Systems and methods for steering a catheter through body tissue

• US 6,013,072 A
• Filed: 07/09/1997
• Issued: 01/11/2000
• Est. Priority Date: 07/09/1997
• Status: Expired due to Fees

• Current Assignee: Spectranetics Corporation (Koninklijke Philips N.V.)
• Original Assignee: IntraLuminal Therapeutics, Inc. (DSM-Firmenich AG)
• Inventors: Winston, Thomas R., Neet, John M.
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): Harris, Sonya C
• Application Number:
  US08/890,630
• Time in Patent Office: 916 Days
• Field of Search: 606/8, 606/10, 606/11, 606/12, 606/14, 606/15, 606/16, 606/17, 606/7
• US Class Current: 606/15
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 18/245 for removing obstructions in blood vessels or calculi
• CPC Class Codes: A61B 2017/00057 Light
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2018/00636 Sensing and controlling the application of energy
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/2055 with mechanical means
• CPC Class Codes: A61B 2018/2211 Plurality of fibres

Abstract

Catheters for photoablating plaque build-up in blood vessels are described. In one form, the catheter includes a catheter body having a first group of optic fibers and a second group of optic fibers. The first group of optic fibers is adjacent the second group of optic fibers, and each group of optic fibers includes at least one optic fiber having a first end and a second end. The second ends of the respective optic fibers form a substantially rounded hemispherical catheter head. A control element is coupled to the catheter body and is configured to selectively transmit energy through either the first group of optic fibers, or the second group of optic fibers, or both the first and second groups of optic fibers.

Claims

1. A catheter comprising:

a catheter body comprising at least two groups of optic fibers, each group of optic fibers comprising at least one optic fiber having a first end and a second end, said optic fiber second ends forming a substantially hemispherical catheter head; and

a control element communicatively coupled to said catheter body, said control element configured to transmit energy through said at least one optic fiber of one of said optic fiber groups without simultaneously transmitting energy through said at least one optic fiber of another of said optic fiber groups, said catheter head configured to ablate a tissue adjacent said second end of said at least one optic fiber through which energy is transmitted.

2. A catheter in accordance with claim 1 wherein said catheter body comprises between three and eight optic fiber groups, and wherein said control element is further configured to transmit energy through said at least one optic fiber of at least one of said optic fiber groups without simultaneously transmitting energy through said at least one optic fiber of another of said optic fiber groups.

3. A catheter in accordance with claim 1 further configured to transmit energy substantially simultaneously through said at least one optic fiber of each of said optic fiber groups.

4. A catheter in accordance with claim 1 wherein at least one of said optic fiber groups comprises a sensing fiber.

5. A catheter in accordance with claim 1 wherein said control element comprises a laser source and at least one beam splitter, said beam splitter configured to split an energy beam emitted from said laser source into two substantially equal energy beams, said beam splitter substantially aligned with said laser source and positioned so that a first of said two substantially equal energy beams is substantially aligned with said at least one fiber of one of said optic fiber groups and so that a second of said two substantially equal energy beams is substantially aligned with said at least one fiber of another of said fiber group groups.

6. A catheter in accordance with claim 5 wherein said control element further comprises at least one shutter, said shutter configured to move between a first position, where said shutter substantially prevents said first substantially equal energy beam from being transmitted through said at least one fiber of said one of said optic fiber groups, and a second position, where said shutter does not prevent said first substantially equal energy beam from being transmitted through said at least one fiber of said one of said optic fiber groups.

7. A catheter in accordance with claim 6 further comprising a second shutter, said second shutter configured to move between a first position, where said shutter substantially prevents said second substantially equal energy beam from being transmitted through said at least one fiber of said another of said optic fiber groups, and a second position, where said shutter does not prevent said second substantially equal energy beam from being transmitted through said at least one fiber of said another of said optic fiber groups.

8. A catheter in accordance with claim 5 wherein said control element further comprises at least one mirror, said mirror configured to move between a first position, where said mirror substantially prevents said first substantially equal energy beam from being transmitted through said at least one fiber of one of said optic fiber groups, and a second position, where said mirror does not prevent said first substantially equal energy beam from being transmitted through said at least one fiber of said one of said optic fiber groups.

9. A catheter in accordance with claim 8 further comprising a second mirror, said second mirror configured to move between a first position, where said mirror substantially prevents said second substantially equal energy beam from being transmitted through said at least one fiber of said another of said optic fiber groups, and a second position, where said mirror does not prevent said second substantially equal energy beam from being transmitted through said at least one fiber of said another of said optic fiber groups.

10. A catheter in accordance with claim 1 wherein said catheter body further comprises a substantially hemispherical catheter head.

11. A catheter in accordance with claim 1 wherein said catheter body further comprises a substantially spherical catheter head.

12. A catheter in accordance with claim 1 wherein said catheter body further comprises a substantially conical catheter head.

13. A catheter in accordance with claim 1 further comprising at least one sensing element.

25. A catheter in accordance with claim 1 wherein said catheter head is substantially self-centering.

14. A method for steering a medical apparatus through body tissue, the apparatus including a catheter body comprising at least two groups of optic fibers, each group of optic fibers comprising at least one optic fiber having a first end and a second end, the optic fiber second ends forming a substantially hemispherical catheter head, said method comprising the steps of:

positioning the substantially hemispherical catheter head adjacent the body tissue so that the second end of the at least one optic fiber of at least one group of optic fibers is adjacent the body tissue; and

selectively energizing the at least one group of optic fibers.

15. A method in accordance with claim 14 wherein the body tissue is an occlusion in a blood vessel, and wherein positioning the head adjacent the body tissue comprises the step of inserting the head in the blood vessel.

16. A method in accordance with claim 14 wherein the medical apparatus is a catheter having at least two groups of optic fibers, each group of optic fibers having at least one optic fiber, wherein a laser source is communicatively coupled to the groups of optic fibers, the laser source configured to transmit an energy beam through each group of optic fibers, and wherein said method comprises the step of:

transmitting an energy beam through at least one of the groups of optic fibers without simultaneously transmitting an energy beam through at least one of the other of the groups of optic fibers.

17. A method in accordance with claim 16 further comprising the step of transmitting an energy beam through at least two of the groups of optic fibers.

18. A method in accordance with claim 15 further comprising the step of generating an image of the blood vessel.

19. A method in accordance with claim 18 wherein the image is generated utilizing laser interferometry.

20. A method in accordance with claim 18 wherein the image is generated utilizing ultrasound.

21. A method in accordance with claim 16 wherein the catheter further includes a sensing system configured to generate sensing signals, and wherein said method further comprises the steps of:

determining appropriate head portions to energize utilizing the sensing signals; and

energizing the appropriate head portions.

22. A medical system comprising:

a catheter comprising a catheter body, said catheter body comprising at least two groups of optic fibers, each group of optic fibers comprising at least one optic fiber having a first and a second end, said optic fiber second ends forming a substantially hemispherical catheter head, said substantially hemispherical catheter head having at least two portions, each portion corresponding to one of said at least two groups of optic fibers; and

a control element communicatively coupled to said catheter, said control element configured to transmit energy through said catheter to a body tissue adjacent at least one portion of said substantially hemispherical catheter head so that at least one of said at least two catheter head portions is energized at the same time as at least one other of said at least two portions of said catheter head is not energized.

23. A medical system in accordance with claim 22 further comprising:

at least one imaging element coupled to said catheter head, said imaging element configured to transmit an image signal;

a sensing system coupled to said at least one imaging element and configured to generate a control signal utilizing said image signal and to transmit said control signal to said control element for selectively energizing said catheter head portions.

24. A medical system in accordance with claim 22 wherein said control system is configured to transmit laser energy through said catheter.