Patent Application
20220304625
The technology relates to a catheter to be used for measuring an internal temperature of a hollow organ inside the body such as the esophagus, and to a catheter device to be applied to the catheter.
An operation that performs cauterization or “ablation” with use of an ablation catheter has been performed as one of medical treatments for arrhythmia, etc. Such ablation that uses the ablation catheter may be performed on a site that involves the arrhythmia inside the heart, for example. In general, methods of the ablation may be roughly classified into a method that performs heating and a method that performs cooling. For example, the methods of the ablation may be roughly classified into a high-temperature ablation that uses a high frequency current and a low-temperature ablation that uses liquid nitrous oxide, liquid nitrogen, etc. Upon performing the ablation of a site such as the posterior wall of the left atrium of the heart by means of the ablation catheter, i.e., upon surgical ablation of the left atrium, the esophagus positioned in the vicinity of the posterior wall of the left atrium can typically be heated or cooled as well, leading to a possible damage of the esophagus.
To address this, a method has been proposed that measures or monitors data on a temperature in the esophagus, such as a temperature of the medial wall of the esophagus. The method involves insertion of a temperature measuring catheter or a so-called “esophageal catheter” into the esophagus through the nose of a patient by means of a transnasal approach. For example, reference is made to Japanese Unexamined Patent Application Publication (Translation of PCT Application) No. 2010-505592. Monitoring the temperature in the esophagus makes it possible to prevent a possible damage of the esophagus upon, for example, the surgical ablation of the left atrium described above.
A catheter device according to one embodiment of the technology is to be applied to a catheter. The catheter includes a catheter shaft, and a plurality of temperature sensors provided in a region in the vicinity of a tip end of the catheter shaft and configured to measure an internal temperature of a hollow organ inside the body. The catheter device includes a tube member and a handle. The tube member extends in an axial direction, and is configured to be inserted through a lumen provided in the catheter shaft. The handle is provided on a base end of the tube member, and includes a deformation operating member configured to receive an operation that causes a region in the vicinity of a tip end of the tube member to be subjected to bending deformation. Upon the bending deformation of the region in the vicinity of the tip end of the tube member in response to the operation of the deformation operating member, the tube member to be subjected to the bending deformation is configured to be pressed against a wall surface of the lumen of the catheter shaft to displace the region in the vicinity of the tip end of the catheter shaft.
A catheter according to one embodiment of the technology is configured to measure an internal temperature of a hollow organ inside the body. The catheter includes a catheter shaft, a plurality of temperature sensors, a first handle, and a catheter device. The catheter shaft has a lumen. The plurality of temperature sensors is provided in a region in the vicinity of a tip end of the catheter shaft, and configured to measure the internal temperature of the hollow organ inside the body. The first handle is provided on a base end of the catheter shaft. The catheter device is configured to be applied to the catheter. The catheter device includes a tube member and a second handle. The tube member extends in an axial direction, and is inserted through the lumen of the catheter shaft. The second handle is provided on a base end of the tube member, and includes a deformation operating member configured to receive an operation that causes a region in the vicinity of a tip end of the tube member to be subjected to bending deformation. Upon the bending deformation of the region in the vicinity of the tip end of the tube member in response to the operation of the deformation operating member, the tube member to be subjected to the bending deformation is configured to be pressed against a wall surface of the lumen of the catheter shaft to displace the region in the vicinity of the tip end of the catheter shaft.
It is to be understood that both the foregoing general description and the following detailed description are exemplary, and are intended to provide further explanation of the technology as claimed.
The accompanying drawings are included to provide a further understanding of the disclosure, and are incorporated in and constitute a part of this specification. The drawings illustrate embodiments and, together with the specification, serve to explain the principles of the technology.
In general, it is demanded that a catheter be able to reduce a burden to be imposed on the body of a patient while more reliably preventing a possibility of a damage of a hollow organ inside the body such as the esophagus, upon measuring an internal temperature of the hollow organ.
It is desirable to provide a catheter that makes it possible to reduce a burden to be imposed on the body of a patient while more reliably preventing a possibility of a damage of a hollow organ inside the body upon measuring an internal temperature of the hollow organ, and a catheter device to be applied to the catheter.
Some example embodiments of the technology are described in detail below, in the following order, with reference to the drawings.
1. Example Embodiment (an example of a configuration of a catheter that includes a catheter body and a catheter device)
Modification Examples 1 (other examples of a configuration of an opening in a region the vicinity of a tip end of a tube member)
Modification Examples 2 and 3 (examples of a configuration in which slits are provided in the region in the vicinity of the tip end of a tube member)
Modification Examples 4 (other examples of a metal line of a tube member) Note that the following description is directed to illustrative examples of the technology and not to be construed as limiting to the technology. Factors including, without limitation, numerical values, shapes, materials, components, positions of the components, and how the components are coupled to each other are illustrative only and not to be construed as limiting to the technology. Further, elements in the following example embodiments which are not recited in a most-generic independent claim of the technology are optional and may be provided on an as-needed basis. The drawings are schematic and are not intended to be drawn to scale. Note that the like elements are denoted with the same reference numerals, and any redundant description thereof will not be described in detail.
The catheter 3 may be a catheter or a so-called “esophageal catheter” to be used for a measurement of data on an internal temperature of a hollow organ inside the body of a patient upon performing a medical treatment of, for example, arrhythmia of the patient, e.g., upon performing surgical ablation of the left atrium. For example, the hollow organ may be the digestive system such as the esophagus. The internal temperature may be a temperature of the medial wall of the hollow organ. For example, the catheter 3 may be inserted into the esophagus, or any other part, of the patient through the nose or the “nasal cavity” by means of a transnasal approach, as described later in greater detail. Alternatively, the catheter 3 may be inserted into the esophagus, or any other part, of the patient through the mouth by means of a peroral approach.
Referring to
As illustrated in
The handle 12 may correspond to a specific but non-limiting example of a “first handle” according to one embodiment of the disclosure.
The catheter shaft 11 may have a tubular structure having flexibility, and may have a shape that extends in an axial direction thereof, i.e., in a Z-axis direction. In other words, the catheter shaft 11 may be a hollow tube-shaped member. For example, a length in the axial direction of the catheter shaft 11 may be about several times to about several ten times as long as a length in an axial direction, i.e., in the Z-axis direction, of the handle 12.
As illustrated in
For example, as illustrated in
The main lumen 61 may correspond to a specific but non-limiting example of a “lumen” according to one embodiment of the disclosure.
The main lumen 61 may include the tube member 21 of the catheter device 2. The tube member 21 extends in the axial direction, i.e., in the Z-axis direction, and is inserted through the main lumen 61. As illustrated in
In an example illustrated in
The electrical leads 50 may have respective tip ends electrically coupled individually to respective electrodes 111 to 115 described later. As illustrated in
As illustrated in
The catheter shaft 11 may have an outer diameter in a range from about 1.0 mm to about 5.0 mm, for example. The catheter shaft 11 may have a length in the axial direction in a range from about 300 mm to about 1500 mm. The catheter shaft 11, or the tubes 60A, 60B, 60C, and 60E, may include a thermoplastic resin as a constituent material, such as polyamide, polyether polyamide, polyurethane, polyether block amide, i.e., PEBAX (Registered Trademark), or nylon. The tubes 60C and 60E may include a fluororesin as the thermoplastic resin, such as perfluoroalkoxy alkane (PFA) or polytetrafluoroethylene (PTFE). The tube 60B may have: an outer circumferential layer that includes a resin such as polyamide; and an inner circumferential layer that includes a stainless steel (SUS) braid, for example.
As illustrated in
The five electrodes 111 to 115 may be disposed side by side in this order at a predetermined interval from a tip end, i.e., from the tip 110, of the catheter shaft 11 to a base end of the catheter shaft 11. The predetermined interval, or a distance from an electrode to an electrode among the electrodes 111 to 115, may be 10 mm or less, or may be in a range from about 2 mm to about 5 mm, for example. In some embodiments, the predetermined interval may be 5 mm. The electrodes 111 to 115 each may have a width of 7 mm or less, or in a range from about one mm to about 5 mm, for example. In some embodiments, the electrodes 111 to 115 each may have a width of 5 mm.
The electrodes 111 to 115 each may include a metal material having a good electrical conductivity, such as aluminum (Al), copper (Cu), stainless steel (SUS), gold (Au), or platinum (Pt). The tip 110 may include a metal material similar to that of each of the electrodes 111 to 115, for example. Alternatively, the tip 110 may include a resin material such as a silicone rubber resin or polyurethane. An outer diameter of each of the electrodes 111 to 115 and the tip 110 is not particularly limited. In some embodiments, the electrodes 111 to 115 and the tip 110 each may have the outer diameter that is about the same as the outer diameter of the catheter shaft 11.
As denoted by parentheses in
The temperature sensors 51 to 55 each may serve as a sensor that measures an internal temperature of a site such as the esophagus upon, for example, the surgical ablation of the left atrium. The temperature sensors 51 to 55 may be electrically coupled to the electrodes 111 to 115 in an individual fashion, respectively. For example, as illustrated in
The temperature sensors 51 to 55 each may have a configuration in which a thermocouple is used, for example. In other words, the temperature sensors 51 to 55 each may utilize a temperature measuring junction by means of the thermocouple. The leads, or the electrical leads 50 described above, may be electrically coupled to the respective temperature sensors 51 to 55 in an individual fashion, and may include metal wires. The metal wires may be different in kind from each other and structure the thermocouple. As illustrated in
As illustrated in
As illustrated in
The handle body 120 may be equivalent to a part or a “grip” where the operator actually holds, and may also serve as an exterior member of the handle 12. The handle body 120 may include a synthetic resin such as polycarbonate, acrylonitrile butadiene styrene copolymer (ABS), acrylic, polyolefin, polyoxymethylene, or polyacetal.
The connector 121 may allow the electrical leads 50 described above, i.e., the leads electrically coupled to the temperature sensors 51 to 55 in an individual fashion, to be coupled to the outside of the catheter 3. As illustrated in
As illustrated in
As illustrated in
As illustrated in
As illustrated in
As illustrated in
The handle 22 may correspond to a specific but non-limiting example of a “second handle” according to one embodiment of the disclosure. The handle 22 may correspond to a specific but non-limiting example of a “handle” according to one embodiment of the disclosure.
As illustrated in
The tube member 21 may have an outer diameter in a range from about 0.5 mm to about 4.0 mm, for example. The tube member 21 may have a length in the axial direction in a range from about 400 mm to about 1700 mm, for example.
Referring to
For example, “the region in the vicinity of the tip end” of the tube member 21 may refer to a part having a length extending by (1/3)×L from a region near the tip end of the tube member 21 to the base end of the tube member 21, where “L” is an overall length from the tip end of the tube member 21 to the base end of the tube member 21. In other words, “the region in the vicinity of the tip end” of the tube member 21 may refer to a part having the length extending by (1/3)×L from a position, distant from the tip end of the tube member 21 toward the base end of the tube member 21 by a predetermined distance, to the base end of the tube member 21. However, “the region in the vicinity of the tip end” of the tube member 21 is not limited to the definition described above, and may be defined by any other definition.
As illustrated in
The metal coil 71 may correspond to a specific but non-limiting example of a “metal line” according to one embodiment of the disclosure.
The metal member 70 and the metal coil 71 each may include a metal material such as a stainless-steel alloy or a nickel-titanium alloy.
As illustrated in
The bending deformation, or a bending deformation operation, of the region in the vicinity of the tip end of the tube member 21 illustrated in
As illustrated in
As illustrated in
The handle body 220 may be equivalent to a part or a “grip” where the operator actually holds, and may also serve as an exterior member of the handle 22. As illustrated in
As illustrated in
The handle 22 may be thus configured to be integrated with the above-described handle 12. In other words, as described above, the handles 12 and 22 may be configured to be integrated with each other, and configured to be divided into two handles 12 and 22 separate from each other with respect to a handle as a whole.
As denoted by a broken-line arrow d2 illustrated in
As illustrated in
The rotary member 221 may correspond to a specific but non-limiting example of a “deformation operating member” according to one embodiment of the disclosure.
The drive member 223 may move bidirectionally in the axial direction, i.e., the Z-axis direction, inside the handle body 220 in response to the above-described rotating operation performed on the rotary member 221. As illustrated in
In a case where the rotary member 221 of the handle 22 thus configured is subjected to the rotating operation by an operator as denoted by a broken-line arrow d31 illustrated in
The catheter 3 may allow for measurement of data on the internal temperature of a hollow organ inside the body, such as the esophagus, of a patient when being used for a medical treatment of arrhythmia, etc., of the patient, e.g., when being used for surgical ablation of the left atrium. For example, the catheter body 1 of the catheter 3 may be used to measure the data on the internal temperature of the hollow organ. Examples of the ablation to be performed upon the medical treatment may include a high-temperature ablation, i.e., a heating method, that uses a high frequency current and a low-temperature ablation, i.e., a cooling method, that uses liquid nitrous oxide, liquid nitrogen, etc.
As schematically illustrated in
The tip-flexible part 11A of the catheter shaft 11 may include the five electrodes 111 to 115 serving as the temperature measuring metal rings. The tip-flexible part 11A may also include the five temperature sensors 51 to 55 electrically coupled to the electrodes 111 to 115 in an individual fashion, respectively. Utilizing the electrodes 111 to 115 and the temperature sensors 51 to 55 allows for measurement or monitoring of the data on the internal temperature of the esophagus E. It should be noted that, as illustrated in
Monitoring the internal temperature of the esophagus E of the patient 9 by means of the catheter body 1 helps to avoid a possibility that the esophagus E is damaged upon, for example, the foregoing surgical ablation of the left atrium. For example, when performing ablation of a site such as the posterior wall of the left atrium of the heart by means of an ablation catheter, i.e., upon the surgical ablation of the left atrium, the esophagus located in the vicinity of the posterior wall of the left atrium can typically be heated or cooled as well, leading to a possible damage of the esophagus. Monitoring the internal temperature of the esophagus E as described above makes it possible to take a precaution and thus helps to avoid the possibility of the damage.
For example, it is possible to take measures to cut off a supply of electricity to the ablation catheter, i.e., the catheter body 1, in a case where the internal temperature of the esophagus E measured has reached a predetermined temperature during the surgical ablation of the left atrium. This helps to avoid the possibility of the damage of the esophagus E as described above.
The catheter 3 according to an example embodiment helps to more reliably prevent the possibility of the damage of the esophagus E upon measuring the internal temperature of the esophagus E as described later in greater detail, by utilizing the bending deformation operation of the region in the vicinity of the tip end of the tube member 21 of the catheter device 2. For example, in a case where the internal temperature of the esophagus E measured has reached a predetermined temperature as described above, the catheter device 2 may be attached to the catheter body 1 described above and the catheter body 1 may be used with the catheter device 2 being integrated therewith to thereby more reliably prevent the possibility of the damage of the esophagus E. In the following, the bending deformation operation of the region in the vicinity of the tip end of the tube member 21 will be described in detail.
First, in a case where an operator performs the rotating operation described above on the handle 22 of the catheter device 2, i.e., the rotary member 221 of the handle 22, as denoted by the broken-line arrow d31 illustrated in
As illustrated in
As illustrated in
It is possible for the catheter 3, i.e., the catheter body 1 and the catheter device 2, according to an example embodiment to achieve the following example workings and example effects.
In an example embodiment, the bending deformation operation of the region in the vicinity of the tip end of the tube member 21 is carried out by performing the rotating operation on the handle 22 of the catheter device 2 as described above. The tube member 21 having been subjected to the bending deformation displaces the region in the vicinity of the tip end of the catheter shaft 11, causing the esophagus E itself of the patient 9 to be displaced as well, as described above. This configuration helps to allow the esophagus E itself to be distant from a factor that can damage the esophagus E, such as a heating source or a cooling source upon an ablation as described above. For example, it helps to take a measure of shifting a position of the esophagus E to decrease the internal temperature of the esophagus E, in a case where the internal temperature of the esophagus E measured is increased.
Further, in an example embodiment, the catheter device 2 that is a device provided separately from the catheter body 1 may be used to displace the region in the vicinity of the tip end of the catheter shaft 11 as described above. This helps to achieve the following example workings in comparison to a comparative example having a configuration, i.e., an integrated configuration, in which operating wires, etc., inserted through a catheter shaft are used to cause a region itself in the vicinity of a tip end of the catheter shaft to be subjected to bending deformation. For example, in an example embodiment, unlike a configuration according to the comparative example described above, no operating wires or the like that serve as a core exist in the catheter shaft 11 in a state in which only the catheter body 1 is first inserted, upon inserting the catheter 3 into the esophagus E through, for example, the nasal cavity N. Accordingly, in an example embodiment, the catheter shaft 11 easily deforms along a shape of, for example, the nasal cavity N as compared with, for example, the comparative example, which helps to reduce a possibility of damaging, for example, the nasal cavity N, including a possibility of bleeding such as nose bleeding. In addition, the tube member 21 of the catheter device 2 is to be inserted through the inside of the catheter shaft 11 even in a case where the tube member 21 is inserted through the main lumen 61 of the catheter shaft 11 after the insertion through, for example, the nasal cavity N as described above, which helps to reduce a possibility of damaging, for example, the nasal cavity N in such a state.
Accordingly, an example embodiment helps to reduce a burden to be imposed on the body of the patient 9 while more reliably preventing a possibility of a damage of the esophagus E, upon measuring the internal temperature of the esophagus E.
In some embodiments, the operating wire 40 inserted through the tube member 21 may be further provided, and the opening 210 having the longitudinal direction in the axial direction, i.e., the Z-axis direction, may be provided in the region in the vicinity of the tip end of the tube member 21. Thus, upon the bending deformation of the region in the vicinity of the tip end of the tube member 21, the region in the vicinity of the tip end of the tube member 21 may be pressed against the wall surface of the main lumen 61 of the catheter shaft 11 with the operating wire 40 being protruded from the opening 210 of the tube member 21 as described above, causing the region in the vicinity of the tip end of the catheter shaft 11 to be displaced. Hence, it helps to achieve, by a simple structure, a mechanism that causes the region in the vicinity of the tip end of the tube member 21 to be subjected to the bending deformation.
In some embodiments, the tube member 21 may be configured by the metal member 70, and at least the base end in the axial direction, i.e., the Z-axis direction, of the metal member 70 may be configured by one or more metal lines that are spirally wound, such as one or more metal coils 71. Thus, at least the base end of the metal member 70 configuring the tube member 21 may be configured by the metal coil 71, which helps to improve a tracking property, or a property that allows for flexible deformation along the shape of the esophagus E, upon the bending deformation of the region in the vicinity of the tip end of the tube member 21. In addition, the tube member 21 becomes easier to deform flexibly, which helps to make it difficult to break upon the bending deformation and helps to improve durability of the tube member 21 as well.
In some embodiments, the metal coil 71 may be provided at the base end of the metal member 70, and the metal coil 71 may not be provided at the tip end of the metal member 70. Thus, the metal coil 71 may be disposed at the base end, which helps improve the tracking property, and the metal coil 71 may not be disposed at the tip end, which, in contrast, helps to decrease the tracking property. Relatively decreasing the tracking property at the tip end helps to effectively displace the esophagus E upon the bending deformation of the region in the vicinity of the tip end of the tube member 21. For example, it helps to prevent the region in the vicinity of the tip end of the catheter shaft 11 from being pushed back by a counteracting force generated upon displacing the esophagus E itself.
In some embodiments, the rigidity k1 of the tube member 21 in the region A1 that is on the tip end side of the region in the vicinity of the tip end of the tube member 21 (i.e., a region near the opening 210), serving as a part to be subjected to the bending deformation, may be greater than the rigidity k2 of the tube member 21 in the region A2 that is on the base end side of the region in the vicinity of the tip end of the tube member 21. Thus, it helps to increase the force of pressing against the wall surface of the main lumen 61 of the catheter shaft 11 upon the bending deformation of the region in the vicinity of the tip end of the tube member 21, which in turn helps to easily displace the region in the vicinity of the tip end of the catheter shaft 11. For example, relatively increasing the rigidity k1 in the vicinity of the region A1 that is on the tip end side of the region in the vicinity of the tip end of the tube member 21, or allowing the region A1 that is on the tip end side of the region in the vicinity of the tip end of the tube member 21 to have a relatively hard structure, helps to increase the force of pressing against the wall surface of the main lumen 61 of the catheter shaft 11. This helps to easily displace the region in the vicinity of the tip end of the catheter shaft 11 and to easily allow the esophagus E to be distant from the factor described above that can damage the esophagus E. Hence, it helps to even more reliably prevent the possibility of the damage of the esophagus E.
In an example embodiment, the handle 12 of the catheter body 1 and the handle 22 of the catheter device 2 may be configured to be integrated with each other, and configured to be divided into separate members. Thus, it is possible to individually use, depending on a situation, the disposable catheter body 1 and the reusable catheter device 2 as described above, as the catheter 3 as a whole.
Accordingly, an example embodiment helps to reduce a burden to be imposed on the body of the patient 9 while more reliably preventing a possibility of a damage of the esophagus E upon measuring the internal temperature of the esophagus E, and to reduce a cost upon use of the catheter 3.
In some embodiments, the orientation of the deformation upon the bending deformation of the region in the vicinity of the tip end of the tube member 21 may be adjustable, on the basis of the angle of integration upon the integration of the handles 12 and 22 with each other. Thus, it helps to improve a convenience upon the use of the catheter 3.
In some embodiments, the handles 12 and 22 may be configured not to be completely integrated with each other, i.e., may be so disposed as to be separated away from each other by a short distance. Thus, it helps to allow for a fine adjustment of a position of the base end of the operating wire 40 inside the handle 22. Hence, it helps to allow for a fine adjustment of a position of deformation upon the bending deformation of the region in the vicinity of the tip end of the tube member 21 as well, and to improve the convenience upon the use of the catheter 3 accordingly.
In some embodiments, the recesses 122 provided on the handle 12 and the projections 222 provided on the handle 22 may be configured to be fitted with each other. In an example case, in contrast, where the handle 12 has projections and the handle 22 has recesses, the projections can get caught by any outside part upon holding the handle 12 alone, i.e., the handle of the catheter body, for use. In some embodiments, however, the recesses 122 may be provided on the handle 12 and the projections 222 may be provided on the handle 22. Thus, it helps to avoid a possibility that the projections can get caught by any outside part upon using the handle 12 of the catheter body 1 alone. Hence, it helps to improve the convenience upon the use of the catheter 3.
In some embodiments, the connector 121 that allows the electrical leads 50 described above to be coupled to the outside may be provided on a side face of the handle 12 at a position that is off the axial direction, i.e., the Z-axis direction, and the tube member 21 may be configured to be inserted through the main lumen 61 of the catheter shaft 11, with the tube member 21 being inserted linearly through the handle 22.
Thus, the tube member 21 may be inserted through the main lumen 61 of the catheter shaft 11 with the tube member 21 being inserted linearly through the handle 22, which helps to make the force of pressing against the wall surface of the main lumen 61 of the catheter shaft 11 difficult to be attenuated upon the bending deformation of the region in the vicinity of the tip end of the tube member 21. Hence, it helps to easily displace the region in the vicinity of the tip end of the catheter shaft 11 and to easily allow the esophagus E to be distant from the factor described above that can damage the esophagus E. Accordingly, it helps to even more reliably prevent the possibility of the damage of the esophagus E.
In addition, the connector 121 may be provided on the side face of the handle 12 at the position that is off the axial direction, i.e., the Z-axis direction. Thus, it helps to stabilize a position at which the handle 12 is placed upon placement of the handle 12 on a table or the like, for example, and to prevent a rotational movement of the handle 12 around the axial direction, i.e., the Z-axis direction. Hence, it helps to improve the convenience upon the use of the catheter 3.
A description is given next of some modification examples 1 to 4 of an example embodiment described above. Note that the like elements are denoted with the same reference numerals, and any redundant description thereof will not be described in detail.
As illustrated in
As illustrated in
As illustrated in
As illustrated in
It is also possible for the modification examples 1, i.e., the modification examples 1-1 to 1-3, having the configurations described above to basically achieve similar effects to an example embodiment by basically similar workings to an example embodiment.
It is also possible for the modification examples 1-1 and 1-2 respectively illustrated in
As illustrated in
As illustrated in
In the modification examples 2 and 3 each having the configuration described above, the region in the vicinity of the tip end of the tube member 21B, 21C1, or 21C2 may be subjected to the bending deformation as follows, as illustrated by way of example in
It is also possible for the modification examples 3-1 and 3-2 respectively illustrated in
As illustrated in
As illustrated in
As illustrated in
It is also possible for the modification examples 4, i.e., the modification examples 4-1 and 4-2, having the configurations described above to basically achieve similar effects to an example embodiment by basically similar workings to an example embodiment.
It is also possible for an example embodiment illustrated in
Although the technology has been described with reference to some example embodiments and modification examples, the technology is not limited to such embodiments and modification examples and may be modified in a wide variety of ways.
For example, shapes, locations, characteristics including rigidity characteristics, materials, etc., of the respective members described in the foregoing example embodiments and modification examples are non-limiting, and may respectively be any other shape, location, characteristic, material, etc.
Although the catheter shaft 11 has been described with specific reference to the configuration thereof in the foregoing example embodiments and modification examples, it is not necessary for the catheter shaft 11 to include all of the components. Alternatively, the catheter shaft 11 may be further provided with any other component. For example, factors such as locations, shapes, and the number of electrodes 111 to 115 and the tip 110 of the catheter shaft 11 are not limited to those referred to in the foregoing example embodiments and modification examples. Further, the number of temperature sensors and the number of electrical leads 50 are both not limited to those, i.e., five, described in the foregoing example embodiments and modification examples, and may be adjusted within an example range from one to 20 on an as-needed basis. In some embodiments, the number of temperature sensors and the number of electrical leads 50 both may be two or more, or about four or more. In addition, the foregoing example embodiments and modification examples have been described by referring to an example in which no temperature sensor is electrically coupled to the tip 110; however, this is non-limiting and the temperature sensor may also be electrically coupled to the tip 110 to allow the tip 110 to have a function of measuring the temperature as well. Each of the temperature sensors, including the previously mentioned sensor, is not limited to a configuration described in the foregoing example embodiments and modification examples in which the thermocouple is used, and may utilize other sensors such as a thermistor. The electrodes 111 to 115 and the temperature sensors 51 and 55 do not necessarily have to be electrically coupled.
Although the tube member of the catheter device 2 has been described with specific reference to the configuration thereof in the foregoing example embodiments and modification examples, it is not necessary for the tube member to include all of the components. Alternatively, the tube member may be further provided with any other component. For example, in the foregoing example embodiments and modification examples, the opening or the slits may be provided in the region in the vicinity of the tip end of the tube member, and the operating wire 40 inserted through the tube member may be provided. The technology, however, is not limited thereto. In some embodiments, any other method or configuration may be used to cause the region in the tip end of the tube member to be subjected to the bending deformation. In the foregoing example embodiments and modification examples, the tube member may be configured by the metal member. The technology, however, is not limited thereto. In some embodiments, the tube member may be configured by a non-metal member.
Although the two handles 12 and 22 have been described with specific reference to the configurations thereof in the foregoing example embodiments and modification examples, it is not necessary for each of the handles 12 and 22 to include all of the components. Alternatively, the handles 12 and 22 each may be further provided with any other component. The “deformation operating member” of the handle 22 is not limited to the configuration described in the foregoing example embodiments and modification examples. In some embodiments, any other member other than or in addition to the member described in the foregoing example embodiments and modification examples may be used to configure the “deformation operating member” according to one embodiment of the disclosure.
In the foregoing example embodiments and modification examples, the hollow organ inside the body of the patient may be the esophagus, and the catheter may be used to measure the internal temperature of the esophagus upon performing the surgical ablation of the left atrium on the patient. The technology, however, is not limited thereto. Any embodiment of the technology may be applicable to a catheter to be used for a measurement of an internal temperature of any hollow organ inside the body other than the esophagus.
Furthermore, the technology encompasses any possible combination of some or all of the various example embodiments and the modification examples described herein and incorporated herein.
It is possible to achieve at least the following configurations from the above-described example embodiments of the disclosure.
(1)
A catheter device to be applied to a catheter, the catheter including a catheter shaft, and a plurality of temperature sensors provided in a region in the vicinity of a tip end of the catheter shaft and configured to measure an internal temperature of a hollow organ inside the body, the catheter device including:
a tube member extending in an axial direction, and configured to be inserted through a lumen provided in the catheter shaft; and
a handle provided on a base end of the tube member, and including a deformation operating member configured to receive an operation that causes a region in the vicinity of a tip end of the tube member to be subjected to bending deformation, in which, upon the bending deformation of the region in the vicinity of the tip end of the tube member in response to the operation of the deformation operating member, the tube member to be subjected to the bending deformation is configured to be pressed against a wall surface of the lumen of the catheter shaft to displace the region in the vicinity of the tip end of the catheter shaft.
In the catheter device according to one embodiment of the technology, in a case where the operation that causes the region in the vicinity of the tip end of the tube member, configured to be inserted through the lumen of the catheter shaft, of the catheter device to be subjected to the bending deformation is performed on the deformation operating member of the handle of the catheter device, the tube member to be subjected to the bending deformation is configured to be pressed against the wall surface of the lumen of the catheter shaft to displace the region in the vicinity of the tip end of the catheter shaft, upon the bending deformation of the region in the vicinity of the tip end of the tube member. Thus, a pressing force derived from the displacement of the region in the vicinity of the tip end of the catheter shaft is imparted against the medial wall of the hollow organ inside the body, causing the hollow organ itself to be displaced as well. Hence, it helps to allow the hollow organ itself to be distant from a factor that can damage the hollow organ, such as a heating source or a cooling source upon an ablation. Further, the catheter device that is a device provided separately from the catheter body may be used to displace the region in the vicinity of the tip end of the catheter shaft. This helps to achieve the following example workings in comparison to, for example, a case having a configuration, i.e., an integrated configuration, in which operating wires, etc., inserted through a catheter shaft are used to cause a region itself in the vicinity of a tip end of the catheter shaft to be subjected to bending deformation. For example, unlike the integrated configuration described above, no operating wires or the like that serve as a core exist in the catheter shaft in a state in which only the catheter body is first inserted, upon inserting the catheter into the hollow organ inside the body through, for example, the nasal cavity. Accordingly, the catheter shaft easily deforms along a shape of, for example, the nasal cavity as compared with, for example, the integrated configuration, which helps to reduce a possibility of damaging, for example, the nasal cavity, including a possibility of bleeding such as nose bleeding. In addition, the tube member of the catheter device is to be inserted through the inside of the catheter shaft even in a case where the tube member is inserted through the lumen of the catheter shaft after the insertion through, for example, the nasal cavity as described above, which helps to reduce a possibility of damaging, for example, the nasal cavity in such a state.
(2)
The catheter device according to (1), further including an operating wire inserted through the tube member, and having a tip end fixed to a tip-end part of the tube member, and a base end fixed to inside of the handle, in which the tube member has an opening provided in the region in the vicinity of the tip end of the tube member, the opening having a longitudinal direction in the axial direction.
With this configuration, because the tip end of the operating wire may be fixed to the tip-end part of the tube member, the region in the vicinity of the tip end of the tube member may be subjected to the bending deformation in a region around the opening where deformation is easier to occur than any other part of the tube member, in a case where the operating wire is pulled toward the base end. As a result of the bending deformation, the region in the vicinity of the tip end of the tube member may be pressed against the wall surface of the lumen of the catheter shaft. Thus, the region in the vicinity of the tip end of the catheter shaft may be displaced. Hence, it helps to achieve, by a simple structure, a mechanism that causes the region in the vicinity of the tip end of the tube member to be subjected to the bending deformation.
(3)
The catheter device according to (1), further including an operating wire inserted through the tube member, and having a tip end fixed to a tip-end part of the tube member, and a base end fixed to inside of the handle, in which the tube member has a plurality of slits provided in the axial direction in the region in the vicinity of the tip end of the tube member, the slits partially extending in a circumferential direction of the tube member.
With this configuration, because the tip end of the operating wire may be fixed to the tip-end part of the tube member, the region in the vicinity of the tip end of the tube member may be subjected to the bending deformation in a region around the slits where deformation is easier to occur than any other part of the tube member, in a case where the operating wire is pulled toward the base end. As a result of the bending deformation, the region in the vicinity of the tip end of the tube member may be pressed against the wall surface of the lumen of the catheter shaft. Thus, the region in the vicinity of the tip end of the catheter shaft may be displaced. Hence, it helps to achieve, by a simple structure, a mechanism that causes the region in the vicinity of the tip end of the tube member to be subjected to the bending deformation.
(4)
The catheter device according to any one of (1) to (3), in which
the tube member includes a metal member, and
at least a base end in the axial direction of the metal member includes one or more metal lines that are spirally wound.
With this configuration, at least the base end of the metal member configuring the tube member may include the metal line, which helps to improve a tracking property, or a property that allows for flexible deformation along a shape of the hollow organ inside the body, upon the bending deformation of the region in the vicinity of the tip end of the tube member. In addition, the tube member becomes easier to deform flexibly, which helps to make it difficult to break upon the bending deformation and helps to improve durability of the tube member as well.
(5)
The catheter device according to (4), in which
the one or more metal lines are provided at the base end of the metal member, and
the one or more metal lines are not provided at a tip end in the axial direction of the metal member.
With this configuration, the metal line may be disposed at the base end, which helps improve the tracking property, and the metal line may not be disposed at the tip end, which, in contrast, helps to decrease the tracking property. Relatively decreasing the tracking property at the tip end helps to effectively displace the hollow organ inside the body upon the bending deformation of the region in the vicinity of the tip end of the tube member. For example, it helps to prevent the region in the vicinity of the tip end of the catheter shaft from being pushed back by a counteracting force generated upon displacing the hollow organ itself inside the body.
(6)
The catheter device according to any one of (1) to (5), in which a rigidity of a first region of the tube member is greater than a rigidity of a second region of the tube member, the first region being positioned on a tip end side of the region in the vicinity of the tip end of the tube member, the region in the vicinity of the tip end of the tube member being configured to be subjected to the bending deformation, the second region being positioned on a base end side of the region in the vicinity of the tip end of the tube member.
With this configuration, the rigidity of the region on the tip end side of the region in the vicinity of the tip end of the tube member may be greater than the rigidity of the region on the base end side of the region in the vicinity of the tip end of the tube member, which helps to increase a force of pressing against the wall surface of the lumen of the catheter shaft upon the bending deformation of the region in the vicinity of the tip end of the tube member. This in turn helps to easily displace the region in the vicinity of the tip end of the catheter shaft, and thereby helps to easily allow the hollow organ inside the body to be distant from the factor described above that can damage the hollow organ. Hence, it helps to even more reliably prevent the possibility of the damage of the hollow organ.
(7)
A catheter configured to measure an internal temperature of a hollow organ inside body, the catheter including:
a catheter shaft having a lumen;
a plurality of temperature sensors provided in a region in vicinity of a tip end of the catheter shaft, and configured to measure the internal temperature of the hollow organ inside the body;
a first handle provided on a base end of the catheter shaft; and
a catheter device configured to be applied to the catheter, the catheter device including
in which, upon the bending deformation of the region in the vicinity of the tip end of the tube member in response to the operation of the deformation operating member, the tube member to be subjected to the bending deformation is configured to be pressed against a wall surface of the lumen of the catheter shaft to displace the region in the vicinity of the tip end of the catheter shaft.
In the catheter according to one embodiment of the technology, in a case where the operation that causes the region in the vicinity of the tip end of the tube member, inserted through the lumen of the catheter shaft, of the catheter device to be subjected to the bending deformation is performed on the deformation operating member of the second handle of the catheter device, the tube member to be subjected to the bending deformation is configured to be pressed against the wall surface of the lumen of the catheter shaft to displace the region in the vicinity of the tip end of the catheter shaft, upon the bending deformation of the region in the vicinity of the tip end of the tube member. Thus, a pressing force derived from the displacement of the region in the vicinity of the tip end of the catheter shaft is imparted against the medial wall of the hollow organ inside the body, causing the hollow organ itself to be displaced as well. Hence, it helps to allow the hollow organ itself to be distant from a factor that can damage the hollow organ, such as a heating source or a cooling source upon an ablation. Further, the catheter device that is a device provided separately from the catheter body may be used to displace the region in the vicinity of the tip end of the catheter shaft. This helps to achieve the following example workings in comparison to, for example, a case having a configuration, i.e., an integrated configuration, in which operating wires, etc., inserted through a catheter shaft are used to cause a region itself in the vicinity of a tip end of the catheter shaft to be subjected to bending deformation. For example, unlike the integrated configuration described above, no operating wires or the like that serve as a core exist in the catheter shaft in a state in which only the catheter body is first inserted, upon inserting the catheter into the hollow organ inside the body through, for example, the nasal cavity. Accordingly, the catheter shaft easily deforms along a shape of, for example, the nasal cavity as compared with, for example, the integrated configuration, which helps to reduce a possibility of damaging, for example, the nasal cavity, including a possibility of bleeding such as nose bleeding. In addition, the tube member of the catheter device is to be inserted through the inside of the catheter shaft even in a case where the tube member is inserted through the lumen of the catheter shaft after the insertion through, for example, the nasal cavity as described above, which helps to reduce a possibility of damaging, for example, the nasal cavity in such a state.
(8)
The catheter according to (7), in which
the hollow organ inside the body includes esophagus, and
the catheter is configured to measure an internal temperature of the esophagus upon surgical ablation of left atrium of a patient.
In the catheter device or the catheter according to at least one embodiment of the technology, upon the bending deformation of the region in the vicinity of the tip end of the tube member, the tube member to be subjected to the bending deformation is configured to be pressed against the wall surface of the lumen of the catheter shaft to displace the region in the vicinity of the tip end of the catheter shaft. Thus, it helps to cause the hollow organ itself inside the body to be displaced as well. Hence, it helps to allow the hollow organ itself to be distant from a factor that can damage the hollow organ. Further, the catheter device that is a device provided separately from the catheter body may be used to displace the region in the vicinity of the tip end of the catheter shaft. This helps to reduce a possibility of damaging, for example, the nasal cavity of a patient as compared with, for example, the integrated configuration described above. Accordingly, at least one embodiment of the technology helps to reduce a burden to be imposed on the body of a patient while more reliably preventing a possibility of a damage of a hollow organ inside the body, upon measuring an internal temperature of the hollow organ.
Although the technology has been described in terms of exemplary embodiments, it is not limited thereto. It should be appreciated that variations may be made in the described embodiments by persons skilled in the art without departing from the scope of the technology as defined by the following claims. The limitations in the claims are to be interpreted broadly based on the language employed in the claims and not limited to examples described in this specification or during the prosecution of the application, and the examples are to be construed as non-exclusive. For example, in this disclosure, the use of the terms first, second, etc., do not denote any order or importance, but rather the terms first, second, etc., are used to distinguish one element from another. The term “disposed on/provided on/formed on” and its variants as used herein refer to elements disposed directly in contact with each other or indirectly by having intervening structures therebetween. Moreover, no element or component in this disclosure is intended to be dedicated to the public regardless of whether the element or component is explicitly recited in the following claims.
This is a continuation of International Application No. PCT/JP2020/11597, filed Mar. 17, 2020, the entire contents of which are incorporated herein by reference.
| Number | Date | Country | |
|---|---|---|---|
| Parent | PCT/JP2020/011597 | Mar 2020 | US |
| Child | 17840699 | US |
