WO2016127203A1 - Improved catheter handle - Google Patents
Improved catheter handle Download PDFInfo
- Publication number
- WO2016127203A1 WO2016127203A1 PCT/AU2016/050007 AU2016050007W WO2016127203A1 WO 2016127203 A1 WO2016127203 A1 WO 2016127203A1 AU 2016050007 W AU2016050007 W AU 2016050007W WO 2016127203 A1 WO2016127203 A1 WO 2016127203A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- rack
- catheter
- stylet
- assembly
- gear mechanism
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0136—Handles therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/002—Irrigation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0144—Tip steering devices having flexible regions as a result of inner reinforcement means, e.g. struts or rods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0662—Guide tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0279—Cannula; Nozzles; Tips; their connection means
Definitions
- the present invention relates to generally, to a gear mechanism assembly and, more particularly, to a catheter handle assembly including the gear mechanism assembly.
- a catheter that is steered tlirough a patient's vasculature and is then placed at the desired site.
- the site is within a heart of the patient and a distal part of the catheter needs to be maneuvered into position against heart wall tissue.
- the end of the catheter is flexible and steerable.
- a deflectable stylet is associated with the catheter for deflecting the distal part of the catheter.
- Known catheters usually use a pull wire arrangement in order to manipulate a stylet within a catheter sheath. These wire arrangements can use a 1 :1 ratio pulley system to effect manipulate the end of a catheter sheath.
- Some known catheters include a gear mechanism comprising a rack and pinion mechanisms housed within a catheter handle. Actuation of these gear mechanisms usually effects the deflection of the distal end of a catheter to track along a tortuous anatomy.
- these single rack mechanisms usually require a significant amount of force to manipulate and may cause unnecessary stain on a clinician or physician when using the device over multiple procedures / multiple deflection cycles. It would be advantageous for a catheter to include a gear mechanism which reduced unnecessary strain / force required to apply a deflection. It would further be advantageous to have a higher gear ratio to effect manipulation.
- a first aspect of the present invention may relate to a catheter handle assembly comprising; a handle body having a proximal end and a distal end with a passage extending therebetween; an adjustment unit disposed in the passage of the handle body, the adjustment unit comprising a gear mechanism that acts on the deflection stylet for adjusting deflection of the distal part of the stylet; and wherein the gear mechanism comprises a first rack, a second rack and a pinion such that rotation of the pinion causes relative movement of the first rack and the second rack in opposing directions.
- the catheter handle may further comprise a earner arrangement projecting from the distal end of the handle body, the carrier arrangement configured for mounting a catheter sheath and at least a part of a deflection stylet of a catheter thereto during use of the catheter handle assembly.
- the second rack may be stationary relative to the catheter handle. Further, the adjustment unit may have a gear ratio of at least 1.0: 1.1. Wherein the adjustment unit may have a gear ratio of 1.0:2.0. Wherein the adjustment unit may have a gear ratio of 1.0:3.0. Wherein the first rack and the second rack may be facing the stylet holder when the catheter is not in use. Wherein a shell may be disposed around an axis of the gear mechanism to retain the pinion on at least one of the first rack and the second rack. The second rack may be disposed on the shell of the gear mechanism. The shell may comprise an inner shell portion and an outer shell portion, the first rack may be disposed on a stylet mount. The stylet mount may engage the catheter sheath and the stylet holder may engage the stylet such that movement of the pinion may cause a relative movement between the stylet and the catheter sheath.
- a gear mechanism for a catheter handle assembly comprising; a first rack disposed on a stylet mount; a second rack disposed on a portion of a shell wherein the rotation of a pinion causes opposing relative movement of the first rack and the second rack in the catheter handle.
- gear mechanism comprising at least one novel and inventive feature as disclosed in the present specification.
- catheter handle comprising a gear mechanism with at least one novel and inventive feature as disclosed in the specification.
- the frictional force applied by the gear mechanism can be altered via a friction inducing device such as a tapered pinion shaft. Wherein the friction can be tuned by the user to suit the desired range.
- the invention is to be interpreted with reference to the at least one of the technical problems described or affiliated with the background art.
- the present aims to solve or ameliorate at least one of the technical problems and this may result in one or more advantageous effects as defined by this specification and described in detail with reference to the preferred embodiments of the present invention.
- Figure 1 shows a perspective view of an embodiment of a catheter assembly
- Figure 2 shows a partial cut away view of the catheter assembly
- Figure 3 shows an exploded view of the gear mechanism of the of the catheter assembly
- Figure 4A shows a perspective view of the gear mechanism of the catheter assembly
- Figure 4B shows a front view of an embodiment of the gear mechanism of the catheter assembly
- Figure 4C shows a side view of an embodiment of the gear mechanism of the catheter assembly
- Figure 5A shows a further embodiment of the gear mechanism of the catheter assembly
- Figure 5B shows a front view of a further embodiment of the gear mechanism of the catheter assembly
- Figure 5C shows a side view of a further embodiment of the gear mechanism of the catheter assembly
- FIG. 6 shows a perspective view of another embodiment of a catheter assembly with two control knobs.
- reference numeral 10 generally designates a preferred embodiment of a catheter assembly.
- the catheter assembly 10 includes a handle assembly 12.
- a catheter sheath 14 extends from a distal part 16 of the handle assembly 12.
- the catheter sheath 14 defines a lumen 18 which is a deflection stylet lumen for receiving a deflection stylet 24.
- the catheter sheath defines a plurality of lumens 18, 20 and 22.
- the lumen 20 is a conductor lumen and has a plurality of conductors 26 (not shown) (including thermocouple conductors) received therein.
- the conductors 26 extend from electrodes carried on a distal part 30 (not shown) of the catheter sheath 14 toward the proximal end of the catheter sheath 14.
- the conductors 26 further extend through the handle 12 to an electrical connector 32 (FIG.l) arranged at a proximal end 34 of the handle assembly 12.
- the catheter sheath 14 is releasably connected to the distal part 16 of the handle assembly 12.
- the catheter sheath 14 and the handle assembly 12 each comprise suitable connectors (not shown in detail) for connecting the conductors from the catheter sheath 14 to the distal end 16 of the catheter handle assembly 12.
- the stylet is arranged to fit through the connectors of the catheter sheath Hand the distal end 16 of the handle into the deflection stylet lumen 18.
- the lumen 22 is an irrigation lumen for providing irrigating fluid to the electrodes at the distal part 30 of the catheter sheath 14.
- the lumen 22 communicates with a fluid conduit 36 (FIG. 6).
- a luer connector 38 is arranged at a proximal end of the conduit 36 for connection to a supply of irrigation fluid (not shown).
- the handle assembly 12 includes a tubular handle body 40 defining the proximal end 34 to which the connector 32(FIG.l) is integrated and a distal end 42.
- a carrier arrangement 44 projects from the distal end 42 of the handle body 40.
- the carrier arrangement 44 mounts the catheter sheath 14, via a strain relief unit 46, and at least a part of a proximal region of the deflection stylet 24, as will be described in greater detail below.
- An adjustment unit 48 is arranged in a passage 50 of the handle body 40.
- the carrier unit 44 comprises a deflection unit in the form of a first tubular member or tube 52 having a control knob 54 arranged at a distal end of the tube 52.
- the carrier arrangement 44 further comprises a size selector unit in the form of a second tubular member or second tube 56.
- the second tube 56 carries a control knob 58 at a distal end of the tube 56.
- the tubes 52 and 56 are telescopically arranged with respect to each other and with respect to the distal end 42 of the handle body 40.
- the tube 52 can be slid axially with respect to the catheter handle 12, and in the direction of arrows 60 and 61 (FIG.l) as will be described in greater detail below.
- the adjustment unit 48 comprises a gear mechanism 62 associated with the tube 52.
- the deflection stylet 24 comprises a tubular member 66 having a bend-enhancing portion (not shown) proximate its distal end.
- An actuator 68 which may be in the form of a wire, is received in the tubular member 66 and a distal end of the actuator 68 is fastened with a distal part of the tubular member 66, distally of the bend-enhancing portion of the tubular member 66.
- the bend-enhancing portion may comprise any suitable bend-enhancing region, which forms a zone of weakness at the distal part of the catheter to allow bending around the bend-enhancing portion.
- the bend- enhancing portion could be groups of slots, a longitudinally extending scalloped region, or the like.
- the adjustment unit 48 comprises a first gear mechanism 62 associated with the tube 52 and a second gear mechanism 64 associated with the second tube 56.
- the deflection stylet 24 comprises a tubular member 66 having a bend- enhancing portion (not shown) proximate its distal end.
- An actuator 68 which may be in the form of a wire, is received in the tubular member 66 and a distal end of the actuator 68 is fastened with a distal part of the tubular member 66, distally of the bend-enhancing portion of the tubular member 66.
- the bend-enhancing portion may comprise any suitable bend-enhancing region, which forms a zone of weakness at the distal part of the catheter to allow bending around the bend-enhancing portion.
- the bend- enhancing portion could be groups of slots, a longitudinally extending scalloped region, or the like.
- the stylet 24 optionally includes a size selector in the form of a sleeve 70, which is displaceably arranged with respect to the tubular member 66 of the stylet 24 for interacting with the bend-enhancing portion to increase or reduce the size of the bend- enhancing portion and, in so doing, to control the degree of curvature of the distal part 30 of the catheter sheath 14 (in which the stylet 24 is received).
- a size selector in the form of a sleeve 70, which is displaceably arranged with respect to the tubular member 66 of the stylet 24 for interacting with the bend-enhancing portion to increase or reduce the size of the bend- enhancing portion and, in so doing, to control the degree of curvature of the distal part 30 of the catheter sheath 14 (in which the stylet 24 is received).
- the sleeve 70 is, in the illustrated embodiment, shown as being mounted over the tubular member 66. It will, however, be appreciated that the sleeve 70 could be received within the tub
- the first gear mechanism 62 comprises a drive gear in the form of a stylet mount 72 extending proximally from a proximal end of the tube 52 of the carrier arrangement 44.
- the stylet mount comprises a proximal end 200, a distal end 202, a head portion 204 and a longitudinal body portion 206 extending proximally from the head portion 204.
- the head portion 204 of the stylet mount 72 is adapted to receive the catheter sheath 14 in aperture 208.
- a head portion 204 can optionally be of a larger dimension compared to that of the longitudinal body portion 206 such that the catheter sheath 14 can be mounted in the aperture 208.
- the larger dimension of the head portion can be used to resist stresses applied to the adjustment unit 48 during use and can also be used as a strain relief for the catheter sheath 14.
- the catheter sheath 14 is anchored to the stylet mount 72 via grub screw 210 in aperture 250, but it will be appreciated any suitable means can be used for securing the catheter sheath 14 to the stylet mount 72.
- the longitudinal body portion 206 of the stylet mount 72 comprises a first rack 212 which is in a cooperative relationship with a pinion 74 of a shuttle 214 for effecting relative movement between the stylet 24 and the catheter sheath 14, and thus causing deflection of the distal end of the catheter sheath 14.
- the pinion 74 is rotatably mounted to the shuttle 214, wherein the shuttle 214 is in the form of a stylet holder 214 which retains the stylet 24 in aperture 216.
- FIG.3 illustrates a grub screw 218 for releasably retaining the stylet within the stylet holder 214, however it will be appreciated that other suitable means can be used to retain the stylet 24 in the aperture 216, such as gluing.
- Pinion 74 is rotatably attached to the stylet holder 214 such that rotation of the pinion 74 causes relative movement between the pinion and at least the first rack 212.
- a side of the stylet holder is in an abutting relationship with the stylet mount and wherein the abutting sides of the stylet holder and the stylet mount are flush or otherwise in a substantially corresponding surface relationship.
- the stylet holder can have a rounded proximal end illustrated in FIG.4A. Further the stylet holder 76 can also have a protrusion 280 for abutting the head portion 204.
- Shell 100 illustrated in FIG.2 and FIG.3 can be used to assist in retaining pinion 74 on the stylet mount 72. Further, shell 100 can isolate the gear mechanism 62 from other components in the passage of the catheter handle to reduce the possibility of damage to the other components within the passage.
- the shell 100 comprises an outer shell portion 102 and an inner shell portion 104.
- the inner shell portion 104 and the outer shell portion 102 can comprise at least one male component 106 and at least one female component 108, respectively, and operatively associated such that the outer shell 102 and inner shell portions 104 can be press fit together to form shell 100.
- outer shell portion 102 and inner shell portion 104 can be connected by any other suitable means such as screws, tongue in groove, glue, press fit lock, rail slide arrangements or the like.
- the inner shell portion 104 further comprises a second rack 76 which is in a cooperative relationship with pinion 74.
- the pinion moves linearly along both the first rack 212 and the second rack 76 such that the pinion 74 effects relative movement between first rack 212 and the second rack.
- This relative movement is an opposing directional movement such that when the first rack 212 moves proximally relative to the pinion 74, the second rack moves distally relative to the pinion 74.
- the gear ratio of the first rack 212 relative to the second rack can be in the range of 1.0:0.5 to 1.0:3.5. Preferably the gear ratio is greater than 1.0: 1.0.
- the gear ratio is in the range of 1.0: 1.0 to 1.0:2.0. Even more preferably, the gear ratio is 1.0: 1.5.
- the two shell portions 102, 104 form an aperture which receives at least a portion of the stylet mount, more particularly the longitudinal body portion, and the stylet holder. In this configuration the pinion 74 is rotatable such that it can impart movement to at least one of the first rack and the second rack.
- the shell 100 is fixed to the catheter handle such that the second rack is stationary relative to the catheter handle.
- the shell 100 can be removably attached or fixed to the catheter handle at connection portions 120 disposed on the outer surface of the shell 100.
- connection portions 120 can be used for providing a resistive force to another component within the catheter handle (not shown).
- a protrusion 150 illustrated in FIG.2, is formed in the passage of the catheter handle to retain the gear mechanism at the desired location in the passage.
- connection portion 120 engages the interior wall of the catheter handle to secure the shell 100 in a desired location.
- the outer shell portion 102 comprises two wing portions 130, 132 that can be used to retain the inner shell portion 104 at sides 134, 136.
- the inner shell portion 104 can have a cut away portion 260 such that the gear mechanism can be viewed to ensure alignment on the on the first and second racks or otherwise view the rotation of the pinion.
- the cut away portion can also be used to allow additional flexure of the inner portion 104 during connection of the outer 102 and the inner shell portions 104.
- FIG. 4C there is illustrated an embodiment of the gear mechanism of the present disclosure.
- the shell 400 of the gear mechanism has a compact configuration to reduce the space taken up in the passage of the catheter handle.
- the adjustment unit is of a compact size and allows for a reduction of forces during operation. More particularly, the adjustment unit can reduce the forces experienced by a user by up to around 2/3. More particularly, the reduction of forces experienced by a user is around half. This reduction of forces can also be experienced by the adjustment unit and gear mechanism in the passage of the catheter handle. Further, a friction inducer (not shown) allows the clinician or physician to adjust or tune the sticldton-friction of the catheter assembly such that the friction of the catheter can be increased or decreased. Further, adjusting the stickion-friction of the catheter assembly can reduce wear and tear of the internal components.
- the frictional force applied by the gear mechanism can be altered via a friction inducing device (not shown) such as a tapered pinion shaft. This allows for greater ease of use of the catheter and reduces the stresses experienced by the physician during use.
- FIG. 5A to 5C illustrate an alternative embodiment of the gear mechanism of the present disclosure.
- the shell 400 of the gear mechanism has an enlarged cross section to extend to the sides of the passage of the catheter handle for larger catheter handles.
- This configuration can have at least one depression 500 on at least one outer surface of the shell 100 as seen in FIG.5 A.
- first rack 212 and the second rack are facing the stylet holder 76 such that the pinion 74 is operatively engaged with the first rack 212 and the second rack
- the catheter handle may also comprise a grip portion 290 (FIG 2.) to reduce repetitive stress or user stress experienced by the clinician or physician using the catheter.
- the grip portion comprises a plurality of scalloped portions around the exterior of the catheter handle.
- pinion 74 is rotatably received in the passage 50 of the handle body 40 and a stylet holder 76 arranged in the passage 50 of the handle body 40.
- the stylet holder 76 mounts a proximal end of the actuator (stylet) 68.
- the tubular member 66 of the stylet 24 is anchored within the handle body 40.
- the distal part 30 can deflect in the direction illustrated in FIG.3 of the drawings or, by appropriate manipulation of the deflector unit of first tubular member 52 and control knob 54 in the opposite direction of the longitudinal axis of the catheter sheath but within the plane of the page in which FIG.3 lies.
- the in-plane deflection is enhanced by having the stylet lumen 18 eccentrically arranged within the catheter sheath 14.
- the pinion 74 is substantially centrally arranged on the racks 72 and 76, i.e., inwardly of ends of the racks 72 and 76. This allows push-pull movement of the actuator 68 in the direction of arrows 61 (FIG.6) so that bi-directional deflection occurs.
- the gear mechanism 64 associated with the size selector tube 56 comprises a second drive gear in the form of a rack78 projecting proximally from a proximal end of the tube 56.
- the rack 78 cooperates with a driven gear assembly comprising a pinion 80 rotatably mounted in the passage 50 of the handle body 40 and a second rack 82 slidably arranged within the passage 50 of the handle body 40.
- the rack 82 mounts a proximal end of the size selector sleeve 70.
- the rack 78 drives the pinion 80 and driven rack 82 to urge the sleeve 70 into the stylet lumen 18 of the catheter sheath 14 to occlude a part of the bend-enhancing portion of the stylet 24, resulting in a tighter radius of curvature as shown at 86 in FIG.3 of the drawings.
- the rack 78 drives the pinion 80 and drive rack 82 to withdraw the sleeve 70 from the stylet lumen 18, exposing more of the bend-enhancing portion of the stylet 24 and allowing for a greater radius of curvature as shown at 84 in FIG. 3 of the drawings.
- the handle body 40 is made up of mating parts so that the parts can be separated to enable access to be gained to the passage 50 of the handle body 40.
- the proximal end of the actuator 68 is releasably attached to the rack 76 and the tubular member 66 of the stylet 24 is, likewise, releasably mounted in the passage 50 of the handle body 40.
- the releasable connection is preferably arranged by molding a slot or another similar receiving formation on the rack76 where the proximal end of the actuator 68 can be securely fitted.
- the handle body 40 comprises a slot or another suitable receiving formation molded in the passage 50 for securely but releasably fitting the proximal end of the tubular member 66 of the stylet 24 into the handle body.
- the proximal end of the actuator 68 and the proximal end of the tubular member 66 each have a mounting formation (not shown in figures) such as an enlarged fitting at the respective proximal ends.
- the mounting formation is a snug fit in the corresponding receiving formation in the rack 76 and the handle body 40.
- the sleeve 70 is attached in a similar fashion to the drive rack 82 having a suitable receiving formation for the sleeve 70.
- One or more screws may be used to ensure that each of the actuator 68, tubular member 66, and sleeve 70 are securely anchored while the catheter is in use.
- the sleeve 70 is connected directly to the size selector tube 56 so that the adjustment unit only comprises one gear mechanism 62 for deflecting the distal end of the catheter sheath 14.
- displacing the size selector tube 56 and control knob 58 in the direction of arrows 60 (FIG.l) results in displacement of the sleeve 70 directly within the catheter sheath 14.
- the handle body comprises a second gear mechanism such that the second gear mechanism can be used to cause deflection in a different direction relative to the deflection which can be caused by the first gear mechanism.
- the gear mechanism comprises at least two pinions and at least three racks (not shown).
- first rack and the second rack are generally parallel with respect to one another and the respective racks of the first and second racks are facing towards the pinion.
- rotation of the pinion causes the first rack to move in an opposing direction relative to that of the second rack.
- the second rack is fixed to the catheter handle such that proximal movement of the pinion 74 causes a proximal movement of the stylet mount.
- the handle body 40 can be opened by separating the mating parts, the component parts of the deflection stylet 24 disconnected from the adjustment unit 48 and the deflection stylet 24 removed.
- the catheter sheath 14 is removably mounted to the distal end 16 of the handle assembly 12.
- the catheter sheath 14 can thus also be removed from the handle assembly 12.
- the component parts of the catheter assembly 10, comprising the handle assembly 12, the deflection stylet 24 and the catheter sheath 14 can be removed for reprocessing and/or replacement. It is envisaged that, in general, the handle assembly 12 and the deflection stylet 24 can be reprocessed between twenty and fifty times, whereas the catheter sheath 14 can be reprocessed for
- reprocessing (and derivatives) is to be understood in a broad sense to include reprocessing, remanufacturing, refurbishment, or the like.
- the gear mechanism of the present disclosure can be used with any catheter.
- at least one gear mechanism can be used to effect at least one of deflection of a stylet, impart a shape to a stylet, or otherwise manipulate a stylet in a predetermined manner.
- more than one gear mechanism can be used within a catheter assembly.
- a modular catheter assembly 10 is shown that lends itself to reprocessing. It will be appreciated by those skilled in the art that using a catheter only once is a very expensive procedure as the costs of production of the catheter are significant. By reprocessing the catheter and using its constituent parts a number of times, a substantial reduction in costs for the institution and, as an end result, for the patient using the catheters, can be achieved.
- a handle assembly 12 having positive drive, i.e., the gear arrangement, for effecting deflection and size selection.
- positive drive i.e., the gear arrangement
- embodiments or “an embodiment” means that a particular feature, structure or characteristic described in connection with the embodiment is included in at least one embodiment of the present invention.
- appearances of the phrases “in one embodiment,” “in some embodiments” or “in an embodiment” in various places throughout this specification are not necessarily all refemng to the same embodiment, but may.
- the particular features, structures or characteristics may be combined in any suitable manner, as would be apparent to one of ordinary skill in the art from this disclosure, in one or more embodiments.
- any one of the terms “comprising,” “comprised of,” or “which comprises” is an open term that means including at least the elements/features that follow, but not excluding others.
- the term “comprising,” when used in the claims, should not be interpreted as being limitative to the means or elements or steps listed thereafter.
- the scope of the expression “a device comprising A and B” should not be limited to devices consisting only of elements A and B.
- Any one of the terms “including,” “which includes,” or “that includes,” as used herein, is also an open term that also means including at least the elements/features that follow the term, but not excluding others.
- “including” is synonymous with and means “comprising”.
- Coupled and “connected,” along with their derivatives, may be used. It should be understood that these terms are not intended as synonyms for each other. Thus, the scope of the expression “a device A coupled to a device B” should not be limited to devices or systems wherein an output of device A is directly connected to an input of device B. It means that there exists a path between an output of A and an input of B, which may be a path including other devices or means. “Coupled” may mean that two or more elements are either in direct physical or electrical contact, or that two or more elements are not in direct contact with each other but yet still cooperate or interact with each other.
- the present invention and the described preferred embodiments specifically include at least one feature that is industrial applicable.
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Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2016218932A AU2016218932B2 (en) | 2015-02-13 | 2016-01-12 | Improved catheter handle |
CN201680009966.9A CN107206214A (en) | 2015-02-13 | 2016-01-12 | Improved modular catheter |
US15/550,651 US20180036511A1 (en) | 2015-02-13 | 2016-01-12 | Improved catheter handle |
EP16748473.2A EP3256199A4 (en) | 2015-02-13 | 2016-01-12 | Improved catheter handle |
JP2017540693A JP2018508258A (en) | 2015-02-13 | 2016-01-12 | Good type catheter handle |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2015900471A AU2015900471A0 (en) | 2015-02-13 | Improved catheter handle | |
AU2015900471 | 2015-02-13 | ||
AU2015900675 | 2015-02-26 | ||
AU2015900675A AU2015900675A0 (en) | 2015-02-26 | Improved Catheter Handle |
Publications (1)
Publication Number | Publication Date |
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WO2016127203A1 true WO2016127203A1 (en) | 2016-08-18 |
Family
ID=56613984
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/AU2016/050007 WO2016127203A1 (en) | 2015-02-13 | 2016-01-12 | Improved catheter handle |
Country Status (6)
Country | Link |
---|---|
US (1) | US20180036511A1 (en) |
EP (1) | EP3256199A4 (en) |
JP (1) | JP2018508258A (en) |
CN (1) | CN107206214A (en) |
AU (1) | AU2016218932B2 (en) |
WO (1) | WO2016127203A1 (en) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110584852A (en) * | 2018-06-13 | 2019-12-20 | 南京微创医学科技股份有限公司 | Hot puncture support imbedding device |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1676596B1 (en) * | 2004-12-28 | 2009-04-22 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Long travel steerable catheter actuator |
WO2012019232A1 (en) * | 2010-08-13 | 2012-02-16 | Cathrx Ltd | A catheter assembly with deflection size adjustability |
WO2013090558A1 (en) * | 2011-12-15 | 2013-06-20 | Imricor Medical Systems, Inc. | Mri compatible handle and steerable sheath |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8777929B2 (en) * | 2005-06-28 | 2014-07-15 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Auto lock for catheter handle |
US7465288B2 (en) * | 2005-06-28 | 2008-12-16 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Actuation handle for a catheter |
CN103402576A (en) * | 2011-01-10 | 2013-11-20 | 聚光灯技术合伙有限责任公司 | Apparatus and methods for accessing and treating a body cavity, lumen, or ostium |
KR101427330B1 (en) * | 2011-11-23 | 2014-08-06 | 주식회사 리브스메드 | Differential component |
CN103785095B (en) * | 2012-11-05 | 2016-02-17 | 四川锦江电子科技有限公司 | With single curved hand grip of effort-saving mechanism |
CN103920226B (en) * | 2013-01-14 | 2018-02-02 | 导管治疗有限公司 | Modular catheter |
US9095682B2 (en) * | 2013-04-30 | 2015-08-04 | St. Jude Medical Luxembourg Holding S.À.R.L. | Control handles for catheters |
CA2913346A1 (en) * | 2013-06-05 | 2014-12-11 | Metavention, Inc. | Modulation of targeted nerve fibers |
-
2016
- 2016-01-12 AU AU2016218932A patent/AU2016218932B2/en not_active Ceased
- 2016-01-12 WO PCT/AU2016/050007 patent/WO2016127203A1/en active Application Filing
- 2016-01-12 JP JP2017540693A patent/JP2018508258A/en not_active Ceased
- 2016-01-12 US US15/550,651 patent/US20180036511A1/en not_active Abandoned
- 2016-01-12 CN CN201680009966.9A patent/CN107206214A/en active Pending
- 2016-01-12 EP EP16748473.2A patent/EP3256199A4/en not_active Withdrawn
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1676596B1 (en) * | 2004-12-28 | 2009-04-22 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Long travel steerable catheter actuator |
WO2012019232A1 (en) * | 2010-08-13 | 2012-02-16 | Cathrx Ltd | A catheter assembly with deflection size adjustability |
WO2013090558A1 (en) * | 2011-12-15 | 2013-06-20 | Imricor Medical Systems, Inc. | Mri compatible handle and steerable sheath |
Non-Patent Citations (1)
Title |
---|
See also references of EP3256199A4 * |
Also Published As
Publication number | Publication date |
---|---|
JP2018508258A (en) | 2018-03-29 |
AU2016218932B2 (en) | 2019-08-29 |
EP3256199A1 (en) | 2017-12-20 |
AU2016218932A1 (en) | 2017-08-10 |
EP3256199A4 (en) | 2018-11-07 |
US20180036511A1 (en) | 2018-02-08 |
CN107206214A (en) | 2017-09-26 |
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