Magnetically guided atherectomy

• US 20020019644A1
• Filed: 02/05/2001
• Published: 02/14/2002
• Est. Priority Date: 07/12/1999
• Status: Abandoned Application

• Current Assignee: Stereotaxis, Inc.
• Original Assignee: Stereotaxis, Inc.
• Inventors: Hall, Andrew F., Hastings, Roger N., Sell, Jonathan C.
• Application Number:
  US09/777,018
• Publication Number:
  US 20020019644A1
• Time in Patent Office: Days
• US Class Current: 606/159
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• 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 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• 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 18/28 for heating a thermal probe or absorber
• CPC Class Codes: A61B 2017/00061 spectrum
• CPC Class Codes: A61B 2017/22042 Details of the tip of the guide wire
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing
• CPC Class Codes: A61B 2017/320004 abrasive
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/73 Manipulators for magnetic surgery
• CPC Class Codes: A61M 2025/0166 Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers

Abstract

Atherectomy device are guided by and manipulated by externally applied magnetic fields to treat total or partial occlusions of a patient'"'"'s vasculature.

Claims

1. A catheter for treating an occluded vessel comprising:

a catheter body having a proximal end and a distal end, said distal end terminating in a distal tip;

an energy source coupled to said distal tip for supplying energy to the distal tip for treating an occlusion;

a magnetically active element located proximate said distal tip responsive to externally applied magnetic fields whereby said externally applied magnetic fields direct and orient said distal tip.

2. The catheter of claim 1 wherein said magnetically active element forms at least a portion of said distal tip.

3. The catheter of claim 1 further including a lumen positioned in said catheter body extending form said proximal end to said distal end.

4. The catheter of claim 1 further including one or more electrical coils located proximate said distal tip for cooperation with a localization device.

5. A sheath for use with a catheter of claim 1 for treating a vessel occlusion comprising:

a sheath body having a proximal end and having a distal end;

a lumen extending from said proximal end to said distal end;

a magnetically active element located proximate said distal tip.

8. The catheter of claim 1 including a first metallic element located proximate said distal tip adapted for coupling to a remote radio frequency energy source whereby RF energy coupled to said metallic element heats said metallic element.

9. The catheter of claim 8 wherein said metallic element forms one pole of a monopolar energy distribution system.

10. The catheter of claim 9 further comprising a second metallic element proximate said distal tip forming a pole of a bipolar energy distribution system.

11. The catheter of claim 1 including a thermally conductive element located proximate said distal tip adapted for coupling to a remote optical laser energy source whereby optical energy coupled to said thermally conductive element heats said thermally conductive element.

12. The catheter of claim 11 wherein said thermally conductive element is metallic.

13. The catheter of claim 1 further including an ultrasonic waveguide element located proximate said distal tip adapted for coupling to a remote ultrasonic frequency energy source.

14. The catheter of claim 1 further including a resistance heating element located proximate said distal tip adapted for coupling to a remote electrical energy source.

15. The catheter of claim 14 further including a resistance heating element located proximate said distal tip adapted for coupling to a remote AC elect5rical energy source.

16. The catheter of claim 14 further including a resistance heating element located proximate said distal tip adapted for coupling to a remote DC electrical energy source.

17. The catheter of claim 1 further including a fluid directing element located proximate said distal tip adapted for coupling to a remote hydraulic energy source, whereby fluid coupled to said device extracts occlusive material from locations near the distal tip.

18. The catheter of claim 3 further including a laser imaging device located in said lumen for observing an occlusion.

19. The catheter of claim 3 further including an ultrasonic imaging device located in said lumen for observing an occlusion.

6. A system for treating a vessel occlusion comprising:

a sheath, having a sheath body, said sheath body having a proximal end and having a distal end;

a lumen extending through said sheath body from said proximal end to said distal end;

a catheter having a catheter body having a proximal end and a distal end terminating in distal tip;

an energy source coupled to said distal tip;

a magnetically active element located proximate said distal tip of said catheter body.

7. A system for treating a vessel occlusion comprising:

a sheath, having a sheath body, said sheath body having a proximal end and having a distal end;

a lumen extending through said sheath body from said proximal end to said distal end;

a catheter having a catheter body having a proximal end and a distal end;

an energy source coupled to said distal tip for delivering therapeutic energy to a vessel occlusion;

a magnetically active element forming a portion of said distal tip of said sheath body.

20. A system for treating total occlusions of a patient'"'"'s vasculature comprising:

a catheter having an elongate body and a distal tip;

a heated element located proximate the distal tip of the catheter;

a magnetic element located proximate distal tip;

a magnetic surgery system for interacting with said magnetic element;

said magnetic surgery system including a localization device to determine the location of the catheter distal tip within the body;

said magnetic surgery system including an occlusion visualization device for presenting an image to a user which depicts the location of the catheter tip.

21. The system of claim 20 wherein said visualization device is an ultrasonic imaging wire.

22. The system of claim 20 wherein said visualization device is a laser imaging wire.

24. The system of claim 23 wherein said catheter location visualization device is a preoperative CT image.

25. The system of claim 23 wherein said catheter location visualization device is a preoperative MRI image.

23. A system for treating occlusions of a patient'"'"'s vasculature comprising:

a catheter having an elongate body and a distal tip;

a heated element located proximate the distal tip of the catheter;

a magnetic element located proximate the distal tip;

a magnetic surgery system for interacting with said magnetic element;

said magnetic surgery system including a localization device to determine the location of the catheter distal tip within the body;

said magnetic surgery system including a catheter location visualization device for presenting an image to a user which depicts the location of the catheter tip.

26. A method of treating a total vascular occlusion comprising the steps of:

inserting a catheter having a magnetic tip into the body;

directing the catheter to the location of the total occlusion;

imaging the catheter tip to confirm and direct therapy;

energizing said catheter to heat said distal tip;

manipulating said distal tip by the application of external magnetic fields, directing said catheter tip into said occlusion.