Ultrasound catheter devices and methods

• US 10,004,520 B2
• Filed: 11/26/2013
• Issued: 06/26/2018
• Est. Priority Date: 08/26/2004
• Status: Active Grant

• Current Assignee: Flowcardia Inc. (Becton, Dickinson & Co)
• Original Assignee: Flowcardia Inc. (Becton, Dickinson & Co)
• Inventors: Nita, Henry, Sarge, Jeff, Spano, Richard
• Primary Examiner(s): Gilbert, Andrew
• Application Number:
  US14/090,926
• Publication Number:
  US 20140081288A1
• Time in Patent Office: 1,673 Days
• CPC Class Codes: A61B 17/22004 using mechanical vibrations, e.g. ultrasonic shock waves A61B17/225 takes precedence
• CPC Class Codes: A61B 17/22012 in direct contact with, or very close to, the obstruction or concrement for removing obstructions in blood vessels by laser A61B18/245
• CPC Class Codes: A61B 17/2251 characterised by coupling elements between the apparatus, e.g. shock wave apparatus or locating means, and the patient, e.g. details of bags, pressure control of bag on patient
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/22014 the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire not applied in A61B17/22012

Abstract

Ultrasound catheter devices and methods provide enhanced disruption of blood vessel obstructions. Generally, an ultrasound catheter device includes an elongate flexible catheter body with one or more lumens, an ultrasound transmission member extending longitudinally through the catheter body lumen and a distal head coupled with the transmission member and positioned adjacent the distal end of the catheter body for disrupting occlusions. A proximal housing of the catheter device may include one or more features for dissipating heat from the ultrasound transmission wire, such as a fluid inlet aperture for passage of fluid, use of heat conductive materials in the proximal housing, surface features to increase the housing'"'"'s surface area, heat conductive members disposed adjacent the transmission member and the like. Various irrigation fluids may be used, such as cooled, oxygen supersaturated or lubricious fluids.

Claims

1. An ultrasound catheter for disrupting occlusions in blood vessels, the ultrasound catheter comprising:

an elongate catheter body having a proximal end, a distal end and at least a first lumen;

a housing coupled with the proximal end of the catheter body and having a fluid inlet, the fluid inlet being in fluid communication with the first lumen;

an ultrasound transmission member extending longitudinally through one of the at least one lumen of the catheter body and having a proximal end and a distal end, a proximal portion of the ultrasound transmission member being disposed within the housing;

a sonic connector coupled with the proximal end of the ultrasound transmission member, the sonic connector being completely disposed within an inner cavity in the housing; and

a plurality of O-ring members disposed around at least a portion of the ultrasound transmission member and on a distal side of the fluid inlet and distal to the sonic connector, the plurality of O-ring members being vibration absorption members;

wherein fluid is delivered to the catheter body via the fluid inlet when the plurality of O-ring members are disposed around the ultrasound transmission member within the housing.

2. The ultrasound catheter of claim 1, wherein the inner cavity is in fluid communication with the first lumen of the catheter body and the fluid inlet and a proximal end of the inner cavity is adjacent to a proximal end of the housing.

3. The ultrasound catheter of claim 2, wherein the plurality of O-rings are disposed in the inner cavity.

4. The ultrasound catheter of claim 2, wherein at least a portion of the inner cavity comprises a continuous cylindrical shape.

5. The ultrasound catheter of claim 4, wherein the plurality of O-rings are disposed in the portion of the inner cavity.

6. The ultrasound catheter of claim 1, wherein the plurality of O-rings are the same size.

7. The ultrasound catheter of claim 1, wherein the plurality of O-rings are each in direct contact with an adjacent O-ring along a longitudinal length of the ultrasound transmission member.

8. The ultrasound catheter of claim 1, wherein the plurality of O-rings comprises a rubber.

9. The ultrasound catheter of claim 1, wherein the plurality of O-rings contacts the ultrasound transmission member.