Electrically-induced pressure wave emitting catheter sheath

Patent metadata

Field	Value
Publication number	US-10898213-B2
Application number	US-201514984710-A
Country	US
Kind code	B2
Filing date	Dec 30, 2015
Priority date	Dec 30, 2014
Publication date	Jan 26, 2021
Grant date	Jan 26, 2021

Abstract

The present disclosure relates generally to the use of medical devices for the treatment of vascular conditions. In particular, the present disclosure provides devices and methods for using electrically-induced pressure waves created within a sheath to disrupt vascular blockages via the sheath and/or a tip at the end of the sheath.

First claim

What is claimed is:

1. A catheter system comprising: a first sheath having a guidewire lumen, a proximal end, and a distal end; at least one electrode assembly disposed adjacent to the guidewire lumen of the first sheath, wherein the at least one electrode assembly produces electrical energy; and a second sheath configured to receive the first sheath, wherein the second sheath comprises a distal end, and wherein the first sheath is translatable within the second sheath; and a porous attenuating member having a substantially tubular shape and an open distal end, wherein the porous attenuating member is coupled to extend distal to the distal end of the first sheath within the second sheath, to thereby direct acoustic pressure waves resulting from the electrical energy produced by the at least one electrode assembly towards the guidewire lumen of the inner sheath and thereby vibrate a guidewire extending through the guidewire lumen.

2. The catheter system of claim 1 , wherein the porous attenuating member has a generally uniform diameter along its length.

3. The catheter system of claim 2 , wherein the porous attenuating member comprises an inner surface, an outer surface, and a plurality of openings extending from the inner surface to the outer surface.

4. The catheter system of claim 3 , wherein the plurality of openings comprise at least one of the following shapes: circle; oval; triangle; square; rectangle; polygon; diamond; pentagon; hexagon; heptagon; octagon; nonagon; and decagon.

5. The catheter system of claim 1 , wherein the porous attenuating member reinforces the second sheath.

6. A method for treating an obstruction within vasculature of a subject, the method comprising:
positioning a catheter system within the vasculature of the subject, the catheter system comprising:
a first sheath having a guidewire lumen, a proximal end, and a distal end;
at least one electrode assembly coupled to the first sheath;
a second sheath configured tot receive the first sheath so that the first sheath is translatable within the second sheath, wherein the second sheath comprises a distal end; and
a porous attenuating member having a substantially tubular shape and an open distal end, wherein the porous attenuating member is coupled to extend distal to the distal end of the first sheath within the second sheath to thereby direct pressure waves produced by the at least one electrode assembly towards the guidewire lumen or a guidewire within the guidewire lumen;

positioning the distal end of the second sheath adjacent the obstruction within the vasculature;
delivering a liquid medium to the distal end of the second sheath;
activating the at least one electrode assembly to produces pulses of electrical energy in the liquid medium;
wherein producing the pulses of electrical energy from the at least one electrode in the liquid medium generates a plurality of propagating pressure waves that disrupt at least a portion of the obstruction; and
wherein the porous attenuating member directs pressure waves produced by the at least one electrode assembly towards the guidewire lumen or a guidewire within the guidewire lumen and thereby induces vibrations within the guidewire.

7. The method of claim 6 , wherein the porous attenuating member comprises an inner surface, an outer surface, and a plurality of openings extending from the inner surface to the outer surface, and wherein transmitting the pulses of electrical energy produced by the at least one electrode assembly in the liquid medium generates a plurality of propagating pressure waves that pass through the plurality of openings.

8. The method of claim 7 , wherein the plurality of openings comprise at least one of the following shapes: circle; oval; triangle; square; rectangle; polygon; diamond; pentagon; hexagon; heptagon; octagon; nonagon; and decagon.

9. The method of claim 6 , wherein the porous attenuating member reinforces the second sheath.

10. A catheter assembly comprising:
an inner sheath having a guidewire lumen, a proximal end, a distal end, and at least one electrode assembly disposed adjacent to the guidewire lumen, wherein the at least one electrode assembly produces electrical energy; and
an outer sheath configured to receive the inner sheath so that the inner sheath is translatable within the outer sheath; and
an attenuating member having a substantially tubular shape and an open distal end, wherein the attenuating member extends distal to the distal end of the inner sheath within the outer sheath to thereby direct acoustic pressure waves resulting from the electrical energy towards the guidewire lumen of the inner sheath and thereby vibrate a guidewire extending through the guidewire lumen.

11. The catheter assembly of claim 10 wherein the electrode assembly is tapered toward the guidewire lumen to thereby direct the electrical energy radially toward the guidewire extending through the guidewire lumen.

12. The catheter assembly of claim 10 wherein the attenuating member is coupled to the distal end of the inner sheath by an adhesive.

13. The catheter assembly of claim 10 wherein the attenuating member is integrally disposed within the outer sheath distal to the inner sheath to thereby reinforce the outer sheath.

14. The catheter assembly of claim 10 wherein the attenuating member is porous.

15. The catheter assembly of claim 10 wherein the attenuating member comprises a plurality of opening extending therethrough.

16. The catheter assembly of claim 10 wherein the attenuating member has a generally uniform diameter along its length.

Assignees

• Spectranetics Corp

Inventors

• Grace Kenneth P
• Triffo Thomas
• Cezo James

Classifications

• A61B2018/263

  the conversion of laser energy into mechanical shockwaves taking place in a liquid · CPC title

• A61B18/26

  for producing a shock wave, e.g. laser lithotripsy · CPC title

• A61B17/22004 Primary

  using mechanical vibrations, e.g. ultrasonic shock waves (A61B17/225 takes precedence) · CPC title

• A61B17/22022

  using electric discharge · CPC title

• A61B18/245

  for removing obstructions in blood vessels or calculi · CPC title