Stabilization of visualization catheters

• US 8,131,350 B2
• Filed: 12/20/2007
• Issued: 03/06/2012
• Est. Priority Date: 12/21/2006
• Status: Active Grant

• Current Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Original Assignee: Voyage Medical, Inc.
• Inventors: Rothe, Chris A., Peh, Ruey-Feng, Tam, Edmund, Saadat, Vahid A.
• Primary Examiner(s): MEHTA, PARIKHA SOLANKI
• Application Number:
  US11/961,950
• Publication Number:
  US 20090275842A1
• Time in Patent Office: 1,538 Days
• Field of Search: 600/106, 600/107, 600114-116, 600121-125, 600/129, 600/130, 600/407, 600/423, 600462-470, 600478-480, 604104-106, 606190-195
• US Class Current: 600/478
• CPC Class Codes: A61B 1/00089 Hoods
• CPC Class Codes: A61B 1/042 characterised by a proximal camera, e.g. a CCD camera
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion

Abstract

Systems for the stabilization of visualization catheters are described herein which facilitate the deployment and retraction of an imaging hood from a catheter. Such systems may include a deployment catheter and an imaging hood having one or more structural elements which may be integrated or advanced into the hood independently of the hood itself. Moreover, additional features such as rapid exchange ports may be integrated along the hood or along the catheter proximal to the hood to facilitate intravascular procedures and treatments.

Claims

1. An apparatus for stabilizing an open area of a visualization catheter, comprising:

a deployment catheter defining at least one lumen therethrough;

a barrier or membrane having an inner layer and an outer layer projecting distally from the deployment catheter such that the inner layer defines the open area therein and the outer layer is positioned adjacent to the inner layer whereby the inner layer and outer layer define an annular channel through the barrier or membrane, wherein the open area is in fluid communication with the at least one lumen and with an environment external to the barrier or membrane;

a collapsible frame having a low-profile configuration and an expanded configuration which is advanceable through the annular channel defined between the inner layer and outer layer of the barrier or membrane such that the frame in its expanded configuration is seated circumferentially along the barrier or membrane; and

a visualization element disposed within or adjacent to the barrier or membrane for visualizing tissue adjacent to the open area.

2. The apparatus of claim 1 wherein the collapsible frame comprises a circumferential frame having a low-profile oval configuration.

3. The apparatus of claim 1 further comprising an anchor member coupled to the frame and passing through the deployment catheter.

4. The apparatus of claim 1 wherein the barrier or membrane is collapsible into a low-profile configuration within the catheter.

5. The apparatus of claim 1 wherein the barrier or membrane defines a plurality of ligaments therealong.

6. The apparatus of claim 5 wherein the ligaments comprises circumferentially oriented ligaments.

7. The apparatus of claim 6 wherein the ligaments further comprise axially oriented ligaments.

8. The apparatus of claim 1 wherein the barrier or membrane defines an opening therealong through which a rapid exchange element is capable of being inserted.

9. The apparatus of claim 1 wherein the catheter defines an opening therealong proximal to the barrier or membrane through which a rapid exchange element is capable of being inserted.

10. A method of stabilizing an open area of a visualization catheter, comprising:

intravascularly deploying a barrier or membrane having an inner layer and an outer layer projecting distally from a deployment catheter to an expanded configuration such that the inner layer defines an open area and the outer layer is positioned adjacent to the inner layer whereby the inner layer and outer layer define an annular channel through the barrier or membrane;

advancing a collapsible frame through the annular channel defined between the inner layer and outer layer from a low-profile configuration to an expanded configuration such that the frame is seated circumferentially along the barrier or membrane;

displacing an opaque fluid with a transparent fluid introduced through the catheter such that the opaque fluid is displaced from the open area defined by the barrier or membrane and an underlying tissue region and into an environment external to the barrier or membrane; and

visualizing the underlying tissue region through the transparent fluid.

11. The method of claim 10 wherein advancing comprises deploying the frame from an oval low-profile configuration to an expanded circumferential configuration.

12. The method of claim 10 further comprising treating the underlying tissue region via a therapy while visualizing the therapy.

13. The method of claim 10 further comprising retracting the collapsible frame into the low-profile configuration.

14. The method of claim 13 further comprising retracting the barrier or membrane into a low-profile configuration.

15. The method of claim 10 wherein the barrier or membrane defines a plurality of ligaments therealong.

16. The method of claim 15 wherein the ligaments comprises circumferentially oriented ligaments.

17. The method of claim 16 wherein the ligaments further comprise axially oriented ligaments.

18. The method of claim 10 wherein the barrier or membrane defines an opening therealong through which a rapid exchange element is capable of being inserted.

19. The method of claim 10 wherein the catheter defines an opening therealong proximal to the barrier or membrane through which a rapid exchange element is capable of being inserted.