Patent Application
20130051728
The invention relates generally to imaging probes and more specifically to imaging probes for use with Optical Coherence Tomography.
The use of a very small lens in an OCT imaging catheter allows the crossing profile of the imaging catheter to be small. This improves the ability of the catheter to reach lesions in stenotic arteries. A torque wire design and a lens design must be small enough to maintain a low crossing profile as it passes through a stenosed portion of a vessel and yet be robust enough for high-speed imaging and pullback.
The present invention addresses this need and others.
In part, the invention relates to imaging probes and components or subsystems thereof. In one embodiment, the invention relates to a probe suitable for transmitting imaging light to a lumen and collecting imaging light scattered from structures in the lumen such as the lumen wall and other structures. In one embodiment, an optical element such as a cap or overcladding is a component of the probe. The optical element can be formed from a unitary structure that includes a lens material such as doped silica glass, borosilicate glass, or a glass having a melting point tower than that of silica glass. In one embodiment, the optical element includes a bulb portion and an elongate tubular portion. The tubular portion partially defines a cavity such as an air space that allows for total internal reflection such that imaging light received through the bulb portion can be directed to an optical coherence tomography probe or other data collection system. A torque wire is configured in one embodiment to rotate the cap or overcladding and a beam director disposed therein. This enables OCT data to be collected with respect to the walls of a lumen.
In one embodiment, the invention relates to an optical probe including a torque wire; an optical fiber positioned within the torque wire; an angled fiber (or beam director) positioned coaxial with and adjacent to one end of the optical fiber; and an overcladding, positioned adjacent to and over the optical fiber and the angled fiber, the overcladding defining an air gap adjacent the angled fiber so as to cause total internal reflection of light passing from the optical fiber through the angled fiber. In one embodiment, the optical probe includes a beam expander and a beam shaper coaxial with and located between the optical fiber and the angled fiber. In another embodiment, the optical probe further includes a marker band positioned over a portion of the overcladding. In yet another embodiment, the overcladding is made of doped silica glass.
In one embodiment, an overcladding or cap surrounds a substantially linear arrangement of a first optical element, a second optical element, a third optical element and a first cavity and wherein the overcladding or cap is in communication with a second cavity having a substantially cylindrical shape, or curved shape and defined in part by a torque wire terminus and a epoxy shell having an optical fiber passing through the shell. In one embodiment, the first optical element, the second optical element and the third optical element are selected from the group consisting of an optical fiber segment, a doped optical fiber segment, a beam shaper, a beam expander, an angled polished fiber segment and a beam director.
In one embodiment, the overcladding or cap has a first coefficient of thermal expansion and one or more of the beam director, such as an angle polished fiber, the beam expander, or the beam shaper has a second coefficient of thermal expansion that differs from or is the same as the first coefficient of thermal expansion. When the coefficients of thermal expansion of the overcladding and the other optical elements differ, breakage and damage to the probe can occur during use as a result of a thermal mismatch between components. This mismatch is necessary under some circumstances to maintain other parameter relationships such as melting point differences and matched indices of refraction between the overcladding and other components. Selective coupling of thermal mismatched materials over a smaller surface area allows thermally dissimilar materials to be used in some embodiments.
In one embodiment, the beam director and the overcladding or cap have different coefficients of thermal expansion, but the same or substantially the same indexes of refraction. Further, in one embodiment, the cylindrical region of the overcladding that receives light from the beam director is selectively heated to melt and couple or bond the overcladding to the beam director while an air gap or cavity is present or defined between the interface between the beam shaper and the overcladding. In one embodiment, an air gap or cavity is present or defined between the interface between the beam expander and the overcladding. In one embodiment, the overcladding having an optical fiber disposed therein and/or coupled thereto is configured to rotate at a frequency greater than about 100 Hz. Similarly, the optical fiber that bears the tensile load and pulls the torque wire is configured to withstand bending stress and hoop stress during a pullback speed of greater than about 20 mm/s.
This Summary is provided merely to introduce certain concepts and not to identify any key or essential features of the claimed subject matter.
The figures are not necessarily to scale, emphasis instead generally being placed upon illustrative principles. The figures are to be considered illustrative in all aspects and are not intended to limit the invention, the scope of which is defined only by the claims.
An embodiment of an optical probe 4 suitable for use in optical coherence tomography (OCT) of a vessel is shown in
In use, a given probe embodiment 4, 5 is introduced into a catheter sheath and is moved to the position of interest in the blood vessel. Light passing through the fiber 10 is totally internally reflected and exits the angle polished fiber 18 and passes through the sheath wall 19 to the wall of the vessel 20. Light 50 passes through the single mode fiber 10 and is expanded and shaped before being reflected through the side of the probe 4, 5 by the angle polished fiber 18.
The overcladding or cap 26 can be fabricated using various techniques. The overcladding can have various shapes such as elongate, tubular, and cylindrical. The overcladding 26 is a unitary material that may be doped or undoped in various embodiments. In one embodiment, the overcladding 26 is created using a melt process with a bulb-shaped end 22. Compared to a sharp-edged tip, this smooth bulb shaped end 22 allows for the easy advancement of the optical assembly through the sheath with a reduced risk of puncturing the sheath should the sheath be kinked. During assembly, the tubular overcladding 26 is slid over the single mode fiber 10 and optical fiber segments 14, 16, and 18. The combination is then heated to form a bond and eliminate any air space between the overcladding 26 and the angle polished fiber 18. This is done because an air space between the overcladding 26 and the angled fiber 18 would disturb the light path.
In a preferred embodiment, the overcladding 26 is made from a glass or plastic that has a tower melting temperature than the angled fiber 18. In one embodiment, the overcladding includes a borosilica capillary tube. In another embodiment, the overcladding is made of a silica glass material doped or modified to lower its melting temperature relative to that of the unmodified glass material. Thus, the overcladding can be attached or coupled to the beam director or other silica-based components of the probe by selectively applying heat that will not melt the components to which it is being attached or coupled. The overcladding shown in
In another embodiment, silica doped with Fluorine, to tower the silica's melting temperature, is used to make the overcladding 26. In one embodiment, the silica is doped with Fluorine at about 10%± or 5% to 10% by weight. The lower melting temperature allows for attachment of the overcladding 26 at a lower temperature which is less likely to damage the angle polished fiber 18. The silica has a better match to the thermal coefficient of expansion of the components of the beam director or other optical elements such as the beam expander and beam shaper. This lowers various stresses and forces that can result from thermal expansion or contraction of one or more of the optical elements in the probe 4, 5.
Substantially all of the tensile force is supplied by the optical fiber. The optical fiber 10 transmits force to the torque wire 34 and pulls it along during an OCT pullback as part of an OCT imaging data collection session. The torque wire 34 applies the twisting force that rotates the optical fiber 10 and overcladding 26 and thus the beam director 18. Various stresses such as hoop stresses can be applied to the optical fiber and other epoxied or butt-coupled elements shown in
In one embodiment, the outer diameter of the overcladding 26 is sized such that it is close to that of the torque wire 34 and is significantly larger than the fiber 10. This has two advantages. First, it reduces the possibility that bubbles are trapped on the outer surface of the overcladding 26 as it is pulled back out of the vessel during an OCT imaging scan. Such bubbles would preferentially attach if the diameter of the overcladding 26 were smaller than the torque wire 34. Second, the outer surface of the overcladding 26 allows the light to exit from the overcladding 26 at a larger diameter than the fiber 10.
In one embodiment, the marker band 38 is attached to the torque wire 34 by welding, brazing or gluing the torque wire 34 to a marker band 38. As shown in
By choosing a low melting point glass for the overcladding 26 the device avoids distorting the graded index profile of the fused silica of the internal micro-lens or beam directing system that includes a beam expander 14, a beam shaper 16, and a beam director 18. The index of refraction of the overcladding glass is matched with index of refraction of the beam director 18. Further, the bond/melt region of the overcladding is localized to a (small) optically active area at the angle polished fiber to minimize the thermal stresses.
In one embodiment, this optically active area is the involved length or a subset thereof. Due to a better match of the thermal coefficient of expansion, the use of a doped silica cap allows a melt bond to be formed between the cap and the beam director (such as for example an angle polished fiber) with a much lower assembled stress than a borosilicate cap. In one embodiment, the overcladding glass may be glued to the angle polished fiber. By gluing the overcladding to the angle polished fiber, mechanical stress is reduced in the assembled probe. Alternatively the overcladding glass may be formed from a capillary tube disposed on top of the angle polished fiber.
A beam director 18, which can include an angle polished optical fiber, in one embodiment directs light into the lumen and toward the walls of the lumen. In one embodiment, the beam director 18 rotates and thus scans a circular or spiral pattern along the walls of the lumen as the probe is pulled through the lumen. The epoxy 57 shown forms a symmetric or asymmetric shape that surrounds the optical fiber 10 in one embodiment.
In one embodiment, the distance substantially along the length of the overcladding 22 over which light is received and transmitted from the beam director 18 is referred to as the involved length IL. As shown, the involved length IL can include a distance that includes the length of the beam director 18 or some length substantially greater than or less than this length. In one embodiment, the overcladding 26 is selectively heated such that along the involved length IL there is substantially no air gaps between the overcladding and the involved length IL. In one embodiment, air gaps are defined by regions outside of the involved length along the interface between the overcladding 26 and optical elements coaxial with the fiber 10.
An epoxy material 57 is applied at one end face of the overcladding as shown. In one embodiment, the epoxy material 57 also contacts the optical fiber 10 and the beam expander 14. The epoxy material provides strain relief for optical fiber 10. In one embodiment, the epoxy forms a frustum or a frustoconical like shape with one surface contacting the overcladding 26 and one surface contacting the beam expander 14 and the fiber 10. As shown, the beam expander 14 protrudes past the substantially flat end-face of the overcladding 26 and is butt-coupled to fiber 10 in one embodiment.
As shown, in
The overcladding or cap 26 can be fabricated using various techniques. In one embodiment, the overcladding 26 has a substantially tubular geometry with a flared or bulbous end. The overcladding 26 can be created using a melt process with a bulb-shaped end 22. Compared to a sharp-edged tip, this smooth bulb shape 22 allows for the easy advancement of the optical assembly through the sheath with a reduced risk of puncturing the sheath should the sheath be kinked.
In one embodiment, this elimination or substantial reduction in any air gap is only performed along the involved length to reduce the likelihood of breakage or snapping of the elements in the optical train as a result of a mismatch or differences between the coefficient of thermal expansion of the overcladding and one of the optical elements, such as for example, the beam director 18.
Referring to
Unfortunately, matching each index of refraction for the overcladding and the beam director while controlling for the relationship of the melting points described above results in other challenges. Specifically, these constraints results in challenges in also matching the coefficients of thermal expansion for the overcladding and beam director. In various embodiments, the coefficients of thermal expansion cannot be matched and also satisfy the other constraints relating to melting point and index of refraction. As a result, these can be chosen to be different in one embodiment. However, air gaps need to be reduced between the beam director and overcladding. Also, the surface area over which the overcladding and elements coaxial with the optical fiber are coupled need to be reduced to prevent snapping or breaking due to variations in the coefficients of thermal expansion. This last issue can be mitigated by coupling overcladding and beam director along optically active region and/or involved length.
The aspects, embodiments, features, and examples of the invention are to be considered illustrative all respects and are not intended to limit the invention, the scope of which is defined only by the claims. Other embodiments, modifications, and usages will be apparent to those skilled in the art without departing from the spirit and scope of the claimed invention.
The use of headings and sections in the application is not meant to limit the invention; each section can apply to any aspect, embodiment, or feature of the invention.
Throughout the application, where compositions are described as having, including, or comprising specific components, or where processes are described as having, including or comprising specific process steps, it is contemplated that compositions of the present teachings also consist essentially of, or consist of, the recited components, and that the processes of the present teachings also consist essentially of, or consist of, the recited process steps.
In the application, where an element or component is said to be included in and/or selected from a list of recited elements or components, it should be understood that the element or component can be any one of the recited elements or components and can be selected from a group consisting of two or more of the recited elements or components. Further, it should be understood that elements and/or features of a composition, an apparatus, or a method described herein can be combined in a variety of ways without departing from the spirit and scope of the present teachings, whether explicit or implicit herein.
The use of the terms “include,” “includes,” “including,” “have,” “has,” or “having” should be generally understood as open-ended and non-limiting unless specifically stated otherwise.
The use of the singular herein includes the plural (and vice versa) unless specifically stated otherwise. Moreover, the singular forms “a,” “an,” and “the” include plural forms unless the context clearly dictates otherwise. In addition, where the use of the term “about” is before a quantitative value, the present teachings also include the specific quantitative value itself, unless specifically stated otherwise.
It should be understood that the order of steps or order for performing certain actions is immaterial so long as the present teachings remain operable. Moreover, two or more steps or actions may be conducted simultaneously.
Where a range or list of values is provided, each intervening value between the upper and lower limits of that range or list of values is individually contemplated and is encompassed within the invention as if each value were specifically enumerated herein. In addition, smaller ranges between and including the upper and lower limits of a given range are contemplated and encompassed within the invention. The listing of exemplary values or ranges is not a disclaimer of other values or ranges between and including the upper and lower limits of a given range.
