Assemblies for creating compound curves in distal catheter regions

• US 5,820,591 A
• Filed: 05/13/1996
• Issued: 10/13/1998
• Est. Priority Date: 02/02/1990
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: EP Technology (Boston Scientific Corporation)
• Inventors: Swanson, David K., Fleischman, Sidney D., Whayne, James G., Thompson, Russell B.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Sadula, Jennifer R.
• Application Number:
  US08/645,456
• Time in Patent Office: 883 Days
• Field of Search: 604/95, 604/164, 604/280, 604/281, 604/282, 128/656-8, 128/772
• US Class Current: 604/95.01
• 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 2025/0161 wherein the distal tips have two or more deflection regions
• CPC Class Codes: A61M 2025/0163 Looped catheters
• CPC Class Codes: A61M 25/0105 Steering means as part of the catheter or advancing means; Markers for positioning systems for detection of markers A61B
• 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: A61M 25/0152 with pre-shaped mechanisms, e.g. pre-shaped stylets or pre-shaped outer tubes

Abstract

Compound steering assemblies, usable in both diagnostic and therapeutic applications, enable a physician to swiftly and accurately steer the distal section of the catheter in multiple planes or complex curves to position and maintain ablation and/or mapping electrodes in intimate contact with an interior body surface.

Claims

1. A steerable catheter comprising

an elongated catheter body having a distal end, and

a single steering assembly carried by the distal end of the catheter tube including

a first steering mechanism for creating a first bend in the distal end of the catheter body, said first bend defining a first bending plane, said first steering mechanism further including first and second steering wires adapted to control said first bend, and

a second steering mechanism for creating a second bend in the distal end of the catheter body, said second bend defining a second bending plane, which is non-parallel to the first bending plane, said second steering mechanism further including third and fourth steering wires adapted to control said second bend.

2. A steering catheter according to claim 1

wherein the second bending plane is substantially orthogonal to the first bending plane.

3. A steerable catheter according to claim 1

wherein the steering assembly is a spring structure, the first steering mechanism comprising a first section lying in a plane substantially perpendicular to the first plane and the second steering mechanism comprising a second section lying in a plane substantially perpendicular to the second plane, the sections being axially displaced along the length of the spring structure with one of the first and second sections being distal to the other one of the first and second sections, and

wherein the first and second steering wires are attached to the first section and third and fourth steering wires are attached to the second section.

4. A steerable catheter according to claim 3

wherein the first and second sections comprise, respectively, first and second flattened sections.

5. A steerable catheter according to claim 4

and further including a handle attached to a proximal end of the catheter body, and

wherein proximal ends of the first, second, third and fourth steering wires are coupled to the handle.

6. A steerable catheter according to claim 4

wherein the first and second flattened sections are coupled together to form a unitary spring structure.

7. A steerable catheter according to claim 4

and further including a guide tube carried by the catheter body enclosing the first, second, third and fourth steering wires.

8. A steerable catheter according to claim 4

and further including a coil spring carried by the catheter body proximate to the distal end, the coil spring having an interior lumen extending along the length of the catheter body and a distal end affixed to the proximal one of the first and second flattened sections.

9. A steerable catheter according to claim 1

and further including a handle attached to a proximal end of the catheter body.

10. A steerable catheter according to claim 1

and further including a functional element carried by the distal end of the catheter body.

11. A steerable catheter comprising

an elongated catheter body having a distal end, and

a single steering assembly carried by the distal end of the catheter tube including

a first steering mechanism for bending the distal end of the catheter body in a first bending plane, said first steering mechanism including first and second steering wires, and

a second steering mechanism for bending the distal end of the catheter body in a second bending plane, which is non-parallel to the first bending plane, said second steering mechanism including third and fourth steering wires, and

wherein the first steering mechanism comprises a preshaped wire biased to bend the distal end of the catheter into a curvilinear shape in the first bending plane.

12. A steerable catheter according to claim 11

wherein the preshaped wire is located proximally to the second steering mechanism.

13. A steerable catheter according to claim 11

wherein the preshaped wire is contained within an introducer tube, which retains the preshaped wire in a generally linear orientation.