Method of anchoring pullwire directly articulatable region in catheter

Patent metadata

Field	Value
Publication number	US-12350449-B2
Application number	US-202418443718-A
Country	US
Kind code	B2
Filing date	Feb 16, 2024
Priority date	Nov 28, 2012
Publication date	Jul 8, 2025
Grant date	Jul 8, 2025

Abstract

A catheter comprises a flexible polymer catheter body including a proximal shaft section and a distal working section, a wire support structure embedded within the distal working section of the catheter body, a proximal adapter mounted to the proximal shaft section of the catheter body, and a wire disposed within the catheter body. The wire has a proximal end and a distal end. The proximal end of the wire being operably connected to the proximal adapter, and the distal end of the wire is anchored to the wire support structure.

First claim

What is claimed is:

1. A steerable instrument, comprising: an elongate body comprising a shaft portion, a proximal section positioned distal to the shaft portion, a distal articulating section positioned distal to the proximal section, and a transition section longitudinally interposed between the distal articulating section and the proximal section; and a plurality of pullwires extending through at least the proximal section and the transition section of the elongate body, wherein the plurality of pullwires extend along a first lateral side of the elongate body within the proximal section, wherein the plurality of pullwires are coupled to the distal articulating section, wherein the plurality of pullwires are evenly angularly spaced apart from each other about a central longitudinal axis of the elongate body at the distal articulating section, and wherein the plurality of pullwires converge at a proximal end of the transition section, wherein the plurality of pullwires are configured to be tensioned to bend the distal articulating section in any direction without deflection of the proximal section.

2. The steerable instrument of claim 1 , wherein the proximal section is configured to articulate independently of articulation of the distal articulating section.

3. The steerable instrument of claim 1 , wherein each of the plurality of pullwires is configured to be selectively tensioned to bend the distal articulating section.

4. The steerable instrument of claim 1 , wherein the elongate body is configured such that equal tensioning of the plurality of pullwires bends the proximal section in one direction without causing bending of the distal articulating section.

5. The steerable instrument of claim 1 , wherein a neutral axis of the proximal section is positioned away from a geometric center of the proximal section, wherein the neutral axis of the proximal section is positioned towards a first side of the elongate body.

6. The steerable instrument of claim 1 , wherein each of the plurality of pullwires is configured to be selectively tensioned and released in a sequential fashion to rotate the distal articulating section.

7. The steerable instrument of claim 1 , wherein a working lumen and a plurality of pullwire lumens extend through the elongate body, the plurality of pullwire lumens positioned between an outer diameter of the elongate body and the working lumen.

8. The steerable instrument of claim 1 , wherein the plurality of pullwires include at least three pullwires.

9. A steerable instrument, comprising: an elongate body comprising a shaft portion, a proximal section positioned distal to the shaft portion, a distal articulating section positioned distal to the proximal section, and a transition section longitudinally interposed between the distal articulating section and the proximal section; and a plurality of pullwires extending through at least the proximal section and the transition section of the elongate body, wherein the plurality of pullwires extend along a first side of the elongate body within the proximal section, wherein the plurality of pullwires are coupled to the distal articulating section, wherein the plurality of pullwires are equally spaced circumferentially to each other at the distal articulating section such that the plurality of pullwires are equally spaced circumferentially at a distal end of the transition section and converge at a proximal end of the transition section, wherein the proximal section is configured to articulate, and wherein the proximal section and the distal articulating section are operable to be articulated independently relative to each other.

10. The steerable instrument of claim 9 , wherein the plurality of pullwires are configured to be tensioned to bend the distal articulating section in any direction without deflection of the proximal section.

11. The steerable instrument of claim 9 , wherein each of the plurality of pullwires is configured to be selectively tensioned to bend the distal articulating section.

12. The steerable instrument of claim 9 , wherein the elongate body is configured such that equal tensioning of the plurality of pullwires bends the proximal section in one direction without causing bending of the distal articulating section.

13. The steerable instrument of claim 9 , wherein a neutral axis of the proximal section is positioned away from a geometric center of the proximal section, wherein the neutral axis of the proximal section is positioned towards the first side of the elongate body.

14. The steerable instrument of claim 9 , wherein each of the plurality of pullwires is configured to be selectively tensioned and released in a sequential fashion to rotate the distal articulating section.

15. The steerable instrument of claim 9 , wherein a working lumen and a plurality of pullwire lumens extend through the elongate body, the plurality of pullwire lumens positioned between an outer diameter of the elongate body and the working lumen.

16. The steerable instrument of claim 9 , wherein the plurality of pullwires are positioned in a spiral configuration around the transition section.

17. The steerable instrument of claim 9 , further comprising a computing device, wherein the computing device is configured to compute a required displacement for each of the plurality of pullwires based on elastic behavior of the distal articulating section and the proximal section.

18. A steerable instrument, comprising:
an elongate body comprising a shaft portion, a proximal section positioned distal to the shaft portion, a distal articulating section positioned distal to the proximal section, and a transition section longitudinally interposed between the distal articulating section and the proximal section; and
a plurality of pullwires extending through at least the proximal section and the transition section of the elongate body, wherein the plurality of pullwires extend along a first lateral side of the elongate body within the proximal section, wherein the plurality of pullwires are coupled to the distal articulating section, wherein the plurality of pullwires are evenly angularly spaced apart from each other about a central longitudinal axis of the elongate body at the distal articulating section;
wherein the proximal section is configured to articulate independently of articulation of the distal articulating section.

Assignees

• Auris Health Inc

Inventors

• Bogusky Joseph

Classifications

• A61M2209/01

  Remote controllers for specific apparatus · CPC title

• A61M2205/50

  with microprocessors or computers · CPC title

• A61M2025/015

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

• A61B34/30

  Surgical robots · CPC title

• A61B2034/301

  for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes · CPC title