Dual bend radii steering catheter

• US 9,855,404 B2
• Filed: 08/27/2013
• Issued: 01/02/2018
• Est. Priority Date: 05/03/2013
• Status: Active Grant

• Current Assignee: ST JUDE MEDICAL INTERNATIONAL HOLDING S. R.L.
• Original Assignee: ST JUDE MEDICAL INTERNATIONAL HOLDING S. R.L.
• Inventors: Romoscanu, Alexandre Ioan
• Primary Examiner(s): Bosworth, Kami A
• Application Number:
  US14/011,286
• Publication Number:
  US 20140330251A1
• Time in Patent Office: 1,589 Days
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• 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 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A bi-directional steerable catheter that, for a given tip deflection angle, generates a first articulation radius in a first lateral direction and a second articulation radius in a second lateral direction, the second articulation radius being different than the first articulation radius. The catheter includes two pull wire portions that can be individually and selectively put under tension to cause deflection of the tip in a corresponding lateral direction. Actuation of a first of the pull wire portions causes a shift in the neutral axis of the catheter over a portion of the steering section, resulting in articulation over a shorter length of the steering section and thus a smaller bend radius. Actuation of a second of the pull wire portions does not result in a neutral axis shift, so that articulation is over substantially the entire length of the steering section, resulting in a larger bend radius.

Claims

1. A catheter assembly, comprising:

a shaft portion having a proximal end and a distal end and including a shaft section sidewall that defines a central lumen;

a steering portion having a proximal end and a distal end, said proximal end of said steering portion being operatively coupled with said distal end of said shaft portion, said steering portion including a steering section sidewall having a first steering section sidewall lumen and a second steering section sidewall lumen formed therein, wherein the first and second steering section sidewall lumens are continuous lumens that extend between the steering portion proximal end and the steering portion distal end,

wherein said catheter assembly defines a central axis that passes through said proximal end of said shaft portion and said distal end of said steering portion, said shaft portion and said steering portion being substantially concentric about said central axis;

a uni-directional stiffening member operatively coupled to said steering section sidewall proximate said first steering section sidewall lumen and over a standoff length of said steering portion, said uni-directional stiffening member defining a uni-directional bending portion of said steering portion and an offset axis that is radially offset from and substantially parallel to said central axis;

a first pull wire portion extending through said central lumen and said first steering section sidewall lumen such that actuation of said first pull wire portion causes deflection of said steering portion in a first lateral direction, said first pull wire portion being routed proximate said uni-directional stiffening member,

wherein during actuation of said first pull wire portion, a neutral axis of said catheter assembly along said uni-directional bending portion is proximate said offset axis such that a first bend radius of said steering portion is defined for a steering angle α

; and

a second pull wire portion extending through said central lumen and said second steering section sidewall lumen such that actuation of said second pull wire portion causes deflection of said steering portion in a second lateral direction,

wherein during actuation of said second pull wire portion, said neutral axis of said catheter assembly along said uni-directional bending portion is proximate said central axis such that a second bend radius of said steering portion is defined for said steering angle α

, said second bend radius being greater than said first bend radius.

2. The catheter assembly of claim 1, wherein said first steering section sidewall lumen is rotationally offset from said second steering section sidewall lumen.

3. The catheter assembly of claim 2, wherein said first steering section sidewall lumen is diametrically opposed to said second steering section sidewall lumen.

4. The catheter assembly of claim 1, wherein a transition piece extends partially into said shaft portion and partially into said steering portion, and wherein the transition piece guides the first and second pull wire portions from the central lumen into respective ones of the first and second steering section sidewall lumens.

5. The catheter assembly of claim 1, wherein said first pull wire portion and said second pull wire portion are two separate pull wires.

6. The catheter assembly of claim 1, wherein said uni-directional stiffening member is a compression coil.

7. The catheter assembly of claim 6 wherein said compression coil has an outer diameter of about 0.42 mm and an inner diameter of about 0.26 mm.

8. The catheter assembly of claim 6, wherein said compression coil does not delaminate from said first steering section sidewall lumen.

9. The catheter assembly of claim 6, wherein a compressibility ratio of said compression coil relative to said steering section sidewall is at least 1:

5.

10. The catheter assembly of claim 6, wherein said compression coil is formed of a 0.003 inch by 0.010 inch rectangular section wire.

11. The catheter assembly of claim 1, wherein:

said shaft section sidewall defines a first shaft sidewall passageway and a second shaft sidewall passageway formed therein, said first shaft sidewall passageway and said second shaft sidewall passageway extending parallel to said central axis over at least a portion of said shaft portion and passing through said distal end of said shaft portion, said first shaft sidewall passageway being axially aligned with said first steering section sidewall lumen, said second shaft sidewall passageway being axially aligned with said second steering section sidewall lumen; and

said first pull wire portion and said second pull wire portion pass through said first shaft sidewall passageway and said second shaft sidewall passageway, respectively.

12. The catheter assembly of claim 11, wherein said first shaft sidewall passageway and said second shaft sidewall passageway define lumens in said shaft section sidewall.

13. The catheter assembly of claim 11, wherein said first shaft sidewall passageway and said second shaft sidewall passageway are channels formed in the shaft section sidewall.

14. The catheter assembly of claim 13, wherein a transition piece extends partially into said shaft portion and partially into said steering portion.

15. The catheter assembly of claim 14, wherein said transition piece defines spaced-apart, longitudinally extending slots on diametrically opposed sides of the transition piece through which the first pull wire portion and the second pull wire portion extend, respectively.

16. The catheter assembly of claim 1, wherein said second lateral direction is different than said first lateral direction.

17. A method of deflecting a distal tip of a catheter, comprising:

providing a catheter assembly including a shaft portion, a steering portion, and a transition portion between the shaft portion and the steering portion that define a central axis, said catheter assembly including a first pull wire portion and a second pull wire portion;

within said shaft portion, routing said first pull wire portion and said second pull wire portion proximate said central axis and through a central lumen defined by the shaft portion;

within said transition portion, routing said first pull wire portion and said second pull wire portion from the central lumen through longitudinally extending slots defined in the transition portion into steering portion sidewall lumens defined in a sidewall of the steering portion;

within said steering portion, routing said first pull wire portion and said second pull wire portion parallel to and radially offset from said central axis through the steering portion sidewall lumens, said first pull wire portion being rotationally offset from said second pull wire portion within said steering portion,

causing a neutral axis of said catheter assembly to align substantially with said central axis throughout said shaft portion and said steering portion during actuation of said second pull wire portion; and

causing said neutral axis of said catheter assembly to substantially coincide with said first pull wire portion along a proximal portion of said steering section when said first pull wire portion is actuated, said neutral axis being substantially aligned with said central axis at locations proximal to and distal to said proximal portion of said steering section.