APPARATUS AND METHODS FOR RECAPTURING AN ABLATION BALLOON

• US 20100234876A1
• Filed: 03/08/2010
• Published: 09/16/2010
• Est. Priority Date: 03/10/2009
• Status: Abandoned Application

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Watson, James R.
• Application Number:
  US12/719,582
• Publication Number:
  US 20100234876A1
• Time in Patent Office: Days
• US Class Current: 606/194
• CPC Class Codes: A61B 18/02 by cooling, e.g. cryogenic techniques devices for cooling specific reflex points of the body within cell-life limits A61H39/06
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/0212 using an instrument inserted into a body lumen, e.g. catheter
• CPC Class Codes: A61M 2025/1081 having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
• CPC Class Codes: A61M 25/0102 Insertion or introduction using an inner stiffening member, e.g. stylet or push-rod
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00

Abstract

A recapturing apparatus, a medical kit including the recapturing apparatus and a method for performing a medical procedure using the recapturing apparatus are provided. The recapturing apparatus includes a moveable collar and a push wire. The moveable collar comprises a proximal attachment region and a distal capture region sized to capture an expandable body therein. The push wire is configured to couple to the attachment region. The medical kit includes a sheath, a catheter having a distally-located expandable body, and the recapturing apparatus located concentrically between the sheath and the catheter. The method for performing the medical procedure includes coupling the push wire to the collar and advancing the collar distally along the catheter until the expandable body on the catheter is captured within the collar.

Claims

1. A recapturing apparatus, comprising:

a moveable collar sized to fit within a guide sheath, the collar having a distal capture region sized to fit over and radially compress an expandable body disposed at a distal end of a catheter shaft, a proximal attachment region, and a central lumen sized to receive the catheter shaft therein; and

a push wire having a distal end configured to engage the attachment region, thereby affixing the push wire to the collar.

2. The recapturing apparatus of claim 1, wherein an inner diameter of a distal end of the collar is greater than an inner diameter of a proximal end of the collar.

3. The recapturing apparatus of claim 1, wherein the distal end of the push wire is configured for being interference fit with the attachment region of the collar, and wherein the attachment region of the collar comprises an opening for receiving the distal end of the push wire therein.

4. The recapturing apparatus of claim 3, wherein the distal end of the push wire comprises flared ridges configured for engaging the opening in the attachment region of the collar, and wherein the opening in the attachment region of the collar is substantially parallel to the central lumen in the collar.

5. The recapturing apparatus of claim 3, wherein the distal end of the push wire is bent at a substantially right angle relative to a proximal portion of the push wire, and wherein the opening in the attachment region of the collar is substantially perpendicular to the central lumen in the collar.

6. The recapturing apparatus of claim 1, wherein the attachment region of the collar comprises a pin and the distal end of the push wire comprises an opening for receiving the pin therein.

7. The recapturing apparatus of claim 6, wherein the opening in the distal end of the push wire is configured to engage with the pin in the attachment region of the collar by receiving the pin within the opening and then rotating the push wire from a perpendicular position to a parallel position relative to the lumen of the collar.

8. The recapturing apparatus of claim 7, wherein the attachment region further comprises an opening adjacent to the pin, and wherein the opening in the distal end of the push wire is configured to engage with the pin in the attachment region of the collar by inserting the distal end of the push wire into the opening in the attachment region of the collar and then rotating the push wire from a perpendicular position to a parallel position relative to the lumen of the collar.

9. The recapturing apparatus of claim 7, wherein the distal end of the push wire has a quadrate cross-section and a proximal portion of the push wire has a rounded cross-section.

10. A medical system, comprising:

an elongated catheter having a distally located expandable body configured for being placed between an expanded geometry and a collapsed geometry;

a moveable collar configured for being displaced relative to the catheter to capture the expandable body therein when in the collapsed geometry;

an elongated push wire configured for engaging the moveable collar; and

an elongated sheath having a distal end, a proximal end, and a lumen extending between the proximal end and the distal end, wherein the catheter is configured for being disposed within the lumen of the sheath, and the moveable collar is configured for being disposed concentrically between the catheter and the sheath.

11. The medical system of claim 10, wherein the expandable body is a balloon.

12. The medical system of claim 10, wherein the moveable collar comprises a proximal attachment region and a distal end of the push wire is configured to engage with the attachment region of the collar, and wherein the moveable collar comprises a distal capture region sized to fit over and radially compress the expandable body when in the collapsed geometry, the system further comprising means for engaging the push wire with the moveable collar.

13. The medical system of claim 10, wherein an inner diameter of a distal end of the collar is greater than an inner diameter of a proximal end of the collar.

14. A method for performing a medical procedure using a catheter having an expandable body, comprising:

advancing the catheter through a sheath until the expandable body exits the sheath;

expanding the expandable body;

performing the medical procedure;

collapsing the expandable body after performing the medical procedure;

advancing a collar along the catheter until the expandable body is captured within the collar; and

retracting the collar into the sheath.

15. The method of claim 14, further comprising moving the expandable body from a first anatomical cavity into a second anatomical cavity by passing through a septum between the respective cavities, wherein expanding the expandable body, performing the medical procedure, collapsing the expandable body, and advancing the collar are performed while the expandable body is in the second cavity.

16. The method of claim 15, further comprising withdrawing the collar and the captured expandable body from the second cavity into the first cavity by passing through the septum prior to retracting the collar into the sheath.

17. The method of claim 15, wherein the expandable body is passed through an opening within the septum, and wherein the expandable body, after the step of collapsing the expandable body, has a greater profile than the opening.

18. The method of claim 15, wherein a distal end of the sheath remains in the first cavity while the expandable body is moved from the first cavity into the second cavity.

19. The method of claim 14, further comprising coupling an elongated push wire to the collar, wherein the collar is advanced along the catheter by advancing the push wire relative to the catheter, and wherein coupling the push wire to the collar comprises interference fitting the push wire to the collar.

20. The method of claim 14, wherein retracting the collar into the sheath further comprises retracting the captured expandable body into the sheath.