Method of and apparatus for intraparenchymal positioning of medical devices

• US 5,931,818 A
• Filed: 11/12/1997
• Issued: 08/03/1999
• Est. Priority Date: 08/29/1997
• Status: Expired due to Term

• Current Assignee: Stereotaxis, Inc.
• Original Assignee: Stereotaxis, Inc.
• Inventors: Ritter, Rogers C., Blume, Walter M., Werp, Peter R.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Woo, Julian W.
• Application Number:
  US08/969,165
• Time in Patent Office: 629 Days
• Field of Search: 604/95, 604/164, 604/170, 604/270, 128/899, 600/434, 606/108
• US Class Current: 604/270
• CPC Class Codes: A61B 2034/732 arranged around the patient, e.g. in a gantry
• CPC Class Codes: A61B 2090/374 NMR or MRI
• CPC Class Codes: A61B 34/73 Manipulators for magnetic surgery
• CPC Class Codes: A61B 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers

Abstract

A catheter and magnet combination adapted for intraparenchymal positioning of the catheter in the body with a magnetic field. The catheter has a proximal and distal ends and a lumen therebetween. A magnet is disposed in the distal end of the lumen so that the distal end of the catheter can be positioned within the body with the aid of an externally applied magnetic field. A tether is attached to the magnet and extends through the lumen and out the proximal end so that the magnet can be removed from the catheter through the lumen once the distal end of the catheter is properly positioned. In one embodiment of the invention, the tether is sufficiently stiff to be able to push the catheter through the tissue. With this embodiment, the magnetic field orients the magnet and thus the tip of the catheter, and some or all of the force for moving the catheter is applied via the tether.

Claims

1. In combination with a catheter having a proximal and distal end and a lumen therebetween, a magnet in the distal end of the lumen so that the distal end of the catheter can be positioned within the body with the aid of an externally applied magnetic field, and a tether attached to the magnet and extending through the lumen and out the proximal end so that the magnet can be removed from the catheter through the lumen once the distal end of the catheter is properly positioned.

2. The combination according to claim 1 wherein the distal end of the lumen has a stricture for preventing the magnet from exiting through the distal end of the catheter.

3. A method of positioning the distal end of a catheter within the body, the method comprising:

placing a magnet inside the lumen of the catheter adjacent the distal end, the magnet having a tether extending through the lumen and out the proximal end;

inserting the distal end of the catheter into the body;

applying a magnetic field to the distal end of the catheter to help guide the distal end of the catheter to the desired position within the body;

pulling the tether to withdraw the magnet from the lumen of the catheter once the distal end of the catheter is properly positioned.

4. A method of positioning the distal end of a catheter within the body, the method comprising:

inserting a guide wire having a magnet on its distal end into the lumen of the catheter until the magnet is adjacent the distal end of the catheter;

inserting the catheter into the body;

moving the distal end of the catheter to the desired position within the body by applying a magnetic field to the magnet in the distal end of the catheter to orient the distal end of the catheter in the desired direction of travel, and advancing the catheter in the desired direction by advancing the guide wire.

5. A method of positioning the distal end of a catheter within the body, the method comprising the step of inserting into the body the distal end of a catheter, having a guide wire with a magnet on its distal end in the lumen with the magnet adjacent the distal end, and moving the distal end of the catheter to the desired position within the body by applying a magnetic field to the magnet in the distal end of the catheter to orient the distal end of the catheter in the desired direction of travel, and advancing the catheter in the desired direction by advancing the guide wire.

6. A method of positioning the distal end of a catheter within the body, the method comprising the step of inserting into the body the distal end of a catheter having a magnet in the lumen adjacent the distal end;

moving the distal end of the catheter to its desired position in the body by applying a magnetic field to the magnet in the catheter, and removing the magnet through the lumen of the catheter.

7. A method of positioning the distal end of a catheter within the body, the method comprising the step of inserting into the body the distal end of a catheter having a magnet in the lumen adjacent the distal end;

moving the distal end of the catheter to its desired position in the body by applying a magnetic field to the magnet in the catheter to orient the distal end of the catheter; and

advancing the catheter with a guide wire extending through the lumen of the catheter.

8. A guide wire adapted to be inserted into the lumen of a catheter to position the distal end of the catheter within the body, the guide wire having a proximal end and a distal end, the guide wire being more flexible adjacent the distal end than the proximal end, and a magnet on the distal end so that when the guide wire is in the lumen of a catheter, the magnet is adjacent the distal end of the catheter, the distal portion of the guide wire being sufficiently flexible to allow the magnet to move in response to a magnetic field to orient the distal tip of the catheter, and the proximal portion of the guide wire being sufficiently stiff to allow the guide wire to push the catheter through the body.

9. A catheter for being magnetically guided as it is advanced through an opening in a patient'"'"'s body, said catheter comprising a magnetic tip positioned near a distal end of the catheter, and a tether attached to the magnet to permit withdrawal of the magnetic tip after the catheter has been desirably positioned.

10. The catheter of claim 9 wherein the magnetic tip is slidably received with the catheter and wherein the catheter has a structure preventing the magnetic tip from being driven out of the distal end of the catheter.

11. The catheter of claim 10 wherein the tether comprises a wire extending through the catheter and attached to the magnetic tip.

12. The catheter of claim 11 wherein the catheter comprises a lumen, and wherein the magnetic tip is sized to slide within the lumen, and wherein the structure comprises a taper at the distal end of the lumen to thereby physically prohibit the exit of the magnetic tip out of the distal end.

13. The catheter of claim 12 wherein the magnetic tip further includes an axial bore through which the tether extends and the tether further comprises a head secured to its distal end and which has a radial dimension large enough to prevent its being drawn throughout the axial bore so that as the head is positioned distal to the magnetic tip, the head contacts it to pull it out of the catheter as the tether is withdrawn therefrom.

14. The catheter of claim 13 further comprises a sheath surrounding the tether and having approximately the same cross section as the magnetic tip so that both the magnetic tip and the tether slide smoothly within the catheter.

15. The catheter of claim 14 further comprising a second sheath and rigid cannula surrounding a proximal end of the tether, the second sheath abutting the first sheath and the rigid cannula being positioned within the second sheath.

16. The catheter of claim 12 wherein the tether further comprises a seat on its distal end for engaging the proximal end of the magnetic tip and for being attached thereto.

17. The catheter of claim 16 further comprising a sheath surrounding the tether and having approximately the same cross section as the magnetic tip so that both the magnetic tip and the tether slide smoothly within the catheter.

18. The catheter of claim 17 further comprising a second sheath and rigid cannula surrounding a proximal end of the tether, the second sheath abutting the first sheath and the rigid cannula being positioned within the second sheath.