Catheter tip steering plane marker

• US 5,921,978 A
• Filed: 06/20/1997
• Issued: 07/13/1999
• Est. Priority Date: 06/20/1997
• Status: Expired due to Fees

• Current Assignee: EP Technology (Boston Scientific Corporation)
• Original Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Inventors: Wand, Bruce H., Fleischman, Sidney D., Thompson, Russell B.
• Primary Examiner(s): YASKO JR, JOHN D
• Application Number:
  US08/879,738
• Time in Patent Office: 753 Days
• Field of Search: 604/280, 604/264, 604/95, 604/49, 604/523, 604/529, 604/528, 128/656-658
• US Class Current: 604/529
• CPC Class Codes: A61M 25/0108 using radio-opaque or ultrasound markers
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A catheter including fluoroscopic marker components disposed in the catheter distal end portion to provide enhanced fluoroscopic visibility of the catheter end portion. Various embodiments of the marker include a cylindrical plug disposed within the catheter tip, a half section catheter tip, a longitudinal stripe along a sidewall of the catheter end portion, and multiple combinations of marker plugs and marker stripes to provide enhanced in vivo fluoroscopically visible catheter disposition information to the physician. An enhanced embodiment of the present invention includes an orientation marker that is disposed on the steering handle, particularly on the control knob, to provide visual and tactile information to the catheter user regarding the direction to manipulate the control knob in order to maneuver the catheter distal end portion.

Claims

1. A catheter having a tip steering plane marker, comprising:

a handle assembly;

a guide tube being engaged to said handle assembly;

a catheter distal end portion having a steering mechanism disposed therewithin, the steering mechanism operatively connected to said handle assembly;

a marker means being engaged within said end portion, said marker means being comprised of a first material that differs from a second material which comprises said catheter end portion, such that said marker means provides a distinguishable in vivo visual image of the insertion distance and rotational orientation of said catheter distal end portion to a user of said catheter;

wherein said in vivo visual image of the respective insertion distance and rotational orientation of said catheter distal end portion allows said user to make continuous dynamic adjustments to said steering mechanism via manipulation of said handle assembly while simultaneously advancing said catheter through a body cavity.

2. A catheter as described in claim 1 wherein said steering mechanism operates to define a catheter end portion steering plane, and wherein said marker means is disposed, at least in part, within said steering plane.

3. A catheter as described in claim 2 wherein said steering mechanism provides a bi-directional steering capability.

4. A catheter as described in claim 2 wherein said steering mechanism provides a single direction steering capability.

5. A catheter as described in claim 1 wherein said in vivo visual image is accomplished fluoroscopically, and wherein said marker means provides a darker fluoroscopic image than other portions of said catheter end portion.

6. A catheter as described in claim 5 wherein said catheter end portion includes a tip portion and wherein said marker means is disposed within said tip portion.

7. A catheter as described in claim 1 wherein said catheter end portion is generally cylindrical in shape, having a longitudinal central axis thereof, and wherein said marker means is shaped as a linear stripe disposed in a parallel relationship to said longitudinal central axis of said catheter distal end portion.

8. A catheter as described in claim 7 wherein said marker means is disposed within a sidewall of said catheter end portion.

9. A catheter as described in claim 8 wherein said marker means is enclosed within said material that comprises said sidewall of said catheter end portion.

10. A catheter as described in claim 8 wherein said marker means forms an arcuate section of said sidewall.

11. A catheter as described in claim 1, wherein said body cavity is a vein or artery.

12. A catheter as described in claim 1, wherein said handle assembly comprises visual indicia corresponding to the respective insertion distance and rotational orientation of said catheter distal end portion.

13. A catheter as described in claim 1, wherein said handle assembly comprises tactile indicia corresponding to the respective insertion distance and rotational orientation of said catheter distal end portion.

14. A catheter as described in claim 1, wherein said handle assembly comprises a steering control knob, and wherein said in vivo visual image provides information to said user regarding operation said steering control knob.

15. A method of maneuvering a steerable catheter through a body cavity, comprising:

inserting said catheter into said body cavity, said catheter including marker means engaged within a distal end portion of said catheter;

determining the insertion distance and rotational orientation of said catheter distal end portion within said body cavity based on viewing said marker means;

adjusting the path of said catheter distal end portion based on said insertion distance and rotational orientation; and

incrementally advancing said catheter through said body cavity.

16. The method of claim 15, wherein said marker means is a fluoroscopically visible material and wherein the insertion distance and rotational orientation of said catheter distal end portion within said body cavity is determined by using a fluoroscope.

17. The method of claim 15, wherein the path of said catheter distal end portion within said body cavity is adjusted by manipulating a control knob located on said catheter.