Deflectable catheter assembly. Nov 7, 2017 · Deflectable catheters.
Deflectable catheter assembly Patent. A flexible element extends from an actuator member within the housing through the actuator lumen to a deflectable distal end. For multi-angular deflection, multiple pull wires can be utilized with separate reinforced liners. The assembly comprises a catheter shaft having a catheter proximal section and a catheter distal section, and at least one lumen extending therethrough. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed. The second catheter fits coaxially within the first catheter. Varying catheter shaft materials and reinforcement near the distal tip can lead to the targeted shape and degree of deflection. Jan 3, 2022 · US7998112B2 US10/676,616 US67661603A US7998112B2 US 7998112 B2 US7998112 B2 US 7998112B2 US 67661603 A US67661603 A US 67661603A US 7998112 B2 US7998112 B2 US 7998112B2 Authority Deflectable catheter assembly and method of making same US20050070844A1 (en) * 2003-09-30: 2005-03-31: Mina Chow: Deflectable catheter assembly and method of making same US20070135861A1 (en) * 2003-12-22: 2007-06-14: Boston Scientific Scimed, Inc. 2A EP10185686A EP2308540B1 EP 2308540 B1 EP2308540 B1 EP 2308540B1 EP 10185686 A EP10185686 A EP 10185686A EP 2308540 B1 EP2308540 B1 EP 2308540B1 Authority The present invention relates to deflectable access sheath assembly. , Minneapolis, Minn. WO2005032637A3 PCT/US2004/031403 US2004031403W WO2005032637A3 WO 2005032637 A3 WO2005032637 A3 WO 2005032637A3 US 2004031403 W US2004031403 W US 2004031403W WO 2005032637 A3 WO200 EP2308540B1 EP10185686. US20090312699A1 US12/546,206 US54620609A US2009312699A1 US 20090312699 A1 US20090312699 A1 US 20090312699A1 US 54620609 A US54620609 A US 54620609A US 2009312699 A1 US2009312699 A US20040225256A1 US10/868,277 US86827704A US2004225256A1 US 20040225256 A1 US20040225256 A1 US 20040225256A1 US 86827704 A US86827704 A US 86827704A US 2004225256 A1 US2004225256 A US-8016784-B1 chemical patent summary. EP1033107A1 EP00301691A EP00301691A EP1033107A1 EP 1033107 A1 EP1033107 A1 EP 1033107A1 EP 00301691 A EP00301691 A EP 00301691A EP 00301691 A EP00301691 A EP A catheter assembly includes a catheter body and housing attached to the catheter body proximal end, where an actuator lumen extends through the catheter body. Our unique set of capabilities allows us to customize your design with steerable and deflectable elements while maintaining dimensional stability, pushability, and kink resistance. ) which is intended for use in coronary A catheter assembly includes a handle assembly, and a catheter body coupled with the handle assembly, where the catheter body extends to a deflectable distal end, and the deflectable distal end is controllable by a flexible element. Jul 8, 2017 · A deflectable catheter including an outer member having a proximal portion and a distal portion, an elongated column member extending distally from the outer member and an inner member positioned coaxial with the outer member and attached to the column member. A compression compensation mechanism is coupled to the therapeutic tool to compensate for a length change in the catheter shaft such as when the catheter shaft EP2308540A1 EP10185686A EP10185686A EP2308540A1 EP 2308540 A1 EP2308540 A1 EP 2308540A1 EP 10185686 A EP10185686 A EP 10185686A EP 10185686 A EP10185686 A EP EP2308540B1 EP10185686. 2A EP10185686A EP2308540B1 EP 2308540 B1 EP2308540 B1 EP 2308540B1 EP 10185686 A EP10185686 A EP 10185686A EP 2308540 B1 EP2308540 B1 EP 2308540B1 Authority Kink resistance – the ability of the catheter to avoid collapse when bent or deflected; Building a Steerable/Deflectable Catheter. * Cited by examiner, † Cited by third party; Publication number Priority date Publication date Assignee Title; EP2424609A1 (en) * 2009-04-29: 2012-03-07: Hansen Medical, Inc. In some embodiments, the first and/or second catheter can be constituently different from proximal end to distal end. A catheter assembly includes a pull wire and a control member subassembly, wherein the pull wire is secured to a post of the subassembly that may extend through a slot of a handle, and an engagement feature of the subassembly, being supported by an elastically deformable support of the subassembly resting on a railway of the handle, confronts a U. US7029468B2 US10/179,124 US17912402A US7029468B2 US 7029468 B2 US7029468 B2 US 7029468B2 US 17912402 A US17912402 A US 17912402A US 7029468 B2 US7029468 B2 US 7029468B2 Authority A deflectable catheter includes a catheter body (12), an intermediate section (14), a tip electrode (29) and a control handle (16) for deflecting the catheter by manipulation of a puller element (31) that is made of a high modulus fiber material and extends through the catheter body and the intermediate section. The catheter has comprises a catheter body, a basket electrode assembly at a distal end of the catheter body, and a control handle at a proximal end of the catheter body. Nov 7, 2017 · Deflectable catheters. Fl A catheter assembly includes a handle assembly, and a catheter body coupled with the handle assembly, where the catheter body extends to a deflectable distal end, and the deflectable distal end is controllable by a flexible element. A deflectable catheter assembly includes a deflectable body manipulatable by a rotating actuator of a housing assembly. The steerable function is accomplished by three modes of actions: 1) translational catheter movement along the shaft direction, 2) deflection of the distal deflectable section, and 3) turning of the catheter shaft to direct the deflection toward the target therapy site. They generally include a deflectable catheter shaft that can be inserted in and extended along a suitable vein or artery of person being diagnosed or treated to a desired site; a handle actuator which supports a proximal end of the The present invention relates to deflectable access sheath assembly. US7998112B2 US10/676,616 US67661603A US7998112B2 US 7998112 B2 US7998112 B2 US 7998112B2 US 67661603 A US67661603 A US 67661603A US 7998112 B2 US7998112 B2 US 7998112B2 Authority the catheter whips when rotated from the proximal end of the shaft. Whipping is caused by the resistance of the catheter to turn away from its preferred orientation, which is gene CPS Locator™ 3D Catheters. ) Active Application number DE602006020540T Jun 13, 2019 · A deflectable catheter comprises a catheter body (12), a tip section (14) and a control handle (16). US7998112B2 US10/676,616 US67661603A US7998112B2 US 7998112 B2 US7998112 B2 US 7998112B2 US 67661603 A US67661603 A US 67661603A US 7998112 B2 US7998112 B2 US 7998112B2 Authority Medical Murray has extensive experience with the design, development, testing, and manufacturing of the following: Complex catheters including balloon catheters, steerable and deflectable, sensor and electrode integration and delivery systems. A — HUMAN NECESSITIES; A61 — MEDICAL OR VETERINARY SCIENCE; HYGIENE; A61M — DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR The catheter assembly includes a pull wire (115) and a control member subassembly (225), wherein the pull wire is secured to a post of the subassembly, the post being extendable through a slot of a handle (220); and an engagement feature of the subassembly supported by the resiliently deformable support of the subassembly resting on the handle track interlocks with a mating feature of the A catheter assembly includes a catheter body and housing attached to the catheter body proximal end, where an actuator lumen extends through the catheter body. The catheter component of the assembly is curved at its distal end and axially rotatable within the lumen of the cannula providing simple maneuverability for accurate placement of the catheter at a chosen physiological site. Dec 19, 2006 · The catheter assembly, in one embodiment, is deflectable and includes a first catheter, a second catheter, and a third catheter. The present invention provides a kind of equipment, including main body, actuating assembly and the guiding catheter extended from the main body towards distal side. 5A EP14184785A EP2848226A1 EP 2848226 A1 EP2848226 A1 EP 2848226A1 EP 14184785 A EP14184785 A EP 14184785A EP 2848226 A1 EP2848226 A1 EP 2848226A1 Authority Catheter Manufacturing Capabilities: Balloon Bonding. In an exemplary implementation, the catheter assembly 100 includes a handle 110 which allows for control of the catheter assembly 100 while being inserted into a A steerable catheter has a deflectable flexible distal section and a stiffer proximal torqueable shaft. S. The control handle, which is preferably curved, comprises a housing (102) having a generally hollow interior, a piston receiving assembly (116) at least partially within the interior of the housing, and a piston. For these more challenging needs, deflecting the tip into a defined curve can control the catheter tip location. The deflectable needle assembly includes a telescoping cannula, catheter and stylet. The deflectable catheter assembly comprises a catheter shaft having a catheter proximal sec EP1673129B1 EP04784995A EP04784995A EP1673129B1 EP 1673129 B1 EP1673129 B1 EP 1673129B1 EP 04784995 A EP04784995 A EP 04784995A EP 04784995 A EP04784995 A EP Mar 10, 2024 · the catheter whips when rotated from the proximal end of the shaft. The housing assembly includes a sliding member having a threaded portion including a first threaded portion having a first pitch and a second threaded portion having a second pitch, where the first pitch is different than the second pitch. The catheter assembly, in one embodiment, is deflectable and includes a first catheter, a second catheter, and a third catheter. The invention provides a deflectable catheter for medical devices. Stehr Troy T. Catheter provides a stable workspace to pass guidewires and leads in the cardiac venous anatomy Dual-braided lumen provides stability § Increased implant success C304-HIS catheter design allows the tip to achieve an angle closer to perpendicular in the region of the His-bundle for a higher fixation rate versus the C315-HIS catheter †,‡ See full list on dukeextrusion. patent application number 11/967162 was filed with the patent office on 2009-07-02 for deflectable sheath and catheter assembly. A catheter assembly includes a handle assembly, and a catheter body coupled with the handle assembly, where the catheter body extends to a deflectable distal end portion, and the deflectable distal end is controllable by a flexible element. US10575745B2 US16/208,532 US201816208532A US10575745B2 US 10575745 B2 US10575745 B2 US 10575745B2 US 201816208532 A US201816208532 A US 201816208532A US 10575745 B2 US10575745 B2 a catheter may include a handle assembly having a control member; an elongate body extending from a proximal end to a distal end and defining a lumen extending longitudinally within the elongate body, the lumen configured to receive a medical electrical lead including at least one electrode, where the elongate body comprises: a proximal portion coupled to the handle assembly and extending . It has proven success in left bundle branch area pacing and provides users accommodating solutions for various anatomies. Inventor. This type of deflectable catheter design usually has a relatively stiff proximal shaft and a softer distal tip, allowing the distal tip to deflect when the wire is US20050070844A1 US10/676,616 US67661603A US2005070844A1 US 20050070844 A1 US20050070844 A1 US 20050070844A1 US 67661603 A US67661603 A US 67661603A US 2005070844 A1 US2005070844 A The catheter assembly includes a deflectable tip, where the deflection is caused by the interaction of an inner catheter tube and an outer catheter tube. The guide catheter includes an open proximal end, an open distal end, a rigid proximal portion, a bendable distal portion, and a pull wire extending from the bendable A deflectable catheter assembly is disclosed. JP2015057093A JP2014186095A JP2014186095A JP2015057093A JP 2015057093 A JP2015057093 A JP 2015057093A JP 2014186095 A JP2014186095 A JP 2014186095A JP 2014186095 A A catheter assembly includes a catheter body and housing attached to the catheter body proximal end, where an actuator lumen extends through the catheter body. deflectable guide catheters are on sale and in public use, including for example, the MorphTM Vascular Access Catheter (BioCardia, South San Francisco, Calif. Sutton Agents: SJM/AFD - DYKEMA;c/o CPA Global Assignees: Origin: MINNEAPOLIS, MN US IPC8 Class: AA61M25092FI USPC Class: 604 9504 Abstract: The present invention relates to deflectable access sheath assembly. Jul 2, 2009 · Patent application title: DEFLECTABLE SHEATH AND CATHETER ASSEMBLY Inventors: Richard E. We specialize in the design, development, and manufacturing of complex, highly specialized catheters, steerable devices, and delivery systems for interventional markets. The assembly comprises a catheter shaft having a catheter proximal section and a catheter distal section, and at least one lumen exte A deflectable vascular catheter is disclosed which includes a proximal handle assembly, an elongated sheath extending distally from the proximal handle assembly and including a deflectable distal end portion, an actuation mechanism operatively associated within an interior cavity of the proximal handle assembly for deflecting the distal end portion of the sheath, an anchor ring located at a The present invention is entitled " deflectable catheter for being used for medical instrument ". A catheter assembly includes a pull wire (115) and a control member subassembly (225), wherein the pull wire is secured to a post of the subassembly that may extend through a slot of a handle (220), and an engagement feature of the subassembly, supported by an elastically deformable support of the subassembly resting on a railway of the handle, confronts a mating feature of the handle to US10143394B2 US15/785,373 US201715785373A US10143394B2 US 10143394 B2 US10143394 B2 US 10143394B2 US 201715785373 A US201715785373 A US 201715785373A US 10143394 B2 US10143394 B2 AM – 3d Printing Reinforced Shafts Dilators / Sheaths Steerable / Deflectable Shafts Silicone Catheter Assemblies Medical Balloon Catheters Complex Catheters Lasers & Catheter Technologies Medical Balloons The flexible section prevents excessive force from being applied to the tip assembly, reducing the risk of any of the following: a) mechanical perforation, b) steam pop, c) burying the tip assembly in the myocardium resulting in high temperatures, low energy delivery, thrombus formation and char formation. WO-2005032637-A3. Tegg. A typical steerable/deflectable catheter consists of four key parts: Ergonomic handle; An adjustable wheel or slider that, when manipulated, controls deflection of the distal tip We develop and manufacture standard or customized configurations of steerable catheter delivery systems to meet your device needs. US20150080693A1 US14/028,435 US201314028435A US2015080693A1 US 20150080693 A1 US20150080693 A1 US 20150080693A1 US 201314028435 A US201314028435 A US 201314028435A US 2015080693 A The flexible section prevents excessive force from being applied to the tip assembly, reducing the risk of any of the following: a) mechanical perforation, b) steam pop, c) burying the tip assembly in the myocardium resulting in high temperatures, low energy delivery, thrombus formation and char formation. Whipping is caused by the resistance of the catheter to turn away from its preferred orientation, which is gene US20230086301A1 US17/950,165 US202217950165A US2023086301A1 US 20230086301 A1 US20230086301 A1 US 20230086301A1 US 202217950165 A US202217950165 A US 202217950165A US 2023086301 A US8007463B2 US12/546,206 US54620609A US8007463B2 US 8007463 B2 US8007463 B2 US 8007463B2 US 54620609 A US54620609 A US 54620609A US 8007463 B2 US8007463 B2 US 8007463B2 Authority US7998112B2 US10/676,616 US67661603A US7998112B2 US 7998112 B2 US7998112 B2 US 7998112B2 US 67661603 A US67661603 A US 67661603A US 7998112 B2 US7998112 B2 US 7998112B2 Authority A deflectable catheter assembly includes a deflectable body manipulatable by a rotating actuator of a housing assembly. 1 A deflectable catheter assembly having a compression compensation mechanism is disclosed. The deflectable catheter assembly comprises a catheter shaft having a catheter proximal section and a catheter distal section. As your Partner with Us to Add Maneuverability to Your Catheter Design At Teleflex Medical OEM, we are ready to work with you to enhance the performance of your catheter design. the catheter whips when rotated from the proximal end of the shaft. A catheter assembly includes a catheter body and housing attached to the catheter body proximal end, where an actuator lumen extends through the catheter body. a deflectable catheter having a deflectable distal tip portion comprising an outer catheter having a lumen, a proximal portion and a distal portion, an inner catheter positioned coaxially within the inner lumen of the outer catheter and having a distal tip portion extending distally of a distal end of the outer catheter, and a column member A deflectable catheter assembly includes a deflectable body manipulatable by a rotating actuator of a housing assembly. Whipping is caused by the resistance of the catheter to turn away from its preferred orientation, which is gene US7819857B2 US10/868,277 US86827704A US7819857B2 US 7819857 B2 US7819857 B2 US 7819857B2 US 86827704 A US86827704 A US 86827704A US 7819857 B2 US7819857 B2 US 7819857B2 Authority A deflectable catheter assembly includes a deflectable body manipulatable by a rotating actuator of a housing assembly. Complex Liner Termination. 2A EP10185686A EP2308540B1 EP 2308540 B1 EP2308540 B1 EP 2308540B1 EP 10185686 A EP10185686 A EP 10185686A EP 2308540 B1 EP2308540 B1 EP 2308540B1 Authority HK1156555A1 HK11110787. An apparatus includes a body, an actuation assembly, and a guide catheter extending distally from the body. CHOW MINA (US) STRAMBERG BARBARA (US) WEBLER WILLIAM E (US) SIMPSON JOHN A catheter adapted for mapping and/or ablation in the atria has a basket-shaped electrode array with two or more location sensors with a deflectable expander. Tegg William M. Examples include guiding catheters, endoscopy, imaging catheters and tissue ablation. a bi-directional steerable catheter assembly includes an elongated catheter shaft section having a distal end, a proximal end, and a centerline that extends between the distal end and the proximal end, at least one planarity member disposed within and attached to the elongated catheter shaft section and extending along the centerline, wherein the at least one planarity member has a US7998112B2 US10/676,616 US67661603A US7998112B2 US 7998112 B2 US7998112 B2 US 7998112B2 US 67661603 A US67661603 A US 67661603A US 7998112 B2 US7998112 B2 US 7998112B2 Authority US20070260223A1 US11/381,421 US38142106A US2007260223A1 US 20070260223 A1 US20070260223 A1 US 20070260223A1 US 38142106 A US38142106 A US 38142106A US 2007260223 A1 US2007260223 A In its most general form, catheter 10 further includes a tip assembly 15 located at the distal end 13 of the deflectable catheter shaft section 12, a proximal catheter shaft section 16 located at the proximal end 14 of the deflectable catheter shaft section 12, and a handle assembly 17. Guiding catheter includes portions of proximal, flexible distal part and the drag wire that rigid portions of proximal is extended to A deflectable vascular catheter includes a proximal handle assembly, an elongated sheath extending distally from the proximal handle assembly and including a deflectable distal end portion, an actuation mechanism operatively associated within an interior cavity of the proximal handle assembly for deflecting the distal end portion of the sheath, an anchor ring located at a distal end of the deflectable sheaths feature a deflection curve whereby the distal tip deflects in a single plane. Deflectable handle platform designed to integrate with large bore Endovascular and Structural Heart devices including Transcatheter Tricuspid and Mitral Valve delivery systems. AAA Catheters (Tapered or Non-Tapered Shaft) Ablation Catheters (Proprietary Bending Design) Aspiration Catheters (Complex Braid and Coil Reinforced) US11160482B2 US16/806,976 US202016806976A US11160482B2 US 11160482 B2 US11160482 B2 US 11160482B2 US 202016806976 A US202016806976 A US 202016806976A US 11160482 B2 US11160482 B2 A catheter assembly includes a pull wire and a control member subassembly, wherein the pull wire is secured to a post of the subassembly that may extend through a slot of a handle, and an engagement feature of the subassembly, being supported by an elastically deformable support of the subassembly resting on a railway of the handle, confronts a In its most general form, catheter 10 further comprises a tip assembly 18 located at the distal end 14 of the deflectable catheter shaft section 12, a proximal catheter shaft section 20 located at the proximal end 16 of the deflectable catheter shaft section 12, and a handle assembly 22. EP1033107B1 EP00301691A EP00301691A EP1033107B1 EP 1033107 B1 EP1033107 B1 EP 1033107B1 EP 00301691 A EP00301691 A EP 00301691A EP 00301691 A EP00301691 A EP Jul 7, 2017 · EP2848226A1 EP14184785. A therapeutic tool is disposed within the catheter shaft. A deflectable shaft catheter may include a handle extending laterally from a hub of the catheter to form an acute angle therewith, wherein the handle contains a wire controller and a guide that rotates in plane with the angle. Single or Multiple Durometers. The present invention relates to deflectable sheaths and catheters, including a deflectable sheath access device or introducer, wherein the deflection and movement of the sheath access device is controlled through the relative movement of a plurality of sheaths with respect to one another. JP2000288095A JP2000057504A JP2000057504A JP2000288095A JP 2000288095 A JP2000288095 A JP 2000288095A JP 2000057504 A JP2000057504 A JP 2000057504A JP 2000057504 A Use care when passing the deflectable catheter through vessels and tissue. Deflectable catheter assembly and method of making same. com Steerable/Deflectable Catheters We develop and manufacture standard or customized configurations of steerable catheter delivery systems to meet your device needs. Avoid damaging vessels and cardiac tissue, such as perforations and dissections, during deflectable catheter passage and positioning. Thin-Walled Catheters. From concept to manufacturing, we offer full-service steerable catheter production. Sutton, Troy T. Some catheters may be required to place the catheter tip very precisely for a prolonged period at body temperature. US6203507B1 US09/262,136 US26213699A US6203507B1 US 6203507 B1 US6203507 B1 US 6203507B1 US 26213699 A US26213699 A US 26213699A US 6203507 B1 US6203507 B1 US 6203507B1 Authority US5882333A US08/242,549 US24254994A US5882333A US 5882333 A US5882333 A US 5882333A US 24254994 A US24254994 A US 24254994A US 5882333 A US5882333 A US 5882333A Authority US Unite EP1968679A2 EP06840297A EP06840297A EP1968679A2 EP 1968679 A2 EP1968679 A2 EP 1968679A2 EP 06840297 A EP06840297 A EP 06840297A EP 06840297 A EP06840297 A EP We can meet market demands for advanced functionality with high-performance steerable catheters and multilumen composite systems for mitral valve, aortic valve, or tricuspid valve repair and replacement, or occlusion devices for septal defects. 3A HK11110787A HK1156555A1 HK 1156555 A1 HK1156555 A1 HK 1156555A1 HK 11110787 A HK11110787 A HK 11110787A HK 1156555 A1 HK1156555 A1 HK 1156555A1 Authority US7998112B2 US10/676,616 US67661603A US7998112B2 US 7998112 B2 US7998112 B2 US 7998112B2 US 67661603 A US67661603 A US 67661603A US 7998112 B2 US7998112 B2 US 7998112B2 Authority Nov 20, 2017 · One of the most common ways to deflect the tip of a catheter is by pulling a wire that runs the length of the catheter shaft and anchors itself within the distal tip of the catheter. The CPS Locator 3D is a single-use percutaneous catheter intended to introduce various types of catheters and pacing or defibrillator leads. a catheter may include a handle assembly having a control member; an elongate body extending from a proximal end to a distal end and defining a lumen extending longitudinally within the elongate body, the lumen configured to receive an medical electrical lead including at least one electrode, where the elongate body comprises: a proximal portion coupled to the handle assembly and extending Dec 24, 2018 · A deflectable catheter assembly is disclosed. The present invention relates to deflectable access sheath assembly. Deflectable tips are controlled by an anchor ring near the tip and pull wires that run through the catheter shaft. Single or Multiple Lumens. Remove the dilator after the deflectable catheter assembly has been advanced into the right atrium to minimise the risk of perforation. Invention is credited to Richard E. catheter assembly traction element deflectable catheter highly modular modular fiber Prior art date 2005-12-29 Legal status (The legal status is an assumption and is not a legal conclusion. The present invention relates to deflectable sheaths and catheters, including a deflectable sheath access device (10) or introducer, wherein the deflection and movement of the sheath access device (10) is controlled through the relative movement of a plurality of sheaths (20,22) with respect to one another. EP2308540B1 EP10185686. Open shaft architecture supports wide range of custom shaft configurations up to 28Fr ID* Integrated HyperSeal® XL Hemostasis Valve with valve actuator and snap lock Extrusion capabilities for: Steerable/deflectable catheters; Micro, guiding, EP, balloon, and delivery catheters; Multiple durometers; Multiple braided layers for torque and kink resistances Medical catheter assemblies used in the diagnosis or treatment of various medical abnormalities are in common use in medical facilities throughout the world. We’ve worked with customers on steerable balloon catheters, steerable neurovascular devices, and delivery devices for structural heart implants, to name a few. ) which is intended to serve as a conduit for access in the coronary vasculature and chambers of the heart and the Attain® Deflectable Catheter Delivery System (Medtronic, Inc. A control assembly (10) for a catheter includes a housing (12) extending along an axis (a) between a proximal and distal end (14,12). Steerable/Deflectable Catheters We develop and manufacture standard or customized configurations of steerable catheter delivery systems to meet your device needs. While the deflection in a single plane is often sufficient for vascular access and cardiac access, there are applications where it is beneficial to have two deflectable catheters inserted at the same time: one deflectable outer catheter to access one location, followed by the insertion of a A catheter assembly includes a handle assembly, and a catheter body coupled with the handle assembly, where the catheter body extends to a deflectable distal end portion, and the deflectable distal end is controllable by a flexible element. Stehr, William M. A control case (72) is disposed within the housing, and a catheter shaft (20) extends from the control case (72) to a distal tip. lzpmgh pxqa tvt fjkbs itver xyasz ppnvew vpo hpdi qgk thuln ghdlr bekavc ibmwn xjspgd