Manual actuator for a catheter system for treating a vascular occlusion

• US 5,741,270 A
• Filed: 02/28/1997
• Issued: 04/21/1998
• Est. Priority Date: 02/28/1997
• Status: Expired due to Term

• Current Assignee: Cardinal Health Switzerland 515 GmbH (Cardinal Health, Inc.)
• Original Assignee: LuMend, Inc. (Cardinal Health, Inc.)
• Inventors: Hill, E. Richard III, Milo, Charles, Hansen, Gerald
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Shai, Daphna
• Application Number:
  US08/808,092
• Time in Patent Office: 417 Days
• Field of Search: 606/174, 606/108, 606/205, 606/207, 606/208, 604/164
• US Class Current: 606/108
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 17/32075 Pullback cutting; combined forward and pullback cutting, e.g. with cutters at both sides of the plaque
• CPC Class Codes: A61B 2017/00469 for insertion of instruments, e.g. guide wire, optical fibre
• CPC Class Codes: A61B 2017/2918 flexible handles

Abstract

Disclosed herein is manual actuator for retracting and advancing a therapeutic working element of an intravascular catheter system via an actuation shaft or one or more pulling wires. The manual actuator includes a hollow cylindrical bracing member having an open proximal end and a distal end, and a hollow cylindrical retracting member, the retracting member being slidable, in a telescoping fashion, into the open proximal end of the bracing member. An actuation shaft is secured near to the proximal end of the retracting member and the distal end of the actuation shaft is secured to the therapeutic working element. Alternatively, at least one pulling wire is secured proximal to the proximal end of the retracting member. The distal end of the pulling wire is secured to the therapeutic working element. At least one resilient connecting member has a proximal end attached proximate the proximal end of the retracting member, and a distal end attached proximate the distal end of the bracing member. When a manually applied external force is applied by the physician to the resilient connecting members, the resilient connecting members urge the retracting member in a proximal direction with respect to the bracing member, and retracting the actuation shaft to thereby operate the working element of the catheter system. Alternatively, the retracting member is urged in the proximal direction by the manually applied external force and the pulling wires transmit this force to the therapeutic working element.

Claims

1. A manual actuator for retracting and advancing a therapeutic working element of an intravascular catheter system via an actuation shaft, the manual actuator comprising:

a hollow cylindrical bracing member including an open proximal end and a distal end;

a hollow cylindrical retracting member, the retracting member being slidable into the open proximal end of the bracing member, the retracting member having a proximal end;

an actuation shaft, a proximal end of the actuation shaft being secured to the proximal end of the retracting member, a distal end of the actuation shaft being secured to the therapeutic working element, and

at least one resilient connecting member having a proximal end attached proximate the proximal end of the retracting member, and a distal end attached proximate the distal end of the bracing member,

whereby a manually applied external force applied to the at least one resilient connecting member urges the retracting member in a proximal direction with respect to the bracing member, thereby retracting the actuation shaft and operating the working element of the catheter system.

2. The manual actuator of claim 1, further comprising:

a pair of bracing member mounting pins secured to the bracing member at a position proximate the distal end of the bracing member and projecting radially from the bracing member;

a pair of retracting member mounting pins secured to the retracting member at a position proximate the proximal end of the retracting member and projecting radially from the retracting member;

wherein the proximal end of each of the at least one connecting member is pivotally attached to a corresponding pin of the pair of retracting member mounting pins and the distal end of each of the at least one connecting member is pivotally attached to a corresponding pin of the pair of bracing member mounting pins.

3. The manual actuator of claim 2, wherein the pair of bracing member mounting pins is unitarily and integrally formed.

4. The manual actuator of claim 2, wherein the pair of retracting member mounting pins is unitarily and integrally formed.

5. The manual actuator of claim 1, wherein the proximal end of the hollow cylindrical retracting member is fitted with a proximal hub having an axial through bore for accommodating at least the actuation shaft along at least a portion of the longitudinal axis of the proximal hub.

6. The manual actuator of claim 1, wherein the proximal end of the hollow cylindrical retracting member is fitted with a proximal hub, the proximal hub having a first cylindrical base portion and an integral endcap, the cylindrical base portion and the endcap including an actuating shaft axial through bore dimensioned to accommodate at least an actuation shaft of the catheter system.

7. The manual actuator of claim 1, wherein the proximal end of the hollow cylindrical retracting member is fitted with a proximal hub, the proximal hub having a first cylindrical base portion and an integral endcap, the cylindrical base portion including an actuating shaft axial through bore dimensioned to accommodate at least the actuation shaft, the endcap including a guidewire axial through bore dimensioned to accommodate a guidewire of the catheter system, the guidewire axial through bore being aligned with the actuating shaft axial through bore.

8. The manual actuator of claim 1, further comprising a proximal hub fitted to the proximal end of the retracting member, the proximal end of the actuation shaft being anchored within the proximal hub.

9. The manual actuator of claim 8, wherein the proximal hub has a first cylindrical base portion and an integral endcap, the proximal end of the actuation shaft being anchored within the integral endcap.

10. The manual actuator of claim 1, wherein each of the at least one resilient connecting member is made of a thin strip of resilient material which regains its shape after being deformed.

11. The manual actuator of claim 1, wherein the distal end of the hollow cylindrical bracing member is fitted with a distal hub having an axial through bore for accommodating at least the actuation shaft.

12. A manual actuator for retracting and advancing a therapeutic working element of an intravascular catheter system, the manual actuator comprising:

a hollow cylindrical bracing member including an open proximal end and a distal end;

a hollow cylindrical retracting member, the retracting member being slidable into the open proximal end of the bracing member, the retracting member having a proximal end;

an actuation shaft disposed axially within the retracting member and the bracing member;

at least one pulling wire, the at least one pulling wire having a proximate end anchored proximate the proximate end of the retracting member and a distal end secured to the therapeutic working element; and

at least one resilient connecting member having a proximal end attached proximate the proximal end of the retracting member, and a distal end attached proximate the distal end of the bracing member,

whereby a manually applied external force applied to the at least one resilient connecting member urges the retracting member in a proximal direction with respect to the bracing member, thereby pulling on the at least one pulling wire, and retracting and operating the therapeutic working element of the catheter system.

13. The manual actuator of claim 12, further comprising:

a pair of bracing member mounting pins secured to the bracing member at a position proximate the distal end of the bracing member and projecting radially from the bracing member;

a pair of retracting member mounting pins secured to the retracting member at a position proximate the proximate end of the retracting member and projecting radially from the retracting member;

wherein the proximal end of each of the at least one connecting member is pivotally attached to a corresponding pin of the pair of retracting member mounting pins and the distal end of each of the at least one connecting member is pivotally attached to a corresponding pin of the pair of bracing member mounting pins.

14. The manual actuator of claim 12, wherein the pair of bracing member mounting pins is unitarily and integrally formed.

15. The manual actuator of claim 12, wherein the pair of retracting member mounting pins is unitarily and integrally formed.

16. The manual actuator of claim 12, wherein the proximal end of the hollow cylindrical retracting member is fitted with a proximal hub having an axial through bore for accommodating at least the actuation shaft along at least a portion of the longitudinal axis of the proximal hub.

17. The manual actuator of claim 12, wherein the proximal end of the hollow cylindrical retracting member is fitted with a proximal hub, the proximal hub having a first cylindrical base portion and an integral endcap, the cylindrical base portion and the endcap including an actuating shaft axial through bore dimensioned to accommodate at least an actuation shaft of the catheter system.

18. The manual actuator of claim 12, wherein the proximal end of the hollow cylindrical retracting member is fitted with a proximal hub, the proximal hub having a first cylindrical base portion and an integral endcap, the cylindrical base portion including an actuating shaft axial through bore dimensioned to accommodate at least the actuation shaft, the endcap including a guidewire axial through bore dimensioned to accommodate a guidewire of the catheter system, the guidewire axial through bore being aligned with the actuating shaft axial through bore.

19. The manual actuator of claim 12, further comprising a proximal hub fitted to the proximal end of the retracting member, the proximal end of each of the at least one pulling wire being anchored within the proximal hub.

20. The manual actuator of claim 19, wherein the proximal hub has a first cylindrical base portion and an integral endcap, the proximal end of each of the at least one pulling wire being anchored within the integral endcap.

21. The manual actuator of claim 12, wherein each of the at least one resilient connecting member is made of a thin strip of resilient material which regains its shape after being deformed.

22. The manual actuator of claim 12, wherein the distal end of the hollow cylindrical bracing member is fitted with a distal hub having an axial through bore for accommodating at least the actuation shaft.

23. The manual actuator of claim 12, wherein the at least one pulling wire is made of KEVLAR material.

24. A manual actuator for retracting and advancing a therapeutic working element of an intravascular catheter system via an actuation shaft, the manual actuator comprising:

a hollow cylindrical bracing member including an open proximal end and a distal end;

a hollow cylindrical retracting member, the retracting member being slidable into the open proximal end of the bracing member, the retracting member having a proximal end;

an actuation shaft, a proximal end of the actuation shaft being secured proximal to the proximal end of the retracting member, a distal end of the actuation shaft being secured to the therapeutic working element, and

a pair resilient connecting members, each connecting member of the pair having a proximal end pivotally attached to the retracting member proximate its proximate end, and a distal end pivotally attached to the bracing member proximate its distal end,

whereby a manually applied external squeezing force applied to the pair of resilient connecting member urges the retracting member in a proximal direction with respect to the bracing member, thereby retracting the actuation shaft and operating the working element of the catheter system.

25. The manual actuator of claim 24, further comprising:

a pair of bracing member mounting pins secured to the bracing member at a position proximate the distal end of the bracing member and projecting radially from the bracing member;

a pair of retracting member mounting pins secured to the retracting member at a position proximate the proximate end of the retracting member and projecting radially from the retracting member;

wherein the proximal end of each connecting member of the pair of connecting members is pivotally attached to a corresponding pin of the pair of retracting member mounting pins and the distal end of each of the connecting members of the pair of connecting members is pivotally attached to a corresponding pin of the pair of bracing member mounting pins.

26. The manual actuator of claim 25, wherein the pair of bracing member mounting pins is unitarily and integrally formed.

27. The manual actuator of claim 25, wherein the pair of retracting member mounting pins is unitarily and integrally formed.

28. The manual actuator of claim 24, wherein the proximal end of the hollow cylindrical retracting member is fitted with a proximal hub having an axial through bore for accommodating at least the actuation shaft along at least a portion of the longitudinal axis of the proximal hub.

29. The manual actuator of claim 24, wherein the proximal end of the hollow cylindrical retracting member is fitted with a proximal hub, the proximal hub having a first cylindrical base portion and an integral endcap, the cylindrical base portion and the endcap including an actuating shaft axial through bore dimensioned to accommodate at least an actuation shaft of the catheter system.

30. The manual actuator of claim 24, wherein the proximal end of the hollow cylindrical retracting member is fitted with a proximal hub, the proximal hub having a first cylindrical base portion and an integral endcap, the cylindrical base portion including an actuating shaft axial through bore dimensioned to accommodate at least the actuation shaft, the endcap including a guidewire axial through bore dimensioned to accommodate a guidewire of the catheter system, the guidewire axial through bore being aligned with the actuating shaft axial through bore.

31. The manual actuator of claim 24, further comprising a proximal hub fitted to the proximal end of the retracting member, the proximal end of the actuation shaft being anchored within the proximal hub.

32. The manual actuator of claim 30, wherein the proximal hub has a first cylindrical base portion and an integral endcap, the proximal end of the actuation shaft being anchored within the integral endcap.

33. The manual actuator of claim 24, wherein each connecting member of the pair of connecting members is made of a thin strip of resilient material which regains its shape after being deformed.

34. The manual actuator of claim 24, wherein the distal end of the hollow cylindrical bracing member is fitted with a distal hub having an axial through bore for accommodating at least the actuation shaft.