BRIEF DESCRIPTION OF DRAWINGS
FIG. 1A is a schematic illustration of a catheter device according to an embodiment of the invention.
FIG. 1B is a partial view of the tip of the catheter in FIG. 1A.
FIG. 2A is a longitudinal sectional elevation through the tip of the catheter of FIG. 1
FIG. 2B is a transverse sectional elevation through the tip of the catheter of FIG. 1 at reference line B-B in FIG. 2A.
FIG. 3A is a longitudinal sectional elevation through the tip of a catheter according to another embodiment of the invention.
FIG. 3B is a transverse sectional elevation through the tip of the catheter of at reference line B-B in FIG. 3A.
FIG. 4A is a longitudinal sectional elevation through the tip of the catheter of another embodiment of the invention.
FIG. 4B is a transverse sectional elevation through the tip of the catheter of at reference line B-B in FIG. 4A.
FIG. 4C is a transverse sectional elevation through the tip of the catheter of at reference line C-C in FIG. 4A.
DETAILED DESCRIPTION
Referring to FIGS. 1 through 4 wherein like reference numerals refer to like components in the various views, there is illustrated therein a new and improved catheter with pressure sensor and guidance system, generally denominated 100 herein.
FIG. 1A illustrates such a catheter device 100 that comprises an elongated tube 105 that is at least partially flexible, and in particular most flexible wherein it terminates at a tip 110. A plurality of pressure sensors 120′ are distributed about the tip 110, one 120 being preferably at the apex of tip 110 as shown in the enlarged partial view in FIG. 1B. Additional sensors, preferably pressure sensors such as 120b, may be disturbed elsewhere along the elongated tube 105 distal from the tip 110 and closer to the conventional control means 101. The elongated tube 105 is at least partially flexible and preferably hollow, having an inner tubular cavity 103 (shown in FIG. 2A) The inner tubular cavity 103 may be used to deliver special probes, fluids or guide wire 107 (shown in FIG. 3A), as well as discrete medical devices or other test instrumentation as is generally known in the art or may be developed at some future time.
FIGS. 2A and 2B show the structure of the sensors in tip 110 in more detail. As seen in the longitudinal sectional elevations in FIG. 2A, a first pressure sensor 120 is deployed at the apex of tip 110. A plurality of additional pressure sensors 120′ are distributed about the hemispherical portion of the catheter tip 110. For example, sensors 120′, as shown in the transverse sectional elevation of FIG. 2B (taken at section reference line B-B in FIG. 2A) are preferably arrayed at equal angular spacing at the periphery of the tip region 110. It should be appreciated that other embodiments include arraying the pressure sensors 120 similarly but on other portions of the catheter distal from tip 110.
Each of the sensors 120 and 120′ is connected by wire 122 to a transmitting means. In FIG. 2A the transmitting means is a multi-strand cable 108 or signal cable sending multiplexed or digital signal of the output from all sensors 120 to control unit 101 or via link 135 to monitor or data logger 130, which may include means for signal analysis and processing as will be further described below. The communication link 135 between control means 101 and monitor or data logging means 130 is indicated in FIG. 1A.
FIG. 3A and 3B show an alternative embodiment of the invention. As shown in the longitudinal cross sectional elevation of FIG. 3A, the tip 110 with attached or integrated pressure sensors 120 and 120′ may extends from tube 105 via guide wire 107 that is disposed in hollow cavity 103. Guide wire 107 may include means for signal wire transmission, or as intended to be illustrated in this non-limiting embodiment an alternative embodiment shown in FIG. 3A the transmitting means is a wireless transmitter 125, such as an RF transmitter. Such an embodiment eliminates the need to deploy a signal cable in cavity 103. Each pressure sensor 120 or 120′ is connected to wireless transmitter 125 by signal wire 122. Alternative, the pressure sensor may include an integrated wireless transmitter on the same chip or circuit board, eliminating the need for discrete wire connections.
FIGS. 4A and 4B show an alternative embodiment of the invention in which a plurality of sensor arrays are disposed about tip region 110. A first array of pressure sensors 120′ is deployed at section C-C located most adjacent to the apex of the tip, which preferably also terminates with a pressure sensor 120. As in the other embodiments, these sensors 120′ are preferably arrayed at equal angular spacing at the periphery of the tip region 110. A second array of pressure sensors 120″ is deployed a section B-B located from the apex of the tip. As in the other embodiments, these sensors 120 are preferably arrayed at equal angular spacing at the periphery of the tip region 110.
The method of using the catheters of FIG. 1-4 includes determining the difference in force or pressure among the sensors 120 distributed about the tip 110. It is expected that when the tip 110 is centered within an artery or other body tissue conduit, the difference between the pressures measured at each sensor will be at a minimum. However, as the apex of tip 110 steers toward or into an arterial wall or other dense tissue a difference of pressure is expected. As it is preferable that the tip material be compliant to transmit force, displacement or vibrations to the adjacent and attached pressure sensors 120,120′ or 120″, it is expected that the pressure sensor reading will increase when the tip 110 actually touches the arterial wall. Thus, it is expected that the continuous monitoring of the pressure differences between sensors may be used to steer or guide the catheter down the center of an artery or other tubular tissue structure.
It is a further embodiment of the invention that the monitor or data logging means 130 preferably includes provisions for setting a pressure threshold that signals an alarm or alert to the physician indicating the tip 110 of catheter 100 is either misguided from the center of the conduit or is close to a breaching or tearing tissue that it touches. This will permit the physician to withdraw or redirect the catheter tip 110 before such damage occurs.
Preferably, sensors 120 are nano-sized or MEMS transducers, such as those disclosed in currently pending patent applications, which are listed in Appendixes 1-4 of the US Provisional Patent Application from which this application depends, being incorporated herein by reference. It should be understood that depending on the compliance and damping characteristics of the preferably compliant material that forms tip 110 and supports or surrounds sensors 120, 120′ and 120″, the term pressure sensor means a mechanical transducer that detects at least one of variations in force, displacement or vibration.
While the invention has been described in connection with a preferred embodiment, it is not intended to limit the scope of the invention to the particular form set forth, but on the contrary, it is intended to cover such alternatives, modifications, and equivalents as may be within the spirit and scope of the invention as defined by the appended claims.
Patent Application
20070282211
