Abstract:
A pressure sensor assembly (11) is provided for placement within the tip of a conventional catheter (15) or the like for insertion into a small cavity such as a human coronary artery. The pressure sensor assembly (11) is comprised of device and backing dies (67 and 75) of crystalline material bonded together without the use of a bonding material, thereby providing direct contact between the two crystalline dies. A diaphragm (25) is etched into one of the dies before it is bonded to the other die. A cavity (26) formed by the diaphragm when the two dies are bonded is vented to a reference atmosphere by a channel or groove (31) in the backing die. During the fabrication of the sensor assembly, small holes (71) are etched completely through the wafer (75) used to form the device dies in order to provide targets for alignment during the fabrication of the sensor assembly. Finally, the fabrication of circuitry on the wafer forming the device dies includes providing complementary temperature coefficients of the nominal piezoresistance and of the piezoresistive coefficient.
Abstract:
A method to measure spatial fluid flow components and their velocity profiles in a number of locations in a cross-sectional area of a lumen or other body cavity by using ultrasound in which the cross-sectional area is interrogated by a plurality of ultrasonic beams; the estimation of the spatial flow components is obtained from a combination of estimations of axial, lateral and total flow; the estimation of one or more flow components is obtained through any combination of time-shift and decorrelation analysis of two or more beam-signals of the interrogating ultrasound transducer; and the estimation accuracy is further improved by the use of a reference decorrelation curve obtained from experiments or beam-theory or both.
Abstract:
An apparatus and method are described for imaging blood flow from within a vasculature. An ultrasound catheter probe (20) carrying an ultrasound transducer array (24) is inserted within a blood vessel (14). The transducer array emits ultrasound excitation signals and receives ultrasound echo waveforms reflected from blood and tissue in a region of the vasculature. A series of the echo waveforms resulting from a series of excitation signals are combined in a manner such that the echo signals from static features in the region, such as tissue and plaque (12), are significantly attenuated. The combined signal primarily represents the relatively dynamic features in the region (i.e., the blood flow). A blood flow image is constructed from the combined signal. The blood flow image is colored and combined with an image of the relatively static features in the region. Thereafter the combined image is displayed on a video display (28).
Abstract:
An apparatus and method for imaging a small cavity is disclosed wherein reference waveforms to be used in obtaining an improved image are generated in vivo. The reference waveforms are used to strip the imaging signals of noise in an image generated from the signals. The imaging probe (10) is first inserted into a first area of the vascular system (12) to be imaged and reference waveforms are collected. After collecting the reference waveforms, the imaging probe is further inserted into the vascular system to a second area that is to be imaged. If necessary, the reference collecting step may be repeated. The present invention also provides an imaging apparatus capable of imaging close to the surface of the probe and, in this regard, removes artifacts in the imaging waveforms that usually form a corona (62) in the visual image about the perimeter of the probe (44).
Abstract:
An ultrasound transducer assembly of the present invention includes a flexible circuit to which an ultrasound transducer array (8) and integrated circuitry (6) are attached during fabrication of the ultrasound transducer assembly. The flexible circuit comprises a flexible substrate (2) to which the integrated circuitry and transducer elements are attached while the flexible substrate is in a substantially flat shape. The flexible circuit further comprises electrically conductive lines that are deposited upon the flexible substrate. The electrically conductive lines transport electrical signals between the integrated circuitry and the transducer elements. After assembly, the flexible circuit is re-shapable into a final form such as, for example, a substantially cylindrical shape.
Abstract:
An ultrasound catheter (10) is disclosed for providing substantially real-time images of small cavities. The ultrasound catheter (10) is characterized by separate and distinct materials for backing the transducers (22) and for carrying the electronics components (18). The separate materials comprise an electronics carrier (20) meeting the requirements for holding the integrated circuitry (18) of the ultrasound device and a backing material (24) displaying superior characteristics relating to reducing ringing and minimizing the effect of other sources of signal degradation in the transducer assembly. Also, in accordance with the present invention, a technique is described for connecting the conductor lines of the separate transducer assembly and electronics body.
Abstract:
A dilating and imaging apparatus (10) for attaching to and receiving pressurized fluid from a distal end of a catheter. The apparatus includes an inflatable balloon (18) and an imaging device (44) positioned behind an expandable portion of the balloon and upstream of the flow of pressurized fluid into the balloon so as to enable the balloon to deflate and achieve a smaller diameter than that of the imaging device (44), thus enabling the apparatus to enter a stenosis having a smaller diameter than the imaging device. In one embodiment of the invention, the imaging device can be maneuvered within the balloon while the balloon is inflated and dilating the stenosis.
Abstract:
A method to measure spatial fluid flow components and their velocity profiles in a number of locations in a cross-sectional area of a lumen or other body cavity by using ultrasound in which the cross-sectional area is interrogated by a plurality of ultrasonic beams; the estimation of the spatial flow components is obtained from a combination of estimations of axial, lateral and total flow; the estimation of one or more flow components is obtained through any combination of time-shift and decorrelation analysis of two or more beam-signals of the interrogating ultrasound transducer; and the estimation accuracy is further improved by the use of a reference decorrelation curve obtained from experiments or beam-theory or both.
Abstract:
Catheter assembly and method in which an imaging transducer is positioned proximally of a treatment device at the distal end of a catheter. Unrestricted flow between a fluid lumen in the catheter and the treatment device is provided by an annular passageway formed between the walls of a marker tube which extends through the transducer and a guide wire tube which passes through the marker tube, and by a plenum chamber which is formed between the distal end of the catheter and the proximal end of the marker tube in communication with the fluid lumen and the flow passageway. The catheter, the treatment device, and the transducer are all constructed as individual modular units which can be assembled together as desired to form the assembly.