Double loop lasso with single puller wire for bi-directional actuation

Patent metadata

Field	Value
Publication number	US-9918791-B2
Application number	US-201615144705-A
Country	US
Kind code	B2
Filing date	May 2, 2016
Priority date	Dec 31, 2012
Publication date	Mar 20, 2018
Grant date	Mar 20, 2018

Abstract

A catheter has a distal assembly with at least one loop, if not two, with ring electrodes. The distal assembly has an elongated support member covered by an extruded form having two lumens, one sized for nonslip tight fit with the support member. A single continuous puller wire for bidirectional deflection is pre-bent into two long portions and a U-shape bend therebetween. The U-shape bend is anchored at a distal end of a deflectable section which is reinforced by at least one washer having at least two holes, each hole axially aligned with a respective lumen in the deflectable section. Each hole is centered with a lumen so that each puller wire portion therethrough is straight and subjected to tensile force only. A proximal end of the support member is flattened and serrated to provide a better bonding to the distal end of the deflectable section.

First claim

What is claimed is:

1. A catheter comprising:
an elongated tubular catheter body with at least one lumen extending there through;
a deflectable intermediate section having proximal and distal ends and at least two off-axis lumens extending there through, the proximal end of the deflectable intermediate section being attached to a distal end of the catheter body;
a distal section distal of the deflectable intermediate section, the distal section comprising:
a tubular structure having a generally straight proximal region attached to the intermediate section, a generally circular main region generally transverse and distal to the proximal region, and
an elongated support member extending through the distal section, the elongated support member having shape memory, and
at least one electrode carried on the generally circular main region of the distal section;
at least one washer at the distal end of the deflectable intermediate section, the washer having at least two off-axis lumens, each axially aligned with a respective off axis lumen of the deflectable intermediate section;
a puller wire having two proximal portions and a mid-portion transverse to the two proximal portions, each proximal portion extending through a respective off-axis lumen of the deflectable intermediate section and a respective off-axis lumen of the washer, the mid-portion being distal of the washer and extending between the two off-axis lumens of the washer; and
a control handle comprising a deflection mechanism adapted to act on at least one proximal portion of the puller wire anchored in the control handle to deflect the deflectable intermediate section.

2. The catheter of claim 1 , further comprising a connector section between the distal section and the deflectable intermediate section.

3. The catheter of claim 2 , wherein a proximal end of the support member is received in the connector section.

4. The catheter of claim 2 , wherein an interior of the connector section is filled with a bonding material.

5. The catheter of claim 4 , wherein a proximal end of the support member is potted in the bonding material.

6. The catheter of claim 4 , further comprising a location sensor potted in the bonding material.

7. The catheter of claim 6 , wherein the location sensor is surrounded in heat shrink tubing.

8. The catheter of claim 1 , wherein a proximal end of the support member is flattened.

9. The catheter of claim 1 , wherein a proximal end of the support member has an uneven surface.

10. The catheter of claim 1 , further comprising a first compression coil surrounding one of the two proximal puller wire portions and a second compression coil surrounding the other of the two proximal puller wire portions.

11. The catheter of claim 10 , wherein the first compression coil has a first distal end and the second compression coil has a second distal end, and the first distal end is distal of the second distal end.

12. The catheter of claim 1 , further comprising a nonconductive cover over at least a main region of the support member, wherein the support member and the nonconductive cover have a friction fit.

13. The catheter of claim 12 , wherein the nonconductive cover has at least two lumens, the support member extending through one of the at least two lumens.

14. The catheter of claim 1 , wherein each of the two off-axis lumens of the at least one washer is axially-aligned with a center of a respective off-axis lumen of the deflectable section.

15. The catheter of claim 1 , wherein the generally circular main region has at least two loops.

16. The catheter of claim 1 , wherein the at least one electrode comprises between about two and 24 electrodes.

17. The catheter of claim 1 , further comprising at least one electrode carried on the deflectable section.

18. The catheter of claim 1 , further comprising at least one electrode proximal of the distal section.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Bui Julie
• Galvan Oscar
• Jimenez Jose
• Nguyen Thanh
• Padilla Ricardo
• Selkee Thomas V

Classifications

• A61B2562/0209

  Special features of electrodes classified in A61B5/24, A61B5/25, A61B5/283, A61B5/291, A61B5/296, A61B5/053 · CPC title

• A61M25/0662

  Guide tubes · CPC title

• A61B2018/1435

  Spiral · CPC title

• A61M25/0147

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

• A61B5/6857

  with a distal pigtail shape · CPC title