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

Patent metadata

Field	Value
Publication number	US-10912923-B2
Application number	US-201816152127-A
Country	US
Kind code	B2
Filing date	Oct 4, 2018
Priority date	May 16, 2006
Publication date	Feb 9, 2021
Grant date	Feb 9, 2021

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 formed according to a process comprising:
providing a mandrel;
placing an inner liner over the mandrel;
placing a steering wire assembly over the inner liner, the steering wire assembly including:
a flat pull wire extending longitudinally along the inner liner;
a flexible tube extending longitudinally along the inner liner; and
a pull ring circumferentially surrounding the inner liner and comprising a slot configured to accommodate the flat pull wire, wherein the slot extends through a wall of the pull ring,
wherein a portion of the flat pull wire is encased in the flexible tube, and
the flexible tube has a cross-sectional shape that differs from a cross-sectional shape of the flat pull wire;

placing a wire reinforcing assembly over the inner liner, the wire reinforcing assembly including at least two flat wires braided into a wire mesh;
placing a tubular outer layer over the inner liner, the steering wire assembly, and the wire reinforcing assembly;
laminating the outer layer to the inner liner, thereby embedding the steering wire assembly and the wire reinforcing assembly within the outer layer; and
removing the mandrel, thereby forming a lumen.

2. The shaft according to claim 1 , wherein placing a steering wire assembly over the inner liner comprises coupling the flat pull wire to the pull ring.

3. The shaft according to claim 1 , wherein:
the flexible tube of the steering wire assembly comprises:
a first flexible tube extending longitudinally along the inner liner at a first circumferential location; and
a second flexible tube extending longitudinally along the inner liner at a second circumferential location;

the flat pull wire of the steering wire assembly comprises:
a first flat pull wire extending longitudinally along the inner liner, a portion of the first plat pull wire encased in the first flexible tube; and
a second flat pull wire extending longitudinally along the inner liner, a portion of the second flat pull wire encased in the second flexible tube, and

wherein the first and second circumferential locations are about 180 degrees apart from each other.

4. The shaft according to claim 1 , wherein the tubular outer layer comprises a plurality of tubular segments having different hardness values, wherein the plurality of tubular segments are arranged to abut each other longitudinally along the inner liner.

5. A shaft for a steerable catheter formed according to a process comprising:
providing a mandrel;
placing a lining material over the mandrel to form an inner liner;
providing at least one flat shaped wire;
placing a flexible liner over each of the at least one flat shaped wires to create at least one flat lumen;
placing a pull ring circumferentially about the inner liner, wherein the pull ring comprises at least one slot configured to receive the at least one flat shaped wire,

wherein the at least one slot extends through a wall of the pull ring;
placing a braided wire assembly over the inner liner and the at least one flat lumen;
covering the braided wire assembly with a melt processing polymer;
covering the melt processing polymer with shrink wrap tubing;

applying sufficient heat to the melt processing polymer to raise the temperature of the polymer above its melting point;
cooling the assembly; and
removing the mandrel.

6. The shaft of claim 5 , wherein the shaft further comprises a second melt processing polymer over the flat lumen.

Assignees

• St Jude Medical Atrial Fibrillation Div Inc

Inventors

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

Classifications

• 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

• A61M2025/015

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

• A61M25/0147

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