Systems and methods for visualizing tissue during diagnostic or therapeutic procedures

• US 6,522,913 B2
• Filed: 04/28/1999
• Issued: 02/18/2003
• Est. Priority Date: 10/28/1996
• Status: Expired due to Term

• Current Assignee: EP Technology (Boston Scientific Corporation)
• Original Assignee: EP Technology (Boston Scientific Corporation)
• Inventors: McGee, David, Panescu, Dorin, Swanson, David K., TenHoff, Harm, Whayne, James G.
• Primary Examiner(s): SHAW, SHAWNA JEANNINE
• Application Number:
  US09/301,020
• Publication Number:
  US 20010020126A1
• Time in Patent Office: 1,392 Days
• Field of Search: 600/407, 600/473, 600/474, 600/439, 600/478, 600/116, 600/160, 600/182, 600/374, 600/117, 356/345, 606/192, 604/96
• US Class Current: 600/478
• CPC Class Codes: A61B 5/0036 including treatment, e.g., using an implantable medical device, ablating, ventilating
• 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 5/283 Invasive
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/6859 with multiple distal splines
• 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 8/54 Control of the diagnostic device
• CPC Class Codes: A61B 8/543 involving acquisition triggered by a physiological signal

Abstract

A catheter tube carries an imaging element for visualizing tissue. The catheter tube also carries a support structure, which extends beyond the imaging element for contacting surrounding tissue away from the imaging elements, the imaging element being movable with the support structure. The support element stabilizes the imaging element, while the imaging element visualizes tissue in the interior body region. The support structure also carries a diagnostic or therapeutic component to contact surrounding tissue.

Claims

1. A probe, comprising:

a catheter tube having a distal region,

an imaging element on the distal region for visualizing tissue, and

a porous expandable body on the distal region for contacting surrounding tissue away from the imaging element, the expandable body being expandable beyond the imaging element in response to fluid pressure, the imaging element being movable within an interior region of the expandable body, the expandable body comprising a viewing window allowing the imaging element to visualize the surrounding tissue.

2. The probe of claim 1, wherein the imaging element is movable independently of movement of the expandable body.

3. The probe of claim 1, further comprising a diagnostic or therapeutic element on the expandable body for contacting surrounding tissue.

4. The probe of claim 1, wherein the imaging element comprises an ultrasound transducer.

5. The probe of claim 1, wherein the imaging element comprises a fiber-optic imaging assembly.

6. A probe, comprising:

a catheter tube defining a tube axis and having a distal region,

a hollow body on the distal region, the hollow body being collapsible when fluid is absent from an interior of the hollow body and expandable as fluid is introduced into the interior of the hollow body for contacting the surrounding tissue; and

a fiber-optic imaging assembly on the distal region for visualizing the surrounding tissue beyond the hollow body, the fiber-optic assembly being movable within the interior of the hollow body at least one of transversely to the tube axis and along the tube axis,

wherein the fiber-optic imaging assembly is carried on a flexible body, the flexible body being steerable transversely to the body axis for moving the fiber-optic imaging assembly within the interior of the hollow body, and

further comprising a therapeutic element on the flexible body.

7. The probe of claim 6, wherein the therapeutic element comprises an electrode.

8. Th probe of claim 7, wherein the hollow body comprises a porous region, and wherein the fluid comprises an electrically conductive liquid for establishing and electrically conductive path from the electrode via the porous region of the hollow body to the surrounding tissue.

9. The probe of claim 8, wherein the entire hollow body is porous.