Catheter with optical fiber sensor

• US 7,783,338 B2
• Filed: 01/09/2008
• Issued: 08/24/2010
• Est. Priority Date: 05/31/2001
• Status: Expired due to Fees

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Advanced Cardiovascular Systems Incorporated
• Inventors: Ainsworth, Robert, Hurley, Bridget A., Ellis, Jeffrey T., Kilpatrick, Deborah, Lee, Jeong S.
• Primary Examiner(s): Smith; Ruth S
• Application Number:
  US12/008,381
• Publication Number:
  US 20080139897A1
• Time in Patent Office: 958 Days
• Field of Search: 600/108, 600/160, 600/180, 600/204, 600/300, 600/310, 600322-328, 600/339, 600/341, 600/342, 600/407, 600/411, 600/424, 600/425, 600/427, 600/431, 600433-435, 600/473, 600/474, 600/476, 600/478, 600/479, 600481-483, 600/504, 600/505, 600/549, 604/96.01, 606/1, 606/2, 606/7, 606 13- 16, 606/191, 606/192, 606/194
• US Class Current: 600/478
• CPC Class Codes: A61B 2017/22001 Angioplasty, e.g. PCTA
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/0086 using infrared radiation
• CPC Class Codes: A61B 5/02007 Evaluating blood vessel condition, e.g. elasticity, compliance
• CPC Class Codes: A61B 5/02154 by optical transmission
• CPC Class Codes: A61B 5/1459 invasive, e.g. introduced into the body by a catheter A61B5/1464 takes precedence
• CPC Class Codes: A61B 5/6853 with a balloon

Abstract

An apparatus and method to perform therapeutic treatment and diagnosis of a patient'"'"'s vasculature through the use of an intravascular device having an optical fiber disposed therein. In an embodiment, the apparatus includes an intravascular device to perform a therapeutic treatment and at least one optical fiber disposed through the intravascular device. The optical fiber is configured to provide diagnostic information before, during, and after the therapeutic treatment. In an embodiment, diagnostic information includes vessel and blood characteristics such as hemodynamic characteristics, hematological parameters related to blood and blood components, and thermal parameters of the vasculature.

Claims

1. An apparatus comprising:

an intravascular device to perform a treatment; and

at least one optical fiber disposed within a coil-like enclosure which concentrically surrounds the at least one optical fiber and disposed within the intravascular device, and the at least one optical fiber is bonded to at least one point along an inner surface of the coil-like enclosure, the at least one optical fiber configured to provide information at least one of before, during, and after the treatment, the information comprising measurements used to optimize the treatment.

2. The apparatus of claim 1 wherein the at least one optical fiber is configured to be inserted within a vasculature and exposed at least at one location along the intravascular device.

3. The apparatus of claim 2 wherein the at least one optical fiber is configured to sense vessel and blood characteristics.

4. The apparatus of claim 3 wherein vessel and blood characteristics are selected from the group consisting of hemodynamic characteristics, hematological parameters related to blood and blood components and thermal parameters of the vasculature.

5. The apparatus of claim 1 wherein the intravascular device is a balloon catheter comprising:

a catheter shaft having an elongated outer member disposed about a tubular inner member, the tubular inner member having a lumen to receive the at least one optical fiber therethrough; and

a balloon coupled to a distal portion of the catheter shaft for dilating a stenosed vessel.

6. The apparatus of claim 5 wherein the at least one optical fiber is movable within the lumen.

7. The apparatus of claim 5 wherein the lumen is configured to receive an inflation medium therethrough to inflate the balloon.

8. The apparatus of claim 7 wherein a distal tip of the at least one optical fiber is configured to be inserted within a vasculature and exposed at least at one location along the balloon catheter.

9. The apparatus of claim 8 wherein the at least one optical fiber is configured to sense vessel and blood characteristics selected from the group consisting of hemodynamic characteristics, hematological parameters related to blood and blood components and thermal parameters of the vasculature.

10. The apparatus of claim 5 wherein the tubular inner member has a second lumen extending at least within a distal portion of the tubular inner member, the second lumen being substantially parallel to the lumen having the at least one optical fiber therethrough.

11. The apparatus of claim 10 wherein the second lumen is a lumen selected from the group consisting of guidewire lumen, inflation lumen, radiation source lumen, drug delivery lumen, atherectomy device lumen and laparoscopy lumen.

12. The apparatus of claim 11 wherein a distal tip of the at least one optical fiber is configured to be inserted within a vasculature and exposed at least at one location along the balloon catheter.

13. The apparatus of claim 12 wherein the at least one optical fiber is configured to sense vessel and blood characteristics selected from the group consisting of hemodynamic characteristics, hematological parameters related to blood and blood components and thermal parameters of the vasculature.

14. A system for sensing vessel and blood characteristics, the system comprising:

a data processing system; and

an apparatus coupled to the data processing system, the apparatus comprising an intravascular device to perform a treatment and at least one optical fiber disposed within a coil-like enclosure which concentrically surrounds the at least one optical fiber and disposed within the intravascular device, and the at least one optical fiber is bonded to at least one point along an inner surface of the coil-like enclosure, the at least one optical fiber configured to provide information at least one of before, during, and after the treatment, the information comprising measurements used to optimize the treatment.

15. The system of claim 14 wherein a distal tip of the at least one optical fiber is configured to contact a vasculature at least at one location along the intravascular device, the optical fiber configured to sense vessel and blood characteristics selected from the group consisting of hemodynamic characteristics, hematological parameters related to blood and blood components and thermal parameters of the vasculature.

16. A catheter, comprising:

a catheter inner shaft member having a first lumen, an optical fiber within the first lumen, the optical fiber disposed within a coil-like enclosure which concentrically surrounds the optical fiber and the optical fiber is bonded to at least one point along an interior surface of the coil-like enclosure, a second lumen adapted to receive a guidewire, and a third lumen adapted to received a drug, wherein the optical fiber is configured to provide information at least one of before, during, and after a treatment, the information comprising measurements used to optimize the treatment.

17. The catheter of claim 16, wherein a tapered mandrel is disposed near a distal end of the first lumen to provide support to the catheter inner shaft member.

18. The catheter of claim 16, further comprising an inflatable balloon coupled to the catheter inner shaft member, and wherein the third lumen is also adapted to receive an inflation medium.

19. An apparatus comprising:

a trackable intravascular device that can bend to perform a treatment;

a proximal end of the trackable intravascular device, the proximal end configured to send at least one light signal and receive detected light from a distal end of the trackable intravascular device;

the distal end configured to send the at least one light signal being received from the proximal end and also receive detected light from a target;

at least one optical fiber disposed within a coil-like enclosure which concentrically surrounds the at least one optical fiber and disposed within the intravascular device, and the at least one optical fiber is bonded to at least one point along an inner surface of the coil-like enclosure, the at least one optical fiber configured to provide diagnostic information at least one of before, during, and after the treatment; and

an optical window at the distal end that allows optical transmission or reception of light through the optical fiber.

20. A method of sensing vessel and blood characteristics, the method comprising:

inserting an apparatus into a vasculature, the apparatus comprising an intravascular device and at least one optical fiber disposed within a coil-like enclosure which concentrically surrounds the at least one optical fiber and disposed within the intravascular device, and the at least one optical fiber is bonded to at least one point along an inner surface of the coil-like enclosure, the at least one optical fiber to transmit a light radiation signal therethrough;

advancing the apparatus to a location in the vasculature;

operating a data processing system coupled to the apparatus to transmit a plurality of light radiation signals to the location in the vasculature and a plurality of reflected light radiation signals to a detector in the data processing system; and

processing the plurality of reflected light radiation signals to determine vessel and blood characteristics.

21. The method of claim 20, wherein vessel and blood characteristics are selected from the group consisting of hemodynamic characteristics, hematological parameters related to blood and blood components and thermal parameters of the vasculature.

22. A method comprising:

inserting a balloon catheter into a vasculature, the balloon catheter comprising an inflatable balloon disposed at the distal end of a catheter shaft and at least one optical fiber disposed within a coil-like enclosure which concentrically surrounds the at least one optical fiber and disposed within an intravascular device, and the at least one optical fiber is bonded to at least one point along an inner surface of the coil-like enclosure, the at least one optical fiber being coupled with the balloon catheter, the balloon catheter further comprising an expandable metallic structure disposed at a distal end of the catheter shaft and substantially over the inflatable balloon;

advancing the balloon catheter to a location in the vasculature;

operating the balloon catheter and the at least one optical fiber within the vasculature;

operating a data processing system coupled to the balloon catheter to provide vessel and blood characteristics; and

inflating the inflatable balloon to expand the expandable metallic structure within the vasculature.

23. The method of claim 22, wherein operating the data processing system is performed prior, during or after inflating the inflatable balloon.

24. The method of claim 22, wherein the expandable metallic structure is a stent.

25. The method of claim 22, wherein vessel and blood characteristics are selected from the group consisting of hemodynamic characteristics, hematological parameters related to blood and blood components and thermal parameters of the vasculature.