Very low profile medical device system having an adjustable balloon
First Claim
1. A medical device system having an adjustable-length inflatable member comprising:
- a core guide member having at least one inflation area, a proximal end, a distal end, a core passageway that is fluidly connected with the at least one inflation area, and is closable distally of the at least one inflation area;
having at least one inflatable member with a length, the inflatable member surrounding at least a portion of one of the at least one inflation area, and that is sealingly connected to the core guide member to form an inflatable region in fluid connection with the core passageway; and
at least one constraining member longitudinally slidable along the core guide member, having a distal end, and wherein the constraining member is configured to slide upon the inflatable member, to constrain inflation of the inflatable member proximally of the constraining member distal end, and to permit inflation of the inflatable member distally of the constraining member distal end, whereby the longitudinal movement of the constraining member adjusts the length of the inflatable member available for inflation.
1 Assignment
0 Petitions
Accused Products
Abstract
Described here is a very low profile medical device system having one or more adjustable length (and, optionally, adjustable diameter) balloons, system accessories, and system components. Also described are methods for using the system and its parts, such as by performing procedures, such as dilatation and other methods clear from the description, and for placing implants such as stents or occlusive members into tubular organs, open regions of the body, and other body sites. The system includes at least one balloon integral with a guide member, which balloons are adjustable in length and optionally in diameter. The system may be used to introduce and to deploy implants of types such as those that maintain the patency of an open anatomical structure, install a graft, occlude a selected volume, isolate a region, treat a region in a lumen with a surgical procedure or medicinal materials, or collect other (desirable or undesirable) occlusive members at a site.
195 Citations
217 Claims
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1. A medical device system having an adjustable-length inflatable member comprising:
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a core guide member having at least one inflation area, a proximal end, a distal end, a core passageway that is fluidly connected with the at least one inflation area, and is closable distally of the at least one inflation area;
having at least one inflatable member with a length, the inflatable member surrounding at least a portion of one of the at least one inflation area, and that is sealingly connected to the core guide member to form an inflatable region in fluid connection with the core passageway; and
at least one constraining member longitudinally slidable along the core guide member, having a distal end, and wherein the constraining member is configured to slide upon the inflatable member, to constrain inflation of the inflatable member proximally of the constraining member distal end, and to permit inflation of the inflatable member distally of the constraining member distal end, whereby the longitudinal movement of the constraining member adjusts the length of the inflatable member available for inflation. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 209, 210, 211, 212, 213)
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43. A stent delivery sleeve comprising:
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at least one filamentary sleeve having an interior longitudinal opening and wherein the filaments are of a size, flexibility, and shape and comprising materials appropriate a.) to support stenting devices and b.) to deploy those stenting devices independently without substantially affecting adjacent stents and at least one stenting device mounted exterior to the at least one filamentary sleeve. - View Dependent Claims (44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69)
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70. A stenotic incision tool for cutting stenoses found in a vascular lumen, comprising:
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a.) an atherotome holding member having a longitudinal axis, comprising;
i.) an inner substrate having a passageway, a radius, and an outer surface, the substrate being adapted to cooperate with a removable inflatable member and expand to extend a plurality of atherotomes in a substantially radial direction when the removable inflatable member is inflated in the passageway, ii.) an outer member having an outer surface, and iii.) a plurality of atherotomes having longitudinal axes, fixedly and movably mounted to said inner substrate, and adapted to extend from the outer surface substantially parallel to the holding member longitudinal axis when the removable inflatable member is inflated in the passageway, and b.) a proximal control member configured to allow a user to place the tool at a selected site in the human body. - View Dependent Claims (71, 72, 73, 74, 75, 76)
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77. A shape control member for controllably limiting the expansion of an expandable, inflatable member to a selected shape comprising:
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a.) at least two support members, b.) a fabric caul having a passageway configured for entry and exit of an expandable, inflatable member, the caul being mounted between a pair of the support members and configured to limit the shape of the inflatable member to a selected expanded shape when the expandable inflatable member is inflated in the fabric caul passageway, and c.) a proximal control member configured to allow a user to place the tool at a selected site in the human body. - View Dependent Claims (78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89)
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90. A drug delivery sleeve member for controllably delivering a drug material to a body lumen by expansion of a removable, expandable, inflatable member, comprising:
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a.) at least two support members, b.) a drug carrier having a passageway configured for entry and exit of a removable, expandable, inflatable member, the carrier being mounted between a pair of the support members and configured to release a drug when the expandable inflatable member is inflated in the drug carrier passageway, and c.) a proximal control member configured to allow a user to place the drug delivery member at a selected site in the human body. - View Dependent Claims (91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101)
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102. A component for controlling the longitudinal expansion of a inflatable member having a longitudinal axis, a proximal end, and a distal end, comprising:
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a.) the inflatable member, and b.) at least one expansion control member located adjacent one of the inflatable member distal or proximal ends, having an axis generally coincident with the longitudinal axis of the inflatable member, an expansion end adjacent the inflatable member, and a second end more remote from the inflatable member than the expansion end, the at least one expansion control member having a stiffness sufficient to allow, as a result of inflatable member expansion, the expansion end to expand in an amount greater than the expansion of the second end, and to direct the expansion of the inflatable member away from the end adjacent the specific expansion control member. - View Dependent Claims (103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121)
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122. A medical inflatable member system comprising:
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a core guide member having at least one inflation area, a proximal end, a distal end, a core passageway that is fluidly connected with the at least one inflation area, and is closable distally of the at least one inflation area; and
having at least one inflatable member with a longitudinal axis, a length, and a inflatable member distal end, the inflatable member surrounding at least a portion of one of the at least one inflation areas, and that is sealingly connected to the core guide member to form an inflatable region in fluid connection with the passageway; and
at least one expansion control member located adjacent one of the inflatable member distal or proximal end, having an axis generally coincident with the longitudinal axis of the inflatable member, an expansion end adjacent the inflatable member and a second end more remote from the inflatable member than the expansion end, the at least one expansion control member having a stiffness sufficient to allow, upon expansion of the inflatable member, the expansion end to expand in an amount greater than the expansion of the second end, and to direct the expansion of the inflatable member away from the end adjacent the specific expansion control member. - View Dependent Claims (123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135)
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136. A sterilized medical device system kit comprising:
a sterilized sealed packaging containing;
a medical device system having an adjustable-length inflatable member comprising;
a core guide member having at least one inflation area, a proximal end, a distal end, a core passageway that is fluidly connected with the at least one inflation area, and is closable distally of the at least one inflation area;
having an inflatable member having a length, surrounding at least a portion of the inflation area, and that is sealingly connected to the core guide member to form an inflatable region in fluid connection with the passageway; and
at least one constraining member longitudinally slidable along the core guide member, having a distal end, and wherein the constraining member is configured to slide upon the inflatable member, to constrain inflation of the inflatable member proximally of the constraining member distal end, and to permit inflation of the inflatable member distally of the constraining member distal end, whereby the longitudinal movement of the constraining member adjusts the length of the inflatable member available for inflation. - View Dependent Claims (137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171)
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172. A sterilized stent delivery sleeve kit comprising:
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sterilized sealed packaging containing;
at least one filamentary sleeve having an interior longitudinal opening and wherein the filaments are of a size, flexibility, and shape and comprising materials appropriate a.) to support stenting devices and b.) to deploy those stenting devices independently without substantially affecting adjacent stents and at least one stenting device mountable exterior to the at least one filamentary sleeve. - View Dependent Claims (173, 174, 175, 176, 177, 178, 179, 180, 181, 182, 183, 184, 185, 186, 187)
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188. A stent delivery sleeve comprising:
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at least one elastic sleeve having an interior longitudinal opening, a distal end, a proximal end, and of a size, flexibility, and material appropriate to support stenting devices, to allow deployment of those stenting devices independently without substantially affecting adjacent stenting devices;
an elongate position control member attached to a proximal end of the sleeve, and more than one stenting device detachably mounted exterior to the sleeve member. - View Dependent Claims (189, 190, 191, 192, 193, 194, 195, 196, 197)
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198. A sterilized stent delivery sleeve kit comprising:
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sterilized sealed packaging containing;
a stent delivery sleeve comprising;
at least one elastic sleeve having an interior longitudinal opening, a distal end, a proximal end, and of a size, flexibility, and material appropriate to support stenting devices, to allow deployment of those stenting devices independently without substantially affecting adjacent stenting devices;
an elongate position control member attached to a proximal end of the sleeve, and more than one stenting device detachably movable exterior to the sleeve member. - View Dependent Claims (199, 200, 201, 202, 203, 204, 205, 206, 207, 208)
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214. The procedure of 213 further comprising the steps of:
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a.) deflating the inflatable member, b.) proximally withdrawing the stent delivery sleeve from the selected site, c.) positioning the inflatable member at a selected portion of the implanted stent;
d.) selecting the size of the inflatable member by moving the constraining member, e.) inflating the inflatable member to reform the shape of the implanted stenting device, and f.) deflating the inflatable member.
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215. The procedure of step 213 further comprising the step of deflating the inflatable member.
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216. The procedure of 215 further comprising the steps of:
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a.) deflating the inflatable member, b.) placing the inflatable member at a second selected site in the human body, c.) sliding a constraining member along the core guide member on the proximal end of the inflatable member until a selected inflatable member length is achieved, d.) sliding the stent delivery sleeve having at least one stenting device on its exterior to the selected site; and
e.) inflating inflatable member to implant the stenting device.
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217. The procedure of step 215 further comprising the step of deflating the inflatable member.
Specification