Shaft and handle for a catheter with independently-deflectable segments
An elongate medical device with independently-deflectable segments and a handle for manually deflecting those segments can include a shaft having a distal segment and proximal segment, at least one proximal segment deflection wire adapted to deflect the proximal segment, at least one distal segment deflection wire adapted to deflect the distal segment independent of the proximal segment, and a handle portion. The handle portion may comprise a first manual actuation mechanism coupled to the at least one distal segment deflection wire and a second manual actuation mechanism coupled to the at least one proximal segment deflection wire. Actuation of the first manual actuation mechanism may impart a tensile force on the distal segment deflection wire to cause the distal segment to deflect, and actuation of the second manual actuation mechanism may impart a tensile force on the proximal segment to cause the proximal segment to deflect.
1. An elongate medical device, comprising:
an elongate shaft extending along a shaft longitudinal axis and comprising a proximal shaft section and a distal shaft deflectable section, wherein:
a proximal location of the distal shaft deflectable section defines:
a proximal deflection wire lumen in a proximal wall of the distal shaft deflectable section through which a proximal deflection wire extends; and
a central lumen through which a distal deflection wire extends; and
a distal location of the distal shaft deflectable section defines a distal deflection wire lumen in a distal wall of the distal shaft deflectable section through which the distal deflection wire extends.
2. The elongate medical device of claim 1 , wherein the proximal deflection wire is attached to a proximal deflection wire pull ring and the distal deflection wire is attached to a distal deflection wire pull ring.
3. The elongate medical device of claim 1 , wherein the proximal deflection wire pull ring is disposed in the proximal wall of the distal shaft deflectable section and the distal deflection wire pull ring is disposed in the distal wall of the distal shaft deflectable section.
4. The elongate medical device of claim 1 , wherein the proximal location of the distal shaft deflectable section defines a proximal outer diameter and the distal location of the distal shaft deflectable section defines a distal outer diameter, and wherein the proximal outer diameter is larger than the distal outer diameter.
5. The elongate medical device of claim 1 , wherein the distal location of the distal shaft deflectable section defines a distal shaft segment lumen, and wherein the distal shaft segment lumen and the central lumen have substantially equal diameters.
6. The elongate medical device of claim 1 , wherein:
the proximal deflection wire includes two proximal deflection wires respectively extending through two proximal deflection wire lumens; and
the distal deflection wire includes two distal deflections wires extending through the central lumen.
7. The elongate medical device of claim 6 , wherein the two proximal deflection wires are configured to deflect a proximal shaft segment of the distal shaft deflectable section in two different proximal directions and the two distal deflection wires are configured to deflect a distal shaft segment of the distal shaft deflectable section in two different distal directions.
8. The elongate medical device of claim 7 , wherein the two different proximal directions are different than the two different distal directions.
9. The elongate medical device of claim 7 , wherein the two different proximal directions are the same as the two different distal directions.
10. A method of manufacturing a catheter shaft, the method comprising:
providing a first shaft portion defining a longitudinal axis, the first shaft portion comprising a first deflection element that is embedded in or otherwise rigidly coupled with the first shaft portion;
placing a second shaft portion over the first shaft portion to create a catheter shaft assembly; and
melt processing the catheter shaft assembly to join the second shaft portion to the first shaft portion.
11. The method of claim 10 , further comprising placing a second deflection element radially between the first shaft portion and the second shaft portion.
12. The method of claim 11 , wherein the second deflection element comprises a pull ring disposed about the first shaft portion.
13. The method of claim 11 , wherein placing the second deflection element radially between the first shaft portion and the second shaft portion comprises placing the second deflection element proximal of the first deflection element.
14. The method of claim 11 , further comprising coupling a deflection wire to the second deflection element.
15. The method of claim 10 , the first shaft portion defining a wall, the first shaft portion further comprising a deflection wire, the deflection wire being coupled to the first deflection element and extending through the wall.
16. The method of claim 10 , wherein the first shaft portion has a distal end and the second shaft portion has a distal end, further wherein placing the second shaft portion over the first shaft portion to create the catheter shaft assembly comprises placing the second shaft portion so that the distal end of the second shaft portion is proximal of the distal end of the first shaft portion.
17. A method of manufacturing a catheter shaft, the method comprising:
providing a first shaft portion defining a longitudinal axis, the first shaft portion comprising a first deflection element that is embedded in or otherwise rigidly coupled with the first shaft portion;
placing a second shaft portion over the first shaft portion to create a catheter shaft assembly, the second shaft portion being shorter longitudinally than the first shaft portion; and
rigidly coupling the second shaft portion to the first shaft portion.
18. The method of claim 17 , wherein a distal tip of the first shaft portion is distal of a distal tip of the second shaft portion.
19. The method of claim 17 , wherein the first deflection element is distal of a distal tip of the second shaft portion.
20. The method of claim 17 , further comprising coupling a rounded tip element to a distal tip of at least one of the first shaft portion and the second shaft portion.