Bearing system to support a rotatable operating head in an intracorporeal device

• US 7,674,272 B2
• Filed: 01/20/2004
• Issued: 03/09/2010
• Est. Priority Date: 03/10/2003
• Status: Active Grant

• Current Assignee: Boston Scientific Medical Device Limited (Boston Scientific Corporation)
• Original Assignee: Pathway Medical Technologies, Inc. (Bayer AG)
• Inventors: Hefner, Matt, Torrance, Casey, Wulfman, Edward I.
• Primary Examiner(s): Erezo; Darwin P
• Application Number:
  US10/760,759
• Publication Number:
  US 20040181249A1
• Time in Patent Office: 2,240 Days
• Field of Search: 606/139, 606/140, 606/142, 606/144, 606/148, 606166-180, 606/206, 606/205, 600/141, 600/142, 600/146, 600/585, 604/95.01, 604/95.03, 604/95.04, 604/528
• US Class Current: 606/170
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61B 17/3462 with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals expandable cannulas A61B17/3417
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2017/22049 Means for locking the guide wire in the catheter
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/320032 Details of the rotating or oscillating shaft, e.g. using a flexible shaft
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/415 the glands, e.g. tonsils, adenoids or thymus
• CPC Class Codes: A61B 5/418 lymph vessels, ducts or nodes
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/4209 by using holders, e.g. positioning frames
• CPC Class Codes: A61M 2039/062 used with a catheter
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires
• CPC Class Codes: A61M 39/06 Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
• CPC Class Codes: A61M 39/0606 without means for adjusting the seal opening or pressure A61M39/0693 takes precedence

Abstract

A bearing system useful in an intracorporeal device connects an operating head, a rotatable drive shaft and a catheter. The bearing system includes a static member in fixed communication with the distal end of the catheter, an interior shaft that is in rotatable communication with the drive shaft and the operating head, and at least one connecting structure. The static member has at least one opening through which the connecting structure moveably rests against a seat of the interior shaft. The position of the connecting structure within the seat enables the bearing to accept a rotational load of the rotating drive shaft and/or thrust load in the direction of the longitudinal length of the catheter. The connecting structure further retains the internal shaft and static member of the bearing system. A clearance space between the internal shaft and the catheter may permit the interior shaft to tilt relative to the catheter and flexibly orient the operating head at different angles about longitudinal axis of the catheter.

Claims

1. An intracorporeal device comprising:

a catheter;

a drive shaft that is rotatable within the catheter;

an operating head that is rotatable about a longitudinal axis of the catheter; and

a bearing system providing limited tilting of the operating head about the longitudinal axis relative to the catheter, the bearing system comprising;

an internal shaft mounted to the drive shaft at a proximal end of the internal shaft and mounted to the operating head at a distal end of the internal shaft, the internal shaft including a seat;

a static member mounted to a distal end of the catheter and in fixed relationship with the catheter; and

a first and a second connecting rod, wherein a contact portion of each of the first and second connecting rods rests through a first opening and a second opening, respectively, of the static member and is received by the seat of the internal shaft,

whereby, as the internal shaft tilts, the two connecting rods contact the seat of the internal shaft at various points and permit tilting of the operating head.

2. The intracorporeal device of claim 1, wherein the first and second connecting rods are made of a material having a different hardness than a material comprising the seat.

3. The intracorporeal device of claim 1, wherein the internal shaft further comprises a contact surface that restricts pivoting of the operating head beyond an angle limit.

4. The intracorporeal device of claim 3, wherein the static member further comprises a stop, at least a portion of the stop capable of meeting the contact surface when the operating head is oriented to the angle limit.

5. The intracorporeal device of claim 3, wherein the angle limit is about 5 to 20 degrees.

8. The intracorporeal device of any of claims 1, 6 or 7, wherein the internal shaft further comprises a lumen to permit passage of fluid.

9. The intracorporeal device of claim 8, wherein the internal shaft comprises at least one port in fluidic communication with the lumen.

10. The intracorporeal device of any of claims 1, 6 or 7, further comprising a drive system and a control system.

11. An intracorporeal device of any of claims 1, 6 and 7, wherein the operating head comprises at least one of the following structures:

a diagnostic device;

a cutting surface;

a heating element;

an electrode;

an abrasive element;

a fluid jet tip;

an optical waveguide;

an ultrasonic transducer;

or an imaging device.

12. An intracorporeal device of any of claims 1, 6 and 7, wherein the internal shaft comprises a portion extending through the static member, an exposed portion that is distal to the static member, and a proximal portion that is proximal to the static member.

13. An intracorporeal device of any of claims 1, 6 or 7, wherein the internal shaft seat defines a line of contact with the first and second connecting rods.

14. An intracorporeal device of any of claims 1, 6 or 7, wherein the internal shaft seat forms a continuous curved surface that circumscribes a perimeter of a portion of the internal shaft.

15. An intracorporeal device of any one of claims 1, 6 or 7, wherein opposing ends of each of the first and second connecting rods are coupled to the static member.

16. An intracorporeal device of claim 15, wherein the first and second connecting rods engage the internal shaft seat.

17. An intracorporeal device of any of claims 1 or 6, wherein the static member is generally cylindrical and has the first and second slots for receiving the first and second connecting rods arranged transverse to the longitudinal axis of the catheter.

6. An intracorporeal device comprising:

a catheter;

a drive shaft that is rotatable within the catheter;

an operating head that is rotatable about a longitudinal axis of the catheter; and

a bearing system providing limited tilting of the operating head about the longitudinal axis relative to the catheter, the bearing system comprising;

an internal shaft coupled to the drive shaft and coupled to the cutting head for rotation as a unit, the internal shaft including a seat;

a static member mounted to a distal end of and in fixed relationship with the catheter and forming a unit that is in a stationary position during rotation of the drive shaft and the operating head, the static member having a first opening and a second opening; and

a first connecting rod and a second connecting rod, the first and second connecting rods each having a contact portion resting through the first and second openings, respectively, of the static member and being received by the seat of the internal shaft,

wherein the internal shaft is capable of orienting the cutting head about a longitudinal axis relative to the catheter and communicating rotational torque from the drive shaft to the cutting head, and whereby as the internal shaft tilts, the two connecting rods contact the seat of the internal shaft at various points and permit tilting of the operating head.

7. An intracorporeal device comprising:

a catheter;

a drive shaft that is rotatable with respect to the catheter;

an operating head mounted for rotation with the drive shaft and that is rotatable about a longitudinal axis of the catheter; and

a bearing system providing limited tilting of the operating head about the longitudinal axis relative to the catheter, the bearing system comprising a static member mounted to a distal end of the catheter and in fixed relationship with the catheter, an internal shaft mounted for rotation with the drive shaft and the operating head and at least partially extending through the static member, and a first connecting rod and a second connecting rod, the first and second connecting rods being received in a first slot and a second slot, respectively, provided in the static member and engaging a portion of the internal shaft, whereby as the internal shaft tilts, the first and second connecting rods contact a seat of the internal shaft at various points and permit tilting of the operating head.