Bi-directional steerable catheter control handle

• US 7,691,095 B2
• Filed: 12/28/2004
• Issued: 04/06/2010
• Est. Priority Date: 12/28/2004
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Butler, William Emerson, Stehr, Richard E., Bednarek, Michael C., Wilkowske, Eric J.
• Primary Examiner(s): Lucchesi; Nicholas D
• Assistant Examiner(s): MEDWAY, SCOTT J
• Application Number:
  US11/023,667
• Publication Number:
  US 20060142694A1
• Time in Patent Office: 1,925 Days
• Field of Search: 600/585, 604/523, 604/528, 604/529, 604/95.01, 604/264
• US Class Current: 604/523
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

The present invention is a handle for controlling the deflection of a distal end of a catheter body. The catheter body includes first and second deflection wires that extend through the catheter body from the distal end of the catheter body. The handle comprises a slide base, an adjustment knob, a first slide and a second slide. The slide base includes a first end, a second end, and a slide compartment longitudinally extending through at least a portion of the slide base. The adjustment knob is rotateably connected to the first end of the slide base and includes a hole extending through the knob, wherein at least a portion of an inner diameter of the hole includes an internal right thread and an internal left thread. The first slide is located in the slide compartment, is adapted to be coupled to the first deflection wire, and includes an external right thread. The second slide is located in the slide compartment, is adapted to be coupled to the second deflection wire, and includes an external left thread. The internal threads of the knob engage the threads of the slides. Consequently, in operation, rotation of the adjustment knob causes the slides to displace in opposite directions within the slide compartment and the distal end of the catheter body to deflect accordingly.

Claims

1. A handle for controlling distal end deflection of a catheter body, wherein the catheter body includes first and second deflection wires, the handle comprising:

a slide base including a first end, a second end, and a slide compartment longitudinally extending through at least a portion of the slide base;

an adjustment knob rotateably connected to the first end of the slide base and including a hole extending through the knob, wherein at least a portion of an inner diameter of the hole includes an internal right thread and an internal left thread;

a first slide located in the slide compartment, adapted to be coupled to the first deflection wire and including an external right thread; and

a second slide located in the slide compartment, adapted to be coupled to the second deflection wire and including an external left thread, wherein the internal threads of the knob engage the threads of the slides and rotation of the adjustment knob causes the slides to displace in opposite directions within the slide compartment.

2. The handle of claim 1, further comprising a handle cover, wherein the slide base is received within the handle and the slide compartment is enclosed via the cover.

3. The handle of claim 1, further comprising a wire guide, wherein at least a portion of the guide resides within the hole of the knob and wherein the first and second deflection wires pass through the wire guide.

4. The handle of claim 3, wherein portions of the first and second slides displace along an outer surface of the wire guide.

5. The handle of claim 4, wherein an end of the wire guide is coupled to the catheter body.

6. The handle of claim 4, wherein the first end of the slide base is a distal end and the second end of the slide base is a proximal end.

7. The handle of claim 6, wherein a proximal end of the catheter body is coupled to a distal end of the wire guide.

8. The handle of claim 1, wherein portions of the first and second slides displace along an outer surface of the catheter body.

9. The handle of claim 8, wherein a proximal end of the catheter body is coupled to a proximal end of the handle.

10. The handle of claim 8, further comprising a wire guide positioned between inner surfaces of the slides and an outer surface of the catheter body.

11. The handle of claim 1, wherein the first slide forms a first point of contact with a slide frame and the second slide forms a second point of contact with the slide frame, wherein the points of contact act to prevent the slides from rotationally displacing within the slide compartment when the adjustment knob is rotated.

12. The handle of claim 11, wherein the first point of contact exists between a first side of a slide frame rail and a first half of a groove formed between the first and second slides, wherein the second point of contact exits between a second side of the rail and a second half of the groove.

13. The handle of claim 11, wherein the first point of contact exists between a first planar surface of the compartment and a planar surface of the first slide, wherein the second point of contact exists between a second planar surface of the compartment and a planar surface of the second slide.

14. The handle of claim 1, wherein each slide includes, and threadably receives, a bolt having a longitudinal axis, wherein each slide'"'"'s respective deflection wire passes through the longitudinal axis of the respective bolt.

15. A handle for controlling distal end deflection of a catheter body, wherein the catheter body includes a first deflection wire and a second deflection wire, the handle comprising:

a first handle portion rotateably coupled to a second handle portion; and

a first member and a second member longitudinally displaceable within the handle,

wherein the first member is adapted to couple to the first deflection wire, the second member is adapted to couple to the second deflection wire, rotation of the first handle portion relative to the second handle portion causes the members to displace in opposite directions, and rotational movement of the first handle portion is transmitted into linear movement of the members via a threaded arrangement.

16. The handle of claim 15, wherein the displacement of the members is along a longitudinal axis of the second handle portion.

17. The handle of claim 15, wherein the rotation of the first handle portion is about a longitudinal axis of the second handle portion.

18. The handle of claim 15, wherein the threaded arrangement includes a first right thread along an outer circumferential surface of the first member, a first left thread along an outer circumferential surface of the second member, and a second right thread and a second left thread along an inner circumferential surface of the first handle portion, wherein the left threads are in engagement with each other and the right threads are in engagement with each other.

19. The handle of claim 18, wherein the second right thread is located in a proximal portion of the first handle portion and the second left thread is located in a distal portion of the first handle portion.

20. The handle of claim 18, wherein the second right thread is located in a distal portion of the first handle portion and the second left thread is located in a proximal portion of the first handle portion.

21. The handle of claim 18, wherein the first and second members are positioned relative to each other within the first handle portion in a generally end-to-end arrangement.

22. The handle of claim 18, wherein the second right thread and the second left thread are located generally at the same location within the first handle portion such that the second left thread and the second right thread form a bi-directional threading configuration along the inner circumferential surface of the first handle portion.

23. The handle of claim 22, wherein the first and second members are positioned relative to each other within the first handle portion in a generally side-by-side arrangement.

24. The handle of claim 23, wherein the each member has a generally planar side face that slideably abuts against the generally planar side face of the other member as the members displace oppositely relative to each other.

25. The handle of claim 23, wherein each member has a distal portion that carries the member'"'"'s respective thread and a proximal portion that has a generally planar face for slideably abutting against a generally planar portion of a slot in the second handle portion.

26. The handle of claim 23, wherein each member has a distal portion that carries the member'"'"'s respective thread and a proximal portion that has a first feature for slideably abutting against a second feature in a cavity within the second handle portion, thereby preventing the member from rotationally displacing within the cavity when the first handle portion is rotated relative to the second handle portion.

27. The handle of claim 15, wherein the threaded arrangement includes a first right thread along an inner circumferential surface of the first member, a first left thread along an inner circumferential surface of the second member, and a second right thread and a second left thread along an outer circumferential surface of the first handle portion, wherein the left threads are in engagement with each other and the right threads are in engagement with each other.

28. The handle of claim 27, wherein the second right thread and the second left thread are located generally at the same location on the first handle portion such that the second left thread and the second right thread form a bi-directional threading configuration along the outer circumferential surface of the first handle portion.

29. The handle of claim 28, wherein the first and second members are positioned relative to each other within the first handle portion in a generally side-by-side arrangement.

30. The handle of claim 29, wherein the each member has a generally planar side face that slideably abuts against the generally planar side face of the other member as the members displace oppositely relative to each other.

31. The handle of claim 29, wherein each member has a distal portion that carries the member'"'"'s respective thread and a proximal portion that has a generally planar face for slideably abutting against a generally planar portion of a slot in the second handle portion.

32. The handle of claim 29, wherein each member has a distal portion that carries the member'"'"'s respective thread and a proximal portion that has a first feature for slideably abutting against a second feature in a cavity within the second handle portion, thereby preventing the member from rotationally displacing within the cavity when the first handle portion is rotated relative to the second handle portion.

33. The handle of claim 15, wherein the members displace along an outer surface of the catheter body.

34. The handle of claim 15, further comprising a wire guide extending through at least a portion of the first handle portion, wherein the members displace along an outer surface of the wire guide.

35. The handle of claim 34, wherein the wire guide has a non-circular latitudinal cross-section.

36. The handle of claim 35, wherein the cross-section is generally rectangular.

37. The handle of claim 34, wherein the wire guide has a first feature for engaging a second feature of the first member, thereby preventing the rotational displacement of the first member about the wire guide.

38. The handle of claim 37, wherein the first feature is a groove and the second feature is a key for being slideably received in the groove.

39. The handle of claim 15, wherein the first handle portion includes a cavity and a threaded shaft extending through the cavity and along a longitudinal axis of the first handle portion.

40. The handle of claim 39, wherein the threaded shaft includes a first outer circumferential portion with right hand threads and a second outer circumferential portion with left hand threads.

41. The handle of claim 40, wherein the first member and the second member each include a hole whereby the threaded shaft may pass through each member, wherein the hole of the first member includes a right hand thread on an inner circumferential surface of said hole for engaging the right hand threads of the threaded shaft, and the hole of the second member includes a left hand thread on an inner circumferential surface of said hole for engaging the left hand threads of the threaded shaft.

42. The handle of claim 41, further comprising a wire guide including a feature adapted to prevent the members from rotationally displacing about the threaded shaft when the first handle portion is rotated relative to the second handle portion.

43. The handle of claim 42, wherein the feature is a generally planar portion extending longitudinally along the cavity and against which a generally planar portion of each member may slideably displace.

44. The handle of claim 15, wherein each member includes a coupling arrangement between the member and its respective deflection wire that allows deflection wire tension to be adjusted prior to displacing the member.

45. The handle of claim 15, wherein a coupling arrangement between each member and its respective deflection wire allows a member to displace relative to its respective deflection wire when the member is displacing distally, but requires the wire to displace with the member when the member is displacing proximally.