Apparatus and methods for implanting objects, such as bronchoscopically implanting markers in the lung of patients
Apparatuses and methods for implanting objects, such as a marker, in the lungs of patients. In one embodiment, a bronchoscopic catheter assembly for implanting an object in the lung of a patient includes a handle, a delivery catheter projecting outwardly from the handle, and a push wire contained within the catheter In one aspect of this embodiment, the catheter can be configured to releasably hold a plurality of markers at a distal end. In another aspect of this embodiment, the push wire can be operably connected to the handle and axially moveable within the delivery catheter to eject the marker out of the catheter within the bronchi of the patient. In a further aspect of this embodiment, the marker can further include an anti-migration device associated with the marker for holding the marker in place once the marker is deployed in the bronchi. The anti-migration device can be integral with the marker or positioned proximate to the marker to prevent migration of the marker.
1. A catheter assembly for delivering a marker into a lumen, the assembly comprising:
a catheter having a proximal end and a distal end, the distal end configured to receive a marker, the distal end of the catheter configured to provide a rounded leading edge, wherein
the catheter is configured to be passed into a lumen for deployment of the marker, and
the distal end of the catheter has an unexpanded state and an expanded state;
at least one marker contained at the distal end of the catheter, wherein the marker comprises a signal element configured to transmit location signals in response to an excitation energy, wherein
when the distal end of the catheter is in the unexpanded state before the marker is loaded in the catheter, the marker has an outer diameter greater than an inner diameter of the distal end of the catheter, and
when the distal end of the catheter is in the expanded state, the distal end of the catheter releasably retains the marker by expanding around the marker;
an actuator having a housing coupled to a proximal end of the catheter and moveable between a first position and a second position; and
a wire fixedly attached to the actuator, wherein the wire is contained in the catheter and extends co-axially substantially the entire length of the catheter.
2. The assembly of claim 1 , further configured such that the distal end of the catheter has no sharp edges that could puncture the luminal wall during implantation.
3. The assembly of claim 1 wherein the marker is shaped and positioned in the catheter such that no sharp edges are present that could puncture the luminal wall during implantation.
4. The assembly of claim 3 , further comprising a supply and loading device matably coupled with the distal end of the catheter and configured to releasably retain at least one stored marker and transfer the marker from the supply and loading device to the distal end of the catheter.
5. The assembly of claim 4 , wherein the supply and loading device includes a storage portion configured to releasably store the marker in a stored position and an interface port configured to receive a distal end of the catheter to provide transfer of the marker from the supply and loading device to the catheter.
6. The assembly of claim 3 , further comprising an anti-migration device contained at the distal end of the catheter, wherein the anti-migration device prevents movement of the marker within the lumen.
7. The assembly of claim 3 , wherein the catheter and wire have dimensions such that the assembly can be passed down a working channel of a bronchoscope a selected distance for deployment of the marker in a bronchial lumen within the lung.
8. A bronchoscopic catheter assembly for delivering a marker into a passageway, the assembly comprising:
at least one marker including a magnetic transponder;
a catheter having a proximal end and a distal end, the catheter configured to be passed down a working channel of a bronchoscope a selected distance to a location in a passageway for deployment of the marker, wherein
the distal end of the catheter is made of a flexible material and has an inner diameter before the marker is received in the distal end,
the marker has an outer diameter greater than the inner diameter of the distal end of the catheter,
the distal end of the catheter is configured to expand around the marker to releasably retain the marker prior to deployment, and
when the marker is pre-loaded in the distal end of the catheter, a portion of the marker extends beyond the distal end of the catheter and is configured to provide a rounded leading edge;
an actuator having a housing coupled to a proximal end of the catheter and moveable between a first position and a second position; and
a push wire fixedly attached to the actuator, wherein the push wire is contained in the catheter and extends co-axially substantially the entire length of the catheter.
9. The assembly of claim 8 wherein the marker is configured to minimize sharp edges that could punch the visceral pleura during implantation.
10. The assembly of claim 9 , further comprising an anti-migration device contained at the distal end of the catheter, wherein the anti-migration device prevents migration of the marker.