Apparatus and method for preshaped ultrasonic probe

• US 20040210140A1
• Filed: 04/15/2003
• Published: 10/21/2004
• Est. Priority Date: 04/15/2003
• Status: Abandoned Application

• Current Assignee: Cybersonics, Inc
• Original Assignee: OmniSonics Medical Technologies, Inc.
• Inventors: Rabiner, Robert A., Hare, Bradley A.
• Application Number:
  US10/414,368
• Publication Number:
  US 20040210140A1
• Time in Patent Office: Days
• US Class Current: 600/459
• 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 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

The present invention provides an apparatus and a method for using a preshaped ultrasonic probe to ablate an occlusion in a vasculature. An ultrasonic medical device comprising an ultrasonic probe having a proximal end, a distal end and a longitudinal axis therebetween and a preshaped segment along the longitudinal axis increases a surface area of the ultrasonic probe in communication with the occlusion. A method of increasing a treatment area of an ultrasonic probe to ablate an occlusion comprising inserting the ultrasonic probe with a preshaped segment into a catheter, advancing the preshaped segment beyond a distal end of the catheter and activating an ultrasonic energy source to provide an ultrasonic energy to the ultrasonic probe to ablate the occlusion. The present invention increases the surface area in communication with the occlusion, maximizes a radial span in a vasculature and expands a treatment area of the ultrasonic probe.

Claims

1. An ultrasonic medical device comprising:

an ultrasonic probe having a proximal end, a distal end and a longitudinal axis therebetween; and

a preshaped segment along the longitudinal axis of the ultrasonic probe, wherein the preshaped segment increases a surface area of the ultrasonic probe in communication with a biological material.

2. The device of claim 1 wherein the preshaped segment is located at the distal end of the ultrasonic probe.

3. The device of claim 1 wherein the preshaped segment is curved.

4. The device of claim 1 wherein the preshaped segment extends from the longitudinal axis of the ultrasonic probe at an angle.

5. The device of claim 1 wherein a configuration of the preshaped segment is selected from a group consisting of a sinusoidal shape, a S-shape, a coiled spring, a corkscrew, a hook and similar shapes.

6. The device of claim 1 wherein the preshaped segment provides a large active area for ablation of the biological material.

7. The device of claim 1 wherein the preshaped segment is adapted to engage a vasculature.

8. The device of claim 1 wherein the preshaped segment maximizes a radial span of the ultrasonic probe within a vasculature.

9. The device of claim 1 wherein the preshaped segment expands a treatment area of the ultrasonic probe.

10. The device of claim 1 wherein the preshaped segment focuses a biological material destroying effect of the ultrasonic probe.

11. The device of claim 1 wherein the preshaped segment adapts to a contour of a vasculature.

12. The device of claim 1 wherein the preshaped segment allows the ultrasonic probe to be moved through a vasculature of a body without damaging the vasculature.

13. The device of claim 1 wherein the preshaped segment engages the biological material.

14. The device of claim 1 wherein the ultrasonic probe is a wire.

15. The device of claim 1 further comprising a plurality of preshaped segments along the longitudinal axis of the ultrasonic probe.

16. An ultrasonic medical device for ablating an occlusion comprising:

an elongated flexible probe having a preshaped segment along a longitudinal axis that maximizes a radial span of the elongated flexible probe within a vasculature; and

a catheter having a proximal end and a distal end, the catheter surrounding a length of the longitudinal axis of the elongated flexible probe,

wherein the elongated flexible probe supports a transverse ultrasonic vibration along a portion of the longitudinal axis of the elongated flexible probe to ablate the occlusion.

17. The device of claim 16 wherein the preshaped segment focuses a delivery of a transverse ultrasonic energy to the occlusion.

18. The device of claim 16 wherein the preshaped segment increases a surface area of the elongated flexible probe in communication with the occlusion.

19. The device of claim 16 wherein the preshaped segment is adapted to engage the vasculature.

20. The device of claim 16 wherein the preshaped segment expands a treatment area of the elongated flexible probe.

21. The device of claim 16 wherein the preshaped segment focuses an occlusion destroying effect of the elongated flexible probe.

22. The device of claim 16 wherein the preshaped segment adapts to a contour of the vasculature.

23. The device of claim 16 wherein the preshaped segment is located at a distal end of the elongated flexible probe.

24. The device of claim 16 wherein the transverse ultrasonic vibration of the elongated flexible probe produces a plurality of transverse nodes and transverse anti-nodes along the portion of the longitudinal axis of the elongated flexible probe.

25. The device of claim 24 wherein the plurality of transverse anti-nodes are points of a maximum transverse energy along the portion of the longitudinal axis of the elongated flexible probe.

26. The device of claim 24 wherein the plurality of transverse anti-nodes cause a cavitation in a medium in communication with the elongated flexible probe in a direction not parallel to the longitudinal axis of the elongated flexible probe.

27. The device of claim 24 wherein more than one of the plurality of transverse anti-nodes are in communication with the occlusion.

28. The device of claim 16 wherein the occlusion comprises a biological material.

29. The device of claim 16 further comprising a plurality of preshaped segments along the longitudinal axis of the elongated flexible probe.

30. A method of expanding a treatment area of an ultrasonic probe to ablate a biological material in a vasculature of a body comprising:

inserting the ultrasonic probe having a preshaped segment along a longitudinal axis of the ultrasonic probe into a catheter;

advancing the preshaped segment of the ultrasonic probe beyond a distal end of the catheter; and

activating an ultrasonic energy source to provide an ultrasonic energy to the ultrasonic probe to ablate the biological material.

31. The method of claim 30 wherein the preshaped segment is located at a distal end of the ultrasonic probe.

32. The method of claim 30 wherein the preshaped segment is curved.

33. The method of claim 30 wherein the preshaped segment extends from the longitudinal axis of the ultrasonic probe at an angle.

34. The device of claim 30 wherein a configuration of the preshaped segment is selected from a group consisting of a sinusoidal shape, a S-shape, a coiled spring, a corkscrew, a hook and similar shapes.

35. The method of claim 30 wherein the ultrasonic probe is advanced beyond the distal end of the catheter by pushing the ultrasonic probe through the catheter.

36. The method of claim 30 wherein the ultrasonic probe is advanced beyond the distal end of the catheter by pulling back on the catheter.

37. The method of claim 30 further comprising moving the ultrasonic probe back and forth along the biological material.

38. The method of claim 30 further comprising sweeping the ultrasonic probe along the biological material.

39. The method of claim 30 further comprising rotating the ultrasonic probe along the biological material.

40. The method of claim 30 further comprising twisting the ultrasonic probe along the biological material.

41. The method of claim 30 wherein the preshaped segment allows the ultrasonic probe to be moved through the vasculature without damaging the vasculature.

42. The method of claim 30 wherein the preshaped segment engages the biological material.

43. The method of claim 30 wherein the preshaped segment is adapted to engage the vasculature.

44. The method of claim 30 wherein the preshaped segment maximizes a radial span of the ultrasonic probe in the vasculature.

45. The method of claim 30 wherein the preshaped segment focuses a biological material destroying effect of the ultrasonic probe.

46. The method of claim 30 wherein the preshaped segment adapts to a contour of the vasculature.

47. The method of claim 30 wherein a length and a cross section of the ultrasonic probe are sized to support a transverse ultrasonic vibration with a plurality of transverse nodes and transverse anti-nodes along a portion of the longitudinal axis of the ultrasonic probe wherein more than one of the plurality of transverse anti-nodes are in communication with the biological material.

48. The method of claim 30 wherein the preshaped segment increases a surface area of the ultrasonic probe in communication with the biological material.

49. The method of claim 30 wherein the preshaped segment focuses a delivery of a transverse ultrasonic energy to the biological material.

50. The method of claim 30 wherein the ultrasonic probe is a wire.

51. The method of claim 30 wherein the ultrasonic probe comprises a plurality of preshaped segments along the longitudinal axis of the ultrasonic probe.

52. A method of increasing a surface area of a flexible ultrasonic probe in communication with an occlusion comprising:

advancing the flexible ultrasonic probe with a preshaped segment along a longitudinal axis to a site of the occlusion;

placing the preshaped segment of the flexible ultrasonic probe in communication with the occlusion; and

activating an ultrasonic energy source to vibrate the longitudinal axis of the flexible ultrasonic probe in a transverse direction to ablate the occlusion.

53. The method of claim 52 further comprising moving the flexible ultrasonic probe back and forth along the occlusion.

54. The method of claim 52 further comprising sweeping the flexible ultrasonic probe along the occlusion.

55. The method of claim 52 further comprising rotating the flexible ultrasonic probe along the occlusion.

56. The method of claim 52 further comprising twisting the flexible ultrasonic probe along the occlusion.

57. The method of claim 52 wherein a length and a cross section of the flexible ultrasonic probe are sized to support a transverse ultrasonic vibration with a plurality of transverse nodes and transverse anti-nodes along a portion of the longitudinal axis of the flexible ultrasonic probe wherein more than one of the plurality of transverse anti-nodes are in communication with the occlusion.

58. The method of claim 57 wherein the plurality of transverse anti-nodes cause a cavitation in a medium in communication with the flexible ultrasonic probe in a direction not parallel to the longitudinal axis of the flexible ultrasonic probe.

59. The method of claim 52 wherein the preshaped segment maximizes a radial span of the flexible ultrasonic probe within a vasculature.

60. The method of claim 52 wherein the preshaped segment focuses an occlusion destroying effect of the flexible ultrasonic probe.

61. The method of claim 52 wherein the flexible ultrasonic probe is for a single use on a single patient.

62. The method of claim 52 wherein the flexible ultrasonic probe is disposable.

63. The method of claim 52 wherein the occlusion comprises a biological material.

64. The method of claim 52 wherein the flexible ultrasonic probe comprises a plurality of preshaped segments along the longitudinal axis of the flexible ultrasonic probe.