Steerable catheter with in-plane deflection

• US 7,959,601 B2
• Filed: 02/14/2005
• Issued: 06/14/2011
• Est. Priority Date: 02/14/2005
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Selkee, Thomas V., McDaniel, Benjamin D.
• Primary Examiner(s): Lucchesi; Nicholas D
• Assistant Examiner(s): PATEL, PRITESH ASHOK
• Application Number:
  US11/058,102
• Publication Number:
  US 20060184106A1
• Time in Patent Office: 2,311 Days
• Field of Search: 604/95.04, 600/139
• US Class Current: 604/95.04
• 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 2017/003 Steerable
• 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

An improved steerable catheter with in-plane deflection comprises a catheter body having proximal and distal ends and a lumen extending therethrough and a tip section at the distal end of the catheter body. The tip section comprises a flexible plastic tubing having a pair of diametrically-opposed lumens extending therethrough. The catheter also provides two puller wires manipulated through a control handle at the proximal end of the catheter body. Each puller wire extends through one of the pair of lumens in the tip section and through the lumen of the catheter body and is anchored to the control handle at its proximal end and anchored to the tip section at its distal end. The deflection mechanism is configured to generally define a plane along which deflection most readily occurs and an edge along which deflection is most readily avoided. The deflection mechanism extends longitudinally along a centerline of the tip section between the first and second puller wire and is configured generally with a cross section having a thinner dimension and a thicker dimension to bias the tip section to deflect in a plane parallel with the thinner dimension of the deflection mechanism and to resist deflection in a plane perpendicular to thicker dimension.

Claims

1. A steerable catheter comprising:

an elongated, flexible tubular catheter body having proximal and distal ends and a lumen extending therethrough;

a tip section at the distal end of the catheter body, the tip section comprising a flexible plastic tubing having a pair of diametrically-opposed lumens extending therethrough;

a control handle at the proximal end of the catheter body;

first and second puller wires, each extending through one of the pair of lumens in the tip section and through the lumen of the catheter body, each having a proximal end anchored to the control handle and a distal end anchored to the tip section, whereby the puller wires are longitudinally moveable relative to the catheter body to cause deflection of the tip section; and

an elongated deflection mechanism extending in the tip section without contacting the first and second puller wires, the deflection mechanism comprising a plurality of deflection members and having a first centroidal axis and a second centroidal axis and configured as such to define a lesser area moment of inertia about the first centroidal axis and a greater area moment of inertia about the second centroidal axis for providing the tip section with in-plane deflection, wherein at least one of the plurality of deflection members has a distal end anchored in a location different than an anchor location of a distal end of another of the plurality of deflection members.

2. A catheter of claim 1, wherein the deflection mechanism biases the tip section to flex in a plane parallel with the second centroidal axis with the greater area moment of inertia.

3. A catheter of claim 1, wherein the first and the second centroidal axes are generally orthogonal to each other.

4. A catheter according to claim 1, wherein the deflection mechanism is positioned along a centerline of the tip section.

5. A catheter according to claim 1, further comprising a tip electrode at the distal end of the tip section.

6. A catheter according to claim 5, wherein a distal end of the deflection mechanism extends into the tip electrode.

7. A catheter according to claim 1, further comprising an infusion tube extending through the catheter body and a third lumen through the tip section.

8. A catheter according to claim 1, wherein the first and second lumens each have a generally circular cross section.

9. A catheter according to claim 1, wherein the first and second lumens each have a generally semi-circular cross section.

10. A catheter according to claim 1, wherein at least one of the first and second lumens also carries another component.

11. A catheter according to claim 10, wherein the component is an infusion tube.

12. A catheter according to claim 10, wherein the component is a lead wire.

13. A catheter according to claim 10, wherein the component is a cable.

14. A catheter according to claim 1, wherein the deflection mechanism comprises nitinol.

15. A catheter according to claim 1, wherein the deflection mechanism has shape memory.

16. A catheter according to claim 1, wherein the tubing of the tip section is extruded over the deflection mechanism.

17. A catheter according to claim 1, wherein the tip section is more flexible than the catheter body.

18. A catheter according to claim 1, wherein the deflection mechanism comprises plastic.

19. A catheter according to claim 1, wherein the deflection mechanism comprises polyimide.

20. A steerable catheter comprising:

an elongated, flexible tubular catheter body having proximal and distal ends and a lumen extending therethrough;

a tip section at the distal end of the catheter body, the tip section comprising a flexible plastic tubing having a pair of diametrically-opposed lumens extending therethrough;

a control handle at the proximal end of the catheter body;

first and second puller wires, each extending through one of the pair of lumens in the tip section and through the lumen of the catheter body, each having a proximal end anchored to the control handle and a distal end anchored to the tip section, whereby the puller wires are longitudinally moveable relative to the catheter body to cause deflection of the tip section; and

a deflection mechanism generally extending longitudinally along a centerline of the tip section and situated between the first and second puller wires without contacting the first and second puller wires, the deflection mechanism comprising a plurality of deflection members and having a thicker dimension and a thinner dimension so as to bias the tip section to deflect in a plane parallel with the thinner dimension and resist deflection in a plane parallel with the thicker dimension, wherein at least one of the plurality of deflection members has a distal end anchored in a location different than an anchor location of a distal end of another of the plurality of deflection members.

21. A catheter according to claim 20, wherein the deflection mechanism has a rectangular cross-section.

22. A catheter according to claim 20, wherein the deflection mechanism has a cross-section that is generally uniform along the length of the deflection mechanism.

23. A catheter according to claim 20, wherein the deflection mechanism has a cross-section that decreases along the length of the deflection mechanism from the proximal end to the distal end.

24. A catheter according to claim 20, wherein the deflection members are arranged in an array of N rows by M columns.

25. A catheter according to claim 24, wherein N=1 and M ranges between 2 and 50.

26. A catheter according to claim 24, wherein N=2 and M ranges between 3 and 10.

27. A catheter according to claim 24, wherein the columns are offset.

28. A catheter according to claim 20, wherein the deflection mechanism has a cross section defined by W and T where W is the thicker dimension, T is the thinner dimension, and W=nT with n being 2 to 20.

29. A steerable catheter comprising:

an elongated, flexible tubular catheter body having proximal and distal ends and a lumen extending therethrough;

a tip section at the distal end of the catheter body, the tip section comprising a flexible plastic tubing having a pair of diametrically-opposed lumens extending therethrough;

a control handle at the proximal end of the catheter body;

first and second puller wires, each extending through a different one of the pair of lumens of the tip section and through the lumen of the catheter body, each having a proximal end anchored to the control handle and a distal end anchored to the tip section, whereby the first and second puller wires are longitudinally moveable relative to the catheter body to cause deflection of the tip section; and

a deflection mechanism extending in the tip section without contacting the first and second puller wires, the deflection mechanism comprising a plurality of deflection members and having a lesser surface area along a first axis and a greater surface area along a second axis, wherein the deflection mechanism biases the tip section to deflect in a plane generally orthogonal to the greater surface area along the second axis, wherein at least one of the plurality of deflection members has a distal end anchored in a location different than an anchor location of a distal end of another of the plurality of deflection members.

30. A catheter of claim 29, wherein the deflection mechanism comprises a multitude of elongated fibers.

31. A catheter of claim 29, where in the deflection mechanism has a thinness T along the first axis and a width W along the second axis and W=nT where n is 2 to 20.

32. A catheter of claim 31, wherein n ranges between 10 and 15.

33. A catheter of claim 31, wherein n is about 12.

34. A deflection mechanism in a catheter with a tip section deflectable by two puller wires, comprising:

an array of a plurality of elongated deflection members extending longitudinally in the tip section generally between the two puller wires without contacting the two puller wires, wherein at least one of the plurality of deflection members in the array has a distal end anchored in a location different than an anchor location of a distal end of another of the plurality of deflection members, the array comprising;

a cross section comprising;

a width in a first dimension;

a thinness in a second dimension;

a first centroidal axis parallel to the first dimension;

a second centroidal axis parallel to the second dimension;

a lesser area moment of inertia about the second centroidal axis; and

a greater area moment of inertia about the first centroidal axis,

wherein the deflection mechanism biases the tip section to deflect in a plane generally parallel with the second dimension.

35. A deflection mechanism in a catheter with a tip section deflectable by two puller wires, comprising:

an array of a plurality of elongated deflection members extending longitudinally in the tip section generally between the two puller wires without contacting the two puller wires, wherein at least one of the plurality of deflection members in the array has a distal end anchored in a location different than an anchor location of a distal end of another of the plurality of deflection members, the array comprising;

a cross section comprising;

a width in a first dimension;

a thinness in a second dimension;

a first centroidal axis parallel to the first dimension;

a second centroidal axis parallel to the second dimension;

a lesser area moment of inertia about the second centroidal axis; and

a greater area moment of inertia about the first centroidal axis,

wherein the deflection mechanism biases the tip section to deflect in a plane generally perpendicular to the first dimension.

36. A deflection mechanism in a catheter with a tip section deflectable by two puller wires, comprising:

an array of a plurality of elongated deflection members extending longitudinally in the tip section generally between the two puller wires without contacting the two puller wires, wherein at least one of the plurality of deflection members in the array has a distal end anchored in a location different than an anchor location of a distal end of another of the plurality of deflection members, the array comprising;

a cross section comprising;

a width in a first dimension;

a thinness in a second dimension;

a first centroidal axis parallel to the first dimension;

a second centroidal axis parallel to the second dimension;

a lesser area moment of inertia about the second centroidal axis; and

a greater area moment of inertia about the first centroidal axis,

wherein the deflection mechanism biases the tip section to deflect in a plane generally parallel with the second centroidal axis.

37. A deflection mechanism in a catheter with a tip section deflectable by two puller wires, comprising:

an array of a plurality of elongated deflection members extending longitudinally in the tip section generally between the two puller wires without contacting the two puller wires, wherein at least one of the plurality of deflection members in the array has a distal end anchored in a location different than an anchor location of a distal end of another of the plurality of deflection members, the array comprising;

a cross section comprising;

a width in a first dimension;

a thinness in a second dimension;

a first centroidal axis parallel to the first dimension;

a second centroidal axis parallel to the second dimension;

a lesser area moment of inertia about the second centroidal axis; and

a greater area moment of inertia about the first centroidal axis,

wherein the deflection mechanism biases the tip section to deflect in a plane generally perpendicular with the first centroidal axis.