Catheter with imaging assembly and console with reference library and related methods therefor

• US 9,433,339 B2
• Filed: 11/02/2012
• Issued: 09/06/2016
• Est. Priority Date: 09/08/2010
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Allyn, Robert, Branconier, Glen, Sacchetti, Anthony
• Primary Examiner(s): Nguyen, Anhtuan T
• Assistant Examiner(s): NEWTON, ALEXANDRA L
• Application Number:
  US13/667,304
• Publication Number:
  US 20130303849A1
• Time in Patent Office: 1,404 Days
• Field of Search: 600/114, 600/117, 600/118
• US Class Current: 1/1
• CPC Class Codes: A61B 1/0002 provided with data storages
• CPC Class Codes: A61B 1/0004 for electronic operation
• CPC Class Codes: A61B 1/00045 Display arrangement
• CPC Class Codes: A61B 1/0005 combining images e.g. side-by-side, superimposed or tiled
• CPC Class Codes: A61B 1/00059 provided with identification means for the endoscope
• CPC Class Codes: A61B 1/00114 Electrical cables in or with an endoscope
• CPC Class Codes: A61B 1/00119 Tubes or pipes in or with an endoscope
• CPC Class Codes: A61B 1/00137 End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
• CPC Class Codes: A61B 1/005 Flexible endoscopes
• CPC Class Codes: A61B 1/04 combined with photographic or television appliances
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion
• CPC Class Codes: A61B 1/051 Details of CCD assembly
• CPC Class Codes: A61B 1/053 being detachable
• CPC Class Codes: A61B 1/0607 for annular illumination
• CPC Class Codes: A61B 1/0676 at distal tip of an endoscope
• CPC Class Codes: A61B 1/0684 using light emitting diodes [LED]
• CPC Class Codes: A61B 1/2676 Bronchoscopes
• CPC Class Codes: A61B 1/2736 Gastroscopes
• CPC Class Codes: A61B 5/0013 Medical image data A61B1/00011, A61B6/56, A61B8/56 take precedence
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/6852 : Catheters
• CPC Class Codes: A61B 5/742 : using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61J 15/00 : Feeding-tubes for therapeutic purposes
• CPC Class Codes: A61J 15/0003 : Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth
• CPC Class Codes: A61J 15/0026 : Parts, details or accessories for feeding-tubes external tubes from medical containers to a connector outside of the body A61M39/08
• CPC Class Codes: A61J 15/0069 : Tubes feeding directly to the intestines, e.g. to the jejunum
• CPC Class Codes: A61J 15/0073 : Multi-lumen tubes
• CPC Class Codes: A61J 15/008 : Sensor means, e.g. for sensing reflux, acidity or pressure sensors for diagnostic purposes A61B5/00; sensors for inflation control A61M25/1018

Abstract

An imaging system having an imaging assembly having an imaging device for generating imaging signals corresponding to images of anatomy of a patient disclosed. The imaging assembly, which may be a component of a feeding tube assembly, transmits the imaging signals generated to a console, which presents images generated corresponding to the imaging signals on a display. A reference menu is presented on the display including menu items, which correspond to reference materials including photographs, video recordings, audio recordings, diagrams, animations, and/or text. Each of the materials provides information about anatomy, patient preparation, imaging catheter preparation, imaging catheter placement, imaging catheter operation, imaging catheter features, console preparation, console operation, console features, system operation, system features, and/or contact information.

Claims

1. An imaging catheter system, comprising:

a feeding tube having an inlet connectable to a source of feeding fluid, an outlet distal from and fluidly connected to the inlet through a feeding passage, and an imaging device disposed proximate the outlet, the imaging device configured to generate and transmit imaging signals corresponding to an image of an anatomy of a patient; and

a console comprising a display and memory having stored therein a plurality of reference materials selected from the group consisting of photographic data, video data, audio data, diagrams, animations, and combinations thereof, each of the plurality of reference materials providing information about at least one of anatomy, patient preparation, feeding tube preparation, feeding tube placement, feeding tube operation, feeding tube features, console preparation, console operation, console features, system operation, system features, and contact information, wherein the console is configured to receive the imaging signals, present at least a portion of at least one image corresponding to at least a portion of the imaging signals on the display, and present a reference menu on the display including menu items corresponding to at least one of the reference materials, wherein at least one of the reference materials includes feeding tube placement information comprising a previously captured image illustrating prior tube placement within a patient, and the console is configured so that the feeding tube placement information can be periodically accessed on the display to verify proper placement of the feeding tube in the patient, wherein at least one of the plurality of reference materials comprises a partially schematic illustration including contrasting correct and incorrect paths for inserting the feeding tube into the patient, each path including at least one separate representative anatomical image located along the respective path, and wherein the at least one anatomical image of the correct path comprises an image located along an alimentary canal and the at least one anatomical image of the incorrect path comprises an image located along a respiratory path.

2. The imaging catheter system of claim 1, wherein at least one of the plurality of reference materials includes a photograph showing an anatomical landmark.

3. The imaging catheter system of claim 2, wherein the anatomical landmark is one of a bronchus, larynx, tracheal rings, cardia, pyloric sphincter, cricoid cartilage, bronchial split, esophageal junction, stomach folds, duodenal folds, and pyloric orifice.

4. The imaging catheter system of claim 1, wherein the console is configured to present on the display the reference menu simultaneously with the image generated from the imaging signal.

5. The imaging catheter system of claim 1, wherein the console is configured to present on the display at least one of the reference materials simultaneously with the image generated from the imaging signal.

6. The imaging catheter system of claim 1, wherein the console is configured to simultaneously display the schematic illustration and the image generated from the imaging signal for training.

7. The imaging catheter system of claim 1, wherein the partially schematic illustration comprises a schematic illustration of a patient'"'"'s alimentary canal and respiratory path, and wherein the partially schematic illustrations indicate where the at least one anatomical image located along the alimentary canal is located and where the at least one anatomical image located along the respiratory path is located.

8. The imaging catheter system of claim 1, wherein each path includes a plurality of representative anatomical images located along the respective paths.

9. A method of facilitating use of a feeding tube assembly, comprising:

providing a feeding tube having an inlet connectable to a source of feeding fluid, an outlet distal from and fluidly connected to the inlet through a feeding passage, and an imaging device disposed proximate the outlet, the imaging device configured to generate and transmit imaging signals corresponding to an image of an anatomy of a patient;

providing a console comprising a display and memory having stored therein a plurality of reference materials selected from the group consisting of photographs, video recordings, audio recordings, diagrams, animations, text, and combinations thereof, each of the plurality of the reference materials providing information about at least one of anatomy, patient preparation, imaging catheter preparation, imaging catheter placement, imaging catheter operation, imaging catheter features, console preparation, console operation, console features, system operation, system features, and contact information, wherein the console is configured to receive the imaging signals, present at least a portion of at least one image corresponding to the imaging signals on the display, and present a reference menu on the display including menu items corresponding to at least one of the reference materials, wherein at least one of the reference materials includes feeding tube placement information; and

providing periodic access to the feeding tube placement information comprising a previously captured image illustrating prior tube placement within a patient on the display to verify proper placement of the feeding tube in the patient, wherein at least one of the plurality of reference materials comprises a partially schematic illustration including contrasting correct and incorrect paths for inserting the feeding tube into the patient, each path including at least one separate representative anatomical image located along the respective path, and wherein the at least one anatomical image of the correct path comprises an image located along an alimentary canal and the at least one anatomical image of the incorrect path comprises an image located along a respiratory path.

10. The method of claim 9, wherein the console is configured to simultaneously present on the display a photograph from the plurality of reference materials and a video image corresponding to the image signals from the imaging assembly, wherein the photograph provides a representative anatomical marker.

11. The method of claim 9, further comprising at least one of storing additional reference materials into the memory, removing at least one reference materials from the memory, and replacing the memory with an updated memory, the updated memory having stored therein an updated reference material.

12. The method of claim 9, further comprising:

receiving the console from a user; and

after receiving the console, at least one of storing additional reference materials into the memory, removing at least one reference materials from the memory, and replacing the memory with an updated memory, the updated memory having stored therein at least one updated reference material.

13. An imaging catheter system comprising:

an imaging catheter including an imaging assembly having an imaging device for generating imaging signals corresponding to images of anatomy of a patient, said imaging assembly transmitting the imaging signals generated by the imaging device; and

a console adapted to receive the imaging signals transmitted by the imaging assembly and present images generated from the imaging signals on a display, the console being adapted to selectively present a reference menu on the display including menu items corresponding to reference materials selected from a group of reference materials comprising at least one of photographs, video recordings, audio recordings, diagrams, animations, and text, each of said materials providing information about at least one of anatomy, patient preparation, imaging catheter preparation, imaging catheter placement, imaging catheter operation, imaging catheter features, console preparation, console operation, console features, system operation, system features, and contact information, wherein at least one of the reference materials includes imaging catheter placement information and the console is configured so that the imaging catheter placement information comprising a previously captured image illustrating prior tube placement within a patient, can be periodically accessed on the display to verify proper placement of the imaging catheter in the patient, and wherein at least one of reference materials comprises a partially schematic illustration including contrasting correct and incorrect paths for inserting the feeding tube into the patient, each path including at least one separate representative anatomical image located along the respective path, and wherein the at least one anatomical image of the correct path comprises an image located along an alimentary canal and the at least one anatomical image of the incorrect path comprises an image located along a respiratory path.

14. The imaging catheter system as set forth in claim 13, further comprising a feeding tube assembly including a feeding tube for delivering enteral feeding liquid to the patient, the tube having an inlet and an outlet and a feeding passage extending between said inlet and said outlet, the imaging catheter being positioned adjacent the outlet for generating imaging signals corresponding to an alimentary canal of the patient, the imaging assembly being sealed from the feeding passage to inhibit enteral feeding liquid in the feeding passage from entering the imaging assembly.