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Home Heart Surgery Guide-catheter-with-sensing-element

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 Guide catheter with sensing element

Details
Inventors: Esch, Brady;
Assignee: Localmed, Inc. (Palo Alto, CA)
Primary Examiner: Bahr; Jennifer
Assistant Examiner: Yarnell; Bryan K.
Attorney, Agent or Firm: Townsend and Townsend and Crew LLP

A guide catheter includes a tubular body having a proximal end and a distal end. A pressure or other sensor is disposed at or near the distal end of the body, preferably having an active surface thereof disposed away from the direction of blood flow when the catheter is present in a particular blood vessel, such as the aorta adjacent to a coronary ostium.

DETAILED DESCRIPTION The present invention at least partially overcomes the above drawbacks by providing an apparatus and method with which blood pressure and other parameters can reliably and accurately be measured at the base of the aorta, while an interventional catheter is positioned within a guide catheter, to perform, for example, an angioplasty, atherectomy, drug delivery, stent placement or other procedure in the coronary arteries.
To accomplish the above and other objects, the present invention provides a guide catheter suitable for insertion into the vasculature of a patient, having an outer wall, and an inner luminal surface defined therein adapted for insertion of an interactive catheter, wherein at least one sensing element, usually a pressure sensing element but optionally a temperature or other sensing element, is provided in the wall, preferably adjacent a distal end of the guide catheter.
In an exemplary embodiment, the pressure sensor is a silicon piezoresistive element.
Preferably, the guide catheter is adapted for positioning of the sensor near or adjacent a coronary ostium, e.
g.
, it will have a shaped distal end which conforms to the vasculature in the region of the ostia.
Aortic blood pressure can be measured with a sensor so placed.
In a preferred embodiment, at least one spacing member, for example, comprising one or more flexible flaps is provided on the exterior wall of the catheter to maintain the sensor spaced away from the wall of a blood vessel (e.
g.
, aorta) in which the catheter is located.
In addition, or alternatively, the catheter may be shaped or geometrically configured to maintain the sensor spaced from a blood-vessel wall.
In another preferred embodiment, the sensor is mounted on a resiliently biased portion of the exterior wall of a catheter.
In this way, the sensor may be deformed inward, for example, upon insertion through an introducer sheath, so that even if the sensor increases the overall diameter of the guide catheter, the size of the hole required for insertion is not significantly increased



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