Ultrasound transmission member having improved longitudinal transmission properties

• US 5,380,274 A
• Filed: 10/12/1993
• Issued: 01/10/1995
• Est. Priority Date: 01/11/1991
• Status: Expired due to Term

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Baxter International Inc.
• Inventors: Nita, Henry
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): Rafa, Michael
• Application Number:
  US08/135,275
• Time in Patent Office: 455 Days
• Field of Search: 604/21, 604/22, 604/52, 606/167-171, 606/159, 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 2017/00849 with respect to tissue, e.g. hollow organs
• CPC Class Codes: A61B 2017/22018 segmented along its length
• 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: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• 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: G10K 11/24 for conducting sound through solid bodies, e.g. wires

Abstract

An elongate ultrasound transmission member having regions of differing cross-sectional dimension or diameter. A sleeve, sheath or other damping member may be positioned around a portion of the ultrasound transmission member to dampen or limit transverse side-to-side movement of such portion of the member. The ultrasound transmission member may be incorporated into a flexible catheter body to form an ultrasound delivering medical catheter.

Claims

1. An ultrasound transmission member coupleable to an ultrasound generating device for transmitting ultrasound from said ultrasound generating device to a location within a mammalian body, said ultrasound transmitting member comprising:

an elongate member having a proximal end, distal end, and at least four regions of differing cross-sectional dimension, said four regions of said elongate member comprising;

i) a first region extending distally from the proximal end of the member and having a substantially continuous first cross-sectional dimension;

ii) a second region extending distally from the distal end of said first region, said second region being tapered to a second cross-sectional dimension smaller than said first cross-sectional dimension;

iii) a third region extending distally from the distal end of said second region, said third region being of a substantially continuous third cross-sectional dimension, said third cross-sectional dimension being substantially the same as said second cross-sectional dimension; and

iv) a fourth region extending distally from, the distal end of said third region, said fourth region being tapered to a fourth cross-sectional dimension larger than said third cross-sectional dimension.

2. The ultrasound transmission member of claim 1 wherein said second region further comprises:

a first proximal portion tapered from said first cross-sectional dimension to an intermediate cross-sectional sectional dimension between said first cross-sectional dimension and said second cross-sectional;

an intermediate portion of substantially consistent cross-sectional dimension equal to said intermediate cross-sectional dimension; and

a distal portion further tapered from said intermediate cross-sectional dimension to said second cross-sectional dimension.

3. The ultrasound transmission member of claim 1 wherein said second region comprises a continuous gradual taper from said first cross-sectional dimension to said second cross-sectional dimension.

4. The ultrasound transmission member of claim 1 wherein said fourth region further comprises:

a first proximal portion tapered from said third cross-sectional dimension to said fourth cross-sectional dimension; and

a distal portion of substantially continuous cross-sectional dimension equal to said fourth cross-sectional dimension.

5. The ultrasound transmission member of claim 1 wherein said first region is approximately 53.0 inches in length.

6. The ultrasound transmission member of claim 1 wherein said first cross-sectional dimension is approximately 0.030 inches diameter.

7. The ultrasound transmission member of claim 1 wherein said second region is approximately 8.95 inches in length.

8. The ultrasound transmission member of claim 1 wherein said second cross-sectional dimension is approximately 0.14 inches diameter.

9. The ultrasound transmission member of claim 1 wherein said third region is approximately 0.750 inches in length.

10. The ultrasound transmission member of claim 1 wherein said third cross-sectional dimension is approximately 0.10 inches diameter.

11. The ultrasound transmission member of claim 1 wherein said fourth region is approximately 0.300 inches in length.

12. The ultrasound transmission member of claim 1 wherein said fourth cross-sectional dimension is approximately 0.014 inches diameter.

13. The ultrasound transmission member of claim 2 wherein said first cross-sectional dimension of said first region is 0.030 and wherein:

said first proximal portion of said second region is tapered downwardly from said first cross-sectional dimension of 0.030 inches to an intermediate cross-sectional dimension of 0.014 inches;

said intermediate portion of said second region is of substantially continuous cross-sectional dimension of 0.014 inches; and

said distal portion of said second region is further downwardly tapered from said intermediate cross-sectional dimension of 0.014 inches to said second cross-sectional dimension of 0.010 inches.

14. The ultrasound transmission member of claim 2 wherein:

said first proximal portion of said second region is approximately 2.5 inches in length;

said intermediate portion of said second region is approximately 6.20 inches in length; and

said distal portion of said second region is approximately 0.250 inches in length.

15. The ultrasound transmission member of claim 4 wherein said third cross-sectional dimension of said third region is approximately 0.10 inches and wherein:

said first proximal portion of said fourth region is gradually tapered from said third cross-sectional dimension of approximately 0.10 inches to a fourth cross-sectional dimension of approximately 0.014 inches; and

said distal portion of said fourth region is continuously of said fourth cross-sectional dimension of approximately 0.014 inches.

16. The ultrasound transmission member of claim 4 wherein:

said first proximal portion of said fourth region is approximately 0.250 inches in length; and

said second distal portion of said fourth region is approximately 0.50 inches in length.

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

18. The ultrasound transmission member of claim 17 wherein said super elastic metal alloy comprises nickel titanium alloy having 50.8 atomic percent nickel.

19. An ultrasound transmission member coupleable to an ultrasound generating device for transmitting ultrasound from said ultrasound generating device to a location within a mammalian body, said ultrasound transmitting member comprising:

an elongate member having a proximal end, a distal end, and at least four regions of differing cross-sectional dimensions, said four regions of said elongate member comprising;

i) a first region extending distally from the proximal end of the member and having a substantially continuous first cross-sectional dimension;

ii) a second region extending distally from the distal end of said first region, said second region being tapered to a second cross-sectional dimension smaller than said first cross-sectional dimension;

iii) a third region extending distally from the distal end of said second region, said third region being of a substantially continuous third cross-sectional dimension said third cross-sectional dimension being substantially the same as said second cross-sectional dimension;

iv) a fourth region extending distally from, the distal end of said third region, said fourth region being tapered to a fourth cross-sectional dimension larger than said third cross-sectional dimension; and

v) a dampening member disposed about said third region to dampen transverse side-to-side vibrational movement in said third region, said dampening member comprising a sheath.

20. The ultrasound transmission member of claim 19 where said dampening member comprises a tube surrounding said third region.

21. The ultra sound transmission member of claim 20 further comprising an adhesive for affixing said tube to said ultrasound transmission member.

22. The ultrasound transmission member of claim 20 wherein said tube is slightly longer than said third region, said tube having a proximal end in abutting contact with the adjacent second region and a distal end in abutting contact with the adjacent the fourth region.

23. The ultrasound transmission member of claim 20 wherein said tube has a hollow inner bore which is larger than said third cross-sectional dimension of said third region such that space exists between said third region and said tube.

24. The ultrasound transmission member of claim 23 wherein a quantity of damping material is disposed within said space between said third region and said tube.

25. The ultrasound transmission member of claim 24 wherein said damping material comprises a resilient polymer.

26. The ultrasound transmission member of claim 24 wherein said damping material comprises a liquid.

27. The ultrasound transmission member of claim 24 wherein said damping material is selected from the group consisting of:

a) RTV silicone;

b) natural rubber; and

c) synthetic rubber;

28. An ultrasound catheter comprising:

an elongate flexible catheter sheath having a distal end, a proximal end, and a hollow lumen extending longitudinally therethrough; and

an ultrasound transmission member extending longitudinally through the lumen of said catheter sheath, said ultrasound transmission member comprising;

an elongate member having a proximal end, a distal end, and at least four regions of differing cross-sectional dimension, said four regions of said elongate member comprising;

i) a first region extending distally from the proximal end of the member and having a substantially continuous first cross-sectional dimension;

ii) a second region extending distally from the distal end of said first region, said second region being tapered to a second cross-sectional dimension smaller than said first cross-sectional dimension;

iii) a third region extending, distally from the distal end of said second region, said third region being of a substantially continuous third cross-sectional dimension, said third cross-sectional dimension being substantially the same as said second cross-sectional dimension; and

iv) a fourth region extending distally from, the distal end of said third region, said fourth region being tapered to a fourth cross-sectional dimension larger than said third cross-sectional dimension.

29. The ultrasound catheter of claim 28 further comprising:

a distal head member connected to the distal end of said ultrasound transmission member and configured so as in abutting contact with the distal end of said catheter sheath.