Flexible circuit sheet

• US 9,226,689 B2
• Filed: 01/25/2013
• Issued: 01/05/2016
• Est. Priority Date: 03/10/2009
• Status: Active Grant

• Current Assignee: Medtronic Xomed Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Xomed Incorporated (Medtronic Plc)
• Inventors: Jacobsen, Brad, Burg, Bruce M., Block, Orey G., Bzostek, Andrew, Doerr, Vince J., Jain, Abhishek, Merkl, Brandon, Cilke, Joseph Thomas
• Primary Examiner(s): Le, Long V
• Assistant Examiner(s): HOFFA, ANGELA MARIE
• Application Number:
  US13/751,032
• Publication Number:
  US 20140012130A1
• Time in Patent Office: 1,075 Days
• Field of Search: 600/424
• US Class Current: 1/1
• CPC Class Codes: A61B 17/24 for use in the oral cavity, larynx, bronchial passages or nose for medical inspection of cavities or tubes in the body A61B1/00; Tongue scrapers
• CPC Class Codes: A61B 2017/00946 malleable
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• CPC Class Codes: A61B 2090/397 electromagnetic other than visible, e.g. microwave
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 2562/166 the sensor is mounted on a specially adapted printed circuit board
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 5/065 Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
• CPC Class Codes: A61M 1/84 Drainage tubes; Aspiration tips for negative pressure wound therapy A61M1/90; for surgical cutting instruments A61B17/32
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3576 with non implanted data transmission devices, e.g. using external transmitter or receiver
• CPC Class Codes: H05K 1/028 Bending or folding regions of flexible printed circuits H05K1/0283 takes precedence
• CPC Class Codes: H05K 1/0298 Multilayer circuits
• CPC Class Codes: H05K 2201/056 Folded around rigid support or component
• CPC Class Codes: H05K 2201/2027 Guiding means, e.g. for guiding flexible circuits

Abstract

A surgical instrument is disclosed having an elongated body portion having a proximal end and a distal end. The body portion is formed from a plastically deformable material such that the body portion can be bent between the proximal and distal ends from a first configuration to a second bent configuration and maintains the bent configuration. A flexible circuit having at least a pair of lead wires disposed around the body portion. The pair of lead wires are configured to conform to the bent configuration of the body portion such that they do not break during bending of the body portion. A tracking device adapted to cooperate with a navigation system to track the distal end of the instrument is coupled to the flexible circuit.

Claims

1. A surgical instrument, comprising:

an elongated body having a proximal end and a distal end;

a tracking device disposed at the distal end; and

a flexible circuit attached to the elongated body and extending from the proximal end to the distal end of the elongated body,

wherein

the flexible circuit is a first flexible circuit that has a sinusoidal periphery,

the flexible circuit has a base layer, a first trace and a second trace,

the first trace and the second trace are coupled to the tracking device,

the first trace and the second trace extend from the proximal end to the distal end,

a first portion of the first trace is on a first side of the base layer,

a second portion of the first trace is on a second side of the base layer

a first portion of the second trace is on the first side of the base layer, and

a second portion of the second trace is on the second side of the base layer.

2. The surgical instrument of claim 1, wherein the flexible circuit protrudes from a surface of the elongated body by less than 0.08 mm.

3. The surgical instrument of claim 1, further comprising pads at the proximal end, wherein the pads are respectively connected to the first trace and the second trace.

4. The surgical instrument of claim 1, wherein first trace and the second trace form a twisted pair.

5. The surgical instrument of claim 1, further comprising an insulative layer formed over the first trace and the second trace to isolate the first trace and the second trace from an external environment,

wherein the base layer and the insulative layer have material properties and a thickness to facilitate the flexible circuit conforming to an exterior surface of the elongated body.

6. The surgical instrument of claim 1, further comprising an outer polymeric shrink fit layer covering the elongated body and the flexible circuit.

7. The surgical instrument of claim 1, further comprising an adhesive layer configured to contact a side of the flexible circuit and adapted to adhere the flexible circuit to a portion of the elongated body.

8. The surgical instrument of claim 7, wherein the flexible circuit and the adhesive layer have a combined thickness of 0.10-0.12 mm.

9. The surgical instrument of claim 1 wherein a portion of the elongated body is malleable such that the portion of the elongated body is capable of being bent into a plurality of shapes;

and

wherein the flexible circuit is adhered to a cylindrical outer surface of the elongated body and is configured to change shape in response to bending of the portion of the elongated body.

10. The surgical instrument of claim 1, further comprising an outer polymeric shrink layer covering the elongated body and the flexible circuit, wherein the flexible circuit is moveable captured between the outer polymeric shrink layer and the elongated body.

11. The surgical instrument of claim 1, wherein the tracking device includes a plurality of tracking coils configured to nest around a cylindrical surface of the elongated body.

12. The surgical instrument of claim 11, wherein:

the plurality of tracking coils includes three coil assemblies;

each of the coil assemblies has a respective pair of lead wires coupled to a respective pair of traces of the flexible circuit; and

one of the pairs of traces comprises the first trace and the second trace.

13. The surgical instrument of claim 1, wherein the elongated body is tubular-shaped and is a catheter, a cannula, or an endoscope.

14. The surgical instrument of claim 1, wherein the flexible circuit is void of a coil.

15. The surgical instrument of claim 1, wherein the flexible circuit extends from a handle of the surgical instrument to an annular recess area at a distal end of the body.

16. The surgical instrument of claim 1, further comprising:

a sleeve distal to the body and having a proximal end and a distal end, wherein the proximal end of the sleeve is adjacent to and not in contact with the distal end of the body;

a tracking assembly adapted to cooperate with a navigation system to track a distal tip of the surgical instrument, wherein the tracking assembly comprises a printed circuit board and a coil, and wherein the coil is mounted on the sleeve, and wherein the printed circuit board wraps around the distal end of the body and connects to the flexible circuit; and

an insert received in the sleeve and the distal end of the body.

17. The surgical instrument of claim 16, wherein:

the printed circuit board is connected to the flex circuit by a first wire; and

the coil is connected to the printed circuit board by a second wire.

18. The surgical instrument of claim 1, further comprising a second flexible circuit extending from the proximal end to the distal end of the elongated body,

wherein the second flexible circuit comprises a third trace and a fourth trace, has a sinusoidal periphery, and is braided with the first flexible circuit.

19. The surgical instrument of claim 1, wherein the second portion of the first trace crosses over the second portion of the second trace.

20. The surgical instrument of claim 1, wherein:

the first trace includes a plurality of segments;

the plurality of segments include first segments and second segments;

the first segments are on the first side of the base layer;

the second segments are on the second side of the base layer;

each of the first segments is connected to an adjacent one or more of the second segments by one or more of a plurality of vias; and

the plurality of vias extend through the base layer.

21. The surgical instrument of claim 20, wherein:

the second trace includes a second plurality of segments;

the second plurality of segments include third segments and fourth segments;

the third segments are on the second side of the base layer opposite respectively the first segments;

the fourth segments are on the first side of the base layer opposite respectively the second segments; and

each of the third segments is connected to an adjacent one or more of the fourth segments by one or more of the plurality of vias.

22. The surgical instrument of claim 21, wherein:

the first segments and the third segments extend parallel to each other between respective ones of the plurality of vias; and

the second segments and the fourth segments extend parallel to each other between respective ones of the plurality of vias.

23. The surgical instrument of claim 21, wherein, between pairs of the plurality of vias, the first segments, the second segments, the third segments, and the fourth segments extend parallel to a same line except for in areas of the plurality of vias.

24. The surgical instrument of claim 1, further comprising a third trace and a fourth trace extending from the distal end to the proximal end of the elongated body, wherein:

a first portion of the second trace extends parallel to the first portion of the first trace and is on an opposite side of the base layer than the first portion of the first trace;

a first portion of the third trace is on a same side of the base layer as the first portion of the first trace;

a first portion of the fourth trace is on a same side of the base layer as the first portion of the second trace;

the first portion of the fourth trace extends parallel to the first portion of the third trace and is on an opposite side of the base layer than the first portion of the third trace; and

the first portion of the first trace and the first portion of the second trace crossover the first portion of the third trace and the first portion of the fourth trace.

25. The surgical instrument of claim 24, wherein:

a second portion of the second trace extends parallel to the second portion of the first trace and is on an opposite side of the base layer than the second portion of the first trace;

a second portion of the third trace is on a same side of the base layer as the second portion of the first trace;

a second portion of the fourth trace is on a same side of the base layer as the second portion of the second trace;

the second portion of the fourth trace extends parallel to the second portion of the third trace and is on an opposite side of the base layer than the second portion of the third trace; and

the second portion of the first trace and the second portion of the second trace crossover the second portion of the third trace and the second portion of the fourth trace.

26. A surgical instrument, comprising:

an elongated body having a proximal end and a distal end, wherein the elongated body is formed such that the elongated body is capable of being bent between the proximal end and the distal end from a first configuration to a second configuration;

a tracking device coupled to the distal end; and

a flexible circuit disposed adjacent the elongated body,

wherein

the flexible circuit has a sinusoidal periphery, extends from the proximal end to the distal end of the elongated body, and has a base layer and a pair of traces,

a first trace of the pair of traces includes first portions and second portions,

the first portions of the first trace are connected to the second portions of the first trace by vias,

each of the vias extend through the base layer,

the first portions of the first trace is on a first side of the base layer,

the second portions of the first trace is on a second side of the base laver,

first portions of a second trace of the pair of traces is on the first side of the base layer,

second portions of the second trace is on the second side of the base layer,

the pair of traces is configured to conform to the first configuration and the second configuration such that the pair of traces does not break during the bending of the elongated body,

the pair of traces electrically connect the tracking device to a navigation system, and

the tracking device is used to track the distal end of the elongated body.

27. The surgical instrument of claim 26, wherein:

the tracking device includes at least two coil assemblies; and

each of the coil assemblies is coupled to the elongated body and is adjacent a distal tip of the surgical instrument.

28. The surgical instrument of claim 27, wherein the at least two coil assemblies are orientated in a non-parallel configuration relative to each other.

29. The surgical instrument of claim 26, further comprising an insulative layer formed over the plurality of traces to isolate the plurality of traces from an external environment, wherein:

the first portions of the first trace extend parallel to and on an opposite side of the base layer as first portions of the second trace;

the base layer, the plurality of traces and the insulative layer form the flexible circuit; and

the base layer and the insulative layer have material properties and a thickness to facilitate the flexible circuit being flexible to conform to an exterior surface of the elongated body.

30. The surgical instrument of claim 29, wherein the second portions of the first trace are formed on an opposite side of the base layer than second portions of the second trace.

31. The surgical instrument of claim 26, further comprising an outer polymeric shrink fit layer covering a portion of the elongated body and the flexible circuit.

32. The surgical instrument of claim 26, wherein the pair of traces form a twisted pair.

33. The surgical instrument of claim 26, wherein:

the first portions of the second trace are connected to the second portions of the second trace by second vias; and

each of the second vias extends through the base layer.

34. The surgical instrument of claim 33, wherein the first trace and the second trace form a twisted pair.

35. A surgical instrument, comprising:

an elongated tubular body having a proximal end and a distal end, wherein the elongated tubular body has an inner diameter defining a first internal flow passage between the proximal end and the distal end, and wherein the elongated tubular body is deformable to be bent between the proximal end and the distal end from a first configuration to a second configuration;

a tracking device coupled to the elongated tubular body and is adjacent to the distal end, wherein

the tracking device is electrically connected to a navigation system and is used to track a distal end of the surgical instrument,

the tracking device includes a flexible circuit and a plurality of coil assemblies,

the flexible circuit has a sinusoidal periphery and comprises a base layer, a plurality of traces, and a plurality of lead wires,

the plurality of traces comprise a first trace and a second trace,

each of the plurality of traces has a first portion formed on a first side of the base layer and a second portion formed on an opposite second side of the base layer,

the first portion of the first trace (i) is positioned opposite to the first portion of the second trace and (ii) is on an opposite side of the base layer than the first portion of the second trace,

the second portion of the first trace (i) is positioned opposite to the second portion of the second trace, and (ii) is on an opposite side of the base layer than the second portion of the second trace, and

the plurality of lead wires are connected respectively to the plurality of traces; and

an insulative layer formed over the plurality of traces to isolate the traces from an external environment,

wherein the base layer and the insulative layer include material properties and have a thickness to facilitate the flexible circuit being flexible such that the flexible circuit is adapted to conform to an exterior surface of the elongated tubular body.

36. The surgical instrument of claim 35, wherein the plurality of traces form a twisted pair.

37. The surgical instrument of claim 35, further comprising an outer polymeric shrink fit layer covering a portion of the elongated body and the flexible circuit.

38. The surgical instrument of claim 35, wherein each of the plurality of coil assemblies is coupled to the flexible circuit at predetermined locations between the proximal end and the distal end.

39. The surgical instrument of claim 35, wherein the flexible circuit protrudes from a surface of the elongated body less than 0.08 mm and provides a uniform outer surface.

40. The surgical instrument of claim 35, wherein the flexible circuit is void of a coil and extends from the proximal end to the distal end of the elongated tubular body.

41. The surgical instrument of claim 35, further comprising a set of wires, wherein:

the set of wires connect the coil assemblies to a printed circuit board; and

the lead wires connect the printed circuit board to the plurality of traces.