Assembly for positioning diagnostic devices in a biological vessel

• US 4,966,148 A
• Filed: 12/19/1988
• Issued: 10/30/1990
• Est. Priority Date: 11/14/1986
• Status: Expired due to Term

• Current Assignee: Schneider Electric SE
• Original Assignee: Millar Instruments
• Inventors: Millar, Huntly D.
• Primary Examiner(s): Isabella, David J.
• Assistant Examiner(s): Shey, Randy
• Application Number:
  US07/286,475
• Time in Patent Office: 680 Days
• Field of Search: 128/637, 128/642, 128/672, 128/673, 128/675, 128/748, 128/657, 128/772
• US Class Current: 600/486
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/14539 for measuring pH
• 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: A61M 2025/0037 characterized by lumina being arranged side-by-side
• CPC Class Codes: A61M 2025/0177 having external means for receiving guide wires, wires or stiffening members, e.g. loops, clamps or lateral tubes
• CPC Class Codes: A61M 2025/0183 Rapid exchange or monorail catheters
• CPC Class Codes: A61M 25/003 characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves catheter tips A61M25/0067
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/0082 Catheter tip comprising a tool
• CPC Class Codes: A61M 25/0169 Exchanging a catheter while keeping the guidewire in place

Abstract

A method and assembly for inserting one or more diagnostic sensors into a biological fluid vessel for diagnosing the condition of the vessel or fluid. Different types of diagnostic sensors, such as pressure, velocity, pH, temperature, or infusion catheter, are particularly adapted for use with a steerable guidewire for selective positioning in the vessel. In one application, the method is used in coronary diagnosis, to determine the pressure gradient or other fluid characteristics across a coronary valve or stenosis in the coronary arterial tree. In this method, a guiding catheter is percutaneously inserted with its distal end proximate the ostium. A guidewire is inserted through the guiding catheter and subselective positioned in a region of interest in the coronary arterial tree. Multiple diagnostic sensors are then threaded down the guidewire and positioned in the region of interest. Advantageously, such diagnostic sensors are approximately 3 French in diameter, allowing multiple sensors to be threaded through the guiding catheter and positioned in the small arteries of the coronary arterial tree. Pressure sensors can be used in conjunction with other sensors (e.g. temperature, pH, or Doppler sensors) and are useful in a variety of applications (e.g. venous, urinary tract, esophageal). In one version of the assembly, the diagnostic sensor has a guidewire coupling structure comprising a pair of spaced-apart fingers and the guidewire has a constricted fitting region for shiftably receiving the coupling structure.

Claims

1. An assembly for positioning a plurality of devices in a region of a biological fluid-carrying vessel, the assembly comprising:

an elongated, flexible guidewire adapted for insertion in the vessel and having a distal end positionable proximate the region;

a first device adapted for engaging the guidewire and positionable in the region, the device including

an elongated body,

elongated coupling structure depending from the body for at least a portion thereof and having a longitudinally oriented passage for slidably receiving the guidewire and adapted for positioning the first device on the guidewire in the region of the vessel,

an elongated catheter coupled to the body in longitudinal alignment therewith;

a second device adapted for engaging the guidewire and positionable in the region, the device including

an elongated body,

elongated coupling structure depending from the body for at least a portion thereof and having a longitudinally oriented passage for slidably receiving the guidewire and adapted for positioning the second device on the guidewire in the region of the vessel,

an elongated catheter coupled to the body in longitudinal alignment therewith;

the coupling structures being adapted for concurrently positioning both devices on the guidewire in the region of the vessel,

at least one of the devices comprising a diagnostic sensor adapted for measuring in vivo a fluid characteristic.

2. The assembly according to claim 1, wherein the diagnostic sensor comprises a pressure sensor adapted for measuring the biological fluid pressure in said region.

3. The assembly according to claim 1, wherein the diagnostic sensor comprises a velocity measuring sensor adapted for measuring the biological fluid velocity in said region.

4. The assembly according to claim 1, at least one passage comprising an elongated bore in the body.

5. The assembly according to claim 1, at least one passage comprising a guidewire-receiving groove defined by a pair of spaced-apart fingers.

6. The assembly according to claim 5, the guidewire including a constricted fitting region positionable outside the vessel with the distal end of the guidewire positioned in the region.

7. The assembly according to claim 6, the groove and fitting region being complementally configured for transverse shifting of the fitting region between the groove-defining fingers.

8. The assembly according to claim 1, the coupling structure of each device being configured for spacing the first and second devices radially around the guidewire in the same general transverse cross section of the vessel.

9. The assembly according to claim 1, the maximum diameter of at least one body and coupling structure being less than about 2 mm.

10. A diagnostic sensor adapted for engaging a steerable guidewire, comprising:

an elongated body;

transducer means mounted to the body for measuring, with the sensor inserted in the fluid of a biological vessel, a fluid characteristic;

a tubular catheter coupled to the body and having a lumen;

lead means coupled to the transducer means and having a portion disposed within the lumen; and

an elongated coupling structure depending from the body, extending less than or equal to the length of the body and generally longitudinally aligned therewith, the structure having a longitudinally oriented passage for slidably receiving the guidewire.

11. The diagnostic sensor in accordance with claim 10, the passage comprising an elongated bore.

12. The diagnostic sensor in accordance with claim 10, the passage comprising a groove defined between a pair of spaced-apart fingers.

13. The diagnostic sensor in accordance with claim 12, the fingers being flexible, resilient, and curled towards each other at their distal tips.

14. The diagnostic sensor in accordance with claim 10, the diagnostic sensor comprising a pressure sensor for measuring fluid pressure near the transducer means.

15. The diagnostic sensor in accordance with claim 10, the diagnostic sensor comprising a velocity measuring sensor for determining the velocity of the biological fluid near the transducer means.