Apparatus and method for targeting a body tissue

Patent metadata

Field	Value
Publication number	US-9492623-B2
Application number	US-201314060256-A
Country	US
Kind code	B2
Filing date	Oct 22, 2013
Priority date	Oct 6, 2006
Publication date	Nov 15, 2016
Grant date	Nov 15, 2016

Abstract

An apparatus for targeting a desired target site on a body tissue comprising a wall of a first body cavity of a patient includes a target catheter. A framing member has a collapsed condition and an expanded condition. The framing member has a framing member body which includes a bulbous portion defining a maximum body footprint having proximal and distal body ends which are both longitudinally spaced from the maximum body footprint. The framing member is comprised of a plurality of framing member beams. At least three framing member beam arrays of framing member beams are arranged in non-overlapping longitudinal sequence to form at least a portion of the framing member. The framing member beams that make up the framing member substantially each have a width-to-thickness fractional ratio in the range of 0.6-3.0.

First claim

Having described the invention, we claim:

1. An apparatus for targeting a desired target site on a body tissue comprising a wall of a first body cavity of a patient, the apparatus comprising:
a target catheter having a longitudinally extending target catheter lumen surrounded by a tubular target catheter wall having an outer surface;
a framing member having a collapsed condition in which the framing member is adapted for insertion into the first body cavity and an expanded condition in which the framing member is adapted for placement within the first body cavity, the framing member, when deployed into the expanded condition, having:
a framing member body which includes a three-dimensionally bulbous portion defining a maximum body footprint in a lateral dimension and having longitudinally spaced proximal and distal body ends which are both longitudinally spaced from the maximum body footprint, a diameter of the bulbous portion being significantly smaller at the proximal and distal body ends than at the maximum body footprint, the proximal body end being attached to the outer surface of the target catheter wall;
at least one target point carried by the framing member and adapted for placement adjacent the desired target site; and
at least one target pathway attached to at least one target point, at least a portion of the target pathway extending through the target catheter lumen, and the target pathway being substantially spaced apart from the framing member body;
wherein the framing member is comprised of a plurality of framing member beams, with at least three framing member beam arrays of framing member beams arranged in non-overlapping longitudinal sequence to form at least a portion of the framing member; and
wherein the framing member beams that make up the framing member substantially each have a width-to-thickness fractional ratio in the range of 0.6-3.0.

2. The apparatus of claim 1 , wherein each framing member beam array includes a plurality of framing member beams that are substantially similar to each other framing member beam in the same framing member beam array, the framing member beams in a chosen framing member beam array having substantially different values in at least one dimension from the framing member beams in a longitudinally adjacent framing member beam array, and each framing member beam array having a substantially cylindrical aspect formed by a laterally circular arrangement of the framing member beams of that framing member beam array.

3. The apparatus of claim 2 , wherein:
a proximal-most framing member beam array extends longitudinally between, and is connected to both of, the proximal body end and a center framing member beam array;
the center framing member beam array extends longitudinally between, and is connected to both of, the proximal-most framing member beam array and a distal-most framing member beam array, the center framing member beam array defining, when the framing member is in the expanded condition, a substantially cylindrical maximum body footprint; and
the distal-most framing member beam array extends longitudinally between, and is connected to both of, the center framing member beam array and the distal body end.

4. The apparatus of claim 3 , wherein a majority of the framing member beams that make up the proximal-most framing member beam array have a width-to-thickness fractional ratio in the range of 0.80-0.95, a majority of the framing member beams that make up the center framing member beam array have a width-to-thickness fractional ratio in the range of 0.75-2.8, and a majority of the framing member beams that make up the distal-most framing member beam array have a width-to-thickness fractional ratio in the range of 0.70-0.95.

5. The apparatus of claim 3 , wherein a protrusion is located at the distal body end and is formed by a protrusion framing member beam array connected to a distal end of the distal-most framing member beam array such that the protrusion extends longitudinally distally from the distal body end of the bulbous portion, a majority of the framing member beams that make up the protrusion framing member beam array have a width-to-thickness fractional ratio in the range of 0.85-2.12, and when the framing member is in the expanded condition, the protrusion has a diameter which is smaller than the diameter of the maximum body footprint.

6. The apparatus of claim 3 , wherein a mounting framing member beam array extends longitudinally between, and is connected to both of, the target catheter wall and a proximal end of the proximal-most framing member such that the mounting framing member beam array attaches the framing member to the target catheter wall, a majority of the framing member beams that make up the mounting framing member beam array have a width-to-thickness fractional ratio in the range of 1.5-2.12.

7. The apparatus of claim 1 , wherein at least one framing member beam of a chosen framing member beam array includes at least one longitudinal slit along a portion of a longitudinal length of the at least one framing member beam.

8. The apparatus of claim 1 , wherein the framing member is substantially rotationally symmetrical.

9. The apparatus of claim 1 , including a delivery catheter having a delivery catheter lumen extending longitudinally between proximal and distal delivery catheter ends, the delivery catheter lumen being configured to substantially laterally surround the framing member in the collapsed condition, at least one target point, and at least one target wire to carry the collapsed framing member, at least one target point, and at least one target wire to the first body cavity of the patient, and the framing member, at least one target point, and at least one target wire exiting distally from the distal delivery catheter end for deployment in the first body cavity of the patient.

10. The apparatus of claim 1 , including a puncture needle adapted for insertion through the target catheter lumen and into the first body cavity, the puncture needle having a first needle end operative to puncture the body tissue at the target site.

11. The apparatus of claim 1 , including a puncture needle guided by the target pathway and adapted for insertion through the target catheter lumen and into the first body cavity, the puncture needle having a first needle end operative to puncture the body tissue responsive to guidance by the target pathway.

12. The apparatus of claim 1 , wherein at least one target point has an associated radiopaque marker to indicate a position of the target point relative to the body tissue in cooperation with an external imaging system.

13. The apparatus of claim 1 , wherein the first body cavity is at least one of a left atrium, a right atrium, a peritoneal cavity, a chest cavity, a left atrial appendage, a right atrial appendage, a left pulmonary vein, a blood vessel, a common iliac artery, a subintimal space, a portion of the heart, a gastrointestinal organ, a genitourinary organ, and a space external to the patient's body.

Assignees

• Cleveland Clinic Found
• Bavaria Medical Tech Canada Inc

Inventors

• Kapadia Samir
• Berrada Marwane
• Fuentes-Ortega Cesar
• Mok Daniel Wing Fai

Classifications

• A61B2034/2051

  Electromagnetic tracking systems · CPC title

• A61B2017/3411

  with a plurality of holes, e.g. holes in matrix arrangement · CPC title

• A61B2018/0038

  Foramen ovale · CPC title

• A61B2018/00357

  Endocardium · CPC title

• A61B2017/3488

  Fixation to inner organ or inner body tissue · CPC title