Devices and methods for repair of valves in the human body

• US 20040199155A1
• Filed: 04/23/2004
• Published: 10/07/2004
• Est. Priority Date: 06/20/2000
• Status: Abandoned Application

• Current Assignee: Microline Surgical, Inc. (Hoya Corporation)
• Original Assignee: Starion Instruments Corp. (Hoya Corporation)
• Inventors: Mollenauer, Kenneth H.
• Application Number:
  US10/830,920
• Publication Number:
  US 20040199155A1
• Time in Patent Office: Days
• US Class Current: 606/27
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 2017/22054 with two balloons
• CPC Class Codes: A61B 2017/22067 Blocking; Occlusion A61B2017/22054 takes precedence
• CPC Class Codes: A61B 2018/00261 arranged in a line
• CPC Class Codes: A61B 2018/00291 using suction
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00505 Urinary tract
• CPC Class Codes: A61B 2018/00553 Sphincter
• CPC Class Codes: A61M 2205/36 related to heating or cooling
• CPC Class Codes: A61M 25/00 Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters
• CPC Class Codes: A61M 5/44 having means for cooling or heating the devices or media

Abstract

Devices and method for treating various incompetent anatomical valves by thermally damaging the nearby supporting tissue of the body vessel controlled by the valve.

Claims

1. A method of treating a vessel of the human body, wherein the vessel includes an anatomical valve or sphincter which controls the flow of fluids through the vessel, said method comprising:

providing a catheter having a distal end adapted for insertion into the vessel, a first balloon disposed on the distal end of the catheter, a heating element disposed on the distal end of the catheter a short distance proximal to the balloon and a suction port located near the heating element;

inserting the distal end of the catheter into the vessel so that the heating element is located near the valve or sphincter;

inflating the first balloon;

applying suction to the vessel through the suction port to draw down the vessel wall until the vessel is in contact with the heating element;

heating the heating element to cause thermal injury to the vessel; and

withdrawing the catheter from the vessel.

2. The method of claim 1 further comprising the steps of:

providing a second balloon on the distal end of the catheter, said second balloon located proximal to the first balloon, the heating element and the suction port;

after inserting the distal end of the catheter into the vessel, inflating the second balloon to isolate the section of the vessel including the valve or sphincter between the first and second balloons.

3. The method of claim 1 further comprising:

flushing a fluid through the suction port into the vessel prior to applying suction to the vessel through the suction port.

4. The method of claim 2 further comprising:

flushing a fluid through the suction port into the vessel prior to applying suction to the vessel through the suction port.

5. The method of claim 1 wherein the step of heating the heating element further comprises limiting the heat emanated by the heating element to avoid injuring the valve or sphincter.

6. The method of claim 1 wherein the step of providing a catheter further comprises providing a catheter wherein the short distance between the heating element and the balloon is set to facilitate placement of the heating element a short distance distal to a bladder neck sphincter, relative to a bladder and a urethra in a female patient.

7. A method of treating a vessel of the human body, wherein the vessel includes an anatomical valve or sphincter which controls the flow of fluids through the vessel and is supported by the tissue of the vessel near the valve or sphincter, said method comprising:

providing a device for treating an incompetent anatomical valve or sphincter within the body of a patient, said device comprising;

a catheter body having a distal end and a proximal end, said distal end being adapted for insertion into the body;

a first balloon located at the distal end of the catheter, said first balloon being inflatable to a diameter greater than the catheter body distal end, and a first inflation lumen communicating from the proximal end of the catheter body to the distal end of the catheter body, wherein the first inflation lumen is in fluid communication with the first balloon;

a first heating element mounted on the distal end of the catheter, proximal to the first balloon, said first heating element capable of delivering sufficient energy to the tissue of the vessel near the valve or sphincter to shrink the tissue near the valve or sphincter;

a second balloon located at the distal end of the catheter, said second balloon being inflatable to a diameter greater than the catheter body distal end, said second balloon proximal to the first balloon and proximal to the first heating element, and a second inflation lumen communicating from the proximal end of the catheter body to the distal end of the catheter body, wherein the second inflation lumen is in fluid communication with the second balloon;

a second heating element mounted on the distal end of the catheter, distal to the second balloon and proximal to the first heating element, said second heating element capable of delivering sufficient energy to the tissue of the vessel near the valve or sphincter to shrink the tissue near the valve or sphincter;

a suction lumen communicating from the proximal end of the catheter body to the distal end of the catheter body, and at least one suction port located on the distal end of the catheter communicating from the suction lumen to the exterior of the catheter body, said at least one suction port being located proximal to the first heating element and distal to the second heating element;

inserting the distal end of the catheter into the vessel so that the valve or sphincter is disposed between the first heating element and the second heating element;

inflating the first balloon and the second balloon;

applying suction to the vessel through the at least one suction port to draw down the vessel wall until the vessel is in contact with the first heating element and the second heating element;

heating the first heating element and the second heating element to cause thermal injury to the vessel; and

withdrawing the catheter from the vessel.

8. The method of claim 7 wherein the step of providing a device further comprises providing the first heating element and second heating element in the form of resistive heating elements.

9. The method of claim 7 comprising the further step of flushing a fluid through the at least one suction port into the vessel prior to applying suction to the vessel through the at least one suction port.

10. The method of claim 7 wherein the step of heating the first heating element and the second heating element further comprises limiting the heat emanated by the first heating element and by the second heating element to avoid injuring the valve or sphincter.

11. A method of treating a vessel of the human body, wherein the vessel includes a plurality of anatomical valves or sphincters which control the flow of fluids through the vessel and are supported by the tissue of the vessel near the plurality of valves or sphincters, said method comprising:

providing a device for treating a plurality of incompetent anatomical valves or sphincters within the body of a patient, said device comprising;

a catheter body having a distal end and a proximal end, said distal end being adapted for insertion into the body;

a first balloon located at the distal end of the catheter, said first balloon being inflatable to a diameter greater than the catheter body distal end, and a first inflation lumen communicating from the proximal end of the catheter body to the distal end of the catheter body, wherein the first inflation lumen is in fluid communication with the first balloon;

a second balloon located at the distal end of the catheter, said second balloon being inflatable to a diameter greater than the catheter body distal end, said second balloon proximal to the first balloon, and a second inflation lumen communicating from the proximal end of the catheter body to the distal end of the catheter body, wherein the second inflation lumen is in fluid communication with the second balloon;

a plurality of heating elements mounted on the distal end of the catheter body, wherein each of the plurality of heating elements are disposed in series along the length of the catheter body, wherein two succeeding heating elements comprise a pair of heating elements, and wherein each pair of heating elements is further disposed on the catheter body such that a section of catheter body separates each pair of heating elements, wherein each of the plurality of heating elements is capable of delivering sufficient energy to tissue of the vessel near the valves or sphincters to shrink the tissue near the valves or sphincters;

a suction lumen communicating from the proximal end of the catheter body to the distal end of the catheter body; and

a plurality of suction ports located on the distal end of the catheter communicating from the suction lumen to the exterior of the catheter body, wherein at least one of the plurality of suction ports is disposed between each pair of heating elements;

inserting the distal end of the catheter into the vessel so that each of the plurality of valves or sphincters is disposed between a corresponding pair of heating elements;

inflating the first balloon and the second balloon;

applying suction to the vessel through the plurality of suction ports to draw down the vessel wall until the tissue of the vessel near the plurality of valves or sphincters is in contact with the plurality of heating elements;

heating the plurality of heating elements to cause thermal injury to the vessel; and

withdrawing the catheter from the vessel.

12. The method of claim 11 wherein the step of providing a device further comprises providing the plurality of heating elements in the form of resistive heating elements.

13. The method of claim 11 comprising the further step of flushing a fluid through the plurality of suction ports into the vessel prior to applying suction to the vessel through the plurality of suction ports.

14. The method of claim 11 wherein the step of heating the plurality of heating elements further comprises limiting the heat emanated by the plurality of heating elements to avoid injuring the plurality of valves or sphincters.