Ultrasonic device for applying cavitation forces

• US 4,920,954 A
• Filed: 08/05/1988
• Issued: 05/01/1990
• Est. Priority Date: 08/05/1988
• Status: Expired due to Term

• Current Assignee: Misonix Incorporated (Smith & Nephew PLC)
• Original Assignee: Sonic Age Limited
• Inventors: Ciervo, Donald J., Alliger, Howard M.
• Primary Examiner(s): JAWORSKI, FRANCIS J
• Application Number:
  US07/228,475
• Time in Patent Office: 634 Days
• Field of Search: 128/24 R, 128/24 A, 128/303 R, 128/305, 128/328, 128/660.03, 604/22
• US Class Current: 606/128
• 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 2017/00247 Making holes in the wall of the heart, e.g. laser Myocardial revascularization
• CPC Class Codes: A61B 2017/22008 used or promoted
• 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
• CPC Class Codes: A61B 2017/320088 with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation
• CPC Class Codes: A61B 2090/378 using ultrasound

Abstract

An ultrasonic device for applying cavitation force to an unwanted material is provided. The device is particularly useful for removing plaque from a human artery wherein a portion of the device can enter an artery and pass through the artery to the vicinity of the plaque. The device includes a solid wire of titanium material, a transducer, a generator for providing vibration energy via the transducer, and a handpiece enclosing the transducer and having a tapered end portion with an exponential surface of slightly concave profile. The tapered end portion is fixedly connected to an inner end of the wire. For human applications, the wire has an overall length in the range of about 5 inches to 40 inches and has a uniform outer diameter in the range of about from 0.015 inches to 0.040 inches. The device includes a catheter assembly having a catheter tube enclosing the wire and includes a container unit mounted on the tapered end portion of the handpiece. The container unit has a fluid chamber for receiving a contrast material which passes through the chamber, through the catheter tube, to the outer end tip portions of the wire and tube in the area of the plaque to be removed. The container unit also has a coupling unit forming an outer end wall thereof having a fixed portion and a rotatable knob portion for moving the catheter tube axially relative to the wire for adjusting the extension of the outer end tip portion of the wire beyond the outer end tip portion of the catheter tube.

Claims

1. An ultrasonic device for use in removing an unwanted material from an artery of a human body by cavitation comprising:

a wire having a first end portion and having a second end portion for causing cavitation adjacent to the unwanted material;

support means having a handpiece having a tapered horn end portion with an integral metal joint fixedly connected to the first end portion of the wire;

drive means including a transducer supported by the handpiece for providing ultrasonic vibration through the tapered horn end portion to the wire and for connection to a generator; and

a catheter assembly surrounding said wire and moveable relative to the wire to permit the second end portion of the wire to be positioned adjacent to the unwanted material;

wherein

said catheter assembly has a catheter tube and a container unit, said container unit including a peripheral wall and a front end wall portion and a rear end wall portion enclosing a cavity, said catheter tube having a first end portion connected to the container unit and having a second end portion disposed around the second end portion of the wire; and

wherein

said peripheral wall of said container unit has an annular interior partition projecting into said cavity, said partition having an O-ring member through which the wire passes, said O-ring member and partition forming a front sealed chamber and a separate rear chamber in said cavity; and

wherein

said O-ring member and partition are located at a selective distance from the tapered horn end portion, said location of the O-ring member being at a nodal point of a longitudinal wave of vibration of the wire, thereby minimizing transverse movement of the wire at the O-ring member and avoiding relatively high stress due to a transverse wave at the integral metal joint.

2. The device of claim 1, wherein

said wire has an overall length in the range of about 5 inches to 40 inches, and said wire has a uniform diameter in the range of about 0.015 inches to 0.040 inches, and said wire has a length to diameter ratio of a value about up to 2700.

3. The device of claim 1, wherein said wire is composed of a titanium alloy having a low modulus of elasticity.

4. The device of claim 1, wherein said tapered horn end portion has an exponential shaped outer surface.

5. The device of claim 1, wherein

said front end wall of said container unit forms a coupling unit,

said coupling unit having a fixed portion fixedly connected to said peripheral wall, said coupling having a rotatable portion movable along a longitudinal axis relative to the fixed portion when rotated, said rotatable portion being connected to the first end portion of said catheter tube, whereby the second end portion of said catheter tube can be moved relative to the second end portion of the wire, for extending the wire beyond the catheter tube during cavitation action.

6. The device of claim 5, wherein

said rear end wall of said container unit has a fixed connection to the tapered portion of the support means.

7. The device of claim 1, wherein

said container unit has a passage means extending from the exterior thereof to the front chamber, for passing an x-ray contrast medium into the fluid in the front chamber, and for passing of the contrast medium from the chamber through the catheter tube to the vicinity of the second end portion of the wire.

8. The device of claim 1, wherein

said container unit has a passage means extending from the exterior thereof to the front chamber for aspirating material through said catheter tube.

9. The device of claim 1, wherein

said integral metal joint is formed by the mating surfaces being initially coated with a brazable material by a plating process and then brazed or soldered together.

10. The device of claim 1, wherein

said integral metal joint is formed by a shrink fit between said wire and said tapered end portion.

11. An ultrasonic device for use in removing an unwanted material in a normally inaccessible area by cavitation comprising

a relatively long, flexible wire having a first end portion and having a second end portion for causing cavitation adjacent to the unwanted material;

support means having a handpiece with a tapered horn end portion having an integral metal joint fixedly connected to the first end portion of the wire;

drive means including transducer means supported by the handpiece for providing ultrasonic vibration through the tapered horn end portion of the wire and for connection to a generator;

catheter assembly means surrounding said wire and having portions moveable relative to the wire to permit the second end portion of the wire to be positioned adjacent to the unwanted material; and

transverse motion damping means disposed within the catheter assembly means and surrounding the wire for minimizing transverse motion of the wire and avoiding relatively high stress at the integral metal joint due to a transverse wave.

12. The device of claim 11, wherein said wire is composed of a titanium alloy having a low modulus of elasticity.

13. The device of claim 12, wherein said wire has an overall length in the range of about 5 to 40 inches and a uniform diameter in the range of about 0.015 to 0.040 inches.

14. The device of claim 11, wherein said tapered horn end portion has an exponential shaped outer surface.