Ultrasonic ablation catheter device having endoscopic component and method of using same

• US 5,368,558 A
• Filed: 06/03/1993
• Issued: 11/29/1994
• Est. Priority Date: 01/11/1991
• Status: Expired due to Term

• Current Assignee: Advanced Cardiovascular Systems Incorporated (Abbott Laboratories)
• Original Assignee: Baxter International Inc.
• Inventors: Nita, Henry
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): Rafa, Michael
• Application Number:
  US08/072,203
• Time in Patent Office: 544 Days
• Field of Search: 128/24 AA, 128/898, 606/169-171, 606/159, 604/21, 604/22, 604/49.52, 601/2
• 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
• 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

A catheter device insertable into a body lumen and incorporating combined ultrasound ablation and endoscopic visualization apparatus. The catheter device generally comprises an elongate catheter body including an ultrasound transmission member extending longitudinally therethrough having a proximal end connectable to an ultrasound transducer such that ultrasonic energy will pass through the ultrasound transmission member to the distal end thereof. Also extending longitudinally through the catheter body is a light transmission member having a proximal end connectable to a light source such that light will pass through the light transmission member to the distal end thereof, and an optical image transmission member having a proximal end connectable to an external image viewing apparatus such that an optical image will pass through the optical image transmission member from the distal end thereof to the external image viewing apparatus.

Claims

1. A catheter device insertable into a body lumen and incorporating combined ultrasound ablation and endoscopic visualization apparatus, said device comprising:

an elongate catheter body having a proximal end and a distal end;

an ultrasound transmission member extending longitudinally through said catheter body, said ultrasound transmission member having a proximal end and a distal end, the proximal end of said ultrasound transmission member being connectable to an ultrasound transducer such that ultrasonic energy will pass through said ultrasound transmission member to said distal end thereof;

a distal head member affixed to said distal end of said catheter body, said distal end of said ultrasound transmission member being coupled to said distal head member such that said distal head member will vibrate when ultrasonic energy is transmitted through said ultrasound transmission member;

a light transmission member extending longitudinally through said catheter body, said light transmission member having a proximal end and a distal end, said proximal end of said light transmission member being connectable to a light source such that light will pass through said light transmission member to said distal end thereof; and

an optical image transmission member extending longitudinally through said catheter body, said optical image transmission member having a proximal end and a distal end, said proximal end of said optical image transmission member being connectable to an external image viewing apparatus such that an optical image will pass through said optical image transmission member from said distal end thereof to said external image viewing apparatus.

2. The device of claim 1 wherein said distal head member comprises a distal portion defining an arcuate outer surface and a generally cylindrical proximal portion, said proximal portion being affixed to said distal end of said catheter body.

3. The device of claim 2 wherein said light transmission member and said optical image transmission member comprise a single, elongate transmission member extending longitudinally through said catheter body, said light and optical image transmission member comprising an outer sheath having an image transmitting optical fiber bundle encircled by a multiplicity of light transmitting optical fiber bundles of smaller diameter extending longitudinally therethrough, said light and optical image transmission member having a proximal end and distal end, said proximal end of said light and optical image transmission member being connectable to said external image viewing apparatus and said light source.

4. The device of claim 3 wherein said distal end of said light and optical image transmission member is arcuately configured and extended through a bore extending longitudinally through said distal head member and held therein in a manner wherein said distal end is substantially continuous with said arcuate outer surface of said distal portion.

5. The device of claim 4 wherein said distal end of said light and optical image transmission member includes an arcuately configured lens thereon, said distal end of said light and optical image transmission member being extended through and held within said bore in a manner wherein said lens is substantially continuous with said arcuate outer surface of said distal portion.

6. The device of claim 2 wherein said distal end of said ultrasound transmission member is inserted into and held within a bore extending longitudinally within said proximal portion of said distal head member.

7. The device of claim 2 wherein said distal head member further includes a guidewire passage aperture extending longitudinally therethrough.

8. The device of claim 7 wherein said guidewire passage aperture is communicative with said at least one lumen of said catheter body such that a guidewire may concomitantly pass through said at least one lumen of said catheter body and through said guidewire passage aperture.

9. The device of claim 7 wherein said distal head member includes a guidewire support portion protruding laterally outboard of the outer surface of said catheter body, said guidewire passage aperture extending longitudinally through said guidewire support portion generally parallel to the longitudinal axis of said catheter body such that said guidwire may be passed next to said catheter body and through said guidewire passage aperture.

10. The device of claim 2 wherein said distal head member further includes at least one fluid outflow aperture extending longitudinally therethrough.

11. The device of claim 1 wherein said light transmission member comprises at least one optical fiber bundle.

12. The device of claim 1 wherein said optical image transmission member comprises at least one optical fiber bundle.

13. The device of claim 1 wherein said ultrasound transmission member is formed of a superelastic metal alloy.

14. The device of claim 13 wherein said superelastic metal alloy is NiTi.

15. The device of claim 1 wherein said catheter body defines at least one lumen extending longitudinally therethrough, said ultrasound transmission member, said light transmission member and said optical image transmission member extending longitudinally through said lumen.