Catheter with adjustable deflection sensitivity

• US 8,137,308 B2
• Filed: 09/16/2008
• Issued: 03/20/2012
• Est. Priority Date: 09/16/2008
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Schultz, Jeffrey William
• Primary Examiner(s): VU, QUYNH-NHU HOANG
• Application Number:
  US12/211,728
• Publication Number:
  US 20100069834A1
• Time in Patent Office: 1,281 Days
• Field of Search: 604/95.04, 604/159, 604/280, 604/282, 604/170, 604/95.01, 604500-533, 600/585, 600433-434, 600/149
• US Class Current: 604/95.04
• CPC Class Codes: A61B 1/0052 Constructional details of control elements, e.g. handles
• CPC Class Codes: A61B 1/0057 Constructional details of force transmission elements, e.g. control wires
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A catheter that provides bi-directional steering and allows for deflection sensitivity adjustment includes a catheter body, a deflectable tip section and a control handle, wherein the control handle has a deflection member adapted for user manipulation, a deflection assembly responsive to the deflection member to draw on a tensile puller member for deflecting the tip section, and an adjustment mechanism adapted to adjust sensitivity of the deflection member. The adjustment mechanism also correspondingly adjusts a maximum degree of deflection of the tip section. The deflection assembly includes a rotatable pulley arm and two pulleys, and a deflection sensitivity adjustment mechanism with a cam device that varies a separation distance between the pulleys. The cam device is internally located in the pulley arm and is rotatable via deflection sensitivity knob by the user to increase the separation distance for greater deflection sensitivity in a deflection member user interface, or to decrease the separation distance for greater maximum degree of tip deflection.

Claims

1. A bi-directional catheter comprising:

a catheter body;

a deflectable tip section distal the catheter body;

tensile puller members; and

a control handle proximal the catheter body, the control handle having;

a deflection member adapted for user manipulation;

a deflection assembly responsive to the deflection member to draw on one of the tensile puller members for deflecting the tip section, wherein the deflection assembly comprises two diametrically opposed pulleys separated from each other by a diametric separation distance which is adjustable between a maximum diametric separation for minimum deflection sensitivity in the deflection member and a minimum diametric separation for maximum deflection sensitivity in the deflection member; and

a deflection sensitivity knob adapted to adjust sensitivity of the deflection member to manipulation of the deflection member by adjusting the diametric separation distance between the two pulleys.

2. A catheter of claim 1, wherein the deflection sensitivity knob correspondingly adjusts a maximum degree of deflection of the deflection tip section.

3. A catheter of claim 1, wherein the deflection assembly further includes a pulley arm adapted to rotate about a rotation axis wherein the two pulleys are located at opposite positions across the rotation axis.

4. A catheter of claim 3, wherein a respective one of the tensile puller members is actuated by action of the pulley arm on a respective one of the two pulleys to deflect the tip section.

5. A catheter of claim 3, wherein the deflection sensitivity knob includes a cam device adapted to change the separation distance.

6. A catheter of claim 1, wherein the deflection sensitivity knob includes a cam device adapted to act on the deflection assembly.

7. A catheter of claim 6, wherein the cam device is within a pulley arm of the deflection assembly.

8. A catheter of claim 1, wherein each of the tensile puller members includes a fiber portion that extends through the deflection assembly.

9. A catheter of claim 1, further comprising a deflection arm tension adjustment mechanism adapted for user adjustment of a tension of the deflection member, wherein greater tension results in greater resistance to rotation of the deflection member, and lesser tension results in lesser resistance to rotation of the deflection member.

10. A catheter adapted for bi-directional deflection, the catheter comprising:

a catheter body;

a tip section distal the catheter body;

a deflection member adapted for user manipulation;

a control handle proximal the catheter body; and

first and second tensile puller members extending between the tip section and the control handle, wherein the control handle includes;

a deflection assembly responsive to the deflection member to draw on one of the first or second tensile puller members for deflecting the tip section, the deflection assembly having a pulley arm rotatable about an axis, the deflection assembly including two pulleys at diametrically opposed locations across the axis and separated from each other by a diametric separation distance which is adjustable between a maximum diametric separation for minimum deflection sensitivity in the deflection member and a minimum diametric separation for maximum sensitivity in the deflection member, each of the first and second tensile puller members extending through the deflection assembly and trained on a respective one of the two pulleys for deflecting the tip section; and

a deflection sensitivity knob including a cam device adapted to adjust the diametric separation distance between the pulleys.

11. A catheter of claim 10, wherein the control handle further comprises a deflection arm tension adjustment mechanism adapted to enable adjustment of resistance of the deflection member to rotation.

12. A catheter of claim 11, wherein the deflection assembly, the deflection sensitivity knob and the deflection arm tension adjustment mechanism share a common axis of rotation.

13. A catheter of claim 10, wherein each of the tensile puller members has a fiber portion that extends through the deflection assembly.

14. A catheter of claim 10, wherein the cam device is positioned between the pulleys and the cam device has extended portions in contact with the pulley that change the separation distance upon rotation of the cam device.

15. A catheter of claim 10, wherein the cam device is positioned between the pulleys and each of the pulleys has at least one linkage in contact with the cam device such that rotation of the cam device changes the separation distance.

16. A catheter of claim 10, wherein the pulleys are biased against separation from each other.

17. A catheter of claim 10, wherein the deflection assembly and the deflection sensitivity knob share a common axis of rotation.

18. A catheter of claim 10, wherein the cam device is positioned inside the deflection assembly.