Method and apparatus for placement of a probe in the body and the medical procedure for guiding and locating a catheter or probe in the body

• US 5,078,714 A
• Filed: 03/02/1990
• Issued: 01/07/1992
• Est. Priority Date: 03/02/1990
• Status: Expired due to Term

• Current Assignee: Katims, Jefferson
• Original Assignee: Katims, Jefferson
• Inventors: Katims, Jefferson
• Primary Examiner(s): Yasko, John D.
• Assistant Examiner(s): Mendez, M.
• Application Number:
  US07/487,303
• Time in Patent Office: 676 Days
• Field of Search: 604/95, 604/264, 604/280, 604/282, 604/65, 604/66, 604/53, 604/113, 604/114, 606/32, 606/34, 606/35, 606/38, 606/41, 606/46, 606/50, 606/234
• US Class Current: 606/38
• CPC Class Codes: A61B 5/068 using impedance sensors
• CPC Class Codes: A61M 25/0105 Steering means as part of the catheter or advancing means; Markers for positioning systems for detection of markers A61B

Abstract

A method and apparatus for guiding a physician in the placement of a probe in the body. The method of placement of a catheter or probe in the body through a multi-directional walled path departing from a straight line involving inserting an insulated catheter or probe with a distal uninsulated tip which is electronically connected in a circuit to an electronic catheter guidance system apparatus located outside the patients body which has a power source and a calibrated monitor. The catheter is advanced by a physician into an initial opening in said multi-directional path in a patient'"'"'s body moving the tip of said catheter or probe forward along said path until the calibrated monitor displays that an obstruction has been met indicating a change in path direction. Using this information the physician halts or discontinues or slows down in the forward movement of said catheter or probe until an adjustment is made such as by twisting or turning or externally pushing the contacting wall so that forward movement of the catheter or probe may be continued without obstruction as determined by the information provided by the electronic catheter guidance system display. The physician repeats such steps as the calibrated monitor displays that the catheter tip is within the desired walled path and that the catheter may be utilized.

Claims

1. The method of placement of a tubular catheter device having an opening at its proximal end for feeding treatment fluid or withdrawing fluid and an opening at its distal end for discharging treatment fluid or receiving fluid, which distal end is also for probing a body cavity or blood vessel in the body through a multi-directional walled path having a direction which departs from a straight line, involving inserting said catheter device which has previously been connected in an electrical circuit having an electric power source and a calibrated monitor, into an initial opening in said multi-directional path, the step of moving the distal end of said catheter device forwardly along said path until the calibrated monitor displays that an obstruction has been met indicating a change in path direction, the step of halting or discontinuing or slowing down in the forward movement of said catheter device until an adjustment step is made by twisting or turning or externally pushing the contacting wall so that the step of forward movement of the catheter device may be continued without obstruction and repeating such steps until the calibrated monitor displays that the distal end of the catheter device is within the desired walled path and may be utilized for treatment by feeding or withdrawing fluid.

2. The method of claim 1 wherein the treatment is the administration of a drug.

3. The method of claim 1 wherein the treatment is the feeding of a nutrient.

4. The method of claim 1 wherein the treatment is the administration withdraw of a substance from the body through a lumen within the catheter.

5. The method of claim 2 wherein the drug is a spinal anesthetic administered just outside the spinal cord.

6. Apparatus for the placement of a tubular catheter device in the body through a multi-directional walled path which path departs from a straight line, comprising an electrical circuit, a tubular catheter device having and having an insulated distal probing end, said electrical circuit including conductor means, an electrical signal generator, and a calibrated monitor calibrated to display or register electrical impedance characteristics of various cellular tissue components of the body and fluid non-cellular components of the body characteristics in values corresponding to signals applied by said electrical signal generator whereby guided movement of said tubular catheter device in and through said path facilitates the placement of the distal end of said tubular catheter device in a desired location for administration of fluids or drugs through the proximal end of said device or withdraw of fluids through the distal end of said device corresponding to efficacious medical treatment.

7. The apparatus as recited in claim 6, wherein the tubular catheter device incorporates a series of lumens forming individual and discrete passage ways or canals, at least one of said canals providing a passageway for feeding or withdrawing fluid, a second canal forming a passageway housing an electrical conductor means connecting the distal end of said device to said circuit which includes said monitor.

8. The apparatus recited in claim 7 wherein said device includes a third canal providing a passageway for a second electrical conductor means connecting a portion of said distal end of said device with said circuit which includes said monitor.