Ultrasonic device with sheath and transverse motion damping

• US 5,397,293 A
• Filed: 11/25/1992
• Issued: 03/14/1995
• Est. Priority Date: 11/25/1992
• Status: Expired due to Term

• Current Assignee: Misonix Incorporated (Smith & Nephew PLC)
• Original Assignee: Misonix Incorporated (Smith & Nephew PLC)
• Inventors: Padany, Vaclav, Manna, Ronald R., Alliger, Howard M.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Casler, Brian L.
• Application Number:
  US07/981,241
• Time in Patent Office: 839 Days
• Field of Search: 128/24 AA, 606/128, 606/169, 604/22, 601/2
• US Class Current: 601/2
• 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 2017/22082 after introduction of a substance
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• CPC Class Codes: A61B 2017/320088 with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath
• CPC Class Codes: A61B 2090/3933 Liquid markers
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61M 3/0279 Cannula; Nozzles; Tips; their connection means

Abstract

An ultrasonic angioplasty device for use in removing unwanted material from the vascular system of a patient comprises a wire having a proximal end, a sheath or catheter surrounding the wire, and a wave generator operatively connected to the wire at the proximal end for generating an ultrasonic waveform and transmitting the waveform axially along the wire. The ultrasonic device further comprises one or more projections extending radially inwardly from the sheath or catheter towards the wire at a plurality of predetermined axial motion nodes along the wire for minimizing transverse motion of the wire while permitting axial motion of the wire during transmission of the waveform along the wire.

Claims

1. An ultrasonic angioplasty device for use with an ultrasonic waveform generator, comprising:

a wire having a proximal end operatively connectable to said waveform generator;

a sheath surrounding said wire; and

transverse motion damping means disposed within said sheath for minimizing transverse motion of the wire while permitting axial motion of said wire during transmission of an ultrasonic waveform along said wire, said motion damping means including a thread extending in a substantially radial plane inside said sheath, said thread having opposite ends connected to said sheath.

2. The device defined in claim 1 wherein said thread is one of a plurality of threads disposed in said plane, each of said threads having opposite ends connected to said sheath.

3. The device defined in claim 2 wherein said threads are parallel to one another.

4. The device defined in claim 2 wherein said threads are perpendicular to one another.

5. The device defined in claim 1 wherein said thread is disposed at a predetermined axial motion node along said wire.

6. An ultrasonic angioplasty device for use with an ultrasonic waveform generator, comprising:

a wire having a proximal end operatively connectable to said waveform generator;

a sheath surrounding said wire; and

a solid transverse-motion-damping element connected to said sheath and disposed within said sheath along an area of axial motion of said wire spaced from each axial motion node of said wire so as to minimize transverse motion of the wire while permitting axial motion of said wire during transmission of an ultrasonic waveform along said wire.

7. The device defined in claim 6 wherein said damping element includes a portion of a wall of said sheath and a plurality of hair-like protrusions connected to said wall and extending inwardly from said sheath and in engagement with said wire along a predetermined length of said wire.

8. The device defined in claim 7 wherein said protrusions are disposed in a cylindrical array.

9. The device defined in claim 6 wherein said motion damping element is an elongate axially oriented ridge having a knife-like edge juxtaposed to said wire.

10. A method for removing unwanted material from a vascular system of a patient, comprising the steps of:

providing a wire surrounded by a sheath;

threading said wire through labyrinthine vascular passages until a distal end of said wire is disposed at the location of the unwanted material;

generating an ultrasonic waveform at a proximal end of said wire;

transmitting said waveform axially along said wire from said proximal end; and

damping transverse motion of the wire while permitting axial motion of said wire during transmission of said waveform along said wire, said step of damping including the step of touching or holding said wire at a plurality of predetermined points spaced along said wire.

11. The method defined in claim 10 wherein said predetermined points are axial motion nodes.

12. The method defined in claim 11 wherein said step of touching or holding is implemented only at said axial motion nodes.

13. A method for removing unwanted material from a vascular system of a patient, comprising the steps of:

providing a wire surrounded by a sheath;

threading said wire through labyrinthine passages until a distal end of said wire is disposed at the location of the unwanted material;

generating an ultrasonic waveform at a proximal end of said wire;

transmitting said waveform axially along said wire from said proximal end; and

damping transverse motion of the wire while permitting axial motion of said wire during transmission of said waveform along said wire, said step of damping including the step of touching or holding said wire along a predetermined length thereof, said predetermined length of said wire moving axially under action of said waveform.

14. An ultrasonic angioplasty device for use with an ultrasonic waveform generator, comprising:

a wire having a proximal end operatively connectable to said waveform generator and a distal end opposite to said proximal end;

a ball attached to said wire at said distal end; and

a sheath surrounding said wire, said sheath having a distal end proximate to the distal end of said wire, said sheath being narrowed at its distal end so that said sheath is in close juxtaposition to said wire around the circumference, proximate to said ball, whereby transverse motion of the wire is minimized while permitting axial motion of said wire during transmission of an ultrasonic waveform along said wire.

15. An ultrasonic angioplasty device for use with an ultrasonic waveform generator, comprising:

a wire having a proximal end operatively connectable to said waveform generator;

a sheath surrounding said wire; and

transverse motion damping means disposed within said sheath for minimizing transverse motion of the wire while permitting axial motion of said wire during transmission of an ultrasonic waveform along said wire, said motion damping means including a plurality of projections extending radially inwardly from said sheath towards said wire, said projections being spaced from one another, thereby permitting a fluid to flow between said wire and said sheath, said projections including a plurality of hair-like protrusions extending inwardly from said sheath, each of said protrusions having a free end in engagement with said wire.

16. The device defined in claim 15 wherein said protrusions are disposed at a predetermined axial motion node along said wire, said protrusions being circumferentially spaced from one another to permit fluid flow between said wire and said sheath and past said node.

17. The device defined in claim 15 wherein the free ends of said hair-like protrusions are in engagement with said wire along a predetermined length of said wire including a predetermined axial motion node and a region of axial motion of said wire.

18. The device defined in claim 17 wherein said protrusions are disposed in a cylindrical array.

19. An ultrasonic angioplasty device for use with an ultrasonic waveform generator, comprising:

a wire having a proximal end operatively connectable to said waveform generator;

a sheath surrounding said wire; and

transverse motion damping means disposed within said sheath for minimizing transverse motion of the wire while permitting axial motion of said wire during transmission of an ultrasonic waveform along said wire, said motion damping means including a plurality of projections extending radially inwardly from said sheath towards said wire, said projections being spaced from one another, thereby permitting a fluid to flow between said wire and said sheath, said projections being located at an extreme distal end of said sheath in part to maintain fluid pressure in said sheath at a predetermined level.

20. An ultrasonic angioplasty device for use with an ultrasonic waveform generator, comprising:

a waveguide wire having a proximal end operatively connectable to said waveform generator;

a sheath surrounding said wire; and

a transverse-motion-damping wire separate from said sheath and said waveguide wire and disposed within said sheath along an area of axial motion of said waveguide wire so as to minimize transverse motion of the waveguide wire while permitting axial motion of said waveguide wire during transmission of an ultrasonic waveform along said waveguide wire.

21. An ultrasonic angioplasty device for use with an ultrasonic waveform generator, comprising:

a wire having a proximal end operatively connectable to said waveform generator;

a sheath surrounding said wire; and

transverse motion damping means disposed within said sheath for minimizing transverse motion of the wire while permitting axial motion of said wire during transmission of an ultrasonic waveform along said wire, said sheath having an indentation in a wall of said sheath, said indentation defining a dimple along an inner surface of said sheath, said motion damping means including said dimple.

22. The device defined in claim 21 wherein said dimple is one of a plurality of dimples located in a transverse plane including an axial motion node of said wire.

23. A method for removing unwanted material from a vascular system of a patient, comprising the steps of:

providing a wire surrounded by a sheath;

threading said wire through labyrinthine vascular passages until a distal end of said wire is disposed at the location of the unwanted material;

generating an ultrasonic waveform at a proximal end of said wire;

transmitting said waveform axially along said wire from said proximal end; and

damping transverse motion of the wire while permitting axial motion of said wire during transmission of said waveform along said wire, said step of damping including the step of maintaining, in said sheath and along an area of axial motion of said wire, a solid transverse-motion-damping element separate from said sheath and said wire.