Steerable catheter with fixed curve

• US 5,779,669 A
• Filed: 10/28/1996
• Issued: 07/14/1998
• Est. Priority Date: 10/28/1996
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Falwell, Gary S., Haissaguerre, Michel
• Primary Examiner(s): YASKO JR, JOHN D
• Application Number:
  US08/739,145
• Time in Patent Office: 624 Days
• Field of Search: 604/95, 604/281, 604/282, 604/264, 604/28, 604/49, 604/53, 128/657, 128/658, 128/656, 128/772
• US Class Current: 604/95.01
• 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 2017/00867 shape memory effect
• CPC Class Codes: A61B 2018/00375 Ostium, e.g. ostium of pulmonary vein or artery
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00952 rotatable
• CPC Class Codes: A61M 25/0041 pre-formed, e.g. specially adapted to fit with the anatomy of body channels urethral catheters A61F2/04
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0141 having flexible regions as a result of using materials with different mechanical properties
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires
• CPC Class Codes: A61M 25/0152 with pre-shaped mechanisms, e.g. pre-shaped stylets or pre-shaped outer tubes
• CPC Class Codes: A61N 1/0565 Electrode heads
• CPC Class Codes: C08L 2201/12 Shape memory

Abstract

A steerable catheter is disclosed which includes a complexly curved proximal section shaped to seat the catheter relative to an anatomical feature within a patient. The catheter also includes a flexible intermediate section which has comparatively greater flexibility than other sections of the catheter. The flexible intermediate section bends in response to forces applied by an attached steering device and substantially all of the flex in the catheter may be contained within the flexible intermediate section. The catheter further has a pre-shaped distal section which is urged into contact with tissue within the patient when the flexible intermediate section flexes. In a preferred embodiment, the distal section supports a plurality of ring electrodes and is shaped to generally correspond to the physiology of a wall of the heart.

Claims

1. A steerable catheter, comprising:

a preshaped distal section,

a flexible intermediate section having a distal end connected to said distal section,

a complexly curved proximal section having a distal end connected to said flexible intermediate section, said proximal section being shaped to seat the catheter relative to an anatomical feature within a patient, and

means for steering the distal section of the seated catheter into contact with tissue within the patient by flexing said flexible intermediate section.

2. The steerable catheter as in claim 1, wherein the catheter is an electrode catheter and wherein said distal section supports a plurality of spaced electrodes.

3. The steerable catheter as in claim 1, wherein said preshaped distal section includes a preshaped hypotube.

4. The steerable catheter as in claim 1, wherein said complexly curved proximal section is curved in substantially one plane.

5. The steerable catheter as in claim 1, wherein said steering means includes a steering wire connected to said distal section which causes said flexible intermediate section to flex in response to an applied pulling force.

6. The steerable catheter as in claim 5, wherein said flexible intermediate section has a comparatively greater flexibility than said complexly curved proximal section, whereby substantially all of the flex in the catheter in response to the applied pulling force is contained within said flexible intermediate section.

7. The steerable catheter as in claim 5, wherein said flexible intermediate section includes an off-axis lumen which houses said steering wire.

8. A steerable catheter for insertion within a heart, comprising:

a distal section shaped to generally correspond to the physiology of the inner wall of the right atrium of the heart,

a flexible intermediate section having a distal end connected to said distal section,

a complexly curved proximal section having a distal end connected to said flexible intermediate section, said proximal section being shaped to seat the catheter across the annulus of the tricuspid valve to prevent prolapse of the catheter through the tricuspid valve,

said proximal section, flexible intermediate section, and distal section each being insertable within the right atrium of the heart, and

means for steering the distal section of the seated catheter into contact with the inner wall of the right atrium by flexing said flexible intermediate section.

9. The steerable catheter as in claim 8, wherein said proximal section is shaped to contact generally opposing margins of the annulus of the tricuspid valve of the heart.

10. The steerable catheter as in claim 8, wherein the catheter is rotatable with respect to an axis of the tricuspid valve so that said distal section can be steered into contact with different portions of the inner wall of the right atrium.

11. The steerable catheter as in claim 8, wherein said complexly curved proximal section includes first and second curves extending in a first longitudinal direction and a third curve therebetween extending in a second longitudinal direction which is substantially opposite said first longitudinal direction, a fourth curve being formed in said second longitudinal direction due to flexing of said flexible intermediate section in response to steering of said distal section.

12. The steerable catheter as in claim 8, wherein the catheter is an electrode catheter and wherein said distal section supports a plurality of spaced electrodes.

13. The steerable catheter as in claim 8, wherein said preshaped distal section includes a preshaped hypotube.

14. The steerable catheter as in claim 8, wherein said complexly curved proximal section is curved in substantially one plane.

15. The steerable catheter as in claim 8, wherein said steering means includes a steering wire connected to said distal section which causes said flexible intermediate section to flex in response to an applied pulling force.

16. The steerable catheter as in claim 15, wherein said flexible intermediate section has a comparatively greater flexibility than said complexly curved proximal section, whereby substantially all of the flex in the catheter in response to the applied pulling force is contained within said flexible intermediate section.

17. The steerable catheter as in claim 15, wherein said flexible intermediate section includes an off-axis lumen which houses said steering wire.

18. A method of positioning a catheter into contact with a site within a patient relative to an anatomical feature within the patient, comprising the steps of:

providing a steerable catheter having a preshaped distal section, a flexible intermediate section having a distal end connected to said distal section, a complexly curved proximal section having a distal end connected to said flexible intermediate section, and a means for steering the distal section into contact with tissue within the patient,

advancing the steerable catheter into the patient,

seating said complexly curved proximal section relative to the anatomical feature within the patient,

applying a pulling force to a wire to thereby steer said distal end into contact with the site, said flexible intermediate section flexing in response to the applied pulling force.