Steering actuator for deflectable catheter

Patent metadata

Field	Value
Publication number	US-9861788-B2
Application number	US-201414272412-A
Country	US
Kind code	B2
Filing date	May 7, 2014
Priority date	May 7, 2013
Publication date	Jan 9, 2018
Grant date	Jan 9, 2018

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 wing wall sections 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 wing wall section is located only along the first lateral edge of the base plate, wherein the second wing wall section is located only along the second lateral edge of the base plate, wherein the first wing wall section 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 wing wall section 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 comprising a tuning pin and a pin block, wherein each pin block is an integral part of, or is mounted on, the base plate near the proximal edge of the base plate, wherein each tuning pin is rotatable into its respective pin block, and each tuner mechanism is configured to receive one of the pull wires, between the tuning pin and the pin block, and each tuner mechanism is configured to wrap the pull wire around the tuning pin, 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.

2. A steering actuator comprising:
(a) an inner actuator rotatably mounted within a catheter handle housing, the inner actuator comprising:
complementary first and second pull wire guide walls, wherein each pull wire guide wall 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 and a pin block, where the tension adjustment pin is wound onto its pin block, and the tension mechanism is configured to enable initial tension adjustment of the respective pull wire by winding the pull wire about the adjustment pin, between the pin block and the adjustment pin; and

(b) a user-manipulatable actuator attached to the inner actuator to facilitate user rotation 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 pull wire guide walls, wherein each pull wire guide wall 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 wound about the first actuator component at the first anchor point, and wherein the second pull wire is wound about the first actuator component at the second anchor point, and wherein the first and second anchor points are configured to rotate relative to the first actuator component to tension 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.

4. The control handle of claim 3 , wherein the first actuator component and the second actuator component comprise a unitary component; and the first and second anchor points are further configured to adjust the tension of the first and second pull wires by rotating the respective anchor points in a first direction to release the tension of the pull wires, and to rotate the respective anchor points in a second direction, different from the first direction, to increase the tension of the pull wires.

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.

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 pull wire guide wall.

8. The control handle of claim 7 , wherein the first pull wire guide wall 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 and is configured to rotate relative to the inner actuator, wherein the first pull wire is wrapped around and 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 and thereby deflect the distal deflectable section of the catheter shaft, and whereby the steering actuator is configured to adjust the tension of the first pull wire by rotating the anchor point so that the first pull wire wraps around the anchor point.

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, the first pull wire extending between the first tuning pin and the first pin block and wrapped around the first tuning pin, and the first tuning pin is configured to adjust the tension of the first pull wire by rotating in a first direction to release the tension of the first pull wi

Assignees

• St Jude Medical Atrial Fibrilation Div Inc
• St Jude Medical Atrial Fibrillation Div Inc

Inventors

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

Classifications

• A61M25/0136

  Handles therefor · CPC title

• A61M25/0147 Primary

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