Apparatus and method for positioning and delivering a therapeutic tool to the inside of a heart

• US 6,944,490 B1
• Filed: 09/25/2002
• Issued: 09/13/2005
• Est. Priority Date: 09/25/2002
• Status: Expired due to Fees

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Advanced Cardiovascular Systems Incorporated
• Inventors: Chow, Mina
• Primary Examiner(s): FLANAGAN, BEVERLY MEINDL
• Application Number:
  US10/254,621
• Time in Patent Office: 1,084 Days
• Field of Search: 600/374, 600/439, 600/509, 600/508, 600/104, 600/106, 600/201, 600/204, 600/205, 600/206, 600208-210, 600/219, 606/45, 606/47, 606/167, 606/170, 606/186, 607/122
• US Class Current: 600/374
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation
• CPC Class Codes: A61B 2018/143 multiple needles
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/376 using X-rays, e.g. fluoroscopy
• CPC Class Codes: A61B 2090/3966 Radiopaque markers visible in an X-ray image
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/6848 Needles
• CPC Class Codes: A61B 5/6852 Catheters

Abstract

A medical device and method are provided for positioning and supporting a therapeutic tool within the heart or other body cavity. The device has a tubular member through which a cage can be extended. The cage supports the positioning and delivery of a tool to a targeted treatment or diagnosis area within the heart or other body cavity. Markers on the device facilitate accurate positioning and delivery of the tool.

Claims

1. A medical device, comprising:

an elongate tubular member for inserting into a body cavity or organ of a patient;

at least two support arms capable of extending out from and retracting into the distal end of the elongate tubular member, the support arms converging at the distal end of the support arms and being outwardly bow-shaped when extended out from the elongate tubular member;

a tool for performing a therapeutic or diagnostic function extending at least partially along one of the support arms; and

a conduit extending at least partially along the support arm along which the tool extends, wherein the conduit houses the tool, the tool being configured to extend out from and retract into the conduit.

2. The medical device of claim 1, additionally including a first stop attached to the inner surface of the conduit and a second stop attached to the tool, wherein the tool can be extended out from the conduit until the second stop contacts the first stop.

3. The medical device of claim 1, wherein the distal end of the elongate tubular member includes a segment having a larger diameter than the remaining portion of the elongate tubular member.

4. The medical device of claim 1, wherein the support arms bend to a generally linear shape from the bow-shape configuration when the support arms are retracted into the tubular member.

5. The medical device of claim 1, additionally including a shaft slidably disposed at least partially along the tubular member.

6. The medical device of claim 5, wherein the shaft includes a lumen for receiving a guidewire.

7. The medical device of claim 5, wherein the distal ends of the support arms converge by being attached to the shaft such that the slidable movement of the shaft along the elongate tubular member extends and retracts the support arms out from and into the elongate tubular member.

8. The medical device of claim 1, additionally including a tip member, wherein the distal ends of the support arms converge by being attached to the tip member.

9. The medical device of claim 1, wherein the distal ends of the support arms are coupled to one another.

10. The medical device of claim 1, wherein the support arms are made from an elastic material allowing the support arms to flex into a generally linear configuration from the bow-shaped configuration when the support arms are retracted into the elongate tubular member and allowing the support arms to bend back into the bow-shaped configuration when the support arms are extended out from the tubular member.

11. The medical device of claim 1, wherein the support arms are capable of being rotated with respect to the elongate tubular member.

12. The medical device of claim 1, wherein the support arms support markers for allowing a physician to locate the position of the support arms using an imaging apparatus.

13. The medical device of claim 1, wherein one of the support arms supports a marker having a different shape than a marker supported by another support arm.

14. The medical device of claim 1, wherein one of the support arms supports more markers than another support arm.

15. The medical device of claim 1, wherein the tool is a needle for delivering a therapeutic substance, an ultrasound transducer, an electrode, an optical fiber, or a laser system.

16. The medical device of claim 1, wherein the conduit is capable of collapsing to a reduced diameter when the tool is not in the conduit.

17. A medical device, comprising:

a catheter;

a set of support arms integrated with the catheter, each support arm being capable of bending from a linear configuration into an outwardly curved configuration when the support arms are pushed out of the distal end of the catheter and capable of bending back into a linear configuration from the outwardly curved configuration when the support arms are retracted back into the distal end of the catheter;

a conduit extending at least partially along one of the support arms; and

a therapeutic or diagnostic tool slidably disposed within the conduit, the tool capable of being extended out from and retracted back into the conduit.

18. The device of claim 17, wherein the support arms are connected to one another at the distal end of each of the support arms.

19. A method for performing a therapeutic or diagnostic treatment, comprising:

inserting a catheter into the patient;

extending a set of support arms out from one end of the catheter, wherein the support arms bow in an outward direction to anchor the catheter to the desired area of treatment; and

extending a therapeutic or diagnostic tool from a conduit disposed at least partially along one of the support arms to perform a therapeutic or diagnostic procedure.

20. A medical device, comprising:

an elongate tubular member for inserting into a body cavity or organ of a patient;

at least two support arms capable of extending out from and retracting into the distal end of the elongate tubular member, the support arms having an outwardly projecting-shaped when extended out from the elongate tubular member;

a shaft connected to the support arms and configured to be slidably disposed within the distal end of the elongated tubular member such that the movement of the shaft out from and into the elongated tubular member allows the extension and retraction of the support arms out from and into the elongated member, wherein the shaft is made from a flexible material that allows for the shaft to stretch during retraction of the shaft into the elongated tubular member; and

a tool for performing a therapeutic or diagnostic function extending at least partially along one of the support arms.

21. A medical device, comprising:

an elongate tubular member for inserting into a body cavity or organ of a patient;

at least two support arms capable of extending out from and retracting into the distal end of the elongate tubular member, the support arms having an outwardly bow-shaped configuration when extended out from the elongate tubular member;

a re-enforcement member coupled to at least on of the support arms to add stiffness to the support arm; and

a tool for performing a therapeutic or diagnostic function extending at least partially along one of the support arms.

22. A medical device, comprising:

an elongate tubular member for inserting into a body cavity or organ of a patient;

at least two support arms capable of extending out from and retracting into the distal end of the elongate tubular member, the support arms having an outwardly projecting-shape when extended out from the elongate tubular member;

markers supported by the support arms to allow a physician to locate the position of the support arms by an imaging apparatus, wherein

(i) a marker of one support arm has a different shape than a marker of another support arm;

or

(ii) one of the support arms has a different number of markers that the other support arm; and

a tool for performing a therapeutic or diagnostic function extending at least partially along one of the support arms.

23. A medical device, comprising:

an elongate tubular member for inserting into a body cavity or organ of a patient;

support arms capable of extending out from and retracting into the distal end of the elongate tubular member, the support arms converging at the distal end of the support arms and having an outwardly projected-shaped when extended out from the elongate tubular member;

a tool for performing a therapeutic or diagnostic function extending at least partially along one of the support arms; and

wherein the support arms are capable of being rotated as a unit with respect to the elongated tubular member so as to allow the physician to reposition the tool.

24. A medical device, comprising:

a tubular member for inserting into a body cavity or organ of a patient;

support arms capable of extending out from and retracting into the distal end of the tubular member, the support arms having an outwardly projected-shape when extended out from the elongate tubular member;

a conduit line integrated with at least one of the support arms; and

a tool for performing a therapeutic or diagnostic function integrated with the conduit.