Catheter actuators providing mechanical advantage

• US 9,375,550 B2
• Filed: 03/15/2013
• Issued: 06/28/2016
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Tegg, Troy T
• Primary Examiner(s): Price, Nathan R
• Assistant Examiner(s): Snyder, Melissa A
• Application Number:
  US13/840,176
• Publication Number:
  US 20140276222A1
• Time in Patent Office: 1,201 Days
• US Class Current: 1/1
• 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 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

Catheter actuators providing a mechanical advantage are disclosed. The actuators include a pull wire arm guide plate and a drive wheel attached around the pull wire arm guide plate and pivotable relative to the guide plate, the drive wheel comprising at least one thumb boss for pivoting the drive wheel about a drive wheel axis of rotation. The drive wheel mechanically engages at least one pull wire arm slidably mounted in a pull wire arm channel in the pull wire arm guide plate. A mechanism transfers drive wheel input into longitudinal motion of the at least one pull wire arm. The mechanism may include, for example, a pin pushing against a bendable pushing member riding in an arcuate pin groove in a top surface of the guide plate, or a pin pushing against a surface of a cam arm pivotably mounted on the top surface of the guide plate.

Claims

1. A pull wire actuator comprising the following:

(a) a pull wire arm guide plate adapted to be mounted in a handle housing, wherein said pull wire arm guide plate comprises the following;

a top surface and a bottom surface;

a first arm channel in said top surface, wherein said first arm channel has a distal end and a proximal end; and

a first arcuate pin groove in said top surface, wherein said first arcuate pin groove extends from a first end to a second end, and wherein said second end of said first arcuate pin groove meets said distal end of said first arm channel;

(b) a drive wheel attached around said pull wire arm guide plate and pivotable relative to said pull wire arm guide plate, wherein said drive wheel comprises first and second thumb bosses for pivoting said drive wheel about a drive wheel axis of rotation;

(c) a first pull wire arm slidably mounted in said first arm channel;

(d) a first sliding pin carrier slidably disposed on said top surface of said pull wire arm guide plate, said first sliding pin carrier comprising a first pushing pin riding in said first arcuate pin groove; and

(e) a first bendable pushing member slidably positioned in said first arcuate pin groove between said first pushing pin and a distal end of said first pull wire arm;

wherein said first arcuate pin groove is radially offset from said drive wheel axis of rotation by a first radial distance, and wherein said first radial distance decreases moving from said first end toward said second end of said first arcuate pin groove.

2. The pull wire actuator of claim 1, wherein said first pull wire arm further comprises a first pull wire clamp at a proximal end of said first pull wire arm.

3. The pull wire actuator of claim 1, wherein said pull wire arm guide plate further comprises the following:

a second arm channel in said bottom surface, wherein said second arm channel has a distal end and a proximal end; and

a second arcuate pin groove in said bottom surface, wherein said second arcuate pin groove extends from a first end to a second end, and wherein said second end of said second arcuate pin channel meets said distal end of said second arm channel; and

said pull wire actuator further comprise the following;

(f) a second pull wire arm slidably mounted in said second arm channel;

(g) a second sliding pin carrier slidably disposed on said bottom surface of said pull wire arm guide plate, said second sliding pin carrier comprising a second pushing pin riding in said second arcuate pin groove; and

(h) a second bendable pushing member slidably positioned in said second arcuate pin groove between said second pushing pin and a distal end of said second pull wire arm.

4. The pull wire actuator of claim 3, wherein said first pull wire arm is movable proximally when said drive wheel is pivoted in a first direction, and wherein said second pull wire arm is movable proximally when said drive wheel is pivoted in a second direction.

5. The pull wire actuator of claim 3, wherein said second arcuate pin groove is radially offset from said drive wheel axis of rotation by a second radial distance, and wherein said second radial distance decreases moving from said first end toward said second end of said second arcuate pin groove.

6. A control handle comprising the following:

(a) a handle upper housing and a handle lower housing together defining a handle housing;

(b) a pull wire arm guide plate mounted in said handle housing, wherein said pull wire arm guide plate comprises the following;

a top surface and a bottom surface;

a first arm channel in said top surface, wherein said first arm channel has a distal end and a proximal end; and

a first arcuate pin groove in said top surface, wherein said first arcuate pin groove extends from a first end to a second end, and wherein said second end meets said distal end of said first arm channel;

(c) a drive wheel attached around said pull wire arm guide plate and pivotable in said handle housing relative to said pull wire arm guide plate, wherein said drive wheel comprises first and second thumb bosses for pivoting said drive wheel about a drive wheel axis of rotation;

(d) a first pull wire arm slidably mounted in said first arm channel and comprising a proximal end and a distal end;

(e) a sliding pin carrier slidably disposed on said top surface of said pull wire arm guide plate, said sliding pin carrier comprising a first pushing pin riding in said first arcuate pin groove; and

(f) a first bendable pushing member slidably positioned in said first arcuate pin groove between said first pushing pin and said distal end of said first pull wire arm;

wherein said first arcuate pin groove is radially offset from said drive wheel axis of rotation by a first radial distance, and wherein said first radial distance decreases moving from said first end toward said second end of said first arcuate pin groove.

7. The control handle of claim 6, wherein said pull wire arm guide plate has a distal end and a proximal end, and wherein said pull wire arm guide plate further comprises a first pull wire slot in said top surface and extending from said pull wire arm guide plate distal end to said distal end of said first arm channel;

and

wherein said control handle further comprises a pull wire extending proximally from a proximal end of said pull wire slot, through said first arm channel to a proximal end of said first pull wire arm where said pull wire is affixed to said first pull wire arm for movement therewith.

8. The control handle of claim 6 further comprising an upper pull wire arm retention plate to slidably retain said first pull wire arm in said first arm channel.

9. The control handle of claim 6, wherein said drive wheel further comprise a top half and a bottom half, wherein said top half and said bottom half are attached around said pull wire arm guide plate, and wherein said top half of said drive wheel defines a plate channel, and wherein said sliding pin carrier further comprises an elongated plate adapted to slide in said plate channel.

10. The control handle of claim 9, wherein said plate channel is radially oriented relative to said drive wheel axis of rotation, whereby said sliding pin carrier can slide radially inwardly and outwardly toward and away from, respectively, said drive wheel axis of rotation as said drive wheel is pivoted in first and second directions, respectively.

11. The control handle of claim 9, wherein said bottom half of said drive wheel further comprise a plate positioner adapted to retain said elongated plate of said sliding pin carrier in said plate channel in said top half of said drive wheel.

12. A pull wire actuator comprising the following:

(a) a pull wire arm guide plate adapted to be mounted in a handle housing, wherein said pull wire arm guide plate comprises the following;

a top surface and a bottom surface;

a first arm channel in said top surface, wherein said first arm channel has a distal end and a proximal end; and

a first longitudinally-extending pin channel through said top surface, wherein said first longitudinally-extending pin channel extends from a distal end to a proximal end;

(b) a drive wheel attached around said pull wire arm guide plate and pivotable relative to said pull wire arm guide plate, wherein said drive wheel comprises (i) first and second thumb bosses for pivoting said drive wheel about a drive wheel axis of rotation, and (ii) a first pushing pin;

(c) a first pull wire arm slidably mounted in said first arm channel, wherein said first pull wire arm comprises a proximal end, a distal end, and a first pushed pin riding in said first longitudinally-extending pin channel; and

(d) a first cam arm pivotally mounted on said top surface of said pull wire arm guide plate at a first pivot pin, wherein said first pivot pin is both laterally and longitudinally offset from said drive wheel axis of rotation, and wherein said first cam arm comprises (i) a first pushing surface adapted to push against said first pushed pin, and (ii) a first pushed surface against which said first pushing pin is adapted to push;

wherein a separation distance between said first pushed pin and said first pivot pin decreases as said drive wheel is rotated from a catheter-neutral orientation to a first catheter-deflected orientation.

13. The pull wire actuator of claim 12, wherein said pull wire arm guide plate further comprises the following:

a second arm channel in said bottom surface, wherein said second arm channel has a distal end and a proximal end; and

a second longitudinally-extending pin channel through said bottom surface, wherein said second longitudinally-extending pin channel extends from a distal end to a proximal end; and

said pull wire actuator further comprise the following;

(e) a second pull wire arm slidably mounted in said second arm channel, wherein said second pull wire arm comprises a proximal end, a distal end, and a second pushed pin riding in said second longitudinally-extending pin channel; and

(f) a second cam arm pivotally mounted on said bottom surface of said pull wire arm guide plate at a second pivot pin, wherein said second pivot pin is both laterally and longitudinally offset from said drive wheel axis of rotation, and wherein said second cam arm comprises (i) a second pushing surface adapted to push against said second pushed pin, and (ii) a second pushed surface against which said second pushing pin is adapted to push;

wherein a separation distance between said second pushed pin and said second pivot pin decreases as said drive wheel is rotated from said catheter-neutral orientation to a second catheter-deflected orientation.

14. A control handle comprising the following:

(a) a handle upper housing and a handle lower housing together defining a handle housing;

(b) a pull wire arm guide plate mounted in said handle housing, wherein said pull wire arm guide plate comprises the following;

a top surface and a bottom surface;

a first arm channel in said top surface, wherein said first arm channel has a distal end and a proximal end; and

a first longitudinally-extending pin channel through said top surface, wherein said pin channel extends from a distal end to a proximal end;

(c) a drive wheel attached around said pull wire arm guide plate and pivotable relative to said pull wire arm guide plate, wherein said drive wheel comprises (i) first and second thumb bosses for pivoting said drive wheel about a drive wheel axis of rotation, and (ii) a first pushing pin;

(d) a first pull wire arm slidably mounted in said first arm channel, wherein said first pull wire arm comprises a proximal end, a distal end, and a first pushed pin riding in said first longitudinally-extending pin channel; and

(e) a first cam arm pivotally mounted on said top surface of said pull wire arm guide plate at a first pivot pin, wherein said first pivot pin is both laterally and longitudinally offset from said drive wheel axis of rotation, and wherein said first cam arm comprises (i) a first pushing surface adapted to push against said first pushed pin, and (ii) a first pushed surface against which said first pushing pin is adapted to push;

wherein a separation distance between said first pushed pin and said first pivot pin decreases as said drive wheel is rotated from a catheter-neutral orientation to a first catheter-deflected orientation.

15. The control handle of claim 14, wherein a first pull wire is attached to said distal end of said first pull wire arm for movement therewith, and wherein said first pull wire extends distally from said control handle.

16. The control handle of claim 14, wherein said drive wheel further comprise a top half and a bottom half, wherein said top half and said bottom half are attached around said pull wire arm guide plate.

17. A pull wire actuator comprising the following:

(a) a pull wire arm guide plate adapted to be mounted in a handle housing, wherein said pull wire arm guide plate comprises the following;

a top surface and a bottom surface;

a first arm channel in said top surface, wherein said first arm channel has a distal end and a proximal end;

a first longitudinally-extending pin channel through said top surface, wherein said first longitudinally-extending pin channel extends from a distal end to a proximal end;

a second arm channel in said bottom surface, wherein said second arm channel has a distal end and a proximal end; and

a second longitudinally-extending pin channel through said bottom surface, wherein said second longitudinally-extending pin channel extends from a distal end to a proximal end;

(b) a drive wheel attached around said pull wire arm guide plate and pivotable relative to said pull wire arm guide plate, wherein said drive wheel comprises (i) first and second thumb bosses for pivoting said drive wheel about a drive wheel axis of rotation, and (ii) a first pushing pin;

(c) a first pull wire arm slidably mounted in said first arm channel, wherein said first pull wire arm comprises a proximal end, a distal end, and a first pushed pin riding in said first longitudinally-extending pin channel;

(d) a first cam arm pivotally mounted on said top surface of said pull wire arm guide plate at a first pivot pin, wherein said first pivot pin is both laterally and longitudinally offset from said drive wheel axis of rotation, and wherein said first cam arm comprises (i) a first pushing surface adapted to push against said first pushed pin, and (ii) a first pushed surface against which said first pushing pin is adapted to push;

(e) a second pull wire arm slidably mounted in said second arm channel, wherein said second pull wire arm comprises a proximal end, a distal end, and a second pushed pin riding in said second longitudinally-extending pin channel; and

(f) a second cam arm pivotally mounted on said bottom surface of said pull wire arm guide plate at a second pivot pin, wherein said second pivot pin is both laterally and longitudinally offset from said drive wheel axis of rotation, and wherein said second cam arm comprises (i) a second pushing surface adapted to push against said second pushed pin, and (ii) a second pushed surface against which said second pushing pin is adapted to push.

18. The pull wire actuator of claim 17, wherein said first pivot pin is positioned so that a mechanical advantage of said first cam arm increases as said drive wheel is rotated from a catheter-neutral orientation to a first catheter-deflected orientation.

19. The pull wire actuator of claim 17, wherein said second pivot pin is positioned so that a mechanical advantage of said second cam arm increases as said drive wheel is rotated from a catheter-neutral orientation to a second catheter-deflected orientation.

20. The pull wire actuator of claim 17, wherein said first and second pivot pins are positioned laterally from said drive wheel axis of rotation on opposite sides of an actuator longitudinal axis, and wherein said first and second pivot pins are positioned proximally of said drive wheel axis of rotation.

21. The pull wire actuator of claim 17, wherein said first pull wire arm is movable proximally when said drive wheel is pivoted in a first direction, and wherein said second pull wire arm is movable proximally when said drive wheel is pivoted in a second direction.

22. A control handle comprising the following:

(a) a handle upper housing and a handle lower housing together defining a handle housing;

(b) a pull wire arm guide plate mounted in said handle housing, wherein said pull wire arm guide plate comprises the following;

a top surface and a bottom surface;

a first arm channel in said top surface, wherein said first arm channel has a distal end and a proximal end; and

a first arcuate pin groove in said top surface, wherein said first arcuate pin groove extends from a first end to a second end, and wherein said second end meets said distal end of said first arm channel;

(c) a drive wheel attached around said pull wire arm guide plate and pivotable in said handle housing relative to said pull wire arm guide plate, wherein said drive wheel comprises first and second thumb bosses for pivoting said drive wheel about a drive wheel axis of rotation;

(d) a first pull wire arm slidably mounted in said first arm channel and comprising a proximal end and a distal end;

(e) a sliding pin carrier slidably disposed on said top surface of said pull wire arm guide plate, said sliding pin carrier comprising a first pushing pin riding in said first arcuate pin groove; and

(f) a first bendable pushing member slidably positioned in said first arcuate pin groove between said first pushing pin and said distal end of said first pull wire arm;

wherein said drive wheel further comprise a top half and a bottom half;

wherein said top half of said drive wheel defines a plate channel;

wherein said sliding pin carrier further comprises an elongated plate adapted to slide in said plate channel; and

wherein said plate channel is radially oriented relative to said drive wheel axis of rotation, whereby said sliding pin carrier can slide radially inwardly and outwardly toward and away from, respectively, said drive wheel axis of rotation as said drive wheel is pivoted in first and second directions, respectively.

23. The control handle of claim 22, wherein said pull wire arm guide plate has a distal end and a proximal end;

wherein said pull wire arm guide plate further comprises a first pull wire slot in said top surface and extending from said pull wire arm guide plate distal end to said distal end of said first arm channel; and

wherein said control handle further comprises a pull wire extending proximally from a proximal end of said pull wire slot, through said first arm channel to a proximal end of said first pull wire arm where said pull wire is affixed to said first pull wire arm for movement therewith.

24. A pull wire actuator comprising the following:

(a) a pull wire arm guide plate adapted to be mounted in a handle housing, wherein said pull wire arm guide plate comprises the following;

a top surface and a bottom surface;

a first arm channel in said top surface, wherein said first arm channel has a distal end and a proximal end;

a first arcuate pin groove in said top surface, wherein said first arcuate pin groove extends from a first end to a second end, and wherein said second end of said first arcuate pin groove meets said distal end of said first arm channel;

a second arm channel in said bottom surface, wherein said second arm channel has a distal end and a proximal end; and

a second arcuate pin groove in said bottom surface, wherein said second arcuate pin groove extends from a first end to a second end, and wherein said second end of said second arcuate pin channel meets said distal end of said second arm channel;

(b) a drive wheel attached around said pull wire arm guide plate and pivotable relative to said pull wire arm guide plate, wherein said drive wheel comprises first and second thumb bosses for pivoting said drive wheel about a drive wheel axis of rotation;

(c) a first pull wire arm slidably mounted in said first arm channel;

(d) a first sliding pin carrier slidably disposed on said top surface of said pull wire arm guide plate, said first sliding pin carrier comprising a first pushing pin riding in said first arcuate pin groove;

(e) a first bendable pushing member slidably positioned in said first arcuate pin groove between said first pushing pin and a distal end of said first pull wire arm.

(f) a second pull wire arm slidably mounted in said second arm channel;

(g) a second sliding pin carrier slidably disposed on said bottom surface of said pull wire arm guide plate, said second sliding pin carrier comprising a second pushing pin riding in said second arcuate pin groove; and

(h) a second bendable pushing member slidably positioned in said second arcuate pin groove between said second pushing pin and a distal end of said second pull wire arm.

25. The pull wire actuator of claim 24, wherein said first pull wire arm is movable proximally when said drive wheel is pivoted in a first direction, and wherein said second pull wire arm is movable proximally when said drive wheel is pivoted in a second direction.