Systems and methods for visualizing interior tissue regions using expandable imaging structures

• US 5,848,969 A
• Filed: 10/28/1996
• Issued: 12/15/1998
• 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): Jaworski, Francis J.
• Application Number:
  US08/736,827
• Time in Patent Office: 778 Days
• Field of Search: 128/662.06, 128/662.03, 128/660.1, 128/660.03, 128/642, 600/459, 600/446, 600/463, 600/439, 600/373-375, 607/122
• US Class Current: 600/462
• CPC Class Codes: A61B 1/32 Devices for opening or enlarging the visual field, e.g. of a tube of the body dilators A61M29/00
• CPC Class Codes: A61B 2090/3782 transmitter or receiver in catheter or minimal invasive instrument
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6853 with a balloon
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket
• 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 8/445 Details of catheter construction
• CPC Class Codes: A61B 8/481 involving the use of contrast agent, e.g. microbubbles introduced into the bloodstream analysis of echo signal exploiting properties of a contrast enhancer in devices for short-range imaging with acoustic waves G01S7/52039
• CPC Class Codes: A61B 8/543 involving acquisition triggered by a physiological signal

Abstract

An imaging structure has a periphery adapted to selectively assume an expanded geometry and a collapsed geometry. The periphery of the imaging structure carries an array of spaced apart ultrasound transducers.

Claims

1. A system for imaging an interior body region comprising

a probe including an axis and an imaging structure having a periphery adapted to selectively assume an expanded geometry and a collapsed geometry, and

an array of spaced apart ultrasound transducers attached to the periphery of the imaging structure, wherein members of the array move radially outward and inward relative to the axis as the periphery assumes the expanded geometry and the collapsed geometry respectively.

2. A system according to claim 1

wherein the imaging structure comprises at least two spaced apart support members.

3. A system according to claim 2

wherein the support members are made from metal material.

4. A system according to claim 3

wherein the metal material includes nickel titanium.

5. A system according to claim 3

wherein the metal material includes stainless steel.

6. An assembly according to claim 2

wherein the support members are made from plastic material.

7. A system according to claim 2

wherein the support members comprise elongated spline elements assembled in a circumferentially spaced relationship.

8. A system according to claim 1

wherein the imaging structure includes support members and is adapted to assume the collapsed geometry in response to external force, the imaging structure being urged by the support members toward the expanded geometry in the absence of the force.

9. A system according to claim 8

and further including a sheath slidable relative to the imaging structure in a first direction to apply external force to urge the support elements into the collapsed geometry and in a second direction to release the external force, thereby allowing the support structure to assume an expanded geometry.

10. A system according to claim 1

wherein the imaging structure comprises a three-dimensional structure.

11. A system according to claim 10

wherein the three-dimensional structure comprises an expandable body.

12. A system according to claim 11

wherein the expandable body expands to an expanded geometry in response to fluid pressure.

13. A system according to claim 11

wherein the expandable body collapses in the absence of fluid pressure.

14. A system according to claim 1

wherein the array comprises a phased array ultrasound transducer assembly.

15. A system according to claim 1

wherein the array comprises coatings each comprising either an ultrasound transducer material or an ultrasound transducer material composite deposited in a spaced apart relationship on the periphery of the imaging structure.

16. A system according to claim 15

wherein the coatings are deposited by a technique including either ion beam assisted deposition, or vapor deposition, or sputtering.

17. A system according to claim 1

wherein the array comprises preformed elements each comprising either an ultrasound transducer material or an ultrasound transducer material composite secured in a spaced apart relationship on the periphery of the imaging structure.

18. A system according to claim 1

and further including a support structure extending beyond the periphery of the imaging structure.

19. A system according to claim 18

and further including at least one electrode carried by the support structure.

20. A system according to claim 18

and further including a steering element coupled to the imaging structure to move the structure relative to the support structure.

21. A system according to claim 20

wherein the support structure has an axis, and

wherein the steering element moves the imaging structure along the axis.

22. A system according to claim 20

wherein the support structure has an axis, and

wherein the steering element moves the imaging structure transverse to the axis.

23. A system according to claim 20

wherein the support structure has an axis, and

wherein the steering element rotates the imaging structure about the axis.

24. A system according to claim 20

wherein the steering element includes an actuator to move the imaging structure in response to control commands.

25. A system according to claim 20

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

26. A method for visualizing body tissue comprising the steps of

providing a probe with an imaging structure having a periphery adapted to selectively assume an expanded geometry and a collapsed geometry, and an array of spaced apart ultrasound transducers attached to the periphery of the imaging structure,

guiding the probe into an interior body region while causing the imaging structure to assume the collapsed geometry,

causing the imaging structure to assume the expanded geometry upon arrival in the interior body region, and

operating the imaging structure, while in the expanded geometry, to visualize tissue in the interior body region.

27. A method according to claim 26

and further including the step of generating an image of tissue visualized by the imaging structure.

28. A method according to claim 27

and further including the step of using the image to orient the imaging structure.

29. A method according to claim 27

and further including the step of using the image to view a lesion.

30. A method according to claim 27

and further including the step of using the image to assess contact between the imaging structure and surrounding tissue.

31. A method according to claim 27

and further including the step of using the image to identify thrombus.

32. A method according to claim 27

and further including the step of using the image to characterize tissue morphology.

33. A method according to claim 26

wherein the introducing step includes introducing the imaging structure into a heart chamber.

34. A method according to claim 26 and further including the step of moving the imaging structure.

35. A method according to claim 26 and further including the step of moving the imaging element within a support structure that extends beyond the periphery of the imaging structure.

36. A method according to claim 26

and further including the step of moving the imaging structure within a support structure that extends beyond the periphery of the imaging structure, the imaging structure being moved without moving the support structure.

37. A method according to claim 36

wherein the operating step acquires image slices during the moving step.

38. A system for imaging an interior body region, comprising

a probe having an imaging structure adapted to selectively assume an expanded geometry and a collapsed geometry, and

an array of ultrasound transducers on the imaging structure, wherein members of the array move away from one another as the imaging structure assumes the expanded geometry.

39. The system of claim 38, wherein the imaging structure comprises an expandable body.

40. The system of claim 39, wherein the expandable body includes a plurality of spline elements arranged to have a predetermined geometry in the expanded condition.

41. The system of claim 40, wherein the array of ultrasound transducers comprises an ultrasound transducer on each of the spline elements.

42. The system of claim 39, wherein the expandable body assumes the expanded geometry in response to internal fluid pressure.

43. The system of claim 38, wherein the array of ultrasound transducers comprises a phased array ultrasound transducer assembly.

44. The system of claim 38, wherein the array of ultrasound transducers includes transducer material deposited on the imaging structure by ion beam assisted deposition.

45. The system of claim 38, further comprising a support structure surrounding the imaging structure.

46. A system for imaging an interior body region, comprising

a probe including a distal portion,

an imaging structure having a predetermined geometry on the distal portion,

a plurality of arrays of ultrasound transducers attached to the imaging structure in a predetermined arrangement for acquiring images along a plurality of sectors, and

a support structure on the probe and substantially surrounding the imaging structure, the support structure being adapted to assume an expanded geometry and a collapsed geometry.

47. The system of claim 46, wherein the probe includes a longitudinal axis, and wherein the support structure expands radially with respect to the longitudinal axis as it assumes the expanded geometry.

48. The system of claim 46, wherein the imaging structure is an expandable body adapted to assume an expanded geometry and a collapsed geometry.

49. The system of claim 48, wherein the plurality of arrays comprises a plurality of phased arrays of ultrasound transducers disposed on the imaging structure and adapted to move away from one another as the imaging structure assumes the expanded geometry.

50. The system of claim 46, wherein the imaging structure has a fixed predetermined geometry for supporting the plurality of arrays in the predetermined arrangement.

51. The system of claim 50, wherein the imaging structure comprises a hemispherical body or a cylindrical body.