Controlling movement of distal portion of medical device

• US 9,192,744 B2
• Filed: 06/06/2012
• Issued: 11/24/2015
• Est. Priority Date: 12/28/2007
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Ostrovsky, Isaac, McIntyre, Jon T., Slanda, Jozef
• Primary Examiner(s): Schmidt, Emily
• Assistant Examiner(s): DARB, HAMZA A.
• Application Number:
  US13/490,199
• Publication Number:
  US 20120265133A1
• Time in Patent Office: 1,266 Days
• Field of Search: 604/95.04, 604/528, 604/95.01, 604/95.02, 604/95.03, 604/510, 161/101, 16405-430, 161/111, 161/141
• US Class Current: 1/1
• CPC Class Codes: A61B 1/0052 Constructional details of control elements, e.g. handles
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A medical device allows movement control of a distal end portion of the medical device and is adapted for one-handed operation. The medical device is capable of omni-directional control of the distal end portion of the device. The device has an elongated member including a deflectable portion at a distal end portion of the elongated member. The device also has a control portion disposed on the elongated member. This control portion can be a handle for one-handed use by an operator of the medical device. The control portion comprises an elastic element and a flexible element. Angular movement of a first portion of the control portion with respect to a second portion of the control portion results in amplification of that angular movement in the deflectable portion of the device.

Claims

1. A medical device, comprising:

an elongated member including a distal end portion and a proximal end portion, the distal end portion including a deflectable region;

a control portion including an elastic elongated member defining a plurality of lumens extending between a proximal end portion and a distal end portion of the elastic elongated member, wherein the control portion is configured to transition between (i) an elastically deformed configuration, wherein the control portion elastically deforms in response to an applied force, and (ii) a neutral, undeformed configuration, wherein the control portion inherently returns to the neutral, undeformed configuration when the applied force is removed; and

a first locking element disposed on the proximal end portion of the elastic elongated member, the first locking element fixedly attached to a proximal end portion of a pull wire disposed within one of the plurality of lumens;

wherein elastic movement of a first portion of the control portion with respect to a second portion of the control portion is configured to deflect the deflectable region of the elongated member, and wherein removal of the applied force returns the deflectable region to an undeflected state.

2. The medical device of claim 1, further including:

a second locking element disposed on the distal end portion of the elastic elongated member and proximal to the elongated member, the second locking member defining a plurality of openings corresponding to the plurality of lumens of the elastic elongated member, wherein at least one of the first and second locking elements is coupled to the proximal end portion of the elastic elongated member.

3. The medical device of claim 2, wherein the pull wire includes a plurality of pull wires corresponding in number to the plurality of lumens, each pull wire of the plurality of pull wires being disposed within a respective lumen of the plurality of lumens, and each pull wire having an outer diameter less than an inner diameter of its respective lumen.

4. The medical device of claim 1, further including a flexible element extending from the proximal end portion of the elastic elongated member to the distal end portion of the elastic elongated member, wherein the flexible element is substantially non-compressible in a longitudinal direction relative to the elastic elongated member.

5. The medical device of claim 4, wherein the flexible element includes a cylindrical rod.

6. The medical device of claim 1, wherein the elastic elongated member is a cylindrical rod that is at least one of substantially compressible and stretchable in response to the applied force.

7. The medical device of claim 6, wherein a lengthwise cross-section of the elastic elongated member includes a first side and a second side, wherein movement of the first portion of the control portion with respect to the second portion of the control portion includes compressing one of the first side and the second side of the elastic elongated member, and stretching the other of the first side and the second side of the elastic elongated member.

8. The medical device of claim 7, further including:

a plurality of pull wires, each pull wire of the plurality of pull wires disposed within a respective lumen of the plurality of lumens; and

wherein elastic deformation of the control portion is configured to simultaneously displace at least one of the plurality of pull wires with respect to the corresponding lumen of the plurality of lumens a first distance, and displace at least one other of the plurality of pull wires with respect to the corresponding lumen a second distance, the first distance and the second distance being substantially equivalent.

9. A medical device, comprising:

an elongated member including a distal end portion and a proximal end portion, the distal end portion including a deflectable region;

a control portion including an elastic elongated member defining a plurality of lumens extending between a proximal end portion and a distal end portion of the elastic elongated member, wherein the control portion is configured to transition between (i) an elastically deformed configuration, wherein the control portion elastically deforms in response to an applied force, and (ii) a neutral, undeformed configuration, wherein the control portion inherently returns to the neutral, undeformed configuration when the applied force is removed; and

an elongate flexible member extending through one of the plurality of lumens;

wherein elastic movement of a first portion of the control portion with respect to a second portion of the control portion is configured to deflect the deflectable region of the elongated member, removal of the applied force returns the deflectable region to an undeflected state, and a longitudinal length of the flexible member is substantially constant regardless of a configuration of the control portion.

10. The medical device of claim 9, wherein the elongate flexible member is substantially non-compressible in a longitudinal direction relative to the elastic elongated member.

11. The medical device of claim 9, wherein the elongate flexible member includes at least one of a mandrel and a spring.

12. The medical device of claim 9, further including:

a first locking element disposed on the proximal end portion of the elastic elongated member, wherein the first locking element is fixedly attached to a proximal end portion of a pull wire disposed within one of the plurality of lumens, and is rigidly attached to a distal portion of the elongate flexible member such that an angle formed between the first locking element and the elongate flexible member is constant regardless of the configuration of the control portion.

13. The medical device of claim 12, further including:

a second locking element disposed on the distal end portion of the elastic elongated member and proximal to the elongated member, the second locking member defining a plurality of openings corresponding to the plurality of lumens of the elastic elongated member.

14. The medical device of claim 9, wherein the elastic elongated member is at least one of substantially compressible and stretchable in response to the applied force, and the elastic elongated member is an elastic sleeve formed of an elastic material.

15. The medical device of claim 14, wherein the elastic sleeve includes at least one longitudinally compressible spring.

16. A medical device, comprising:

an elongated member including a distal end portion and a proximal end portion, the distal end portion including a deflectable region; and

a control portion including an elastic elongated member defining a plurality of lumens extending between a proximal end portion and a distal end portion of the elastic elongated member, wherein the control portion is configured to transition between (i) an elastically deformed configuration, wherein the control portion elastically deforms in response to an applied force, and (ii) a neutral, undeformed configuration, wherein the control portion inherently returns to the neutral, undeformed configuration when the applied force is removed;

wherein elastic movement of a first portion of the control portion with respect to a second portion of the control portion is configured to deflect the deflectable region of the elongated member, and wherein removal of the applied force returns the deflectable region to an undeflected state.

17. The medical device of claim 16, wherein the elastic elongated member is at least one of substantially compressible and stretchable in response to the applied force, and the elastic elongated member is a rod formed of an elastic material.

18. The medical device of claim 17, wherein a lengthwise cross-section of the elastic elongated member includes a first side and a second side, wherein movement of the first portion of the control portion with respect to the second portion of the control portion includes compressing one of the first side and the second side of the elastic elongated member, and stretching the other of the first side and the second side of the elastic elongated member.

19. The medical device of claim 18, further including:

a plurality of pull wires, wherein each pull wire of the plurality of pull wires is disposed within a respective lumen of the plurality of lumens; and

wherein elastic deformation of the control portion is configured to simultaneously displace at least one of the plurality of pull wires with respect to the corresponding lumen of the plurality of lumens a first distance, and displace at least one other of the plurality of pull wires with respect to the corresponding lumen a second distance, the first distance and the second distance being substantially equivalent.

20. The medical device of claim 16, further including:

an elongate flexible member extending through one of the plurality of lumens, wherein the flexible member is substantially non-compressible in a longitudinal direction relative to the elastic elongated member, and the flexible member is monolithically constructed with a locking member at one of a distal end and a proximal end of the elastic elongated member.