Steerable Catheter Gimbal Mechanism for Independent Flex Control

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Solution Overview

Problem

Conventional catheter control systems offer limited flexibility, requiring complex combinations of actuation to control the magnitude and direction of catheter flex, making it difficult to intuitively steer a catheter in multiple directions.

Innovation Solution

The use of gimbal plate and ring mechanisms, combined with a cam-and-follower system, allows for independent control of catheter flex magnitude and direction through axial and rotational adjustments of an adjustment member, enabling precise steering of the catheter without rotating the entire device within the patient.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If conventional catheter control systems use multiple levers or dials coupled to pull wires for directional control, then the catheter can be steered in multiple directions, but the control system becomes complex and difficult to operate intuitively

Engineering Contradiction:
Improvecatheter steering capabilityVSAvoidcontrol intuitiveness
Core Design Contradiction:
Adaptability or versatilityVSEase of operation

Solution Approach 1:

The control system is segmented into independent magnitude control and direction control functions. The magnitude control adjusts the flex amount of the catheter tip, while the direction control rotates the cam to change the flex direction. This segmentation allows each control to be optimized for its specific function, making the system easier to operate while maintaining full steering capability.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

A single cam structure serves multiple functions: it controls both the magnitude of catheter flex through axial movement and the direction of flex through rotation. This multi-functional design eliminates the need for separate control mechanisms for each parameter, simplifying the overall control system while maintaining versatility in catheter steering.

Inventive Principle:
Principle #6Universality (Multi-functionality)

2Adaptability or versatility

If conventional systems require careful combinations or sequences of actuation for multiple pull wires, then directional control is achieved, but the operation becomes difficult to control

Engineering Contradiction:
Improvedirectional controlVSAvoidactuation complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

Multiple pull wire controls are merged into a single cam structure. The cam's axial position controls the magnitude of flex for all pull wires simultaneously, while its rotational position controls the direction. This merging eliminates the need for complex combinations of multiple actuation devices, reducing operational complexity while maintaining full directional control capability.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The cam acts as an intermediary mechanism between the user's simple rotational and axial movements and the complex multi-wire tension adjustments required for catheter steering. By mediating through the cam's geometry and movement, the system translates simple user inputs into coordinated pull wire tensions, reducing actuation complexity.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Ease of operation

If independent control of catheter flex magnitude and direction is implemented, then ease of operation improves, but the mechanism complexity increases with gimbal assemblies

Engineering Contradiction:
Improveindependent parameter controlVSAvoidmechanism structure
Core Design Contradiction:
Ease of operationVSDevice complexity

Solution Approach 1:

The cam structure is designed to perform both magnitude control (through axial movement) and direction control (through rotation) within a single component. This multi-functionality provides independent control of both parameters without requiring separate mechanisms, thereby improving ease of operation while minimizing the increase in mechanism complexity.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This solution provides intuitive, fine control over catheter steering, allowing for precise radial and circumferential adjustments, enhancing the ability to navigate complex anatomical paths without the need for extensive device rotation.

Implementation Method 1

a gimbal ring pivotally connected to the housing, a gimbal plate pivotally connected to the gimbal ring to form a gimbal assembly

Methodology Applied
Scientific EffectGimbal: Gimbal

Implementation Method 2

the pin can comprise a ball attached at an end of the pin, wherein the ball contacts and rolls on the gimbal plate when the pin is rotationally adjusted

Methodology Applied
Scientific EffectRolling: Roller

Implementation Method 3

The steerable catheter assemblies can further comprise a rack and pinon mechanism that transfers motion from the gimbal assembly to at least one of the pull wires

Methodology Applied
Scientific EffectGear: Gear

Data Source

PatentUS10799677B2Multi-direction steerable handles for steering catheters
Publication Date: 2020.10.13 EDWARDS LIFESCIENCES CORP
  • US10799677B2 patent drawing
  • US10799677B2 patent drawing
  • US10799677B2 patent drawing

AI summary

Disclosed herein are steerable catheter assemblies and methods of steering catheters that utilize gimbal plate and ring mechanisms to accomplish independent control of catheter flex magnitude and catheter flex direction. Some embodiments include a catheter with two or more pull wires that flex the catheter, a housing connected to the catheter, a gimbal ring pivotally connected to the housing, a gimbal plate pivotally connected to the gimbal ring to form a gimbal assembly, and an adjustment member coupled to the gimbal assembly, such that the adjustment member is movable axially and rotationally relative to the gimbal assembly. The two or more pull wires are connected to the gimbal plate, the adjustment member engages the gimbal plate such that movement of the adjustment member adjusts the position of the gimbal assembly to thereby flex the catheter with the pull wires.