Method and system of detecting vulnerable plaque by sensing motion of thin fibrous cap

• US 20040243022A1
• Filed: 04/29/2004
• Published: 12/02/2004
• Est. Priority Date: 04/29/2003
• Status: Abandoned Application

• Current Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Original Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Inventors: Brister, Mark, Carney, James, Tremble, Patrice
• Application Number:
  US10/834,712
• Publication Number:
  US 20040243022A1
• Time in Patent Office: Days
• US Class Current: 600/552
• CPC Class Codes: A61B 5/0051 by applying vibrations
• CPC Class Codes: A61B 5/0086 using infrared radiation
• CPC Class Codes: A61B 5/02007 Evaluating blood vessel condition, e.g. elasticity, compliance
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/1126 using a particular sensing technique
• CPC Class Codes: A61B 5/4839 combined with drug delivery
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/6885 Monitoring or controlling sensor contact pressure

Abstract

A method for detecting vulnerable plaque lesions in a blood vessel includes subjecting a localized area of the blood vessel to pressure pulses, while emitting electromagnetic radiation at the same localized area of the blood vessel. The pressure pulses cause vibrations of the vascular tissue and the vulnerable plaque lesions that are characteristic for each, which results in differing amounts of deflection of the electromagnetic radiation reflected from the vascular surface. The presence or absence of vulnerable plaque is determined from the extent of the deflection of the electromagnetic radiation reflected from the vascular surface. In another embodiment according to the invention, the presence or absence of vulnerable plaque lesions is determined from the intensity of vibrations of the vascular tissue in response to a pressure pulse.

Claims

1. A method for detecting vulnerable plaque in a vessel, the method comprising:

sending a pressure pulse toward a vascular tissue;

emitting electromagnetic radiation toward the vascular tissue;

detecting a resulting electromagnetic energy from an interaction of the emitted electromagnetic energy on the vascular tissue subjected to the pressure pulse; and

determining at least one vulnerable plaque lesion in the vascular tissue based on the resulting energy.

2. The method of claim 1 wherein the pressure pulse is generated by a heart contraction.

3. The method of claim 1 wherein the pressure pulse is generated by a pressure pulse generator selected from a group consisting of a piezoelectric element, an electrostatic element, and an inflatable balloon.

4. The method of claim 1 wherein the electromagnetic radiation is selected from a group consisting of infrared radiation, visible light radiation, ultraviolet radiation, x-ray radiation, beta radiation, fluorescence radiation, laser light, microwave radiation, radio wave, and ultrasonic energy.

5. The method of claim 1 wherein detecting a vulnerable plaque lesion in the vascular tissue based on the resulting electromagnetic radiation comprises determining a variation in a plurality of resulting electromagnetic radiation measurements.

6. The method of claim 1 further comprising administering a drug to expand or contract the vascular tissue.

7. The method of claim 6 wherein a fibrous cap of the vulnerable plaque lesion has an increased or lessened tension based on the administered drug.

8. The method of claim 1 wherein the resulting electromagnetic radiation is detected by a receiver positioned on a catheter within a vessel.

9. The method of claim 8 wherein the receiver has a narrow angle of acceptance for the impinging electromagnetic radiation.

10. The method of claim 8 wherein the catheter further includes an expandable member, and the expandable member is expanded to stabilize the catheter within the vessel.

11. The method of claim 1 wherein the pulse is generated subsequent to a heart QRS wave impulse.

12. A method for detecting vulnerable plaque in a vessel, the method comprising:

sending a pressure pulse toward vascular tissue;

detecting a resulting vibration from an interaction of the of the pulse on the vascular tissue; and

determining at least one vulnerable plaque lesion in the vascular tissue based on the resulting vibration.

13. The method of claim 12 wherein the pressure pulse is generated by a heart contraction.

14. The method of claim 12 wherein the pressure pulse is generated by a pressure pulse generator selected from a group consisting of a piezoelectric element, an electrostatic element, and an expandable balloon.

15. The method of claim 12 wherein detecting the resulting vibration comprises receiving vibrations through feeler wires contacting a wall of the vessel.

16. A system for detecting vulnerable plaque in a vessel comprising:

a catheter;

a pressure pulse generator coupled to the catheter;

an electromagnetic radiation emitter coupled to the catheter, and

an electromagnetic radiation detector coupled to the catheter to receive reflected electromagnetic radiation that is directed at vascular tissue subjected to a pressure pulse.

17. The system of claim 16 wherein the pressure pulse generator is selected from a group consisting of a piezoelectric element, an electrostatic element, and an inflatable balloon.

18. The system of claim 16 wherein the electromagnetic radiation emitter is selected from a group consisting of an infrared radiation emitter, a visible radiation emitter, an ultraviolet radiation emitter, an x-ray radiation emitter, a beta radiation emitter, a fluorescence radiation emitter, a laser light emitter, a microwave radiation emitter, a radio wave emitter, and an ultrasonic energy emitter.

19. A system for detecting vulnerable plaque in a vessel comprising:

a catheter; and

a vibration sensing device coupled to the catheter to receive vibrations from vascular tissue.

20. The system of claim 19 further comprising:

a pressure pulse generating device coupled to the catheter.

21. The system of claim 19 wherein the vibration-sensing device comprises feeler wires that contact the vascular tissue.

22. A method for detecting vulnerable plaque lesions in a blood vessel comprising:

causing a localized change in pressure in the blood vessel;

measuring a motion of an internal surface of the blood vessel in response to the change in pressure; and

determining at least one vulnerable plaque lesion in the blood vessel based on a difference in motion between the surface of the vulnerable plaque and the surface of the healthy blood vessel.