Steerable ultrasound catheter
First Claim
1. A method for disrupting an occlusion in a blood vessel, the method comprising:
- providing an ultrasound catheter comprising a catheter body, a distal head, an ultrasound transmission member coupled to the distal head, and a guidewire tube extending through at least a portion of the distal head, the guidewire tube receiving at least a portion of a guidewire and at least a portion of the ultrasound transmission member, the catheter body receiving at least a portion of the guidewire tube and at least a portion of the ultrasound transmission member;
advancing the ultrasound catheter through a blood vessel having at least one bend, the catheter conforming concomitantly to the at least one bend, wherein advancing includes contacting the ultrasound transmission member with the guidewire at one or more locations within the guidewire tube;
positioning the distal head of the ultrasound catheter adjacent an occlusion in the blood vessel; and
transmitting ultrasound energy to the ultrasound transmission member to disrupt the occlusion into multiple occlusion fragments, wherein transmitting includes transmitting ultrasound energy to the guidewire.
1 Assignment
0 Petitions
Accused Products
Abstract
Ultrasound catheter devices and methods provide enhanced disruption of blood vessel obstructions. Ultrasound catheter devices generally include an elongate flexible catheter body with one or more lumens, an ultrasound transmission member extending longitudinally through the catheter body lumen and a distal head coupled with the transmission member and positioned adjacent the distal end of the catheter body for disrupting occlusions. Improved features of ultrasound catheters include catheter bodies and ultrasound transmission members with increasing distal flexibility, guidewire tubes allowing contact between a guidewire and an ultrasound transmission member, distal heads with improved guidewire lumens, and torquable proximal housings for enhancing disruption of blood vessel occlusions.
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Citations
20 Claims
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1. A method for disrupting an occlusion in a blood vessel, the method comprising:
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providing an ultrasound catheter comprising a catheter body, a distal head, an ultrasound transmission member coupled to the distal head, and a guidewire tube extending through at least a portion of the distal head, the guidewire tube receiving at least a portion of a guidewire and at least a portion of the ultrasound transmission member, the catheter body receiving at least a portion of the guidewire tube and at least a portion of the ultrasound transmission member; advancing the ultrasound catheter through a blood vessel having at least one bend, the catheter conforming concomitantly to the at least one bend, wherein advancing includes contacting the ultrasound transmission member with the guidewire at one or more locations within the guidewire tube; positioning the distal head of the ultrasound catheter adjacent an occlusion in the blood vessel; and transmitting ultrasound energy to the ultrasound transmission member to disrupt the occlusion into multiple occlusion fragments, wherein transmitting includes transmitting ultrasound energy to the guidewire. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A method for disrupting an occlusion in a blood vessel, the method comprising:
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providing an ultrasound catheter comprising a catheter body, a distal head, an ultrasound transmission member coupled to the distal head, and a guidewire tube extending through at least a portion of the distal head, the guidewire tube receiving at least a portion of a guidewire and at least a portion of the ultrasound transmission member, the catheter body receiving at least a portion of the guidewire tube and at least a portion of the ultrasound transmission member; advancing the ultrasound catheter through a blood vessel; contacting the ultrasound transmission member with the guidewire at one or more locations within the guidewire tube; and transmitting ultrasound energy from the ultrasound transmission member to the guidewire. - View Dependent Claims (10, 11, 12, 13)
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14. A method for treating a patient:
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providing a catheter including an ultrasound transmission member, the catheter having at least a bent configuration and a straight configuration; providing a guidewire; advancing the catheter through a blood vessel of the patient; and contacting the guidewire and the ultrasound transmission member at least when the catheter is in the straight configuration and directly transmitting ultrasound energy to the guidewire via the ultrasound transmission member. - View Dependent Claims (15, 16, 17)
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18. A method for disrupting an occlusion in a blood vessel, the method comprising:
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providing a catheter forming a lumen, an ultrasound transmission member and a guidewire being disposed within the lumen; advancing the catheter through a blood vessel of the patient; contacting the guidewire and the ultrasound transmission member in the lumen; and penetrating an occlusion with the guidewire using ultrasound energy, the ultrasound energy used to penetrate the occlusion coming directly from the ultrasound transmission member. - View Dependent Claims (19, 20)
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Specification