Articulation mechanism for medical devices

• US 6,863,668 B2
• Filed: 08/16/2002
• Issued: 03/08/2005
• Est. Priority Date: 08/16/2002
• Status: Active Grant

• Current Assignee: Edwards Lifesciences Corporation
• Original Assignee: Edwards Lifesciences Corporation
• Inventors: Smith, Gregory M., Matsuura, David G., Gillespie, Walter D., Simpson, Philip J.
• Primary Examiner(s): FARAH, AHMED M
• Application Number:
  US10/222,446
• Publication Number:
  US 20040034343A1
• Time in Patent Office: 935 Days
• Field of Search: 606/7, 606 10- 19, 606/41, 606/46, 606/78, 607/88, 607/89, 607/96, 607/115, 604/19, 604 20- 22, 600/101, 600/108
• US Class Current: 606/7
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00309 Cut-outs or slits
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61M 25/0133 Tip steering devices
• CPC Class Codes: A61M 25/0138 having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils

Abstract

An improved articulating device for use with a medical insertion instrument comprising in part a first tube having a plurality of ribs defining a plurality of bending segments, a second tube axially disposed within the first tube, and means for transmitting an axial deflecting pull load. Such device has improved controlled for positioning an end of the device at a selected position within the body. The articulating device has a generally constant moment of inertia and a polar moment of inertia that generally decreases from its proximal to distal end.

Claims

1. A flexible articulation device having a generally even bend radius, wherein the device is adapted for attachment to a medical insertion instrument, the device comprising:

a first elongated tubular member having a proximal end and a distal end and a middle portion along its length therebetween, the first elongated tubular member also having, a plurality of ribs extending radially outward therefrom, adjacent ribs defining bending segments therebetween that are not all equal, wherein at least one of the bending segments adjacent the proximal end has a moment of inertia that is greater than the moments of inertia of the bending segments in the middle portion to restrict the magnitude of deflection of the proximal end of the articulation device relative to the middle portion;

a second elongated tubular member axially disposed within the first tubular member and extending along the length thereof; and

a flexible push/pull member extending along and joined to the articulation device near the distal end of the first tubular member such that the articulation device is selectively deflectable along the first and second elongated tubular members into a plurality of stationary, predetermined positions within the human body.

2. The flexible articulation device as described in claim 1, wherein the proximal end of the first elongated tubular member includes means for joining the device to the medical insertion instrument.

3. The flexible articulation device as described in claim 1, wherein the distal of the first elongated tubular member includes a flared nozzle configured to form an abutting relationship with a desired internal body member.

4. The flexible articulation device as described in claim 1, wherein the plurality of ribs each include a ledge that abuts an adjacent rib upon deflection of the device and limits the amount of deflection between the adjacent ribs.

5. The flexible articulation device as described in claim 1, wherein the second tubular member has a plurality of ribs extending radially outward therefrom.

6. The flexible articulation device as described in claim 1, wherein the second elongated tubular member further defines a slot extending along an outer surface of the second elongated tubular member within which the flexible push/pull member extends.

7. The flexible articulation device as described in claim 6, wherein the second elongated tubular member further includes a central lumen for passage of medical instruments.

8. The flexible articulation device as described in claim 1, wherein the bending segments in the middle portion have generally constant moments of inertia.

9. The flexible articulation device as described in claim 1, wherein at least one of the bending segments adjacent the distal end has a moment of inertia that is greater than the moments of inertia of the bending segments in the middle portion.

10. The flexible articulation device as described in claim 1, wherein the overall cross-section of the articulation device increases from the distal to the proximal end.

11. A flexible articulation device having a generally even bend radius, wherein the device is adapted for attachment to a medical insertion instrument, the device comprising:

an elongated tubular member defining a first end, a second end, and a plurality of ribs extending radially outward along its length, wherein the ribs define bending segments each having a moment of inertia I, which results in a desired deflection Y according to the following formula;

Y=(F)(length³/4EI)+(M)(length²/2EI)

where Y is the downward deflection at the end of the rib,

F is the load imparted to the bending segment,

M is the moment imparted to the bonding segment,

length is the length of the rib,

E is the elastic modulus of the material the rib is made of, and

I is the section modulus of the bending segment; and

a flexible member extending axially disposed within the tubular member and extending along the length thereof, wherein the flexible member is adapted to selectively bend the flexible articulation device into a plurality of predetermined positions.

12. The flexible articulation device as described in claim 11, wherein the first end of the elongated tubular member is adapted for attachment to a medical device.

13. The flexible articulation device as described in claim 11, wherein the second end of the elongated tubular member is joined to a flared nozzle.