Catheter deflection system with deflection load limiter

Patent metadata

Field	Value
Publication number	US-11744480-B2
Application number	US-202015930795-A
Country	US
Kind code	B2
Filing date	May 13, 2020
Priority date	Jun 25, 2019
Publication date	Sep 5, 2023
Grant date	Sep 5, 2023

Abstract

An apparatus includes a handle, a catheter, extending distally from the handle, an end effector extending distally from the catheter, a deflection assembly, and a load limiting assembly. The deflection assembly is configured to deflect the end effector away from a longitudinal axis of the catheter. The deflection assembly includes an input member and a translating assembly. The input member is configured to drive the translating assembly to deflect the end effector away from the longitudinal axis. The load limiting assembly is configured to decouple the input member from the translating assembly at a predetermined load such that the input member is inhibited from driving the translating assembly when the input member is decoupled by the load limiting assembly.

First claim

We claim:

1. An apparatus, comprising:
(a) a handle;
(b) a catheter extending distally from the handle, a proximal portion of the catheter defining a longitudinal axis;
(c) an end effector extending distally from the catheter, the end effector including at least one electrode;
(d) a deflection assembly, the deflection assembly being configured to deflect the end effector away from the longitudinal axis, the deflection assembly comprising:
(i) an input member associated with the handle, the input member comprising a driving body configured to actuate relative to the handle,
(ii) a translating assembly coupled to the end effector, the driving body being configured to actuate relative to the handle to thereby drive the translating assembly to deflect the end effector away from the longitudinal axis;

(e) a load limiting assembly comprising a resilient member interposed between the input member and the translating assembly, the load limiting assembly configured to cause the deflection assembly to move between an engaged configuration and a disengaged configuration, where in the engaged configuration the input member is coupled to the translating assembly such that actuation of the input member drives the translating assembly to deflect the end effector away from the longitudinal axis, and in the disengaged configuration the input member is decoupled from the translating assembly such that actuation of the input member moves the input member without driving the translating assembly, the load limiting assembly being configured to cause the deflection assembly to move to the disengaged configuration when actuation of the input member results in generation of a predetermined load against the resilient member.

2. The apparatus of claim 1 , the at least one electrode being configured to emit RF energy.

3. The apparatus of claim 1 , the at least one electrode being configured to perform electrophysiology mapping.

4. The apparatus of claim 1 , the end effector being configured to emit irrigation fluid.

5. The apparatus of claim 1 , the end effector comprising a position sensor.

6. The apparatus of claim 1 , the input member comprising a knob configured to rotate relative to the handle about a drive axis.

7. The apparatus of claim 6 , the drive axis being perpendicular with the longitudinal axis.

8. The apparatus of claim 1 , the load limiting assembly comprising a first body associated with the input member and a second body associated with the translating assembly, the first body and the second body being configured to slip relative to each other in the disengaged configuration.

9. The apparatus of claim 8 , the first body and the second body being coupled with each other via a retention collar.

10. The apparatus of claim 1 , the deflection assembly further comprising a rotating driver interposed between the input member and the translating assembly.

11. The apparatus of claim 10 , the translating assembly comprising a pair of push-pull cables, the rotating driver being configured to drive the pair of push-pull cables in opposing directions simultaneously.

12. The apparatus of claim 10 , the load limiting assembly being interposed between the rotating driver and the input member.

13. The apparatus of claim 1 , the load limiting assembly comprising at least one engagement member configured to transition between the engaged configuration and the disengaged configuration.

14. The apparatus of claim 13 , the at least one engagement member comprising at least one sphere.

15. The apparatus of claim 13 , the resilient member being configured to bias the at least one engagement member into the engaged configuration.

16. The apparatus of claim 15 , the resilient member comprising a wave spring.

17. The apparatus of claim 15 , the resilient member comprising an elastomeric o-ring.

18. The apparatus of claim 15 , the resilient member comprising a compression spring.

19. An apparatus, comprising:
(a) a flexible catheter assembly comprising a proximal portion and a distal portion, the proximal portion defining a longitudinal axis;
(b) an end effector attached to the distal portion of the flexible catheter assembly, the end effector including at least one electrode;
(c) a deflection assembly comprising a pull wire, the deflection assembly being configured to deflect the end effector away from the longitudinal axis;
(d) a rotatable knob configured to drive the deflection assembly; and
(d) a load limiting assembly comprising a resilient member, the load limiting assembly being configured to cause the deflection assembly to move between an engaged configuration and a disengaged configuration, where in the engaged configuration the rotatable knob is coupled to the deflection assembly such that rotation of the rotatable knob drives the deflection assembly to deflect the end effector away from the longitudinal axis, and in the disengaged configuration the deflection assembly is decoupled from the rotatable knob such that rotation of the rotatable knob rotates the rotatable knob without driving the deflection assembly, the load limiting assembly being configured to cause the deflection assembly to move to the disengaged configuration when rotation of the rotatable knob results in generation of a predetermined load against the resilient member.

20. An apparatus comprising:
(a) a handle;
(b) a flexible catheter extending distally from the handle, a proximal portion of the flexible catheter defining a longitudinal axis;
(c) an end effector extending distally from the catheter, the end effector including at least one electrode;
(d) a deflection assembly, the deflection assembly being configured to deflect the end effector away from the longitudinal axis, the deflection assembly comprising:
(i) an input member associated with the handle, and
(ii) a translating assembly coupled to the end effector, the input member being configured to drive the translating assembly to deflect the end effector away from the longitudinal axis; and

(e) a load limiting assembly comprising a biasing member comprising a spring interposed between the input member and the translating assembly, the load limiting assembly being configured to cause the deflection assembly to transition between an engaged configuration and a disengaged configuration, where in the disengaged configuration the input member is decoupled from the translating assembly such that the actuation of the input member moves the input member without driving the translating assembly, and in the engaged configuration actuation of the input member drives the translating assembly, the load limiting assembly being configured to cause the deflection assembly to move to the disengaged configuration when actuation of the input member results in generation of a predetermined load against the biasing member, and the biasing member biasing the load limiting assembly toward the engaged configuration.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Hoitink Ryan
• Padilla Jr Ricardo
• Truong Frank H

Classifications

• A61B5/065 Primary

  Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe · CPC title

• A61B34/20

  Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis · CPC title

• A61B2018/00351

  Heart · CPC title

• A61B5/6852

  Catheters · CPC title

• A61B2017/00327

  with actuating members moving in opposite directions · CPC title