FFR catheter with covered distal pressure sensor and method of manufacture

Patent metadata

Field	Value
Publication number	US-10646122-B2
Application number	US-201715581309-A
Country	US
Kind code	B2
Filing date	Apr 28, 2017
Priority date	Apr 28, 2017
Publication date	May 12, 2020
Grant date	May 12, 2020

Abstract

A distal shaft for measuring pressure distally of a stenosis includes a housing, a pressure sensor, a cover, a tip, and an aperture. The pressure sensor is mounted in the housing. The cover is coupled to the housing and covers the pressure sensor. The tip is coupled to a distal end of the housing. The aperture is disposed through the tip and/or cover. The aperture is configured to allow blood flow to the pressure sensor. The cover further includes a coupling mechanism or coupling that couples the cover to the housing. The coupling mechanism may be a snap-fit mechanism, a friction-fit mechanism, and/or an adhesive.

First claim

What is claimed is:

1. A Fractional Flow Reserve (FFR) catheter comprising:
a distal shaft defining a housing, a guidewire lumen configured to receive a guidewire, the guidewire lumen extending through the housing, and a sensor wire lumen configured to receive pressure sensor wires;
a pressure sensor mounted in the housing;
a separate cover coupled to the housing and covering the pressure sensor, wherein the housing comprises a first material and the cover comprises a second material, wherein the second material is stiffer than the first material;
a tip coupled to a distal end of the housing, the tip including a tip lumen aligned with the guidewire lumen; and
an aperture disposed through the tip and/or the cover, the aperture configured to allow blood flow to the pressure sensor.

2. The catheter of claim 1 , wherein the cover includes a proximal end and a distal end defining a cover lumen there between, wherein the housing is disposed within the cover lumen.

3. The catheter of claim 2 , wherein the cover includes a coupling mechanism for coupling the cover to the housing.

4. The catheter of claim 3 , wherein the coupling mechanism is a snap-fit mechanism including a first annular ring extending radially inwardly from an inside surface of the cover and a corresponding second annular ring extending radially outwardly from an outer surface of the housing.

5. The catheter of claim 3 , wherein the coupling mechanism is a friction-fit mechanism such that a first portion of the cover includes a first inner diameter and a corresponding portion of the housing includes a second outer diameter, wherein the first inner diameter is smaller than the second outer diameter with the first portion of the cover not disposed over the portion of the housing, and wherein with the first portion of the cover disposed over the portion of the housing, the portion of the housing expands the first portion such that the cover is frictionally coupled to the housing.

6. The catheter of claim 3 , wherein the coupling mechanism is an adhesive.

7. The catheter of claim 1 ,
wherein the cover includes a proximal end, a distal end, a first longitudinal edge, a second longitudinal edge, and a surface between the proximal end, the distal end, the first longitudinal edge, and the second longitudinal edge, the surface defining a partial cylinder with an open portion opposite the surface,
wherein the housing has an open seat in which the pressure sensor is disposed, and
wherein the open portion of the cover is aligned with the open seat of the housing such that the surface covers the open seat of the housing.

8. The catheter of claim 7 , wherein the cover includes a coupling mechanism for coupling the cover to the housing.

9. The catheter of claim 8 , wherein the coupling mechanism comprises a first protrusion extending inwardly from an inner surface of the cover adjacent the first longitudinal edge, a second protrusion extending inwardly from the inner surface of the cover adjacent the second longitudinal edge, a first channel corresponding to the first protrusion disposed in an outer surface of the housing adjacent the open seat of the housing, and a second channel corresponding to the second protrusion disposed in the outer surface of the housing adjacent the open seat of the housing, wherein the first protrusion is disposed in the first channel and the second protrusion is disposed in the second channel to couple the cover to the housing.

10. The catheter of claim 8 , wherein the coupling mechanism comprises a first protrusion extending inwardly from an inner surface of the cover adjacent the first longitudinal edge, a second protrusion extending inwardly from the inner surface of the cover adjacent the second longitudinal edge, a third protrusion extending outwardly from an outer surface of the housing adjacent the open seat of the housing, and a fourth protrusion extending outwardly from the outer surface of the housing adjacent the open seat of the housing, wherein the first and the third protrusions overlap and the second and the fourth protrusions overlap to couple the cover to the housing.

11. The catheter of claim 8 , wherein the coupling mechanism is an adhesive.

12. The catheter of claim 1 , wherein the aperture is disposed in the tip.

13. The catheter of claim 12 , wherein the aperture is shaped such that the aperture is generally parallel to a longitudinal axis of the housing.

14. The catheter of claim 12 , wherein the aperture is configured to provide axial blood flow into a portion of the housing where the pressure sensor is housed.

15. The catheter of claim 1 , wherein the housing includes a guidewire lumen and an open seat, wherein the pressure sensor is disposed in the open seat.

16. A method of manufacturing a distal shaft of an FFR catheter for measuring a distal pressure measurement on a distal side of a stenosis, the method comprising the steps of:
positioning a separate cover at a housing of a distal shaft, the housing having a pressure sensor mounted therein, the distal shaft including a guidewire lumen for receiving a guidewire, the guidewire lumen extending through the housing, the housing comprising a first material and the cover comprising a second material, wherein the second material is stiffer than the first material;
coupling the cover to the housing of the distal shaft to cover the pressure sensor; and
providing an aperture through the cover and/or a portion of the distal shaft, wherein the aperture is configured to enable blood flow into the housing and into contact with the pressure sensor.

17. The method of claim 16 , wherein the cover includes a lumen configured to receive the housing of the distal shaft therein, wherein the step of positioning the cover at the housing of the distal shaft comprises positioning the cover proximal to the housing and sliding the cover distally over the housing.

18. The method of claim 17 , wherein the step of coupling the cover to the housing comprises frictionally coupling the cover to the housing.

19. The method of claim 16 , wherein the cover comprises a partial cylinder, and wherein the step of positioning the cover at the housing of the distal shaft comprises positioning an open portion of the cover over an open seat of the housing.

20. The method of claim 16 , wherein the step of coupling the cover to the housing comprises engaging at least one snap-fit mechanism.

21. The method of claim 16 , wherein the step of coupling the cover to the housing comprises adhesively coupling the cover to the housing.

22. A Fractional Flow Reserve (FFR) catheter comprising:
a distal shaft defining a housing, a guidewire lumen configured to receive a guidewire, the guidewire lumen extending through the housing, and a sensor wire lumen configured to receive pressure sensor wires;
a pressure sensor mounted in the housing;
a separate cover coupled to the housing and covering the pressure sensor, the separate cover coupled to the housing via a snap-fit mechanism including a first annular ring extending radially inwardly from an inside surface of the cover and a corresponding second annular ring extending radially outwardly from an outer surface of the housing;
a tip coupled to a distal end of the housing, the tip including a tip lumen aligned with the guidewire lumen; and
an aperture disposed through the tip and/or the cover, the aperture configured to allow blood flow to the pressure sensor.

23. The catheter of claim 22 , wherein the sn

Assignees

• Medtronic Vascular Inc

Inventors

• Mccaffrey Gerry
• Ward Sean

Classifications

• A61B5/6852

  Catheters · CPC title

• A61B2560/0406

  specially shaped apparatus housings · CPC title

• A61B2562/16

  Details of sensor housings or probes; Details of structural supports for sensors (A61B2560/0462 takes precedence) · CPC title

• A61B5/02158 Primary

  provided with two or more sensor elements · CPC title

• A61B2562/168

  Fluid filled sensor housings · CPC title