Steerable catheter with brake assembly

Patent metadata

Field	Value
Publication number	US-10357633-B2
Application number	US-201715472941-A
Country	US
Kind code	B2
Filing date	Mar 29, 2017
Priority date	Sep 27, 2012
Publication date	Jul 23, 2019
Grant date	Jul 23, 2019

Abstract

A catheter includes a handle and an elongate member extending from the handle. The catheter may also include steering system coupled to the handle. The steering system may be configured to deflect at least a portion of the elongate member in at least one direction. The catheter may also include a locking mechanism configured to lock the portion of the elongate member in a deflected configuration, and a lever coupled to the handle. The lever may be configured to move from a first position to a second position to engage the locking mechanism. The lever may also be configured to be separably retained at least at one of the first position or the second position to prevent movement therebetween.

First claim

What is claimed is:

1. A catheter, comprising:
a handle;
a tubular member extending from the handle;
a steering system coupled to the handle, wherein the steering system is configured to deflect at least a portion of the tubular member in at least one direction;
a locking mechanism configured to lock the portion of the tubular member in a deflected configuration, wherein the locking mechanism comprises a rack and at least one pinion, wherein the rack mates with the at least one pinion when the locking mechanism is engaged by the lever, wherein the locking mechanism further comprises a rotatable cam, wherein when the lever moves from the first position to the second position, the cam rotates and pushes the rack towards the at least one pinion, and wherein the locking mechanism further comprises a leaf spring located between the cam and the rack; and
a lever coupled to the handle and configured to move from a first position to a second position to engage the locking mechanism, wherein the lever is configured to be separably retained at least at one of the first position or the second position to prevent movement therebetween.

2. The catheter of claim 1 , wherein the rack and the at least one pinion each comprises a plurality of teeth.

3. The catheter of claim 1 , wherein the steering system comprises at least one spool that is configured to rotate to deflect the portion of the tubular member, the at least one pinion being coupled to the at least one spool such that relative rotation between them is prevented.

4. The catheter of claim 1 , wherein the steering system comprises a first spool and a second spool, wherein the first spool controls deflection of the portion of the tubular member in a first direction, wherein the second spool controls deflection of the portion of the tubular member in a second direction, different than the first direction, and wherein the rack prevents rotation of the first spool and the second spool when the locking mechanism is engaged by the lever.

5. A catheter, comprising:
a handle;
a tubular member extending from the handle;
a steering system coupled to the handle, wherein the steering system is configured to deflect at least a portion of the tubular member in at least one direction;
a locking mechanism configured to lock the portion of the tubular member in a deflected configuration, wherein the locking mechanism comprises a rack and at least one pinion, wherein the rack mates with the at least one pinion when the locking mechanism is engaged by the lever, and wherein the locking mechanism comprises a spring configured to bias the rack in a direction away from the at least one pinion; and
a lever coupled to the handle and configured to move from a first position to a second position to engage the locking mechanism, wherein the lever is configured to be separably retained at least at one of the first position or the second position to prevent movement therebetween.

6. The catheter of claim 1 , wherein the locking mechanism comprises a spring configured to bias the lever towards the handle, and the handle comprises a retention feature configured to retain the lever at least at one of the first position or the second position.

7. The catheter of claim 6 , wherein the retention feature is an opening in the handle, and the lever is separably retained by the handle by accommodating a distal end of the lever in the opening.

8. The catheter of claim 1 , wherein the lever is movable in a direction away from the handle and is pivotable relative to the handle to move from the first position to the second position.

9. The catheter of claim 1 , wherein the locking mechanism comprises a spring configured to bias the rack in a direction away from the at least one pinion.

10. The catheter of claim 5 , wherein the rack and the at least one pinion each comprises a plurality of teeth.

11. The catheter of claim 5 , wherein the steering system comprises at least one spool that is configured to rotate to deflect the portion of the tubular member, the at least one pinion being coupled to the at least one spool such that relative rotation between them is prevented.

12. The catheter of claim 5 , wherein movement of the lever from the first position to the second position causes the rack to mate with the at least one pinion.

13. The catheter of claim 5 , wherein the steering system comprises a first spool and a second spool, wherein the first spool controls deflection of the portion of the tubular member in a first direction, wherein the second spool controls deflection of the portion of the tubular member in a second direction, different than the first direction, and wherein the rack prevents rotation of the first spool and the second spool when the locking mechanism is engaged by the lever.

14. The catheter of claim 5 , wherein the spring is a first spring, and wherein the locking mechanism comprises a second spring configured to bias the lever towards the handle, and the handle comprises a retention feature configured to retain the lever at least at one of the first position or the second position.

15. The catheter of claim 14 , wherein the retention feature is an opening in the handle, and the lever is separably retained by the handle by accommodating a distal end of the lever in the opening.

16. The catheter of claim 5 , wherein the lever is movable in a direction away from the handle and is pivotable relative to the handle to move from the first position to the second position.

17. The catheter of claim 5 , wherein the locking mechanism comprises a rotatable cam, and wherein when the lever moves from the first position to the second position, the cam rotates and pushes the rack towards the at least one pinion.

Assignees

• Boston Scient Scimed Inc

Inventors

• Campbell Andrew
• Barner Paul

Classifications

• A61B1/0051

  with controlled bending of insertion part · CPC title

• A61M25/0133

  Tip steering devices · CPC title

• A61M25/0136 Primary

  Handles therefor · CPC title

• A61M25/0147 Primary

  with movable mechanical means, e.g. pull wires · CPC title

• A61B1/0057

  Constructional details of force transmission elements, e.g. control wires · CPC title