Catheter driver system

• US 8,414,505 B1
• Filed: 10/11/2002
• Issued: 04/09/2013
• Est. Priority Date: 02/15/2001
• Status: Active Grant

• Current Assignee: Auris Health, Inc. (Johnson & Johnson)
• Original Assignee: Hansen Medical Incorporated (Johnson & Johnson)
• Inventors: Weitzner, Barry, Murphy, Brian
• Primary Examiner(s): Szmal, Brian
• Assistant Examiner(s): SMITH, FANGEMONIQUE A
• Application Number:
  US10/270,743
• Time in Patent Office: 3,833 Days
• Field of Search: 600/585, 600/385, 600/146, 600/151, 600/141, 604/164.09, 604/164.12, 604/158
• US Class Current: 600/585
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• 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: A61B 2034/301 for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
• CPC Class Codes: A61B 2034/742 Joysticks
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61M 25/0113 Mechanical advancing means, e.g. catheter dispensers
• CPC Class Codes: A61M 25/0133 Tip steering devices
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

An apparatus for performing medical procedures on an anatomical body includes an extension with an element near its distal end to be extended into the body, and a driver that moves the extension axially into the body, and that causes flexure of the distal end of the extension. The movement and flexure of the extension is driven by the driver from the proximal end of the extension, and an electronic controller directs the operation of the driver.

Claims

1. A medical system, comprising:

a medical probe including an elongated body having a proximal end and a distal end, one or more operative elements carried by the distal end of the elongated body, a probe handle mounted to the proximal end of the elongated body, wherein a control element on the probe handle is operatively coupled with a steering mechanism located in the probe handle, and wherein mechanical manipulation of the control element on the probe handle causes corresponding movement of the distal end of the elongated body by the steering mechanism;

a user input device configured for generating user signals corresponding to a desired movement of the distal end of the elongated body in response to a user actuation of the user input device;

an electronic controller configured for generating electrical control signals corresponding to a mechanical manipulation of the control element in response to the user signals generated by the user input device; and

a probe driver configured for removable mounting of the probe handle and for interfacing with the control element on the probe handle to mechanically manipulate the control element in response to the control signals generated by the electronic controller, thereby causing corresponding movement of the distal end of the elongated body.

2. The medical system of claim 1, wherein the elongated body is flexible.

3. The medical system of claim 1, wherein the elongated body is configured for being introduced through a blood vessel.

4. The medical system of claim 1, wherein the user input device comprises one or more of a joystick, wheel, or dial.

5. The medical system of claim 1, wherein mechanical manipulation of the control element on the probe handle causes corresponding movement of the distal end of the elongated body in a plurality of degrees-of-freedom.

6. The medical system of claim 1, wherein mechanical manipulation of the control element on the probe handle causes a flexure of the distal end of the elongated body.

7. The medical system of claim 6, wherein the flexure is bi-directional in a single plane.

8. The medical system of claim 6, wherein the flexure is in orthogonal planes.

9. The medical system of claim 1, wherein the driver is configured for axially translating the elongated body in response to the electrical control signals generated by the electrical controller.

10. The medical system of claim 1, wherein the driver is configured for rotating the elongated body about a longitudinal axis in response to the electrical control signals generated by the electrical controller.

11. The medical system of claim 1, wherein the driver includes a drive mechanism configured for interfacing with the control element, and one or more motors coupled between the drive mechanism and the electrical controller.

12. The medical system of claim 1, wherein the control element comprises at least one dial.

13. The medical system of claim 9, wherein the driver includes a drive block and a carriage slidably mounted to the block, and wherein the probe handle is removably mounted to the carriage.

14. The medical system of claim 13, wherein the driver further includes a guide bar mounted to the drive block, and the carriage is configured for moving back and forth along the guide bar in a linear direction.

15. The medical system of claim 14, wherein the driver further includes a drive screw rotatably mounted to the drive block, the drive screw having threads that engage the carriage, wherein axial rotation of the drive screw moves the carriage back and forth along the guide bar in the linear direction.

16. The medical system of claim 15, further comprising a motor mounted to the drive block, the motor configured for rotating the drive screw relative to the drive block.

17. The medical system of claim 10, wherein the driver further includes a clamp in which the probe handle is removably mounted, a shaft mounted to the clamp, and a gear mounted to the shaft, wherein rotation of the gear rotates the probe handle and, thus, the elongated member about the longitudinal axis.

18. The medical system of claim 7, wherein the driver includes one or more drive pieces that directly interface with the control element to flex the distal end of the elongated body.

19. A medical system, comprising:

a medical probe including an elongated body having a proximal end and a distal end, one or more operative elements carried by the distal end of the elongated body, a probe handle mounted to the proximal end of the elongated body, and a control element on the probe handle and operatively coupled with a steering mechanism in the probe handle, wherein the control element is manually manipulable, and a manual manipulation of the control element on the probe handle causes corresponding movement of the distal end of the elongated body by the steering mechanism;

a user input device configured for generating user signals corresponding to a desired movement of the distal end of the elongated body in response to a user actuation of the user input device;

an electronic controller configured for generating electrical control signals corresponding to a mechanical manipulation of the control element in response to the user signals generated by the user input device; and

a probe driver configured for removable mounting of the probe handle and for interfacing with the control element on the probe handle to mechanically manipulate the control element in response to the control signals generated by the electronic controller, thereby causing corresponding movement of the distal end of the elongated body without any manual manipulation of the control element on the probe handle.