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Systems and methods for guiding a medical instrument through a body

Assignee: Spectranetics LLC
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Filing: 1999-03-24
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Granted: 2000-05-16
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Expires: 2019-03-24
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Abstract

Abstract Guidance systems for guiding a catheter through tissue within a body are described. In one form, the system is implemented in connection with a catheter which includes a catheter body having a optic fibers extending between a first end and a second end thereof. The guidance system is coupled to the catheter body and includes a first optic fiber, a second optic fiber, and a detecting element. The first optic fiber includes a first end and a second end, and is coupled to the catheter body so that the first optic fiber second end is adjacent the catheter second end. The second optic fiber also includes a first end and a second end, and a reference mirror is positioned adjacent the second optic fiber second end. The first optic fiber first end is communicatively coupled to the detecting element and the second optic fiber first end is communicatively coupled to the detecting element. The detecting element is configured to determine interference between a light beam propagating through the first optic fiber and a light beam propagating through the second optic fiber.

Inventors

  • 👤 Thomas R. Winston
  • 👤 John M. Neet

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 10:25
CPC Classifications
A; A61; A61B; A61B18/00; A61B18/18; A61B18/20; A61B18/22; A61B18/24; A61B18/245; A61B1/00; A61B1/04; A61B1/042; A61B17/00; A61B2017/00017; A61B2017/00022; A61B2017/00057; A61B2017/00106; A61B17/22; A61B2017/22072; A61B2017/22074; A61B2017/22075; A61B2018/2205; A61B2018/2211; A61B90/00; A61B90/36; A61B90/361; A61B2090/3614; A61B90/37; A61B2090/373; A61M; A61M25/00; A61M25/01

Claims Analysis

Total Claims: 22
Claim 1
Independent Claim 123 words
A method for guiding a medical instrument through a blood vessel, said method comprising the steps of: inserting the medical instrument at least partially into the blood vessel; and coupling at least one guidance system to the medical instrument, the guidance system including a first optic fiber having a first end and a second end, a second optic fiber having a first end and a second end, a reference mirror positioned adjacent the second optic fiber second end, and a detecting element communicatively coupled to the first ends of said first and second optic fibers, the detecting element configured to determine an interference between a light beam propagating through the first optic fiber and a light beam propagating through the second optic fiber.
Claim 2
Independent Claim 123 words
A method for guiding a medical instrument through a blood vessel, said method comprising the steps of: inserting the medical instrument at least partially into the blood vessel; and coupling at least one guidance system to the medical instrument, the guidance system including a first optic fiber having a first end and a second end, a second optic fiber having a first end and a second end, a reference mirror positioned adjacent the second optic fiber second end, and a detecting element communicatively coupled to the first ends of said first and second optic fibers, the detecting element configured to determine an interference between a light beam propagating through the first optic fiber and a light beam propagating through the second optic fiber.
Claim 3
Dependent Claim 43 words
A method in accordance with claim 1 wherein the medical instrument is a catheter having a catheter head, and wherein inserting the medical instrument at least partially into the blood vessel comprises the step of inserting the catheter head into the blood vessel.
Claim 4
Dependent Claim 32 words
A method in accordance with claim 1 wherein coupling at least one guidance system to the medical instrument comprises the step of coupling at least two guidance systems to the medical instrument.
Claim 5
Dependent Claim 30 words
A method in accordance with claim 1 wherein coupling at least one guidance system to the medical instrument comprises the step of coupling five guidance systems to the medical instrument.
Claim 6
Dependent Claim 14 words
A method in accordance with claim 1 wherein the medical instrument is a catheter.
Claim 7
Dependent Claim 15 words
A method in accordance with claim 1 wherein the medical instrument is an angioplasty balloon.
Claim 8
Dependent Claim 15 words
A method in accordance with claim 1 wherein the medical instrument is an atherectomy device.
Claim 9
Dependent Claim 15 words
A method in accordance with claim 1 wherein the medical instrument is a biopsy device.
Claim 10
Dependent Claim 15 words
A method in accordance with claim 1 wherein the medical instrument is a hollow tube.
Claim 11
Dependent Claim 22 words
A method in accordance with claim 9 wherein said image is a linear profile image of the tissue adjacent the medical instrument.
Claim 12
Dependent Claim 22 words
A method in accordance with claim 9 comprising the step of generating an image of tissue coaxially aligned with the medical instrument.
Claim 13
Dependent Claim 29 words
A method in accordance with claim 3 wherein utilizing laser interferometry to guide the medical instrument through the blood vessel comprises the step of automatically controlling the medical instrument.
Claim 14
Dependent Claim 23 words
A method in accordance with claim 1 further comprising the step of utilizing ultrasound for imaging at least portions of the blood vessel.
Claim 15
Dependent Claim 35 words
A method in accordance with claim 1 further comprising the steps of: determining the interference with the at least one guidance system; and utilizing the interference to guide the medical instrument through the blood vessel.
Claim 16
Dependent Claim 33 words
A method in accordance with claim 14 wherein utilizing the interference to guide the medical instrument through the blood vessel comprises the step of generating an image of tissue adjacent the medical instrument.
Claim 17
Independent Claim 172 words
A method for guiding a medical instrument through a blood vessel, the medical instrument having a first end, a second end, and at least one interferometric guidance system, the interferometric guidance system comprising a first optic fiber having a first end and a second end, the second end of the first optic fiber positioned adjacent the second end of the medical instrument, a second optic fiber having a first end and a second end, a reference mirror positioned adjacent the second optic fiber second end, and a detecting element communicatively coupled to the first ends of the first and second optic fibers, the detecting element configured to determine interference between a light beam propagating through the first optic fiber and a light beam propagating through the second optic fiber, said method comprising the steps of: inserting the second end of the medical instrument into the blood vessel; determining a type of tissue positioned a distance from the second end of the first optic fiber utilizing the at least one interferometric guidance system.
Claim 18
Independent Claim 172 words
A method for guiding a medical instrument through a blood vessel, the medical instrument having a first end, a second end, and at least one interferometric guidance system, the interferometric guidance system comprising a first optic fiber having a first end and a second end, the second end of the first optic fiber positioned adjacent the second end of the medical instrument, a second optic fiber having a first end and a second end, a reference mirror positioned adjacent the second optic fiber second end, and a detecting element communicatively coupled to the first ends of the first and second optic fibers, the detecting element configured to determine interference between a light beam propagating through the first optic fiber and a light beam propagating through the second optic fiber, said method comprising the steps of: inserting the second end of the medical instrument into the blood vessel; determining a type of tissue positioned a distance from the second end of the first optic fiber utilizing the at least one interferometric guidance system.
Claim 19
Dependent Claim 26 words
A method in accordance with claim 16 wherein the medical instrument is one of a catheter, an angioplasty balloon, an atherectomy device, or a biopsy device.
Claim 20
Dependent Claim 26 words
A method in accordance with claim 16 further comprising the step of generating an image of the tissue utilizing the at least one interferometric guidance system.
Claim 21
Dependent Claim 18 words
A method in accordance with claim 18 wherein the image is a linear profile image of the tissue.
Claim 22
Dependent Claim 37 words
A method in accordance with claim 18 wherein generating an image of the tissue utilizing the at least one interferometric guidance system comprises the step of generating an image of tissue coaxially aligned with the medical instrument.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2003-05-16 2003-11-15 2004-05-16 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2007-05-16 2007-11-15 2008-05-16 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2011-05-16 2011-11-15 2012-05-16 $7700.00 Window Closed / Lapsed

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