Catheter distal assembly with pull wires

• US 6,048,329 A
• Filed: 10/30/1997
• Issued: 04/11/2000
• 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., Whayne, James G., Thompson, Russell B., Koblish, Josef V., Levin, Steven E.
• Primary Examiner(s): MCDERMOTT, CORRINE MARIE
• Application Number:
  US08/960,902
• Time in Patent Office: 894 Days
• Field of Search: 604/95, 607/122, 600/372-374, 600/393
• 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 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 2025/0161 wherein the distal tips have two or more deflection regions
• 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 25/0141 having flexible regions as a result of using materials with different mechanical properties
• 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, an interior and an exterior, carried within the outer member, the distal portion of the elongate body including at least one operative element, the interior of the elongate body having a flexible spline carried therein and extending from adjacent the distal end toward the proximal end, the flexible spline defining a first stiffness; and

a control element defining a distal portion extending into the distal end of the elongate body and operably connected to the flexible spline at a location within the interior of the elongate body such that a portion of the control element is aligned with the distal end 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, at least the portion of the control element aligned with the distal end of the elongate body defining a second stiffness, the second stiffness being less than the first stiffness.

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

3. A probe assembly as claimed in claim 1, wherein the outer member defines a third stiffness and the third stiffness is greater than the first stiffness.

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 4, wherein the pull wire comprises multiple strands.

6. A probe assembly as claimed in claim 4, wherein the pull wire comprises a central stand and at least one surrounding strand.

7. A probe assembly as claimed in claim 1, wherein the flexible spline comprises a solid core wire.

8. A probe assembly as claimed in claim 1, wherein the flexible spline defines a longitudinal axis, the distal portion of the control element defines a longitudinal axis and the flexible spline and distal portion of the control element are substantially coaxial.

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

10. A probe assembly as claimed in claim 1, further comprising:

a tip member associated with the distal end of the elongate body, the tip member defining a bore through which the control element extends, the bore defining a distal end, a proximal end and a bore diameter which increases at least in the area adjacent to the distal end of the bore.

11. A probe assembly as claimed in claim 10, wherein the bore is substantially frusto-conically shaped.

12. A probe assembly as claimed in claim 10, wherein the bore curves outwardly.

13. A probe assembly as claimed in claim 1, further comprising:

a tip member associated with the distal end of the elongate body, the tip member including an elastomeric member defining a bore through which the control element extends.

14. A probe assembly as claimed in claim 13, wherein the tip member further includes a shape retainer ring around at least a portion of the elastomeric member.

15. A probe assembly as claimed in claim 1, wherein the operative element comprises an electrode.

16. A probe assembly as claimed in claim 1, further comprising:

an apparatus adapted to fix the proximal portion of the control element with respect to the proximal portion of the elongate body.

17. A probe assembly as claimed in claim 1, wherein movement of the elongate body relative to the control element causes the distal end of the elongate body to form a loop.

18. A probe assembly as claimed in claim 1, further comprising:

means for displaying the magnitude of relative movement between the outer member and the elongate body.

19. A probe assembly as claimed in claim 1, wherein the flexible spline and control element comprise an integrally formed structure.

20. A probe assembly as claimed in claim 1, wherein the elongate body defines a longitudinal axis and the distal portion of the control element is arranged at a non-zero angle with respect to the longitudinal axis.

21. 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 stiffness and a first cross-sectional shape over a substantial portion thereof and a second cross-sectional shape over a relatively small portion thereof; and

a control element defining a distal portion extending into the distal end of the elongate body and operably connected to the flexible spline such that a portion of the control element is aligned with the distal end 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, at least the portion of the control element aligned with the distal end of the elongate body defining a second stiffness, the second stiffness being less than the first stiffness.

22. A probe assembly as claimed in claim 21, wherein the first cross-sectional shape is substantially circular and the second cross-sectional shape is substantially flat.

23. A probe assembly as claimed in claim 22, wherein the substantially flat portion of the flexible spline is prebent.

24. A probe assembly as claimed in claim 21, 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.

25. 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 stiffness; and

a control element defining a distal portion extending into the distal end of the elongate body and operably connected to the flexible spline by a crimp tube such that a portion of the control element is aligned with the distal end 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, at least the portion of the control element aligned with the distal end of the elongate body defining a second stiffness, the second stiffness being less than the first stiffness.

26. A probe assembly as claimed in claim 25, wherein the crimp tube includes flexible spline crimps and control element crimps and the flexible spline crimps are offset from the control element crimps by approximately 90 degrees.