Catheter steering assembly providing asymmetric left and right curve configurations

• US 5,891,088 A
• Filed: 03/06/1997
• Issued: 04/06/1999
• Est. Priority Date: 02/02/1990
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Inventors: Thompson, Russell B., Kelley, Robert A., Pumares, Fernando
• Primary Examiner(s): Coggins, Wynn Wood
• Assistant Examiner(s): Sadula, Jennifer R.
• Application Number:
  US08/812,195
• Time in Patent Office: 761 Days
• Field of Search: 604/95, 604/159, 604/280, 604/282, 604/170, 600/585, 600/433.5
• US Class Current: 604/95.04
• 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 2025/015 Details of the distal fixation of the movable mechanical means
• 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: A61N 1/0565 Electrode heads
• CPC Class Codes: A61N 1/06 for high-frequency therapy

Abstract

A catheter has an electrode tip assembly that is bendable at the selection of the user in two different directions. The electrode tip assembly assumes different asymmetric predetermined curve configurations when bent in the two directions and is manipulated by means of steering wires adjustably connected tangentially to the lateral edges of a rotatable cam located in the catheter handle.

Claims

1. A catheter having an elongated tubular body bendable adjacent to its distal end in response to an external force, and a proximal end attached to a handle for manipulating said tubular body by applying the external force thereto, comprising,

a steering assembly for applying a bending force on the body, the steering assembly including

a rotatable cam located in said handle,

a steering wire operable in response to movement of the rotatable cam for bending the tubular body, said steering wire being attached tangentially to the lateral edges of said rotatable cam by a means for connection, said means for connection of said wire being adjustable so that the corresponding degree of movement of said tubular body in response to rotation of said rotatable cam is altered by adjustment of said connection.

2. A catheter according to claim 1 further including a flexible guide tube having a distal end attached to said tubular body and a proximal end attached to said steering assembly, said guide tube including a flexible shaft having an interior bore formed from a length of wire coiled into a flexible spring, said interior bore enclosing said steering wires.

3. A catheter according to claim 1 wherein said means for connection comprises a threaded member which is attached to a mating threaded socket on said cam.

4. A catheter according to claim 1 wherein said means for connection comprises an adjustable stop member which is threaded into a threaded opening provided in the lateral edge of said rotatable cam, the proximal end of said wire including a terminal block, said adjustable stop member being engaged by said terminal block upon rotation of said rotatable cam to apply tension to said wire.

5. A catheter according to claim 1 wherein said means for connection comprises a threaded member, and a mating threaded socket on said cam, said threaded member and said threaded socket being threadedly attached to each other.

6. A catheter having an elongated tubular body bendable adjacent to its distal end in different first and second directions in response to external forces, and a proximal end attached to a handle for manipulating said tubular body by applying the external forces thereto comprising,

a steering assembly for applying bending forces on the body, the steering assembly including

a rotatable cam located in said handle,

a first steering wire and a second steering wire operable in response to movement of the rotatable cam for bending the tubular body in a first direction into a first non-linear configuration and in a second direction into a second predetermined nonlinear configuration, each of said steering wires being attached tangentially to the lateral edges of said rotatable cam by a separated, stop member for each wire, said stop member of each wire being adjustable so that the degree of movement of each said wire in response to rotation of said rotatable cam is altered by adjustment of said each stop member.

7. A catheter according to claim 6

further including a guide tube having a distal end attached to said body and a proximal end attached to said steering assembly.

8. A catheter according to claim 6

wherein said body includes a flexible wire member having left and right faces,

wherein said steering assembly includes left and right steering wires having distal ends attached, respectively, to the left and right faces of the wire member,

wherein tension applied to the left steering wire causes bending of the wire member to the left into the first nonlinear configuration, and

wherein tension applied to the right steering wire causes bending of the wire member to the right into the second nonlinear configuration.

9. A catheter according to claim 6 wherein said each stop member comprises a threaded member, and a mating threaded socket on said cam, said threaded member and said threaded socket being threadedly attached to each other.

10. A catheter according to claim 6 wherein said each stop member comprises independently adjustable stop members which are threaded into threaded openings provided in the lateral edges of said rotatable cam, the proximal ends of said wires including terminal blocks, said adjustable stop members being engaged by said terminal blocks upon rotation of said rotatable cam to apply tension to said wires.

11. A catheter according to claim 6

wherein the rotatable cam comprises first and second cam faces that are formed as curves having different radii.

12. A catheter having an elongated tubular body, said body having a longitudinal axis and being bendable adjacent its distal end in response to external forces, and having a proximal end attached to a handle for manipulating said tubular body by applying the external forces thereto, comprising,

a steering assembly for applying bending forces on the body, the steering assembly including a movable component located in said handle,

a steering wire operable in response to movement of said movable component for bending the tubular body in a first direction into a non-linear configuration,

said steering wire having a longitudinal axis being adjustably connected to said movable component by a stop member on the movable component, said stop member being adjustable in a direction parallel to the longitudinal axis of said steering wire whereby the degree of movement of said steering wire in response to movement of said movable component is altered by adjustment of said stop member connection.

13. A catheter according to claim 12 wherein said stop member comprises a member which is threaded into a threaded opening in said movable component.

14. A catheter according to claim 12 wherein said movable component comprises a rotatable cam.