Flexible and steerable elongate instruments with shape control and support elements

• US 9,254,123 B2
• Filed: 04/29/2009
• Issued: 02/09/2016
• Est. Priority Date: 04/29/2009
• Status: Active Grant

• Current Assignee: Auris Health, Inc. (Johnson & Johnson)
• Original Assignee: Hansen Medical Incorporated (Johnson & Johnson)
• Inventors: Alvarez, Jeffery B., MacNamara, Francis, Romo, Enrique, Tanner, Neal A., Yee, William K., Lewis, Casey
• Primary Examiner(s): Price, Nathan R
• Application Number:
  US12/432,683
• Publication Number:
  US 20100280449A1
• Time in Patent Office: 2,477 Days
• Field of Search: 604/95.01, 604 9503- 9505, 604523-527
• US Class Current: 1/1
• CPC Class Codes: A61B 1/00078 with stiffening means
• CPC Class Codes: A61B 1/0055 Constructional details of insertion parts, e.g. vertebral elements
• CPC Class Codes: A61B 1/0057 Constructional details of force transmission elements, e.g. control wires
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00305 Constructional details of the flexible means
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions
• 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 2034/303 specifically adapted for manipulations within body lumens, e.g. within lumen of gut, spine, or blood vessels
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61M 2025/015 Details of the distal fixation of the movable mechanical means
• CPC Class Codes: A61M 2025/0161 wherein the distal tips have two or more deflection regions
• CPC Class Codes: A61M 2025/0293 Catheter, guide wire or the like with means for holding, centering, anchoring or frictionally engaging the device within an artificial lumen, e.g. tube natural lumen, e.g. vessels A61M25/04
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0138 having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
• 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
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body

Abstract

An instrument having a flexible and elongated body includes at least a lumen and a flex member disposed within the lumen. The flex member may be capable of providing steering control to a first portion of the elongate body while providing load bearing support to a second portion of the elongate body. A pull wire may be disposed within the flex member, and at least a distal portion of the pull wire may be coupled to the elongate body and a proximal portion of the pull wire may be operatively coupled to a control unit. The control unit may be coupled to a proximal portion of the elongate body. In addition, a control member may be operatively coupled to the control unit such that a distal portion of the control member may be positioned near a proximal portion of the flex member. The control member may be configured to support the flex member and control the movement or displacement of the flex member. Furthermore, the flex member may be configured to selectively decouple articulation or steering forces of a first portion of the elongate body away from a second portion of the elongate body; thereby, preventing compression of the second portion of the elongate body while maintaining elasticity or flexibility of the second portion of the elongate body.

Claims

1. A steerable elongate instrument, comprising:

an elongate body comprising a proximal portion, a distal portion, a first lumen and a plurality of secondary lumens within the elongate body;

a plurality of flex members disposed within the secondary lumens, wherein each flex member is disposed within a different one of the secondary lumens, wherein a distal end of each of the flex members is anchored to the distal portion of the elongate body and a proximal portion of each of the flex members is fixedly coupled to a control unit positioned proximal to the elongate body, and wherein each flex member comprises a buffer length extending proximally beyond the respective secondary lumen and forming a service loop, each service loop adjustable such that, when a portion of the elongate body bends, the service loop positioned along a stretched region of the elongate body slides at least partially into the respective secondary lumen and the service loop positioned along a contracted region of the elongate body slides at least partially out of the respective secondary lumen; and

a plurality of pull wires disposed within the flex members, wherein each pull wire is disposed within a different one of the flex members, and wherein a distal portion of each pull wire is coupled to the distal portion of the elongate body and a proximal portion of each pull wire is operatively coupled to a gear or pulley of the control unit.

2. The elongate instrument of claim 1, wherein the distal portion of each pull wire is coupled to the elongate body through a control ring fixedly coupled to the elongate body.

3. The elongate instrument of claim 1, further comprising a plurality of liners, wherein a respective liner is disposed within each of the secondary lumens.

4. The elongate instrument of claim 3, wherein the respective liner is disposed between the secondary lumen and the flex member.

5. The elongate instrument of claim 1, further comprising a plurality of support members, each support member comprising:

a distal portion fixedly coupled to the distal portion of the elongate body; and

a proximal portion operatively coupled to the distal end of one of the flex members.

6. The elongate instrument of claim 5, wherein the proximal portion of each support member slidably engages the distal end of the respective flex member.

7. The elongate instrument of claim 6, wherein each support member engages the respective flex member through a lumen of the respective flex member.

8. The elongate instrument of claim 1, wherein each of the flex members is a coil tube.

9. The elongate instrument of claim 1, wherein each of the flex members is a ring tube.

10. The elongate instrument of claim 1, further comprising a plurality of operation tubes.

11. A steerable elongate instrument, comprising:

an elongate body comprising a proximal portion, a distal portion, a first lumen and at least two secondary lumens within the elongate body;

at least two flex members disposed within the at least two secondary lumens, wherein each flex member is disposed within a different one of the secondary lumens, wherein the at least two flex members are configured to provide steering control to a first portion of the elongate body and load bearing support to a second portion of the elongate body, wherein each of the at least two flex members includes a buffer length configured such that at least a portion of the buffer length forms a service loop that is slideable into and out of the elongate body at a proximal end of the elongate body, wherein a distal end of each flex member is anchored to the distal portion of the elongate body, wherein a proximal portion of each flex member is fixedly coupled to a control unit positioned proximal to the elongate body, and wherein, when a portion of the elongate body bends, a first one of the at least two flex members located on an extended region of the elongate body slides at least partially into one of the at least two secondary lumens, and a second one of the at least two flex members located on a contracted region of the elongate body slides at least partially out of into another of the at least two secondary lumens; and

at least two pull wires, wherein each pull wire is disposed within one of the at least two flex members, wherein a distal portion of each pull wire is coupled to the distal portion of the elongate body, and a proximal portion of each pull wire is operatively coupled to the control unit.

12. The elongate instrument of claim 11, wherein the at least two flex members anchored to the distal portion of the elongate body are configured to decouple articulation or steering forces of the first portion of the elongate body away from the second portion of the elongate body to the at least two flex members, thereby preventing compression of the second portion of the elongate body from the articulation or steering forces while maintaining flexibility of the second portion of the elongate body.

13. The elongate instrument of claim 11, further comprising at least two liners disposed within the at least two secondary lumens, wherein each of the at least two liners is disposed within one of the at least two secondary lumens, and wherein each of the at least two liners comprises a slidable surface for the at least two flex members to slide within the secondary lumens.

14. The elongate instrument of claim 13, wherein the slidable surface of each of the liners decouples each of the flex members from the elongate body.

15. The elongate instrument of claim 11, wherein the at least two pull wires are coupled to the elongate body through a control ring fixedly coupled to the elongate body.

16. The elongate instrument of claim 11, further comprising a support member, comprising:

a distal portion fixedly coupled to the distal portion of the elongate body; and

a proximal portion operatively coupled to the distal ends of the at least two flex members.

17. The elongate instrument of claim 16, wherein the proximal portion of the support member is configured to slide along the distal ends of the at least two flex members.

18. The elongate instrument of claim 17, wherein the proximal portion of the support member slides along inside a lumen of each of the at least two flex members.

19. The instrument of claim 11, wherein the at least two flex members are configured to selectively decouple articulation or steering forces of the first portion of the elongate body away from the second portion of the elongate body, thereby preventing compression of the second portion of the elongate body while maintaining flexibility of the second portion of the elongate body.

20. A steerable elongate instrument, comprising:

an elongate body comprising a proximal portion, a distal portion, a primary lumen and a plurality of secondary lumens within the elongate body;

a plurality of flex members disposed within the plurality of secondary lumens, wherein each flex member is disposed within a different one of the secondary lumens, the flex members configured to provide steering control to a distal portion of the elongate body and load bearing support to a proximal portion of the elongate body, wherein each of the flex members includes a buffer length configured such that at least a portion of the buffer length forms a service loop that is slideable into and out of the elongate body at a proximal end of the elongate body, wherein a distal end of each flex member is anchored to the distal portion of the elongate body, wherein a proximal portion of each flex member is fixedly coupled to a control unit positioned proximal to the elongate body, and wherein, when a portion of the elongate body bends, the service loop positioned along a stretched region of the elongate body slides at least partially into the respective secondary lumen and the service loop positioned along a contracted region of the elongate body slides at least partially out of the respective secondary lumen; and

a plurality of pull wires disposed within the plurality of flex members, wherein each pull wire is disposed within a different one of the flex members, and wherein a distal portion of each pull wire is coupled to the distal portion of the elongate body at a different location and a proximal portion of each pull wire is operatively coupled to the control unit, the control unit being configured to operate the pull wires for applying forces to articulate or steer the distal portion of the elongate body.