Medical device control system

• US 9,089,356 B2
• Filed: 09/30/2011
• Issued: 07/28/2015
• Est. Priority Date: 06/22/2005
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Chen, Anna, Weitzner, Barry, Golden, John, Bacon, Dan, Dang, Kim, Rothstein, Richard
• Primary Examiner(s): Nguyen, Anhtuan T
• Assistant Examiner(s): BOLER, RYNAE E
• Application Number:
  US13/249,499
• Publication Number:
  US 20120165829A1
• Time in Patent Office: 1,397 Days
• Field of Search: 606/1, 606/146, 600/102, 600/114, 600/147, 600/146, 604/95.04, 604/528
• US Class Current: 1/1
• CPC Class Codes: A61B 10/06 Biopsy forceps , e.g. with cup-shaped jaws
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 2010/0208 Biopsy devices with actuators, e.g. with triggered spring mechanisms
• CPC Class Codes: A61B 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0042 with special provisions for gripping
• CPC Class Codes: A61B 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A control system for allowing a user to control the orientation of a medical device or a medical instrument in a variety of directions. An actuator selectively tensions one or more control cables having ends secured at or adjacent a distal tip of the medical device in order to bend the distal tip in a desired direction. In one embodiment, a physician can adjust the movement of the distal tip in a desired direction without affecting the orientation of the medical device in other directions.

Claims

1. A medical device, comprising:

a controller body moveably coupled to an actuator, wherein the actuator is configured to rotate about at least two different axes relative to the controller body;

a shaft having a distal region that bends when the actuator handle is moved relative to the controller body, wherein the shaft is configured to detachably couple to the controller body;

a plurality of control members extending within the controller body and coupled to the actuator; and

a plurality of shaft members extending within the shaft and coupled to the distal region of the shaft, wherein each control member is configured to detachably couple to a corresponding shaft member such that the control member and the corresponding shaft member are moveable relative to the controller body and the shaft to transmit movement from the actuator to the distal region of the shaft;

wherein the controller body includes a coupler comprising a wall and a plurality of attachment members extending through the wall for coupling the control members to the shaft members, wherein at least one of the shaft members is connected to and coaxial with at least one of the attachment members.

2. The medical device of claim 1, wherein the shaft includes a proximal region configured to detachably couple to a distal region of the controller body.

3. The medical device of claim 1, wherein a distal region of the shaft is bendable.

4. The medical device of claim 1, wherein at least part of at least one of the plurality of control members includes a Bowden cable.

5. The medical device of claim 1, wherein a first coupled control member and the corresponding shaft member controls movement of the distal region of the shaft in left/right directions, and a second coupled control member and the corresponding shaft member controls movement of the distal region of the shaft in up/down directions.

6. The medical device of claim 1, wherein each of the attachment members includes a distal end configured to receive a proximal end of one of the shaft members.

7. The medical device of claim 1, wherein at least one of the plurality of control members and the plurality of shaft members is biased.

8. The medical device of claim 1, further including an actuation control member coupled to a trigger and an actuation shaft member coupled to an end effector located on the shaft, wherein the actuation control member is configured to detachably couple to the actuation shaft member such that a coupled actuation control member and actuation shaft member transmits movement from the trigger to the end effector.

9. The medical device of claim 8, wherein the trigger is located on the actuator.

10. The medical device of claim 8, further including a mechanism to limit movement of at least one of the plurality of control members and the actuation control member.

11. The medical device of claim 1, wherein the controller body is moveably coupled to a rail to permit rotational movement of the controller body about the rail.

19. The medical device of claim 1, wherein the plurality of attachment members includes at least three attachment members.

20. The medical device of claim 1, wherein the attachment members are adjacent each other and disposed within a central region of the coupler.

21. The medical device of claim 1, wherein two of the control members comprise portions of a single, continuous cable coupled to the actuator.

12. A controller for an elongate shaft, comprising:

a controller body moveably coupled to an actuator, wherein the actuator is configured to rotate about at least two different axes relative to the controller body;

a coupler configured to detachably couple the controller body to the elongate shaft, the coupler comprising a wall and a plurality of attachment members extending through the wall, wherein one of the attachment members extends along a central axis of the controller body; and

a plurality of control members operably associated with the actuator, wherein each control member is configured to detachably couple to a corresponding shaft member via one of the attachment members and is moveable to transmit movement of the actuator to the elongate shaft.

13. The controller of claim 12, wherein the actuator includes a handle coupled to the controller body via a shaft, and the handle is fixedly attached to the shaft.

14. The controller of claim 13, wherein the shaft has a longitudinal axis perpendicular to a longitudinal axis of the controller body when the actuator is in a neutral position and the elongate shaft is straight.

15. The controller of claim 14, wherein the handle has a longitudinal axis perpendicular to the longitudinal axis of the shaft and nonparallel to the longitudinal axis of the controller body when the actuator is in the neutral position and the elongate shaft is straight.

16. The controller of claim 12, further including an actuation control member coupled to a trigger, wherein the actuation control member is configured to detachably couple to an actuation shaft member and is moveable to transmit movement of the trigger to an end effector mounted on the shaft.

17. A medical device comprising:

a shaft body having a proximal end, a distal end, and a bending section that is bendable;

a controller body moveably coupled to an actuator, wherein the actuator is configured to rotate about at least two different axes relative to the controller body, the controller body including a coupling mechanism configured to permit the shaft body to detachably couple to the controller body, wherein the coupling mechanism includes a wall and a plurality of attachment members extending through the wall; and

a plurality of shaft members operably associated with the bending section, wherein each shaft member is configured to detachably couple to a corresponding control member via one of the attachment members and is moveable to transmit movement from the controller body to the bending section;

wherein each attachment member receives a proximal end of a corresponding one of the shaft members, such that the corresponding shaft member extends from a distal-most face of the attachment member.

18. The medical device of claim 17, further including an actuation shaft member coupled to an end effector located on the shaft, wherein the actuation shaft member is configured to detachably couple to an actuation control member of the controller body, the actuation shaft member moveable to transmit movement from the controller body to the end effector.