Steerable catheter with torque transfer system

• US 6,605,086 B2
• Filed: 05/02/2001
• Issued: 08/12/2003
• Est. Priority Date: 05/02/2001
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Simpson, John A., Bowe, Wade A., Flores, Jesse, Hayzelden, Robert C., Moore, Andrea M.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US09/848,114
• Publication Number:
  US 20020165534A1
• Time in Patent Office: 832 Days
• Field of Search: 606/41, 600/374, 600/585, 607/122, 604/95.04, 604/95.05
• US Class Current: 606/41
• CPC Class Codes: A61M 2025/015 Details of the distal fixation of the movable mechanical means
• 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

Abstract

A catheter includes a steering mechanism for manipulating the distal end of the catheter to obtain a plurality of deflection profiles, and a torque transfer system at the distal portion to enhance torque transfer from the handle to the distal tip. The steering mechanism includes two steering tendons. The steering tendons are attached to the distal-end region of the catheter. The steering tendons may be located approximately angularly aligned, thus causing the deflection profiles to be unidirectional. Alternatively, the steering tendons may be located angularly separated from each other, thus causing the deflection profiles to be bidirectional. In other aspects, the torque transfer system includes a flat ribbon within the relatively flexible distal-end region to enhance torque transfer through the distal-end region of the catheter.

Claims

1. A catheter comprising:

a sheath including a proximal region, a distal-end region having a distal tip, and a longitudinal centerline;

a first steering tendon housed within the sheath, the first steering tendon having a first end attached to the distal-end region at a location offset from the centerline of the sheath, and a second end located at the proximal region of the sheath, wherein movement of the first steering tendon in the proximal direction causes the sheath distal-end region to deflect;

a second steering tendon housed within the sheath, the second steering tendon having a first end attached to the distal-end region at a location offset from the centerline of the sheath, and a second end located at the proximal region of the sheath, wherein movement of the second steering tendon in the proximal direction causes the sheath distal-end region to deflect; and

a torque transfer system adapted to transfer torsional forces from the proximal region of the sheath to the distal-end region of the sheath, the torque transfer system including a ribbon having a length which is less than the length of the sheath, the ribbon being housed within the distal-end region of the sheath and configured to deflect therewith, the ribbon having a first end attached to the distal tip of the sheath and a second end attached to a distal portion of the proximal region of the sheath.

2. The catheter of claim 1 wherein the ribbon is positioned along the centerline of the distal-end region of the sheath.

3. The catheter of claim 1 wherein the ribbon is formed of a resiliently deformable, shape-memory material.

4. The catheter of claim 1 wherein the ribbon has a substantially rectangular cross-section and the firs:

steering tendon and the second steering tendon are attached proximate the inner surface of the sheath on opposite sides of the ribbon.

5. The catheter of claim 4 wherein the attachment point of the first steering tendon is distal the attachment point of the second steering tendon.

6. The catheter of claim 4 wherein the attachment point of the first steering tendon and the attachment point of the second steering tendon are axially aligned.

7. The catheter of claim 1 wherein the ribbon has a substantially rectangular cross-section and the first steering tendon and the second steering tendon are attached proximate the inner surface of the sheath on the same side of the ribbon.

8. The catheter of claim 7 wherein the attachment point of the first steering tendon is distal the attachment point of the second steering tendon.

9. The catheter of claim 1 wherein the torque transfer system further comprises an eyelet secured within the proximal region of the sheath and the second end of the ribbon is secured within the eyelet.

10. The catheter of claim 9 wherein the eyelet comprises a non-circular shape proximal end having a maximum cross-sectional diameter greater than the inner diameter of the sheath.

11. The catheter of claim 10 wherein the non-circular shape comprises a substantially angular shape.

12. The catheter of claim 11 wherein the angular shape comprises a substantially hexagonal shape.

13. A catheter comprising:

a sheath including a proximal region and a distal-end region having a distal tip;

a first steering tendon housed within the sheath, the first steering tendon having a first end attached to the distal-end region at a point proximate the inner surface of the sheath, and a second end exiting the proximal end of the sheath, wherein movement of the first steering tendon in a proximal direction causes die sheath distal-end region to deflect;

a second steering tendon housed within the sheath, the second steering tendon having a first end attached to the distal-end region at a point proximate the inner surface of the sheath and proximal the attachment point of the first steering tendon, and a second end exiting the proximal end of the sheath, wherein movement of the second steering tendon in the proximal direction causes the sheath distal-end region to deflect; and

a ribbon having a length which is less than the length of the sheath, the ribbon being housed within the distal-end region of the sheath and configured to deflect therewith, the ribbon having a first end attached to the distal tip of the sheath and a second end attached to a distal portion of the proximal region of the sheath.

14. The catheter of claim 13 wherein the distal-end region of sheath comprises a longitudinal centerline and the ribbon is positioned along the centerline.

15. The catheter of claim 13 wherein the ribbon is formed of a resiliently deformable, shape-memory material.

16. The catheter of claim 13 wherein the ribbon has a substantially rectangular cross-section and the first and second steering tendons are attached on opposite sides of the ribbon.

17. The catheter of claim 13 wherein the ribbon has a substantially rectangular cross-section and the first steering tendon and the second steering tendon are attached on the same side of the ribbon.

18. The catheter of claim 13 further comprising an eyelet housed within the proximal region of the sheath at the distal end of the proximal region wherein the second end of the ribbon is secured within the eyelet.

19. The catheter of claim 18 wherein the eyelet comprises a non-circular shape proximal end having a maximum cross-sectional diameter greater than the inner diameter of the sheath.

20. The catheter of claim 13 wherein the first steering tendon is secured within the distal tip of the distal-end region.

21. The catheter of claim 13 further comprising:

an anchor band positioned within the distal-end region, proximal the distal tip;

wherein the first end of the second steering tendon is attached to the anchor band.

22. A catheter for use with biological tissue, the catheter comprising:

a sheath including a proximal region having a first torque transfer strength and a distal-end region having a distal tip and a second torque transfer strength less than the first torque transfer strength;

at least one electrode located in the distal-end region for transferring energy to the biological tissue;

a first steering tendon housed within the sheath, the first steering tendon having a first end attached to the distal-end region at a point proximate the inner surface of the sheath, and a second end exiting the proximal end of the sheath, wherein movement of the first steering tendon in a proximal direction causes the sheath distal-end region to deflect;

a second steering tendon housed within the sheath, the second steering tendon having a first end attached to the distal-end region at a point proximate the inner surface of the sheath and proximal the attachment point of the first steering tendon, and a second end exiting the proximal end of the sheath, wherein movement of the second steering tendon in the proximal direction causes the sheath distal-end region to deflect; and

a torque transfer system adapted to increase the torque transfer strength of the distal-end region to facilitate the transfer of torsional forces from the proximal region to the distal-end region, the torque transfer system including a ribbon having a length which is less than the length of the sheath, the ribbon being housed within the distal-end region of the sheath and configured to deflect therewith, the ribbon having a first end attached to the distal tip of the sheath and a second end attached to a distal portion of the proximal region of the sheath.

23. The catheter of claim 22 wherein the sheath comprises a centerline and the ribbon is positioned along the centerline.

24. The catheter of claim 22 wherein the ribbon is formed of a resiliently deformable, shape-memory material.

25. The catheter of claim 22 wherein the ribbon has a substantially rectangular cross-section and the first steering tendon and the second steering tendon are attached proximate the inner surface of the sheath on opposite sides of the ribbon.

26. The catheter of claim 22 wherein the ribbon has a substantially rectangular cross-section and the first steering tendon and the second steering tendon are attached proximate the inner surface of the sheath on the sane side of the ribbon.

27. The catheter of claim 22 wherein the torque transfer system further comprises an eyelet secured within the proximal region of the sheath and the second end of the ribbon is secured within the eyelet.

28. The catheter of claim 27 wherein the eyelet comprises a non-circular shape proximal end having a cross-sectional diameter greater than the inner diameter of the sheath.

29. A catheter for use with biological tissue, the catheter comprising:

a sheath including a proximal region having a first torque transfer strength and a distal-end region having a second torque transfer strength less than the first torque transfer strength, and a centerline throughout the length of the sheath;

at least one electrode located in the distal-end region for transferring energy to the biological tissue;

a first steering tendon housed within the sheath, the first steering tendon having a first end attached to the distal-end region at a point proximate the inner surface of the sheath, and a second end exiting the proximal end of the sheath, wherein movement of the first steering tendon in a proximal direction causes the sheath distal-end region to deflect;

a second steering tendon housed within the sheath, the second steering tendon having a first end attached to the distal-end region at a point proximate the inner surface of the sheath and proximal the attachment point of the first steering tendon, and a second end exiting the proximal end of the sheath, wherein movement of the second steering tendon in the proximal direction causes the sheath distal-end region to deflect;

an eyelet secured within the proximal region of the sheath having a non-circular shape proximal end having a cross-sectional diameter greater than the inner diameter of the sheath; and

a ribbon positioned along the centerline of the sheath and housed within the distal-end region of the sheath and configured to deflect therewith, the ribbon having a first end secured within the distal tip of the distal-end region and a second end secured within the eyelet.

30. The catheter of claim 29 wherein the ribbon is formed of a resiliently deformable, shape-memory material.

31. The catheter of claim 29 wherein the ribbon has a substantially rectangular cross-section and the first steering tendon and the second steering tendon are attached proximate the inner surface of the sheath on opposite sides of the ribbon.

32. The catheter of claim 29 wherein the ribbon has a substantially rectangular cross-section and the first steering tendon and the second steering tendon are attached proximate the inner surface of the sheath on the same side of the ribbon.