Medical device control system

• US 9,763,650 B2
• Filed: 06/22/2015
• Issued: 09/19/2017
• 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 B., Bacon, Dan, Dang, Kim, Rothstein, Richard
• Primary Examiner(s): Kasztejna, Matthew J
• Assistant Examiner(s): BOLER, RYNAE E
• Application Number:
  US14/746,157
• Publication Number:
  US 20150282788A1
• Time in Patent Office: 820 Days
• Field of Search: 600146, 604 9504, 604528
• 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 control for a medical device, the control comprising:

a body;

an actuator coupled to the body via a shaft and including a trigger, wherein the actuator is configured to move relative to the body in a first direction and a second direction, the movement in the first direction corresponding to rotating the actuator about an axis defined by the shaft, and the movement in the first direction being independent of the movement in the second direction;

at least one first control member coupled to the actuator and configured to move when the actuator is moved in the first direction to deflect a distal end of the medical device in a first plane;

at least one second control member coupled to the actuator and configured to move when the actuator is moved in the second direction to deflect a distal end of the medical device in a second plane; and

at least one third control member coupled to the trigger for actuating an end effector of the medical device;

wherein at least one of the first control member or the second control member has an inner member and an outer sheath each having a first end and a second end, the inner member and the outer sheath arranged such that the first ends of the inner member and the outer sheath move with respect to one another when the actuator is moved in one of one of the first direction or the second direction and do not move with respect to each other when the actuator is moved in the other of the first direction or the second direction.

2. The control of claim 1, wherein the trigger includes an arm that rotates relative to the actuator about a pivot.

3. The control of claim 2, wherein the at least one third control member includes an inner member and an outer sheath, the inner member of the third control member being attached to the arm and movable relative to the outer sheath of the third control member.

4. The control of claim 1, wherein the actuator is coupled to a trunnion.

5. The control of claim 4, wherein moving the actuator in the second direction corresponds to rotation of the actuator relative to the body via the trunnion.

6. The control of claim 5, wherein the body includes a stop to limit rotation of the actuator relative to the body via the trunnion.

7. The control of claim 4, wherein the trunnion includes a guide plate that receives the at least one first control member.

8. The control of claim 7, wherein the actuator is coupled to the body via a shaft that extends through a slot of the guide plate.

9. The control of claim 1, wherein the at least one first control member includes a single cable comprising a pair of legs each configured to be coupled to the distal end of the medical device.

10. The control of claim 1, wherein the at least one second control member includes two cables each having an inner cable and an outer sheath.

11. The control of claim 10, wherein the first end of the outer sheath of each of the two cables of the second control members is attached to a trunnion, and the second end of the outer sheath of each of the two cables of the second control members abuts an internal wall of the body.

12. A control for a medical device, the control comprising:

a body;

an actuator coupled to the body via a shaft and including a trigger, wherein the actuator is configured to rotate relative to the body about a first axis and a second axis, the shaft defining one of the first axis or the second axis, and the rotation about the first axis being independent of the rotation about the second axis;

at least one first control member mechanically coupled to the actuator and configured to move when the actuator is rotated about the first axis to deflect a distal end of the medical device in a first plane;

at least one second control member mechanically coupled to the actuator and configured to move when the actuator is rotated about the second axis to deflect a distal end of the medical device in a second plane; and

at least one third control member mechanically coupled to the trigger for actuating an end effector of the medical device;

wherein at least one of the first control member or the second control member has an inner member and an outer sheath each having a first end and a second end, the inner member and the outer sheath arranged such that the first ends of the inner member and the outer sheath move with respect to one another when the actuator is rotated about one of the first axis or the second axis and do not move with respect to each other when the actuator is rotated about the other of the first axis or the second axis.

13. The control of claim 12, wherein the actuator is coupled to a trunnion that includes a pair of posts that define one of the first axis or the second axis.

14. The control of claim 13, wherein the first end of the outer sheath is attached to the trunnion, and the second end of the outer sheath abuts an internal wall of the body.

15. The control of claim 14, wherein the first end of the inner member is attached to the trunnion.

16. A control for a medical device, the control comprising:

a body;

an actuator coupled to the body via a shaft and including a trigger, wherein the actuator is configured to rotate relative to the body about a first axis and a second axis, the rotation about the first axis being independent of the rotation about the second axis, and wherein the shaft defines the first axis or the second axis;

at least one first control member mechanically coupled to the actuator and configured to move when the actuator is rotated about the first axis to deflect a distal end of the medical device in a first plane;

at least one second control member mechanically coupled to the actuator and configured to move when the actuator is rotated about the second axis to deflect a distal end of the medical device in a second plane;

at least one third control member mechanically coupled to the trigger for actuating an end effector of the medical device; and

a trunnion including a slot that receives a guide plate;

wherein at least one of the first control member or the second control member has an inner member and an outer sheath each having a first end and a second end, the inner member and the outer sheath arranged such that the first ends of the inner member and the outer sheath move with respect to one another when the actuator is rotated about one of the first axis or the second axis and do not move with respect to each other when the actuator is rotated about the other of the first axis or the second axis.

17. The control of claim 16, wherein the shaft extends through a slot of the guide plate.

18. The control of claim 16, wherein the first end of the outer sheath is attached to the trunnion, and the second end of the outer sheath abuts an internal wall of the body.

19. The control of claim 17, wherein the guide plate includes a groove that receives the first control member, and rotating the actuator about the shaft rotates the guide plate to tension the first control member.

20. The control of claim 16, wherein the trunnion includes two posts that define one of the first axis or the second axis, and the slot is disposed between the two posts.