MRI compatible handle and steerable sheath

• US 9,192,743 B2
• Filed: 05/06/2015
• Issued: 11/24/2015
• Est. Priority Date: 12/15/2011
• Status: Active Grant

• Current Assignee: Imricor Medical Systems, Inc.
• Original Assignee: Imricor Medical Systems, Inc.
• Inventors: Stenzel, Gregg S., Brutlag, Bryan, Wedan, Steven R., Page, Douglas A., Lloyd, Thomas W., Kalthoff, James Alan
• Primary Examiner(s): Thomson, William
• Assistant Examiner(s): Shapiro, Victor
• Application Number:
  US14/705,617
• Publication Number:
  US 20150231365A1
• Time in Patent Office: 202 Days
• Field of Search: 606/1, 606/194, 600/374, 600/463, 607/122, 604/523, 604/528, 604/532
• US Class Current: 1/1
• CPC Class Codes: A61M 25/0052 Localized reinforcement, e.g. where only a specific part of the catheter is reinforced, for rapid exchange guidewire port
• CPC Class Codes: A61M 25/0054 with regions for increasing flexibility
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• CPC Class Codes: A61M 25/0108 using radio-opaque or ultrasound markers
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires
• CPC Class Codes: G01R 33/285 Invasive instruments, e.g. catheters or biopsy needles, specially adapted for tracking, guiding or visualization by NMR
• CPC Class Codes: G01R 33/286 involving passive visualization of interventional instruments, i.e. making the instrument visible as part of the normal MR process
• CPC Class Codes: G01R 33/287 involving active visualization of interventional instruments, e.g. using active tracking RF coils or coils for intentionally creating magnetic field inhomogeneities
• CPC Class Codes: G01R 33/48 NMR imaging systems

Abstract

A method of using a MR compatible deflectable catheter is provided. The MR compatible deflectable catheter includes a steerable sheath having a tubular shaft. The tubular shaft receives first and second longitudinal movement wires at a distal end thereof. A control handle is coupled to a proximal end of the first and second longitudinal movement wires and causes longitudinal movement of the wires. Longitudinal movement of the wires causes the catheter to deflect approximately 180 degrees.

Claims

1. A method of deflecting a deflectable catheter comprising:

providing a steerable sheath having a tubular shaft defining a longitudinal axis, said tubular shaft receiving first and second longitudinal movement wires each having first and second ends, said first ends operably coupled to a distal end of said tubular shaft and said second ends operably coupled to first and second rack screws;

providing a control handle having a main body configured to receive said first and second rack screws, said first and second rack screws mechanically coupled to each other by mechanical coupling means such that movement of said second rack screw along the longitudinal axis of the tubular shaft causes movement of said first rack screw in an opposite direction along the longitudinal axis of the tubular shaft, said second rack screw including a threaded portion on an outer surface at an end thereof;

providing a rotatable adjustment knob having an internal thread matingly engageable solely with the threaded outer surface of said second rack screw and moveable between a first position and a second position in which the internal thread is configured to engage solely the thread on the outer surface of the second rack screw;

rotating said rotatable adjustment knob to said first position thereby causing engagement of the outer thread of said second rack screw such that said second rack screw moves proximally along the longitudinal axis of the tubular shaft and proximal movement of said second rack screw causes distal movement of said first rack screw thereby releasing tension on the first longitudinal movement wire and causes proximal longitudinal movement of the second longitudinal movement wire;

rotating said rotatable adjustment knob to said second position thereby causing engagement of the outer thread of said second rack screw such that said second rack screw moves distally along the longitudinal axis of the tubular shaft and distal movement of said second rack screw thereby releases tension of the second longitudinal movement wire and causes said first rack screw to move proximally thereby causing proximal longitudinal movement of the first longitudinal movement wire.

2. The method of claim 1 wherein said mechanical coupling means comprise pinion gears.

3. The method of claim 2 further comprising causing said pinion gears to movably advance along a threaded internal channel of said rack screws in the distal direction relative to the second rack screw and in the proximal direction relative the first rack screw thereby causing said first rack screw to move distally thereby releasing tension on said first longitudinal movement wire and causing said second rack screw to move proximally thereby causing tension on said second longitudinal movement wire to moveably cause the distal end of the steerable sheath to deflect to at least 180 degrees in a first direction from a longitudinal axis of said tubular shaft.

4. The method of claim 2 further comprising causing said pinion gears to movably advance along the threaded internal channel in the proximal direction relative to the second rack screw and in the distal direction relative to the first rack screw thereby causing said second rack screw to move distally thereby releasing tension on said second longitudinal movement wire and causing said first rack screw to move proximally thereby causing tension of said first longitudinal movement wire thereby causing the distal end of the steerable sheath to deflect to at least 180 degrees in a second direction from a longitudinal axis of said tubular shaft.