Abstract
The invention relates to an interventional device (10) including a plurality of signal assemblies, a method of assembling such interventional device (10), an assembling system for such interventional device (10) and a corresponding software product. In order to provide a number of signal assemblies including, for example, ultrasound transducers (40) in an interventional device (10) with a reduced risk of thrombi formation or similar complications a desired flush and smooth surface of a casing (15) of the interventional device (10) is achieved if the signal assemblies are inserted in such a manner that they are urged into their respective positions from inside the casing (15) after such insertion.
Claims
1. An interventional device, comprising: a casing with a cylindrical-shaped side wall having a plurality of openings extending in directions oblique to a longitudinal axis of the casing; a sub-assembly including a signal interface and a plurality of signal assemblies, each signal assembly including a sensor and/or an emitter; a fixing element adapted to fix the plurality of signal assemblies within the casing from inside the casing via mechanically locking each signal assembly of the plurality of signal assemblies between the casing and the fixing element, wherein each signal assembly is aligned with a respective opening of the plurality of openings in the casing for receiving and/or emitting signals through the respective opening, wherein the fixing element urges adjacent abutting ones of the plurality of signal assemblies radially outward and physically separate from each other, and wherein the signal interface extends from the inside of the casing into the plurality of openings such that (i) an outer surface of the signal interface and an outer surface of the casing are flush at an edge of each respective opening of the plurality of openings, and (ii) the outer surface of the signal interface and the outer surface of the casing form a continuous outer surface of the interventional device; and one or more conduits extending within the casing, wherein the one or more conduits each comprise a conduit that is formed only by, and in response to, all of (i) the casing, (ii) adjacent signal assemblies of the plurality of signal assemblies and (iii) the fixing element being in an assembled state of the interventional device.
2. The interventional device according to claim 1, wherein the signal assemblies are positively locked, respectively, between the casing and the fixing element and/or to the fixing element.
3. The interventional device according to claim 1, wherein the casing further includes one or more through-holes in fluid connection to the one or more conduits.
4. The interventional device according to claim 1, wherein the outer surface of the signal assembly is at least partially a surface of the signal interface.
5. The interventional device according to claim 1, wherein at least a part of said outer surface of each signal assembly of the plurality of signal assemblies is a surface of the sensor and/or emitter of the respective signal assembly.
6. The interventional device according to claim 1, wherein a signal assembly includes an adaptor provided between the sensor and/or emitter of the signal assembly and the fixing element.
7. The interventional device according to claim 1, wherein the casing further includes a dome-shaped front-end wall, wherein the dome-shaped front-end wall is provided with an opening, wherein the sub-assembly further includes a further signal assembly provided with an emitter for emitting and/or a sensor for receiving signals through the opening in the dome-shaped front-end wall, the signal interface extending from the inside of the casing into the opening in the dome-shaped front-end wall such that (i) an outer surface of the signal interface and an outer surface of the front casing are flush at an edge of the opening in the dome-shaped front-end wall, and (ii) the outer surface of the signal interface and the outer surface of the casing form a continuous outer surface of the interventional device, absent discontinuities in the outer surface.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) In the following drawings:
(2) FIG. 1 shows an ablation catheter tip with integrated sensors,
(3) FIG. 2a and 2b show different views of an ablation catheter tip in accordance with an embodiment of the invention,
(4) FIG. 3a to 3e show elements of an ablation catheter tip in accordance with the embodiment of FIG. 2a and 2b,
(5) FIG. 4a to 4k illustrate an assembling of the ablation catheter tip using the elements shown in FIG. 3a to 3e,
(6) FIG. 5a to 5c show sectional views of an ablation catheter tip in accordance with another embodiment of the invention,
(7) FIG. 6 shows an assembling system for an interventional device in accordance with a further embodiment of the invention, and
(8) FIG. 7 shows a flow diagram illustrating a method of assembling an interventional device in accordance with yet a further embodiment of the invention.
DETAILED DESCRIPTION OF EMBODIMENTS
(9) FIG. 1 shows an ablation catheter tip 1, which includes one front transducer 3 and three further transducers 3 directed sidewise, which are provided inside a casing 4 of the ablation catheter tip. The casing 4 comprises openings 2, through which the transducers 3 transmit and receive ultrasound signals. The transducers 3 do not extend into the openings 2 and accordingly the surface of the ablation catheter tip 1 includes recesses at the position of the openings 2.
(10) FIG. 2a shows a first view of an ablation catheter tip as an example of an interventional device in accordance with an embodiment of the invention. The ablation catheter tip 10 includes a casing 15 having plural openings 20 and several through-holes 25. FIG. 2b shows another view of the ablation catheter tip 10 of FIG. 2a, where the casing 15 is shown as being transparent for illustrative reasons. Inside the casing 15, signal interfaces 30 of the signal assemblies of the ablation catheter tip can is shown together with wiring 35 of the signal assemblies. The signal interfaces 30 extend into the openings 20 of the casing 15 such that the outer surfaces of the signal interfaces 30 are flush with the outer surface of the casing 15 and the combined surface of the casing 15 and the signal interfaces 30 is smooth.
(11) FIG. 3a shows transducers 40 of an ablation catheter tip in accordance with the embodiment of FIG. 2a and FIG. 2b in unassembled state together with their respective wiring 35.
(12) FIG. 3b shows adaptors 45 of an ablation catheter tip in accordance with the embodiment of FIG. 2a and FIG. 2b. The adaptors 45 each comprise a seat 46 provided to receive the transducers 40. Further, the adaptors each include an inner seat surface 47, which in assembled state will be in contact with the fixing element (see FIG. 3d). The adaptors further have outer seat surfaces 48 which will be in contact, in assembled state, with an inner surface of the casing 15 (see FIG. 3e). Further, the adaptors 45 are provided with contact surfaces 49, which are in abutment with corresponding contact surfaces 49 of adjacent adaptors in a state of the assembling prior to the insertion of the signal assembly into the casing (see FIG. 4g).
(13) FIG. 3c shows a signal interface 30 of an ablation catheter tip in accordance with the embodiment of FIG. 2a and 2b. The signal interface 30 includes projections for radial interfaces 31 and a projection for an axial interface 32, wherein these projections, in assembled state, extend into the openings of the casing in order to achieve a flush outer surface.
(14) FIG. 3d shows a fixing element 50 of an ablation catheter tip in accordance with the embodiment of FIG. 2a and 2b. The fixing element 50 is provided as a hollow tube having a nozzle 51 therein, through which the wiring 35 of the front transducer is provided. The front portion of the fixing element 50 is provided with a chamfer 52 for easing the insertion of the fixing element between the adaptors 45 upon inserting the fixing element 50 into the casing 15.
(15) FIG. 3e shows a casing 15 of an ablation catheter tip in accordance with the embodiment of FIG. 2a and FIG. 2b. The casing 15 is provided with (i) an opening 20 at the front end of the casing and (ii) openings 20 at the side wall of the casing 15. Further, the casing 15 is provided with through-holes 25 provided in an area between the front opening 20 and the side wall openings 20.
(16) FIG. 4a illustrates a first step of an assembling of the ablation catheter tip using the elements shown in FIG. 3a and 3b. The transducers 40 intended for the side openings of the casing are provided with their respective adaptors 45. For the front transducer there is no adaptor provided. FIG. 4b illustrates a further step of the assembling of the ablation catheter tip using the elements shown in FIG. 4a and FIG. 3c. The signal interface 30 is provided on the transducers 40 shown in FIG. 4a combined with their respective adaptors 45.
(17) FIG. 4c shows a different view of the assembling state illustrated in FIG. 4b.
(18) FIG. 4b and FIG. 4c show a sub-assembly 55 including the plurality of signal assemblies including the transducers 40, their adaptors 45 and the signal interfaces 30.
(19) It is to be noted that the order of assembly indicated in FIG. 4a to 4c may also be changed depending on the circumstances, e.g. it is also possible to attach the transducers 40 first to the signal interface 30 (or vice versa) and to add thereafter the adaptors 45 to complete the sub-assembly 55. It is further possible to provide a mixture of these approaches, e.g. to attach some of the adaptors 45 to the transducers 40 (or vice versa), followed by attaching (some of) the signal interfaces 30, followed by attaching further adaptors 45, etc.
(20) The signal interfaces do not necessarily have to be connected to each other, even though such connections by runners or the like provides an advantage in basically fixing the spatial relation between the transducers (signal emitters/sensors) (while maintaining a possibility of flexing the runners), facilitating any easy handling of the sub-assembly 55.
(21) In this embodiment, the radial transducers 40 are glued to the adaptors 45 (using an epoxy resin adhesive, e.g., ARALDITE) and also to the signal interface 30 (made of polyether block amide, e.g., PEBAX). If, as in this case, the material of the signal interface is transparent, UV curing may be used for binding the pieces together.
(22) FIG. 4d shows a further step of the assembling of the ablation catheter tip using the elements shown in FIGS. 4b, 4c and 4e. The sub-assembly 55 shown in FIG. 4b and FIG. 4c is folded such that the adaptors 45 of the transducers provided for the side openings of the casing are almost in abutment with the wiring of the front transducer 40, wherein the total cross section of the sub-assembly 55 is narrow enough to be inserted into the casing 15.
(23) FIG. 4e and 4f illustrate a further state of the assembling of the ablation catheter tip resulting from a partial insertion of the sub-assembly shown in FIG. 4d into the casing 15. As it can been seen in FIG. 4e, the contact surfaces 49 of the adaptors 45 are in contact with each other such that the total cross-section of the sub-assembly 55 is small enough to fit into the casing 15.
(24) FIG. 4g shows a cross-sectional view of the state of the assembly shown in FIG. 4e and FIG. 4f. The adaptors 45, the contact surfaces 49 of which are in contact with each other are arranged around the wiring 35 of the front transducer (not shown), while the transducers 40 are provided in the adaptors. The transducers 40 are covered, respectively, by the signal interfaces 31 which are to be provided eventually into the openings of the casing 15. Between the wiring 35 and the inner surface 47 of the adaptors 45 there is space for an initial insertion of the fixing element.
(25) FIG. 4h shows a further state in the assembling of the ablation catheter tip following the state shown in FIGS. 4e to 4g. The transducers 40 inside the signal assemblies including the signal interface 30 and the adaptors 45 are basically provided in alignment with the openings of the casing 15. The front transducer 40 with the respective axial interface 32 is aligned with an opening on the front of the casing, while the other transducers 40 are provided with the radial interfaces 31 (only one shown) at the openings in the side wall of the casing 15. Along the wiring 35 of the front transducer 40, the fixing element 50 is provided and inserted between the adaptors 45, urging the adaptors 45 outwards and therefore urging the radial interfaces 31 into the openings of the casing 15.
(26) FIG. 4i shows a further step in the assembling of the ablation catheter tip following the state of FIG. 4h. Following the state of the assembling as illustrated in FIG. 4h, in FIG. 4i the fixing element 50 is completely inserted between the adaptors 45 and is now further in abutment with the front transducer 40, also fixing the front transducer 40 in position, with the axial interface 32 being fixed in the front opening 20 of the casing 15.
(27) The outer surfaces of the radial interfaces 31 and the axial interface 32 are flush with the outer surface of the casing 15 (and the edges of the openings), wherein furthermore the combination of the surfaces of the interfaces 31, 32 and the casing 15 is smooth.
(28) FIG. 4j and FIG. 4k show two cross sectional views of the state illustrated in FIG. 4i of the assembled ablation catheter tip. As indicated above, the outer surfaces of the radial interfaces 31 are flush with the outer surface of the casing 15. The adaptors 45 are urged outwards and separated from each other by the fixing element 50, such that the contact surfaces 49 of the adaptors 45 are separated from each other. Thus, by the inner surface of the casing 15, the contact surfaces 49 of the adaptors 45 and the outer surface of the fixing element 50, conduits 60 are formed, which are in fluid connection with the through-holes 25 of the casing 15.
(29) FIG. 5a to FIG. 5c show sectional views of an ablation catheter tip 11 in accordance with another embodiment of the invention. The ablation catheter tip 11 as another example of an interventional device according to the present invention differs from the ablation catheter tip 10 discussed above in that the separately provided signal interface 30 and the adaptors 45 are replaced by an integral combination 65, providing the functionality of the interface 30 and the adaptors 45. The combination 65 is provided with the transducers 40 in corresponding manner and also the other steps of the assembling discussed above are provided in a corresponding manner.
(30) As it can be seen in particular in FIGS. 4i, 4j, 4k, 5a, 5b and 5c, as well as FIG. 2b, the signal assemblies which here include the signal interfaces 30, the transducers 40 and the adaptors 45 or the combinations 65 and the transducers 40, respectively, are locked in place between the casing 15 and the fixing element 50 such there is no danger of a portion of these elements falling out of the interventional device 10 during operation thereof.
(31) FIG. 6 shows an assembling system 70 for an interventional device in accordance with a further embodiment of the invention. The assembling system 70 includes a holder 75, a first inserter 80 and a second inserter 85. The holder 75 is provided for holding a casing 15, wherein the first inserter is provided for the sub-assembly 55 (see above) with the second inserter 85 being provided for the fixing element 50 (see above). Once the sub-assembly 55 is inserted by the first inserter 80 in the casing 15 held by the holder 75, the second inserter 85 urges the fixing element into the casing, thereby urging the signal assemblies of the sub-assembly 55 into the respective openings of the casing 15 such that the outer surfaces of the signal assemblies and an outer surface of the casing are flush and edges of the opening and the outer surfaces of the signal assemblies and the outer surface of the casing form a smooth outer surface of the interventional device.
(32) FIG. 7 shows a flow diagram illustrating a method of assembling an interventional device in accordance with yet a further embodiment of the invention.
(33) The method of assembling 100 includes the steps of providing a casing (step 105), inserting a plurality of signal assemblies into the casing (step 110) and urging the signal assemblies into respective openings (step 115). The casing is provided with a side wall having a plurality of openings extending in a direction oblique of openings extending in a direction oblique to a longitudinal axis of the casing (see FIG. 3e). Upon inserting (step 110) the plurality of signal assemblies into the casing, each signal assembly is aligned with one of the openings of the casing, wherein each signal assembly includes a sensor for receiving and/or an emitter for emitting signals through said opening. The urging (step 115) is provided by inserting a fixing element into the casing, such that the inserted fixing element fixes the signal assemblies and the respective openings from inside the casing (see FIGS. 4h, 4i and 5a).
(34) While the invention has been illustrated and described in detail in the drawings and foregoing description, such illustration and description are to be considered illustrative or exemplary and not restrictive; the invention is not limited to the disclosed embodiments.
(35) Other variations to the disclosed embodiments can be understood and effected by those skilled in the art in practicing the claimed invention, from a study of the drawings, the disclosure, and the appended claims.
(36) Even though the fixing element is illustrated herein as being one piece or integral, the present invention allows also for the fixing element comprising sub-elements, which might, for example, also interact with each other or with the other portions of the interventional device before, upon and/or after inserting the fixing element.
(37) The shape of the openings is illustrated as being basically circular in the illustrated embodiments, while also other shapes are possible. The openings are further illustrated as corresponding to a boring (i.e. having basically constant cross-sections from the inside the casing to the outside of the casings). Nevertheless, the present invention is not limited to such form and the opening may, for example, also be (partially) tapering and/or may include a chamfer on the inside of the casing.
(38) Additional sensors such as one or more thermocouples, optical fibers, etc. can be easily integrated in the interventional device making use of the space provided with the assembling technique when elements are locked into position (the fixing element may be hollow, there is available space between the sensor assemblies, etc.).
(39) The above illustrative embodiments focus on the case of an ablation catheter tip, whereas the invention is limited neither to this particular field nor to the example of a catheter as an interventional device. An interventional needle or other interventional catheters, for example, may also be provided according to the present invention.
(40) The number of signal assemblies is four in the illustrated embodiments (one front signal assembly and three signal assemblies directed outwards), while the present invention is not limited to such number and to such directions. Each individual senor may represent an array of sensors.
(41) The present invention is not limited to ultrasound transducers as examples of the signal assemblies as also other sensors and emitters are possible and combinable (e.g. measuring an electric or magnetic signal, a temperature, a pH-value, etc.)
(42) In the claims, the word comprising does not exclude other elements or steps, and the indefinite article a or an does not exclude a plurality.
(43) A single processor, device or other unit may fulfill the functions of several items recited in the claims. The mere fact that certain measures are recited in mutually different dependent claims does not indicate that a combination of these measures cannot be used to advantage.
(44) Operations like the control of steps for the assembling system can be implemented as program code means of a computer program and/or as dedicated hardware.
(45) A computer program or software product may be stored and/or distributed on a suitable medium, such as an optical storage medium or a solid-state medium, supplied together with or as part of other hardware, but may also be distributed in other forms, such as via the Internet or other wired or wireless telecommunication systems.
(46) Any reference signs in the claims should not be construed as limiting the scope.
