摘要:
A method and apparatus are provided for imaging a narrow body lumen, the method comprising maintaining separation between a distal end of an optical viewing scope and a lumen wall with a spacing structure which extends distally from the distal end of an access catheter. Optional spacing structures include distal cages and a guidewire which is fixed to and extends distally from the access catheter body. The invention is particularly beneficial during retrograde imaging of the fallopian tube, as it prevents the tubal wall from coming into such close proximity to a falloposcope as to produce "white-out" on the imaging monitor.
摘要:
A method and apparatus are provided for imaging a narrow body lumen, the method comprising maintaining separation between a distal end of an optical viewing scope and a lumen wall with a spacing structure which extends distally from the distal end of an access catheter. Optional spacing structures include distal cages and a guidewire which is fixed to and extends distally from the access catheter body. The invention is particularly beneficial during retrograde imaging of the fallopian tube, as it prevents the tubal wall from coming into such close proximity to a falloposcope as to produce "white-out" on the imaging monitor.
摘要:
A method and apparatus are provided for imaging a narrow body lumen, the method comprising maintaining separation between a distal end of an optical viewing scope and a lumen wall with a spacing structure which extends distally from the distal end of an access catheter. Optional spacing structures include distal cages and a guidewire which is fixed to and extends distally from the access catheter body. The invention is beneficial during either retrograde imaging of the fallopian tube, and also allows antigrade imaging and advancing the access catheter and scope under the direction of the image provided, as it prevents the tubal wall from coming into such close proximity to a falloposcope as to produce “white-out” on the imaging monitor.
摘要:
A method and apparatus are provided for imaging a narrow body lumen, the method comprising maintaining separation between a distal end of an optical viewing scope and a lumen wall with a spacing structure which extends distally from the distal end of an access catheter. Optional spacing structures include distal cages and a guidewire which is fixed to and extends distally from the access catheter body. The invention is beneficial during either retrograde imaging of the fallopian tube, and also allows antigrade imaging and advancing the access catheter and scope under the direction of the image provided, as it prevents the tubal wall from coming into such close proximity to a falloposcope as to produce "white-out" on the imaging monitor.
摘要:
A catherer system and method are provided including a blunt end assembly with a catheter and a blunt end member. The blunt end member includes jaw sections which have a first position or closed position for locating the blunt end member at the site of the occlusion within the native lumen of the blood vessel and a second position or open position wherein the jaw sections are able to press against the interior walls of the lumen adjacent the occlusion. The assembly includes an actuation member for moving the jaw sections from the closed to the open positions repeatedly resulting in a fracturing of the occlusion. A guide wire may be thread through an internal opening in the catheter and the blunt end member and after fracturing, across the occlusion.
摘要:
An improved endoscope prevents abrasion of a fiberoptic image guide with a braid reinforced sheath. Abrasion of fiberoptic image guides within articulating endoscopes quickly wear through a conventional fiberoptic mantle, decreasing the useful life of the endoscope. Preferably, the sheath comprises a metal braid disposed within a polyimide, which effectively protects the image guide from abrasion against the endoscope components and substantially extends useful life.
摘要:
An atherectomy catheter having ultrasound imaging capability provided by an acoustic transducer disposed within a catheter housing which includes a circular cutting edge for removal of stenotic tissue. Risk of induced emboli is reduced by arrangements of transducer and cutter maneuvering members which permit the cutting edge to remain shielded by the housing during catheter positioning and scanning. Both single and array transducers are employed in a variety of configurations.
摘要:
An athetectomy catheter is disclosed having a composite cutter which is capable of cutting material, including hardened plaque, from a biological conduit. The composite cutter has a cutter and a sensor mount. The cutter has a proximal end and a distal end with a cutting edge. The proximal end of the cutter bonds with the sensor mount. The sensor mount is adaptable for holding a sensor and attaching to a cutter torque cable of an atherectomy catheter. Typically, the atherectomy catheter has a cutter housing with a window. The composite cutter is positioned in the cutter housing and moves in response to movement of the cutter torque cable to cut material from the biological conduit via the window.
摘要:
Disclosed herein is manual actuator for retracting and advancing a therapeutic working element of an intravascular catheter system via an actuation shaft or one or more pulling wires. The manual actuator includes a hollow cylindrical bracing member having an open proximal end and a distal end, and a hollow cylindrical retracting member, the retracting member being slidable, in a telescoping fashion, into the open proximal end of the bracing member. An actuation shaft is secured near to the proximal end of the retracting member and the distal end of the actuation shaft is secured to the therapeutic working element. Alternatively, at least one pulling wire is secured proximal to the proximal end of the retracting member. The distal end of the pulling wire is secured to the therapeutic working element. At least one resilient connecting member has a proximal end attached proximate the proximal end of the retracting member, and a distal end attached proximate the distal end of the bracing member. When a manually applied external force is applied by the physician to the resilient connecting members, the resilient connecting members urge the retracting member in a proximal direction with respect to the bracing member, and retracting the actuation shaft to thereby operate the working element of the catheter system. Alternatively, the retracting member is urged in the proximal direction by the manually applied external force and the pulling wires transmit this force to the therapeutic working element.
摘要:
Disclosed herein is a catheter apparatus which supports high resolution imaging of the interior of a biological conduit. The apparatus includes an imaging atherectomy catheter of the type having a cutter housing attached to the distal end of a catheter. A tissue cutting member and an ultrasonic imaging transducer are disposed within the housing and are secured to the distal end of a rotatable torque cable. An elongated aperture formed along one side of the housing allows ultrasonic imaging and the intrusion of stenotic material which is removed by axially rotating and translating the cutting member. A miniature rotary encoder is slidably coupled to the end of the torque cable within the housing for precisely determining the rotational orientation of the ultrasonic imaging transducer with respect to the elongated aperture. The rotary encoder is read optically via a fiber optical cable which extends through the catheter. Placement of the rotary encoder at the imaging transducer overcomes distortions resulting from instantaneous speed variations between the two ends of the torque cable. The accurate rotational information permits use of ultrasonic imaging transducers having resolution better than 100 microns without significant image distortion.