Apparatus and method for using a steerable catheter device

Abstract

A handle includes a body portion and a handle portion which is slidably and rotatably mounted on the body portion. Shoulders on the body portion and the handle portion limit relative sliding movement of the body portion and handle portion. A catheter open at both ends has one end fixed to the handle portion for movement therewith, the opposite end of the catheter having a shape memory tip. A fitting is threadedly connected to an enlarged part of the body portion. A sheath is threadedly connected to the fitting and the catheter is slidable and rotatable within the sheath. An annular channel is provided between the sheath and the catheter, this channel being in fluid communication with a bore in the fitting. The outer end of the sheath has holes therethrough in fluid communication with the channel. An irrigation inflow and aspiration outflow tube is also in fluid communication with the bore in the fitting. A first lock is provided adjacent the fitting for controlling the amount of frictional resistance to lengthwise movement of the catheter relative to the sheath and to lock the catheter in position. A medical device such as an endoscope may be received within the catheter for movement relative thereto. A second lock is supported by the handle portion for locking a medical device in position relative to the catheter.

1 . A steerable catheter device comprising: 
 a sheath engaging a handle, the sheath having an outer end and an inner end;    a flexible catheter engaging the handle and extending through the sheath;    a shape memory catheter tip extending from a distal end of the flexible catheter;    at least one radiopaque marking on the catheter tip; and    a first lock supported by the handle for adjusting a force required for longitudinal movement of the flexible catheter relative to the sheath and for locking the flexible catheter relative to the sheath along a longitudinal axis of the sheath.    
     
     
         2 . The steerable catheter device of  claim 1  further comprising a fitting supported by the handle and engaging the sheath.  
     
     
         3 . The steerable catheter device of  claim 1  further comprising a medical device inserted within the flexible catheter.  
     
     
         4 . The steerable catheter device of  claim 1  wherein the first lock comprises a portion of the handle threadably engaging the fitting.  
     
     
         5 . The steerable catheter device of  claim 1  wherein the first lock comprises a resilient compressible lock member.  
     
     
         6 . The steerable catheter device of  claim 1  wherein the first lock locks the flexible catheter relative to the sheath in a plurality of locations between a first limit of the handle and a second limit of the handle.  
     
     
         7 . The steerable catheter device of  claim 1  wherein the first lock controls a frictional resistance to longitudinal movement of the flexible catheter relative to the sheath.  
     
     
         8 . The steerable catheter device of  claim 2  wherein the fitting is engaged to an irrigation inflow tube.  
     
     
         9 . The steerable catheter device of  claim 2  wherein the fitting is engaged to an aspiration outflow tube.  
     
     
         10 . The steerable catheter device of  claim 2  wherein the fitting is engaged to an irrigation inflow tube and an aspiration outflow tube.  
     
     
         11 . The steerable catheter device of  claim 1  wherein the flexible catheter is disposable.  
     
     
         12 . The steerable catheter device of  claim 1  wherein a distal end of the shape memory catheter tip is rounded.  
     
     
         13 . The steerable catheter device of  claim 1  further comprising a second lock supported by the handle for adjusting a force required for longitudinal movement of a medical device relative to the flexible catheter and for locking the medical device relative to the flexible catheter along a longitudinal axis of the flexible catheter.  
     
     
         14 . The steerable catheter device of  claim 13  wherein the second lock controls a frictional resistance to longitudinal movement of the medical device relative to the flexible catheter.  
     
     
         15 . The steerable catheter device of  claim 13  wherein the second lock comprises a resilient compressible lock member.  
     
     
         16 . The steerable catheter device of  claim 13  wherein the second lock comprises an end cap threadably mounted on the handle.  
     
     
         17 . A steerable catheter device comprising: 
 a sheath having a plurality of holes at an outer end of the sheath for discharging an irrigation media;    a handle having a body portion engaging the sheath for supporting the sheath;    a catheter engaging the handle and extending through the sheath creating an annular channel between the catheter and the sheath, the catheter having opposite open ends;    a shape memory catheter tip extending from a distal end of the catheter;    at least one radiopaque marking on the catheter tip; and    a first lock supported by the handle for controlling longitudinal movement of the catheter relative to the sheath.    
     
     
         18 . The steerable catheter device of  claim 17  further comprising a fitting supported by the handle and engaging the sheath.  
     
     
         19 . The steerable catheter device of  claim 17  further comprising a medical device inserted within the catheter.  
     
     
         20 . The steerable catheter device of  claim 17  wherein the shape memory catheter tip extends from a distal end of the sheath.  
     
     
         21 . The steerable catheter device of  claim 17  wherein a distal end of the shape memory catheter tip is rounded.  
     
     
         22 . The steerable catheter device of  claim 18  wherein the fitting engages an irrigation inflow tube and an aspiration outflow tube.  
     
     
         23 . The steerable catheter device of  claim 17  wherein the body portion of the handle is adapted to be grasped and rotated to lock the first lock.  
     
     
         24 . The steerable catheter device of  claim 17  wherein the first lock comprises a resilient compressible lock member.  
     
     
         25 . The steerable catheter device of  claim 17  wherein the first lock adjusts a force required for longitudinal movement of the catheter relative to the sheath.  
     
     
         26 . The steerable catheter device of  claim 17  wherein the first lock controls a frictional resistance to longitudinal movement of the catheter relative to the sheath.  
     
     
         27 . The steerable catheter device of  claim 17  wherein the first lock locks the catheter relative to the sheath.  
     
     
         28 . The steerable catheter device of  claim 17  further comprising a second lock supported by the handle for controlling longitudinal movement of the medical device relative to the catheter.  
     
     
         29 . The steerable catheter device of  claim 28  wherein the second lock comprises a resilient compressible lock member.  
     
     
         30 . The steerable catheter device of  claim 28  wherein the second lock adjusts a force required for longitudinal movement of the medical device relative to the catheter.  
     
     
         31 . The steerable catheter device of  claim 28  wherein the second lock controls a frictional resistance to longitudinal movement of the medical device relative to the catheter.  
     
     
         32 . The steerable catheter device of  claim 28  wherein the second lock comprises an end cap threadably mounted on the handle.  
     
     
         33 . The steerable catheter device of  claim 28  wherein the second lock locks the medical device relative to the catheter.  
     
     
         34 . A method of delivering a medical device in a vasculature of a body comprising: 
 inserting a guidewire in the vasculature;    moving a steerable catheter device over the guidewire, the steerable catheter device having a sheath supported by a handle and a flexible catheter extending through the sheath, the flexible catheter having a proximal end and a distal end terminating a catheter tip;    positioning the catheter tip at the treatment site using at least one radiopaque marking on the catheter tip;    locking the flexible catheter relative to the sheath with a first lock;    inserting the medical device through a proximal end of the flexible catheter at a proximal end of the steerable catheter device; and    removing the guidewire from the vasculature of the body.    
     
     
         35 . The method of  claim 34  wherein the catheter tip is formed from a shape memory material.  
     
     
         36 . The method of  claim 34  further comprising locking the medical device relative to the flexible catheter with a second lock.  
     
     
         37 . The method of  claim 34  further comprising squeezing a trigger portion of the handle to advance the flexible catheter relative to the sheath.  
     
     
         38 . The method of  claim 34  further comprising rotating a body portion of the handle to compress a first resilient compressible lock member of the first lock on the flexible catheter to lock the flexible catheter relative to the sheath.  
     
     
         39 . The method of  claim 36  further comprising rotating an end cap of the handle to compress a second resilient compressible lock member of the second lock on the medical device to lock the medical device relative to the flexible catheter.  
     
     
         40 . The method of  claim 34  further comprising irrigating the treatment site with an irrigation tube delivering an irrigation medium through a plurality of holes in the sheath.  
     
     
         41 . The method of  claim 34  further comprising aspirating debris from the treatment site with an aspiration tube.  
     
     
         42 . The method of  claim 34  further comprising engaging the handle to the sheath with a fitting.  
     
     
         43 . The method of  claim 34  further comprising using radiography to indicate a location and position of the catheter tip.