Shockwave balloon catheter system

• US 10,039,561 B2
• Filed: 03/17/2015
• Issued: 08/07/2018
• Est. Priority Date: 06/13/2008
• Status: Active Grant

• Current Assignee: Shockwave Medical, Incorporated
• Original Assignee: Shockwave Medical, Incorporated
• Inventors: Adams, John M., Hawkins, Daniel, Alferness, Clifton A.
• Primary Examiner(s): HOLWERDA, KATHLEEN SONNETT
• Application Number:
  US14/660,539
• Publication Number:
  US 20150238208A1
• Time in Patent Office: 1,239 Days
• Field of Search: 606 1- 4, 606 15, 606 48, 606127, 606128, 606159, 601 2- 4
• CPC Class Codes: A61B 17/2202 the ultrasound transducer being inside patient's body at the distal end of the catheter
• CPC Class Codes: A61B 17/22022 using electric discharge
• CPC Class Codes: A61B 17/22029 Means for measuring shock waves
• CPC Class Codes: A61B 17/2251 characterised by coupling elements between the apparatus, e.g. shock wave apparatus or locating means, and the patient, e.g. details of bags, pressure control of bag on patient
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 2017/22001 Angioplasty, e.g. PCTA
• CPC Class Codes: A61B 2017/22021 electric leads passing through the catheter
• CPC Class Codes: A61B 2017/22024 with a part reflecting mechanical vibrations, e.g. for focusing
• CPC Class Codes: A61B 2017/22025 applying a shock wave A61B2017/22091 takes precedence
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/22058 reflective
• CPC Class Codes: A61B 2017/22061 for spreading elements apart
• CPC Class Codes: A61B 2017/22062 to be filled with liquid

Abstract

A system for breaking obstructions in body lumens includes a catheter including an elongated carrier, a balloon about the carrier in sealed relation thereto, the balloon being arranged to receive a fluid therein that inflates the balloon, and an arc generator including at least one electrode within the balloon that forms a mechanical shock wave within the balloon. The system further includes a power source that provides electrical energy to the arc generator.

Claims

1. An angioplasty catheter comprising:

an elongated carrier sized to fit within a blood vessel, said carrier having a guide wire lumen extending therethrough;

an angioplasty balloon located near a distal end of the carrier with a distal end of the balloon being sealed to the carrier in a manner so a distal end of the guide wire lumen is positioned distally of the distal end of the balloon, and with the balloon being arranged to receive a fluid therein that inflates the balloon; and

an arc generator including a pair of electrodes, said electrodes being positioned within and in non-touching relation to the balloon, said arc generator generating a high voltage pulse sufficient to create a plasma arc within the fluid resulting in a mechanical shock wave within the balloon that is conducted through the fluid and through the balloon and wherein the balloon is arranged to remain intact during the formation of the shock wave.

2. A catheter as recited in claim 1 wherein a central portion of the balloon is radially symmetric about a center line and wherein the electrodes are located between the inner surface of the balloon and the center line of the balloon.

3. A catheter as recited in claim 1 wherein one electrode in the pair is larger than the other electrode in the pair.

4. An angioplasty catheter comprising:

an elongated carrier sized to fit within a blood vessel, said carrier having a guide wire lumen extending therethrough;

an angioplasty balloon located near a distal end of the carrier with a distal end of the balloon being sealed to the carrier and with the balloon being arranged to receive a fluid therein that inflates the balloon;

a high voltage generator for generating high voltage pulses; and

a first electrode connected to the high voltage generator, said first electrode being positioned within and in non-touching relation to the balloon, and with the fluid within the balloon being coupled to the high voltage generator via a second electrode positioned outside the balloon and within a channel coupled to the balloon, said fluid in the balloon functioning as an electrical pole, said high voltage generator generating a high voltage pulse sufficient to create a plasma arc within the fluid resulting in a mechanical shock wave within the balloon that is conducted through the fluid and through the balloon and wherein the balloon is arranged to remain intact during the formation of the shock wave.

5. A system comprising:

an angioplasty catheter including an elongated carrier sized to fit within a blood vessel, said carrier having a guide wire lumen extending therethrough, an angioplasty balloon located near a distal end of the carrier with a distal end of the balloon being sealed to the carrier near the distal end of the carrier in a manner so a distal end of the guide wire lumen is positioned distally of the distal end of the balloon, said balloon being arranged to receive a fluid therein that inflates the balloon, and an arc generator including a pair of electrodes being positioned within and in non-touching relation to the balloon; and

a power source configured to provide a high voltage pulse to the arc generator, said high voltage pulse sufficient to create a plasma arc resulting in a mechanical shock wave within the balloon that is conducted through the fluid and through the balloon and wherein the balloon is arranged to remain intact during the formation of the shock wave.

6. A catheter as recited in claim 5 wherein a central portion of the balloon is radially symmetric about a center line and wherein the electrodes are located between the inner surface of the balloon and the center line of the balloon.

7. A catheter as recited in claim 5 wherein one electrode in the pair is larger than the other electrode in the pair.

8. An angioplasty catheter comprising:

an elongated carrier, the carrier defining a guide wire sheath having a guide wire lumen;

a balloon about the carrier in sealed relation thereto, the balloon having an inner wall and an outer wall, being arranged to receive a fluid therein that inflates the balloon, and having a symmetrical configuration with a center line and a central portion with a constant diameter, the guide wire sheath being centered along the center line of the balloon; and

a shock wave generator including a pair of electrodes within the balloon wherein both of said electrodes are located external to the guide wire sheath and are radially offset from the center line of the balloon, said shock wave generator forming a mechanical shock wave within the balloon that is conducted through the fluid and through the balloon and wherein the balloon is arranged to remain intact during the formation of the shock wave.

9. A catheter as recited in claim 8 wherein one electrode in the pair is larger than the other electrode in the pair.

10. A catheter as recited in claim 8 wherein one of the electrodes is laterally displaced along the length of the balloon with respect to the other electrode.