Apparatuses and methods for monitoring tendons of steerable catheters

• US 9,744,335 B2
• Filed: 03/30/2016
• Issued: 08/29/2017
• Est. Priority Date: 07/01/2014
• Status: Active Grant

• Current Assignee: Auris Health, Inc. (Johnson & Johnson)
• Original Assignee: Auris Surgical Robotics, Inc. (Johnson & Johnson)
• Inventors: Jiang, Allen
• Primary Examiner(s): Vazquez, Arleen M
• Assistant Examiner(s): SHAH, NEEL D
• Application Number:
  US15/084,984
• Publication Number:
  US 20160287840A1
• Time in Patent Office: 517 Days
• Field of Search: 324534, 324691, 604 9504, 604506, 606 28, 606130
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• 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 2090/0809 Indication of cracks or breakages
• CPC Class Codes: A61M 2205/33 Controlling, regulating or measuring
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

Methods and apparatuses for detecting tension on a tendon and/or mechanical deformation (e.g., breakage) of one or more steering tendon of a steerable and flexible articulating device. Theses apparatuses may have one or more tendons that are each electrically conductive and configured to steer the apparatus when tension is applied to the proximal end of the tendon. Tension and/or breakage (or other deformation) of one or more of these tendons may be detected by monitoring the electrical resistance of the tendons.

Claims

1. A steerable catheter apparatus comprising:

a catheter shaft;

a first pull wire enclosed within the catheter shaft and coupled to the catheter shaft such that a first application of tension to the first pull wire bends the catheter shaft;

a second pull wire enclosed within the catheter shaft and coupled to the catheter shaft such that a second application of tension to the second pull wire bends the catheter shaft; and

a sensing circuitry electrically coupled to one or more of the first or second pull wires to measure a change to an electrical resistance of the first or second pull wires, thereby indicating a change in tension or a breakage of the first or second pull wire, wherein the one or more of the first or second pull wire is electrically coupled to the catheter shaft, wherein the one or more of the first or second pull wires comprises a proximal portion configured to be operatively coupled to a robotic driver, the robotic driver being configured to apply tension to the one or more of the first or second pull wires to bend the catheter shaft, and wherein the sensing circuitry is integrated with the robotic driver.

2. The steerable catheter apparatus of claim 1, wherein the one or more of the first or second pull wire is electrically coupled to a wire terminator on the catheter shaft to form a circuit comprising the wire terminator, the one or more of the first or second pull wire, and the sensing circuitry.

3. The steerable catheter apparatus of claim 2, further comprising at least one resistor coupled to one or more of the first or second pull wire, the at least one resistor having a known electrical resistance, and wherein the circuit comprises the wire terminator, the one or more of the first or second pull wire, the at least one resistor, and the sensing circuitry.

4. The steerable catheter apparatus of claim 3, wherein the at least one resistor comprises a first resistor and a second resistor, the first and second pull wires being coupled to the first and second resistors, respectively.

5. The steerable catheter apparatus of claim 3, wherein the sensing circuitry comprises at least one voltmeter electrically coupled to the at least one resistor, and wherein the sensing circuitry is configured to measure electrical resistances of the one or more of the first or second pull wires based on a stimulation voltage applied to the one or more of the first or second pull wires, an output voltage measured across the at least one resistor by the at least one voltmeter, and the known electrical resistance of the at least one resistor.

6. The steerable catheter apparatus of claim 5, wherein a distal portion of the one or more of the first or second pull wires is electrically coupled to a wire terminator at a distal portion of the catheter shaft.

7. The steerable catheter apparatus of claim 5, wherein the one or more of the first or second pull wires comprise an electrically conductive material, and wherein an electrical resistance of the one or more of the first or second pull wires changes in response to placing the electrically conductive material under tension.

8. The steerable catheter apparatus of claim 5, wherein the catheter shaft comprises a proximal portion, and wherein the sensing circuitry is positioned adjacent the proximal portion of the catheter shaft.

9. The steerable catheter apparatus of claim 5, wherein the sensing circuitry comprises first and second voltmeters, the first voltmeter corresponding to the first pull wire and the second voltmeter corresponding to the second pull wire.

10. The steerable catheter apparatus of claim 5, wherein a measured increase in the electrical resistance of the one or more of the first or second pull wires indicates an increase in tension or the breakage of the one or more of the first or second pull wires.

11. A method of monitoring health of a steerable catheter apparatus, the method comprising:

measuring an electrical resistance of one or more of a first pull wire or a second pull wire of the steerable catheter apparatus, wherein a first application of tension to the first pull wire bends the steerable catheter apparatus, and wherein a second application of tension to the second pull wire bends the steerable catheter apparatus;

determining whether there is a change in tension or a breakage of the first or second pull wire based on the measured electrical resistance,

wherein the electrical resistance of the one or more of the first or second pull wires is measured with a sensing circuitry electrically coupled to the one or more of the first or second pull wires,

wherein the one or more of the first or second pull wires is electrically coupled to a catheter shaft of the steerable catheter apparatus; and

coupling the steerable catheter apparatus to a robotic drive and applying tension to the one or more of the first or second pull wires with the robotic drive,

wherein the sensing circuitry is integrated with the robotic driver.

12. The method of claim 11, wherein the one or more of the first or second pull wires is electrically coupled to a wire terminator at a distal portion of the catheter shaft to form a circuit comprising the wire terminator, the one or more of the first or second pull wires, and the sensing circuitry.

13. The method of claim 12, wherein the steerable catheter apparatus further comprises at least one resistor coupled to the one or more of the first or second pull wires, the at least one resistor having a known electrical resistance, and wherein the circuit comprises the catheter shaft, the one or more of the first or second pull wires, the at least one resistor, and the sensing circuitry.

14. The method of claim 13, wherein the at least one resistor comprises a first resistor and a second resistor, the first and second pull wires being coupled to the first and second resistors, respectively.

15. The method of claim 13, wherein the sensing circuitry comprises at least one voltmeter electrically coupled to the at least one resistor, and wherein measuring the electrical resistance of the one or more of the first or second pull wires comprises:

applying a stimulation voltage to the one or more of the first or second pull wires;

measuring an output voltage across the at least one resistor in response to the stimulation voltage; and

determining the electrical resistance of the one or more of the first or second pull wires based on the stimulation voltage, the output voltage, and the known resistance of the at least one resistor.

16. The method of claim 11, wherein measuring the electrical resistance of the one or more of the first or second pull wires comprises measuring an increase in the electrical resistance, and wherein the change in tension or the breakage of the one or more of the first or second pull wires is determined based on the measured increase in the electrical resistance.

17. The method of claim 11, wherein measuring the electrical resistance of the one or more of the first or second pull wires comprises applying a stimulation voltage to the one or more of the first or second pull wires and determining the electrical resistance of the one or more of the first or second pull wires based on stimulation voltage.

18. The method of claim 11, wherein applying tension to the one or more of the first or second pull wires based on the measured change in electrical resistance of the one or more of the first or second pull wires comprises regulating an amount of slack-reducing tension applied to the one or more of the first or second pull wires based on the measured change in electrical resistance.

19. The method of claim 11, wherein measuring the electrical resistance of the one or more of the first or second pull wires comprises measuring a voltage across a resistor having a predetermined value, the resistor being electrically connected with the one or more of the first or second pull wires.

20. A steerable catheter apparatus comprising:

a catheter shaft comprising a wire terminator;

a first pull wire enclosed within the catheter shaft and electrically coupled to the wire terminator, the first pull wire being coupled to the catheter shaft such that a first application of tension to the first pull wire bends the catheter shaft;

a second pull wire enclosed within the catheter shaft and electrically coupled to the wire terminator, the second pull wire being coupled to the catheter shaft such that a second application of tension to the second pull wire bends the catheter shaft;

a first resistor electrically coupled to the first pull wire and the catheter shaft, the first resistor having a first known electrical resistance;

a second resistor electrically coupled to the second pull wire and the catheter shaft, the second resistor having a second known electrical resistance; and

a sensing circuit comprising a first voltmeter electrically coupled to the first resistor and a second voltmeter electrically coupled to the second resistor, wherein the sensing circuit is configured to determine a change in tension or a breakage of one or more of the first or second pull wires based on at least one determined resistance of the one or more of the first or second pull wires;

wherein the sensing circuit is configured to measure the resistance of the one or more of the first or second pull wires based on at least one stimulation voltage applied to the one or more of the first or second pull wires, at least one measured output voltage across one or more of the first or second resistors in response to the at least one stimulation voltage, and one or more of the first or second known electrical resistances of the first or second resistor, respectively, wherein the one or more of the first or second pull wires comprises a proximal portion configured to be operatively coupled to a robotic driver, the robotic driver being configured to apply tension to the one or more of the first or second pull wires to bend the catheter shaft, and wherein the sensing circuitry is integrated with the robotic driver.

21. A method of monitoring health of a steerable catheter apparatus, the method comprising:

providing a circuit comprising a catheter shaft of the steerable catheter apparatus, a first pull wire enclosed within the catheter shaft and coupled to a wire terminator at a distal portion of the catheter shaft, a second pull wire enclosed within the catheter shaft and coupled to the wire terminator, a first resistor electrically coupled to the first pull wire and the catheter shaft, a second resistor electrically coupled to the second pull wire and the catheter shaft, and a sensing circuit electrically coupled to one or more of the first or second resistors, wherein the first pull wire is coupled to the catheter shaft such that a first application of tension to the first pull wire bends the catheter shaft, and wherein the second pull wire being coupled to the catheter shaft such that a second application of tension to the second pull wire bends the catheter shaft;

applying at least one stimulation voltage across one or more of the first or second pull wires;

measuring at least one output voltage across one or more of the first or second resistors generated in response to the applied at least one stimulation voltage;

determining at least one electrical resistance of the one or more of the first or second pull wire based on the applied at least one stimulation voltage, the measured at least one output voltage, and at least one known electrical resistance of the one or more of the first or second resistor;

determining whether there is a change in a tension or a breaking of the one or more of the first or second pull wire based on the determined at least one electrical resistance of the one or more of the first or second pull wire; and

coupling the steerable catheter apparatus to a robotic driver and applying tension to the one or more of the first or second pull wires, and

wherein the sensing circuitry is integrated with the robotic driver.