| Entries |
| Document | Title | Date |
|---|
| 20080228135 | APPARATUS FOR TREATING A DAMAGED SPINAL DISC - The advantages of this invention are provided by a surgical tool for repairing a damaged spinal disc of a patient comprising: a catheter having a proximal end and a distal end; a guide wire contained within the catheter so that when the guide wire is pulled, the catheter will flex into a non linear shape allowing it to be steered once inserted in the patient; a heating element carried by the catheter, probe or heating member, and connected to a power source so that the heating element can be activated and provide heat to treat a disk; a grasping probe that extends from the catheter so that the grasping probe can be extended out of the catheter; and, a grasping member that can from the distal end of the catheter. | 09-18-2008 |
| 20080255505 | Robotic catheter systems and methods - A robotic instrument system having an elongate sheath instrument and an elongate catheter instrument positioned within a working lumen of the sheath instrument is controlled by selectively operating an instrument driver coupled to the catheter instrument to place a control element extending through the catheter instrument in tension, and thereby articulate at least a distal end portion the catheter instrument, while automatically compensating for a torsional force exerted on the sheath instrument in a first direction due to articulation of the distal end portion of the catheter, by urging the sheath instrument to twist in a second direction opposite of the first direction. | 10-16-2008 |
| 20080262422 | Flexible Catheter System - A percutaneous delivery system with a high degree of flexibility is provided. In one embodiment, the system includes a catheter having a portion comprising multiple segments, linked in series by at least one connecting wire. Joints between the multiple segments provide a high degree of flexibility. In some embodiments, only a distal portion is made up of segments. In other embodiments, the whole length of the catheter is made up of segments. Manipulation of the at least one connecting wire enables manipulation of the segments to flex a portion of the catheter. In one aspect, the invention provides a delivery system that reduces the impact of the delivery system on the final release position of the implant delivered. The delivery system can be used to deploy and/or retrieve implantable medical devices, for example, patent foramen ovale (PFO) occluder. | 10-23-2008 |
| 20080275389 | Catheter Handle and a Catheter Assembly Including Such a Handle - A catheter handle ( | 11-06-2008 |
| 20080300537 | METHOD AND SYSTEM FOR STEERING A CATHETER END IN MULTIPLE PLANES - A catheter extrusion includes one or more extra steering wire lumens to route one or more steering wires that facilitate steering of a distal end in more than one plane. To make room in an extrusion, for extra steering wires, the extrusion may define a smaller operational lumen. Alternatively, a designer/manufacturer may increase the size of the extrusion from to facilitate one or more extra operational lumen(s). | 12-04-2008 |
| 20080319387 | Method and Apparatus for Inserting a Catheter Device - The present invention relates to systems and methods for inserting a catheter device into a subject, wherein the catheter insertion system generally comprises a flexible sleeve containing a catheter tube and advancing means for advancing the catheter contained within said system in a distal direction, wherein the flexible sleeve has a sealed proximal end and a distal end which may comprise a slender passage adapted to allow passage of said catheter tube therethrough while preventing backflow of fluid into the flexible sleeve. | 12-25-2008 |
| 20090105640 | Fixed Dimensional and Bi-Directional Steerable Catheter Control Handle - An apparatus for imparting a tensile force to deflect a distal portion of a catheter while maintaining its exterior dimensions may include a handle grip including a cross-section of generally predetermined exterior dimensions, and a longitudinal axis. A flexible elongate member may include proximal and distal end portions, with the proximal end portion being coupled to the handle grip. An adjustment knob may include a cross-section of generally predetermined exterior dimensions, and is rotatably coupled to the handle grip around the longitudinal axis. An elongate deflection member may be operably coupled to the adjustment knob and to the distal end portion of the elongate member. Rotation of the adjustment knob may impart a tensile force to the deflection member thereby causing the distal end portion of the elongate member to deflect from a prior configuration while maintaining the generally predetermined exterior dimensions of the handle grip and the adjustment knob. | 04-23-2009 |
| 20090131865 | STEERABLE CATHETER - A steering mechanism ( | 05-21-2009 |
| 20090137953 | DEFLECTABLE CATHETER STEERING AND LOCKING SYSTEM - A deflectable catheter includes a catheter shaft having a deflectable distal tip. A support member is coupled around a proximal portion of the catheter shaft, and the support member includes a first brake portion extending along at least a portion of the support member. A handle is coupled around the support member. The deflectable catheter includes a carriage moveably coupled along the handle, and the carriage includes a second brake portion sized and shaped to engage with at least a portion of the first brake portion. A flexible element is coupled between the deflectable distal tip and the carriage. A biasing device is adapted to bias the second brake portion into engagement with the first brake portion. | 05-28-2009 |
| 20090149805 | DUAL-FUNCTION CATHETER HANDLE - A dual function catheter handle is provided for simultaneous movement of two control wires. The catheter handle has a handle housing having proximal and distal ends and a generally hollow interior. A core is mounted in the interior of the handle housing, the core having a longitudinal slot therethrough. A first moveable member is provided with a proximal end mounted in the interior of the handle housing and a distal end extending outside the handle housing. The first moveable member is longitudinally moveable relative to the handle housing. A second moveable member is mounted in the longitudinal slot of the core and is longitudinally moveable relative to the core and handle housing. The second moveable member has a threaded surface. A rotatable member is mounted on the handle housing. The rotatable member has a threaded inner surface that mates with the threaded surface of the second moveable member so that rotation of the rotatable member causes longitudinal movement of the second moveable member. The first moveable member and second moveable member are capable of simultaneously moving proximally relative to the handle housing. | 06-11-2009 |
| 20090156995 | STEERABLE ACCESS SHEATH AND METHODS OF USE - The present invention provides devices, systems, methods and kits for endoscopically accessing a body cavity and providing a directed pathway toward a target tissue within the cavity. The directed pathway is provided by an access sheath which is positioned in a desired configuration, generally directed toward the target tissue. Depending on the location of the target tissue and the desired angle of approach, the access sheath may be required to maintain one or more curves in one or more planes to properly direct the interventional devices. In addition, the access sheath has a locking feature to hold the sheath in place and maintain the desired configuration. Interventional devices may then be passed through the sheath to the target tissue. | 06-18-2009 |
| 20090171272 | DEFLECTABLE SHEATH AND CATHETER ASSEMBLY - The present invention relates to deflectable access sheath assembly. The present invention relates to deflectable sheaths and catheters, including a deflectable sheath access device or introducer, wherein the deflection and movement of the sheath access device is controlled through the relative movement of a plurality of sheaths with respect to one another. Moreover, the present invention relates to catheter assemblies designed for increased flexibility. | 07-02-2009 |
| 20090171273 | DEFLECTABLE CATHETER CONSTRUCTED TO INHIBIT COMPONENT MIGRATION - A method of manufacturing a deflectable electrophysiological catheter includes constructing a shaft having a distal end and at least one lumen. The method further includes inserting a component into the lumen, and processing at least a portion of the distal end to reduce the cross-sectional profile of the lumen to capture/confine the component. A catheter manufactured using this method includes a shaft having at least one lumen. The lumen comprises a longitudinally-extending trough defined by a longitudinally-extending recess, within which a component is disposed, and a longitudinally extending open edge. The lumen further comprises a longitudinally-extending channel defined by a longitudinally-extending cavity and by the open edge of the trough. A planarity wire is disposed within the cavity and is configured to close the open edge of the trough to within a pre-defined tolerance that is less than the size of the component to retain the component in the recess. | 07-02-2009 |
| 20090171274 | Non contact mapping catheter - A multi electrode catheter for non contact mapping of the heart having independent articulation and deployment features. | 07-02-2009 |
| 20090171275 | CONTROLLING MOVEMENT OF DISTAL PORTION OF MEDICAL DEVICE - A medical device allows movement control of a distal end portion of the medical device and is adapted for one-handed operation. The medical device is capable of omni-directional control of the distal end portion of the device. The device has an elongated member including a deflectable portion at a distal end portion of the elongated member. The device also has a control portion disposed on the elongated member. This control portion can be a handle for one-handed use by an operator of the medical device. The control portion comprises an elastic element and a flexible element. Angular movement of a first portion of the control portion with respect to a second portion of the control portion results in amplification of that angular movement in the deflectable portion of the device. | 07-02-2009 |
| 20090177152 | Catheter Drug Delivery System and Method for Use - A steerable guide catheter system for navigation through the vasculature of a patient to the heart. | 07-09-2009 |
| 20090247942 | ROBOTIC CATHETER MANIPULATOR ASSEMBLY - A robotic catheter manipulator assembly may include a support member including a catheter manipulation base and a sheath manipulation base movable relative to each other and to the support member. Each respective manipulation base may be releasably connectable to a catheter cartridge and a sheath cartridge. A drive mechanism may be provided for moving the catheter and sheath manipulation bases relative to each other and to the support member. The manipulation base or the cartridge may include a first element engageable with a complementary second element slidably engaged with the other one of the manipulation base or the cartridge for controlling movement of a component connected to the cartridge. The cartridge, for example, may be a transseptal cartridge, a catheter cartridge or a sheath cartridge, and the component may respectively be a surgically insertable device such as a transseptal needle, a catheter or a sheath. | 10-01-2009 |
| 20090247943 | ROBOTIC CATHETER DEVICE CARTRIDGE - A robotic catheter device cartridge may include a finger or a slider block generally disposed in a channel and engaged with a steering wire. The steering wire may control movement of a component having the steering wire engaged thereto when the finger or the slider block is linearly driven in a predetermined direction. The cartridge may be a transseptal cartridge having a transseptal needle connected thereto, a catheter cartridge having a catheter connected thereto, or a sheath cartridge having a sheath connected thereto. | 10-01-2009 |
| 20090247944 | ROBOTIC CATHETER ROTATABLE DEVICE CARTRIDGE - A robotic catheter rotatable device cartridge may include a housing member attachable to a drive mechanism for rotating the cartridge and a catheter attached to the cartridge along an axial direction of the catheter. A slider block may be generally slidable relative to the housing and engaged with one or more steering wires for controlling movement of the catheter in a transverse direction relative to the axial direction. The catheter may include the steering wire(s) engaged therewith and movable in the transverse direction when the slider block is linearly driven in a predetermined direction. | 10-01-2009 |
| 20090264817 | CONTROLLABLE ELECTRODE FOR DEEP BRAIN STIMULATION - Controllable catheter ( | 10-22-2009 |
| 20090264818 | CONTROLLING SHAFT BENDING MOMENT AND WHIPPING IN A TENDON DEFLECTION OR OTHER TENDON SYSTEM - A tendon deflection system including a shaft, a plurality of tendons movably disposed within the shaft, and a force-balancing element coupled to the tendons. In a first section, the plurality of tendons are arranged around the shaft at equal angles to each other and at an equal distance from the center of the shaft. The tendons operating in concert with the force-balancing element minimize the moment expressed in the first section. The second section is deflectable and includes at least one tendon, extending from the plurality of tendons in the first section, which is arranged along one side of the shaft such that the bending moment expressed in the second section is greater than the first section. | 10-22-2009 |
| 20090270800 | Aspiration Catheter Having Selectively Deformable Tip - An aspiration catheter includes an elastically deformable distal tip transformable between an orthogonal configuration and an oblique configuration to selectively and controllably appose the tip with thrombus or other matter to be aspirated. A core wire is slidably disposed in a core wire lumen within the catheter and is operably connected to the catheter distal tip. The core wire is controlled from the catheter proximal end to transform the distal tip between orthogonal and oblique configurations. | 10-29-2009 |
| 20090306587 | Sleeve Steering and Reinforcement - A sleeve steering and reinforcing device ( | 12-10-2009 |
| 20090312697 | SURGICAL SEAL WITH VARIABLE DIAMETER - A surgical access assembly dimensioned for positioning within a patient's tissue includes a seal member having an internal channel defined therein for the reception of a closure member, and an aperture extending through the seal member that is configured to removably receive a surgical object upon its insertion into the surgical access assembly. The closure member is selectively actuable to transition the seal member from a first condition, in which the aperture includes a first diameter, to a second condition, in which the aperture includes a second diameter. The second diameter is less than the first diameter and substantially approximates an outer dimension of the surgical object such that a substantially fluid-tight seal is formed therewith. | 12-17-2009 |
| 20090312698 | BI-DIRECTIONAL STEERABLE SHEATH - A deflectable sheath with increased range of curvature for human use is provided. The improvement focuses on the use of different durometer polymers that compose the lumen in the portion of deflection. The use of differing durometer polymers allow the deflectable sheath to be bent in a multitude of asymmetric curvature radii therefore providing the physician with a sheath that can traverse different regions of the body than with previous sheaths. | 12-17-2009 |
| 20090312699 | BI-DIRECTIONAL CATHETER ASSEMBLY AND METHOD THEREFOR - A catheter assembly includes a catheter body extending from a deflectable distal end to a proximal end, and the catheter body includes an actuator lumen. A housing is engaged to the proximal end of the catheter body. A flexible element extends from the housing through the actuator lumen to the deflectable distal end. The deflectable distal end is deflected by pushing and pulling of the flexible element. An actuator is movably coupled with the housing and connected to the flexible element. A tubular support is engaged around the flexible element and connected to the actuator, the tubular support moves with the actuator, and the tubular support substantially constrains lateral movement of the flexible element. The tubular support is telescopically received and engaged with an inner surface of the actuator lumen. The inner surface of the actuator lumen substantially constrains lateral movement of the tubular support and the flexible element. | 12-17-2009 |
| 20090326450 | STEERABLE MEDICAL DEVICE - A steerable medical device is used to controllably introduce a guidewire or other medical instrument into a body of a patient and direct placement of the guidewire or other medical instrument in the body of the patient. The steerable medical device can include an elongated member, a steering mechanism, and an attachment member. The elongated member extends along a longitudinal axis and comprises a deflectable distal portion that is deflectable off of the longitudinal axis. The steering mechanism is adapted to control longitudinal and rotational movement of the elongated member and to control off-axis deflection of its deflectable portion. The attachment member is removably couplable to another medical device. The attachment member is moveably coupled to the steering mechanism and the elongated member. | 12-31-2009 |
| 20100004591 | MULTI-PLANE MOTION CONTROL MECHANISM - A hand-holdable steering mechanism is used as part of a medical device such as a catheter or an endoscope to allow movement of a steerable distal portion of the catheter or endoscope. The mechanism can include a housing and an actuation system. The actuation system is adapted for one-handed operation by a user, and it allows the user to achieve 360 degree articulation of the steerable distal portion. The actuation system can include a first actuator and a second actuator where the first and second actuators are movable with respect to each other. The first actuator can be at least partially disposed within the second actuator. | 01-07-2010 |
| 20100004592 | BI-DIRECTIONAL HANDLE FOR A CATHETER - The present invention is a catheter actuation handle for deflecting a distal end of a tubular catheter body having first and second actuation wires extending from a proximal end of the body. The handle comprises a first grip portion, a bearing assembly, and an actuator. The first grip potion includes a pivot with a pathway extending through the pivot. The pathway is generally parallel to a longitudinal centerline of the first grip portion. The bearing assembly is located on the first grip portion proximal to the pivot. The actuator is pivotally coupled to the pivot and includes first and second ends that are laterally offset from the longitudinal centerline and are on opposite sides of the centerline from each other. When the distal end of the handle is coupled to the proximal end of the body, the first and second actuation wires extend along the pathway to the bearing assembly. The bearing assembly diverts the first actuation wire to a first connection point on the actuator and the second actuation wire to a second connection point on the actuator. | 01-07-2010 |
| 20100022948 | Steerable Catheter and Dilator and System and Method for Implanting a Heart Implant - A catheter according to one embodiment may be configured to extend through a transseptal puncture site, a left atrium, and into a left ventricle. The catheter may comprise a shaft defining at least one lumen configured to receive at least one of an implant and/or a dilator, a first steerable actuator coupled to the shaft at a position on the shaft substantially corresponding to the annulus of the mitral valve when the distal end of the shaft is disposed within the left ventricle, and a handle assembly coupled to a proximal end of the shaft. The handle assembly may comprise a first actuator coupled to the first steerable actuator. The first actuator may be configured to apply a force to the first steerable actuator to deflect the shaft about a region proximate to the first steerable actuator. | 01-28-2010 |
| 20100063441 | DEFLECTABLE CATHETER WITH BONDED CENTER STRUT AND METHOD OF MANUFACTURE FOR SAME - A catheter for diagnosing or treating the vessels found within a body or body space includes a center strut that is bonded, preferably thermally, along its longitudinal axis with the thermoplastic tubular member within which it is housed. The tubular member preferably has three layers: an inner layer, a braided layer and an outer layer. The composite catheter is made using a process in which two half-cylinder shaped mandrels are placed on each side of the center strut while the strut is heated in order to cause the thermal bonding. The bonded center strut provides in-plane deflection and improved transfer of torque to the tip of the catheter. | 03-11-2010 |
| 20100069834 | CATHETER WITH ADJUSTABLE DEFLECTION SENSITIVITY - A catheter that provides bi-directional steering and allows for deflection sensitivity adjustment includes a catheter body, a deflectable tip section and a control handle, wherein the control handle has a deflection member adapted for user manipulation, a deflection assembly responsive to the deflection member to draw on a tensile puller member for deflecting the tip section, and an adjustment mechanism adapted to adjust sensitivity of the deflection member. The adjustment mechanism also correspondingly adjusts a maximum degree of deflection of the tip section. The deflection assembly includes a rotatable pulley arm and two pulleys, and a deflection sensitivity adjustment mechanism with a cam device that varies a separation distance between the pulleys. The cam device is internally located in the pulley arm and is rotatable via deflection sensitivity knob by the user to increase the separation distance for greater deflection sensitivity in a deflection member user interface, or to decrease the separation distance for greater maximum degree of tip deflection. | 03-18-2010 |
| 20100069835 | KNITTED CATHETER - A medical device, comprising: an elongate tubular knitted catheter comprising at least one biocompatible, electrically non-conductive filament arranged in longitudinally adjacent substantially parallel rows each stitched to an adjacent row. | 03-18-2010 |
| 20100094209 | Valvuloplasty Catheter And Methods - A valvuloplasty catheter has a dog-bone shaped balloon with semi-compliant smaller diameter waist and non-compliant larger diameter bulbous end regions. The balloon centers across the valve with the waist adjacent to the annulus. One bulbous region serves to hyperextend the valve leaflets and the other assists in stabilizing the balloon position to reduce migration. The semi-compliant waist increases in diameter as fluid enters the balloon until it comes into contact with the valve annulus. The pressure within the balloon per unit of volume delivery has a greater slope after contact with the annulus than before resulting in a change in slope for the pressure versus volume curve. The diameter of the balloon and annulus are determined at this inflection point when the balloon contacts the annulus. | 04-15-2010 |
| 20100130923 | APPARATUS AND METHOD FOR INSERTING A CATHETER - A delivery apparatus for a stimulating catheter has a conductive wire wound within a reel dispenser. The reel dispenser has a base portion and a rotating portion that are coupled at the axle with the rotating portion rotatable relative to the base portion. The proximal region of the conductive wire is in electrical connection with the axle of the dispenser. A method for delivering a stimulating catheter includes introducing the distal regions of the conductive wire and catheter into a subject, rotating the rotating portion of the reel dispenser relative to the base portion whereby the catheter and conductive wire are advanced into the subject, providing an electrical current to the conductive wire through the axle, and rewinding the rotating portion of the reel dispenser relative to the base portion whereby the conductive wire is retracted in a proximal direction through the catheter. | 05-27-2010 |
| 20100130924 | STEERABLE ACCESS SHEATH AND METHODS OF USE - The present invention provides devices, systems, methods and kits for endoscopically accessing a body cavity and providing a directed pathway toward a target tissue within the cavity. The directed pathway is provided by an access sheath which is positioned in a desired configuration, generally directed toward the target tissue. Depending on the location of the target tissue and the desired angle of approach, the access sheath may be required to maintain one or more curves in one or more planes to properly direct the interventional devices. In addition, the access sheath has a locking feature to hold the sheath in place and maintain the desired configuration. Interventional devices may then be passed through the sheath to the target tissue. | 05-27-2010 |
| 20100160858 | DEFLECTABLE CATHETER STEERING AND LOCKING SYSTEM - A deflectable catheter includes a catheter shaft having a deflectable distal tip. A support member is coupled around a proximal portion of the catheter shaft, and the support member includes a first brake portion extending along at least a portion of the support member. A handle is coupled around the support member. The deflectable catheter includes a carriage moveably coupled along the handle, and the carriage includes a second brake portion sized and shaped to engage with at least a portion of the first brake portion. A flexible element is coupled between the deflectable distal tip and the carriage. A biasing device is adapted to bias the second brake portion into engagement with the first brake portion. | 06-24-2010 |
| 20100168666 | Catheter Having Independently-Deflectable Segments and Method of its Manufacture - A catheter shaft includes a wall defining a lumen, a distal segment, and a proximal segment. At least one distal segment deflection wire extends through the proximal segment and terminates in the wall in the distal segment, while at least one proximal segment deflection wire extends through the proximal segment and terminates in the wall in the proximal segment. The proximal and distal segment deflection wires respectively permit the proximal and distal segments of the catheter shaft to deflect independently of each other. The catheter shaft may also include one or more wire reinforcing layers embedded in the wall. | 07-01-2010 |
| 20100204647 | Electromagnetically Actuated Intracorporeal Drug Delivery - In one embodiment, an elongate body with a proximal end and a distal end is disclosed and which is controllable by an operator at the proximal end; in one embodiment, the elongate body is a catheter and the catheter tip is located at the distal end. The body contains numerous magnets along its length, at least one of which is an electromagnet, controllable by means of a current delivered by the operator of the body at the proximal end of the body. The magnets are placed such that a force is created at the distal end of the elongate body. The magnetic forces which control the distal end of the body originate from the controllable magnets placed on the body. | 08-12-2010 |
| 20100262075 | ARTICULATING CATHETERS - The invention provides an articulating mechanism useful, for example, for remote manipulation of various surgical instruments and diagnostic tools within, or to, regions of the body. Movement of segments at the proximal end of the mechanism results in a corresponding, relative movement of segments at the distal end of the mechanism. The proximal and distal segments are connected by a set of cables in such a fashion that each proximal segment forms a discrete pair with a distal segment. This configuration allows each segment pair to move independently of one another and also permits the articulating mechanism to undergo complex movements and adopt complex configurations. The articulating mechanisms may also be combined in such a way to remotely mimic finger movements for manipulation of an object or body tissue. | 10-14-2010 |
| 20100280449 | FLEXIBLE AND STEERABLE ELONGATE INSTRUMENTS WITH SHAPE CONTROL AND SUPPORT ELEMENTS - An instrument having a flexible and elongated body includes at least a lumen and a flex member disposed within the lumen. The flex member may be capable of providing steering control to a first portion of the elongate body while providing load bearing support to a second portion of the elongate body. A pull wire may be disposed within the flex member, and at least a distal portion of the pull wire may be coupled to the elongate body and a proximal portion of the pull wire may be operatively coupled to a control unit. The control unit may be coupled to a proximal portion of the elongate body. In addition, a control member may be operatively coupled to the control unit such that a distal portion of the control member may be positioned near a proximal portion of the flex member. The control member may be configured to support the flex member and control the movement or displacement of the flex member. Furthermore, the flex member may be configured to selectively decouple articulation or steering forces of a first portion of the elongate body away from a second portion of the elongate body; thereby, preventing compression of the second portion of the elongate body while maintaining elasticity or flexibility of the second portion of the elongate body. | 11-04-2010 |
| 20100324482 | Torqueable and Deflectable Medical Device Shaft - A medical device shaft for connection with a handle and for insertion within a body includes an elongated, deflectable shaft having a proximal shaft portion, an intermediate shaft portion, and a distal shaft portion. The elongated, deflectable shaft includes a transition in stiffness from the proximal shaft portion to the distal shaft portion. In a preferred implementation, the shaft includes a plurality of slits that extend perpendicular to a longitudinal axis of the shaft. Varying at least one of the number of slits, the location of slits, the frequency of slits, the orientation of the slits, the size of the slits, and the depth of the slits varies the transition of stiffness. | 12-23-2010 |
| 20100331776 | Steerable Medical Delivery Devices and Methods of Use - Steerable medical delivery devices and their methods of use. | 12-30-2010 |
| 20110066105 | STEERABLE KINK-RESISTANT SHEATH - A steerable kink resistant access device is provided having an elongated body and a steerable portion; methods for manufacturing the kink resistant device are also provided. The access sheath has an outside diameter sufficiently small so that it may be inserted into a body cavity or conduit. The access sheath typically has two internal lumen, a first lumen sized and configured as an access to a surgical site and a second lumen sized and configured to contain a tensioning device that, when acted upon, will deflect the steerable portion. The tensioning device may be directly or remotely attached to an actuation device that operates to control the tensioning and loosening of the tensioning device. | 03-17-2011 |
| 20110112476 | DEVICE FOR REDUCING AXIAL SHORTENING OF CATHETER OR SHEATH DUE TO REPEATED DEFLECTION - A deflectable medical device incorporates a strut that is configured to reduce or eliminate axial shortening of the deflectable portion of the medical device, for example, the deflectable distal end portion of a catheter or access sheath. The strut may is coaxially disposed in the medical device in the section that is contemplated to undergo the repeated deflection. The strut provides improved column strength and axial restoration. The strut may be stent-like device, an elongate device having opposing ends coupled by a connecting lattice involving a plurality of helical connecting elements or a tube having a plurality of circumferentially-extending slots arranged in longitudinally-extending rows. | 05-12-2011 |
| 20110144576 | CATHETER ORIENTATION CONTROL SYSTEM MECHANISMS - Catheter orientation control system mechanisms which facilitate the operation of multiple degrees of freedom of a steerable catheter system can be used for any procedure where catheter orientation relative to the body is desirable. Such systems may comprise a handle having a distal portion which is rotatable independently of the remainder of the handle to enable the handle to maintain a stationary configuration relative to the operator while the catheter distal end is torqued in any configuration by utilizing a single hand and/or single finger to effect complex configurations. Orientation indicators may be incorporated to track the deflectable distal end by visualizing the indicators through an imaging hood on the distal end corresponding to orientation markers on the control handle. Articulation of a steering mechanism in a direction relative to the orientation markers deflects the catheter distal end in a corresponding direction relative to the visualized orientation markers. | 06-16-2011 |
| 20110213300 | IN-VIVO VISUALIZATION SYSTEM - Several embodiments of the present invention are generally directed to medical visualization systems that comprise combinations of disposable and reusable components, such as catheters, functional handles, hubs, optical devices, etc. Other embodiments of the present invention are generally directed to features and aspects of an in-vivo visualization system that comprises an endoscope having a working channel through which a catheter having viewing capabilities is routed. The catheter may obtain viewing capabilities by being constructed as a vision catheter or by having a fiberscope or other viewing device selectively routed through one of its channels. The catheter is preferably of the steerable type so that the distal end of the catheter may be steered from its proximal end as it is advanced with the body. A suitable use for the in-vivo visualization system includes but is not limited to diagnosis and/or treatment of the duodenum, and particularly the biliary tree. | 09-01-2011 |
| 20110218491 | CATHETER WITH PULL WIRE MEASUREMENT FEATURE - An apparatus for determining a length of a portion of a steering wire disposed within a bendable medical device includes an electrical contact slidably coupled with a steering wire, an electrical source configured to transmit an electrical signal through a portion of the steering wire, and a processor configured to monitor a parameter of the electrical signal at or about the electrical contact and configured to determine a length of a portion of the steering wire using the monitored parameter. | 09-08-2011 |
| 20110218492 | STEERABLE CATHETER WITH IN-PLANE DEFLECTION - An improved steerable catheter with in-plane deflection comprises a catheter body having proximal and distal ends and a lumen extending therethrough and a tip section at the distal end of the catheter body. The tip section comprises a flexible plastic tubing having a pair of diametrically-opposed lumens extending therethrough. The catheter also provides two puller wires manipulated through a control handle at the proximal end of the catheter body. Each puller wire extends through one of the pair of lumens in the tip section and through the lumen of the catheter body and is anchored to the control handle at its proximal end and anchored to the tip section at its distal end. The deflection mechanism is configured to generally define a plane along which deflection most readily occurs and an edge along which deflection is most readily avoided. The deflection mechanism extends longitudinally along a centerline of the tip section between the first and second puller wire and is configured generally with a cross section having a thinner dimension and a thicker dimension to bias the tip section to deflect in a plane parallel with the thinner dimension of the deflection mechanism and to resist deflection in a plane perpendicular to thicker dimension. | 09-08-2011 |
| 20110238010 | Robotic catheter system input device - An input device ( | 09-29-2011 |
| 20110251554 | CONTROL HANDLE FOR A CONTACT FORCE ABLATION CATHETER - A control handle for a steerable catheter body for navigation of the catheter body through a biological lumen and manipulation at a treatment site. The control handle includes a housing assembly that houses a piston assembly and a resistance adjusting assembly. The resistance adjusting assembly can be adjusted to provide the desired frictional characteristics of the user for control of the resistance between the piston assembly and the housing assembly. In one embodiment, the piston assembly is configured to provide a frictional resistance that varies dynamically to substantially match the restorative force across the range of catheter tip deflection. Other embodiments include a vibrating member that provides tactile feedback to the operator to indicate conditions at the distal end of the catheter, such as contact force. | 10-13-2011 |
| 20110270169 | Steerable Stylet with Guidewire Tip - According to an embodiment of the present invention, a steerable elongated medical device includes an outer tube extending between an outer tube proximal segment and an outer tube distal segment, and having an outer tube wall forming an outer tube lumen and an elongated outer tube slot through the outer tube wall to the outer tube lumen. The elongated outer tube slot has a first portion and a second portion and is formed between an outer tube slot proximal end and an outer tube slot distal end and extends axially along the outer tube distal segment through an outer tube slot length to define a cutaway portion of the outer tube. A reinforcing sleeve is positioned within the outer tube lumen and extends between a reinforcing sleeve proximal end and a reinforcing sleeve distal end. The reinforcing sleeve forms a reinforcing sleeve slot portion aligned with and extending along the first portion of the outer tube slot and includes a reinforcing sleeve overlap portion extending over the second portion of the outer tube slot. A handle is coupled to the outer tube proximal end, and a pull wire is positioned within the outer tube lumen and extends between a pull wire proximal end coupled to the handle and a pull wire distal end comprising a guidewire tip. The pull wire extends through the reinforcing sleeve lumen, the outer tube lumen, and a distal pull wire stop, and the guidewire tip extending distally from the distal pull wire stop and the pull wire proximal end is adapted to be manipulated to separate the pull wire proximal end from the outer tube proximal end to induce a bend in the cutaway portion. | 11-03-2011 |
| 20110270170 | Steerable Medical Device Having Means For Imparting Multiple Curves in the Device - A steerable elongated medical device that is capable of forming as “s” shaped bend. The devices include an outer tube extending between an outer tube proximal segment and an outer tube distal segment, having an outer tube wall forming an outer tube lumen and first and second elongated outer tube slots through the outer tube wall to the outer tube lumen. The first elongated outer tube slot has a first portion and a second portion and formed between a first outer tube slot proximal end and a first outer tube slot distal end and extending axially along the outer tube distal segment through a first outer tube slot length to define a first cutaway portion of the outer tube. The second elongated outer tube slot has a first portion and a second portion and formed between a second outer tube slot proximal end and a second outer tube slot distal end and extending axially along the outer tube distal segment through a second outer tube slot length to define a second cutaway portion of the outer tube and offset about 180 degrees from the first elongated outer tube slot. Each of the first and second outer tube slots have reinforcing sleeves, each of the reinforcing sleeves having reinforcing sleeve slot portions and reinforcing sleeve overlap portions. | 11-03-2011 |
| 20110270171 | Steerable Medical Device Having Means For Imparting Multiple Curves in the Device - A steerable elongated medical device that is capable of forming as “s” shaped bend and having a guidewire tip at its distal end. The devices include an outer tube extending between an outer tube proximal segment and an outer tube distal segment, having an outer tube wall forming an outer tube lumen and first and second elongated outer tube slots through the outer tube wall to the outer tube lumen. The first elongated outer tube slot has a first portion and a second portion and formed between a first outer tube slot proximal end and a first outer tube slot distal end and extending axially along the outer tube distal segment through a first outer tube slot length to define a first cutaway portion of the outer tube. The second elongated outer tube slot has a first portion and a second portion and formed between a second outer tube slot proximal end and a second outer tube slot distal end and extending axially along the outer tube distal segment through a second outer tube slot length to define a second cutaway portion of the outer tube and offset about 180 degrees from the first elongated outer tube slot. Each of the first and second outer tube slots have reinforcing sleeves, each of the reinforcing sleeves having reinforcing sleeve slot portions and reinforcing sleeve overlap portions. The medical devices further include a handle coupled to the outer tube proximal end, and a pull wire positioned within the outer tube lumen and extending between a pull wire proximal end coupled to the handle and a pull wire distal end comprising a guidewire tip, the pull wire extending through the first and second reinforcing sleeve lumens, the outer tube lumen, and a distal pull wire stop, and the guidewire tip extending distally from the distal pull wire stop, wherein the pull wire proximal end is adapted to be manipulated to separate the pull wire proximal end from the outer tube proximal end to induce a bend in each of the first and second cutaway portions. | 11-03-2011 |
| 20110270172 | STEERING MECHANISM FOR BI-DIRECTIONAL CATHETER - A bi-directional catheter with nearly double the throw in its catheter tip deflection defines a puller wire travel path having a U-turn a pulley which minimizes the offset angle between the puller wire and the longitudinal axis of the control handle while maximizing the travel distance of that puller wire for any given distance traveled by the pulley drawing the puller wire. In particular, the control handle of the catheter which includes a steering assembly having a lever arm carrying a pair of pulleys for drawing corresponding puller wires to deflect the tip section of the catheter. The pulleys are rotatably mounted on opposing portions of the lever arm such that one pulley is moved distally as the other pulley is moved proximally when the lever arm is rotated. Because each puller wire is trained on a respective pulley, rotation of the lever arm causes the pulley that is moved proximally to draw its puller wire to deflect the tip section in the direction of the off-axis lumen in which that puller wire extends. | 11-03-2011 |
| 20110270173 | ARTICULATED CATHETER - Methods and apparatuses for manipulating an elongated flexible shaft of a catheter provide ease and reliability of positioning electrodes against or near tissue. Dual-bend flexible distal tips may be used in combination with flat wires. In some embodiments, flat wires which are free to rotate upon initial bending of shaft segments are employed. In some embodiments, one or more transition segments are used to relocate the satellite lumen-to-main lumen transition of pull wires away from a change in shaft stiffness. | 11-03-2011 |
| 20110288477 | GUIDE CATHETER AND METHOD OF USE - A system for manipulating a guide catheter within a patient's nasal passages or sinus cavities includes a guide catheter formed from an elongate flexible member having a lumen passing there through. A wire guide is slidably disposed within the lumen of the guide catheter. The system further includes a steering member fixedly secured to a proximal end of the wire guide and a proximal hub secured to a proximal end of the guide catheter. The system further includes a recessed handle having a first recess for fixedly receiving the proximal hub of the guide catheter and a second recess for receiving the steering member, the second recess being dimensioned to permit axial and rotational movement of the steering member while disposed in the second recess. | 11-24-2011 |
| 20110313352 | ROBOTICALLY GUIDED CATHETER - Apparatus is provided for use with a steerable catheter that includes a thumb control adapted to control a deflection of a distal tip of the catheter. The apparatus includes a robot, including an end-effector, adapted to be coupled to the thumb control, and a controller, adapted to drive the end-effector to deflect the distal tip by manipulating the thumb control. The controller has an algorithm that uses an iterative process to direct the distal tip of the catheter to a desired position, responsive to six dimensions of location and orientation information position information | 12-22-2011 |
| 20120071822 | STEERABLE CATHETERS - Medical devices having an elongated steerable member are described herein. In one embodiment, a device includes an elongated body having a proximal section, a distal section, and a working lumen extending through the proximal and distal sections, a first coil having a distal portion, and a proximal portion, the proximal portion of the first coil being slidable relative to the proximal section of the elongated body, and being closer to a wall of the elongated body than to an axis of the elongated body, wherein a lengthwise portion of the distal portion of the first coil is anchored to the distal section of the elongated body, and a first steering wire located within a lumen of the first coil. | 03-22-2012 |
| 20120123327 | STEERABLE ENDOLUMINAL DEVICES AND METHODS - A steerable endoluminal device adapted for delivery into a patient's vasculature. The device includes a tubular member having a distal deflection portion that extends to the distal end and a main body portion that extends from the deflectable portion to the proximal end, the tubular member further including a stiff portion extending along the distal deflection portion, and being formed of polymeric material, which is disposed circumferentially adjacent to the stiff portion. The stiff portion is made of a material that has an elastic modulus greater than the elastic modulus of the polymeric material. A pull wire extends between the proximal end and the distal end of the tubular member and is attached to the distal deflection portion to control deflection of the distal deflection portion of the tubular member. | 05-17-2012 |
| 20120150106 | TORQUE-LIMITING CATHETER HANDLE - A catheter includes a handle that advantageously limits the amount of torque that can be imparted to the body of the catheter. This advantageously reduces the likelihood of catheter failure, damage to tissue, or damage to medical devices introduced into the vasculature via the catheter. The catheter handle includes a grip portion that the practitioner manipulates in order to impart a torque and a torque transmitting portion operably coupled thereto that transmits the torque to the catheter body. A torque limiting mechanism decouples the torque transmitting portion from the grip portion, the body, and/or any pull wires when the torque imparted to the grip portion exceeds a torque threshold, thereby preventing excessive torques from being transmitted to the catheter body and/or pull wires. A practitioner may be able to adjust the torque threshold and may be able to disable the torque limiting mechanism. | 06-14-2012 |
| 20120157915 | Deflectable catheter constructed to inhibit component migration - A catheter includes a shaft having at least one lumen. The lumen comprises a longitudinally-extending trough defined by a longitudinally-extending recess, within which a component is disposed, and a longitudinally extending open edge. The lumen further comprises a longitudinally-extending channel defined by a longitudinally-extending cavity and by the open edge of the trough. A planarity wire is disposed within the cavity and is configured to close the open edge of the trough to within a pre-defined tolerance that is less than the size of the component to retain the component in the recess. | 06-21-2012 |
| 20120184901 | Deflectable Variable Radius Catheters - The invention provides a deflectable catheter capable of forming many variable radius spiral forms from a single, flexible, distal end section. In one aspect, the catheter employs a variable radius control wire to extend or deform a pre-formed loop structure into a three dimensional spiral-like form or geometry. The ability of a single catheter to create a multitude of shapes and sizes allows users to access to a number of anatomical areas without changing the catheter during a procedure or treatment. In another aspect, the invention encompasses methods of producing deflectable variable radius catheters, where two or more regions of the catheter having common control wires are fused or formed onto one another. | 07-19-2012 |
| 20120197190 | MEDICAL DEVICES HAVING RELEASABLE COUPLING - This invention is directed to a medical device with a handle and a catheter. The handle can include a body having a proximal end and a distal end, an actuator moveably coupled to the body, and a handle control member coupled to the actuator, wherein the actuator can be configured to move relative to the body to move the handle control member. The catheter can include a shaft having a proximal end and a distal end, wherein the proximal end of the shaft and the distal end of the body can be configured for releasable coupling. The catheter can also include a steering section located along the shaft and a catheter control member coupled to the steering section. A securing member may move relative to at least one of the handle and the catheter to releasably couple the handle control member to the catheter control member. | 08-02-2012 |
| 20120203169 | SHAFT AND HANDLE FOR A CATHETER WITH INDEPENDENTLY-DEFLECTABLE SEGMENTS - An elongate medical device with independently-deflectable segments and a handle for manually deflecting those segments can include a shaft having a distal segment and proximal segment, at least one proximal segment deflection wire adapted to deflect the proximal segment, at least one distal segment deflection wire adapted to deflect the distal segment independent of the proximal segment, and a handle portion. The handle portion may comprise a first manual actuation mechanism coupled to the at least one distal segment deflection wire and a second manual actuation mechanism coupled to the at least one proximal segment deflection wire. Actuation of the first manual actuation mechanism may impart a tensile force on the distal segment deflection wire to cause the distal segment to deflect, and actuation of the second manual actuation mechanism may impart a tensile force on the proximal segment to cause the proximal segment to deflect. | 08-09-2012 |
| 20120203170 | MEDICAL CATHETER ASSEMBLY WITH DEFLECTION PULL RING AND DISTAL TIP INTERLOCK - A catheter assembly comprises a deflectable catheter shaft comprising a distal end and a lumen extending therethrough. The catheter assembly further comprises least one pull wire comprising a distal portion comprising a side and a distal end, wherein the side comprises a first side portion and a second side portion. The catheter assembly further comprises a distal pull assembly operatively coupled to the at least one pull wire. The distal pull assembly comprises a longitudinal axis, a first surface, and a second surface. The first side portion of the at least one pull wire is adjacent to the first surface of the distal pull assembly, and the second side portion of the at least one pull wire is adjacent to the second surface of the distal pull assembly. | 08-09-2012 |
| 20120215164 | Torqueable and Deflectable Medical Device Shaft - A medical device shaft for connection with a handle and for insertion within a body includes an elongated, deflectable shaft having a proximal shaft portion, an intermediate shaft portion, and a distal shaft portion. The elongated, deflectable shaft includes a transition in stiffness from the proximal shaft portion to the distal shaft portion. In a preferred implementation, the shaft includes a plurality of slits that extend perpendicular to a longitudinal axis of the shaft. Varying at least one of the number of slits, the location of slits, the frequency of slits, the orientation of the slits, the size of the slits, and the depth of the slits varies the transition of stiffness. | 08-23-2012 |
| 20120226228 | BI-DIRECTIONAL HANDLE FOR A CATHETER - A steerable catheter or sheath includes a catheter or sheath body defining a longitudinal axis; first and second actuation wires extending from a proximal end of the body; and a control handle coupled to the body for steering a distal end of the body. The control handle includes a grip portion including a pivot; a wire diverting assembly located on the grip portion at a location separate from the pivot; and an actuator assembly coupled to the pivot and configured for pivotal movement in a single plane. The wire diverting assembly can include first and second actuation wire connection locations that are disposed on opposite sides of the longitudinal axis. The first and second actuation wires can extend toward the wire diverting assembly in a first orientation, and the wire diverting assembly can change the first orientation to a second orientation that is at an angle to the first orientation. | 09-06-2012 |
| 20120238952 | ENDOLUMINAL SURGICAL TOOL WITH SMALL BEND RADIUS STEERING SECTION - An endoluminal surgical instrument has first and second steering controls on a handle. A flexible shaft attached to the handle has a distal steerable end including a first link and a second link separated by a plurality of intermediate links. First and second steering elements, such as pairs of steering wires, are linked to first and second steering controls and to the first and, second links. One or more of the links is pivotable through an angle of at least 30 degrees relative to an adjoining link. The set back position of the second steering elements from the first steering elements, and the pivoting capability of the links allows the steerable end to be steered into a small bend radius. This makes the instrument highly maneuverable for use in endoluminal surgery, such as incision-less surgery of the stomach. | 09-20-2012 |
| 20120253277 | STEERING MECHANISM - A hand-holdable steering mechanism is used as part of a medical device such as a catheter or an endoscope to allow movement of a steerable distal portion of the catheter or endoscope. The mechanism can include a housing, a first actuator, and a second actuator. The first actuator is configured to move the steerable portion along a first plane when the first actuator is moved between first and second positions. The second actuator is configured to move the steerable portion along a second plane different than the first plane when the second actuator is moved between first and second positions. | 10-04-2012 |
| 20120265132 | BENDABLE CATHETER - The bendable catheter includes a flexible tubular main tube; a bendable part having a longitudinal axis and an internal space formed along the longitudinal axis, and being capable of being bent; a first coil provided in the internal space along the longitudinal axis; a second coil having a central axis extending parallel to a central axis of the first coil and provided adjacent to the first coil in a space formed between the bendable part and the first coil; and a bending manipulation wire arranged within the second coil, being capable of bending the bendable part, and having one end fixed to the bendable part. | 10-18-2012 |
| 20120265133 | CONTROLLING MOVEMENT OF DISTAL PORTION OF MEDICAL DEVICE - A medical device allows movement control of a distal end portion of the medical device and is adapted for one-handed operation. The medical device is capable of omni-directional control of the distal end portion of the device. The device has an elongated member including a deflectable portion at a distal end portion of the elongated member. The device also has a control portion disposed on the elongated member. This control portion can be a handle for one-handed use by an operator of the medical device. The control portion comprises an elastic element and a flexible element. Angular movement of a first portion of the control portion with respect to a second portion of the control portion results in amplification of that angular movement in the deflectable portion of the device. | 10-18-2012 |
| 20120277671 | DUAL BRAID REINFORCEMENT DEFLECTABLE DEVICE - A dual braided catheter shaft includes an inner helical braid and outer helical braid than encapsulate an axially extending steering wire there between. In one embodiment, the shaft includes an inner polymer jacket, an inner braid formed on the inner jacket, a steering wire disposed along an outside surface of the inner braid, an outer braid formed over the inner braid and steering wire assembly and an outer jacket formed on the outer braid. The braiding parameters of the inner and outer braids can be varied along the length of the catheter to provide varying mechanical properties. | 11-01-2012 |
| 20120283633 | INTRAVASCULAR ACCESS CATHETER - Disclosed is an access catheter, having a distal segment which is moveable from a reduced outside diameter for positioning at a target site, and an enlarged outside diameter to create an enlarged internal working lumen. In one application, the catheter is configured for use as an intracranial aspiration catheter. Methods are also disclosed. | 11-08-2012 |
| 20120302949 | OPERATION MECHANISM, ENDOSCOPE APPARATUS, AND GUIDE CATHETER - An operation mechanism includes: a longitudinal member having a channel; a subject operation section provided at a distal end side of the member; an operation section provided at a proximal end side of the member; a first transmission means connected to the subject operation section at a distal end side thereof and formed to penetrate the operation section transmitting a first driving force; a first input portion provided in the operation section and connected to a proximal end side of the first transmission means to operate the subject operation section; a second input portion provided closer to the subject operation section side of the operation section than the first input portion and operated by a medical instrument inserted through the channel; and second transmission means connected to the first input portion and the second input portion and transmits a second driving force. | 11-29-2012 |
| 20120316494 | DEVICE FOR MONITORING AND/OR MANIPULATING OBJECTS ARRANGED IN A CAVITY THAT CAN BE ACCESSED THROUGH A NARROW OPENING - In a device ( | 12-13-2012 |
| 20120323174 | Systems and Methods for Steering Catheters - Systems and methods for steering catheters to facilitate advancing the catheters through the body, wherein the catheters employ multiple steering stages, each of which can move in multiple planes. The steering stages are independently controlled to enable them to form complex shapes. In one embodiment, the steerable catheter includes an elongated catheter body with the steering stages incorporated into the distal end of the catheter. The steering stages may incorporate multiple memory wires and corresponding heating elements that control the temperatures of the memory wires and consequently control the shapes of the wires and the steering stages in which they are embedded. The catheter may be any type of catheter (e.g., a lumen catheter) and may include features that enable the catheter to perform functions such as delivering therapies (e.g., ablation) to target tissues within the body. | 12-20-2012 |
| 20120323175 | CATHETER ASSEMBLY - A catheter assembly comprises a first catheter including a wall with an inner surface at least partially defining a lumen. A second catheter is connected to the wall of the first catheter and is disposed outward of the inner surface of the wall. The second catheter is at least partially covered by a sheath portion of the first catheter. A first portion of the wall of the first catheter is made of a relatively low durometer elastomeric material and is relatively extensible. A second portion of the wall is formed of a relatively high durometer elastomeric material and is relatively inextensible. | 12-20-2012 |
| 20120330230 | Medical catheter with deflection pull ring and distal tip attachment apparatus - A medical catheter includes a deflectable and compressible catheter shaft; a pull ring near a distal end of the catheter shaft; a distal tip that includes a tip element and a mounting shaft; and an attachment apparatus for securely attaching the distal tip to the catheter shaft, the attachment apparatus including a compression ring which compresses the catheter shaft and the mounting shaft together. The compression ring can be located around the catheter shaft to compress the catheter shaft against an outer surface of the mounting shaft, or within the catheter shaft to compress the catheter shaft outwardly against an inner surface of the mounting shaft. The catheter can be a non-irrigated ablation catheter, with the tip element being a tip electrode, and it can be an irrigated ablation catheter, with the distal tip including a fluid manifold. | 12-27-2012 |
| 20130018306 | SYSTEM FOR INDICATING CATHETER DEFLECTIONAANM Ludwin; Doron MosheAACI HaifaAACO ILAAGP Ludwin; Doron Moshe Haifa IL - Apparatus, consisting of a probe, having a proximal end and a distal end, which is deflectable in first and second directions. The apparatus includes a probe manipulator, which is coupled to the proximal end of the probe and has first and second tactile control elements. The elements are operable by a user of the probe to deflect the distal end in the first and second directions, respectively, and are tactilely distinguishable one from the other. | 01-17-2013 |
| 20130018307 | Multi-Lumen Steerable Catheter - A steerable multi-lumen catheter is provided which can be used in cardiology procedures where the catheter allows clinicians to access the small pulmonary arteries for monitoring and performing interventional procedures. The catheter allows precise changes in direction and simplifies challenging navigation procedures such as crossing a thick and calcified aortic valve with a wire. A bendable tip aids navigation during interventional radiology and neurology procedures to enter tortuous vessels or aneurysms. | 01-17-2013 |
| 20130030362 | VARIABLE STIFFNESS GUIDEWIRE SYSTEMS AND METHODS - Guidewires, actuators and methods of using the guidewires and actuators are described. These tools and methods allow a user to select and maintain different guidewire stiffness characteristics such that a single guidewire can address a range of access capabilities. | 01-31-2013 |
| 20130030363 | SYSTEMS AND METHODS UTILIZING SHAPE SENSING FIBERS - Systems and methods that utilize shape sensing fibers are described herein. In certain variations, a fiber may include a service loop or other length that allows for sliding or displacing of a fiber within the lumen of an elongate instrument when the distal portion of the elongate instrument is articulated. Systems and methods for registering a shape sensing fiber, including registration fixtures and registration techniques are also described herein. | 01-31-2013 |
| 20130041314 | Steerable Catheters - A steerable catheter and a method of steering a catheter are provided. The steerable catheter includes a flexible elongate shaft having a proximal end portion, a distal end portion and a cable lumen extending from the proximal end portion to the distal end portion. The steerable catheter includes a control cable having a first portion and a second portion, the first portion of the control cable fixed in position relative to the shaft and the second portion movable relative to the shaft and at least a portion of the second portion is extendable through at least a portion of the cable lumen and extendable through the opening. The control cable has a first position where the at least the portion of the second portion is axially extendable away from a wall of the shaft and a second position for delivery of the catheter. | 02-14-2013 |
| 20130046236 | STEERABLE CATHETER WITH DISTAL TIP ORIENTATION SHEATHS - A bi-directional electrophysiology catheter having improved steerability which includes orientation sheaths, or thin walled tubes, placed in diametrically opposed lumen at the distal portion of the catheter for producing in-plane deflection of the distal portion of the catheter. | 02-21-2013 |
| 20130072868 | Articulating Handle for a Deflectable Catheter and Method Therefor - A catheter assembly includes a handle assembly, and a catheter body coupled with the handle assembly, where the catheter body extends to a deflectable distal end portion, and the deflectable distal end is controllable by a flexible element. A lever actuator member is operatively coupled with the flexible element, and movement of the actuator member provides for movement of the flexible element. | 03-21-2013 |
| 20130079711 | ENDOSCOPE MANIPULATION ADAPTER - An endoscope manipulation adapter includes a support frame having a first end configured to be rigidly fixed relative to a handpiece of a flexible endoscope, and a manipulation assembly arranged at a second end of the support frame. The manipulation assembly defines a channel for at least one of a flexible endoscope shaft or a flexible endoscope insertion component to traverse through in an axial direction to assist in manipulating the at least one of the flexible endoscope shaft or the flexible endoscope insertion component during use of the flexible endoscope. | 03-28-2013 |
| 20130085444 | Medical Device and Guide Device Therefor - A guide device including a polymer and/or plastic tube, in particular a tube containing a polysiloxane, through the continuous opening of which a cable which is moveable in the continuous opening has been routed. To markedly reduce the wear caused by the cable rubbing in the continuous opening of the tube, a coating is provided on the outer surface of the cable and/or the inner surface of the continuous opening, which includes mainly particles that are substantially spherical and/or cylindrical and can move freely at least on the particular surface (e.g., outer surface of the cable and/or inner surface of the continuous opening). Furthermore, a medical device containing such a guide device, and a method for manufacturing the guide device or the medical device are described. | 04-04-2013 |
| 20130090598 | SHAPE-TRANSFERRING CANNULA SYSTEM AND METHOD OF USE - The present invention is directed to a novel shape-transferring cannula system, which provides access to tortuous and unsupported paths. The shape-transferring cannula system and method enables exploration of hollow body structures, and creates a custom-contoured access port for insertion and removal of, for example, diagnostic, surgical, or interventional instruments to and from a site within the body to which the physician does not have line-of-sight access. | 04-11-2013 |
| 20130096498 | SURGICAL INSTRUMENT WITH INCREASED RELIABILITY - A surgical instrument having a long shaft comprises, in the shaft, a sealing element produced by primary shaping at the installation location. The sealing element is produced such that any actuating mechanisms are installed and held in place in the shaft and then a curable plastic material is injected into the shaft such that the material encloses the actuating element along a length that is greater than the inside diameter and smaller than its length. | 04-18-2013 |
| 20130102960 | ENDOSCOPE - An endoscope includes an insertion portion, a bending operation input portion, a first bending drive mechanism and a second bending drive mechanism. The insertion portion includes a first bending portion and a second bending portion disposed at the proximal end of the first bending portion. The bending operation input portion can bend the first bending portion. The first bending drive mechanism bends the first bending portion in accordance with the operation of the bending operation input portion. The second bending drive mechanism can automatically bend the second bending portion in the same direction as the bending direction of the first bending portion in conformity to the first bending portion after the start of the bending of the first bending portion. | 04-25-2013 |
| 20130102961 | Endoscope Combined Deflection Control and Lock - An endoscope including a shaft having a deflectable distal end; a handle at a proximal end of the shaft; and a deflection control connected to the distal end. The deflection control includes a combined lock and deflection control member at the handle. The control member is adapted to be moved to a selected location by a single finger of a user and thereby deflect the distal end. The control member is adapted to be locked at the user selected location by movement of the control member to a locked position by the single finger of the user. | 04-25-2013 |
| 20130123691 | MEDICAL DEVICE CONTROL HANDLE WITH MULTIPLYING LINEAR MOTION - A catheter adapted for use in a tubular region of the heart, has a catheter body, a deflectable intermediate section and a distal a mapping assembly that has a generally circular portion adapted to sit on or in a tubular region of the heart. A control handle of the catheter allows for deflection of the catheter via a first and second puller wire responsive to a deflection assembly and manipulation of distal assembly via a third puller wire responsive to a linear motion actuator assembly. The linear motion actuator assembly includes a pair of user interface knobs, a body to which a proximal end of the third puller wire anchored, and a pair of arms that movably suspends the body and transmits longitudinal travel of the knobs to the body in a manner that multiples the travel of the body relative to the travel of the knobs. | 05-16-2013 |
| 20130131591 | DELIVERY SYSTEM ASSEMBLIES AND ASSOCIATED METHODS FOR IMPLANTABLE MEDICAL DEVICES - A delivery system assembly includes an elongate outer tube, an elongate inner member extending within a lumen of the outer tube, and an articulation sheath surrounding the outer tube between a handle of the assembly and a distal-most portion of the outer tube. The outer tube is longitudinally moveable within the sheath; and an inner diameter of the sheath is preferably smaller than that of the handle and the distal-most portion of the outer tube. Navigation of the assembly through a venous system, for deployment of an implantable medical device, is facilitated by deflection of the sheath, to orient a distal-most portion of the outer tube, within which an entirety of the medical device is contained/loaded, and by subsequent advancement of the distal-most portion, with respect to the sheath, to move the distal end of the inner member, along with the contained/loaded device into proximity with a target implant site. | 05-23-2013 |
| 20130131592 | MEDICAL DEVICE CONTROL HANDLE WITH INDEPENDENT SELF HOLDING PULLER WIRE ACTUATORS - A medical device control handle has a first actuation member for actuating at least one puller wire in one manipulation of a medical device, including uni-directional deflection, if not a pair of puller wires for bi-directional deflection of a catheter, and a second actuation member for actuating an additional puller wire in another manipulation of the medical device, wherein the first and second actuation members have a common rotational axis without being rotationally coupled. In one embodiment, a first actuation assembly has a first actuator, an arm rotatable about an axis, and a first shaft. The first deflection actuator and the arm are rotationally coupled by the rotation shaft, and the arm has at least one pulley that is engaged with a puller wire. The second wire actuation assembly has a second actuator and a second shaft having a spool portion. Each actuation assembly has a friction-inducing element that provides friction torque between components of each assembly such that the actuators are self-holding. | 05-23-2013 |
| 20130131593 | MEDICAL DEVICE CONTROL HANDLE - A medical device control handle has with a distal component which is adjustable by an actuator assembly by means of a puller member or wire. The actuator assembly includes a user interface rotational dial, a detent tab washer and a spool, where the dial is rotationally coupled to the detent tab washer which transmits rotational movement of the dial to the spool. The spool has a shaft body and a drum end onto which an proximal end portion of the puller member can be wound to manipulate or adjust the distal component. Rotational movement of the detent washer is limited to prevent overrotation and breakage of the puller member. At least one washer is mounted on the shaft body of the spool to help apply compression load on the actuator assembly in friction-inducing contact with one or more components of the actuator assembly. | 05-23-2013 |
| 20130144208 | Dual-deflecting electrophysiology catheter - An electrophysiology catheter includes a tubular body having a proximal region, a neck region, and a distal region predisposed into a loop and including electrodes. A first deflection wire extends through at least a portion of the proximal region of the catheter body and includes a first flattened section, while a second deflection wire extends through the neck region and at least a portion of the distal region and includes a second flattened section within the neck region. A first activation wire is joined to the flattened section of the first deflection wire, while a second activation wire is joined to the flattened section of the second deflection wire. Thus, forces acting on the first and second activation wires, such as forces imposed by a handle-based actuator, are respectively transmitted to the first and second deflection wires, thereby deflecting the proximal and neck regions, respectively. | 06-06-2013 |
| 20130144209 | CATHETER ASSEMBLY WITH DEFLECTION SIZE ADJUSTABILITY - A catheter includes a handle, a catheter sheath and a stylet received within a lumen of the catheter sheath. A carrier arrangement projects from the distal end of the handle, the carrier arrangement mounting the catheter sheath and at least part of the deflection stylet. The catheter handle includes an adjustment unit having a gear mechanism that controls at least one of the deflection of the distal part of the stylet and the extent of deflection of the distal part of the stylet. | 06-06-2013 |
| 20130158478 | Catheter and Method for Producing the Same - A catheter comprising a steering cable anchor, which is preferably disposed at the distal end of the catheter, and a steering cable. In order to obtain a reliable connection between the steering cable anchor and the steering cable, which is also suitable for use in MRI, a substantially dumbbell-shaped element is disposed between the steering cable anchor and the steering cable and connects the steering cable anchor to the steering cable. | 06-20-2013 |
| 20130158479 | DEVICE FOR REDUCING AXIAL SHORTENING OF CATHETER OR SHEATH DUE TO REPEATED DEFLECTION - A deflectable medical device incorporates a strut that is configured to reduce or eliminate axial shortening of the deflectable portion of the medical device, for example, the deflectable distal end portion of a catheter or access sheath. The strut may is coaxially disposed in the medical device in the section that is contemplated to undergo the repeated deflection. The strut provides improved column strength and axial restoration. The strut may be stent-like device, an elongate device having opposing ends coupled by a connecting lattice involving a plurality of helical connecting elements or a tube having a plurality of circumferentially-extending slots arranged in longitudinally-extending rows. | 06-20-2013 |
| 20130165857 | HANDLE HAVING HUB WITH ROTATING INFUSION SIDEPORT - An introducer sheath assembly comprises a tubular sheath member having a deflectable distal end portion and a sheath member lumen, a handle assembly including a steering mechanism for deflecting the distal end portion of the sheath member, and a hemostasis valve assembly. The hemostasis valve assembly includes a side port member configured to be connected to a fluid source for introducing fluid into the sheath member lumen. The side port member is axially rotatable relative to the handle assembly and the sheath member such that the side port member can remain rotationally fixed relative to the fluid source as the handle assembly and the sheath member are rotated relative to the fluid source. The side port member may also be made transparent to allow for easy visualization of air bubbles, and is also configured to allow for evacuation of any visualized air bubbles. | 06-27-2013 |
| 20130172813 | MEDICAL DEVICE CONTROL HANDLE WITH MULTIPLE PULLER WIRES - A medical device control handle or catheter includes deflection assembly and at least one of the following: a disk actuator, a lever actuator and a ring actuator for actuating additional puller wires in manipulation of multiple features of the medical device or catheter independently of each other. The disk actuator has a common rotational axis with but is rotationally independent of the deflection assembly. The lever actuator has a separate rotational axis. The ring is mounted outside of the control handle and rotatable relative to the control handle to actuate another puller wire for manipulating another feature of the catheter. | 07-04-2013 |
| 20130172814 | CATHETER FOR MANUAL AND REMOTE MANIPULATION - An elongate medical device may overcome be configured both for manual manipulation by a physician and for automatic manipulation by a remote catheter guidance system. Such an elongate medical device comprises a shaft having a proximal portion and a distal portion, a pull wire disposed in the shaft and affixed to the distal portion of the shaft, and a handle coupled with the proximal portion of the catheter shaft. The handle comprises a first mechanism configured for manual actuation of the pull wire so as to deflect the distal portion of the shaft, a second mechanism configured for remote actuation of the pull wire so as to deflect the distal portion of the shaft, and a mechanical interface configured to provide a remote catheter guidance system with a functional connection to the second mechanism. | 07-04-2013 |
| 20130178794 | Robotic catheter manipulator assembly - A robotic catheter manipulator assembly may include a support member including a catheter manipulation base and a sheath manipulation base movable relative to each other and to the support member. Each respective manipulation base may be releasably connectable to a catheter cartridge and a sheath cartridge. A drive mechanism may be provided for moving the catheter and sheath manipulation bases relative to each other and to the support member. The manipulation base or the cartridge may include a first element engageable with a complementary second element slidably engaged with the other one of the manipulation base or the cartridge for controlling movement of a component connected to the cartridge. The cartridge, for example, may be a transseptal cartridge, a catheter cartridge or a sheath cartridge, and the component may respectively be a surgically insertable device such as a transseptal needle, a catheter or a sheath. | 07-11-2013 |
| 20130184642 | STEERABLE SHEATH HANDLE PULLEY MECHANISM - Various embodiments concern an introducer sheath assembly comprising a tubular sheath member having a deflectable distal end portion and a sheath member lumen, and a handle assembly including a steering mechanism for deflecting the distal end portion of the sheath member. The distal end portion of the sheath member can deflect in different directions along a plane by selective tension in one of two pull wires. The selective tension can be caused by selective proximal or distal axial translation of a shuttle assembly relative to the tubular sheath member. The selective proximal or distal axial translation can be controlled by selective clockwise or counterclockwise rotation of a control knob. | 07-18-2013 |
| 20130237907 | Medical Instrument With A Lockable Bend Control Mechanism - A medical instrument includes a shaft whose distal end is bendable. Arranged at the proximal end of the shaft there is a handle on which a bend control mechanism for controlling the bending movement is arranged. The bend control mechanism has a pivotable control element. The pivotable control element runs over a friction element, and an actuating element is provided via which the friction element can be brought out of a locking engagement with the control element. | 09-12-2013 |
| 20130245551 | Variable Stiffness Catheter, Intraluminal Treatment System, And Method - A variable stiffness catheter includes an elongate tubular body having proximal and distal body ends and defining a lumen extending longitudinally between a fluid inlet in the proximal body end and a fluid outlet in the distal body end. The catheter includes a vacuum responsive stiffener coupled with the elongate tubular body, which may include a stiffening medium such as an open cell foam having an expanded state and a vacuum collapsed state. The stiffening medium can transition between the expanded state at which it is relatively flexible and the vacuum collapsed state at which it is relatively inflexible via withdrawing fluid from the vacuum responsive stiffener by way of a vacuum device. | 09-19-2013 |
| 20130281925 | CATHETER DEFLECTION ANCHOR - A system and method for anchoring a round catheter pull wire within the distal end of a catheter. A steering deflection mechanism includes a pull ring having a plurality of apertures and one or more receiving slots. The method includes affixing one or more round pull wires to the one or more receiving slots of the pull ring. The shape of the round wire and manner of affixing the wire to the pull ring provide a steering assembly that can withstand greater pull forces while maintaining design integrity. | 10-24-2013 |
| 20130289478 | VARIABLY FLEXIBLE PIPE AND MANIPULATOR - Disclosed herein is a variably flexible pipe including at least one flap member having variable flexibility and a tube formed of an elastically deformable material and accommodating the at least one flap member, and a manipulator having the same. The at least one flap member may include a plurality flap parts and a connection part to which one side of each of the plurality of flap parts is connected, and the tube changes pressure applied to the plurality of flap parts according to a controlled change of the inner pressure of the tube, thereby causing the variably flexible pipe to be effectively selectively maintained in a deformed state. | 10-31-2013 |
| 20130296780 | DEFLECTABLE CATHETER SHAFT SECTION, CATHETER INCORPORATING SAME, AND METHOD OF MANUFACTURING SAME - A deflectable catheter shaft section is disclosed comprising an elongated body extending along a longitudinal axis and comprising a distal end and a proximal end; and a plurality of lumens extending along the longitudinal axis of the elongated body, wherein at least one of the lumens is abutting at least another one of the lumens. A catheter comprising the deflectable catheter shaft section and a method of manufacturing the deflectable catheter shaft section are also disclosed. A catheter incorporating a deflectable catheter shaft section can further comprise first and second compression coils disposed over pull wires located within the catheter, wherein the compression coils are unattached to the catheter or components thereof, but can be constrained by a shaft coupler at a distal end of each of the compression coils and by at least a portion of a handle assembly at a proximal end of each of the compression coils. | 11-07-2013 |
| 20130296781 | DEFLECTABLE CATHETER SHAFT SECTION, CATHETER INCORPORATING SAME, AND METHOD OF MANUFACTURING SAME - A deflectable catheter shaft section is disclosed comprising an elongated body extending along a longitudinal axis and comprising a distal end and a proximal end; and a plurality of lumens extending along the longitudinal axis of the elongated body, wherein at least one of the lumens is abutting at least another one of the lumens. A catheter comprising the deflectable catheter shaft section and a method of manufacturing the deflectable catheter shaft section are also disclosed. A catheter incorporating a deflectable catheter shaft section can further comprise first and second compression coils disposed over pull wires located within the catheter, wherein the compression coils are unattached to the catheter or components thereof, but can be constrained by a shaft coupler at a distal end of each of the compression coils and by at least a portion of a handle assembly at a proximal end of each of the compression coils. | 11-07-2013 |
| 20130324921 | DEFLECTION MECHANISM FOR AN ELONGATE MEDICAL DEVICE - A deflection mechanism for use in an elongate medical device is presented. The deflection mechanism comprises an actuator. The actuator comprises a rotatable body comprising a channel. The deflection mechanism further comprises an activation wire having a proximal end and a distal end, and a wire lock attached to the proximal end of the activation wire. The wire lock is disposed within the channel and is configured to ride therein when the actuator body is rotated. An elongate medical device, and a handle assembly thereof, that incorporate the deflection mechanism are also presented. | 12-05-2013 |
| 20140005601 | STEERING MECHANISM FOR BI-DIRECTIONAL CATHETER | 01-02-2014 |
| 20140018732 | Apparatus and Methods for Accessing and Treating a Body Cavity, Lumen, or Ostium - Among the various embodiments, objects and features of the present invention may generally be noted catheter systems which simplify and ease access to one or more target anatomies in various medical procedures thereby reducing procedure time and associated costs. | 01-16-2014 |
| 20140039387 | GUIDE TUBE FOR MICROSURGICAL INSTRUMENTS - A guide tube for microsurgical instruments has a linear tube having a hollow formed in the length direction thereof, a curved tube mounted to the front end of the linear tube and having unit bodies connected to allow bending, an elastic body for giving an elastic force so that a gap between the unit bodies increases, and a tension control unit mounted to the rear end of the linear tube to bend the curved tube by controlling tensions of a plurality of wires extending from the curved tube, wherein the tension control unit controls the tensions of the wires in a state where the curved tube is curved so that the rigidity of the curved tube increases to support a surgical instrument located in the linear tube and the curved tube. | 02-06-2014 |
| 20140046251 | Long Travel Steerable Catheter Actuator - The present invention is an electrophysiology, RF ablation, or similar catheter (i.e., catheter or sheath) that includes an actuator that significantly increases the length of travel (i.e., steering travel) of the actuation wires, as compared to the length of travel provided by prior art actuators. The catheter includes a hollow flexible tubular body, a pair of actuation wires disposed in a side-by-side relationship in the body, a handle attached to a proximal end of the body, an actuator pivotally mounted to the handle, an arcuate internal gear rack disposed on the actuator, one or more pulleys pivotally mounted on the handle and coaxially coupled to a pinion gear engaged with the gear rack, and a guide block mounted within the handle. The one or more pulleys include a first channel in which the first actuation wire resides and a second channel in which the second actuation wire resides. The actuation wires pass through holes in the guide block, which aligns the wires into their respective channels. The actuation wires enter into their respective channels on opposite sides of the axis of the one or more pulleys. As the actuator is pivoted relative to the handle, the gear rack rotates the pinion gear and the one or more pulleys. This causes one of the actuation wires to be in-hauled (i.e., wound about the one or more pulleys) and the other actuation wire to be paid-out (i.e., unwound from the one or more pulleys). | 02-13-2014 |
| 20140052061 | CONTROL APPARATUS - A control apparatus for use in endoscopes or the like is provided which allows a user to work without fatigue. The control apparatus includes a proximal and distal end sections, each of which has an articulation zone, and a central section arranged therebetween, an outer hollow-cylindrical shaft, an inner cylindrical shaft, and a control element arranged between the shafts and having two or more force-transmitting longitudinal elements extending substantially from the proximal to the distal end section for coupling movement of the distal end section with movement of the proximal articulation section. The longitudinal elements are arranged in spaced-apart relation to one another at substantially regular angular distances which, as measured in a circumferential direction, are selected such that the longitudinal elements are guided without contact in a circumferential direction and optionally guided in contact with the outer and/or the inner shaft in a radial direction. | 02-20-2014 |
| 20140058321 | WHEEL FOR ROBOTIC CATHETER SYSTEM DRIVE MECHANISM - A drive mechanism for a robotic catheter system including a first engagement surface and a second engagement surface is provided. The first engagement surface and second engagement surface are configured to engage a catheter device to allow the drive mechanism to impart motion to the catheter device. The first engagement surface is textured to facilitate gripping between the first engagement surface and the catheter device. | 02-27-2014 |
| 20140058322 | CATHETER SYSTEM - A robotic catheter system is provided. The robotic catheter system includes a housing and a drive assembly coupled to the housing. The drive assembly is configured to impart movement to a catheter device. The catheter system includes a release structure permitting the drive assembly to be decoupled and removed from the housing without removing the catheter device from a patient. | 02-27-2014 |
| 20140058323 | BENDING OPERATION APPARATUS FOR ENDOSCOPE - A rotation shaft, a bending operation knob, a fixed shaft, two movable disks, a fixed disk, a cam member, a resistance giving member and a fixing lever are included. The resistance giving member has a rocking portion that fixes a rotation position of the cam member in a second position of the movable disks by abutting onto an inner circumferential face of a protruding portion provided at the cam member that moves with rotation of the cam member with an urging force, and is rockable in a diameter direction of the cam member. | 02-27-2014 |
| 20140058324 | Steerable Medical Delivery Devices and Methods of Use - Steerable medical delivery devices and their methods of use. | 02-27-2014 |
| 20140088496 | Shaft and handle for a catheter with independently-deflectable segments - An elongate medical device with independently-deflectable segments and a handle for manually deflecting those segments can include a shaft having a distal segment and proximal segment, at least one proximal segment deflection wire adapted to deflect the proximal segment, at least one distal segment deflection wire adapted to deflect the distal segment independent of the proximal segment, and a handle portion. The handle portion may comprise a first manual actuation mechanism coupled to the at least one distal segment deflection wire and a second manual actuation mechanism coupled to the at least one proximal segment deflection wire. Actuation of the first manual actuation mechanism may impart a tensile force on the distal segment deflection wire to cause the distal segment to deflect, and actuation of the second manual actuation mechanism may impart a tensile force on the proximal segment to cause the proximal segment to deflect. | 03-27-2014 |
| 20140088497 | STEERABLE CATHETER WITH BRAKE ASSEMBLY - A catheter includes a handle and an elongate member extending from the handle. The catheter may also include steering system coupled to the handle. The steering system may be configured to deflect at least a portion of the elongate member in at least one direction. The catheter may also include a locking mechanism configured to lock the portion of the elongate member in a deflected configuration, and a lever coupled to the handle. The lever may be configured to move from a first position to a second position to engage the locking mechanism. The lever may also be configured to be separably retained at least at one of the first position or the second position to prevent movement therebetween. | 03-27-2014 |
| 20140107571 | STEERING SYSTEM WITH LOCKING MECHANISM - A steerable device, such as a steerable catheter, may include a control handle and an insertion shaft extending outwardly therefrom. In use, the insertion shaft is navigated to an area of interest for examination and/or treatment thereof. The steerable device may include a steering system that controls the deflection angle of the distal end of the insertion shaft in two or more non-planar directions for navigating the insertion shaft to the area of interest. The steering system may also include a locking mechanism for arresting or partially arresting the movement of the distal end of the insertion shaft in a first direction independent of arresting or partially arresting the movement of the distal end in a second non-planar direction. | 04-17-2014 |
| 20140121595 | PUSH-COIL STEERING MECHANISM - A handle assembly is provided for use in navigating a deformable shaft within a body. The assembly includes a first guide member defining first and second linear channels and a second guide member configured for rotation relative to the first guide member. First and second connectors are disposed within, and movable within, the first and second linear channels along first and second parallel axes, respectively, and are configured for coupling to first and second steering wires, respectively. The assembly includes means, such as a flexible coupling connected to the second guide member and the connectors, for translating rotation of the second guide member into linear movement of the first connector in a first axial direction and linear movement of the second connector in a second axial direction, opposite the first axial direction such that the first and second steering wires move in opposite directions. | 05-01-2014 |
| 20140135685 | STEERABLE ASSEMBLY FOR SURGICAL CATHETER - A catheter configured for intraluminal delivery to a location in the body of a patient, the catheter comprising a steerable assembly comprising a first segment connected to a second segment; the first segment comprises first and second cylindrical elements connected to each other by a first revolute joint in a first single plane; the second segment comprises third and fourth cylindrical elements connected to each other by a second revolute joint in a second single plane, wherein the first single plane and the second single plane are offset by an angle from each other. | 05-15-2014 |
| 20140135686 | CATHETER WITH FLAT BEAM DEFLECTION IN TIP - A catheter has a deflection beam with rectangular cross-section and a single continuous puller wire for predictable on-plane bi-directional deflection. The puller wire extends through spacers on opposite sides of the beam so the puller wire is maintained a predetermined separation distance from the beam surface. Tubular structures of the catheter body and the deflectable section are fused at a joint by C-shaped brackets mounted opposite surface of the beam to form a hollow body with holes into which thermoplastic materials covering the catheter body and the deflectable section can melt to form interlocking nodes. Elongated beam stiffeners can be mounted on the beam to provide different curve and deflection geometries. | 05-15-2014 |
| 20140135687 | CATHETER WITH IMPROVED TORQUE TRANSMISSION - A catheter has a deflection beam and a single continuous puller wire to effectuate bi-directional deflection. A joint between a catheter body and a deflectable distal section effectively transmits torque from a control handle. The joint includes two open-shaped brackets, each affixed to a respective side of the flat deflection beam to form a closed-shaped hollow body that bridges and circumferentially encircles the beam. Each bracket has through-holes into which thermoplastic material of the catheter body and the deflectable distal section can melt and migrate to form interlocking nodes. | 05-15-2014 |
| 20140135688 | CATHETER WITH FLAT BEAM PROVIDING NONSYMMETRICAL CURVE BI-DIRECTIONAL DEFLECTION - The catheter has a catheter body and a deflectable section with a flat deflection beam having a different deflection initiation location on each side of the beam to provide nonsymmetrical bi-directional deflection via a single continuous puller wire with two longer parallel segments connected by a U-bend segment anchored at a distal end of the beam. A spacer is provided on each side of the beam to guide and bind the respective puller wire segments and maintain a predetermined separation distance between the puller wire and the beam, including a neutral bending axis of the beam, for reducing the beam's bending moment. One or more heat shrinking tubes may surround the spacer and the beam to tightly constrain the puller wire to the beam. | 05-15-2014 |
| 20140135689 | STEERING MECHANISM FOR BI-DIRECTIONAL CATHETER - A bi-directional catheter with nearly double the throw in its catheter tip deflection defines a puller wire travel path having a U-turn a pulley which minimizes the offset angle between the puller wire and the longitudinal axis of the control handle while maximizing the travel distance of that puller wire for any given distance traveled by the pulley drawing the puller wire. In particular, the control handle of the catheter which includes a steering assembly having a lever arm carrying a pair of pulleys for drawing corresponding puller wires to deflect the tip section of the catheter. The pulleys are rotatably mounted on opposing portions of the lever arm such that one pulley is moved distally as the other pulley is moved proximally when the lever arm is rotated. Because each puller wire is trained on a respective pulley, rotation of the lever arm causes the pulley that is moved proximally to draw its puller wire to deflect the tip section in the direction of the off-axis lumen in which that puller wire extends. | 05-15-2014 |
| 20140148759 | CATHETER HAVING UNIRAIL PULLWIRE ARCHITECTURE - A steerable catheter comprises a flexible catheter body including a proximal shaft section and a distal articulating section, a proximal steering interface coupled to the proximal shaft section, and at least one hollow stiffening member extending through the proximal shaft section. The stiffening member(s) is more rigid than the proximal shaft section and is laterally offset from a geometric cross-sectional center of the proximal shaft section. The steerable catheter further comprises circumferentially spaced lumens extending through the distal articulating section, and pullwires extending through the stiffening member(s) in the proximal shaft section and the respective lumens in the distal articulating section. Each of the pullwires has a distal end that terminates in the catheter body distal to the distal articulating section and a proximal end that terminates in the steering interface. The steering interface is manipulatable to selectively tension the pullwires to bend the distal articulating section. | 05-29-2014 |
| 20140155822 | ACTIVE CATHETER DEVICE AND ASSOCIATED SYSTEM AND METHOD - An active catheter device is provided. At least one elongate catheter segment includes an elongate flexible tube member defining an axis, and a pair of ferrule members operably engaged with and spaced apart along the tube member. The ferrule members are not rotatable about the axis relative to each other. At least one articulation member is operably engaged with and extends at least between the ferrule members along the tube member. Each articulation member is configured to be actuatable to cause a change in a distance between the ferrule members so as to articulate the tube member. Associated systems and methods are also provided. | 06-05-2014 |
| 20140194813 | UNIDIRECTIONAL CATHETER CONTROL HANDLE WITH TENSIONING CONTROL - A catheter includes a tip electrode with a shell and a support member to provide a plenum chamber. The plug is formed with a U-shaped passage for a safety line to wrap around and secure the support member (with the shell affixed thereto) to the catheter. Additional passages are formed in the plug to accommodate components such as irrigation tubing, lead wire and thermocouple wire pair. A method of manufacture provides distal installation and/or anchoring of the safety line, lead wire and thermocouple wire pair in the support member prior to sealing the support member and mounting the shell. | 07-10-2014 |
| 20140194814 | CATHETER DEFLECTION ANCHOR - A system and method for anchoring a round catheter pull wire within the distal end of a catheter. A steering deflection mechanism includes a pull ring having a plurality of apertures and one or more receiving slots. The method includes affixing one or more round pull wires to the one or more receiving slots of the pull ring. The shape of the round wire and manner of affixing the wire to the pull ring provide a steering assembly that can withstand greater pull forces while maintaining design integrity. | 07-10-2014 |
| 20140200513 | ENDOSCOPE - A first housing region A which is provided in the operation portion and in which a bending drive mechanism is housed, a second housing region B which is provided in the operation section and in which a flexible member is housed, and a third housing region C which is provided in the operation portion and in which an electric part is housed are provided, the first housing region A and the second housing region B are located to be lined up in an orthogonal direction Q, and the third housing region C is located to be adjacent to both of the first housing region A and the second housing region B so that a first boundary line T | 07-17-2014 |
| 20140207059 | BENDING OPERATION MEMBER, AND MEDICAL APPARATUS - A bending operating member for performing a bending operation on an elongated member having flexibility in a direction intersecting an axial direction of the elongated member includes a pulling member, at least a portion of the pulling member being configured to be connected to a distal portion of the elongated member such that, when said pulling member is pulled in the axial direction of the elongated member, the pulling member causes the elongated member to bend; a moving member that is connected to the pulling member, the moving member being configured to move so as to pull the pulling member in the axial direction of the elongated member; a rotating member that is operatively connected to the moving member and is rotatable around an axis of the elongated member; and a converting part that converts rotation of the rotating member into movement of the moving member. | 07-24-2014 |
| 20140221920 | CATHETER HAVING FLAT BEAM DEFLECTION TIP WITH FIBER PULLER MEMBERS - A catheter has a metal deflection beam with rectangular cross-section and one or two fiber puller members for predictable on-plane bi-directional deflection. Each fiber puller member is anchored at its distal end to a respective surface of the beam by a metal ferrule that is crimped onto the distal end. The ferrule is shaped to provide a flat outer underside that can lie flat against a beam surface and a thin planar distal section that is welded to the beam. With a distal end of the beam sandwiched between the thin planar distal section of two ferrules, the ferrules and the beam can be welded together by a single laser pulse. | 08-07-2014 |
| 20140221921 | ENDOSCOPE STRUCTURES AND TECHNIQUES FOR NAVIGATING TO A TARGET IN A BRANCHED STRUCTURE - Systems and methods employing a small gauge steerable catheter ( | 08-07-2014 |
| 20140243742 | COMPONENTS AND METHODS FOR ACCOMODATING GUIDEWIRE CATHETERS ON A CATHETER CONTROLLER SYSTEM - Various embodiments provide systems and methods for controlling a catheter with a catheter positioning device by using a remote controller and a guidewire control mechanism that may be used to draw a guidewire through a catheter coupled with the catheter positioning system. As the catheter is advanced over the guidewire by the catheter positioning device, the guidewire control mechanism may draw the guidewire away, such as collecting any slack on the guidewire. In further embodiments, the guidewire control mechanism may match the speed at which the guidewire is drawn to the speed at which the catheter advances and thereby maintain the position of the guidewire relative to the patient. | 08-28-2014 |
| 20140243743 | DEFLECTABLE CATHETER WITH A HIGH MODULUS FIBER PULLER ELEMENT - A deflectable, catheter includes a catheter body, an intermediate section, a tip electrode and a control handle for deflecting the catheter by manipulation of a puller element that is made of a high modulus fiber material and extends through the catheter body and the intermediate section. The proximal end of the puller element is housed in the control handle and the distal end of the puller element is in a wrapped configuration and engages with a distal tip member or the intermediate section. | 08-28-2014 |
| 20140249473 | ACTUATING MEMBER AND MEDICAL APPARATUS - An actuating member for making a flexible elongated member perform a predetermined action includes a push/pull member having a tip side and a base end side, the push/pull member including: a first moving portion and a second moving portion that are located on the base end side of the push/pull member and are movable relative to one another along an axis of the push/pull member, a first extending portion that extends from the first moving portion towards the tip side of the push/pull member, and a second extending portion that extends from the second moving portion towards the tip side of the push/pull member; an operating member that is rotatable about an axis that intersects an axis of the push/pull member, the operating member being configured such that rotation of the operating member causes movement of the first moving portion and the second moving portion. | 09-04-2014 |
| 20140249474 | MEDICAL DEVICES HAVING RELEASABLE COUPLING - This invention is directed to a medical device having a longitudinal axis, and including a handle and a catheter. The handle can include a body having a proximal end and a distal end, an actuator moveably coupled to the body, and a handle control member coupled to the actuator, wherein the actuator can be configured to move relative to the body to move the handle control member. The catheter can include a shaft having a proximal end and a distal end, wherein the proximal end of the shaft and the distal end of the body can be configured for releasable coupling. The catheter can also include a steering section located along the shaft and a catheter control member coupled to the steering section, wherein the catheter control member can be configured to move relative to the shaft to move the steering section relative to the longitudinal axis. The medical device can also include a securing member configured to move relative to at least one of the handle and the catheter to releasably couple the handle control member to the catheter control member. | 09-04-2014 |
| 20140276394 | INPUT DEVICE FOR CONTROLLING A CATHETER - An input device includes a plurality of orientation blocks each representing a portion of a catheter assembly and a controller configured to determine an orientation of the plurality of orientation blocks relative to one another. The controller is further configured to output a control signal that causes a tip of a catheter assembly to adopt the orientation determined by the controller. A system includes an actuator configured to manipulate a position and orientation of the catheter assembly. The controller of the input device is configured to output a control signal to the actuator to make a tip of a catheter assembly adopt the orientation determined by the controller. The input device can be virtually represented on a computing device. | 09-18-2014 |
| 20140276395 | Steerable Catheter and Dilator and System and Method for Implanting a Heart Implant - A catheter according to one embodiment may be configured to extend through a transseptal puncture site, a left atrium, and into a left ventricle. The catheter may comprise a shaft defining at least one lumen configured to receive at least one of an implant and/or a dilator, a first steerable actuator coupled to the shaft at a position on the shaft substantially corresponding to the annulus of the mitral valve when the distal end of the shaft is disposed within the left ventricle, and a handle assembly coupled to a proximal end of the shaft. The handle assembly may comprise a first actuator coupled to the first steerable actuator. The first actuator may be configured to apply a force to the first steerable actuator to deflect the shaft about a region proximate to the first steerable actuator. | 09-18-2014 |
| 20140276396 | Multi-directional catheter control handle - An apparatus for deflecting a distal portion of a catheter, a sheath, a medical device, or other flexible elongate member may generally include a handle portion, a pair of adjusting knobs, and deflection wires. The adjusting knobs may be rotatably coupled to the handle portion and operably coupled to the deflection wires. The deflection wires may be in further communication with the distal portion of the flexible elongate member. Rotation of the adjustment knobs may translate or otherwise displace particular deflection wires with respect to the rest of the flexible elongate member, thereby causing the distal portion of the flexible elongate member to deflect. Further, the deflection wires may be oriented such that the distal portion of the flexible elongate member may be deflected in a multitude of directions. | 09-18-2014 |
| 20140276397 | CATHETER SYSTEM - In a catheter system and method for controlling such a system, an elongate hollow shaft has a proximal end connected to a handle and a distal end remote from the handle. A working component is carried by the shaft and has at least one characteristic that is adjustable. An actuator is rotatably mounted on the handle for selectively adjusting at least one characteristic of the working component. A control line extends at least in part within the shaft. The control line operatively couples the actuator with the working component such that rotation of the actuator relative to the handle effects linear translation of the control line to adjust the at least one characteristic of the working component. | 09-18-2014 |
| 20140276398 | CATHETER SYSTEM - A catheter system includes a handle and a catheter component operatively connected to the handle for selective adjustment by an actuator associated with the handle housing. The actuator comprises at least in part a generally cylindrical shuttle disposed at least in part within the housing for longitudinal movement. The catheter component is operatively coupled to the shuttle for movement therewith. The shuttle has an outer surface with an annular groove formed therein, and an elastomeric ring seated in the annular groove. An annular slide bearing is retained in the housing, with the shuttle being in part disposed in the annular groove and with the elastomeric ring in frictional contact with the slide bearing. Friction between the elastomeric ring and the slide bearing is sufficient to frictionally retain the shuttle at a selected longitudinal position relative to the housing corresponding to a selected adjustment of the catheter component. | 09-18-2014 |
| 20140296778 | STEERABLE KINK-RESISTANT SHEATH - A steerable kink resistant access device is provided having an elongated body and a steerable portion; methods for manufacturing the kink resistant device are also provided. The access sheath has an outside diameter sufficiently small so that it may be inserted into a body cavity or conduit. The access sheath typically has two internal lumen, a first lumen sized and configured as an access to a surgical site and a second lumen sized and configured to contain a tensioning device that, when acted upon, will deflect the steerable portion. The tensioning device may be directly or remotely attached to an actuation device that operates to control the tensioning and loosening of the tensioning device. | 10-02-2014 |
| 20140296779 | SHAPE-TRANSFERRING CANNULA SYSTEM AND METHOD OF USE - A rigidizable medical device may include an inner element and an outer element. The outer element of the device may be positioned at least in part around the inner element so as to define a space radially between the inner element and the outer element. The medical device may further include a stiffening material positioned in the space between the inner and outer elements. The stiffening material may be transitionable between a first relatively compliant state and a second relatively stiff state, upon a change in energy applied to the stiffening material. In the first state of the stiffening material, at least a portion along a length of the device where the stiffening material is located is flexible. In the second state of the stiffening material, at least the portion along the length of the device where the stiffening material is located is rigidized. | 10-02-2014 |
| 20140303553 | POSITIONING SYSTEM FOR MANIPULATING A CHANNEL WITHIN A MEDICAL DEVICE - Embodiments of the invention include a medical device for accessing a patient's body portion and used for diagnosis and treatment of medical conditions. Embodiments of the invention may include a particular endoscopic positioning mechanism for placing an endoscope and an additional treatment device within desired body portions in order to assist in diagnosis and treatment of anatomical diseases and disorders. In particular, a medical device according to an embodiment of the invention includes a positioning mechanism configured for movement through at least two degrees of freedom. | 10-09-2014 |
| 20140323964 | STEERABLE CATHETERS AND METHODS FOR MAKING THEM - Catheters, sheaths, or other tubular devices are provided that include a proximal end, a distal end sized for introduction into a patient's body, and a steerable distal portion. The tubular device includes a primary lumen extending between the proximal and distal ends; an auxiliary lumen adjacent the primary lumen; and one or more reinforcement members including windings extending helically along at least the distal portion, at least some of the windings passing between the primary and steering element lumens and at least some of the windings surrounding both the primary and steering element lumens. In one embodiment, a steering element is slidably disposed within the auxiliary lumen. Apparatus and methods for making such tubular devices are also provided. | 10-30-2014 |
| 20140330201 | DEFLECTABLE CATHETER SHAFT SECTION, CATHETER INCORPORATING SAME, AND METHOD OF MANUFACTURING SAME - A deflectable catheter shaft section is disclosed comprising an elongated body extending along a longitudinal axis and comprising a distal end and a proximal end; and a plurality of lumens extending along the longitudinal axis of the elongated body, wherein at least one of the lumens is abutting at least another one of the lumens. A catheter comprising the deflectable catheter shaft section and a method of manufacturing the deflectable catheter shaft section are also disclosed. A catheter incorporating a deflectable catheter shaft section can further comprise first and second compression coils disposed over pull wires located within the catheter, wherein the compression coils are unattached to the catheter or components thereof, but can be constrained by a shaft coupler at a distal end of each of the compression coils and by at least a portion of a handle assembly at a proximal end of each of the compression coils. | 11-06-2014 |
| 20140336572 | Guiding Medical Devices and Associated Methods of Manufacturing - A catheter assembly includes an inner liner made of flexible material and an outer layer having a steering mechanism. A catheter assembly is provided that includes an inner liner made of flexible material, and an outer layer having a steering mechanism that includes at least one wire and a corresponding lumen for each of the at least one wire through which the respective wire may travel. The outer layer includes a braided wire assembly that includes at least two wires braided into a wire mesh, and further includes a see-through portion positioned proximate a pull wire extraction location to facilitate extraction. | 11-13-2014 |
| 20140336573 | STEERING ACTUATOR FOR DEFLECTABLE CATHETER - 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). | 11-13-2014 |
| 20140343489 | Endoscope Control Unit with Braking System - A control unit that includes a braking system for fixing the position of an endoscope tip is provided. The control system includes an up-down control knob and a right-left control knob. The brakes are engaged by rotating the control knob itself counter-clockwise from a free wheeling position. After the brakes have been engaged, a sufficient amount of force applied to the control knobs will move the endoscope tip slightly in the corresponding direction, allowing for fine tuning of tip position after braking. | 11-20-2014 |
| 20140350462 | CONTINUUM MANIPULATOR - Embodiments of the present invention provide a continuum manipulator that can be used, for example, as a steerable catheter tip. The manipulator of the embodiments comprises a plurality of segments arranged in a stack, which is then able to bend in a range of directions away from the long axis of the stack. In one embodiment the segments include a helical portion which winds in the direction of the long axis of the stack, and can thus bend away from the long axis in any direction. In another embodiment the segments include a backbone portion with cantilevered rings extending from the backbone portion, separated by bending gaps which allow the segment to bend in a range of directions away from the backbone portion so that the bending gap between the rings closes. In some embodiments a carbon fibre rod is included as a backbone for the stack, to minimise hysteresis and improve repeatability of bending. In addition, in embodiments of the invention tendon control channels are provided formed within the segments, through which tendon control wires extend to apply compression and/or bending forces to the stack Having the control channels formed internally to the stack strengthens the stack and makes the stacked structure conform to the channel(s). In particular unwanted twisting of the tip of the stack can be prevented and torquability can be improved. | 11-27-2014 |
| 20140350463 | DUAL LUMEN PANCREATICOBILIARY CATHETER AND METHODS OF CANNULATING THE PANCREATICOBILIARY SYSTEM - Devices and methods for facilitating access to the pancreaticobiliary system are disclosed. In particular, the methods include bending a device having an elongate body with a first lumen, a second lumen, and respective first and second exit openings. The methods include inserting a first guidewire through the first lumen and out of the first exit opening to cannulate a pancreatic duct, and inserting a second guidewire through the second lumen and out of the second exit opening to cannulate a biliary duct. | 11-27-2014 |
| 20140364802 | Auto lock for catheter handle - The present invention is a catheter actuation handle for deflecting a distal end of a tubular catheter body, the handle including an auto-locking mechanism. The handle comprises upper and lower grip portions, an actuator, and an auto-locking mechanism. The auto-locking mechanism is adapted to hold a deflected distal end of the catheter in place without input from the operator. When the distal end of the catheter is deflected from its zero position, it typically will seek a return to its zero position, and as a result exerts a force on the actuator. The auto-locking mechanism acts by providing a second force that resists this force from the distal end and holds the distal end in place. As a result, the operator does not need to maintain contact with the buttons to maintain the distal end 18 in a set position once placed there by actuating the actuator. | 12-11-2014 |
| 20140371671 | DEFLECTABLE CATHETER WITH HINGE - A deflectable device, such as a catheter, is provided that includes a hinge that enhances the ability of the device to deflect or bend within a predetermined plane. The catheter comprises an elongated tubular catheter body having proximal and distal ends and at least one lumen extending therethrough. A distal segment is provided distal to the distal end of the catheter body. A tubular hinge is provided between the distal end of the catheter body and the proximal end of the distal segment. The hinge has an axis and at least one lumen extending therethrough. The tube includes at least one slot, and preferably a plurality of slots, extending part of the way through the hinge generally transverse to the axis of the hinge. | 12-18-2014 |
| 20150032048 | CATHETER ACCESS AND CONTROL DEVICE AND METHOD OF USING SAME - The present application discloses a handle configured to receive a catheter. The handle comprises a port that communicates with a lumen of the catheter and a mechanism is provided that moves the end of the catheter for positioning. The guide wire traverses a reservoir located in the handle. In particular, the handle comprises an enclosure with a conduit and a reservoir, where the conduit extends through the enclosure from the left side to the right side and the reservoir space has a curved or concave base. The bottom side and top side of the handle converge into a tapered point on the left side. | 01-29-2015 |
| 20150051541 | MEDICAL INSTRUMENT AND METHOD OF MANUFACTURING MEDICAL INSTRUMENT - Provided is a medical instrument which can reliably protect a sub-lumen and a method of manufacturing the medical instrument. In such a medical instrument, a catheter includes a resin tubular main body (sheath), in which a main lumen and a sub-lumen which is disposed on an outer peripheral side of the main lumen and extends along a longitudinal direction of the main lumen, are formed; a reinforcement layer which is disposed between the main lumen and the sub-lumen and surrounds the main lumen; and a wire which is disposed further on an outer peripheral surface side of the tubular main body than the sub-lumen and is disposed so as to surround the outer periphery of the main lumen. The wire is embedded in the tubular main body and supports the outer peripheral surface of the tubular main body. | 02-19-2015 |
| 20150057610 | STEERABLE MEDICAL DEVICES - A steerable medical device can include a sheath defining a longitudinal axis having a deflectable distal end portion, and at least one lateral passage extending therethrough and configured to accommodate at least one steering cable and a steering handle operatively associated with a proximal end portion of the sheath and having an actuation mechanism operatively connected to the at least one steering cable accommodated within the at least one lateral passages of the sheath for steering the deflectable distal end portion of the sheath in at least one direction relative to the longitudinal axis thereof. | 02-26-2015 |
| 20150073342 | Linearly Stationary Catheter Drive Assemblies For Remote Catheter Positioning Systems - Systems, methods, and devices of the various embodiments provide linearly stationary catheter drive assemblies enabled to move a catheter's sheath along a linear axis while holding the catheter handle stationary along that linear axis. In the various embodiments, the linearly stationary catheter drive assembly may be configured to move the catheter's sheath along the linear axis while holding the catheter handle stationary along the linear axis and rotating the catheter handle about the linear axis. In an embodiment, a linearly stationary catheter drive assembly may include a loop drive configured to move the catheter sheath along the linear axis. In an embodiment, a linearly stationary catheter drive assembly may include a pinch drive configured to move the catheter sheath along the linear axis. | 03-12-2015 |
| 20150080792 | OPERATING MEMBER - An object of the present invention is to provide an operating member with which curving operation of a catheter distal part can be easily carried out without moving a comparatively-large member. An operating member has a rotational operation part ( | 03-19-2015 |
| 20150094654 | CATHETER HAVING AN ACTIVE RETURN-TO-STRAIGHT MECHANISM - Actuators for steerable medical devices are disclosed that not only deflect or steer a portion of a medical device (e.g., a distal portion of a catheter shaft), but also include mechanisms for actively returning the deflected portion of the medical device to an initial configuration (e.g., straight or substantially straight). These active return-to-straight mechanisms may return a catheter shaft from a deflected configuration to a substantially straight configuration throughout a medical procedure, may employ one or more tension members extending along the catheter shaft, and may comprise a gross return actuator and a fine return actuator. For example, the gross return actuator may be configured to partially reverse the deflection of the distal portion of the catheter; and the fine return actuator may be configured to continue reversing the deflection. The gross return actuator may automatically trigger or actuate (mechanically or electromechanically) the fine return actuator. | 04-02-2015 |
| 20150094655 | ENDOSCOPE - An endoscope includes: an insertion portion; a bending portion provided in the insertion portion; an operation portion connected to the insertion portion; a grasp-assistance portion provided on the operation portion, a bending operation knob provided on one side face of the operation portion and rotating centering on a rotation axis; a plurality of function switches that are provided on a face different from the one side face, and each upper-side side face protrudes further than an outermost diametrical path of the bending operation knob; and a switch root portion constituting a root portion of a function switch disposed at a position on the distal-most end side among the plurality of function switches, and disposed further on the proximal end side than an intersection point on the distal end side among two intersection points at which the outermost diametrical path and a switch-disposing face intersect. | 04-02-2015 |
| 20150094656 | STEERABLE MEDICAL DEVICES, SYSTEMS, AND METHODS OF USE - Steerable medical devices and methods of use. In some embodiments the steerable medical devices include a steerable portion with a stiffness that varies in the steerable portion. | 04-02-2015 |
| 20150100020 | ACTUATING MEMBER AND MEDICAL DEVICE - An actuating member includes: a first movement member and a second movement member which are located at a proximal side of the elongated member and are configured to be relatively movable toward and away from each other along an axial direction of the elongated member; a push-pull member that includes a first connection portion configured to be connected to the first movement member, a first extension portion extending from the first connection portion toward a distal side in the axial direction of the elongated member, a second connection portion configured to be connected to the second movement member, and a second extension portion extending from the second connection portion toward the distal side in the axial direction of the elongated member; and an operation member configured to operate the movement of the first movement member and the second movement member. | 04-09-2015 |
| 20150105721 | STEERABLE MEDICAL DEVICES - A steerable medical device includes a sheath having a preformed non-linear configuration, a deflectable distal end portion, and at least one lateral passage configured to accommodate at least one steering wire. The device further includes a steering handle operatively associated with a proximal end portion of the sheath and having an actuation mechanism operatively connected to the at least one steering wire accommodated within the at least one lateral passages of the sheath for steering the deflectable distal end portion of the sheath in at least one direction. | 04-16-2015 |
| 20150119800 | DEFLECTABLE ACCESS SHEATH HANDLE ASSEMBLY WITH LOCKING MECHANISM - An elongate access sheath comprises a proximal portion and a lumen. The proximal portion supports a control handle, a brake pad, a tension gear, and a locking trigger. A deflector filament extends through the lumen and is coupled to the tension gear. The tension gear includes an outside and an inner engagement portion. The brake pad comprises a slot and an outside engagement portion. The locking trigger includes a pin disposed within the brake pad slot. The control handle includes a lever and an engagement portion. Upward movement of the lever engages the engagement portion with the outside engagement portion of the tension gear to rotate the tension gear in a first direction and slides the deflector filament to bend the lumen distal portion. Translation of the locking trigger engages the brake pad and the tension gear to prevent rotation of the tension gear in an opposite second direction. | 04-30-2015 |
| 20150119801 | STEERABLE INTRALUMINAL MEDICAL DEVICE - A steerable intraluminal medical device is described for use in navigating small diameter and curving arteries. The device includes a control handle that adjusts the direction of deflection of the tip throughout a 360° range of motion around the axis on the distal end. An optional locking mechanism is provided to maintain the desired angle of deflection during an intravascular procedure. | 04-30-2015 |
| 20150133857 | STEERABLE GASTRIC CALIBRATION TUBE - A gastric calibration tube includes an elongate member and an adjusting member. The elongate member has a length and includes a first segment and a second segment that extend along the length. The second segment includes a first side and a second side. The first and second sides are selectively movable in opposite lengthwise directions. The adjusting member is secured to one of the sides of the second segment and movable with the second segment relative to the first segment to steer the elongate member. | 05-14-2015 |
| 20150133858 | CONNECTOR DEVICE FOR A CONTROLLABLE INSTRUMENT - A connector assembly for controllable articles is described herein. The connector assembly engages force transmission elements used to transmit force from one or more force generators with the force transmission elements used to manipulate a controllable article. Additionally, the connector assembly provides organization thereby simplifying the process of connecting a plurality of elements, usually with a quick, single movement. | 05-14-2015 |
| 20150148741 | STEERING MECHANISM FOR BI-DIRECTIONAL CATHETER - The present invention provides a bi-directional catheter with nearly double the throw in its catheter tip deflection. In particular, the travel path of each the puller wire includes a U-turn or doubling-back around a pulley which minimizes the offset angle between the puller wire and the longitudinal axis of the control handle while maximizing the travel distance of that puller wire for any given distance traveled by the pulley drawing the puller wire. In one embodiment, the catheter has an elongated catheter body, a catheter tip section with first and second diametrically-opposed off-axis lumens, and a control handle which includes a steering assembly having a lever structure carrying a pair of pulleys for simultaneously drawing and releasing corresponding puller wires to deflect the tip section of the catheter. | 05-28-2015 |
| 20150297864 | DEVICES, SYSTEMS, AND METHODS FOR CONTROLLING ACTIVE DRIVE SYSTEMS - The present application is related to devices, systems, and methods for controlling active drive systems. In one embodiment, the drive system may include a first surface and a second surface for engaging an elongate member. The first and second surfaces may be attached to a drive mechanism to move the elongate member. The first surface may be slidable relative to the drive mechanism and may have a clearance between the drive mechanism and an end of the first surface during movement of the elongate member in a non-slip condition. A sensor may be associated with the first surface and may be configured to detect movement of the first surface in a slip condition. | 10-22-2015 |
| 20150305598 | ENDOSCOPE - An endoscope including a first bending portion that actively performs a bending action in conjunction with a bending operation in an operation portion, a second bending portion that is provided on a proximal end side of the first bending portion, and passively performs a bending action by an external force, a flexible tube portion that is consecutively connected to a proximal end side of the second bending portion, wherein a series of helical tube portions (a first flex and a second flex) are disposed in the second bending portion and in the flexible tube portion, the helical tube portion being configured such that bending rigidity at a distal end side is higher than bending rigidity at a proximal end side, a boundary at which the bending rigidity of the helical tube portions change (a boundary between the first flex and the second flex) is set to a distal end side of the flexible tube portion, to thereby prevent buckling of the bending portion and realize good insertability of an insertion portion. | 10-29-2015 |
| 20150306302 | SPLIT-TIP CATHETER - A catheter includes an elongate shaft having proximal and distal end portions defining a longitudinal axis, and first and second tip segments. The elongate shaft and the first and second tip segments define respective first and second lumens. Each tip segment includes a proximal portion fixed relative to the distal end of the elongate shaft, and a distal portion. Each tip segment defines a side opening in fluid communication with a respective one of the first and second lumens. Each tip segment is movable between a straight configuration in which each respective tip segment is substantially parallel to the longitudinal axis, and a curved configuration in which each tip segment has a concave portion with respect to the longitudinal axis. The side openings face each other along the concave portions. | 10-29-2015 |
| 20150314108 | MEDICAL DEVICE - There is provided a medical device which has favorable operation wire, operability and has a sufficiently reinforced structure around the operation wire. The medical device includes a medical device body; a sub-lumen which is disposed inside the medical device body so as to extend along a longitudinal direction of the medical device body; an operation wire which is inserted into the sub-lumen and extends along the longitudinal direction of the medical device body; and a first tubular reinforcing layer and a second tubular reinforcing layer. The second reinforcing layer is disposed apart from the first reinforcing layer so as to surround the periphery of the first reinforcing layer, and the space between the first reinforcing layer and the second reinforcing layer is filled with a part of a resin constituting the medical device body. The sub-lumen is disposed inside the part of the resin constituting the medical device body. | 11-05-2015 |
| 20150320973 | CATHETER ACCESS AND CONTROL DEVICE AND METHOD OF USING SAME - The present application discloses a handle configured to receive a catheter. The handle comprises a port that communicates with a lumen of the catheter and a mechanism is provided that moves the end of the catheter for positioning. The guide wire traverses a reservoir located in the handle. In particular, the handle comprises an enclosure with a conduit and a reservoir, where the conduit extends through the enclosure from the left side to the right side and the reservoir space has a curved or concave base. The bottom side and top side of the handle converge into a tapered point on the left side. | 11-12-2015 |
| 20150320974 | CATHETER ASSEMBLY - A catheter assembly comprises a first elongate tubular member having a proximal end portion defining a proximal end, a distal end portion having an opening therein and defining a distal end, and at least one lumen defined between the proximal end and the distal end. A second elongate tubular member has a proximal end portion defining a proximal end, a distal end portion defining a distal end, and at least one lumen defined between the proximal end and the distal end. The second elongate tubular member is received within the at least one lumen of the first elongate tubular member, such that the distal end portion of the second elongate tubular member projects from the opening in the distal end portion of the first elongate tubular member. An elongate, shape-imparting element is receivable in the at least one lumen of at least one of the first elongate tubular member and the second elongate tubular member. The shape-imparting element imparts a non-rectilinear shape to the distal end portion of at least one of the first elongate tubular member and the second elongate tubular member. | 11-12-2015 |
| 20150335861 | GUIDED INTRAVASCULAR CATHETER SHEATH HAVING BI-DIRECTIONAL STEERING ASSEMBLY - A steerable intravascular catheter is disclosed which includes an elongated sheath having a tubular body wall defining a central lumen and a deflectable distal end portion, a pair of laterally opposed elongated pull wires extending through the tubular body wall of the sheath and terminating within the distal end portion thereof, and a handle assembly having a longitudinal axis and operatively associated with a proximal end portion of the sheath, the handle assembly including an rotatable control knob for controlling bi-directional deflection of the distal end portion of the sheath, wherein bi-directional angular rotation of the control knob about the longitudinal axis of the handle assembly effectuates corresponding reciprocal axial movement of the laterally opposed pull wires in opposed axial directions and corresponding bi-directional deflection of the distal end portion of the sheath. | 11-26-2015 |
| 20150335862 | SELF-HOLDING MEDICAL DEVICE CONTROL HANDLE WITH CAM ACTUATED CLUTCH MECHANISM - A medical device control handle has a first actuation assembly and a second actuation assembly, wherein each assembly has a shaft that is axially aligned but not rotationally coupled with the other shaft. The first actuation assembly includes a first actuation member and a clutch mechanism having a friction disk for generating frictional torque in rendering the first actuation member self-holding. The first actuation member has a cam portion adapted to impart translational motion and rotational motion for disengaging the clutch mechanism upon pivotation of the first actuation member, thus allowing rotation of the first shaft to manipulate a feature of the medical device, for example, deflection. The second actuation assembly includes a second actuation member and a translating member that is responsive to rotation of the second shaft so as to manipulate another feature of the medical device. The second actuation member is also self holding. | 11-26-2015 |
| 20150352326 | MEDICAL DEVICE WITH A NESTED LAP JOINT AND FUSED CONDUCTIVE ELEMENT AND METHOD FOR FABRICATING THE SAME - A medical device for the diagnosis or treatment of tissue in a body and method for fabricating the same are provided. The device includes comprises a first shaft and a second shaft. The first shaft includes a longitudinal axis, and the second shaft includes a second shaft axial end disposed within the first shaft. The second shaft is connected to the first shaft by a first nested lap joint formed between the first shaft and the second shaft. | 12-10-2015 |
| 20150352327 | DEFLECTABLE CATHETER SHAFT SECTION - A deflectable catheter shaft section is disclosed comprising an elongated body extending along a longitudinal axis with a distal end and a proximal end. First and second pull wires can extend along the elongated body and can have a proximal end and a distal end. First and second pull wire liners can be disposed over a portion of one of the first and second pull wires, respectively. Each of the first and second pull wires can have a proximal end and a distal end. A first gap can exist between the proximal end of the first pull wire liner and the proximal end of the elongated body and a second gap can exist between the proximal end of the second pull wire liner and the proximal end of the elongated body. | 12-10-2015 |
| 20150352328 | Variable Curvature Catheter - A variable curvature catheter ( | 12-10-2015 |
| 20150359417 | ARTICULATING TORQUEABLE HOLLOW DEVICE - An articulating mechanism for use in a medical device, such as an endoscope or a catheter, includes a series of stacked links disposed adjacent to one another and movable with respect to each other. Each link includes a front face tapered to a pair of pivot points and a rear face defining a wedge shaped recess for receiving the pivot points of the adjacent link. Pull-wires provide tension and hold the staked links together while also allowing for controlled bending of the distal portion by movement of one or more of the pull-wires. | 12-17-2015 |
| 20150360002 | TRIPLE COIL CATHETER SUPPORT - A catheter with three distinct compression resistance coils, including a body coil and two pull wire coils, is disclosed. The triple coil system can provide maximal resistance to compression of the catheter's proximal shaft, as well as maximization of the curve angle that the catheter tip can achieve. Additionally, the tri-coil catheter can allow for a lower initial compression load and a more flexible proximal shaft. A gap between the outer diameter of the pull wire and the inner diameter of the pull wire compression coil that is equal to about 10-30% of inner diameter of the pull wire compression coil can provide optimal catheter performance. | 12-17-2015 |
| 20150374205 | MECHANICAL STRUCTURE OF ARTICULATED SHEATH - A sheath apparatus includes, a plurality of node rings configured to be tilted with respect to each other, each node ring defining a substantially cylindrical wall and having at least one hole passing through said cylindrical wall, the plurality of node rings being arranged next to each other along a linear axis such that consecutive node rings contact each other at a contact plane; a manipulating wire going through the holes in said stacked node rings; and a position restoring component configured to restore said stacked node rings from a tilted position to an original position, wherein said position restoring component is located inside or outside of the stacked node rings. | 12-31-2015 |
| 20150374955 | COAXIAL BI-DIRECTIONAL CATHETER - A deflectable catheter including an outer member having a proximal portion and a distal portion, an elongated column member extending distally from the outer member and an inner member positioned coaxial with the outer member and attached to the column member. The inner member extends distally of the outer member and has a distal tip portion. A reinforcement member is positioned over the column member to restrict axial movement of the column member such that when one of the inner member or outer member is moved with respect to the other, axial compression of the column member is restricted by the reinforcement member causing the distal tip portion of the inner member to deflect laterally. | 12-31-2015 |
| 20150374956 | METHOD OF ANCHORING PULLWIRE DIRECTLY ARTICULATABLE REGION IN CATHETER - 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. | 12-31-2015 |
| 20160000304 | STEERING SYSTEM WITH LOCKING MECHANISM - A steerable device, such as a steerable catheter, may include a control handle and an insertion shaft extending outwardly therefrom. In use, the insertion shaft is navigated to an area of interest for examination and/or treatment thereof. The steerable device may include a steering system that controls the deflection angle of the distal end of the insertion shaft in two or more non-planar directions for navigating the insertion shaft to the area of interest. The steering system may also include a locking mechanism for arresting or partially arresting the movement of the distal end of the insertion shaft in a first direction independent of arresting or partially arresting the movement of the distal end in a second non-planar direction. | 01-07-2016 |
| 20160001040 | MEDICAL INSTRUMENT, CATHETER, AND METHOD FOR PRODUCING MEDICAL INSTRUMENT - A tubular body includes an elongated inner layer that demarcates a main lumen; a wire reinforcing layer that is formed by winding a reinforcing wire around the inner layer; a resinous elongated sub-tube that is arranged so as to extend along a longitudinal direction of the main lumen outside the wire reinforcing layer and demarcates a sub-lumen having a smaller diameter than the main lumen; a resinous outer layer that sheaths the wire reinforcing layer and the sub-tube; and a retaining wire. An operating wire is movably inserted through the sub-lumen, and has a tip connected to a distal portion of the tubular body. An operating part is operated to pull the operating wire to bend the distal portion of the tubular body. The retaining wire is sheathed by the outer layer, and winds together the sub-tube and the wire reinforcing layer. In a medical instrument (catheter), the retaining wire is in contact with a peripheral surface of the sub-tube on both an external diameter side and an outer surface of the wire reinforcing layer. | 01-07-2016 |
| 20160007832 | ENDOSCOPE | 01-14-2016 |
| 20160008076 | MODULE FOR DRIVING A ROBOTIC CATHETERISATION SYSTEM | 01-14-2016 |
| 20160015249 | ACTUATING MEMBER AND MEDICAL DEVICE - An actuating member for making a flexible elongate member for medical use perform a predetermined action. The actuating member includes a push/pull member, an operating member, and a cam member. The push/pull member includes a first moving portion and a second moving portion, which are movable relative to each other. The push/pull member is pushed/pulled in conjunction with a movement of the first moving portion and the second moving portion. The operating member is rotatable about an axis in a direction intersecting an axial direction of the elongate member. The cam member moves the first moving portion and the second moving portion in conjunction with rotation of the operating member. The push/pull member makes the elongate member perform at least one of (i) an advance/retraction action and (ii) a bending action by transmitting the movement of the first moving portion and the second moving portion to the elongate member. | 01-21-2016 |
| 20160015250 | ACTUATING MEMBER AND MEDICAL DEVICE - An actuating member for making a flexible elongate member for medical use perform a predetermined action includes a push/pull member, an operating member, and an advancing member. The push/pull member includes a first moving portion and a second moving portion, which are movable relative to each other. The push/pull member is pushed/pulled in conjunction with a movement of the first moving portion and the second moving portion. The operating member effects the movement of the first moving portion and the second moving portion. The advancing member includes a narrowed portion that moves the first moving portion and the second moving portion in conjunction with an operation of the operating member. The push/pull member makes the elongate member perform at least one of (i) an advance/retraction action and (ii) a bending action by transmitting the movement of the first moving portion and the second moving portion to the elongate member. | 01-21-2016 |
| 20160015251 | ACTUATING MEMBER AND MEDICAL APPARATUS - An actuating member, which makes a flexible elongated member for medical use perform a predetermined action, includes a push/pull member and an operating member. The push/pull member includes a first moving portion and a second moving portion which are disposed on a proximal side and are movable relative to each other, a first extending portion that extends from the first moving portion, and a second extending portion that extends from the second moving portion. The push/pull member is pushed/pulled in conjunction with a movement of the first moving portion and the second moving portion. The operating member is rotatable in a circumferential direction of the elongated member. The operating member includes a first guide portion and a second guide portion, which guide the first moving portion and the second moving portion. The push/pull member is capable of making the elongated member perform an advance/retraction action and/or a bending action. | 01-21-2016 |
| 20160015936 | SYSTEM AND METHOD FOR IMPLANTING A CATHETER - A system for implanting a catheter in a urethra. The system includes a catheter having a valve disposed at a distal portion of the catheter. The valve may be operable in response to an external magnetic field. The system also includes a tool having a tip member extending into an opening at the distal portion of the catheter to couple the tool to the catheter. the system also includes an element extending from the tool. The catheter has an internal path that provides a conduit for the element to be extended through the valve to engage a proximal portion of the catheter. The tool is adapted use the element to stress the catheter and stiffen the catheter along the length of the catheter. Stiffening the catheter facilitates implantation of the catheter in the urethra by enabling pull forces, push forces, and torque forces to be transmitted from the tool through the catheter to the proximal portion of the catheter without undue stress on the urethra. The element is extendible and retractable to position the catheter between stressed and relaxed states while maintaining engagement to the catheter proximal portion. The tool, element and tip member are removable from the catheter after implantation of the catheter in the urethra. | 01-21-2016 |
| 20160015937 | TORQUE-BASED CATHETER ARTICULATION - A robotic surgical system configured for the articulation of a catheter comprises an input device, a control computer, and an instrument driver having at least one motor for displacing the pull-wire of a steerable catheter wherein the control computer is configured to determine the desired motor torque or tension of the pull-wire of a catheter based on user manipulation of the input device. The control computer is configured to output the desired motor torque or tension of the pull-wire to the instrument driver, whereby at least one motor of the instrument driver implements the desired motor torque to cause the desired pull-wire tension to articulate the distal tip of the catheter. The present embodiment further contemplates a robotic surgical method for the articulation of a steerable catheter wherein an input device is manipulated to communicate a desired catheter position to a control computer and motor torque commands are outputted to an instrument driver. The robotic system may further comprise a torque sensor. The robotic system may also incorporate closed loop feedback in which data from the torque measuring device is used to ensure that the torque in the motor or tension in the pull-wire closely matches the motor torque command from the control computer. | 01-21-2016 |
| 20160022961 | Devices and Methods for Accessing the Vasculature of a Patient - A steerable guide sheath system adapted for delivery into a patient's vasculature. The pull wire which is used to tension the deflectable portion of the sheath is wrapped or twisted around the axis of the sheath. | 01-28-2016 |
| 20160038718 | MEDICAL DEVICE CONTROL HANDLE WITH MULTIPLE PULLER WIRES - A medical device control handle or catheter includes deflection assembly and at least one of the following: a disk actuator, a lever actuator and a ring actuator for actuating additional puller wires in manipulation of multiple features of the medical device or catheter independently of each other. The disk actuator has a common rotational axis with but is rotationally independent of the deflection assembly. The lever actuator has a separate rotational axis. The ring is mounted outside of the control handle and rotatable relative to the control handle to actuate another puller wire for manipulating another feature of the catheter. | 02-11-2016 |
| 20160045097 | ARTICULATION SECTION WITH LOCKING - This invention is directed to a flexible device having a longitudinal axis, a first elongate member configured to move the flexible device in a first direction relative to the longitudinal axis, and a second elongate member configured to move the flexible device in a second direction relative to the longitudinal axis that is different to the first direction. The flexible device can also have an articulation section including a plurality of articulation links, wherein at least one of the plurality of articulation links can include a body configured to receive the first elongate member and the second elongate member. The flexible device can also include a cinching element configured to engage the first elongate member to substantially limit movement between the plurality of articulation links when a tensile force is applied to the first elongate member and configured to disengage the first elongate member to permit movement between the plurality of articulation links when a tensile force is applied to the second elongate member. | 02-18-2016 |
| 20160045710 | STEERING CONTROL MECHANISM FOR CATHETER - This document relates to catheter-based therapeutic apparatus and methods for directing therapy within the body of a subject. This document also encompasses a control handle comprising a steering assembly and a delivery assembly suitable for use in conjunction with the catheter-based therapeutic apparatus to provide steering and fine positional control of the catheter tip. | 02-18-2016 |
| 20160045712 | Tension Member Seal and Securing Mechanism for Medical Devices - Tension member seals and securing mechanisms for medical devices are described herein. An example embodiment of a tension member seal comprises an elongate member, a first plug, a second plug, a material disposed within a chamber defined by the elongate member, and a tension member. The elongate member has a first configuration and a second configuration and the material is configured to seal the chamber as the elongate member is moved between its first and second configurations. | 02-18-2016 |
| 20160051796 | CATHETER, CATHETER MANIPULATION PART, AND CATHETER MANUFACTURING METHOD - A catheter of the invention includes an elongated flexible tubular main body; a plurality of manipulation wires inserted through the tubular main body and having tips connected to a distal part of the tubular main body; a manipulation-part main body provided at a base end of the tubular main body; and a bending manipulation part. The bending manipulation part has an engagement part engaging with base ends of the manipulation wires, and individually applies pulling force to the plurality of manipulation wires through pulling operations so as to bend the distal part of the tubular main body. The bending manipulation part is provided so as to be movable with respect to the manipulation-part main body. The path lengths of the plurality of manipulation wires from the tips thereof to the engagement part are simultaneously increased or decreased when the bending manipulation part and the manipulation-part main body move relative to each other. | 02-25-2016 |
| 20160051797 | UNIDIRECTIONAL CATHETER CONTROL HANDLE WITH TENSIONING CONTROL - A catheter includes a tip electrode with a shell and a support member to provide a plenum chamber. The plug is formed with a U-shaped passage for a safety line to wrap around and secure the support member (with the shell affixed thereto) to the catheter. Additional passages are formed in the plug to accommodate components such as irrigation tubing, lead wire and thermocouple wire pair. A method of manufacture provides distal installation and/or anchoring of the safety line, lead wire and thermocouple wire pair in the support member prior to sealing the support member and mounting the shell. | 02-25-2016 |
| 20160067450 | FLEXIBLE INSTRUMENT WITH NESTED CONDUITS - A medical instrument comprises an elongate flexible body including a proximal section and a steerable distal section. The instrument also comprises a control tendon extending within the elongate flexible body. The instrument also comprises an axially variable stiffening mechanism including a first conduit extending through a second conduit. The axially variable stiffening mechanism is adjustable between a first state in which an actuation of the control tendon produces a first bend radius in the steerable distal section and a second state in which the actuation of the control tendon produces a second bend radius in the steerable distal section. The second bend radius is different than the first bend radius. | 03-10-2016 |
| 20160067457 | MEDICAL DEVICE CONTROL HANDLE - A medical device control handle has with a distal component which is adjustable by an actuator assembly by means of a puller member or wire. The actuator assembly includes a user interface rotational dial, a detent tab washer and a spool, where the dial is rotationally coupled to the detent tab washer which transmits rotational movement of the dial to the spool. The spool has a shaft body and a drum end onto which an proximal end portion of the puller member can be wound to manipulate or adjust the distal component. Rotational movement of the detent washer is limited to prevent overrotation and breakage of the puller member. At least one washer is mounted on the shaft body of the spool to help apply compression load on the actuator assembly in friction-inducing contact with one or more components of the actuator assembly. | 03-10-2016 |
| 20160074624 | MODULAR HANDLE ASSEMBLY FOR A STEERABLE CATHETER - A modular handle assembly for supporting and controlling a steerable catheter having at least one deflection wires includes a handle extending along an axis for being secured about a portion of the steerable catheter. The modular handle assembly includes at least one barrel rotatably connected to the handle for rotation about the axis, and at least one spindle disposed in and connected with said barrel for rotation about the axis with the barrel. At least one guide cable extends from an anchored end being anchored to the spindle to a distant end for connection with one of the deflection wires of the steerable catheter. The guide cable is wrapped about the spindle for axially moving the deflection wires in response to rotation of the first spindle about the axis by the barrel to curl the distal tip of the elongated body of the steerable catheter. | 03-17-2016 |
| 20160074625 | MODULAR HANDLE ASSEMBLY FOR A STEERABLE CATHETER - A modular handle assembly for supporting and controlling a steerable catheter having at least one deflection wire includes a handle portion which extends along an axis for being secured about a portion of the steerable catheter. The modular handle assembly includes at least one barrel that is rotatably connected to the handle portion for rotation about said axis and at least one actuation screw shaft that is disposed within said handle portion and which extends through the barrel for connection with the deflection wire of the steerable catheter. At least one pinion gear is disposed radially between the actuation screw shaft and the barrel and is threadedly interconnected with the actuation screw shaft and the barrel for translating rotational movement of the barrel about the axis into axial movement of the actuation screw shaft to provide for movement of the deflection wire to curl the steerable catheter. | 03-17-2016 |
| 20160082226 | STEERABLE CATHETERS AND METHODS FOR MAKING THEM - Deflectable apparatus and methods for performing a procedure within a patient's body using such apparatus are provided. Generally, the apparatus includes an elongate tubular member including a proximal end, a distal end, a longitudinal axis extending between the proximal and distal ends, a deflectable distal portion including first and second lumens spaced apart from one another on generally opposite sides of the longitudinal axis, and a handle coupled to the proximal end of the tubular member, and. A pull wire includes a loop disposed within the handle and first and second segments extending from the loop and slidably received in the first and second lumens, respectively, and coupled to the distal end. An actuator is provided on the handle for applying tension to either the first or the second segment to cause a distal portion of the tubular member to deflect, e.g., in opposite directions. | 03-24-2016 |
| 20160089126 | MEDICAL DEVICE INCLUDING AN ACTUATOR RESTRAINING ASSEMBLY - The present disclosure provides a medical device comprising a restraining assembly configured to assist in restraining a catheter shaft in a deflected configuration. The resistance assembly may include an inner restraining assembly and an outer restraining assembly configured to engage one another and create normal and frictional resistances therebetween sufficient to prevent unintentional and/or undesired proximal, retracting movement of an actuator, and thus, to prevent changes in a desired deflected configuration of the catheter shaft. In one embodiment, the restraining assembly is configured to allow for temporary, i.e., reversible, restraining of the catheter shaft in the deflected configuration. | 03-31-2016 |
| 20160106956 | CENTERING COILED GUIDE - A device and system for providing a centered lumen within a catheter body. A coiled guide lumen (CGL) is composed of a length of wire forming a plurality of coils about the longitudinal axis of the CGL, the CGL including one or more first sections having a first diameter and one or more sections having a second diameter, the second diameter being greater than the first diameter, and a secondary guide lumen extending through the first sections. The CGL may include at least one pull wire extending through the secondary guide lumen and attached at the distal portion of the catheter body. A band may be coupled to an interior of the catheter body distal portion, each of the pull wires being coupled to the annular band. Alternatively, the system may further include a shim coupled to the band, each of the pulls wire being coupled to the shim. | 04-21-2016 |
| 20160106957 | Robotic catheter system - A robotic system for manipulating a catheter with a plurality of steering wires longitudinally situated within a length of the catheter includes a user interface configured to display a view of an anatomical model and to receive one or more user inputs; a catheter manipulator assembly configured to linearly actuate one or more control members of a catheter, and a robotic controller configured to provide a view of an anatomical model to the user interface; accept one or more user inputs from the user interface; register the one or more user inputs to a coordinate system associated with the anatomical model; compute one or more actuator commands from the one or more registered inputs; and cause the catheter manipulator assembly to linearly actuate one or more control members of a catheter in accordance with the computed actuator commands. | 04-21-2016 |
| 20160114131 | Elongate medical device handle autolock - An embodiment of a handle assembly for an elongate medical device that may reduce the weight and/or expense of traditional handle may include an exterior adjusting knob extending along a longitudinal axis and configured to rotate about the axis, an insert, and a dowel pin. The insert may be configured to engage the adjusting knob and to rotate about the axis responsive to rotation of the adjusting knob. The insert may comprise an annular groove configured to engage a dowel pin, the annular groove comprising a sidewall comprising a chamfer. The dowel pin may be configured to engage the annular groove to resist rotation of the insert. In an embodiment, the insert may comprise plastic or polymer. | 04-28-2016 |
| 20160114132 | APPARATUS AND METHOD FOR CONNECTING ELEMENTS IN MEDICAL DEVICES - A connection device for a deflectable medical device, such as a catheter, comprises an elongate planarity wire having a proximal end and a distal end, an elongate activation wire having a proximal end a distal end, a passage and an interface. The passage extends through the planarity wire near the distal end of the planarity wire. The distal end of the activation wire extends through the passage. The interface is between the passage and the activation wire, and may comprise one or more of the following: a hook and bore interface, a detent interface, a mechanical interface, or a metallurgical interface. | 04-28-2016 |
| 20160114133 | Catheter and Method of Manufacture - The instant invention relates generally to introducer catheters used to help deliver catheters or other medical devices to locations within the human body. In particular, the instant invention relates to large diameter introducer catheters (introducer catheters with lumens greater than about 6 French) having increased strength, flexibility, and kink resistance. Introducer catheters according to the teachings herein may also include curved distal ends and flared (that is, funnel-like) transition sections within their lumens. | 04-28-2016 |
| 20160129224 | CONTROL HANDLE WITH DEVICE ADVANCING MECHANISM - A catheter having an internal advancing mechanism that can advance stiffening wires or other devices, has a catheter with a catheter body, a tip section distal the catheter body, a device extending through at least the catheter body, and a control handle proximal the catheter body, where the control handle has an advancing mechanism with a threaded member, an adjustment member, and a guided member to which the device is connected, and the advancing mechanism is configured to advance and retract the device along the catheter body as controlled by a user. Each of the threaded member and the adjustment member has a generally cylindrical configuration. The threaded member has an outer surface configured with a helical guide channel. The adjustment member is configured to guide the guided member to move within the helical guide channel to advance and retract the device. The adjustment member can be rotatable over the threaded member by the user to control advancement and retraction of the device. The device may be a stiffener wire, a needle or any other device suitable for advancement and retraction in a catheter. | 05-12-2016 |
| 20160143633 | ARTICULATED TOOL POSITIONER AND SYSTEM EMPLOYING SAME - An articulated tool positioning apparatus comprising a base member, an intermediate member, an end member and a first tool holder arranged in succession, each of the base member, intermediate member, end member and tool holder having a respective central opening. A first plurality of coupled guides id positioned between the base member and the intermediate member and a second plurality of coupled guides is positioned between the intermediate member and the end member. A third plurality of coupled guides is diposed between the end member and the tool holder. The base member, intermediate member, end member, first tool holder and first second and third pluralities of coupled guides all have a central opening and guide openings or securing points for securing pluralities of flexible control links to the base member or to an object separated from the base member. Pushing or pulling control links of a first plurality of control links causes the base member, the first plurality of coupled guides, the intermediate member, the second plurality of coupled guides and the end member to selectively define a continuous curve. A second plurality of control links causes the end member to maintain an orientation generally the same as the base member, when any of the other flexible control links is pushed or pulled. Pushing or pulling control links of a third plurality of control links causes the tool holder to be selectively moved into any of a plurality of orientations, such that the third plurality of coupled guides between the end member and the tool holder defines a continuous curve from the end member to the tool holder. At least one mechanism for pushing and pulling the flexible control links is described and a use of the apparatus for positioning a tool for laparoscopic surgery applications is described. | 05-26-2016 |
| 20160144153 | CATHETER WITH IMPROVED TORQUE TRANSMISSION - A catheter has a deflection beam and a single continuous puller wire to effectuate bi-directional deflection. A joint between a catheter body and a deflectable distal section effectively transmits torque from a control handle. The joint includes two open-shaped brackets, each affixed to a respective side of the flat deflection beam to form a closed-shaped hollow body that bridges and circumferentially encircles the beam. Each bracket has through-holes into which thermoplastic material of the catheter body and the deflectable distal section can melt and migrate to form interlocking nodes. | 05-26-2016 |
| 20160151122 | FLEXIBLE AND STEERABLE ELONGATE INSTRUMENTS WITH SHAPE CONTROL AND SUPPORT ELEMENTS | 06-02-2016 |
| 20160158495 | CATHETER AND MANUFACTURING METHOD THEREOF - A catheter is provided, which includes a tube including a first portion, a second portion connected to the first portion and having a less rigidity than the first portion, and a plurality of holes longitudinally penetrating the first portion and the second portion and being isolated from one another, a wire passing through two of the plurality of holes of the tube, and a cap being engaged with an extrusion portion of the wire extruded from the two holes of the tube in a manner of enclosing the extrusion of the wire, being connected to one end of the tube, and having a greater rigidity than the first portion and the second portion of the tube. | 06-09-2016 |
| 20160158496 | STEERING CONTROL MECHANISM FOR CATHETERS - A steering handle for a catheter. The steering handle includes a thumb knob arrangement for driving a cam assembly that in turn actuates a pull wire or pull wires. In some embodiments, the cam assembly includes a set of dual pins that actuate the pull wire in a quasi-linear relationship between cam rotation and axial displacement of the wire. In certain embodiments, the second set of dual pins imparts a reverse action on a second pull wire, also in quasi-linear fashion. That is, when one wire is released by the cam assembly, the other wire is taken in by the cam assembly. In various embodiments, the quasi-linear action can cause release of more pull wire than is taken in, thereby helping prevent the released pull wire to act as an unwanted counter force to the actuated pull wire. | 06-09-2016 |
| 20160192983 | GUIDING CATHETER HAVING A STABILIZING MECHANISM AND METHOD FOR INSERTING A GUIDING CATHETER | 07-07-2016 |
| 20160193449 | STEERABLE INTRODUCER SHEATH ASSEMBLY | 07-07-2016 |
| 20160193450 | DEVICES, SYSTEM, AND METHODS FOR GUIDING AN OPERATIVE TOOL INTO AN INTERIOR BODY REGION | 07-07-2016 |
| 20170232233 | MEDICAL TREATMENT TOOL | 08-17-2017 |
| 20180021546 | HIGH LOAD STEERABLE SHAFT AND METHOD FOR CARDIAC CATHETER | 01-25-2018 |
