Medical catheter using optical fibers that transmit both laser energy and ultrasonic imaging signals

• US 5,350,377 A
• Filed: 10/26/1992
• Issued: 09/27/1994
• Est. Priority Date: 10/26/1992
• Status: Expired due to Term

• Current Assignee: Spectranetics Corporation (Koninklijke Philips N.V.)
• Original Assignee: Ultrasonic Sensing and Monitoring Systems Incorporated
• Inventors: Winston, Thomas R., Neet, John M.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US07/966,279
• Time in Patent Office: 701 Days
• Field of Search: 128/660.01, 128/660.03-660.07, 128/662, 128/03, 128/662, 128/06, 128/395-398, 606/2, 606/7, 606/8, 606/10-16, 335/25, 335/26, 335/90, 335/92
• US Class Current: 606/15
• CPC Class Codes: A61B 18/245 for removing obstructions in blood vessels or calculi
• CPC Class Codes: A61B 2017/22017 the ultrasonic transmitting members being fibres
• CPC Class Codes: A61B 2090/378 using ultrasound

Abstract

A medical catheter which includes one or more optical fibers, each of which transmits both ultrasonic signals for imaging of the treatment area and laser energy for treatment of a medical condition. Different embodiments of the invention make use of different ways to utilize the same fiber for both ultrasonic and laser transmission.

Claims

1. A catheter for insertion into the body to effect medical treatment, comprising:

an elongated catheter tube having opposite ends;

an optical fiber extending through said catheter tube and terminating in a tip disposed in the body when the catheter tube is inserted therein, said optical fiber having an input end opposite the tip;

a panel adjacent said input end of said optical fiber;

a port on said panel;

ultrasonic transducer means connected to said port for applying ultrasonic signals to said input end of the fiber for transmission therealong to said tip and for receiving reflected ultrasonic signals received by said tip and transmitted along said fiber to said input end, thereby providing ultrasonic information regarding the treatment area adjacent the fiber tip;

a window on said panel at a location thereon spaced from said port;

means for applying laser energy through said window to said input end of the fiber to effect treatment of the area adjacent the fiber tip; and

means for effecting selective movement of said input end of the fiber between a first position adjacent said window for the receipt of laser energy and a second position adjacent said port for the receipt of said ultrasonic signals and the reflected signals.

2. The catheter of claim 1, including cooperating alignment pin and alignment hole means on said panel and catheter tube to assure alignment of the input end of said fiber with said window in said first position and with said port in said second position.

3. The catheter of claim 1, including spring means for urging said input end of the fiber against said window in said first position and against said port in said second position.

4. The catheter of claim 1, including:

a carriage on said catheter tube;

means for guiding said carriage along a prescribed path relative to said panel carrying said input end of the fiber between said first and second positions; and

power means connected to said carriage for driving said carriage along said prescribed path.

5. The catheter of claim 4, wherein:

said panel is located on a tank having opposite sides and adapted to hold a liquid in which said port is immersed.

6. The catheter of claim 5, including means disposed along the prescribed path for wiping liquid from said input end of the fiber during travel thereof from the second position toward the first position.

7. The catheter of claim 5, wherein:

said guide means comprises tracks on said sides of the tank defining said prescribed path and guide elements on said carriage constrained to follow said tracks.

8. The catheter of claim 7, wherein said power means comprises:

a power element driving an output shaft;

a cam mounted on said shaft; and

a link coupling said cam with said carriage in a manner to effect movement from the first position toward the second position when said shaft is rotated in one direction and from the second position toward the first position when said shaft is rotated in the opposite direction.

9. The catheter of claim 4, wherein:

said carriage comprises a collar mounted on said catheter tube for limited sliding movement thereon;

said catheter tube carries an end plate thereon; and

said collar and end plate are urged apart by a compression spring acting therebetween in a manner to hold said end plate against said panel in the first and second positions.

10. The catheter of claim 9, including cooperating alignment pin and hole means on said panel and end plate to assure alignment of the input end of said fiber with said window in said first position and with said port in said second position.