IP Library Granted Patent US 11,511,079
Granted Patent B2
US 11,511,079 · App. 17/071,816 · Granted Nov 29, 2022

Apparatuses and methods for monitoring tendons of steerable catheters

Inventor: Allen Jiang (Fremont, CA)
Assignee: Auris Health, Inc.
A61M25/0147A61B2018/00875A61B2034/301A61B2090/0809A61M2205/33
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Quick Facts
Patent No.
US 11,511,079
App. No.
17/071,816
Granted
Nov 29, 2022
Kind
B2
Abstract

Methods and apparatuses for detecting tension on a tendon and/or mechanical deformation (e.g., breakage) of one or more steering tendon of a steerable and flexible articulating device. Theses apparatuses may have one or more tendons that are each electrically conductive and configured to steer the apparatus when tension is applied to the proximal end of the tendon. Tension and/or breakage (or other deformation) of one or more of these tendons may be detected by monitoring the electrical resistance of the tendons.

Claims (39)

1. An articulatable instrument comprising:

an elongated shaft;

one or more electrically conductive pull wires that are elongated and run a length of the elongated shaft, the one or more electrically conductive pull wires being configured to be tensioned to cause mechanical articulation of the elongated shaft; and

sensing circuitry configured to measure electrical resistance of the one or more pull wires.

2. The articulatable instrument of claim 1 , further comprising an electrically conductive member extending along the length of the elongated shaft, the electrically conductive member being electrically coupled to the one or more electrically conductive pull wires.

3. The articulatable instrument of claim 2 , wherein the electrically conductive member comprises a conductive wire.

4. The articulatable instrument of claim 2 , wherein the electrically conductive member comprises a portion of an outer housing of the elongated shaft.

5. The articulatable instrument of claim 4 , wherein the electrically conductive member comprises a braided sheath.

6. The articulatable instrument of claim 2 , further comprising one or more resistors of the sensing circuitry, wherein each of the one or more resistors:

is coupled in series with a respective one of the one or more pull wires; and

has a known electrical resistance.

7. The articulatable instrument of claim 6 , further comprising a conductive wire terminator disposed at a distal portion of the elongated shaft, wherein each of the one or more pull wires and the electrically conductive member is coupled to the wire terminator.

8. The articulatable instrument of claim 6 , wherein:

the sensing circuitry comprises one or more voltmeters, each of the one or more voltmeters being electrically coupled across a respective one of the one or more resistors; and

the sensing circuitry is configured to measure electrical resistances of the one or more pull wires based at least in part on:

a stimulation voltage applied to the one or more pull wires;

an output voltage measured across each of the one or more resistors using one of the one or more voltmeters; and

the known electrical resistance of the one or more resistors.

9. The articulatable instrument of claim 2 , wherein a distal portion of each of the one or more pull wires is electrically coupled to a wire terminator associated with a distal portion of the elongated shaft.

10. The articulatable instrument of claim 9 , wherein the one or more pull wires, the wire terminator, and the electrically conductive member are configured to allow for electrical current to pass in a circuit through the one or more pull wires, the wire terminator, and the electrically conductive member.

11. The articulatable instrument of claim 10 , wherein the electrically conductive member is configured to receive an input voltage having an electrical potential that is different from a proximal portion of the one or more pull wires, thereby inducing an electrical current in the circuit.

12. The articulatable instrument of claim 2 , wherein:

the one or more pull wires comprises a plurality of pull wires enclosed within the elongated shaft; and

the electrically conductive member comprises an outer sheath that is electrically isolated from the one or more pull wires along the length of the elongated shaft and electrically coupled to the one or more pull wires at a distal end of the one or more pull wires.

13. The articulatable instrument of claim 1 , wherein a measured increase in the electrical resistance of at least one of the one or more pull wires indicates an increase in tension or breakage of the at least one of the one or more pull wires.

14. A method of monitoring an articulatable medical instrument, the method comprising:

articulating a distal end portion of a medical instrument by tensioning an elongated pull wire that runs a length of an elongated shaft of the medical instrument;

measuring an electrical resistance of the pull wire;

determining a change in tension of the pull wire based on the measured electrical resistance; and

in response to the change in tension of the pull wire, automatically tensioning the pull wire.

15. The method of claim 14 , wherein said automatically tensioning the pull wire is performed using a robotic driver mechanically coupled to the medical instrument.

16. The method of claim 15 , wherein said determining the change in tension is performed using sensing circuitry embodied in at least one of the medical instrument or the robotic driver.

17. The method of claim 14 , wherein said measuring the electrical resistance of the pull wire is performed simultaneously with said articulating the distal end portion of the medical instrument by tensioning the pull wire.

18. The method of claim 14 , wherein:

the pull wire is electrically coupled to a wire terminator at a distal area of the elongate shaft;

the wire terminator is electrically coupled to an electrically conductive member; and

sensing circuitry is electrically coupled to the pull wire and the electrically conductive member to form a circuit.

19. The method of claim 18 , wherein at least one resistor is coupled to the pull wire as part of the circuit, the at least one resistor having a known electrical resistance, the sensing circuitry being configured to read a voltage across the at least one resistor.

20. The method of claim 19 , wherein said measuring the electrical resistance involves generating an electrical current through the circuit and determining a voltage drop across at least one of the pull wire or the at least one resistor.

Assignments (2)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Dec 30, 2020
From: JIANG, ALLEN
To: AURIS SURGICAL ROBOTICS, INC.
Reel/Frame 054781/0708 →
CHANGE OF NAME Recorded Dec 30, 2020
From: AURIS SURGICAL ROBOTICS, INC.
To: AURIS HEALTH, INC.
Reel/Frame 054895/0701 →
Continuity (5)
Continuation 16696906 · Nov 26, 2019
Continuation 15660736 · Jul 26, 2017
Continuation 15084984 · Mar 30, 2016
Provisional Application 62140344 · Mar 30, 3015
Related Publication 20210023340A1 · Jan 28, 2021