Ultrasonic probe device with rapid attachment and detachment means having a line contact collet

• US 20030065263A1
• Filed: 10/10/2002
• Published: 04/03/2003
• Est. Priority Date: 10/05/1999
• Status: Abandoned Application

• Current Assignee: Cybersonics, Inc
• Original Assignee: OmniSonics Medical Technologies, Inc.
• Inventors: Talbot, Scott A., Rabiner, Robert A., Robertson, Roy M., Hare, Bradley A., Marciante, Rebecca I., Varady, Mark J., Ranucci, Kevin J., Prasad, Janniah S.
• Application Number:
  US10/268,843
• Publication Number:
  US 20030065263A1
• Time in Patent Office: Days
• US Class Current: 600/439
• 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 2017/00137 Details of operation mode
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/22007 Cavitation or pseudocavitation, i.e. creation of gas bubbles generating a secondary shock wave when collapsing
• CPC Class Codes: A61B 2017/22008 used or promoted
• CPC Class Codes: A61B 2017/22018 segmented along its length
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• CPC Class Codes: A61B 2017/320089 node location
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61N 2007/0008 Destruction of fat cells
• CPC Class Codes: A61N 7/022 intracavitary

Abstract

An ultrasonic medical device comprising an ultrasonic probe and a collet assembly for probe attachment and detachment, and a method of removing occlusions in blood vessels using the ultrasonic medical device. The probe detachability allows insertion, manipulation and withdrawal independently of a device body. The collet assembly comprises a compression clamp capable of releasably receiving the probe, and a compression housing that initiates a minimal area “line-contact” between the collet assembly segments upon engagement. A line-contact lip ensures consistent and repeatable contact between the compression clamp and the compression housing at a predetermined location to provide a consistent closing force on the probe for any selected tightening torque. The line-contact between the collet assembly segments provides efficient ultrasonic energy transfer from an ultrasonic energy source to the probe thereby increasing the probe efficiency during tissue ablation.

Claims

1. An ultrasonic medical device comprising:

a probe having a proximal end and a distal end;

a collet assembly having a compression clamp and a compression housing, wherein the compression clamp engages the proximal end of the probe and the compression housing engages the compression clamp to provide a line-contact between the compression clamp and the compression housing and exert a compressive force circumferentially along the line-contact; and

a sound conductor having a proximal end and a distal end, wherein the distal end is connected to the collet assembly and the proximal end is connected to a transducer capable providing ultrasonic energy, wherein the proximal end of the probe is releasably attached to the collet assembly enabling the sound conductor to transmit the ultrasonic energy from the transducer to the collet assembly and the probe.

2. The ultrasonic device of claim 1 wherein the collet assembly detachably couples the probe to the sound conductor and the transducer to enable the probe to vibrate at an ultrasonic frequency.

3. The ultrasonic device of claim 1 wherein the compression clamp is capable of detachably engaging the compression housing to exert a compressive force on the compression clamp upon engagement of the compression housing with the compression clamp.

6. The compression clamp of claim 1 comprising:

a cylindrical segment with a proximal end and a distal end;

a conical segment extending from the distal end of the cylindrical segment;

a slit extending along a longitudinal axis of the conical segment and the cylindrical segment containing a centrally located cylindrical bore capable of exerting a compressive force upon the probe inserted therein;

a mechanical assembly at the proximal end of the compression clamp capable of engaging a sound conductor; and

a mechanical assembly at the distal end of the compression clamp capable of releasably engaging the compression housing.

7. The ultrasonic device of claim 1 wherein the compression clamp is capable of releasably engaging the compression housing whereby the compression housing exerts a compressive force on the compression clamp upon engagement causing the compression clamp to engage and releasably restrain the probe inserted therein.

8. The ultrasonic device of claim 1 wherein the compression clamp transmits ultrasonic energy from the transducer to the probe when the compression clamp engages the compression housing.

9. The collet assembly of claim 1 wherein the collet assembly enables a plurality of attachment and detachment operations of the probe.

10. The ultrasonic device of claim 1 further comprising a handle having a probe attachment mechanism.

11. The ultrasonic device of claim 1 wherein the probe is a flexible guidewire.

12. The ultrasonic device of claim 1 wherein the probe further comprises a sheath assembly consisting of at least one sheath.

13. The ultrasonic device of claim 12 wherein the at least one sheath is capable of partially shielding a tissue at the site of a surgical procedure from the probe.

14. The ultrasonic device of claim 12 wherein the sheath assembly comprises an aspiration conduit, whereby fragments of occlusion materials are removed through the aspiration conduit.

15. The ultrasonic device of claim 12 wherein the sheath assembly further comprises an irrigation conduit for delivering an irrigating fluid.

16. The ultrasonic device of claim 12 wherein the sheath assembly comprises a conduit for delivering a therapeutic agent therethrough.

17. The ultrasonic device of claim 12 wherein the sheath assembly comprises an imaging system enabling positioning of the probe proximal to the occlusion.

18. The ultrasonic device of claim 12 wherein the sheath assembly is a vascular catheter comprising at least one lumen.

19. The ultrasonic device of claim 1 wherein the probe is capable of supporting a standing transverse sound waves to cause generation of ultrasonic cavitation energy in at least one location along the longitudinal axis of the probe.

20. The ultrasonic device of claim 19 wherein the ultrasonic cavitation energy is enhanced at the distal end of the probe.

21. The ultrasonic device of claim 1 wherein the diameter and flexural stiffness of the probe varies along the probe longitudinal axis.

22. The ultrasonic device of claim 1 wherein the diameter of the probe remains unchanged along the entire probe longitudinal axis.

23. The ultrasonic device of claim 1 wherein the length of the probe is between about 30 centimeters and about 300 centimeters.

24. The ultrasonic device of claim 1 wherein the length of the probe is between about 50 centimeters and about 90 centimeters.

25. The ultrasonic device of claim 1 wherein the sound conductor and the transducer are contained in a handle.

26. The ultrasonic device of claim 1 wherein the sound conductor comprises a horn assembly capable of providing an impedance mismatch between the sound conductor and the probe.

27. The ultrasonic device of claim 1 wherein the sound conductor connected to the collet assembly is capable of controlling ultrasonic energy transferred to the probe.

4. The compression housing of claim I comprising:

a hollow tube having a proximal end, a distal end, an inner surface and an outer surface; and

a conical segment proximal to the distal end of the hollow tube comprising a line-contact lip extending along at least a portion of the circumference of an inner surface that is capable of exerting a compressive force along a point of contact between the line-contact lip and the compression clamp.

5. The compression housing of claim 4 wherein the line-contact lip extends along the entire circumference along the inner surface of the conical segment.

28. An ultrasonic device for removing occlusions in blood vessels comprising:

a wire probe having a proximal end, a distal end and a probe longitudinal axis;

a probe attachment mechanism comprising a collet assembly having a compression clamp capable of detachably engaging the wire probe and a compression housing capable of engaging the compression clamp to provide a line-contact with the compression housing and exert a compressive force circumferentially along the line-contact on the compression clamp; and

a sound conductor having a proximal end and a distal end, the distal end being connected to the collet assembly and the proximal end being connected to a transducer capable providing ultrasound energy, wherein the wire probe is releasably attached at its proximal end of the probe attachment mechanism, enabling the sound conductor to transmit ultrasound energy from the transducer to the wire probe causing the wire probe to be oscillated in a mode that is substantially transverse to the probe longitudinal axis.

29. The ultrasonic device of claim 28 wherein the collet assembly detachably couples the wire probe to the sound conductor and the transducer to enable the wire probe to vibrate at an ultrasonic frequency.

30. The ultrasonic device of claim 28 wherein the compression clamp is capable of detachably engaging the compression housing to exert a compressive force on the compression clamp upon engagement of the compression housing with the compression clamp.

31. The compression housing of claim 28 comprising:

a hollow tube having a proximal end, and a distal end, an inner surface and an outer surface; and

a conical segment proximal to the distal end of the hollow tube comprising a line-contact lip extending along at least a portion of the circumference of an inner surface that is capable of exerting a compressive force along a point of contact between the line-contact lip and the compression clamp.

32. The compression housing of claim 31 wherein the line-contact lip extends along the entire circumference along the inner surface of the conical segment.

33. The compression clamp of claim 28 comprising:

a cylindrical segment with a proximal end and a distal end;

a conical segment extending from the distal end of the cylindrical segment;

a slit extending along a longitudinal axis of the conical segment and the cylindrical segment containing a centrally located cylindrical bore capable of exerting a compressive force upon the wire probe inserted therein;

a mechanical assembly at the proximal end of the compression clamp capable of engaging a sound conductor; and

a mechanical assembly at the distal end of the compression clamp capable of releasably engaging the compression housing.

34. The ultrasonic device of claim 28 wherein the compression clamp is capable of releasably engaging the compression housing whereby the compression housing exerts a compressive force on the compression clamp upon engagement causing the compression clamp to engage and releasably restrain the wire probe inserted therein.

35. The ultrasonic device of claim 28 wherein the compression clamp transmits ultrasound energy from the transducer to the wire probe when the compression clamp engages the compression housing.

36. The collet assembly of claim 28 wherein the collet assembly enables a plurality of attachment and detachment operations of the wire probe.

37. The ultrasonic device of claim 28 further comprising a handle having a probe attachment mechanism.

38. The ultrasonic device of claim 28 wherein the wire probe is a flexible guidewire.

39. The ultrasonic device of claim 28 wherein the wire probe further comprises a sheath assembly consisting of at least one sheath.

40. The ultrasonic device of claim 39 wherein the sheath assembly is capable of partially shielding a tissue at the site of a surgical procedure from the wire probe.

41. The ultrasonic device of claim 39 wherein the sheath assembly comprises an aspiration conduit, whereby fragments of occlusion materials are removed through the aspiration conduit.

42. The ultrasonic device of claim 39 wherein the sheath assembly further comprises an irrigation conduit for delivering an irrigating fluid.

43. The ultrasonic device of claim 39 wherein the sheath assembly comprises a conduit for delivering a therapeutic agent therethrough.

44. The ultrasonic device claim 39 wherein the sheath assembly comprises an imaging system enabling positioning of the probe proximal to the occlusion.

45. The ultrasonic device of claim 39 wherein the sheath assembly is a vascular catheter comprising at least one lumen.

46. The ultrasonic device of claim 28 wherein the wire probe is capable of supporting a standing transverse sound wave to cause generation of ultrasonic cavitation energy in at least one location along the longitudinal axis of the wire probe.

47. The ultrasonic device of claim 46 wherein the ultrasonic cavitation energy is enhanced at the distal end of the wire probe.

48. The ultrasonic device of claim 28 wherein the diameter and flexural stiffness of the wire probe varies along the probe longitudinal axis.

49. The ultrasonic device of claim 28 wherein the diameter of the wire probe remains unchanged along the entire probe longitudinal axis.

50. The ultrasonic device of claim 28 wherein the length of the wire probe is between about 30 centimeters and about 300 centimeters.

51. The ultrasonic device of claim 28 wherein the length of the wire probe is between about 50 centimeters and about 90 centimeters.

52. The ultrasonic device of claim 28 wherein the sound conductor and the transducer are contained in a handle.

53. The ultrasonic device of claim 28 wherein the sound conductor comprises a horn assembly capable of providing an impedance mismatch between the sound conductor and the wire probe.

54. The ultrasonic device of claim 28 wherein the sound conductor connected to the collet assembly is capable of controlling ultrasound energy transferred to the wire probe.

55. A method of removing an occlusion in a blood vessel using an ultrasonic device comprising the following steps:

inserting a probe into the blood vessel having the occlusion;

positioning the probe at the occlusion by an axial or a rotational manipulation within the blood vessel;

attaching the probe to a collet assembly by inserting a proximal end of the probe into a compression clamp and engaging a compression housing with the compression clamp to cause a line-contact lip in the compression clamp to exert a compressive force along a line-contact on an external surface of the compression clamp whereby the compression clamp engages the probe;

activating a transducer to cause oscillation of the probe in a substantially transverse mode with respect to the longitudinal axis of the probe; and

detaching the probe from the collet assembly upon completion of surgical procedure and withdrawing the probe from the blood vessel.

56. The method of claim 55 wherein the probe is a flexible guidewire.

57. The method of claim 55 wherein the probe further comprises a sheath assembly comprising at least one sheath.

58. The method of claim 57 wherein the at least one sheath is capable of partially shielding a tissue at the site of the occlusion from the probe.

59. The method of claim 57 wherein the sheath assembly comprises an aspiration conduit, whereby fragments of occlusion materials are removed through the aspiration conduit.

60. The method of claim 57 wherein the sheath assembly further comprises an irrigation conduit enabling a supply of an irrigating fluid to the occlusion.

61. The method of claim 57 wherein the sheath assembly further comprises a conduit for delivering a therapeutic agent therethrough.

62. The method according to claims 57 wherein the sheath assembly further comprises an imaging system enabling positioning of the probe proximal to the occlusion.

63. The method according to claims 57 wherein the sheath assembly is a vascular catheter comprising at least one lumen.