Apparatus, systems and methods for proper transesophageal echocardiography probe positioning by using camera for ultrasound imaging

• US 10,376,237 B2
• Filed: 12/07/2017
• Issued: 08/13/2019
• Est. Priority Date: 11/26/2014
• Status: Active Grant

• Current Assignee: Visera Technologies Company Limited (Taiwan Semiconductor Manufacturing Company Limited)
• Original Assignee: Visera Technologies Company Limited (Taiwan Semiconductor Manufacturing Company Limited)
• Inventors: Marmor, David B., Clyburn, Morgan, Boling, C. Lance
• Primary Examiner(s): Neal, Timothy J
• Assistant Examiner(s): Woo, Jae
• Application Number:
  US15/834,878
• Publication Number:
  US 20180092625A1
• Time in Patent Office: 614 Days
• Field of Search: 600104, 600109, 600112, 600114, 606108
• CPC Class Codes: A61B 1/00016 using wireless means
• CPC Class Codes: A61B 1/00018 using electrical cables
• CPC Class Codes: A61B 1/00103 designed for single use
• CPC Class Codes: A61B 1/053 being detachable
• 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 1/2733 Oesophagoscopes
• CPC Class Codes: A61B 8/0883 for diagnosis of the heart
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/4254 using sensors mounted on the probe
• CPC Class Codes: A61B 8/4416 related to combined acquisition of different diagnostic modalities, e.g. combination of ultrasound and X-ray acquisitions
• CPC Class Codes: A61B 8/445 Details of catheter construction
• CPC Class Codes: A61B 8/4483 characterised by features of the ultrasound transducer
• CPC Class Codes: A61B 8/463 characterised by displaying multiple images or images and diagnostic data on one display composite display in devices for short-range imaging with acoustic waves G01S7/52074
• CPC Class Codes: A61B 8/5207 involving processing of raw data to produce diagnostic data, e.g. for generating an image reconstruction G06T11/00

Abstract

In some embodiments, a method includes releasably attaching an image capture assembly to a distal portion of a TEE device. Next, the TEE device coupled to the image capture assembly is inserted into an oral cavity of the patient. With the image capture assembly releasably attached to the distal portion of the TEE device, image data of an esophagus of the patient captured by the image capture assembly is displayed. While viewing the display of image data, the TEE device coupled to the image capture assembly can be moved within the esophagus. With both the TEE device and the image capture assembly disposed within the esophagus, the image capture assembly is detached from the TEE device. With the image capture assembly detached from the TEE device, and with the TEE device disposed at least in part within the esophagus, the image capture assembly is removed from the patient.

Claims

1. An apparatus, comprising:

an image capture device configured to be removably coupled to an imager head of a transesophageal echocardiography (TEE) ultrasound probe device via a coupling member, and inserted into an esophagus of a patient when removably coupled to the imager head of the TEE ultrasound probe device, the image capture device including a distal-facing camera lens configured to capture image data within the esophagus and distal to the imager head of the TEE ultrasound probe device when removably coupled to the imager head of the TEE ultrasound probe device;

the coupling member configured to releasably attach the image capture device to the imager head of the TEE ultrasound probe device, the coupling member configured to radially expand to allow longitudinal relative movement between the imager head of the TEE ultrasound probe device and the image capture device; and

a retrieval tension member coupled to the image capture device and configured to extend from the image capture device through the esophagus and out the patient when (1) the image capture device is removably coupled to the TEE ultrasound probe device via the coupling member, and (2) the TEE ultrasound probe device is disposed within a target imaging location of the esophagus in which the TEE ultrasound probe device can capture ultrasound images of the heart of the patient.

2. The apparatus of claim 1, wherein the image capture device is communicatively coupled to an image data processing device configured to process image data captured by the image capture device when the image capture device is disposed within the esophagus, the image processing device being located outside the patient when both the image capture device and TEE ultrasound probe device are disposed within the target imaging location of the esophagus.

3. The apparatus of claim 1, further comprising a communication line, the image capture device being communicatively coupled to the image data processing device via the communication line.

4. The apparatus of claim 1, wherein the image capture device includes a seal configured to withstand bodily fluid of at least one of the esophagus or a stomach of the patient.

5. The apparatus of claim 1, wherein the retrieval tension member defines a lumen therethrough, the apparatus further comprising a communication line extending from the image capture device through the lumen of the retrieval tension member to outside the patient when both the image capture device and the TEE ultrasound probe device are disposed within the target imaging location of the esophagus.

6. The apparatus of claim 1, wherein the retrieval tension member is configured such that a central axis of the retrieval tension member is offset from a central axis of the TEE probe device when the image capture device is removably coupled to the TEE ultrasound probe device.

7. An apparatus, comprising:

an image capture device configured to be removably coupled to an imager head of a transesophageal echocardiography (TEE) ultrasound probe device via a coupling member, and inserted into an esophagus of a patient when removably coupled to the imager head of the TEE ultrasound probe device, the image capture device configured to capture image data within the esophagus and distal to the imager head of the TEE ultrasound probe device when removably coupled to the imager head of the TEE ultrasound probe device and to transfer the image data via a communication line from the image capture device to outside the patient;

a retrieval tension member coupled to the image capture device and defining a lumen therethrough, the communication line disposed within the lumen, the retrieval tension member configured to extend from the image capture device through the esophagus and out the patient such that the lumen of the retrieval tension member extends proximally from the image capture device and entirely external to an exterior surface of a body portion of the TEE ultrasound probe device when (1) the image capture device is removably coupled to the TEE ultrasound probe device via the coupling member, and (2) the TEE ultrasound probe device is disposed within a target imaging location of the esophagus in which the TEE ultrasound probe device can capture ultrasound images of the heart of the patient to enable the ultrasound images to be received outside of body.

8. The apparatus of claim 7, wherein a central axis of the lumen is offset from a central axis of the TEE ultrasound probe device when the image capture device is removably coupled to the TEE ultrasound probe device via the coupling member.

9. The apparatus of claim 7, wherein the coupling member is made from a flexible material and configured to releasably attach the image capture device to the imager head of the TEE ultrasound probe device, the coupling member configured to radially expand about the imager head of the TEE ultrasound probe device in response to a proximal force applied by the retrieval tension member to allow longitudinal relative movement between the imager head of the TEE ultrasound probe device and the image capture device.

10. The apparatus of claim 7, wherein a proximal portion of the retrieval tension member is coupled to a handle, the handle being removably couplable to the TEE ultrasound probe device outside the patient when the image capture device is removably coupled to the TEE ultrasound probe device via the coupling member, and the TEE ultrasound probe device is disposed within the target imaging location of the esophagus.