Omni-directional steerable catheter

• US 6,500,167 B1
• Filed: 11/08/1999
• Issued: 12/31/2002
• Est. Priority Date: 09/05/1997
• Status: Expired due to Term

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Webster, Wilton W. Jr.
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): Bianco, Patricia
• Application Number:
  US09/436,456
• Time in Patent Office: 1,149 Days
• Field of Search: 604/95.01, 604/95.04, 604/95.05, 604/264, 604/21, 604/523, 604/22, 604/528, 604/533, 604/538, 607/115, 607/116, 607/122
• US Class Current: 604/528
• CPC Class Codes: A61B 5/015 By temperature mapping of body part
• 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 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A multi-directional electrode catheter comprising an elongated tubular catheter body, a catheter tip section at the distal end of the catheter body and a control handle at the proximal end of the catheter. The catheter body may have a central lumen, and four off-axis lumens symmetrically positioned about the central lumen. A puller wire extends from the central handle through each off-axis lumen and is anchored to the tip section at a selected location. Within each off-axis lumen in the catheter body, there is provided a compression coil in surrounding relation to the puller wire. The compression coil is fixedly attached to the catheter body at its distal and proximal ends. At its proximal end, each puller wire is attached to a movable piston in the control handle. Moreover, each piston is controlled by an operator using a slidable button fixedly attached to each piston. Movement of a selected button results in movement of a selected puller wire and deflection of the tip section in the direction that puller wire.

Claims

1. A multi-directional catheter comprising

an elongated catheter body having proximal and distal ends and at least one lumen therethrough;

a catheter tip section at the distal end of the catheter body having at least two off-axis lumens;

a control handle at the proximal end of the catheter body, said control handle comprising a housing and a movable member associated with each off-axis lumen of the tip section, each member being mounted in a different off-axis lumen in the housing and movable between first and second positions relative to the housing;

an elongated puller wire having proximal and distal ends associated with each movable member of the control handle, each puller wire being connected at its proximal end to its associated movable member of the control handle and extending through the lumen of the catheter body and into the off-axis lumen in the catheter tip section associated with the movable member to which the puller wire is connected, the distal end of each puller wire being anchored to one of a tip electrode mounted on the tip section and the wall of the tip section at a selected location; and

wherein each moveable member is associated with only one puller wire and further wherein movement of a selected movable member from its first position toward its second position results in deflection of the tip section in the direction of the off-axis lumen associated with the selected movable member.

2. A multi-directional catheter as claimed in claim 1 wherein the catheter body comprises an off-axis lumen aligned with each off-axis lumen of the tip section.

3. A multi-directional catheter as claimed in claim 2 wherein the tip section further comprises a central lumen.

4. A multi-directional catheter as claimed in claim 3 wherein the central lumen is open at the distal end of the tip section.

5. A multi-directional catheter as claimed in claim 4 wherein the catheter body further comprises a central lumen.

6. A multi-directional catheter as claimed in claim 4 further comprising means for passing a fluid through the central lumens of the catheter body and tip section.

7. A multi-directional catheter as claimed in claim 3 wherein the tip section carries at least one electrode and wherein the catheter comprises a lead wire associated with each such electrode which extends from the control handle through a lumen of the catheter body and the central lumen of the tip section and is electrically connected to its associated electrode.

8. A multi-directional catheter as claimed in claim 1 wherein one puller wire is anchored to a first selected location along the length of the tip section, and wherein another puller wire is anchored to a second selected location along the length of the tip section proximal to the first selected location.

9. A multi-directional catheter as claimed in claim 1 wherein the catheter body comprises means for resisting compressive forces generated when a puller wire is moved in a proximal direction relative to the catheter body.

10. A multi-directional catheter as claimed in claim 9 wherein the means for resisting compressive forces comprises a compression coil associated with and being in surrounding relation to its associated puller wire, each compression coil having proximal and distal ends and extending through the lumen in the catheter body, each 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 one of the distal end of the catheter body and the proximal end of the catheter tip section.

11. A multi-directional catheter as claimed in claim 9 wherein the means for resisting compressive forces comprises a compression coil associated with and being in surrounding relation to its associated puller wire, each compression coil having proximal and distal ends and extending through the lumen in the catheter body, each 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 a selected location along the length of the catheter tip section.

12. A multi-directional catheter as claimed in claim 1 wherein the tip section comprises four off axis lumens.

13. A multi-directional catheter as claimed in claim 12 wherein the catheter body comprises four off axis lumens aligned with the off-axis lumens of the tip section.

14. A multi-directional catheter as claimed in claim 1 wherein each movable member comprises a slidably movable piston.

15. A multi-directional catheter as claimed in claim 1 wherein the catheter body comprises one lumen and the tip comprises four off-axis lumens.

16. A multi-directional catheter according to claim 1, wherein the control handle housing comprises an outer wall, an interior and a plurality of longitudinal slots through the outer wall into the interior;

and

wherein the control handle further comprises a plurality of buttons, each button being mounted exterior to the housing and connected to a corresponding moveable member through one of the longitudinal slots, each button being movable along the length of the slot in response to manual pressure on the button whereby movement of the button along the length of the slot results in longitudinal movement of the moveable member; and

means for adjusting the amount of pressure required to move each button along the length of the corresponding slot.

17. A multi-directional catheter as claimed in claim 16 wherein the button is connected to the moveable member by a post which extends through the slot between the button and moveable member and wherein the means for adjusting the amount of pressure required to move the button along the length of the slot comprises a spring disposed around the post between the button and the exterior of the housing for applying a biasing force against the button and housing and means for adjusting the biasing force of the spring against the button and housing.

18. A multi-directional catheter as claimed in claim 17 wherein the means for adjusting the biasing force of the spring against the button and housing comprises screw threads on at least one end of the post which screw into a threaded hole in one of the moveable member and button whereby rotation of the button in one direction causes the post to screw into the threaded hole, decreasing the distance between the button and piston and increasing the biasing force of the spring against the button and housing and rotation of the button in the opposite direction causes the post to unscrew from the threaded hole increasing the distance between the button and piston and decreasing the biasing force of the spring against the button and housing.

19. A multi-directional catheter as claimed in claim 16 wherein the button is connected to the moveable member by a post which extends through the slot between the button and moveable member and wherein the means for adjusting the amount of pressure required to move the button along the length of the slot comprises an O-ring disposed around the post between the button and exterior of the housing and means for adjusting the biasing force of the O-ring against the button and housing.

20. A multi-directional catheter as claimed in claim 19 wherein the means for adjusting the biasing force of the O-ring against the button and housing comprises screw threads on at least one end of the post which screw into a threaded hole in one of the piston and button whereby rotation of the button in one direction causes the post to screw into the threaded hole, decreasing the distance between the button and piston and increasing the biasing force of the O-ring against the button and housing and rotation of the button in the opposite direction causes the post to unscrew from the threaded hole increasing the distance between the button and piston and decreasing the biasing force of the O-ring against the button and housing.

21. A multi-directional catheter as claimed in claim 1, wherein the housing comprises diametrically opposed off-axis lumens.

22. A multi-directional catheter as claimed in claim 21 wherein the handle further comprises means for preventing simultaneous longitudinal movement of the moveable members in the diametrically opposed lumens.

23. A multi-directional catheter as claimed in claim 22 wherein the means for preventing simultaneous longitudinal movement of the moveable members in the diametrically opposed lumens comprises a stop movable between a first position permitting longitudinal movement of one of the moveable members and a second position preventing longitudinal movement of the other moveable member.

24. A multi-directional catheter as claimed in claim 1 wherein the tip section further comprises a lumen that is open at the distal end of the tip section and the catheter further comprises means for passing a fluid through the at least one lumen of the catheter body and the lumen of the tip section.

25. A multi-directional catheter comprising

an elongated catheter body having proximal and distal ends and at least one lumen therethrough;

a catheter tip section at the distal end of the catheter body having at least two off-axis lumens;

a control handle at the proximal end of the catheter body, said control handle comprising;

a handle body having a plurality of off-axis lumens, each lumen associated with a different off-axis lumen in the tip section; and

a plurality of movable members, each member comprising a slidably moveable piston associated with a different off-axis lumen of the tip section and slidable within a different off-axis lumen in the handle body, each member being movable between first and second positions relative to the handle body;

an elongated puller wire having proximal and distal ends associated with each movable member of the control handle, each puller wire being connected at its proximal end to its associated movable member of the control handle and extending through the lumen of the catheter body and into the off-axis lumen in the catheter tip section associated with the movable member to which the puller wire is connected, the distal end of each puller wire being anchored to one of a tip electrode mounted on the tip section and the wall of the tip section at a selected location; and

wherein movement of a selected movable member from its first position toward its second position results in deflection of the tip section in the direction of the off-axis lumen associated with the selected movable member.

26. A multi-directional catheter as claimed in claim 25 wherein the catheter body comprises four off axis lumens aligned with the off-axis lumens of the tip section.

27. A multi-directional catheter as claimed in claim 26 wherein the tip section further comprises a central lumen.

28. A multi-directional catheter as claimed in claim 27 wherein the tip section carries at least one electrode and wherein the catheter comprises a lead wire associated with each such electrode which extends from the control handle through a lumen of the catheter body and the central lumen of the tip section and is electrically connected to its associated electrode.

29. A multi-directional catheter as claimed in claim 27 wherein the central lumen is open at the distal end of the tip section.

30. A multi-directional catheter as claimed in claim 25 wherein one puller wire is anchored to a first selected location along the length of the tip section, and wherein another puller wire is anchored to a second selected location along the length of the tip section proximal to the first selected location.

31. A multi-directional catheter as claimed in claim 25 wherein the catheter body comprises an off-axis lumen aligned with each off-axis lumen of the tip section.

32. A multi-directional catheter as claimed in claim 25 herein the catheter body comprises a compression coil associated with and being in surrounding relation to its associated puller wire, each compression coil having proximal and distal ends and extending through the lumen in the catheter body, each 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 one of the distal end of the catheter body and the proximal end of the catheter tip section.

33. A multi-directional catheter as claimed in claim 25 wherein the tip section comprises four off axis lumens.

34. A multi-directional catheter as claimed in claim 25 wherein the catheter body comprises one lumen and the tip comprises four off-axis lumens.

35. A multi-directional catheter as claimed in claim 29 wherein the catheter body comprises a central lumen.

36.A multi-directional catheter comprising:

an elongated catheter body having proximal and distal ends and at least one lumen therethrough;

a catheter tip section fixedly attached to the distal end of the catheter body, said tip section having proximal and distal ends and four off-axis lumens;

a control handle at the proximal end of the catheter body, said control handle comprising a housing and four movable members, each member being associated with a different off-axis lumen in the tip section, and each movable member being movable between first and second positions relative to the housing; and

four elongated puller wires having proximal and distal ends, each puller wire being associated with a different off-axis of the tip section, and each puller wire being connected at its proximal end to a separate movable member in the control handle and extending through a lumen in the catheter body and an off-axis lumen of the tip section and wherein the distal end of the puller wire is fixedly attached to one of a tip electrode mounted on the tip section and the wall of the tip section at a selected location, whereby movement of a selected movable member from its first position towards its second position results in movement of the puller wire associated with that selected movable member in a proximal direction with respect to the catheter body and deflection of the tip section in the direction of the puller wire which is moved.

36. A multi-directional catheter according to claim 36, wherein the control handle housing comprises an outer wall, an interior and a plurality of longitudinal slots through the outer wall into the interior;

and

wherein the control handle further comprises a plurality of buttons, each button being mounted exterior to the housing and connected to a corresponding moveable member through one of the longitudinal slots, each button being movable along the length of the slot in response to manual pressure on the button whereby movement of the button along the length of the slot results in longitudinal movement of the moveable member; and

means for adjusting the amount of pressure required to move each button along the length of the corresponding slot.

41. A multi-directional catheter as claimed in claim 36 wherein the housing comprises diametrically opposed off-axis lumens.

37. A multi-directional catheter as claimed in claim 37 wherein the button is connected to the moveable member by a post which extends through the slot between the button and moveable member and wherein the means for adjusting the amount of pressure required to move the button along the length of the slot comprises a spring disposed around the post between the button and the exterior of the housing for applying a biasing force against the button and housing and means for adjusting the biasing force of the spring against the button and housing.

40. A multi-directional catheter as claimed in claim 37 wherein the button is connected to the moveable member by a post which extends through the slot between the button and moveable member and wherein the means for adjusting the amount of pressure required to move the button along the length of the slot comprises an O-ring disposed around the post between the button and exterior of the housing and means for adjusting the biasing force of the O-ring against the button and housing.

38. A multi-directional catheter as claimed in claim 38 wherein the means for adjusting the biasing force of the spring against the button and housing comprises screw threads on at least one end of the post which screw into a threaded hole in one of the moveable member and button whereby rotation of the button in one direction causes the post to screw into the threaded hole, decreasing the distance between the button and piston and increasing the biasing force of the spring against the button and housing and rotation of the button in the opposite direction causes the post to unscrew from the threaded hole increasing the distance between the button and piston and decreasing the biasing force of the spring against the button and housing.

39. A multi-directional catheter as claimed in claim 38 herein the means for adjusting the biasing force of the O-ring against the button and housing comprises screw threads on at least one end of the post which screw into a threaded hole in one of the piston and button whereby rotation of the button in one direction causes the post to screw into the threaded hole, decreasing the distance between the button and piston and increasing the biasing force of the O-ring against the button and housing and rotation of the button in the opposite direction causes the post to unscrew from the threaded hole increasing the distance between the button and piston and decreasing the biasing force of the O-ring against the button and housing.

42. A multi-directional catheter as claimed in claim 42, wherein the handle further comprises means for preventing simultaneous longitudinal movement of the moveable members in the diametrically opposed lumens.

43. A multi-directional catheter as claimed in claim 43 wherein the means for preventing simultaneous longitudinal movement of the moveable members in the diametrically opposed lumens comprises a stop movable between a first position permitting longitudinal movement of one of the moveable members and a second position preventing longitudinal movement of the other moveable member.