Systems and methods for visualizing ablated tissue

• US 10,076,238 B2
• Filed: 04/17/2015
• Issued: 09/18/2018
• Est. Priority Date: 09/22/2011
• Status: Active Grant

• Current Assignee: 460Medical, Inc., George Washington University
• Original Assignee: LuxCath, LLC (Allied Minds Plc), George Washington University
• Inventors: Amirana, Omar, Armstrong, Kenneth C., Kay, Matthew W., Mercader, Marco A., Ransbury, Terrance J., Sarvazyan, Narine
• Primary Examiner(s): Luong, Peter
• Application Number:
  US14/689,475
• Publication Number:
  US 20150327753A1
• Time in Patent Office: 1,250 Days
• CPC Class Codes: A61B 1/00009 of image signals during a use of endoscope
• CPC Class Codes: A61B 1/00045 Display arrangement
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/00186 with imaging filters
• CPC Class Codes: A61B 1/043 for fluorescence imaging
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion
• CPC Class Codes: A61B 1/0638 providing two or more wavelengths
• CPC Class Codes: A61B 1/0676 at distal tip of an endoscope
• CPC Class Codes: A61B 1/0684 using light emitting diodes [LED]
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/0212 using an instrument inserted into a body lumen, e.g. catheter
• CPC Class Codes: A61B 2034/301 for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
• CPC Class Codes: A61B 2090/365 augmented reality, i.e. correlating a live optical image with another image
• CPC Class Codes: A61B 5/004 adapted for image acquisition of a particular organ or body part A61B5/0082 takes precedence; arrangements for optical scanning A61B5/0062
• CPC Class Codes: A61B 5/0044 for the heart
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/14503 invasive, e.g. introduced into the body by a catheter or needle or using implanted sensors A61B5/1459, A61B5/1464, A61B5/1473, A61B5/1482, A61B5/14865 take precedence
• CPC Class Codes: A61B 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61B 5/1459 : invasive, e.g. introduced into the body by a catheter A61B5/1464 takes precedence
• CPC Class Codes: A61B 5/6853 : with a balloon
• CPC Class Codes: A61B 90/30 : Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61B 90/35 : Supports therefor
• CPC Class Codes: A61B 90/361 : Image-producing devices, e.g. surgical cameras
• CPC Class Codes: Y02A 90/10 : Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

Systems and methods for visualizing ablated tissue are disclosed. In some embodiments, a system for imaging tissue comprising: a catheter having a distal end and a proximal end; an inflatable balloon disposed about the distal end of the catheter; and an optical housing extending from the distal end of the catheter into the balloon, the optical housing being configured to position inside the balloon a light source for illuminating a tissue outside the balloon and a camera for imaging the illuminated tissue.

Claims

1. A system for imaging tissue comprising:

an endovascular catheter having a distal end and a proximal end;

an ablation device disposed at the distal end of the endovascular catheter for ablating the tissue;

an inflatable balloon disposed about the distal end of the catheter;

an optical housing extending from the catheter into the balloon, the optical housing comprising a light source providing light between about 300 nm and about 400 nm for illuminating a tissue outside the balloon to excite mitochondrial nicotinamide adenine dinucleotide hydrogen (NADH) in the tissue and a sensor being configured to receive light between about 435 nm and about 485 nm to detect NADH fluorescence from the illuminated tissue; and

a processor associated with the sensor and configured to generate a digital representation of the illuminated tissue to distinguish between ablated tissue and non-ablated tissue;

wherein the light source and the sensor are positioned inside the balloon.

2. The system of claim 1 wherein the ablation device has an energy source selected from the group consisting of radiofrequency energy, microwave energy, electrical energy, electromagnetic energy, cryoenergy, laser energy, ultrasound energy, acoustic energy, chemical energy, and thermal energy.

3. The system of claim 1, wherein the light source is a UV light emitting diode (LED).

4. The system of claim 1, wherein the sensor is configured to convert an optical image into an electronic signal.

5. The system of claim 1 further comprising a support tube extending beyond the distal tip of the catheter to provide a structural support for the balloon.

6. The system of claim 5 further comprising a tip around a distal end of the support tube, the tip being configured to act as the ablation device.

7. The system of claim 1 further comprising a first light source and a second light source capable of generating light of a different wavelength than the first light source.

8. A system for imaging tissue comprising:

an endovascular catheter having a distal end and a proximal end;

an ablation device disposed at the distal end of the endovascular catheter for ablating a tissue;

an inflatable balloon disposed about the distal end of the catheter; and

an optical housing extending from the distal end of the catheter into the balloon;

a light source disposed inside the balloon, the light source being supported by the optical housing and configured to provide light between about 300 nm and about 400 nm to excite NADH in a tissue;

a sensor disposed inside the balloon, the sensor being supported by the optical housing and configured to detect NADH fluorescence from the tissue illuminated by the light source; and

a processor associated with the sensor and configured to generate a digital representation of the illuminated tissue to distinguish between ablated tissue and non-ablated tissue.

9. The system of claim 8 comprising a second light source for providing white light.

10. A method for imaging tissue comprising:

advancing to a tissue an endovascular catheter comprising an inflatable balloon disposed about the distal end of the catheter and an optical housing extending into the balloon to position a light source and a sensor inside the balloon, wherein the light source and the sensor are supported by the optical housing and are positioned inside the balloon;

ablating the tissue with an ablation device disposed at the distal end of the endovascular catheter;

illuminating with light between about 300 nm and about 400 nm from the light source an area of tissue including tissue treated by ablation and surrounding tissue to excite NADH in the area of tissue;

detecting with the sensor the area of tissue to detect light between about 435 nm and about 485 nm to detect NADH fluorescence of the area of tissue; and

producing a representation of the illuminated tissue, the display illustrating ablated tissue as having less fluorescence than non-ablated tissue.

11. The method of claim 10, wherein the tissue is a heart muscle tissue.

12. The method of claim 10 further comprising ablating additional injured tissue identified by distinguishing between the ablated tissue and the injured non-ablated tissue based on the amount of fluorescence.

13. The method of claim 10 further comprising distinguishing between ablated tissue, edematous tissue, and non-ablated tissue.

14. A system for imaging tissue comprising:

an endovascular catheter having a distal end and a proximal end;

an ablation device disposed at the distal end of the endovascular catheter for ablating the tissue;

a light source providing light between about 300 nm and about 400 nm for illuminating a tissue to excite mitochondrial nicotinamide adenine dinucleotide hydrogen (NADH) in the tissue;

a sensor for detecting NADH fluorescence from the illuminated tissue, the sensor being configured to receive light between about 435 nm and about 485 nm to detect the NADH fluorescence from the illuminated tissue;

one or more optical fibers to deliver the light from the light source to the tissue and to deliver the NADH fluorescence to the sensor; and

a processor associated with the sensor and configured to generate a digital representation of the illuminated tissue to distinguish between ablated tissue and non-ablated tissue.