Ultra-sound catheter for removing obstructions from tubular anatomical structures such as blood vessels

• US 5,312,328 A
• Filed: 07/09/1992
• Issued: 05/17/1994
• Est. Priority Date: 01/11/1991
• Status: Expired due to Term

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Baxter International Inc.
• Inventors: Gesswein, Douglas H., Nita, Henry, Passafaro, James D.
• Primary Examiner(s): Yasko, John D.
• Assistant Examiner(s): Rafa, Michael
• Application Number:
  US07/911,546
• Time in Patent Office: 677 Days
• Field of Search: 128/24 AA, 604/21, 604/22, 604/52, 606/159, 606/169-171
• US Class Current: 604/22
• 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 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61B 2017/00101 using an array of thermosensors
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00849 with respect to tissue, e.g. hollow organs
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/22018 segmented along its length
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/22039 eccentric
• CPC Class Codes: A61B 2017/22041 outside the catheter
• CPC Class Codes: A61B 2017/320073 probe
• CPC Class Codes: A61B 2017/320088 with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation
• CPC Class Codes: A61F 2210/0042 using a fluid, e.g. circulating
• CPC Class Codes: A61M 2025/0183 : Rapid exchange or monorail catheters
• CPC Class Codes: A61M 3/0279 : Cannula; Nozzles; Tips; their connection means

Abstract

An ultrasound catheter for removing obstructions from tubular anatomic structures such as blood vessels, said catheter comprising an elongate flexible catheter body having an ultrasound transmission member or wire extending longitudinally therethrough. A distal head is formed on the distal end of the ultrasound transmission member or wire and is affixed to the catheter body. The ultrasound transmission member or wire may be formed of any material capable of transmitting ultrasonic energy including various superelastic metal alloys such as nickel titanium metal alloys. The distal portion of the ultrasound transmission member or wire may be of reduced diameter to provide enhanced flexibility and/or amplification of the ultrasonic energy through the distal portion of the ultrasound transmission member or wire. A proximal end connector may be provided with a sonic connector to effectively couple the catheter to the ultrasound transducer.

Claims

1. An ultrasonic catheter for removing obstructions from tubular anatomical structures such as blood vessels, said ultrasonic catheter comprising:

an elongated flexible catheter body having a proximal end, a distal end and at least one lumen extending longitudinally therethrough;

an ultrasound transmission member extending longitudinally through said lumen of said catheter, said ultrasound transmission member having a proximal end connectable to a separate ultrasound generating device and a distal end terminating adjacent the distal end of said catheter body;

a sonic connector assembly being positioned on the proximal end of said ultrasound transmission member to facilitate connection of said ultrasound transmission member to a separate ultrasound transducer, said sonic connector assembly comprising;

(i) a frontal member positionable on said ultrasound transmission member and having a threaded region formed thereon;

(ii) a proximal member positionable on said ultrasound transmission member and having a first threaded region formed thereon and rotatably engageable with the threaded region of said frontal member component, said proximal member further including a stem provided with a series of threads thereby forming a second threaded region, said stem configured to receive a correspondingly threaded bore of the horn of a separate ultrasound transducer;

(iii) first means positionable between said proximal member and said bore of said transducer horn;

(iv) second means positionable between said frontal member and said proximal member;

(v) said first means being sized and configured relative to said proximal member and said transducer horn, and said second means being sized, configured and constructed relative to said frontal member and said proximal member, such that said first and second means will become inwardly compressed against said ultrasound transmission member when said frontal member component and said proximal member are connected to one another and when said proximal member and said bore of said transducer horn are connected to one another by rotatable threaded connection.

2. The ultrasonic catheter of claim 1 wherein said sonic connector assembly is positioned on the extreme proximal end of said ultrasound transmission member with the proximal end of said ultrasound transmission member being coterminous with the proximal-most extent of said proximal member of said sonic connector assembly.

3. The ultrasonic catheter of claim 1 wherein said proximal member is further affixed to said ultrasound transmission member to accomplish additional crimp connection of said sonic connector assembly to said ultrasound transmission member.

4. The ultrasonic catheter of claim 1 wherein said threaded region of said frontal member, said first threaded region of said proximal member, said second threaded region of said proximal member, and said threaded bore of said transducer horn are coated with a polymeric coating.

5. The ultrasonic catheter of claim 1 wherein said first means comprises a compressible gripping ferrule.

6. The ultrasonic catheter of claim 5 wherein said second means comprises a plurality of compressible plugs.

7. The ultrasonic catheter of claim 1 wherein said first means comprises a plurality of compressible plugs.

8. The ultrasonic catheter of claim 7 wherein said second means comprises a plurality of compressible plugs.

9. The ultrasonic catheter of claim 5 wherein said second means comprises a gripping ferrule.

10. An ultrasonic catheter for removing obstructions from tubular anatomical structures such as blood vessels, said ultrasonic catheter comprising:

an elongated flexible catheter body having a proximal end, a distal end and at least one lumen extending longitudinally therethrough;

an ultrasound transmission member extending longitudinally through said lumen of said catheter, said ultrasound transmission member having a proximal end connectable to a separate ultrasound generating device and a distal end terminating adjacent the distal end of said catheter body;

a sonic connector assembly being positioned on the proximal end of said ultrasound transmission member to facilitate connection of said ultrasound transmission member to a separate ultrasound transducer, said sonic connector assembly comprising;

(i) a frontal member positionable on said ultrasound transmission member and having a threaded region formed thereon;

(ii) a proximal member positionable on said ultrasound transmission member and having a first threaded region formed thereon and rotatably engageable with the threaded region of said frontal member component with a said proximal member further including a stem provided with a series of threads thereby forming a second threaded region, said stem configured to receive a correspondingly threaded bore of the horn of a separate ultrasound transducer;

(iii) a plurality of compressible plugs positionable between said proximal member and said bore of said transducer horn;

(iv) a compressible gripping ferrule positionable between said frontal member and said proximal member;

(v) said plurality of compressible plugs being sized and configured relative to said proximal member and said transducer horn, and said gripping ferrule being sized, configured and constructed relative to said frontal member and said proximal member, such that said gripping ferrule and said plurality of plugs will become inwardly compressed against said ultrasound transmission member when said frontal member component and said proximal member are connected to one another and when said proximal member and said bore of said transducer horn are connected to one another by rotatable threaded connection.

11. The ultrasonic catheter of claim 10 wherein said sonic connector assembly is positioned on the extreme proximal end of said ultrasound transmission member with the proximal end of said ultrasound transmission member being coterminous with the proximal-most extent of said proximal member of said sonic connector assembly.

12. The ultrasonic catheter of claim 10 wherein said proximal member is further affixed to said ultrasound transmission member to accomplish additional crimp connection of said sonic connector assembly to said ultrasound transmission member.

13. The ultrasonic catheter of claim 10 wherein said plurality of plugs are positioned on said second threaded region of said proximal member.

14. The ultrasonic catheter of claim 10 wherein said threaded region of said frontal member, said first threaded region of said proximal member, said second threaded region of said proximal member, and said threaded bore of said transducer horn are coated with a polymeric coating.