Catheter distal assembly with pull wires

• US 5,910,129 A
• Filed: 10/30/1997
• Issued: 06/08/1999
• Est. Priority Date: 12/19/1996
• Status: Expired due to Fees

• Current Assignee: EP Technology (Boston Scientific Corporation)
• Original Assignee: EP Technology (Boston Scientific Corporation)
• Inventors: Fleischman, Sidney D., Koblish, Josef V.
• Primary Examiner(s): Yasko, John D.
• Assistant Examiner(s): GRING, NOELLE K
• Application Number:
  US08/960,850
• Time in Patent Office: 586 Days
• Field of Search: 604/95, 604/159, 604/282, 128/772
• US Class Current: 604/95.03
• 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 for prostheses A61F2210/0014
• CPC Class Codes: A61B 2018/00065 porous
• CPC Class Codes: A61B 2018/00553 Sphincter
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/142 at least partly surrounding the target, e.g. concave, curved or in the form of a cave
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61M 2025/015 Details of the distal fixation of the movable mechanical means
• CPC Class Codes: A61M 2025/0163 Looped catheters
• CPC Class Codes: A61M 25/0043 characterised by structural features
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• 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
• CPC Class Codes: C08L 2201/12 Shape memory

Abstract

A catheter assembly having a sheath, which includes a side wall enclosing an interior bore, and a distal region. The assembly also has a bendable catheter tube, which is carried for sliding movement in the interior bore. A pull wire also runs through the interior bore of the sheath, preferably within a lumen. The catheter tube has a distal portion with a coupling which joins the distal portion of the catheter tube and the distal portion of the pull wire. Relative movement of the pull wire and the sheath causes bending of the catheter tube outwardly through the opening, in response to sliding movement of the catheter tube within the interior bore toward the distal region of the sheath.

Claims

1. A probe assembly, comprising:

an outer member including a wall defining an interior bore having a distal end and a proximal end;

an elongate body, defining a distal portion, a distal end, a proximal end and an exterior, carried within the outer member, the distal portion of the elongate body including at least one operative element, the elongate body further including a flexible spline extending from adjacent the distal end toward the proximal end, the flexible spline defining longitudinal ends, a substantially non-flat cross-sectional shape over a substantial portion thereof and a substantially flat cross-sectional shape over a relatively small portion thereof; and

a control element defining a distal portion operably connected to at least one of the distal end and distal portion of the elongate body, and a proximal portion extending along the exterior of the elongate body within the outer member toward the proximal end of the outer member.

2. A probe assembly as claimed in claim 1, wherein the flexible spline defines a distal end and the relatively small portion of the flexible spline is substantially adjacent to the distal end of the flexible spline.

3. A probe assembly as claimed in claim 1, wherein the relatively small portion of the flexible spline is substantially rectangular in cross-section.

4. A probe assembly as claimed in claim 1, wherein the control element comprises a pull wire.

5. A probe assembly as claimed in claim 1, wherein the elongate body comprises a catheter tube.

6. A probe assembly as claimed in claim 1, wherein the outer member comprises a sheath.

7. A probe assembly as claimed in claim 1, wherein the control element is operably connected to a spline.

8. A probe assembly as claimed in claim 1, wherein the substantial portion of the spline having a substantially non-flat cross-sectional shape comprises two portions having a substantially non-flat cross-sectional shape and the relatively small portion having a substantially flat cross-sectional shape is located between the two portions having the substantially non-flat cross-sectional shape.

9. A probe assembly as claimed in claim 1, wherein the portion having a substantially flat cross-sectional shape is located in spaced relation to each of the longitudinal ends.

10. A probe assembly as claimed in claim 1, wherein the elongate body comprises a catheter tube.

11. A probe assembly, comprising:

an outer member including a wall defining an interior bore having a distal end and a proximal end;

an elongate body, defining a distal portion, a distal end, a proximal end and an exterior, carried within the outer member, the distal portion of the elongate body including at least one operative element, the elongate body further including a flexible spline extending from adjacent the distal end toward the proximal end, the flexible spline defining a first cross-sectional shape over a substantial portion thereof and a second cross-sectional shape over a relatively small portion thereof, the first cross-sectional shape being substantially circular and the second cross-sectional shape being substantially flat; and

a control element defining a distal portion operably connected to at least one of the distal end and distal portion of the elongate body, and a proximal portion extending along the exterior of the elongate body within the outer member toward the proximal end of the outer member.

12. A probe assembly as claimed in claim 11, wherein the substantially flat portion of the flexible spline is prebent.

13. A probe for use with an outer member including a wall defining an interior bore having a distal end and a proximal end, the probe comprising:

an elongate body, defining a distal portion, a distal end, a proximal end and an exterior, adapted to be carried within the outer member, the distal portion of the elongate body including at least one operative element, the elongate body further including a flexible spline extending from adjacent the distal end toward the proximal end, the flexible spline defining a longitudinal axis and longitudinal ends and having a first portion having a first thickness measured in a direction transverse to the longitudinal axis and a second portion having a second thickness less than the first thickness measured in a direction transverse to the longitudinal axis, the first portion being located adjacent to one of the longitudinal ends and the second portion being located in spaced relation to both of the longitudinal ends; and

a control element defining a distal portion operably connected to at least one of the distal end and distal portion of the elongate body, and a proximal portion extending along the exterior of the elongate body and adapted to be located within the outer member toward the proximal end of the outer member.

14. A probe as claimed in claim 13, wherein the flexible spline includes a third portion having a third thickness greater than the second thickness measured in a direction transverse to the longitudinal axis, and wherein the second portion is located between the first and third portions.

15. A probe as claimed in claim 13, wherein the first portion defines a cross-sectional shape that is substantially circular and the second portion defines a cross-sectional shape that is substantially flat.

16. A probe as claimed in claim 15, wherein the substantially flat portion of the flexible spline is prebent.

17. A probe as claimed in claim 13, wherein the control element comprises a pull wire.

18. A probe as claimed in claim 13, wherein the elongate body comprises a catheter tube.