Ultrasound catheter for disrupting blood vessel obstructions

• US 8,690,819 B2
• Filed: 11/09/2012
• Issued: 04/08/2014
• Est. Priority Date: 08/26/2002
• Status: Active Grant

• Current Assignee: Flowcardia Inc. (Becton, Dickinson & Co)
• Original Assignee: Flowcardia Inc. (Becton, Dickinson & Co)
• Inventors: Nita, Henry, Tran, Martinos, Nguyen, Simon, Sarge, Jeff
• Primary Examiner(s): Flick, Jason
• Application Number:
  US13/673,848
• Publication Number:
  US 20130072824A1
• Time in Patent Office: 515 Days
• Field of Search: 604/22
• US Class Current: 604/22
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 17/22012 in direct contact with, or very close to, the obstruction or concrement for removing obstructions in blood vessels by laser A61B18/245
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/22015 with details of the transmission member
• CPC Class Codes: A61B 2017/22018 segmented along its length
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/320072 Working tips with special features, e.g. extending parts
• CPC Class Codes: A61B 2017/320073 probe
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• CPC Class Codes: A61M 37/0092 using ultrasonic, sonic or infrasonic vibrations, e.g. phonophoresis

Abstract

Ultrasound catheter devices and methods provide enhanced disruption of blood vessel obstructions. Generally, an ultrasound catheter includes an elongate flexible catheter body with one or more lumens. An ultrasound transmission member or wire extends longitudinally through the catheter body lumen and, in many embodiments, a guide wire tube also extends through the same lumen. A distal head is fixed to or otherwise mechanically coupled with the distal end of the ultrasound transmission member or wire and is positioned adjacent the distal end of the catheter body. Although the distal end of the catheter body overlaps the distal head, the distal head is not directly affixed to the distal end of the catheter body. Thus, the distal tip may move freely, relative to the distal end of the catheter body when ultrasonic energy is applied through the ultrasound transmission member. Such a freely floating distal head enhances the efficiency of an ultrasound catheter, enabling the catheter to ablate calcific occlusions and increasing the useful life of the ultrasound transmission member and catheter.

Claims

1. A catheter comprising:

an elongate body having a proximal end, a distal end, and at least one lumen therebetween;

an ultrasound transmission member extending through the lumen and having a distal end;

a head comprising a proximal end coupled to the distal end of the ultrasound transmission member;

a guide wire tube coupled to the head and extending through at least a portion of the at least one lumen, the guide wire tube being coupled to the body at a location proximal to the proximal end of the head; and

an anchor member disposed in the at least one lumen and being coupled to the elongated body and the head.

2. The catheter of claim 1, wherein at least a portion of the head overlaps the distal end of the body.

3. The catheter of claim 1, wherein the anchor member is coupled to an interior wall of the elongated body.

4. The catheter of claim 1, wherein the anchor member comprises a wire.

5. The catheter of claim 1, wherein the anchor member is coupled to the head at a location proximal to the distal end of the body.

6. The catheter of claim 1, wherein the anchor member is coupled to an outside surface of the head.

7. The catheter of claim 1, wherein the anchor member is coupled to the interior wall of the body with an adhesive.

8. The catheter of claim 1, wherein the anchor member is coupled to the head with an adhesive.

9. The catheter of claim 1, wherein at least a portion of the ultrasound transmission member has a tapered shape, and wherein the anchor member is coupled to the body adjacent to the tapered portion of the ultrasound transmission member.