Catheter distal assembly with pull wires

Abstract

A catheter assembly having a sheath, which includes a side wall enclosing an interior bore, and a distal region. The assembly also has a bendable catheter tube, which is carried for sliding movement in the interior bore. A pull wire also runs through the interior bore of the sheath, preferably within a lumen. The catheter tube has a distal portion with a coupling which joins the distal portion of the catheter tube and the distal portion of the pull wire. Relative movement of the pull wire and the sheath causes bending of the catheter tube outwardly through the opening, in response to sliding movement of the catheter tube within the interior bore toward the distal region of the sheath.

We claim:  
     
         1 . A probe assembly, comprising: 
 an outer member including a wall defining an interior bore having a distal end and a proximal end;    an elongate body, defining a distal portion, a distal end, a proximal end and an exterior, carried within the outer member, the distal portion of the elongate body including at least one operative element, the elongate body further including a flexible spline extending from adjacent the distal end toward the proximal end, the flexible spline defining a first stiffness; and    a control element defining a distal portion extending into the distal end of the elongate body and operably connected to the flexible spline, and a proximal portion extending along the exterior of the elongate body within the outer member toward the proximal end of the outer member, at least the portion of the control element aligned with the distal end of the elongate body defining a second stiffness, the second stiffness being less than the first stiffness.    
     
     
         2 . A probe assembly as claimed in  claim 1 , wherein the outer member comprises a tubular sheath.  
     
     
         3 . A probe assembly as claimed in  claim 1 , wherein the outer member defines a third stiffness and the third stiffness is greater than the first stiffness.  
     
     
         4 . A probe assembly as claimed in  claim 1 , wherein the control element comprises a pull wire.  
     
     
         5 . A probe assembly as claimed in  claim 4 , wherein the pull wire comprises multiple strands.  
     
     
         6 . A probe assembly as claimed in  claim 4 , wherein the pull wire comprises a central stand and at least one surrounding strand.  
     
     
         7 . A probe assembly as claimed in  claim 1 , wherein the flexible spline comprises a solid core wire.  
     
     
         8 . A probe assembly as claimed in  claim 1 , wherein the flexible spline defines a first cross-sectional shape over a substantial portion thereof and a second cross-sectional shape over a relatively small portion thereof.  
     
     
         9 . A probe assembly as claimed in  claim 8 , wherein the first cross-sectional shape is substantially circular and the second cross-sectional shape is substantially flat.  
     
     
         10 . A probe assembly as claimed in  claim 9 , wherein the substantially flat portion of the flexible spline is prebent.  
     
     
         11 . A probe assembly as claimed in  claim 8 , wherein the flexible spline defines a distal end and the relatively small portion of the flexible spline is substantially adjacent to the distal end of the flexible spline.  
     
     
         12 . A probe assembly as claimed in  claim 1 , wherein the flexible spline defines a longitudinal axis, the distal portion of the control element defines a longitudinal axis and the flexible spline and distal portion of the control element are substantially coaxial.  
     
     
         13 . A probe assembly as claimed in  claim 1 , wherein the control element is operably connected to the flexible spline by a crimp tube.  
     
     
         14 . A probe assembly as claimed in  claim 12 , wherein the crimp tube includes flexible spline crimps and control element crimps and the flexible spline crimps are offset from the control element crimps by approximately 90 degrees.  
     
     
         15 . A probe assembly as claimed in  claim 1 , wherein the elongate body comprises a catheter tube.  
     
     
         16 . A probe assembly as claimed in  claim 1 , further comprising: 
 a tip member associated with the distal end of the elongate body, the tip member defining a bore through which the control element extends, the bore defining a distal end, a proximal end and a bore diameter which increases at least in the area adjacent to the distal end of the bore.    
     
     
         17 . A probe assembly as claimed in  claim 16 , wherein the bore is substantially frusto-conically shaped.  
     
     
         18 . A probe assembly as claimed in  claim 16 , wherein the bore curves outwardly.  
     
     
         19 . A probe assembly as claimed in  claim 1 , further comprising: 
 a tip member associated with the distal end of the elongate body, the tip member including an elastomeric member defining a bore through which the control element extends.    
     
     
         20 . A probe assembly as claimed in  claim 19 , wherein the tip member further includes a shape retainer ring around at least a portion of the elastomeric member.  
     
     
         21 . A probe assembly as claimed in  claim 1 , wherein the operative element comprises an electrode.  
     
     
         22 . A probe assembly as claimed in  claim 1 , further comprising: 
 an apparatus adapted to fix the proximal portion of the control element with respect to the proximal portion of the elongate body.    
     
     
         23 . A probe assembly as claimed in  claim 1 , wherein movement of the elongate member relative to the control element causes the distal end of the elongate member to form a loop.  
     
     
         24 . A probe assembly as claimed in  claim 1 , further comprising: 
 means for displaying the magnitude of relative movement between the outer member and the elongate body.    
     
     
         25 . A probe assembly as claimed in  claim 1 , wherein the flexible spline and control element comprise an integrally formed structure.  
     
     
         26 . A probe assembly as claimed in  claim 1 , wherein the elongate body defines a longitudinal axis and the distal portion of the control element is arranged at a non-zero angle with respect to the longitudinal axis.  
     
     
         27 . A probe assembly, comprising: 
 an outer member including a wall defining an interior bore having a distal end and a proximal end;    an elongate body, defining a distal portion, a distal end, a proximal end and an exterior, carried within the outer member, the distal portion of the elongate body including at least one operative element;    a control element defining a distal portion operably connected to at least one of the distal end and the distal portion of the elongate body, and a proximal portion extending along the exterior of the elongate body within the outer member toward the proximal end of the outer member; and    a tip member associated with the distal end of the elongate body and defining an aperture through which the control element extends, the tip member including stress reducing-means for reducing bending stress on the control element.    
     
     
         28 . A probe assembly as claimed in  claim 27 , wherein the stress reducing means comprises a bore through which the control element extends, the bore defining a distal end, a proximal end and a bore diameter which increases at least in the area adjacent to the distal end of the bore.  
     
     
         29 . A probe assembly as claimed in  claim 28 , wherein the bore is substantially frusto-conically shaped.  
     
     
         30 . A probe assembly as claimed in  claim 28 , wherein the bore curves outwardly.  
     
     
         31 . A probe assembly as claimed in  claim 27 , wherein the stress reducing means comprises an elastomeric member defining a bore through which the control element extends.  
     
     
         32 . A probe assembly as claimed in  claim 31 , wherein the stress reducing means further comprises a shape retainer ring around at least a portion of the elastomeric member.  
     
     
         33 . A probe assembly as claimed in  claim 27 , wherein the elongate body comprises a catheter tube.  
     
     
         34 . A probe assembly as claimed in  claim 27 , wherein the outer member comprises a sheath.  
     
     
         35 . A probe assembly as claimed in  claim 27 , wherein the control element comprises a pull wire.  
     
     
         36 . A probe assembly as claimed in  claim 27 , wherein the control element extends into the distal end of the elongate body.  
     
     
         37 . A probe assembly as claimed in  claim 36 , wherein the distal portion of the elongate body includes a flexible spline and the control element is operably connected to the flexible spline.