Systems and methods for visualizing interior regions of the body

• US 5,752,518 A
• Filed: 10/28/1996
• Issued: 05/19/1998
• Est. Priority Date: 10/28/1996
• Status: Expired due to Fees

• Current Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Original Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Inventors: McGee, David, Panescu, Dorin, Swanson, David K., TenHoff, Harm, Whayne, James G.
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US08/738,822
• Time in Patent Office: 568 Days
• Field of Search: 128/660.03, 128/661.04, 128/662.06, 607/115, 607/116, 607/119, 607/122, 606/14, 606/15, 606/16
• US Class Current: 600/424
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/00208 actively driven, e.g. by a motor
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 5/0066 Optical coherence imaging
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence
• CPC Class Codes: A61B 6/541 involving acquisition triggered by a physiological signal
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/4461 Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe
• CPC Class Codes: A61B 8/4488 the transducer being a phased array
• CPC Class Codes: A61B 8/543 involving acquisition triggered by a physiological signal

Abstract

An imaging system for visualizing an interior body region comprises a catheter tube having a proximal end and a distal end adapted for introduction into the interior body region. The distal end carries an element that forms a three-dimensional support structure for contacting peripheral tissue in the interior body region. The three-dimensional support structure has an open interior. The distal end also carries an imaging element for visualizing the interior body region. The three-dimensional support structure peripherally surrounds the imaging element, thereby keeping peripheral tissue from contacting the imaging element. A steering mechanism on the proximal end of the catheter tube moves the imaging element within the open interior of the three-dimensional support structure. The system provides a stable platform through which accurate displays of interior body images can be created for viewing and analysis by the physician, so the appropriate treatment or therapy can be prescribed.

Claims

1. An imaging system for visualizing an interior body region comprising

a catheter tube having a distal region adapted for introduction into the interior body region,

an imaging element on the distal region for visualizing the interior body region,

a support element on the distal region forming a support structure extending beyond the imaging element to contact tissue in the interior body region away from the imaging element the support element forming a three dimensional structure comprising an expandable body that expands to an expanded geometry in response to fluid pressure, and

a steering element coupled to the imaging element to move the imaging element without moving the support structure.

2. An imaging system for visualizing an interior body region comprising

a catheter tube having a distal region adapted for introduction into the interior body region,

an imaging element on the distal region for visualizing the interior body region,

a support element on the distal region forming a support structure extending beyond the imaging element to contact tissue in the interior body region away from the imaging element, the support element forming a three dimensional structure comprising an expandable body that expands to an expanded geometry in response to fluid pressure and collapses in the absence of the fluid pressure, and

a steering element coupled to the imaging element to move the imaging element without moving the support structure.

3. An imaging system for visualizing an interior body region comprising

a catheter tube having a distal region adapted for introduction into the interior body region,

an imaging element on the distal region for visualizing the interior body region,

a support element on the distal region comprising at least two spaced apart support members forming a support structure extending beyond the imaging element to contact tissue in the interior body region away from the imaging element, the support structure being free of markers for enhancing visibility to the imaging element and further being adapted to assume a collapsed geometry in response to external force and to be urged by the support members toward a normally expanded geometry in the absence of the force, and

a steering element coupled to the imaging element to move the imaging element without moving the support structure.

4. An imaging system according to claim 3 wherein the imaging element comprises an ultrasonic transducer.

5. An imaging system according to claim 3 wherein the imaging element comprises an optical transducer.

6. An imaging system according to claim 3 wherein the imaging element comprises an apparatus for obtaining an image through optical coherence tomography.

7. An imaging system according to claim 3 wherein the interior body region is the heart and wherein the system is configured for introduction into a chamber of the heart.

8. An imaging system according to claim 7 wherein the imaging system is operable to provide images of the internal structure of the heart.

9. An imaging system for visualizing an interior body region comprising

a catheter tube having a distal region adapted for introduction into the interior body region,

an imaging element on the distal region for visualizing the interior body region,

a support element on the distal region forming a support structure extending beyond the imaging element to contact tissue in the interior body region away from the imaging element, the support element being free of markers enhancing visibility to the imaging element and forming a three dimensional structure comprising an expandable body adapted to normally assume an expanded geometry, and

a steering element coupled to the imaging element to move the imaging element without moving the support structure.

10. An imaging system according to claim 9 wherein the imaging element comprises an ultrasonic transducer.

11. An imaging system according to claim 9 wherein the imaging element comprises an optical transducer.

12. An imaging system according to claim 9 wherein the imaging element comprises an apparatus for obtaining an image through optical coherence tomography.

13. An imaging system according to claim 9 wherein the interior body region is the heart and wherein the system is configured for introduction into a chamber of the heart.

14. An imaging system according to claim 13 wherein the imaging system is operable to provide images of the internal structure of the heart.

15. An imaging system for visualizing an interior body region comprising

a catheter tube having a distal region adapted for introduction into the interior body region,

an imaging element on the distal region for visualizing the interior body region,

a support element on the distal region forming a support structure extending beyond the imaging element to contact tissue in the interior body region away from the imaging element, the support element forming a three dimensional structure comprising a porous body free of markers enhancing visibility to the imaging element, and

a steering element coupled to the imaging element to move the imaging element without moving the support structure.

16. An imaging system according to claim 15 wherein the imaging element comprises an ultrasonic transducer.

17. An imaging system according to claim 15 wherein the imaging element comprises an optical transducer.

18. An imaging system according to claim 15 wherein the imaging element comprises an apparatus for obtaining an image through optical coherence tomography.

19. An imaging system according to claim 15 wherein the interior body region is the heart and wherein the system is configured for introduction into a chamber of the heart.

20. An imaging system according to claim 19 wherein the imaging system is operable to provide images of the internal structure of the heart.