7 wherein the catheter retaining nut is secured to the distal end of the wire guide such that upon rotation of the external rotation element of the adjustment knob, the catheter retaining nut will not rotate.

10. The steerable catheter of claim 9 wherein the catheter body is prevented from axial rotation by the catheter retaining nut.

11. The steerable catheter of claim 1 wherein the securing means is a slide block which has three openings passing there through, the first for the pull wire, the second for electrode electrical wires contained within the catheter body and the third of which is threaded.

12. The steerable catheter of claim 4 wherein the proximal end of the adjustment screw guide has a screw head opening such that it may be rotated while in place in the mounting shaft.

13. The steerable catheter of claim 12 wherein upon rotation of the adjustment screw guide, the distal end of the adjustment screw guide interacts with a hexagonal proximal tip of the slide block adjustment screw to rotate the slide block adjustment screw.

14. The steerable catheter of claim 11 wherein the proximal end of the pull wire is held in place against the slide block.

15. The steerable catheter of claim 1 wherein the handle grip has ten sides, is open at both the proximal and distal end and fits over the mounting shaft.

16. The steerable catheter of claim 1 wherein the tensioning means is a combination of a geared slide and a slide block wherein the proximal end of the pull wire is secured to the slide block.

17. A steerable catheter comprising

(a) a flexible elongated catheter body containing one or more lumens, having proximal and distal ends,

(b) a flexible catheter tip fixedly secured to the distal end of the catheter body,

(c) an elongated pull wire running through the catheter body having its distal end secured to the catheter tip, and

(d) a steerable catheter handle secured to the proximal end of the catheter body wherein said catheter handle is comprised of a mounting shaft wherein the mounting shaft incorporates a geared slide, a slide block to secure the pull wire in place, and a slide block adjustment screw threaded through the slide block tensioning means for putting the pull wire in tension and relieving the tension on the pull wire within the catheter body, an adjustment knob containing an internally geared portion which operates in conjunction with the tensioning means to put the pull wire in tension and relieve the tension on the pull wire, a handle grip secured to the mounting shaft and an electrical connector connected to the proximal end of the mounting shaft.

18. The steerable catheter of claim 17 wherein a spacer block is secured to the slide block adjustment screw.

19. The steerable catheter of claim 17 wherein an adjustment screw guide is incorporated within the mounting shaft to operate in conjunction with the slide block adjustment screw.

20. The steerable catheter of claim 19 wherein the slide block adjustment screw is divided into four sections comprising a geared section, a non-geared circular section, a ring section and a tip section secured to the proximal end of the circular section.

21. The steerable catheter of claim 20 wherein the tip of the slide block adjustment screw interacts with an opening in the distal end of the adjustment screw guide.

22. The steerable catheter of claim 17 wherein the adjustment knob includes an external rotation element, a geared insert, a wire guide and a catheter retaining nut.

23. The steerable catheter of claim 22 wherein the proximal end of the wire guide has a square cross-section to interact with a square opening in the distal tip of the geared slide of the mounting shaft.

24. The steerable catheter of claim 22 wherein the catheter retaining nut is secured to the distal end of the wire guide such that upon rotation of the external rotation element of the adjustment knob, the catheter retaining nut will not rotate.

25. The steerable catheter of claim 24 wherein the catheter body is prevented from axial rotation by the catheter retaining nut.

26. The steerable catheter of claim 19 wherein the proximal end of the adjustment screw guide has a screw head opening such that it may be rotated while in place in the mounting shaft.

27. The steerable catheter of claim 26 wherein upon rotation of the adjustment screw guide, the distal end of the adjustment screw guide interacts with a hexagonal proximal tip of the slide block adjustment screw to rotate the slide block adjustment screw.

28. A steerable catheter comprising

(a) a flexible elongated catheter body containing one or more lumens, having proximal and distal ends,

(b) a flexible catheter tip fixedly secured to the distal end of the catheter body,

(c) an elongated pull wire running through the catheter body having its distal end secured to the catheter tip, and

(d) a steerable catheter handle secured to the proximal end of the catheter body wherein said catheter handle is comprised of a mounting shaft containing securing means for securing the proximal end of the pull wire, wherein the securing means is a slide block which has three openings passing there through, the first for the pull wire, the second for electrode electrical wires contained within the catheter body and the third of which is threaded, tensioning means for putting the pull wire in tension and relieving the tension on the pull wire within the catheter body, an adjustment knob containing an internally geared portion which operates in conjunction with the tensioning means to put the pull wire in tension and relieve the tension on the pull wire, a handle grip secured to the mounting shaft and an electrical connector connected to the proximal end of the mounting shaft.

29. The steerable catheter of claim 28 wherein the proximal end of the pull wire is held in place against the slide block.

30. A steerable catheter comprising

(a) a flexible elongated catheter body containing one or more lumens, having proximal and distal ends,

(b) a flexible catheter tip fixedly secured to the distal end of the catheter body,

(c) an elongated pull wire running through the catheter body having its distal end secured to the catheter tip, and

(d) a steerable catheter handle secured to the proximal end of the catheter body wherein said catheter handle is comprised of a mounting shaft containing securing means for securing the proximal end of the pull wire and tensioning means for putting the pull wire in tension and relieving the tension on the pull wire within the catheter body, wherein the tensioning means is a combination of a geared slide and a slide block, wherein the proximal end of the pull wire is secured to the slide block, an adjustment knob containing an internally geared portion which operates in conjunction with the tensioning means to put the pull wire in tension and relieve the tension on the pull wire, a handle grip secured to the mounting shaft and an electrical connector connected to the proximal end of the mounting shaft.

31. The steerable catheter of claim 30 wherein the handle grip has ten sides, is open at both the proximal and distal end and fits over the mounting shaft.