Medical device control systems

• US 7,285,117 B2
• Filed: 03/15/2002
• Issued: 10/23/2007
• Est. Priority Date: 03/15/2002
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Bencini, Robert F., Taimisto, Miriam H., Lardner, Richard, Wohlgemuth, Jon, Krueger, Katie L.
• Primary Examiner(s): Cohen; Lee S.
• Application Number:
  US10/098,661
• Publication Number:
  US 20030176778A1
• Time in Patent Office: 2,048 Days
• Field of Search: 606 34- 42, 128/899
• US Class Current: 606/34
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• 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 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems

Abstract

A medical device for use by an operator to perform a medical procedure in a body includes a handle to be held by the operator, a shaft attached to the handle and an actuating assembly to control functions associated with the medical procedure. The shaft includes an operative distal portion to perform a medical procedure in the body. The medical device may be part of an ablation catheter system that is programmed to correlate one or more functions with the actuation of the actuating assembly. Multiple actuating assemblies may be provided. Each actuating assembly may be a button. Other types of actuating assemblies may also be used, such as switches or a trackball. The actuating assembly may also be provided on a sleeve that may be selectively attached to the handle of the catheter or the physician operating the catheter, for example.

Claims

1. A medical device, comprising:

a shaft having a distal end and a proximal end;

an operative element carried by said distal shaft end;

a handle carried by said proximal shaft end; and

an actuating element associated with said handle and configured for initiating a medical function; and

a user programmable processing device configured for allowing a user to define an association between said medical function and a specific manner in which said actuating element is actuated.

2. The medical device of claim 1, wherein said actuating element is configured for initiating a plurality of different medical functions, and wherein said processing device is configured for allowing a user to define an association between said plurality of medical functions and a specific manner in which said actuating element is actuated.

3. The medical device of claim 2, wherein said processing device is configured for allowing said user to associate a defined sequence of said plurality of medical functions with said actuating element, such that said plurality of medical functions is initiated in said sequence in response to said specific actuating manner.

4. The medical device of claim 3, wherein said specific actuating manner comprises repeatedly actuating said actuating element.

5. The medical device of claim 1, wherein said processing device is configured for allowing said user to define said medical function.

6. The medical device of claim 1, wherein said processing device is configured for allowing said user to define said specific actuating manner.

7. The medical device of claim 6, wherein said processing device is configured for allowing said user to define a number of actuations of said actuating element within a predetermined period of time.

8. The medical device of claim 6, wherein said processing device is configured for allowing said user to define a period of time in which said actuating element is actuated.

9. The medical device of claim 1, wherein said operative element is configured for being used in a performance of said medical function.

10. The medical device of claim 1, wherein said shaft is an intravascular catheter shaft.

11. The medical device of claim 1, wherein said processing device is coupled to said handle via an external cable.

12. A medical device, comprising:

a shaft having a distal end and a proximal end;

at least one operative element carried by said distal shaft end;

a handle carried by said proximal shaft end; and

an actuating element associated with said handle and configured for initiating a plurality of different medical functions in a predetermined sequence, wherein at least two of said plurality of medical functions are respectively initiated in response to at least two actuations of said actuating element.

13. The medical device of claim 12, wherein:

a first of said plurality of medical functions is configured for being initiated when pressure is applied to said actuating element;

said first function is configured for being terminated when said pressure is released from said actuating element;

a second of said plurality of medical functions is configured for being initiated when pressure is again applied to said actuating element; and

said second function is configured for being terminated when said pressure is again released from said actuating element.

14. The medical device of claim 12, wherein said at least one operative element comprises one or more electrodes, and said plurality of medical functions comprises delivering ablation energy to said one or more electrodes, and processing mapping signals received from said one or more electrodes.

15. The medical device of claim 12, wherein said at least one operative element comprises a mapping basket, said plurality of medical functions comprises expanding said mapping basket, mapping with said mapping basket, and collapsing said mapping basket.

16. The medical device of claim 12, further comprising another actuating element associated with said handle, said other actuating element terminating said sequence of functions when actuated in a specific manner.

17. The medical device of claim 12, further comprising a processor configured for presenting a list of said sequence of functions and highlighting a function that is currently being performed.

18. The medical device of claim 12, wherein one of said plurality of medical functions is a therapeutic function, and wherein said system is configured for providing a warning signal when said therapeutic function is next in said sequence.

19. The medical device of claim 18, wherein said therapeutic function comprises delivering ablation energy.

20. The medical device of claim 12, wherein said handle provides a user with feedback when said system commences each of said medical functions.

21. The medical device of claim 12, wherein said at least one operative element is configured for being used in a performance of said medical functions.

22. The medical device of claim 12, wherein said shaft is an intravascular catheter shaft.

23. A medical device, comprising:

a shaft having a distal end and a proximal end;

at least one operative element carried by said distal shaft end;

a handle carried by said proximal shaft end; and

an actuating element associated with said handle, wherein at least two different medical functions are assigned to said actuating element, such that said at least two different medical functions are individually initiated when said actuating element is respectively actuated in at least two different manners, wherein said at least two medical functions are in different categories.

24. The medical device of claim 23, wherein said actuating element has at least two positions and initiation of said at least two medical functions are respectively dependent on said at least two positions.

25. The medical device of claim 23, wherein said actuating element has a first relaxed position, a second unrelaxed position, and a third unrelaxed position, wherein said switch is biased towards said first position upon release of pressure placed on said switch, and said second position is one of said at least two different manners, and said third position is another of said at least two different manners.

26. The medical device of claim 23, wherein said first actuating manner comprises actuating said actuating element a first number of times within a defined period of time, and said second actuating manner comprises actuating said actuating element a second different number of times within said defined period of time.

27. The medical device of claim 23, wherein said first actuating manner comprises actuating said actuating element for a first defined period of time, and said second actuating manner comprises actuating said actuating element for a second different defined period of time.

28. The medical device of claim 23, wherein said at least one operative element is configured for being used in a performance of said at least two medical functions.

29. The medical device of claim 23, wherein said shaft is an intravascular catheter shaft.

30. A medical device, comprising:

a shaft having a distal end and a proximal end;

at least one operative element carried by said distal shaft end;

a handle carried by said proximal shaft end; and

an actuating element associated with said handle element and configured for initiating one of at least two different medical functions when actuated a first number of times within a defined period of time and initiating another of said at least two medical functions when actuated a second different number of times within said defined period of time.

31. The medical device of claim 30, wherein said first number of times is one time, and said second number of times is two times.

32. The medical device of claim 30, wherein said at least one operative element is configured for being used in a performance of said at least two medical functions.

33. The medical device of claim 30, wherein said shaft is an intravascular catheter shaft.

34. A medical device, comprising:

a shaft having a distal end and a proximal end;

an operative element carried by said distal shaft end;

a handle carried by said proximal shaft end; and

an actuating element associated with said handle and configured for initiating a function; and

a user programmable processing device configured for allowing a user to define a specific manner in which said actuating element is actuated to initiate said function.

35. The medical device of claim 34, wherein said processing device is configured for allowing said user to define a number of actuations of said actuating element within a predetermined period of time.

36. The medical device of claim 34, wherein said processing device is configured for allowing said user to define a period of time in which said actuating element is actuated.

37. The medical device of claim 34, wherein said operative element is configured for being used in a performance of said function.

38. The medical device of claim 34, wherein said processing device is coupled to said handle via an external cable.

39. A medical device, comprising:

a shaft having a distal end and a proximal end;

at least one operative element carried by said distal shaft end;

a handle carried by said proximal shaft end; and

an actuating element associated with said handle; and

a processing device configured for presenting a list of different medical functions, wherein said actuating element is configured for being actuated to advance through said medical function list and for being actuated to select initiation of one of said medical functions.

40. The medical device of claim 39, wherein said medical function list is divided into a plurality of categories.

41. The medical device of claim 39, wherein said actuating element is configured for advancing from one function in said medical function list to a subsequent function in said medical function list when actuated one time within a defined period of time, and configured for selecting a current function in said medical function list when actuated two times within said defined period of time.

42. The medical device of claim 39, wherein said at least one operative element is configured for being used in a performance of said medical function.

43. The medical device of claim 39, wherein said processing device is coupled to said handle via an external cable.

44. A medical device, comprising:

a shaft having a distal end and a proximal end;

at least one operative element carried by said distal shaft end;

a handle carried by said proximal shaft end; and

an actuating element associated with said handle, wherein said actuating element has at least two positions and at least two different medical functions are assigned to said actuating element, such that said at least two different medical functions are individually initiated when said actuating element is respectively placed in said at least two positions.

45. A medical device, comprising:

a shaft having a distal end and a proximal end;

at least one operative element carried by said distal shaft end;

a handle carried by said proximal shaft end; and

an actuating element associated with said handle, wherein said actuating element has a first relaxed position, a second unrelaxed position, and a third unrelaxed position, wherein said switch is biased towards said first position upon release of pressure placed on said switch, and wherein at least two different medical functions are assigned to said actuating element, such that one of said at least two different medical functions is initiated when said actuating element is placed in said second position, and another of said at least two different medical functions is initiated when said actuating element is placed in said third position.

46. A medical device, comprising:

an intravascular catheter shaft having a distal end and a proximal end;

at least one operative element carried by said distal shaft end;

a handle carried by said proximal shaft end; and

an actuating element associated with said handle, wherein at least two different medical functions are assigned to said actuating element, such that said at least two different medical functions are individually initiated when said actuating element is respectively actuated in at least two different manners.