Ratcheting handle for intraluminal catheter systems

• US 6,599,296 B1
• Filed: 07/27/2001
• Issued: 07/29/2003
• Est. Priority Date: 07/27/2001
• Status: Active Grant

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Advanced Cardiovascular Systems Incorporated
• Inventors: Gillick, Matthew J., Stout, Christopher A., Tarapata, Christopher J.
• Primary Examiner(s): Lewis, Ralph A.
• Application Number:
  US09/917,189
• Time in Patent Office: 732 Days
• Field of Search: 606/108, 606/191, 606/198, 604/528
• US Class Current: 606/108
• CPC Class Codes: A61B 17/3207 Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions A61B17/32037 takes precedence; endoscopic cutting instruments A61B17/320016
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61B 2017/22074 the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/9517 handle assemblies therefor

Abstract

A ratcheting handle actuator provides for a tool to actuate an intraluminal catheter system for treatment at an intraluminal site by repeated movements of the handle. This allows for actuation over a greater distance than a physician might be able to perform in a single motion while preserving a direct correspondence between the movements of the ratcheting handle and the actuation of the intraluminal device.

Claims

1. A device for actuating an intraluminal catheter, comprising:

a handle base;

an actuator slidably engaged with the handle base such that the actuator may be withdrawn or advanced; and

a slider in ratcheted engagement with the actuator and adapted to be connected to an intraluminal catheter;

wherein the ratcheted engagement between the actuator and slider allows the slider to be repeatedly withdrawn or advanced which actuates the catheter in a single direction and the handle base includes a top portion disposed over the slider and a plurality of ratcheting teeth disposed on the top portion, at least one ratcheting tooth on the slider engaging the plurality of ratcheting teeth on the top portion.

2. The actuating device of claim 1, wherein the actuator includes at least one knob.

3. The actuating device of claim 1, wherein the actuator includes a plurality of ratchet teeth.

4. The actuating device of claim 1, wherein the handle base is configured to securely attach to a catheter.

5. The actuating device of claim 1, wherein the actuation of the intraluminal catheter and the motion of the actuator is in one-to-one correspondence.

6. A catheter system comprising:

a catheter having a distal end and a proximal end;

a sheath having a distal end and a proximal end disposed over the catheter;

a base connected at the proximal end of the catheter;

an actuator disposed within the base and including a slider connected to the proximal end of the sheath and a pull which may be retracted or advanced, the pull having a plurality of ratcheting teeth and the slider being in direct ratcheting engagement with the plurality of ratcheting teeth; and

a slot in the base configured to enable the slider to be disengaged from the ratcheting engagement with the plurality of ratcheting teeth,

wherein retraction of the pull a certain distance retracts the sheath the same distance, yet advancement of the pull does not advance the sheath.

7. The catheter system of claim 6, further comprising:

a self-expanding prosthesis disposed within the sheath configured to deploy as the sheath is retracted.

8. The catheter system of claim 6, further comprising:

a top portion fixedly secured to the base and covering at least a portion of the actuator.

9. The catheter system of claim 6, further comprising:

a spring mounted between the actuator and the base and configured to advance the actuator.

10. The catheter system of claim 6, further comprising:

a locking mechanism to prevent motion of the actuator while locked.

11. The catheter system of claim 6, further comprising:

an access port attached to the proximal end of the base wherein the access port accesses an inner lumen of the catheter.

12. An actuator for retracting a mechanism of an intraluminal catheter, comprising:

a base;

a handle slidably disposed on the base and including a plurality of proximal facing ratchet teeth; and

a slider slidably disposed on the base and adapted to be connected to the mechanism of the intraluminal catheter, the slider including at least one distal facing ratchet tooth engaged with the plurality of proximal facing ratchet teeth of the handle, the slider being movable within the base in the same direction as the handle to actuate the mechanism of the intraluminal catheter, wherein the base includes a plurality of ratcheting teeth and at least one ratcheting tooth on the slider engages the plurality of ratcheting teeth on the base.

13. An actuator for retracting a mechanism of an intraluminal catheter, comprising:

a base;

a handle slidably disposed on the base and including a plurality of distal facing ratchet teeth; and

a slider slidably disposed on the base and adapted to be connected to the mechanism of the intraluminal catheter, the slider including at least one proximal facing ratchet tooth engaged with the plurality of distal facing ratchet teeth of the handle, the slider being movable within the base in the same direction as the handle to actuate the mechanism of the intraluminal catheter, wherein the base includes a plurality of ratcheting teeth and at least one ratcheting tooth on the slider engages the plurality of ratcheting teeth on the base.

14. A device for actuating an intraluminal catheter, comprising:

a handle base;

an actuator slidably engaged with the handle base such that the actuator may be withdrawn or advanced; and

a slider in ratcheted engagement with the actuator and adapted to be connected to an intraluminal catheter; and

a slot disposed on the handle base for allowing visual observation of the position of the slider, the slot on the handle base is configured to enable the slider to be depressed to disengage the ratcheted engagement of actuator and the slider,

wherein the ratcheted engagement between the actuator and slider allows the slider to be repeatedly withdrawn or advanced which actuates the catheter in a single direction.

15. A catheter system comprising:

a catheter;

a sheath disposed over the catheter;

a base connected at the proximal end of the catheter;

an actuator disposed within the base and including a slider connected to the proximal end of the sheath and having a pull which may be retracted or advanced, the pull having a plurality of ratcheting teeth attached thereto with the slider engaged with the plurality of ratcheting teeth, the base including a top portion which includes a plurality of ratcheting teeth and the slider includes at least one ratcheting tooth adapted to engage the plurality of ratcheting teeth of the top portion;

wherein retraction of the pull a certain distance retracts the sheath the same distance, yet advancement of the pull does not advance the sheath.

16. The catheter system of claim 15, further comprising a slot on the top of the base configured to enable depressing the slider to disengage the ratcheting teeth engaging the top to the slider.

17. A catheter system comprising:

a catheter;

a sheath disposed over the catheter;

a base connected at the proximal end of the catheter;

an actuator disposed within the base and connected to the proximal end of the sheath and having a pull which may be retracted or advanced, a top portion fixedly secured to the base and covering at least a portion of the actuator, the top portion including a slot for allowing visual observation of the position of the actuator;

wherein retracting the pull a certain distance retracts the sheath the same distance, yet advancing the pull does not advance the sheath.

18. A catheter system comprising:

a catheter;

a sheath disposed over the catheter;

a base connected at the proximal end of the catheter;

an actuator disposed within the base and connected to the proximal end of the sheath and having a pull which may be retracted or advanced, a spring mounted between the actuator and the base and biased in the direction of the retraction of the pull;

wherein retracting the pull a certain distance retracts the sheath the same distance, yet advancing the pull does not advance the sheath.

19. An actuator for retracting a mechanism of an intraluminal catheter, comprising:

a base;

a handle slidably disposed on the base including a plurality of proximal facing ratchet teeth;

a slider slidably disposed on the base and adapted to be connected to the mechanism of the intraluminal catheter including at least one distal facing ratchet tooth engaged with the plurality of proximal facing ratchet teeth of the handle;

a cover connected to the base and covering at least portions of the handle and slider;

a plurality of proximal facing ratchet teeth on the cover; and

at least one distal facing ratchet tooth engaged with the plurality of proximal facing ratchet teeth on the cover.

20. An actuator for retracting a mechanism of an intraluminal catheter, comprising:

a base;

a handle slidably disposed on the base and including a plurality of distal facing ratchet teeth;

a slider slidably disposed on the base and adapted to be connected to the mechanism of the intraluminal catheter, the slider including at least one proximal facing ratchet tooth engaged with the plurality of distal facing ratchet teeth of the handle;

a cover connected to the base and covering at least portions of the handle and slider;

a plurality of distal facing ratchet teeth on the cover; and

at least one proximal facing ratchet tooth engaged with the plurality of distal facing ratchet teeth on the cover.