Steering actuator for deflectable catheter

Patent metadata

Field	Value
Publication number	US-10583272-B2
Application number	US-201715829202-A
Country	US
Kind code	B2
Filing date	Dec 1, 2017
Priority date	May 7, 2013
Publication date	Mar 10, 2020
Grant date	Mar 10, 2020

Abstract

Catheter shaft handles and deflection actuators are disclosed. The actuators include at least one pull wire guide wall and a means for anchoring the proximal portion of a pull wire or of a fiber attached to a pull wire. Each actuator is pivotable relative to the catheter handle housing, and may comprise at least one boss for pivoting the actuator relative to the catheter handle housing. The actuators transfer rotational motion based upon user input on a boss into longitudinal motion of a pull wire. The actuators may include a tensioning mechanism comprising a tension adjustment pin and a pin block, wherein the tension adjustment pin is rotatably attached to the pin block to enable adjustment of tension in a pull wire (e.g., during assembly of the catheter handle).

First claim

What is claimed is:

1. A steering actuator comprising:
(a) an inner actuator adapted to be rotatably mounted within a catheter handle housing, the inner actuator comprising:
a base plate having a distal edge relative to a neutral position of the inner actuator; an opposing proximal edge; a first lateral edge between the distal and proximal edges and on a first lateral side of the base plate; and a complementary, second lateral edge between the distal and proximal edges and on an opposite, second lateral side of the base plate;
complementary first and second fiber guides attached to or formed as an integral part of the base plate so as to move with the base plate during a rotation of the inner actuator, wherein the first fiber guide is located only along the first lateral edge of the base plate, and is configured to pressingly engage only a first pull wire of a pair of pull wires during rotation of the inner actuator, and wherein the second fiber guide is located only along the second lateral edge of the base plate, and is configured to pressingly engage only a second pull wire of the pair of pull wires during rotation of the inner actuator; and
a pair of tuner mechanisms, each tuner mechanism configured to receive one of the pull wires, and to enable initial adjustment of tension in the respective one of the pull wires; and

(b) an outer actuator attached to the inner actuator, the outer actuator comprising at least one boss,
wherein the first and second lateral edges of the base plate are the outer-most lateral edges of the base plate.

2. A steering actuator comprising:
(a) an inner actuator rotatably mounted within a catheter handle housing, the inner actuator comprising:
complementary first and second fiber guides, wherein each fiber guide is contoured against a respective pull wire to change the tension of the respective pull wire in response to rotation of the inner actuator; and
at least one tension mechanism, each tension mechanism comprising a respective tension adjustment pin configured to enable initial tension adjustment of the respective pull wire; and

(b) a user-manipulatable actuator attached to the inner actuator to facilitate user rotation of the inner actuator,
wherein the first and second fiber guides are located only along an outer-most lateral edge of the inner actuator.

3. A control handle comprising the following:
(a) a handle housing;
(b) a first curved, pull-wire-deflection surface mounted to the housing; and
(c) a steering actuator at least partially sandwiched within the handle housing and configured to apply tension to a first pull wire and to a second pull wire, wherein the steering actuator comprises the following:
(i) a first actuator component pivotably mounted within the handle housing, the first actuator component comprising the following:
complementary first and second fiber guides, wherein each fiber guide is configured to affect a pull wire path length traveled by one of the first and second pull wires during actuation of the steering actuator; and
first and second anchor points, wherein the first pull wire is affixed to the first actuator component at the first anchor point, and wherein the second pull wire is affixed to the first actuator component at the second anchor point, and wherein the first and second anchor points are configured to adjust the tension of the first and second pull wires; and

(ii) a second actuator component attached to the first actuator component, the second actuator component comprising at least one boss,

wherein the first and second fiber guides are located only along an outer-most lateral edge of the first actuator.

4. The control handle of claim 3 , wherein the first actuator component and the second actuator component comprise a unitary component.

5. The control handle of claim 3 , wherein the handle housing comprises a handle upper housing and a handle lower housing; wherein the steering actuator is at least partially sandwiched between the handle upper housing and the handle lower housing; wherein the first anchor point includes a first tensioning mechanism comprising a first tension adjustment pin and a first pin block; and wherein the first tension adjustment pin is rotatably attached to the first pin block, whereby the first tensioning mechanism is adapted to adjust tension in the first pull wire during assembly of the control handle via rotation of the first tension adjustment pin relative to the first pin block.

6. The control handle of claim 3 , further comprising an outer knob operable to releasably hold tension applied to the first pull wire by the steering actuator.

7. The control handle of claim 3 , wherein the first curved, pull-wire-deflection surface comprises an outer surface of a first roller positioned between a distal end of the handle housing and the first fiber guide.

8. The control handle of claim 7 , wherein the first fiber guide comprises one of an arc wall section, a C-shaped wall, a U-shaped wall, a flattened-semicircular-shaped wall, a semicircular-shaped wall, or a horseshoe-shaped wall.

9. A catheter comprising the following:
a longitudinally-extending catheter shaft comprising a proximal end portion and a distal deflectable section;
a handle attached to the proximal end portion of the catheter shaft, the handle including a handle housing;
a first pull wire extending along the catheter shaft and comprising
a distal end portion configured to be attached to the distal deflectable section of the catheter shaft, and
a proximal end portion; and

a steering actuator comprising an inner actuator pivotally mounted within the handle housing, wherein the inner actuator comprises a first guide wall and a first anchor point, wherein the first anchor point is an integral part of, or is mounted on, the inner actuator for rotation therewith, wherein the first pull wire is fixedly attached to the first anchor point, and wherein the first guide wall is configured to affect a pull-wire-path length traveled by the first pull wire during actuation of the steering actuator whereby the steering actuator is operable to tension the first pull wire to thereby deflect the distal deflectable section of the catheter shaft,
wherein the first guide wall is located only along an outer-most lateral edge of the steering actuator.

10. The catheter of claim 9 , wherein the steering actuator further comprises an outer actuator including at least one boss adapted to receive user input to effect deflection of the distal deflectable section of the catheter shaft.

11. The catheter of claim 9 , wherein the first anchor point comprises a first tuner mechanism, including a first tuning pin and a first pin block.

12. The catheter of claim 9 , wherein the proximal end portion of the first pull wire traverses the first guide wall and is attached to the first anchor point on the inner actuator.

13. The catheter of claim 9 , further comprising a first fiber including a proximal end portion and a distal end portion, wherein the first fiber distal end portion is connected at a first connection point to the proximal end portion of the first pull wire, wherein the first fiber traverses the first guide wall, and wherein the first fiber proximal end portion is attached to the first anchor point on the inner actuator.

14. The catheter of claim 13 , wherein a first crimp connects the first fiber distal end portion to the proximal end portion of the first pull wire.

15. The catheter of claim 13 , further comprising a first deflection surface attached to the handle housing and positioned between the first connection point and the first guide wall, the fi

Assignees

• St Jude Medical Atrial Fibrillation Div Inc

Inventors

• Yu Alex
• Evans Stephen W
• Gallagher Genevieve L
• Tegg Troy T

Classifications

• A61M25/0147 Primary

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

• A61M25/0136

  Handles therefor · CPC title