WO2006011930A3 - Active system for deflecting a distal portion of a catheter into a hoop configuration - Google Patents

Active system for deflecting a distal portion of a catheter into a hoop configuration Download PDF

Info

Publication number
WO2006011930A3
WO2006011930A3 PCT/US2005/010315 US2005010315W WO2006011930A3 WO 2006011930 A3 WO2006011930 A3 WO 2006011930A3 US 2005010315 W US2005010315 W US 2005010315W WO 2006011930 A3 WO2006011930 A3 WO 2006011930A3
Authority
WO
WIPO (PCT)
Prior art keywords
tube
catheter
configuration
distal portion
hoop
Prior art date
Application number
PCT/US2005/010315
Other languages
French (fr)
Other versions
WO2006011930A2 (en
Inventor
Richard J Koerner
David J Lentz
Joseph A O'donnell
Alvin B Salinas
Original Assignee
Cryocor Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Cryocor Inc filed Critical Cryocor Inc
Priority to EP05730866.0A priority Critical patent/EP1765449B1/en
Publication of WO2006011930A2 publication Critical patent/WO2006011930A2/en
Publication of WO2006011930A3 publication Critical patent/WO2006011930A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0136—Handles therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0231—Characteristics of handpieces or probes
    • A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M2025/0161—Tip steering devices wherein the distal tips have two or more deflection regions

Abstract

An active system for deflecting a distal portion of a catheter into a hoop configuration includes an elongated catheter body having a proximal portion and a distal portion that is formed with a lumen. A thin-walled tube, which is typically made of a metallic material, is positioned in the lumen. The tube includes a cylindrical wall and includes a plurality of lateral slits that are typically formed in the tube wall and arranged such that the tube can be transformed between a relaxed, cylindrical configuration and a deflected configuration wherein the tube is substantially hoop shaped. One end of a deflection wire is attached to the tube and the other wire end is attached to a reel that is rotationally mounted onto a catheter handle housing. In use, the reel is rotated to axially retract the wire and transform the tube into a hoop configuration.
PCT/US2005/010315 2004-06-24 2005-03-28 Active system for deflecting a distal portion of a catheter into a hoop configuration WO2006011930A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP05730866.0A EP1765449B1 (en) 2004-06-24 2005-03-28 Active system for deflecting a distal portion of a catheter into a hoop configuration

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/876,312 US7285108B2 (en) 2004-06-24 2004-06-24 Active system for deflecting a distal portion of a catheter into a hoop configuration
US10/876,312 2004-06-24

Publications (2)

Publication Number Publication Date
WO2006011930A2 WO2006011930A2 (en) 2006-02-02
WO2006011930A3 true WO2006011930A3 (en) 2006-10-05

Family

ID=35506965

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2005/010315 WO2006011930A2 (en) 2004-06-24 2005-03-28 Active system for deflecting a distal portion of a catheter into a hoop configuration

Country Status (3)

Country Link
US (1) US7285108B2 (en)
EP (1) EP1765449B1 (en)
WO (1) WO2006011930A2 (en)

Families Citing this family (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8430863B2 (en) * 2005-12-02 2013-04-30 Abbott Cardiovascular Systems Inc. Visualization of a catheter viewed under ultrasound imaging
US7867169B2 (en) * 2005-12-02 2011-01-11 Abbott Cardiovascular Systems Inc. Echogenic needle catheter configured to produce an improved ultrasound image
US7794402B2 (en) * 2006-05-15 2010-09-14 Advanced Cardiovascular Systems, Inc. Echogenic needle catheter configured to produce an improved ultrasound image
AU2007231733B2 (en) * 2006-11-28 2014-03-13 Cathrx Ltd A catheter steering system
US8808345B2 (en) 2008-12-31 2014-08-19 Medtronic Ardian Luxembourg S.A.R.L. Handle assemblies for intravascular treatment devices and associated systems and methods
US8906013B2 (en) 2010-04-09 2014-12-09 Endosense Sa Control handle for a contact force ablation catheter
US9795765B2 (en) 2010-04-09 2017-10-24 St. Jude Medical International Holding S.À R.L. Variable stiffness steering mechanism for catheters
US9662458B2 (en) 2010-12-23 2017-05-30 Richard A. Schatz Injection needle insertion barrier
US8523808B2 (en) 2011-11-18 2013-09-03 Biosense Webster (Israel), Ltd. Medical device control handle with independent self holding puller wire actuators
US9199061B2 (en) 2011-11-18 2015-12-01 Biosense Webster (Israel) Ltd. Medical device control handle
EP3019104A4 (en) * 2013-04-30 2017-08-02 Lake Region Manufacturing, Inc. d/b/a Lake Region Medical Reverse loop ablation device
US9855404B2 (en) 2013-05-03 2018-01-02 St. Jude Medical International Holding S.À R.L. Dual bend radii steering catheter
US9730755B2 (en) 2014-01-31 2017-08-15 Medtronic Cryocath Lp Medical device with adjustable flexibility
KR102279917B1 (en) * 2019-11-25 2021-07-20 인제대학교 산학협력단 Endoscope forceps unit with improved hygiene and convenience
WO2021183397A1 (en) * 2020-03-10 2021-09-16 Stryker Corporation Control systems for shapeable catheters
US11396269B2 (en) 2020-04-15 2022-07-26 Autoliv Asp, Inc. Curtain airbag assemblies for utility vehicles
CA3183162A1 (en) 2020-06-19 2021-12-23 Jake Anthony Sganga Systems and methods for guidance of intraluminal devices within the vasculature
US20220016394A1 (en) * 2020-07-16 2022-01-20 Canon U.S.A., Inc. Medical Apparatus and Method of Use Thereof
AU2022305235A1 (en) 2021-07-01 2024-01-18 Remedy Robotics, Inc. Vision-based position and orientation determination for endovascular tools
US11707332B2 (en) 2021-07-01 2023-07-25 Remedy Robotics, Inc. Image space control for endovascular tools

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6551302B1 (en) * 1997-09-24 2003-04-22 Michael J. Rosinko Steerable catheter with tip alignment and surface contact detector
US6989028B2 (en) * 2000-01-31 2006-01-24 Edwards Lifesciences Ag Medical system and method for remodeling an extravascular tissue structure

Family Cites Families (64)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US532206A (en) 1895-01-08 klaber
US1060665A (en) * 1910-07-29 1913-05-06 John S Harlow Catheter.
US2574840A (en) * 1949-07-08 1951-11-13 Pieri Jean Flexible medical probe
US2688329A (en) * 1953-03-19 1954-09-07 American Cystoscope Makers Inc Catheter
US3605725A (en) * 1968-08-07 1971-09-20 Medi Tech Inc Controlled motion devices
US4245624A (en) * 1977-01-20 1981-01-20 Olympus Optical Co., Ltd. Endoscope with flexible tip control
US4456017A (en) * 1982-11-22 1984-06-26 Cordis Corporation Coil spring guide with deflectable tip
US4586923A (en) * 1984-06-25 1986-05-06 Cordis Corporation Curving tip catheter
US5114414A (en) * 1984-09-18 1992-05-19 Medtronic, Inc. Low profile steerable catheter
US4960411A (en) * 1984-09-18 1990-10-02 Medtronic Versaflex, Inc. Low profile sterrable soft-tip catheter
US5125895A (en) * 1986-07-22 1992-06-30 Medtronic Versaflex, Inc. Steerable catheter
US4813434A (en) * 1987-02-17 1989-03-21 Medtronic Versaflex, Inc. Steerable guidewire with deflectable tip
US4815478A (en) * 1987-02-17 1989-03-28 Medtronic Versaflex, Inc. Steerable guidewire with deflectable tip
US4960134A (en) * 1988-11-18 1990-10-02 Webster Wilton W Jr Steerable catheter
US4886067A (en) * 1989-01-03 1989-12-12 C. R. Bard, Inc. Steerable guidewire with soft adjustable tip
US5037391A (en) * 1989-01-09 1991-08-06 Pilot Cardiovascular Systems, Inc. Steerable angioplasty device
US5108368A (en) * 1990-01-04 1992-04-28 Pilot Cardiovascular System, Inc. Steerable medical device
US4976688A (en) * 1989-02-03 1990-12-11 Rosenblum Jeffrey L Position-adjustable thoracic catheter
US5042985A (en) * 1989-05-11 1991-08-27 Advanced Cardiovascular Systems, Inc. Dilatation catheter suitable for peripheral arteries
US5891088A (en) * 1990-02-02 1999-04-06 Ep Technologies, Inc. Catheter steering assembly providing asymmetric left and right curve configurations
US6413234B1 (en) * 1990-02-02 2002-07-02 Ep Technologies, Inc. Assemblies for creating compound curves in distal catheter regions
US5820591A (en) * 1990-02-02 1998-10-13 E. P. Technologies, Inc. Assemblies for creating compound curves in distal catheter regions
AU660444B2 (en) * 1991-02-15 1995-06-29 Ingemar H. Lundquist Torquable catheter and method
US5190050A (en) * 1991-11-08 1993-03-02 Electro-Catheter Corporation Tip deflectable steerable catheter
DE4201280C1 (en) * 1992-01-18 1992-12-10 Richard Wolf Gmbh, 7134 Knittlingen, De
US5242441A (en) * 1992-02-24 1993-09-07 Boaz Avitall Deflectable catheter with rotatable tip electrode
US5318525A (en) * 1992-04-10 1994-06-07 Medtronic Cardiorhythm Steerable electrode catheter
US5334145A (en) * 1992-09-16 1994-08-02 Lundquist Ingemar H Torquable catheter
US5330466A (en) * 1992-12-01 1994-07-19 Cardiac Pathways Corporation Control mechanism and system and method for steering distal extremity of a flexible elongate member
US5368564A (en) * 1992-12-23 1994-11-29 Angeion Corporation Steerable catheter
US5715817A (en) * 1993-06-29 1998-02-10 C.R. Bard, Inc. Bidirectional steering catheter
US5928191A (en) * 1993-07-30 1999-07-27 E.P. Technologies, Inc. Variable curve electrophysiology catheter
US5656030A (en) * 1995-05-22 1997-08-12 Boston Scientific Corporation Bidirectional steerable catheter with deflectable distal tip
US6332880B1 (en) 1996-12-19 2001-12-25 Ep Technologies, Inc. Loop structures for supporting multiple electrode elements
US6048329A (en) * 1996-12-19 2000-04-11 Ep Technologies, Inc. Catheter distal assembly with pull wires
WO1999011313A1 (en) 1997-09-04 1999-03-11 Alcon Laboratories, Inc. Flexible tube with circular grooves of varying width and depth
US6013052A (en) * 1997-09-04 2000-01-11 Ep Technologies, Inc. Catheter and piston-type actuation device for use with same
US6123699A (en) * 1997-09-05 2000-09-26 Cordis Webster, Inc. Omni-directional steerable catheter
US6183463B1 (en) * 1997-12-01 2001-02-06 Cordis Webster, Inc. Bidirectional steerable cathether with bidirectional control handle
US6171277B1 (en) * 1997-12-01 2001-01-09 Cordis Webster, Inc. Bi-directional control handle for steerable catheter
US6106518A (en) * 1998-04-09 2000-08-22 Cryocath Technologies, Inc. Variable geometry tip for a cryosurgical ablation device
US6540725B1 (en) * 1998-06-04 2003-04-01 Biosense Webster, Inc. Injection catheter with controllably extendable injection needle
US6319248B1 (en) * 1998-07-29 2001-11-20 Cryocath Technologies, Inc. Spray catheter
US6102887A (en) * 1998-08-11 2000-08-15 Biocardia, Inc. Catheter drug delivery system and method for use
US6198974B1 (en) * 1998-08-14 2001-03-06 Cordis Webster, Inc. Bi-directional steerable catheter
US6322880B1 (en) * 1998-09-28 2001-11-27 Seagate Technology Llc Magneto-resistance recording media comprising a foundation layer and a C-overcoat
US6210407B1 (en) * 1998-12-03 2001-04-03 Cordis Webster, Inc. Bi-directional electrode catheter
US6183435B1 (en) * 1999-03-22 2001-02-06 Cordis Webster, Inc. Multi-directional steerable catheters and control handles
US6267746B1 (en) * 1999-03-22 2001-07-31 Biosense Webster, Inc. Multi-directional steerable catheters and control handles
US6440126B1 (en) * 1999-04-21 2002-08-27 Cryocath Technologies Cryoblation catheter handle
US6468260B1 (en) * 1999-05-07 2002-10-22 Biosense Webster, Inc. Single gear drive bidirectional control handle for steerable catheter
US6585717B1 (en) * 1999-06-15 2003-07-01 Cryocath Technologies Inc. Deflection structure
US6254568B1 (en) * 1999-08-10 2001-07-03 Biosense Webster, Inc. Deflectable catheter with straightening element
US6503964B2 (en) * 2000-01-11 2003-01-07 Cool Options, Inc. Polymer composition with metal coated carbon flakes
US6579278B1 (en) * 2000-05-05 2003-06-17 Scimed Life Systems, Inc. Bi-directional steerable catheter with asymmetric fulcrum
US6710109B2 (en) * 2000-07-13 2004-03-23 Cool Options, Inc. A New Hampshire Corp. Thermally conductive and high strength injection moldable composition
US6571131B1 (en) * 2000-11-10 2003-05-27 Biosense Webster, Inc. Deflectable catheter with modifiable handle
US6522933B2 (en) * 2001-03-30 2003-02-18 Biosense, Webster, Inc. Steerable catheter with a control handle having a pulley mechanism
US6551271B2 (en) * 2001-04-30 2003-04-22 Biosense Webster, Inc. Asymmetrical bidirectional steerable catheter
US6605086B2 (en) * 2001-05-02 2003-08-12 Cardiac Pacemakers, Inc. Steerable catheter with torque transfer system
US6585718B2 (en) * 2001-05-02 2003-07-01 Cardiac Pacemakers, Inc. Steerable catheter with shaft support system for resisting axial compressive loads
US6610058B2 (en) * 2001-05-02 2003-08-26 Cardiac Pacemakers, Inc. Dual-profile steerable catheter
US6569114B2 (en) * 2001-08-31 2003-05-27 Biosense Webster, Inc. Steerable catheter with struts
US7918819B2 (en) * 2002-11-15 2011-04-05 Health & Human Services - NIH Variable curve catheter

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6551302B1 (en) * 1997-09-24 2003-04-22 Michael J. Rosinko Steerable catheter with tip alignment and surface contact detector
US6989028B2 (en) * 2000-01-31 2006-01-24 Edwards Lifesciences Ag Medical system and method for remodeling an extravascular tissue structure

Also Published As

Publication number Publication date
EP1765449A4 (en) 2007-07-18
US20050288626A1 (en) 2005-12-29
US7285108B2 (en) 2007-10-23
WO2006011930A2 (en) 2006-02-02
EP1765449B1 (en) 2019-01-09
EP1765449A2 (en) 2007-03-28

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