Apparatus and methods for controlled clot aspiration
A vacuum aspiration control system for use with a vacuum source and an aspiration catheter includes a connecting tube configured to connect the vacuum source with a lumen of an aspiration catheter. An on-off valve is operatively coupled to the connecting tube, and a sensing unit is configured to detect flow within the connecting tube and provide a signal representative of flow. A controller receives the signal to decide whether to open or close the valve. The controller may automatically close the valve to stop flow when flow through the connecting tube is unrestricted, or according to a predetermined timing sequence. The controller can further periodically open a closed valve to determine whether flow has entered an acceptable range. The controller can still further engage pulsed aspiration with a pressure manipulation assembly when flow is restricted or occluded.
1. A vacuum aspiration control system for use with a vacuum source and an aspiration catheter, said system comprising:
a connecting tube configured to connect the vacuum source with the aspiration catheter or component thereof;
an on-off valve configured to be operatively coupled to the connecting tube;
a sensing unit configured to detect flow within the connecting tube and to produce a signal representative of such flow; and
a controller configured to receive the signal representative of flow through the connecting tube and to open and close the on-off valve,
wherein the controller is configured to automatically close the valve to stop flow through the connecting tube when the signal indicates unrestricted flow, and
wherein the controller periodically opens the valve for a time interval to sample flow, and wherein the valve is closed again if unrestricted flow is detected and the valve is held open if unrestricted flow is not detected.
2. The vacuum aspiration control system of claim 1 , wherein the controller includes a sampling delay between closing the valve for unrestricted flow and opening the valve to sample flow.
3. The vacuum aspiration control system of claim 2 , wherein the sampling delay progressively changes in duration when unrestricted flow continues to be detected.
4. The vacuum aspiration control system of claim 2 , wherein the sampling delay increases in duration with each consecutive reading of unrestricted flow.
5. The vacuum aspiration control system of claim 1 , wherein the flow is sampled and a new valve position is determined in a millisecond time frame.
6. The vacuum aspiration control system of claim 1 , wherein the connecting tube is linear in an unconstrained configuration, with a first end configured for attachment to the vacuum source, or component thereof, and a second end configured for attachment to the aspiration catheter, or component thereof.
7. The vacuum aspiration control system of claim 1 , wherein the sensing unit comprises any one or more of differential pressure sensors, magnetic flow sensors, acoustic flow sensors, optical flow sensors, thermal flow sensors, and sensors to detect circumferential expansion/contraction of the connecting tube.
8. The vacuum aspiration control system of claim 1 , wherein the sensing unit comprises a pair of pressure sensors disposed along the connecting tube to measure differential pressure.
9. The vacuum aspiration control system of claim 1 , wherein the on-off valve comprises a solenoid actuator comprised of a pinch valve or an angle valve that is powered to open the valve.
10. The vacuum aspiration control system of claim 1 , wherein the controller is configured to open the valve and hold the valve open until unrestricted flow is detected whereupon the controller closes the valve.
11. The vacuum aspiration control system of claim 1 , wherein the controller closes the valve when unrestricted flow is detected and periodically opens the valve for a time interval to sample flow and determine a new valve position, wherein the new valve position is closed if flow is still unrestricted and the new valve position is open if flow is no longer unrestricted.
12. The vacuum aspiration control system of claim 1 , wherein the controller initiates a sampling mode when the signal indicates unrestricted flow, wherein the valve is closed and periodically opened for a time interval to sample flow, wherein the sampling mode ends when the signal indicates that sampled flow is no longer unrestricted.
13. The vacuum aspiration control system of claim 1 , wherein the controller is configured to automatically close the valve to stop flow through the connecting tube when the signal indicates unrestricted flow and the controller periodically tests flow by opening the valve for a time interval to establish a test flow and to resume a treatment flow if the test flow is no longer unrestricted.
14. The vacuum aspiration control system of claim 1 , wherein the controller is configured to allow a user to manually open the valve until unrestricted flow is detected whereupon the controller closes the valve.
15. The vacuum aspiration control system of claim 14 , further comprising a manual switch in communication with the controller to allow a user to manually open the valve.
16. The vacuum aspiration control system of claim 1 , wherein the system comprises a base unit which incorporates at least the on-off valve and the controller.
17. The vacuum aspiration control system of claim 16 , wherein the connecting tube has a proximal end configured to connect to the vacuum source and a distal end configured to connect to an aspiration lumen in the aspiration catheter, said system further comprising an external unit configured to be secured to the connecting tube at a location between the distal end and the proximal end thereof.
18. The vacuum aspiration control system of claim 17 , wherein the external unit comprises at least a portion of the sensing unit.
19. The vacuum aspiration control system of claim 18 , wherein the sensing unit comprises a first pressure sensor in the base unit and a second pressure sensor in the external unit, wherein the controller is configured to determine a differential pressure based on signals from the first and second pressure sensors.
20. A vacuum aspiration control system for use with a vacuum source and an aspiration catheter, said system comprising:
a connecting tube configured to connect the vacuum source with an aspiration lumen in the aspiration catheter;
an on-off valve configured to be operatively coupled to the connecting tube;
a sensing unit configured to detect flow within the connecting tube and to produce a signal representative of such flow; and
a controller connected to receive the signal representative of flow through the connecting tube and to open and close the on-off valve,
wherein the controller is configured to automatically close the valve to stop flow through the connecting tube when the signal indicates the catheter is aspirating blood free of vessel-obstructing clot, and
wherein the controller is configured to periodically open the valve to sample flow, and wherein the valve is closed again if unrestricted flow is detected and the valve is held open if unrestricted flow is not detected.
21. The vacuum aspiration control system of claim 20 , wherein the controller is further configured to automatically open the valve to sample flow through the connecting tube and remain open when the signal indicates that the catheter is aspirating blood having vessel-obstructing clot.
22. The vacuum aspiration control system of claim 20 , wherein the controller is configured to open the valve and hold the valve open until the controller receives the signal indicating that the aspiration catheter is aspirating blood free of vessel-obstructing clot, whereupon the controller closes the valve.
23. The vacuum aspiration control system of claim 20 , wherein the controller includes a sampling delay between closing the valve when the signal indicates the catheter has aspirated blood free of vessel-obstructing clot and opening the valve to sample flow.
24. The vacuum aspiration control system of claim 23 , wherein the sampling delay increases in duration with each consecutive signal indicating that the catheter has been positioned in clot-free blood.
25. The vacuum aspiration control system of claim 20 , wherein the sensing unit comprises any one or more of differential pressure sensors, acoustic flow sensors, magnetic flow sensors, optical flow sensors, thermal flow sensors, and sensors to detect circumferential expansion/contraction of the connecting tube.
26. The vacuum aspiration control system of claim 25 , wherein the sensing unit comprises a pair of pressure sensors disposed along the connecting tube to measure differential pressure.
27. The vacuum aspiration control system of claim 20 , wherein the on-off valve comprises a solenoid actuator that is powered to open the valve.
28. A vacuum aspiration method comprising:
(a) engaging a distal end of an aspiration catheter against an occlusion in a blood vessel;
(b) applying a vacuum through an aspiration lumen of the aspiration catheter using a vacuum source coupled to a proximal end of the aspiration lumen by a connecting tube, whereby portions of the occlusion are drawn into the aspiration lumen, through the connecting tube and into a collection receptacle by the vacuum source;
(c) sensing flow through the connecting tube;
(d) automatically closing a valve to stop flow through the connecting tube when the sensed flow is unrestricted while the vacuum source remains on;
(e) periodically opening the valve for a time interval to sample flow;
(f) based on the sampled flow, closing the valve if the sampled flow is unrestricted flow or holding the valve open if the sampled flow is not unrestricted flow; and
(g) repeating steps (d) through (f) until a desired amount of clot has been aspirated.
29. The vacuum aspiration method of claim 28 , wherein sensing flow comprises any one or more of differential pressure measurement, magnetic flow measurement, acoustic flow measurement, optical flow measurement, thermal flow measurement, and measurement of circumferential expansion of the connecting tube.
30. The vacuum aspiration method of claim 28 , wherein sensing flow comprises measuring a differential pressure using a first sensor located proximate the vacuum source and a second sensor located in the connecting tube between the vacuum source and the aspiration catheter.
31. The vacuum aspiration method of claim 28 , wherein there is a sampling delay between closing the valve when the sensed flow is unrestricted and opening the valve to sample flow.
32. The vacuum aspiration method of claim 31 , wherein the sampling delay progressively changes in duration when unrestricted flow continues to be detected.
33. The vacuum aspiration method of claim 32 , wherein the method further comprises resuming flow through the connecting tube by manually opening the valve.