Imaging via blood vessels

• US 10,448,815 B2
• Filed: 05/04/2012
• Issued: 10/22/2019
• Est. Priority Date: 04/28/2006
• Status: Active Grant

• Current Assignee: WestFace Medical, Inc.
• Original Assignee: Gearbox LLC (Intellectual Ventures LLC)
• Inventors: Jung, Edward K. Y., Leuthardt, Eric C., Levien, Royce A., Lord, Robert W., Malamud, Mark A., Rinaldo, Jr., John D., Tegreene, Clarence T., Wood, Jr., Lowell L.
• Primary Examiner(s): Akar, Serkan
• Assistant Examiner(s): Gupta, Vani
• Application Number:
  US13/464,815
• Publication Number:
  US 20120277596A1
• Time in Patent Office: 2,727 Days
• Field of Search: 600443, 600454, 600479
• CPC Class Codes: A61B 1/000094 extracting biological structures
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion
• CPC Class Codes: A61B 1/3137 for examination of the interior of blood vessels
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/02007 Evaluating blood vessel condition, e.g. elasticity, compliance
• CPC Class Codes: A61B 8/08 Detecting organic movements or changes, e.g. tumours, cysts, swellings A61B8/02 - A61B8/06 take precedence
• 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 8/4416 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 8/4472 Wireless probes

Abstract

A method and system are described for generating a signal indicative of an intravascular image received at least partly via a light transducer and invoking circuitry for passing the generated signal out of a subject'"'"'s body.

Claims

1. A system positionable in vivo, the system comprising:

an elongated probe having a distal end portion configured to be inserted in vivo into at least a portion of a vascular system of a patient, and having a longitudinally-extending conduit formed therein and extending from a proximal end portion of the elongated probe to the distal end portion;

at least one optical emitter operatively coupled to the probe and configured to emit at least one of infrared or near-infrared light from the distal end portion of the elongated probe onto a tissue proximate the distal end portion;

at least one optical receiver operatively coupled to the probe and configured to detect infrared or near-infrared light reflected from the tissue proximate to the distal end portion;

at least one suction line operatively coupled to the probe and configured to remove a first fluid proximate to at least one of the optical emitter or the at least one optical receiver, the at least one suction line including at least one suction apparatus;

at least one injection line including at least one fluid injector operatively coupled to the distal end portion of the elongated probe and configured to inject a second fluid proximate to the at least one optical transducer, the second fluid substantially the same volume as the first fluid;

at least one data processing circuitry operatively coupled to the at least one second set of optical transducers and configured to convert the infrared or near-infrared light reflected from the tissue proximate to the distal end portion into image data, the at least one data processing circuitry operatively coupled to and configured for receiving signals from the at least one optical receiver, and configured for creating a multiple-pixel image from a plurality of individual pixel data signals serially received from the at least one optical receiver, and further configured for causing the at least one suction apparatus to draw a removed volume of the first fluid from an area proximate to the at least one optical transducer, and for causing the at least one fluid injector to inject a volume of the second fluid into the area proximate to the at least one optical transducer, the volume of the second fluid based on the removed volume of the first fluid;

device control circuitry configured for generating one or more control signals for controlling the at least one optical transducer; and

at least one fiber optic cable at least partially disposed within the longitudinally-extending conduit and operatively coupled between the at least one optical transducer and the device control circuitry, the at least one fiber optic cable configured for at least;

conveying the one or more control signals from the device control circuitry to the at least one optical transducer; and

conveying one or more signals from the at least one optical transducer to the device control circuitry.

2. A system positionable in vivo, the system comprising:

an elongated probe having a distal end portion configured to be inserted in vivo into at least a portion of a vascular system of a patient, and having a longitudinally-extending conduit formed therein and extending from a proximal end portion of the elongated probe to the distal end portion;

at least one first optical transducer operatively coupled to the probe and configured to emit at least one of infrared or near-infrared light from the distal end portion of the elongated probe onto a tissue proximate the distal end portion;

at least one second set of optical transducers arranged in a common grid and operatively coupled to the probe and configured to detect infrared or near-infrared light reflected from the tissue proximate to the distal end portion;

at least one suction line operatively coupled to the probe and configured to remove a first fluid proximate to the optical transducers arranged in the common grid, the at least one suction line including at least one suction apparatus;

at least one injection line including at least one fluid injector operatively coupled to the distal end portion of the elongated probe and configured to inject a second fluid proximate to the at least one optical transducer, the second fluid substantially the same volume as the first fluid;

at least one data processing circuitry operatively coupled to the at least one second set of optical transducers and configured to convert the infrared or near-infrared light reflected from the tissue proximate to the distal end portion into one or more diagnostic signals, the at least one data processing circuitry operatively coupled to and configured for receiving signals from the second set of transducers, and configured for creating a multiple-signal diagnostic image from the signals received from the set of transducers, and further configured for causing the at least one suction apparatus to draw a removed volume of the first fluid from an area proximate to the at least one optical transducer, and for causing the at least one fluid injector to inject a volume of the second fluid into the area proximate to the at least one optical transducer, the volume of the second fluid based on the removed volume of the first fluid;

device control circuitry configured for generating one or more control signals for controlling the at least one optical transducer; and

at least one fiber optic cable at least partially disposed within the longitudinally-extending conduit and operatively coupled between the at least one optical transducer and the device control circuitry, the at least one fiber optic cable configured for at least;

conveying the one or more control signals from the device control circuitry to the at least one optical transducer; and

conveying the one or more image signals from the at least one data processor to the device control circuitry.

3. The system of claim 2, wherein the device control circuitry configured for generating one or more control signals for controlling the at least one optical transducer is further configured for at least:

identifying at least one anatomical reference structure based at least partially on the received signals; and

displaying at least one graphical image based at least partially on the identified at least one anatomical reference structure.

4. A system positionable in vivo, the system comprising:

an elongated probe having a proximal end portion and a distal end portion configured to be inserted in vivo into at least a portion of a vascular system of a patient, and having a longitudinally-extending conduit formed therein and extending from the proximal end portion to the distal end portion;

at least one optical transducer operatively coupled to the distal end portion of the elongated probe and configured to;

emit at least one of infrared or near-infrared light onto a tissue proximate the distal end portion,

receive reflected light that is reflected from the tissue, and

emit a plurality of individual pixel data signals indicative of the received reflected light;

at least one suction line operatively coupled to the elongated probe and configured to remove a first fluid proximate to the at least one optical transducer, the at least one suction line including at least one suction apparatus;

at least one injection line including at least one fluid injector operatively coupled to the distal end portion of the elongated probe and configured to inject a second fluid proximate to the at least one optical transducer, the second fluid substantially the same volume as the first fluid;

at least one optical fiber disposed within the longitudinally-extending conduit and operatively coupled to the at least one optical transducer; and

at least one processing circuitry operatively coupled to the at least one optical fiber and configured to;

cause the at least one suction apparatus to draw a removed volume of first fluid from an area proximate to the at least one optical transducer;

cause the at least one fluid injector to inject a volume of the second liquid into the area proximate to the at least one optical transducer, the volume of the second fluid based on the removed volume of the first fluid;

transmit one or more control signals to the at least one optical transducer for controlling the at least one optical transducer;

serially receive the plurality of individual pixel data signals from the at least one optical transducer, and

create a multiple-pixel image from the plurality of individual pixel data signals serially received from the at least one optical transducer.

5. The system of claim 4, further comprising:

at least one lens,

wherein the at least one processing circuitry is further configured for at least;

causing the at least one injection line to inject a substantially transparent fluid in a region proximate to the at least one optical transducer; and

generating one or more control signals for positioning the at least one lens between the at least one optical transducer and the tissue and within the substantially transparent fluid.

6. The system of claim 4, wherein the distal end portion is configured to be inserted into an artery.

7. The system of claim 4, wherein the at least one processing circuitry is further configured for receiving one or more signals from the at least one optical transducer associated with at least one lens.

8. The system of claim 4, wherein the at least one optical fiber disposed within the longitudinally-extending conduit and operatively coupled to the at least one optical transducer comprises:

at least one optical fiber configured for conveying at least one of the one or more control signals or the multiple-pixel image out via at least one intravenous signal path.

9. The system of claim 4, wherein the at least one optical transducer comprises:

at least one optical transducer arranged in a common grid with one or more other transducers, and

wherein the at least one processing circuitry includes at least;

at least one data processing circuitry operatively coupled to the common grid and configured for receiving signals from the common grid of transducers and generating image data therefrom.

10. The system of claim 4, wherein the at least one optical transducer comprises:

at least one optical transducer configured for projecting optical ablation energy.

11. The system of claim 4, wherein the at least one processing device is further configured for receiving at least one user preference indication.

12. The system of claim 4, wherein the at least one processing circuitry is further configured for activating at least one deflector for occluding a blood flow path through a vessel.

13. The system of claim 4, wherein the at least one processing circuitry is further configured for positioning the at least one transducer.

14. The system of claim 4, wherein the at least one processing circuitry is further configured for generating at least one video signal at least partly based on one or more signals received from the at least one optical transducer.

15. The system of claim 4, wherein the at least one optical fiber disposed within the longitudinally-extending conduit and operatively coupled to the at least one optical transducer is further configured for passing at least one of at least one generated signal or the multi-pixel image out of the patient responsive to an indication of at least one user action.

16. The system of claim 4, further comprising:

at least one stent, wherein the at least one processing circuitry is further configured at least for deploying the at least one stent.

17. The system of claim 4,

wherein the at least one processing circuitry is further configured for at least:

generating at least one or more control signals for controlling the at least one suction apparatus.

18. The system of claim 4,

wherein the at least one processing circuitry is further configured for at least:

generating at least one or more control signals for controlling the at least one fluid injector.

19. The system of claim 4, further comprising:

at least one deflector operatively coupled with the distal end portion of the elongated probe;

and wherein the at least one processing circuitry is further configured for at least;

generating at least one or more control signals for at least one of actuating or retracting at least one deflector.

20. The system of claim 4, further comprising:

at least one fluid supply operatively coupled with the at least one injection line,

wherein the at least one processing circuitry is further configured for at least;

generating at least one or more control signals for controlling the at least one fluid supply.

21. The system of claim 4, wherein the elongated probe comprises:

at least one of a vascular probe, a catheter, a Guglielmi detachable coil, a guide wire, or a needle.

22. The system of claim 4,

wherein the at least one processing circuitry is further configured for inducing the at least one transducer to emit infrared or near-infrared energy, and

wherein the at least one optical fiber is further configured for at least:

conveying, from the at least one optical transducer to the at least one processing circuitry, a signal indicative of reflected infrared or near-infrared light detected by the at least one optical transducer, and

wherein the at least one processing circuitry is further configured for displaying at least one image based at least partially on the signal indicative of the reflected infrared or near-infrared light.

23. The system of claim 4, further comprising:

at least one light source operatively coupled to the distal end portion of the elongated probe.

24. The system of claim 4, wherein the at least one optical transducer operatively coupled to the distal end portion of the elongated probe comprises:

at least one optical receiver configured to detect reflected infrared or near-infrared light.

25. The system of claim 4, wherein the elongated probe having a proximal end portion comprises:

an elongated probe having a proximal end portion operatively coupled with control circuitry the at least one processing circuitry.

26. The system of claim 4, wherein the at least one optical fiber is configured for conveying one or more signals indicative of light reflected from the tissue.

27. The system of claim 4, wherein the at least one processing circuitry is further configured for:

converting one or more signals indicative of light reflected from the tissue into image data, and

determining at least one diagnostic indication from the image data.

28. The system of claim 4, wherein the at least one processing circuitry is further configured to convert reflected optical signals into video data.

29. The system of claim 4, wherein the at least one processing circuitry configured to create a multiple-pixel image from the plurality of individual pixel data signals serially received from the at least one optical transducer comprises:

at least one processing circuitry configured for receiving a series of serially transmitted pixels indicative of at least one intravascular image.

30. The system of claim 4, wherein the at least one processing circuitry configured to create a multiple-pixel image from the plurality of individual pixel data signals serially received from the at least one optical transducer comprises:

at least one processing circuitry operatively configured for stitching together respective images from a plurality of transducers to create at least one intravascular image.

31. The system of claim 4, wherein the at least one injection line comprises:

at least one fluid supply,

and

wherein the at least one processing circuitry is further configured for;

causing the at least one fluid injector to inject fluid from the at least one fluid supply into an area proximate to the at least one optical transducer.

32. The system of claim 4, wherein the at least one processing circuitry operatively coupled to the at least one optical fiber comprises:

at least one processor including control circuitry configured for controlling at least the elongated probe, the at least one optical transducer, the at least one suction line, the at least one injection line, and the at least one optical fiber.

33. The system of claim 4, wherein the at least one processing circuitry is further configured to display an external image including at least one anatomical reference structure relative to the elongated probe in a common screen with the created multiple-pixel image.