Multiple sclerosis therapeutic methods using therapeutic ablation devices and systems

• US 8,882,754 B2
• Filed: 12/29/2011
• Issued: 11/11/2014
• Est. Priority Date: 12/31/2010
• Status: Active Grant

• Current Assignee: Volcano Corporation (Koninklijke Philips N.V.)
• Original Assignee: Volcano Corporation (Koninklijke Philips N.V.)
• Inventors: Brown, Joe E., Margolis, Marja Pauliina, Gaddis, Mary L.
• Primary Examiner(s): Crandall, Lynsey
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US13/340,553
• Publication Number:
  US 20120232541A1
• Time in Patent Office: 1,048 Days
• Field of Search: 606/14, 606/15, 606/16, 606/17, 606/7, 606/33, 600/427, 600/439
• US Class Current: 606/14
• CPC Class Codes: A61B 17/12136 Balloons
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• 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 18/245 for removing obstructions in blood vessels or calculi
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/0212 using an instrument inserted into a body lumen, e.g. catheter
• CPC Class Codes: A61B 2090/3735 Optical coherence tomography [OCT]
• CPC Class Codes: A61B 2090/3784 both receiver and transmitter being in the instrument or receiver being also transmitter
• CPC Class Codes: A61B 5/0066 Optical coherence imaging
• CPC Class Codes: A61B 5/02007 Evaluating blood vessel condition, e.g. elasticity, compliance
• CPC Class Codes: A61B 6/507 for determination of haemodynamic parameters, e.g. perfusion CT
• CPC Class Codes: A61B 8/06 Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• CPC Class Codes: A61B 8/0891 for diagnosis of blood vessels
• 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 8/463 characterised by displaying multiple images or images and diagnostic data on one display composite display in devices for short-range imaging with acoustic waves G01S7/52074
• CPC Class Codes: A61B 8/488 involving Doppler signals
• CPC Class Codes: A61B 8/5223 for extracting a diagnostic or physiological parameter from medical diagnostic data for algorithms to analyse biomedical images G06T7/0012
• CPC Class Codes: A61B 8/5246 combining images from the same or different imaging techniques, e.g. color Doppler and B-mode
• CPC Class Codes: A61M 2025/105 having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes
• CPC Class Codes: A61M 2025/1052 for temporarily occluding a vessel for isolating a sector
• CPC Class Codes: A61M 25/104 : used for angioplasty
• CPC Class Codes: G16H 50/30 : for calculating health indices; for individual health risk assessment

Abstract

Methods and devices are disclosed that, in various embodiments and permutations and combinations of inventions, diagnose and treat Pulmonary Embolism or associated symptoms. In one series of embodiments, the invention consists of methods and devices for identifying patients whose Pulmonary Embolism or associated symptoms are caused or exacerbated, at least in part, by blockages of one or more of the patient'"'"'s internal pulmonary veins. In some instances, stenoses or other flow limiting structures or lesions in the patient'"'"'s affected veins are identified. Further, in some instances the nature of such lesions and whether there is a significant disruption of blood pressure, or both, is ascertained. In some embodiments, methods and devices for applying one or more therapies to the blockages in the patient'"'"'s pulmonary veins are provided.

Claims

1. A method of treating Multiple Sclerosis, comprising:

providing a treatment device comprising an ablation catheter capable of applying ablation chosen from the group of ablation techniques consisting of laser, RF, cryoablation or other energy sources to open or enlarge a lumen defined by a stenosis of a vein wherein the ablation catheter has a catheter body with a distal end, a proximal end, a central lumen through which a guide wire may be passed, an outer surface and ablation system and wherein the ablation catheter further comprises an imaging transducer as part of an imaging system located at its distal end;

evaluating multiple sclerosis symptoms of a patient using a computing device in communication with the ablation catheter, the computing device configured to evaluate multiple sclerosis symptoms by;

identifying at least one venous obstruction site in the vein based on images obtained by the imaging transducer of the ablation catheter;

assessing the at least one venous outflow obstruction site to determine whether the at least one venous outflow obstruction site causes significant narrowing of the vein, wherein venous outflow obstruction sites causing significant narrowing of the vein are identified for treatment with the ablation catheter; and

applying the treatment device to the identified venous outflow obstruction site of the vein to treat the multiple sclerosis symptoms of the patient, including ablating the identified venous outflow obstruction site to increase a cross-sectional area of a lumen of the vein of the patient.

2. The method of claim 1, wherein the imaging system is an OCT system having a light source and distal optics and wherein the ablation system is combined with the distal optics of the imaging system.

3. The method of claim 2, wherein the ablation provided by the ablation system is laser ablation that is supplied to the ablation system from the same light source used by the OCT system to produce OCT images.

4. The method of claim 2, wherein the provided treatment device further comprises optical fibers extending along the length of the catheter connecting the light source to the distal optics.

5. The method of claim 4, wherein the ablation provided by the ablation system is laser ablation that is supplied to the ablation system from the same light source used by the OCT system to produce OCT images.

6. The method of claim 4, wherein the light source used to produce OCT images is located remotely from the distal optics.

7. The method of claim 4, wherein the light source used to produce OCT images is located in close proximity to the distal optics.

8. The method of claim 7, wherein the light source provides the light needed to produce OCT images and the laser light used by the ablation system.

9. The method of claim 1, wherein the imaging transducer is an ultrasound transducer.

10. The method of claim 9, wherein the ablation catheter utilizes RF ablation.

11. The method of claim 1, further comprising:

assessing, using the computing device, the identified venous outflow obstruction site to determine the efficacy of applying the treatment device to treat the multiple sclerosis symptoms of the patient.