Medical probe with fluid rotary joint

• US 9,387,305 B2
• Filed: 05/29/2012
• Issued: 07/12/2016
• Est. Priority Date: 05/27/2011
• Status: Active Grant

• Current Assignee: Conavi Medical Inc.
• Original Assignee: Conavi Medical Inc.
• Inventors: Jourard, Isaac, Courtney, Brian, Thind, Amandeep
• Primary Examiner(s): Brutus, Joel F
• Application Number:
  US13/482,896
• Publication Number:
  US 20130023770A1
• Time in Patent Office: 1,505 Days
• Field of Search: 600/467
• US Class Current: 1/1
• CPC Class Codes: A61B 1/00142 with means for preventing contamination, e.g. by using a sanitary sheath
• CPC Class Codes: A61B 1/0016 using motor drive units
• CPC Class Codes: A61B 1/0057 Constructional details of force transmission elements, e.g. control wires
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• CPC Class Codes: A61B 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61B 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• 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 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: A61M 2025/0019 Cleaning catheters or the like, e.g. for reuse of the device, for avoiding replacement
• CPC Class Codes: A61M 2025/0039 characterized by lumina being arranged coaxially
• CPC Class Codes: A61M 2039/1077 Adapters, e.g. couplings adapting a connector to one or several other connectors
• CPC Class Codes: A61M 25/0028 characterized by features relating to at least one lumen located at the proximal part of the catheter, e.g. alterations in lumen shape or valves catheter hubs A61M25/0097
• CPC Class Codes: A61M 25/0082 Catheter tip comprising a tool
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61M 25/104 used for angioplasty
• CPC Class Codes: A61M 39/223 Multiway valves
• CPC Class Codes: A61M 39/225 : Flush valves, i.e. bypass valves for flushing line
• CPC Class Codes: A61N 7/00 : Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092

Abstract

A catheter is provided that includes an external sheath, a rotatable conduit housed within the external sheath, and a fluid rotary joint having a rotatable insert that places an inner lumen of the rotatable conduit in fluid communication with an external port under rotation of the rotatable conduit. The rotatable insert may include a channel structure including an external annular channel. The rotatable conduit is received within the channel structure such that the inner lumen is in fluid communication with the external port through the annular channel under rotation. The external sheath may define an outer lumen that may be in fluid communication with the inner lumen at a location remote from a proximal portion of the catheter, and the outer lumen may be in fluid communication with a secondary port. The rotatable conduit may be housed within a torque cable that is connected to the rotatable insert.

Claims

1. A medical probe comprising:

an external sheath;

a rotatable fluid conduit housed within said external sheath, said rotatable fluid conduit including an inner lumen; and

a fluid rotary joint comprising;

an outer housing including an external port, wherein a proximal portion of said external sheath is connected to a distal region of said outer housing;

a rotatable insert having an inner channel, wherein said rotatable insert is housed within said outer housing and rotatable within said outer housing, and wherein a proximal portion of said rotatable fluid conduit is connected to said rotatable insert, such that said inner channel is in fluid communication with said inner lumen, and such that said rotatable fluid conduit rotates in unison with said rotatable insert;

said external sheath defining an outer lumen, wherein said inner lumen is in fluid communication with said outer lumen at a location remote from a proximal portion of said rotatable fluid conduit;

a secondary port in fluid communication with said outer lumen, wherein said secondary port is located in a proximal direction relative to a distal end of said rotatable fluid conduit, such that a direction of fluid flow in the outer lumen is opposite to a direction fluid flow in the inner lumen; and

at least one seal between said rotatable insert and an inner surface of said outer housing;

wherein said inner channel is in fluid communication with said external port under rotation of said rotatable fluid conduit; and

wherein said rotatable insert is connectable to a rotational drive mechanism.

2. The medical probe according to claim 1 wherein said rotatable insert comprises a longitudinal channel;

wherein said longitudinal channel is in fluid communication with said external port under rotation of said rotatable insert; and

wherein said proximal portion of said rotatable fluid conduit is received within said longitudinal channel.

3. The medical probe according to claim 2 wherein said rotatable insert comprises a lateral channel, wherein said lateral channel is in fluid communication with said longitudinal channel, and wherein said lateral channel is in fluid communication with said external port under rotation of said rotatable insert.

4. The medical probe according to claim 3 wherein said lateral channel is radially oriented.

5. The medical probe according to claim 3 wherein an outer portion of said rotatable insert includes an annular channel in fluid communication with said lateral channel and said external port.

6. The medical probe according to claim 3 wherein an inner portion of said outer housing includes an annular channel in fluid communication with said lateral channel and said external port.

7. The medical probe according to claim 1 wherein said outer housing further includes said secondary port, and wherein said outer lumen is in fluid communication with said secondary port.

8. The medical probe according to claim 7 wherein said external sheath is attached to an inner surface of said outer housing at a distal portion of said outer housing, such that said outer lumen is brought in fluid communication with a chamber within said outer housing, and wherein said chamber is in fluid communication with said secondary port.

9. The medical probe according to claim 8 wherein said distal portion of said outer housing includes a strain relief member attached to said external sheath.

10. The medical probe according to claim 1 wherein said secondary port is located near said proximal portion of said rotatable fluid conduit.

11. The medical probe according to claim 1 wherein said secondary port is located at a position that is remote from said proximal portion of said rotatable fluid conduit.

12. The medical probe according to claim 1 wherein said rotatable fluid conduit is a torque cable.

13. The medical probe according to claim 1 wherein said medical probe further comprises a rotatable shaft that houses said rotatable fluid conduit.

14. The medical probe according to claim 13 wherein said rotatable shaft is a torque cable.

15. The medical probe according to claim 1 further comprising:

a remote assembly connected to a rotatable portion of said medical probe at a location remote from a proximal end of said rotatable fluid conduit; and

an active channel to deliver power or signals between said proximal end of said rotatable fluid conduit and said remote assembly.

16. The medical probe according to claim 15 wherein said rotatable insert includes a connector to interface a proximal end of said active channel with rotary adapter, wherein said rotary adapter is configured to deliver external or signals from said active channel to an external non-rotary component.

17. The medical probe according to claim 16 wherein said active channel includes two electrical conductors, and wherein said connector is a coaxial connector.

18. The medical probe according to claim 16 wherein said active channel is an optical fiber, and wherein said connector is a fiber optic connector.

19. The medical probe according to claim 16 wherein said active channel is a first active channel and wherein said connector is a first connector, and wherein said medical probe further includes:

a second active channel and a second connector to interface a proximal end of said second active channel with said rotary adapter, wherein said rotary adapter is configured to deliver external or signals from said second active channel to an external non-rotary component.

20. The medical probe according to claim 19 wherein said first active channel includes two electrical conductors, and wherein said second active channel is an optical fiber.

21. The medical probe according to claim 15 wherein said remote assembly includes an imaging transducer supported by a remote housing, wherein said remote housing is attached to a rotatable portion of said medical probe.

22. The medical probe according to claim 21 wherein said remote housing is configured to redirect a flow of working fluid delivered from said inner lumen.

23. The medical probe according to claim 22 wherein said remote housing is configured such that flow of said working fluid is directed towards a surface of said imaging transducer.

24. The medical probe according to claim 22 wherein said remote housing is configured such that a flow of said working fluid is initially directed to a region distal to said imaging transducer.

25. The medical probe according to claim 21 wherein said remote housing includes a flow redirecting feature to redirect a flow of working fluid.

26. The medical probe according to claim 21 wherein said remote assembly comprises a deflectable member to control a direction of imaging energy that is received with or emitted from said imaging transducer.

27. The medical probe according to claim 26 wherein said deflectable member is a pivotable member.

28. The medical probe according to claim 27 wherein said pivotable member includes an ultrasonic transducer.

29. The medical probe according to claim 21 wherein said imaging transducer is an ultrasonic transducer.

30. The medical probe according to claim 1 wherein said rotatable insert further comprises a proximal connector to connect said rotatable insert to said rotational drive mechanism.

31. The medical probe according to claim 1 further comprising:

a remote device connected to a rotatable portion of said medical probe at a location remote from a proximal end of said rotatable fluid conduit;

wherein said remote device includes one or more internal flow channels in fluid communication with said inner lumen of said rotatable fluid conduit;

such that a temperature of said remote device may be controlled according to a temperature of a working fluid delivered within said rotatable fluid conduit.

32. The medical probe according to claim 31 wherein said remote device is an atherectomy device.

33. The medical probe according to claim 1 further comprising:

an inflatable device connected to said medical probe at a location remote from a proximal end of said rotatable fluid conduit;

wherein said inflatable device includes an expandable volume in fluid communication with said inner lumen of said rotatable fluid conduit,

such that said expandable volume may be controlled by varying the pressure of a fluid within said inner lumen of said rotatable fluid conduit.

34. The medical probe according to claim 1 wherein at least a portion of said rotatable conduit is impermeable to liquids.