Surgery – Diagnostic testing – Detecting nuclear – electromagnetic – or ultrasonic radiation
Reexamination Certificate
1998-11-24
2001-05-22
Smith, Ruth S. (Department: 3737)
Surgery
Diagnostic testing
Detecting nuclear, electromagnetic, or ultrasonic radiation
C606S015000, C600S478000
Reexamination Certificate
active
06236879
ABSTRACT:
FIELD OF THE INVENTION
The invention relates to a catheter system comprising a catheter having a proximal and a distal end and provided with means for determining the position of the distal end-of the catheter.
BACKGROUND OF THE INVENTION
Such a catheter has been described in applicant's Dutch patent application 1003033. The catheter described in said patent application is used as inner catheter fitted inside a guide catheter. The guide catheter is provided with first signal transmission means and the inner catheter is provided with second signal transmission means, which all extend between the proximal end and the distal end of the catheter system. At the distal end the first and second signal transmission means connect to each other in order to allow signal transmission to take place between the first and the second signal transmission means. The object of this system is to make it possible to determine the position of the inner catheter.
The aim of both the present invention and the above-mentioned Dutch patent application 1003033 is to solve the problem of there being no fixed relation between the angular position of the distal end of the catheter, that is the end of the catheter which is inside the patient, and the angular position of the proximal end of the catheter, where the catheter is controlled by rotation. It is therefore the objective of the invention to provide a catheter with which it is possible to reliably measure the angular position of the distal end.
To realize this, various proposals are already known from the prior art. The thesis “Scanning mechanisms for intravascular ultrasound imaging: a flexible approach” by H. ten Hof, 1993, ISBN 90-9006072-3, pp 120, 121, suggests as possibility an acoustic method applying acoustic measuring means which are placed in a perimeter and at a distance from each other, together with a noise source at the distal end of the catheter. Mention is also made of a capacitive measuring method wherein, dependent on the rotation of the catheter, a capacity adjustment of a capa city at the distal end takes place. A further suggestion is an electromagnetic method, wherein a micromotor is placed at the distal end for the adjustment of the catheter tip. Also mentioned is an optical reflection method wherein a code disc is used, provided with reflection lines, and positioned at the distal end of the catheter. However, all these known embodiments have proven to be unpractical, unworkable, or ineffective.
DE-A-3,435,369 does not relate to a catheter system but to an endoscope equipped with a polarization filter. The polarization filter serves to vary the illumination of an object to be observed with the aid of the endoscope such as to avoid over-adjustment of the video installation. The system disclosed in this publication is not equipped for the determination of the position of the catheter's distal end.
SUMMARY OF THE INVENTION
According to the invention a catheter system is proposed comprising a glass fiber incorporated in a lumen of the catheter, which lumen is defined by a wall, with a first polarization filter being provided near the proximal end of the catheter and a second polarization filter near the distal end of the catheter, which polarization filters are fixed with respect to the catheter wall, and which glass fiber is suitable for the transport of polarized light while in essence maintaining the direction of polarization of said light during torsional stress of the patheter. The polarization direction always relates to a fixed co-ordinate system which is invariant with respect to the catheter's torsion. By this very simple measure a catheter is provided requiring only a very small diameter, while nevertheless allowing direct determination of the angle position of the distal end.
In order for the light in respect of the polarization direction to be independent of the catheter's torsional stress, it is desirable that the structure of the glass fiber be circularly symmetrical. A suitable choice for a glass fiber with this quality is an embodiment with a glass fiber of the graded-index type.
The catheter system according to the invention may be provided with means, which are known in themselves for taking a measurement or for treating the respective part of the patient's body, and in which according to the invention a light source is applied to feed the glass fiber in the catheter. Said light is polarized by the first polarization filter provided near the proximal end of the catheter, is conducted further through the glass fiber in the catheter while maintaining the polarization direction of the polarized light and, depending on the adjustment of the second polarization filter with respect to the first polarization filter, is to a greater or lesser degree weakened through the second polarization filter positioned near the distal end of the catheter. The degree of weakening can be measured and serves as indication for the position of the distal end of the catheter in relation to the proximal end.
It is desirable that means are provided for the return transport of the light exiting at the distal end, from the second polarization filter. In this way the catheter may still be equipped very simply, while the costly measuring device is placed permanently in the catheter system at the proximal end of the catheter.
A very simple but effective form of this system is one in which a mirror is placed at the distal side of the second polarization filter, for the reflection of light exiting from the second polarization filter in the direction of the first polarization filter. The reflected light is able to pass through the second polarization filter unhindered and is subsequently returned to the proximal side where, due to the first polarization filter, a further weakening of the light may occur. At this proximal end the remaining light intensity can be measured to derive the angle position of the distal end of the catheter.
An alternative embodiment of the catheter system according to the invention is characterized in that at the distal side of the second polarization filter a return glass fiber is connected which is provided in the catheter's lumen and which exits at its proximal end.
The invention also relates to a separate catheter having a lumen defined by a wall, which lumen is characterized in that a glass fiber is incorporated in the lumen, extending between a proximal end and a distal end of the catheter and wherein at the proximal end a first polarization filter is provided and at the distal end a second polarization filter is provided, which polarization filters are fixed with respect to the catheter wall, and which glass fiber is suitable for the transport of polarized light while in essence maintaining the direction of polarization of said light during torsional stress of the catheter. With this catheter according to the invention, all elements determining the direction of polarization of the light to be fed through the glass fiber, including the first polarization filter, are integral parts of this catheter, so that apart from the driving device for the adjustment of the catheter at its proximal end, only the light source and the measuring means need to be outside of the catheter according to the invention.
The fixed connection of the polarization filters with respect to the catheter wall may be realised simply by gluing the polarization filters to the wall of the catheter.
REFERENCES:
patent: 4846154 (1989-07-01), MacAnally et al.
patent: 5515864 (1996-05-01), Zuckerman
patent: 5669878 (1997-09-01), Dickinson et al.
patent: 5769843 (1998-06-01), Abela et al.
patent: 5833605 (1998-11-01), Shah
patent: 0 347 140 (1989-12-01), None
patent: 0 586 162 (1994-03-01), None
Centrum RRN Academisch Ziekenhuis Utrecht
Darby & Darby
Smith Ruth S.
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