# US 12,005,200 B2 · Catheter handle and catheter including same

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- Number: US 12,005,200 B2
- Document ID: US12005200B2
- Status: Granted
- Kind: B2
- Application number: 16/965,562
- Filed: 2018-10-15
- Published: 2021-02-18
- Granted: 2024-06-11
- Earliest claimed: 2018-01-31
- Assignees: Kaneka Corporation
- Applicants: Kaneka Corporation
- Inventors: Naotake Maekubo; Daichi Kamiyama
- Web page: https://patentgrep.com/patent/US12005200B2

## CPC

- A61M 25/0136: {Handles therefor}
- A61B 18/1492: {having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence)}
- A61M 25/0147: {with movable mechanical means, e.g. pull wires}
- A61M 25/09: Guide wires
- A61B 2018/00345: {Vascular system}
- A61B 2018/00351: {Heart}
- A61B 2018/00577: {Ablation}
- A61B 2018/00839: {Bioelectrical parameters, e.g. ECG, EEG}
- A61B 2018/0091: {Handpieces of the surgical instrument or device}
- A61B 2090/3966: {Radiopaque markers visible in an X-ray image}
- A61M 2205/0233: Conductive materials, e.g. antistatic coatings for spark prevention
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A catheter handle (1) includes handle body (2), and rotary member (3) being free to rotate with respect to the handle body (2) and connected to the wire. The handle body (2), in a planar view from a rotation axis direction of the rotary member (3), has second space (12) for the conductive wire is located from more distal side to more proximal side than first space (11) for the rotary member (3). The operating part (4) of the rotary member (3) is disposed on one side, and the second space (12) is disposed on another side, in the width direction of the handle (1). Length L1 from the center of the rotation axis to the rotary member (3) on the one side is longer than length L2 from the center of the rotation axis to the rotary member (3) on the another side.

## Claims

### Claim 1

A combination of a catheter handle and a catheter tube to control a catheter tube having a wire and a conductive wire therein, the catheter handle comprising:
a handle body connected to a proximal side of the catheter tube, the handle body having a partition disposed in the handle body; and
a rotary member that is disposed in the handle body so that the rotary member is free to rotate with respect to the handle body, and that is to be connected to a proximal side of the wire, wherein
the rotary member has a rotation axis that is orthogonal to both a distal-proximal direction extending from a distal side to a proximal side of the handle body and a width direction of the handle, an operating part for rotating the rotary member from outside of the handle body,
the handle body has an opening in a side wall, and the rotary member is disposed in the handle body so that the operating part of the rotary member penetrates to the outside of the handle body through the opening of the side wall,
the partition is disposed in the handle body, so that the handle body, in a planar view from a rotation axis direction of the rotary member, has a first space for accommodating the rotary member rotatable on the rotation axis, the first space having the opening in the side wall and being defined by a surface of the partition facing to the opening, and a second space for placing the conductive wire, and the second space continuously extending, around the first space, from the distal side to the proximal side of the handle body inside the handle body, the second space being defined by an inner wall of the handle body and the other surface of the partition opposite to the surface of the partition facing to the opening, the first space and the second space being separated by the partition, and
the rotary member is disposed in the first space of the handle body so that i) the rotary member is regulated to be rotatable around the rotation axis within the first space, ii) a length L1 that is from the center of the rotation axis to an outer edge of the rotary member on a side facing to the opening in the width direction is longer than a length L2 that is from the center of the rotation axis to an outer edge of the rotary member on the other side in the width direction facing to the surface of the partition defining the first space, on an imaginary line that includes a center of the rotation axis and extends in the width direction, and iii) the operating part of the rotary member is rotatable together with the rotary member and with respect to the rotation axis within the opening.

### Claim 2 (depends on 1)

The combination of catheter handle and a catheter tube according to claim 1, wherein the handle body comprises a connecting port on a distal side of the catheter handle to be connected to the catheter tube, wherein
the center of the rotation axis is located at a place coinciding with the connecting port in the width direction of the handle, or located on the another side in the width direction with respect to the connecting port.

### Claim 3 (depends on 1)

The combination of catheter handle and a catheter tube according to claim 1, wherein
the rotary member has a wire locking member for fixing the proximal side of the wire, and
a length from the center of the rotation axis to the wire locking member is shorter than a length from the center of the rotation axis to the operating part.

### Claim 4 (depends on 3)

The combination of catheter handle and a catheter tube according to claim 3, wherein
the rotary member is disposed in the handle body such that the wire locking member is located away from the distal side of the handle body than the center of the rotation axis of the rotary member.

### Claim 5 (depends on 1)

The combination of catheter handle and a catheter tube according to claim 1, wherein
based on a maximal length L from the center of the rotation axis to an outer edge of the rotary member,
the rotary member has a narrower portion where a length from the center of the rotation axis to an outer edge of the rotary member is 0.5 L or less, and the narrower portion extends in a range of a center angle of 120° or more around the rotation axis.

### Claim 6 (depends on 1)

The combination of catheter handle and a catheter tube according to claim 1, wherein a part of the outer edge of the rotary member is in contact with a part of the partition by rotating of the rotary member on the rotation axis.

### Claim 7 (depends on 1)

The combination of catheter handle and a catheter tube according to claim 1, wherein
the partition has a first partition straight portion and a second partition straight portion,
the outer edge of the rotary member has a first edge straight portion and a second edge straight portion,
when the rotary member rotates on the rotation axis, the first edge straight portion gets close to the first partition straight portion and the second edge straight portion gets away from the second partition straight portion, or the second edge straight portion gets close to the second partition straight portion and the first edge straight portion gets away from the first partition straight portion.

### Claim 8 (depends on 1)

The combination of catheter handle and a catheter tube according to claim 1, further comprising an elastic member between the rotary member and the handle body, wherein
the rotary member is possible to be pressed against the handle body in the rotation axis direction through the elastic member.

### Claim 9 (depends on 1)

The combination of catheter handle and a catheter tube according to claim 1, wherein
the handle body has a bifurcation part on a distal side of the rotary member to bifurcate the wire and the conductive wire to be inserted from the distal side of the handle body, and
the bifurcation part has a wire insertion space communicated with the first space in the handle body.

### Claim 10 (depends on 9)

The combination of catheter handle and a catheter tube according to claim 9, wherein
the wire insertion space has a wire guide part having an opening to pass through the wire,
the opening of the wire guide part has a larger diameter on a distal side of the opening than a diameter on a proximal side of the opening.

### Claim 11 (depends on 1)

A catheter, comprising:
the catheter handle according to claim 1;
a catheter tube connected to the distal side of the handle body;
a wire having a distal side which is fixed to the catheter tube and a proximal side which is fixed to the rotary member; and
a conductive wire having a distal side which is fixed to the catheter tube and a proximal side which extends through the second space to the proximal side of the rotary member, wherein the wire and the conductive wire are disposed in the catheter tube.

### Claim 12

A catheter handle to control a catheter tube having a wire and a conductive wire therein, the catheter handle comprising:
a handle body to be connected to a proximal side of the catheter tube, the handle body having a partition disposed in the handle body; and
a rotary member that is disposed in the handle body so that the rotary member is free to rotate with respect to the handle body, and that is to be connected to a proximal side of the wire, wherein
the rotary member has a rotation axis that is orthogonal to both a distal-proximal direction extending from a distal side to a proximal side of the handle body and a width direction of the handle, an operating part for rotating the rotary member from outside of the handle body,
the handle body has an opening in a side wall, and the rotary member is disposed in the handle body so that the operating part of the rotary member penetrates to the outside of the handle body through the opening of the side wall,
the partition is disposed in the handle body, so that the handle body, in a planar view from a rotation axis direction of the rotary member, has a first space for accommodating the rotary member rotatable on the rotation axis, the first space having the opening in the side wall and being defined by a surface of the partition facing to the opening, and a second space for placing the conductive wire, and the second space continuously extending, around the first space, from the distal side to the proximal side of the handle body inside the handle body, the second space being defined by an inner wall of the handle body and the other surface of the partition opposite to the surface of the partition facing to the opening, the first space and the second space being separated by the partition, and
the rotary member is disposed in the first space of the handle body so that i) the rotary member is regulated to be rotatable around the rotation axis within the first space, ii) a length Ll that is from the center of the rotation axis to an outer edge of the rotary member on a side facing to the opening in the width direction is longer than a length L2 that is from the center of the rotation axis to an outer edge of the rotary member on the other side in the width direction facing to the surface of the partition defining the first space, on an imaginary line that includes a center of the rotation axis and extends in the width direction, and iii) the operating part of the rotary member is rotatable together with the rotary member and with respect to the rotation axis within the opening.

### Claim 13 (depends on 1)

The combination of catheter handle and a catheter tube according to claim 1, wherein the second space is formed alongside the first space in the width direction.

### Claim 14 (depends on 1)

The combination of catheter handle and a catheter tube according to claim 1, wherein the rotary member is rotatably disposed in the first space of the handle body so that with respect to a longitudinal axis passing through the center of the rotation axis of the rotary member, the length L1 on the one side of the width direction in an entire area of the one side is longer than the length L2 on the other side of the width direction in an entire area of the other side.

### Claim 15 (depends on 1)

The combination of catheter handle and a catheter tube according to claim 1, wherein the operating part constitutes a part of the outer edge of the rotary member.

### Claim 16 (depends on 1)

The combination of catheter handle and a catheter tube according to claim 1, wherein the second space extends from a distal end to a proximal end, around the first space accommodating the rotary member, in the distal-proximal direction, and the rotary member does not exist in the second space.

### Claim 17 (depends on 1)

The combination of catheter handle and a catheter tube according to claim 1, wherein the rotary member and the wire are configured so that when the rotary member is rotated, the wire is in contact with an outer perimeter side of the rotation axis of the rotary member.
