Locking mechanism for catheters

• US 5,666,970 A
• Filed: 05/02/1995
• Issued: 09/16/1997
• Est. Priority Date: 05/02/1995
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Heart Rhythm Technologies, Inc. (Boston Scientific Corporation)
• Inventors: Smith, Iain S. R.
• Primary Examiner(s): Bockelman, Mark
• Application Number:
  US08/433,228
• Time in Patent Office: 868 Days
• Field of Search: 604/95, 604/264, 604/280, 607/115-116, 607/119, 607/122-123, 607/126, 607/96, 128/642, 128/772, 606/45, 606/46, 606/47, 606/48, 606/49, 600/146-152
• US Class Current: 600/585
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61M 2025/015 Details of the distal fixation of the movable mechanical means
• 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

Abstract

A locking mechanism for a steerable catheter, the catheter comprising a resilient body member having a restoring force that tends to maintain the body member at a predetermined orientation, and a manipulation handle including a control element and a second element movable in relation to one another and adapted for controlling the orientation of the body member. The locking mechanism maintains the selected deflection of the body member against the restoring force but permits a physician to overcome the locking force by moving the control element. The locking mechanism does not interfere with the other control movement of the handle. The locking device has a biasing member and a contact member mounted between the control element and the second element. The biasing member urges the contact member into frictional contact with one of the elements for holding the control element at the selected longitudinal position.

Claims

1. A catheter having a deflectable distal tip, the catheter comprising:

a resilient body member having a distal end and a proximal end, the body member having a resilient force tending to maintain and restore the distal end of the body member in a predetermined shape;

a manipulation handle attached to the proximal end of the body member having first and second elements slidably movable in longitudinal relation to each other;

a deflection control device mounted in the body member and connected at a proximal end to the first element of the handle and extending into the distal end of the body member wherein said sliding longitudinal movement of the first element in relation to the second element results in movement of the control device in the distal end, said movement of the control device in one direction causing deflection of the distal end from its predetermined shape against the restoring force, said restoring force also tending to cause sliding movement of the first element in relation to the second element;

a locking device having a contact member and a biasing member mounted on the first element with the contact member being continuously urged into contact with the second element by the biasing member, said biasing member comprising at least a partially compressed resilient member providing a force against said contact member that exceeds and directly opposes the restoring force provided by the body member so that the locking member holds the first and second elements in a selected position relative to one another and thereby maintains the control device at a selected position in the distal end.

2. A catheter having a deflectable distal tip, the catheter comprising:

a resilient body member having a distal end and a proximal end, the body member having a resilient force tending to maintain and restore the distal end of the body member in a predetermined shape;

a manipulation handle attached to the proximal end of the body member having first and second elements slidably movable in longitudinal relation to each other;

a deflection control device mounted in the body member and connected at a proximal end to the first element of the handle and extending into the distal end of the body member wherein said longitudinal sliding movement of the first element in relation to the second element results in movement of the control device in the distal end, said movement of the control device in one direction causing deflection of the distal end from its predetermined shape against the restoring force, said restoring force also tending to cause sliding movement of the first element in relation to the second element;

a locking device having a contact member and a biasing member mounted on the first element with the contact member being continuously urged into contact with the second element by the biasing member, said biasing member providing a force against said contact member that exceeds and directly opposes the restoring force provided by the body member so that the locking member holds the first and second elements in a selected position relative to one another and thereby maintains the control device at a selected position in the distal end;

wherein the contact member comprises an annular contact arm having a circumferential contact surface; and

wherein the biasing member is a resilient member that is at least partially compressed into contact with the contact arm to urge the arm against the second element and bias the contact surface to exert radial pressure against the second element.

3. A catheter having a deflectable distal tip, the catheter comprising:

a resilient body member having a distal end and a proximal end, the body member having a resilient force tending to maintain and restore the distal end of the body member in a predetermined shape;

a manipulation handle attached to the proximal end of the body member having first and second elements movable in relation to each other;

a deflection control device mounted in the body member and connected at a proximal end to the first element of the handle and extending into the distal end of the body member wherein said movement of the first element in relation to the second element results in movement of the control device in the distal end, said movement in one direction causing deflection of the distal end from its predetermined shape against the restoring force, said restoring force also tending to cause movement of the first element in relation to the second element;

a locking device having a contact member and a biasing member mounted on the first element with the contact member being continuously urged into contact with the second element by the biasing member, said biasing member providing a force against said contact member that exceeds the restoring force provided by the body member so that the locking member holds the first and second elements in a selected position relative to one another and thereby maintains the control device at a selected position in the distal end, wherein the contact member comprises an annular contact arm having a circumferential contact surface, the biasing member being disposed in contact with the contact arm to urge the contact arm against the second element and bias the contact surface to exert radial pressure against the second element, the contact member being U-shaped in cross section having inner and outer arms, one of the arms being the contact arm and the volume between the arms defining an annulus in which the biasing member is disposed, the biasing member having a size selected to urge the contact arm outward from the annulus into contact with the second element.

4. The catheter of claim 3 wherein the biasing member comprises an annular spring of a size selected so that energy is stored in the spring when mounted in the annulus tending to urge the contact surface into contact with the other element.

5. The catheter of claim 4 wherein the spring comprises a slanted coil spring under radial compression when disposed in the annulus of the contact member, the spring tending to expand and displace the contact arm into contact with the other element pressing the contact surface against the other element.

6. A catheter having a deflectable distal tip, the catheter comprising:

a resilient body member having a distal end and a proximal end, the body member having a resilient force tending to maintain and restore the distal end of the body member in a predetermined shape;

a manipulation handle attached to the proximal end of the body member having first and second elements movable in relation to each other, wherein the second element surrounds the first element and slides in relation to the first element;

a deflection control device mounted in the body member and connected at a proximal end to the first element of the handle and extending into the distal end of the body member wherein said sliding movement of the first element in relation to the second element results in movement of the control device in the distal end, said movement in one direction causing deflection of the distal end from its predetermined shape against the restoring force, said restoring force also tending to cause movement of the first element in relation to the second element;

a locking device having a contact member and a biasing member mounted on the first element with the contact member being continuously urged into contact with the second element by the biasing member, said biasing member providing a force against said contact member that exceeds and directly opposes the restoring force provided by the body member so that the locking member holds the first and second elements in a selected position relative to one another and thereby maintains the control device at a selected position in the distal end, wherein the contact member is mounted at a fixed position on the first member and is biased into contact with the second member to secure the second member at a selected position to which it has been slid in relation to the first member.

7. The catheter of claim 6 wherein:

the first and second members are mounted in a manipulation handle which is attached to the proximal end of the body member of the catheter; and

the second member is mounted at an external position on the manipulation handle so that it is available for slidable movement by the application of external force by a catheter operator.

8. A catheter having a deflectable distal tip, the catheter comprising:

a resilient body member having a distal end and a proximal end, the body member having a resilient force tending to maintain and restore the distal end of the body member in a predetermined shape;

a manipulation handle attached to the proximal end of the body member having first and second elements movable in relation to each other, the first element and second element mounted so as to be movable axially and rotationally relative to one another;

a deflection control device mounted in the body member and connected at a proximal end to the first element of the handle and extending into the distal end of the body member wherein said axial and rotational movement of the first element in relation to the second element results in movement of the control device in the distal end, said movement in one direction causing deflection of the distal end from its predetermined shape against the restoring force, said restoring force also tending to cause movement of the first element in relation to the second element;

a locking device having a contact member and a biasing member mounted on the first element with the contact member being continuously urged into contact with the second element by the biasing member, the contact member comprising a lubricous material that contacts the second element, said biasing member providing a force against said contact member that exceeds and directly opposes the restoring force provided by the body member so that the locking member holds the first and second elements in a selected position relative to one another and thereby maintains the control device at a selected position in the distal end, said locking device mounted so that it provides no significant force to oppose the rotation.

9. A catheter having a deflectable distal tip, the catheter comprising:

a resilient body member having a distal end and a proximal end, the body member having a resilient force tending to maintain and restore the distal end of the body member in a predetermined shape;

a manipulation handle attached to the proximal end of the body member having first and second elements movable in relation to each other, the first element and second element mounted so as to be movable axially and rotationally relative to one another;

a deflection control device mounted in the body member and connected at a proximal end to the first element of the handle and extending into the distal end of the body member wherein said axial and rotational movement of the first element in relation to the second element results in movement of the control device in the distal end, said movement in one direction causing deflection of the distal end from its predetermined shape against the restoring force, said restoring force also tending to cause movement of the first element relation to the second element;

a locking device having a contact member and a biasing member mounted on the first element with the contact member being continuously urged into contact with the second element by the biasing member, the contact member comprising at least a partially compressed resilient member comprising a lubricous material that contacts the second element, said biasing member providing a force against said contact member that exceeds the restoring force provided by the body member so that the locking member holds the first and second elements in a selected position relative to one another and thereby maintains the control device at a selected position in the distal end, said locking device mounted so that it provides no significant force to oppose the rotation,

wherein the first element includes an annular groove in which the contact member is mounted.

10. A catheter having a deflectable distal tip, the catheter comprising:

a resilient body member having a distal end and a proximal end, the body member having a resilient restoring force tending to maintain and restore the distal end of the body member in a predetermined shape;

a manipulation handle attached to the proximal end of the body member having first and second elements movable in relation to each other;

a deflection control device mounted in the body member and connected at a proximal end to the first element of the handle and extending into the distal end of the body member wherein said movement of the first element in relation to the second element results in movement of the control device in the distal end, said movement in one direction causing deflection of the distal end from its predetermined shape against the restoring force, said restoring force also tending to cause movement of the first element in relation to the second element;

a locking device having a contact member and a biasing member mounted on the first element with the contact member being continuously urged into contact with the second element by the biasing member, the contact member comprising a ball, said biasing member providing a biasing force against said contact member that exceeds the restoring force provided by the body member so that the locking member holds the first and second elements in a selected position relative to one another and thereby maintains the control device at a selected position in the distal end, wherein the biasing member urges the ball into contact with the second element to apply locking force to the second element to hold it in the selected position.

11. The catheter of claim 10 wherein:

the biasing member provides an axial force against the ball;

a mounting ring is disposed opposite the biasing member from the ball and constrains the movement of the ball in a radial direction in relation to the second element so that the biasing force applied to the ball is redirected to the radial direction against the second element.

12. The catheter of claim 11 wherein the mounting ring includes a biasing surface formed at a forty-five degree angle relative to the axial biasing force against the ball to redirect the force applied to the ball in the radial inward direction against the second element.

13. The catheter of claim 12 wherein:

the biasing surface comprises three tapered slots and a respective ball is disposed in each of the respective slots whereby the biasing member provides the axial force against each of the respective balls and the tapered slots redirect the force applied to the balls in the radial direction against the second element.

14. The catheter of claim 13 wherein the three tapered slots are at forty-five degree angles relative to the axial force to redirect the axial force applied to the balls in the radial direction against the other element.

15. The catheter of claim 13 wherein:

the biasing member comprises an annular metallic wavy washer spring mounted so that it is under axial compression to provide the axial biasing force;

the spring forces the balls into contact with the tapered slots redirecting the axial force of the spring radially.

16. The catheter of claim 10 wherein the biasing member comprises an annular metallic wavy washer spring mounted so that it is under axial compression to provide the axial biasing force.

17. A catheter having a deflectable distal tip, the catheter comprising:

a resilient body member having a distal end and a proximal end, the body member having a force tending to maintain and restore the distal end of the body member in a predetermined shape;

a manipulation handle attached to the proximal end of the body member having first and second elements slidably moveable in longitudinal relation to each other;

a deflection control device mounted in the body member and connected at a proximal end to the first element of the handle and extending into the distal end of the body member wherein said sliding longitudinal movement of the first element in relation to the second element results in movement of the deflection control device in the distal end, said movement in one direction causing variation in the deflection of the distal end from its predetermined shape against the restoring force, said restoring force also tending to cause movement of the first element in relation to the second element;

a locking device contained entirely within the manipulation handle, and being inaccessible to a user, that holds the first and second elements in a selected position relative to one another and thereby maintains the control device at a selected position in the distal end, wherein the locking device comprises;

a contact member that comprises an annular contact arm having a circumferential contact surface; and

a biasing member comprising a resilient member at least partially compressed into contact with the contact arm to urge the contact arm against the second element and bias the contact surface to exert radial pressure against the second element.

18. The catheter of claim 17 wherein:

the contact member is U-shaped in cross section having inner and outer arms, one of the arms being the contact arm and the volume between the arms defining an annulus in which the biasing member is disposed, the biasing member having a size selected to urge the contact arm outward from the annulus into contact with the second element.

19. The catheter of claim 17 wherein:

the second element surrounds the first element and slides in relation to the first element;

the contact member is mounted at a fixed position on the first element and is biased into contact with the second element to secure the second element at a selected position to which it has been slid in relation to the first element.

20. The catheter of claim 19 wherein:

the first and second elements are mounted in a manipulation handle which is attached to the proximal end of the body member of the catheter; and

the second element is mounted at an external position on the manipulation handle so that it is available for slidable movement by the application of external force by a catheter operator.

21. The catheter of claim 17 wherein:

the first element and second element are mounted so as to be movable axially and rotationally relative to one another;

the contact member comprises a lubricous material that contacts the second element and is mounted so that the contact member provides no significant force to oppose the rotation.

22. The catheter of claim 21 wherein the first element includes an annular groove in which the contact member is mounted.

23. The catheter of claim 17 wherein the locking device is self-adjusting and the biasing member provides a continuous force against the contact member.