Steerable catheter using flat pull wires and having torque transfer layer made of braided flat wires

Patent metadata

Field	Value
Publication number	US-10099036-B2
Application number	US-201414284026-A
Country	US
Kind code	B2
Filing date	May 21, 2014
Priority date	May 16, 2006
Publication date	Oct 16, 2018
Grant date	Oct 16, 2018

Abstract

A catheter assembly includes an inner liner made of flexible material and an outer layer having a steering mechanism. The steering mechanism includes at least one flat wire and a corresponding lumen through which the flat wire may travel. The steering mechanism may also include at least one pull ring to which the flat wires are attached. A layer of heat shrink material may encompass the outer layer. A braided wire assembly may also be provided in the outer layer, and may be formed by braiding a plurality of flat wires into a wire mesh. The overall cross-section of the catheter assembly is preferably substantially circular. A catheter shaft may include a plurality of segments of differing hardness characteristics. The outer layer typically comprises a melt processing polymer such that the catheter assembly may be laminated using heat.

First claim

What is claimed is:

1. A shaft for a steerable catheter, comprising:
a body including a circumferential wall defining an inner lumen, wherein the inner lumen is at least about 10 French, wherein the body comprises a first section of a first material and a second section of a second material, wherein the first section is bonded to the second section, and wherein the melting point of the first material differs from the melting point of the second material;
a flexible tube extending through the circumferential wall of the body;
a flat pull wire extending through the circumferential wall of the body, wherein at least a portion of the flat pull wire is disposed within the flexible tube and the flexible tube has a cross-sectional shape that differs from a cross sectional shape of the flat pull wire;
a pull ring circumferentially surrounding the outside of the first material, wherein the pull ring comprises a slot configured to accommodate the flat pull wire, wherein the slot extends through a wall of the pull ring; and
a wire reinforcing assembly embedded within the circumferential wall of the body, the wire reinforcing assembly comprising at least two flat wires braided into a wire mesh.

2. The shaft according to claim 1 , wherein the melting point of the body differs from the melting point of the flexible tube.

3. The shaft according to claim 1 , wherein the second section surrounds the first section.

4. The shaft according to claim 1 , wherein the pull ring is embedded within the circumferential wall of the body, and further wherein the flat pull wire is welded to the pull ring slot.

5. The shaft according to claim 1 , wherein the flexible tube comprises a first flexible tube and a second flexible tube, each extending through the circumferential wall of the body, and wherein the flat pull wire comprises a first flat pull wire and a second flat pull wire, each extending through the circumferential wall of the body with a portion of the first flat pull wire extending through the first flexible tube and a portion of the second flat pull wire extending through the second flexible tube.

6. The shaft according to claim 5 , wherein the first flexible tube and the second flexible tube are spaced 180 degrees apart from each other about the circumferential wall of the body.

7. The shaft according to claim 1 , wherein the at least two flat wires are from about 0.003 inches thick by about 0.007 inches wide.

8. The shaft according to claim 1 , wherein the at least two flat wires are from at least about 0.004 inches thick and are at least about 0.012 inches wide.

9. The shaft according to claim 8 , wherein the density of the wire mesh is from about 15 to about 70 pixels per inch.

10. The shaft according to claim 1 , wherein the melting point of the first material is greater than the melting point of the second material.

11. A shaft for a steerable catheter, comprising:
a body including a circumferential wall defining an inner lumen, wherein the body comprises an inner layer and an outer layer bonded to the inner layer;
a steering assembly embedded in the body, the steering assembly comprising:
a flexible tube extending longitudinally through the body radially outside of the inner layer;
a flat pull wire extending longitudinally through the body radially outside of the inner layer, a portion of the flat pull wire being encased within the flexible tube; and
a pull ring located radially outside of the inner layer and including two flow holes, wherein the flow holes are spaced about 180 degrees apart around the pull ring, the flat pull wire being secured to the pull ring, wherein the pull ring circumferentially surrounds the inner layer, and further wherein the pull ring comprises at least one slot configured to accommodate the flat pull wire, wherein the slot extends through a wall of the pull ring;
wherein a cross-sectional shape of the flexible tube differs from a cross-sectional shape of the flat pull wire; and

a reinforcing assembly embedded in the body radially outside of the inner layer, wherein the reinforcing assembly comprises a plurality of flat wires braided into a mesh,
wherein the outer layer is bonded to the inner layer through interstices in the mesh of the reinforcing assembly and the flow holes in the pull ring.

12. The shaft according to claim 11 , wherein the flexible tube of the steering assembly comprises:
a first flexible tube extending longitudinally through the body radially outside of the inner layer;
a second flexible tube extending longitudinally through the body radially outside of the inner layer and positioned diametrically opposite the first flexible tube;

wherein the flat pull wire of the steering assembly comprises:
a first flat pull wire extending through the body radially outside of the inner layer, a portion of the first flat pull wire being encased within the first flexible tube; and
a second flat pull wire extending through the body radially outside of the inner layer, a portion of the second flat pull wire being encased within the second flexible tube,
wherein the first and second flat pull wires are secured to the pull ring, and wherein a cross-sectional shape of each flat pull wire differs from a cross-sectional shape of its respective flexible tube.

Assignees

• St Jude Medical Atrial Fibrillation Div Inc

Inventors

• Heideman Wayne
• Fuentes Allan M
• Stehr Richard E
• Cumming Sarah
• Dustrude Mark

Classifications

• A61M2025/015

  Details of the distal fixation of the movable mechanical means · CPC title

• A61M25/01 Primary

  Introducing, guiding, advancing, emplacing or holding catheters (A61M25/10 takes precedence) · CPC title

• A61M25/0012 Primary

  with embedded structures, e.g. coils, braids, meshes, strands or radiopaque coils · CPC title

• A61M25/0045

  multi-layered, e.g. coated (coating materials A61L29/08) · CPC title

• A61M25/0053

  having a variable stiffness along the longitudinal axis, e.g. by varying the pitch of the coil or braid · CPC title