Medical catheter and system for inserting a catheter into a vessel

• US 8,126,534 B2
• Filed: 06/16/2006
• Issued: 02/28/2012
• Est. Priority Date: 06/16/2005
• Status: Active Grant

• Current Assignee: Siemens Healthineers AG (Siemens AG)
• Original Assignee: Siemens AG
• Inventors: Maschke, Michael
• Primary Examiner(s): Casler, Brian
• Assistant Examiner(s): LAURITZEN, AMANDA L
• Application Number:
  US11/455,264
• Publication Number:
  US 20060287595A1
• Time in Patent Office: 2,083 Days
• Field of Search: 600/407, 600/410, 600/413, 600/414, 600/417, 600/420, 600/423, 600/424, 600/425, 600/426, 600/428, 600/429, 600/431, 600/433, 600/435, 600/437, 600/450, 600/459, 600/462, 600/466, 600/467, 600/469, 600/470, 600/471, 600/473, 600/476, 600/478, 600/479, 600/481, 600/427, 600/585, 600/434, 606/130, 623/1.11
• US Class Current: 600/424
• CPC Class Codes: A61B 1/042 characterised by a proximal camera, e.g. a CCD camera
• CPC Class Codes: A61B 1/313 for introducing through surgical openings, e.g. laparoscopes
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2562/17 Comprising radiolucent components
• CPC Class Codes: A61B 5/0035 adapted for acquisition of images from more than one imaging mode, e.g. combining MRI and optical tomography
• CPC Class Codes: A61B 5/0066 Optical coherence imaging
• CPC Class Codes: A61B 5/062 using magnetic field
• 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 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 6/5247 combining images from an ionising-radiation diagnostic technique and a non-ionising radiation diagnostic technique, e.g. X-ray and ultrasound
• 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 8/4472 Wireless probes
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

The invention relates to a medical system for introducing a catheter into a blood vessel of a patient, having a computer and control unit, a means for creating a transparent general view of the position of the vessel, a catheter with a reversible inflatable balloon located in the front area, to the outside of which a stent can be fitted for implanting into the vessel, a position locating system for the catheter with position and location sensors that can determine the position and location of the catheter, the system with at least one OCT (optical coherence tomography) sensor at a catheter end for the close-up area, with at least one IVUS (intravascular ultrasound) imaging sensor at a catheter end for the remote area and the computer and control unit having image processing and image display functions for the image sensors.

Claims

1. A medical system for inserting a catheter into a blood vessel of a patient, comprising:

a device for creating a transparent image of the position of the blood vessel in the patient;

a catheter having a front portion, an inside portion and an outside portion;

a reversible inflatable balloon arranged at the front portion of the catheter;

a stent arranged to partially surround the balloon for implanting in the blood vessel;

an OCT (optical coherence tomography) imaging sensor arranged at the front portion of the catheter to generate image signals in a radial direction and an IVUS (intravascular ultrasound) imaging sensor arranged at a tip of the catheter to generate image signals in a longitudinal direction in advance of a path of travel of the catheter;

a catheter position locating system having position and location sensors that can determine the position and location of the front portion of the catheter in space, said position and location sensors including transmission coils which are respectively arranged in a solid angle that is orthogonal with respect to each other, said position and location sensors being arranged in the area of the stent and the balloon of the catheter; and

a computer and control unit for processing and display of the image sensor signals;

wherein the position sensors and the IVUS sensors and the OCT sensors are arranged so that they can be moved in the longitudinal direction of the catheter.

2. The medical system as claimed in claim 1, wherein software combines the OCT and IVUS image information.

3. The medical system as claimed in claim 2, wherein a three-dimensional display of the environment of the catheter is provided via the combination of image information from the catheter and position and location information of the catheter.

4. The medical system as claimed in claim 3, wherein the combination of image information from the catheter and the transparent general image are performed via software.

5. The medical system as claimed in claim 4, wherein the OCT image sensors, IVUS image sensors, or the position sensors are arranged before or after the stent when viewed in the longitudinal direction of the catheter.

6. The medical system as claimed in claim 5, wherein the catheter has x-ray markers in the front area of the catheter.

7. The medical system as claimed in claim 6, wherein the OCT comprises a calibration device that continuously compensates for a change in length of the optical path associated with a longitudinal movement of the catheter.

8. The medical system as claimed in claim 7, further comprising an ECG device and software for synchronizing all image and position data with a plurality of preselected heart phases.

9. The medical system as claimed in claim 8, wherein the OCT imaging sensor is connected to a rotating optical fiber conductor arranged inside the catheter to take 360°

annular images and has a radiation-transparent window at the side of the catheter sleeve wherein a light beam can be coupled and decoupled and an opening for the output of a flushing fluid or a contrast medium is provided adjacent to the window.

10. The medical system as claimed in claim 9, wherein the catheter has a rotating ultrasound head arranged inside the catheter to take 360°

annular images and an ultrasound transparent window arranged on the side of the catheter sleeve, wherein the ultrasound can be coupled and decoupled.

11. The medical system as claimed in claim 10, wherein the catheter has an ultrasound head for emitting and for receiving ultrasound over an angle of 360°

around the circumference of the catheter and an ultrasound-transparent window arranged on the side of the catheter sleeve wherein the ultrasound can be coupled and decoupled and an opening for the output of a flushing fluid or a contrast medium is provided adjacent to the window.

12. The medical system as claimed in claim 11, wherein a guide wire or an outer guide catheter is provided for moving the catheter.

13. The medical system as claimed in claim 12, further comprising an automatic push/pull device for adjustment of the catheter.

14. The medical system as claimed in claim 13, wherein:

an element for creating a magnetic field to guide the catheter via an external magnetic field is arranged in the front area of the catheter, and

a plurality of position sensors provided to ascertain the position and orientation of the catheter where the position sensors have transmitter coils arranged orthogonally, and interact with fixed receiver coils.

15. The medical system as claimed in claim 14, wherein the transparent general image is a created by a device selected from the group consisting of:

a C-arch device with a tomographic evaluation unit, an x-ray CT device, a nuclear magnetic resonance tomography (NMR) device, a positron emission tomography (PET) device, and a single photon emission computer tomography (SPECT) device.

16. The medical system as claimed in claim 15, further comprising a signal interface that attached to the catheter that transmits signals to and from the computer and control unit and the catheter.

17. A medical catheter for insertion into a blood vessel of a patient, comprising:

a catheter body having a front portion, a rear portion, an inside portion and an outside portion;

a reversible inflatable balloon arranged at the front portion of the catheter;

a stent arranged over the balloon for implanting in the blood vessel;

an OCT (optical coherence tomography) imaging sensor arranged at the front portion of the catheter to generate image signals in a radial direction and an IVUS (intravascular ultrasound) imaging sensor arranged at a tip of the catheter to generate image signals in a longitudinal direction in advance of a path of travel of the catheter;

a catheter position locating system having position and location sensors that can determine the position and location of the front portion of the catheter in space, said position and location sensors including transmission coils which are respectively arranged in a solid angle that is orthogonal with respect to each other, said position and location sensors being arranged in the area of the stent and the balloon of the catheter; and

a signal interface arranged at the rear portion of the catheter that transmits image signals to a computer and receives signals from a control unit.