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    • 4. 发明申请
    • EXPANDABLE LASER CATHETER
    • 可扩展激光导管
    • WO0009196A9
    • 2000-06-08
    • PCT/US9917317
    • 1999-07-29
    • INTRALUMINAL THERAPEUTICS INCWINSTON THOMAS RNEET JOHN M
    • WINSTON THOMAS RNEET JOHN M
    • A61B17/22A61B18/22A61B18/24A61F2/958A61M25/00A61M29/02
    • A61B18/245A61B18/24A61B2017/22051A61B2018/00214A61B2018/00577A61B2018/2211A61B2018/2238A61B2018/2266A61B2018/2288A61M25/0021A61M25/0023A61M25/1002A61M29/02A61M2025/0024A61M2025/1004
    • Expandable laser catheters (10) for utilizing laser energy to remove obstructions (36) from body passages (34) are described. In one embodiment, the laser catheter includes a shaftway (12) having a distal end (18) including a flexible portion (20) configured in a series of radial folds. Multiple optical fibers (30), configured to transmit laser energy, extend along the shaftway and are attached to the flexible portion. An inflatable, ring-shaped balloon (22) is attached to the catheter (10) within the flexible portion (20). In use, the catheter (10) is inserted into a body passage (34) such as an artery, and advanced until the distal end (18) is adjacent to an obstruction. The balloon (22) is inflated to expand the flexible portion (20) and to bring the optical fibers (30) nearer the inner wall of the body passage. Laser energy is directed by the optical fibers (30) toward targeted regions of the obstruction (36). As the catheter is advanced and the process repeated, a core (50) is formed from the obstruction (36) and contained within the flexible portion (20). The flexible portion (20) is then contracted to hold the core (50), and the core (50) is removed from the body passage (34) by withdrawing the catheter (10).
    • 描述了用于利用激光能量去除主体通道(34)的障碍物(36)的可扩展激光导管(10)。 在一个实施例中,激光导管包括具有远端(18)的轴(12),该远端包括构造成一系列径向折叠的柔性部分(20)。 被配置为传递激光能量的多个光纤(30)沿着轴线延伸并附接到柔性部分。 可膨胀的环形气囊(22)在柔性部分(20)内附接到导管(10)。 在使用中,将导管(10)插入诸如动脉的体通道(34)中,并且前进直到远端(18)与障碍物相邻。 气球膨胀以膨胀柔性部分(20)并使光纤(30)靠近身体通道的内壁。 激光能量被光纤(30)引向障碍物(36)的目标区域。 当导管前进并且重复该过程时,从障碍物(36)形成并包含在柔性部分(20)内的芯(50)。 然后使柔性部分(20)收缩以保持芯部(50),并且通过抽出导管(10)将芯部(50)从主体通道(34)移除。
    • 5. 发明申请
    • CATHETER FOR LASER TREATMENT OF ATHEROSCLEROTIC PLAQUE AND OTHER TISSUE ABNORMALITIES
    • 激光治疗动脉粥样硬化斑块及其他组织异常的导管
    • WO0023125A3
    • 2000-11-30
    • PCT/US9924099
    • 1999-10-18
    • INTRALUMINAL THERAPEUTICS INC
    • WINSTON THOMAS RNEET JOHN M
    • A61B8/08A61B8/12A61B18/24A61B19/00A61B1/04
    • A61B8/12A61B5/02007A61B8/0833A61B8/0858A61B8/445A61B8/4461A61B18/245A61B2090/3784
    • A medical catheter (10) for treating atherosclerotic plaque and other abnormalities includes optical fibers (30) for applying laser energy (100) to the plaque and an ultrasonic transducer system (32, 34) for sensing the location and configuration of the plaque. The optical fibers (30) and electrical wiring for the transducers (32, 34) extend through a probe (28) which is rotatable inside of the catheter tube (12) to provide universal directional control of the fibers (30) and transducers (32, 34). A reflective system includes a curved reflector (38) in the probe (28) which can be axially adjusted to vary the direction of the ultrasonic signals. Alternative forms of the invention include different reflector schemes, an angled ultrasonic transducer (110) having a conical signal output that varies with frequency, and various different systems for rotating the transducers and fibers.
    • 用于治疗动脉粥样硬化斑块和其他异常的医疗导管(10)包括用于将激光能量(100)施加至牙斑的光纤(30)和用于感测牙斑的位置和构造的超声波换能器系统(32,34)。 用于换能器(32,34)的光纤(30)和电线延伸穿过可在导管(12)内部旋转的探针(28),以提供纤维(30)和换能器(32)的通用方向控制 ,34)。 反射系统包括探头(28)中的弯曲反射器(38),其可以被轴向调节以改变超声波信号的方向。 本发明的可选形式包括不同的反射器方案,具有随频率变化的圆锥形信号输出的成角度的超声波换能器(110),以及用于旋转换能器和光纤的各种不同的系统。