Steerable deflectable catheter having improved flexibility

• US 5,897,529 A
• Filed: 09/05/1997
• Issued: 04/27/1999
• Est. Priority Date: 09/05/1997
• Status: Expired due to Term

• Current Assignee: Cordis Webster, Inc.
• Original Assignee: Cordis Webster, Inc.
• Inventors: Ponzi, Dean M.
• Primary Examiner(s): McDermott, Corrine M.
• Assistant Examiner(s): GRING, NOELLE K
• Application Number:
  US08/924,623
• Time in Patent Office: 599 Days
• Field of Search: 128/642, 128/656, 128/657, 128/658, 128/662.06, 128/772, 600/103, 600/128, 600/139, 600/156, 600/160, 600/117, 600/188, 607/6, 607/122, 604/95
• US Class Current: 604/95.04
• 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 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/00097 one of the thermometric elements being an electrode or the heating element
• CPC Class Codes: A61B 2017/00247 Making holes in the wall of the heart, e.g. laser Myocardial revascularization
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61M 2025/015 Details of the distal fixation of the movable mechanical means
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A steerable catheter comprises a catheter body, a control handle, and a tip section. The catheter body comprises an outer wall having proximal and distal ends and at least one lumen extending therethrough. The control handle is situated at the proximal end of the catheter body. The tip section comprises a flexible tubing having proximal and distal ends and at least one off axis lumen. The catheter also comprises a spacer at the junction of the catheter body and tip section. The spacer is made of a material more flexible than the catheter body but less flexible than the flexible tubing of the tip section. The spacer is fixedly situated between the proximal end of the tip section and the distal end of the catheter body. The catheter further comprises a compression coil and a puller wire. The compression coil extends through a lumen in the catheter body and into an off axis lumen in the tip section. The compression coil is fixedly attached at its proximal end to the proximal end of the catheter body and is fixedly attached at its distal end to the tip section at a location distal to the spacer. The puller wire extends from the control handle through the compression coil and into the off axis lumen in the tip section. The distal end of the puller wire is anchored to the tip section at a location distal to the distal end of the compression coil. Manipulation of the control handle results in deflection of the tip section.

Claims

1. A steerable catheter comprising:

a catheter body comprising an outer wall having proximal and distal ends and at least one lumen extending therethrough;

a control handle at the proximal end of the catheter body;

a tip section comprising flexible tubing having proximal and distal ends and at least one off axis lumen;

a spacer at the junction of the catheter body and tip section, said spacer being made of a material more flexible than the catheter body but less flexible than the flexible tubing of the tip section, wherein the spacer is fixedly situated between the proximal end of the tip section and the distal end of the catheter body;

a compression coil extending through a lumen in the catheter body and into an off axis lumen in the tip section, said compression coil being fixedly attached at its proximal end to the proximal end of the catheter body and being fixedly attached at its distal end to the tip section at a location distal to the spacer;

a puller wire extending from the control handle through the compression coil and into the off axis lumen in the tip section, the distal end of the puller wire being anchored to the tip section at a location distal to the distal end of the compression coil;

whereby manipulation of the control handle results in deflection of the tip section.

2. A catheter according to claim 1 wherein the compression coil is tightly wound.

3. A catheter according to claim 1 wherein the distal end of the compression coil is loosely wound and the proximal end of the compression coil is tightly wound.

4. A catheter according to claim 3 wherein the length of loosely wound compression is about 0.50 inch.

5. A catheter according to claim 1, further comprising a plastic sheath, wherein said plastic sheath is situated in the tip section in surrounding relation to the puller wire.

6. A catheter according to claim 1, further comprising a tip electrode mounted at the distal end of the tip section.

7. A catheter according to claim 6 wherein the puller wire is anchored to the tip electrode.

8. A catheter according to claim 1 wherein the puller wire is anchored to the side wall of the tip section.

9. A catheter according to claim 1 wherein the catheter body has a single lumen extending therethrough.

10. A catheter according to claim 1 wherein the outer wall comprises polyurethane or nylon.

11. A catheter according to claim 1, wherein the outer wall comprises an imbedded braided stainless steel mesh.

12. A catheter according to claim 1, wherein the catheter body further comprises an inner stiffening tube lining the outer wall, said stiffening tube having a distal end and a proximal end.

13. A catheter according to claim 12 wherein the stiffening tube comprises polyimide.

14. A catheter according to claim 1 wherein the spacer has a length of about 0.25 inch to about 0.75 inch.

15. A catheter according to claim 14 wherein the spacer has a length of about 0.50 inch.

16. A catheter according to claim 1 wherein the control handle comprises a first member fixedly attached to the proximal end of the catheter body and a second member that is movable relative to the first member.

17. A catheter according to claim 16 wherein the proximal end of the puller wire is fixedly secured to the second member of the control handle, whereby manipulation of the first member of the control handle relative to the second member of the control handle moves the puller wire relative to the catheter body, resulting in deflection of the tip section.