Self-aiming directable acoustic transducer assembly for invasive medical device applications

Patent metadata

Field	Value
Publication number	US-9907534-B2
Application number	US-63839309-A
Country	US
Kind code	B2
Filing date	Dec 15, 2009
Priority date	Dec 15, 2009
Publication date	Mar 6, 2018
Grant date	Mar 6, 2018

Abstract

A directable acoustic transducer assembly is presented for use in a medical insertion device (MID). In an embodiment, the assembly aims an acoustic signal in response to a sensed or detected force or load imposed on the MID. The directable acoustic transducer assembly includes a switch array and a plurality of directional acoustic transducer elements. The switch array responds to the force or load and activates the directional acoustic transducer elements closest to the source of the force or load. The switch array may include a plurality of switches, at least one of which responses to a force or load and may activate directional acoustic transducer elements having a target tissue in the field of view. The assembly includes embodiments that are responsive to various loads. A directable acoustic transducer assembly may be part of a diagnostic and/or therapeutic system, such as an RF ablation system.

First claim

What is claimed is:

1. An acoustic transducer assembly for use in a medical insertion device having an axis, the acoustic transducer assembly comprising:
a plurality of directional acoustic transducer elements circumferentially disposed about the axis, each acoustic transducer element being configured to transmit a respective acoustic beam in a predetermined direction, and receive a respective returning acoustic echo in a respective field of view; and
a switch array in communication with the plurality of directional acoustic transducer elements and configured to activate or enable at least one of the plurality of directional acoustic transducer elements in response to a load on a portion of the medical insertion device other than on the plurality of directional acoustic transducer elements, said switch array includes a plurality of switches in communication with the plurality of directional acoustic transducer elements, at least one of the plurality of switches including a first contact on a first support and a second contact on a second support wherein the first contact is separated from the second contact by a gap, and wherein at least one of the first and second supports comprises an elastic foundation having a surface on which one of the first contact and the second contact is situated, and which directly touches said one of the first contact and the second contact without an intervening structure, said elastic foundation being one of axially disposed and radially-inwardly disposed relative to said one of the first contact and the second contact.

2. The acoustic transducer assembly of claim 1 , wherein the load on the medical insertion device is at least partially caused by contact with a target and wherein the at least one of the plurality of directional acoustic transducer elements is configured to aim an acoustic beam in a direction of the target causing the load when activated by the switch array.

3. The acoustic transducer assembly of claim 1 , wherein the load on the medical insertion device is at least partially caused by bending or articulation of the medical insertion device and wherein the at least one of the plurality of directional acoustic transducer elements is configured to aim an acoustic beam in a respective predetermined direction when activated by the switch array.

4. The acoustic transducer assembly of claim 2 , wherein the switch array is further configured so that a closing switch of the switch array is located diametrically opposite or on an opposed tip region from the tissue causing the load.

5. The acoustic transducer assembly of claim 2 , wherein the switch array is further configured to activate at least one of the directional acoustic transducer elements closest to the target causing the load.

6. The acoustic transducer assembly of claim 2 , wherein at least one directional acoustic transducer element for which the target causing the load is in said field of view and the at least one directional acoustic transducer element being activated by the switch array.

7. The acoustic transducer assembly of claim 2 , wherein a subset of one or more of the plurality of switches activates at least one directional acoustic transducer element for which the tissue causing the load is in the field of view of the at least one directional acoustic transducer element.

8. The acoustic transducer assembly of claim 2 , wherein the switch array includes a plurality of contacts configured so that closure of predetermined contact pairs of the plurality of contacts causes activation or enabling of corresponding predetermined transducers that face the tissue causing the load.

9. The acoustic transducer assembly of claim 7 , wherein the plurality of switches includes a plurality of first contacts, the gap separating the first contacts and the second contact is substantially filled or sealed with a compressible hydrophobic material which is configured to still allow mating electrical contact closure.

10. The acoustic transducer assembly of claim 7 , wherein the plurality of switches includes a plurality of contacts that are mounted upon at least one polygonal, cylindrical, or ring-shaped contact support.

11. The acoustic transducer assembly of claim 7 , wherein the plurality of switches includes a plurality of contacts and wherein at least one of the plurality of contacts is mounted on a first support and at least one mating second contact of the plurality of contacts is mounted upon a second support, the first and second supports configured to have at least some of their mating contacts close when a predetermined load is applied to the medical insertion device.

12. The acoustic transducer assembly of claim 1 , wherein at least one of the plurality of directional acoustic transducer elements includes an acoustic backing layer or one or more acoustic lenses or a combination thereof.

13. The acoustic transducer assembly of claim 12 , wherein the one or more acoustic lenses steer one or more acoustic beams through at least one angle between 5 degrees and 60 degrees toward a tip of the medical insertion device and directs the one or more acoustic beams toward a target.

14. The acoustic transducer assembly of claim 1 , wherein the plurality of directional acoustic transducer elements includes a plurality of transducers in a shape of a ring or cylinder.

15. The acoustic transducer assembly of claim 1 , wherein each of the plurality of switches comprise a plurality of first contacts situated on the elastic foundation that form with the second contact respective contact pairs, wherein the number of contact pair closures correspond to a degree of articulation of a tip of the medical insertion device, the number of directional acoustic transducer elements activated by the switch array corresponds to the load on the medical insertion device, such that a greater load on the medical insertion device activates a greater number of directional acoustic transducer elements than a smaller load.

16. The acoustic transducer assembly of claim 1 , wherein the directional acoustic transducer elements that are activated extend around less than 120 degrees of the circumference of the acoustic transducer assembly.

17. The acoustic transducer assembly of claim 16 , wherein the directional acoustic transducer elements that are activated extend around 10 to 100 degrees of the circumference of the acoustic transducer assembly.

18. The acoustic transducer assembly of claim 1 , wherein the medical insertion device comprises:
a body; and
a tip configured to bear the load and to bend or angularly articulate relative to the body,
wherein the transducer assembly is connected with the body and the tip and wherein the switch array includes a plurality of the first contacts, and
wherein the transducer assembly is configured to respond to a direction of a load on the medical insertion device and close at least one of the plurality of first contacts with respect to the second contact and aim a directional acoustic beam in the direction of a target creating the load.

19. The medical insertion device of claim 18 , wherein the medical insertion device comprises one of an introducer, a catheter, a sheath, or a scope, or a combination thereof.

20. An ablation catheter system for performing a therapeutic procedure on a tissue portion, the ablation catheter system comprising:
a user interface including a map, model or image of tissue into or onto which the ablation catheter is to be inserted;
an ablation catheter having an axis and including:
a spatial tracking sensor in

Assignees

• Sliwa John W
• Morse Stephen A
• St Jude Medical Atrial Fibrillation Div Inc

Inventors

• Sliwa John W
• Morse Stephen A

Classifications

• A61B8/085

  for locating body or organic structures, e.g. tumours, calculi, blood vessels, nodules · CPC title

• A61M37/0092

  using ultrasonic, sonic or infrasonic vibrations, e.g. phonophoresis · CPC title

• A61B2090/378

  using ultrasound · CPC title

• A61B8/429

  characterised by determining or monitoring the contact between the transducer and the tissue · CPC title

• A61B18/1492

  having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title