Fluid delivery and treatment device and method of use

• US 10,039,900 B2
• Filed: 09/07/2011
• Issued: 08/07/2018
• Est. Priority Date: 09/07/2010
• Status: Active Grant

• Current Assignee: AngioDynamics, Inc.
• Original Assignee: AngioDynamics, Inc.
• Inventors: di Palma, Giorgio, Cartier, William A., Appling, William M.
• Primary Examiner(s): Mehta, Bhisma
• Assistant Examiner(s): Engel, Matthew A
• Application Number:
  US13/226,538
• Publication Number:
  US 20120059309A1
• Time in Patent Office: 2,526 Days
• Field of Search: 604 9601, 60410101, 604159, 606200, 606108
• CPC Class Codes: A61B 17/12186 liquid materials adapted to be injected
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 17/221 Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions surgical snare instruments A61B17/32056
• CPC Class Codes: A61B 2017/00853 low friction, hydrophobic and corrosion-resistant fluorocarbon resin coating (ptf, ptfe, polytetrafluoroethylene)
• CPC Class Codes: A61B 2017/22002 preventing restenosis
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/22082 after introduction of a substance
• CPC Class Codes: A61B 2017/22084 stone- or thrombus-dissolving
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61M 2025/109 having balloons for removing solid matters, e.g. by grasping or scraping plaque, thrombus or other matters that obstruct the flow
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/158 Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body

Abstract

A medical device system is provided herein which has an elongated, flexible hollow member with an expandable infusion segment attached at the most distal end of the device. The device has a plurality of fluid infusion ports on the expandable infusion segment for delivering an intended fluid to a target site in a body lumen. Additionally, a method is provided herein for infusing an intended fluid to a target site within a body lumen.

Claims

1. A method of treating a thrombus mass within a human vessel, comprising:

inserting a treatment device into the human vessel, the treatment device comprising a procedure sheath, an expandable infusion segment, and an expandable capture sheath,

wherein the expandable infusion segment comprises a plurality of expandable arms and a plurality of fluid channels, each of the plurality of expandable arms further include flexible polymer tubing and at least one pressure responsive infusion port,

wherein each of the plurality of expandable arms contain at least one support element made from a memory shape metal and extends co-axially along each of the plurality of fluid channels, the at least one support element has a first shape and a second shape, the first shape being closer to a longitudinal axis of the expandable infusion segment than the second shape, and

wherein at least one of the plurality of fluid channels is in fluid communication with the at least one pressure responsive infusion port, the at least one pressure responsive infusion port designed to open under a predetermined pressure;

inserting the treatment device through an outer sheath, the at least one support element being in the first shape when the outer sheath is in a position toward a distal end of the treatment device and the at least one support element automatically expanding to the second shape when the outer sheath is moved toward a proximal end of the treatment device;

advancing the expandable infusion segment to the thrombus mass;

delivering a first amount of fluid through the at least one pressure responsive infusion port to a site of the thrombus mass while the expandable infusion segment is at a first diameter;

manipulating the expandable infusion segment to mechanically disrupt the thrombus mass, the expandable infusion segment contacting the thrombus mass to disrupt and separate the thrombus mass from a vessel wall after delivering the first amount of fluid; and

retracting the expandable infusion segment in a proximal direction, the expandable infusion segment bringing the thrombus mass into the expandable capture sheath for removal of the thrombus mass from the vessel.

2. The method of claim 1, further comprising:

positioning the expandable capture sheath proximate to the expandable infusion segment and the thrombus mass.

3. The method of claim 2, further comprising:

advancing the expandable capture sheath towards the thrombus mass.

4. The method of claim 2, further comprising:

manipulating the expandable capture sheath to mechanically abrade the thrombus mass.

5. The method of claim 2, further comprising:

retracting the expandable infusion segment into the expandable capture sheath to capture at least a portion of the thrombus mass into the expandable capture sheath.

6. The method of claim 2, further comprising:

aspirating at least a portion of the thrombus mass through a space formed at least partially by the expandable capture sheath.

7. The method of claim 1, wherein the at least one pressure responsive infusion port is formed to direct a flow of fluid, further comprising:

directing fluid exiting the at least one pressure responsive infusion port in a direction substantially along the longitudinal axis of the expandable infusion segment.

8. The method of claim 1 further comprising:

delivering fluid to an inner core of the thrombus mass.

9. The method of claim 1 further comprising:

delivering fluid to an outer periphery of the thrombus mass.

10. A method of treating a thrombus mass within a human vessel, comprising:

inserting a treatment device into the human vessel, the treatment device comprising a procedure sheath, an expandable infusion segment, and an expandable cone member,

wherein the expandable infusion segment comprises a plurality of expandable arms and a plurality of fluid channels, each of the plurality of expandable arms further include flexible polymer tubing and at least one pressure responsive infusion port,

wherein each of the plurality of expandable arms contain at least one support element made from a memory shape metal and extends co-axially along each of the plurality of fluid channels, the at least one support element has a first shape and a second shape, the first shape being closer to a longitudinal axis than the second shape, and

wherein at least one of the plurality of fluid channels is in fluid communication with the at least one pressure responsive infusion port, the at least one pressure responsive infusion port has a first position and a second position, the at least one pressure responsive infusion port being closed at the first position and open at the second position;

inserting the treatment device through an outer sheath, the at least one support element being in the first shape when the outer sheath is in a position toward a distal end of the treatment device and the at least one support element automatically expanding to the second shape when the outer sheath is moved toward a proximal end of the treatment device;

advancing the expandable infusion segment to the thrombus mass;

delivering a first amount of fluid through at least one pressure responsive infusion port to a site of the thrombus mass while the expandable infusion segment is at a first diameter, the delivering of the first amount of fluid forcing the at least one pressure responsive infusion port from the first position to the second position;

manipulating the expandable infusion segment to mechanically disrupt the thrombus mass, the expandable infusion segment contacting the thrombus mass to disrupt and separate the thrombus mass from a vessel wall after delivering the first amount of fluid; and

retracting the expandable infusion segment in a proximal direction, the expandable infusion segment bringing the thrombus mass into the expandable cone member for removal of the thrombus mass from the vessel.