CATHETER HAVING INFLATION AND DEFLATION LUMEN USEFUL FOR PREVENTING OR REDUCING REPERFUSION INJURY

• US 20110270176A1
• Filed: 04/30/2010
• Published: 11/03/2011
• Est. Priority Date: 04/30/2010
• Status: Active Grant

• Current Assignee: Abbott Cardiovascular Systems Incorporated (Abbott Laboratories)
• Original Assignee: Abbott Cardiovascular Systems Incorporated (Abbott Laboratories)
• Inventors: Ehrenreich, Kevin J., Magana, Jesus
• Granted Patent: US 9,155,869 B2
• Time in Patent Office: Days
• US Class Current: 604/99.04
• CPC Class Codes: A61M 2025/004 characterized by lumina being arranged circumferentially
• CPC Class Codes: A61M 2025/0059 having means for preventing the catheter, sheath or lumens from collapsing due to outer forces, e.g. compressing forces, or caused by twisting or kinking
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence
• CPC Class Codes: A61M 25/10186 One-way valves
• CPC Class Codes: A61M 25/10187 Indicators for the level of inflation or deflation
• CPC Class Codes: A61M 39/105 Multi-channel connectors or couplings, e.g. for connecting multi-lumen tubes multi-channel connectors in general F16L37/56
• CPC Class Codes: A61M 39/22 Valves or arrangement of valves A61M39/02, A61M39/0247, A61M39/16 take precedence; regulating valves in infusion systems A61M5/16881; in devices worn by the patient for the reception of urine, faeces, catamenial or other discharge, or in colostomy devices A61F5/4405

Abstract

A system including a catheter and an expandable member. The catheter includes an independent inflation lumen and an separate independent deflation lumen capable of sequential inflation and deflation of an expandable member in rapid succession, such as less than five seconds.

Claims

1. A catheter comprising:

a catheter shaft including an inflation lumen and an independent deflation lumen disposed between a proximal section and a distal section of the shaft, wherein each of the inflation lumen and deflation lumen is in fluid communication with one balloon, and

an indicator is associated with the deflation lumen, wherein the indicator indicates inflation of the balloon.

2. The catheter of claim 1, wherein the catheter is useful in reducing or preventing reperfusion or retroperfusion injury.

3. The catheter of claim 1, wherein the balloon is a compliant balloon.

4. The catheter of claim 1, wherein the balloon has a length less than about 10 mm.

5. The catheter of claim 1, wherein the balloon has a length of about 6 mm.

6. The catheter of claim 2, wherein the compliant balloon is capable of molding to the shape of a blood vessel when disposed and inflated therein.

7. The catheter of claim 2, wherein the compliant balloon is configured to occlude a blood vessel when the balloon is inflated with less than about 1 atmosphere of pressure.

8. The catheter of claim 7, wherein the compliant balloon is configured to occlude an eccentric blood vessel.

9. The catheter of claim 1, wherein the balloon is configured to occlude a blood vessel having a diameter of about 2 to 4.5 mm.

10. The catheter of claim 1, wherein the balloon is configured to occlude a blood vessel having a diameter of about 4 to 30 mm.

11. The catheter of claim 1, wherein the balloon has a substantially spherical shape while inflated.

12. The catheter of claim 2, wherein the balloon is a one-size-fits-all balloon.

13. The catheter of claim 1, wherein the balloon is sequentially inflatable and deflatable.

14. The catheter of claim 13, wherein the catheter is configured to inflate the balloon in about 5 seconds or less.

15. The catheter of claim 13, wherein the catheter is configured to deflate the balloon in about five seconds or less.

16. The catheter of claim 1, wherein the catheter exhibits Venturi-assisted deflation of the balloon.

17. The catheter of claim 16, further including a pulse valve.

18. The catheter of claim 17, wherein the pulse valve at least in part assists in creating a vacuum to assist deflation of the balloon.

19. The catheter of claim 13, wherein the system is configured to deflate the balloon in about than 3 seconds or less.

20. The catheter of claim 19, wherein the system is configured to deflate the balloon in less than 3 seconds.

21. The catheter of claim 1, wherein the deflation lumen has a diameter larger than a diameter of the inflation lumen.

22. The catheter of claim 21, wherein the diameter of the deflation lumen is about twice the size of the diameter of the inflation lumen.

23. The catheter of claim 1, wherein the catheter further includes a guidewire lumen.

24. The catheter of claim 23, wherein the guidewire lumen has a diameter larger than the deflation lumen.

25. The catheter of claim 1, wherein the catheter further includes a drug delivery lumen.

26. The catheter of claim 1, further including a drug delivery lumen and a guidewire lumen, and further wherein each of the lumen have a diameter size different than the other three lumen.

27. The catheter of claim 1, wherein the catheter is a rapid exchange catheter.

28. The catheter of claim 1, wherein the catheter is an over-the-wire catheter.

29. The catheter of claim 2, wherein the reperfusion injury is an ischemia of a blood vessel of the cerebral, coronary, or peripheral vasculature.

30. A system for reducing or preventing reperfusion injury to a patient, the system comprising:

a catheter having a catheter shaft; and

a balloon disposed on the catheter shaft, wherein the balloon is configured for sequential inflation and Venturi-assisted deflation.

31. The system of claim 30, wherein the balloon is deflated in less than about five seconds.

32. The system of claim 30, wherein the balloon is deflated in less than about three seconds.

33. The system of claim 30, wherein balloon is inflated in less than five seconds.

34. The system of claim 30, wherein the catheter shaft includes an inflation lumen and an independent deflation lumen, each in fluid communication with the balloon.

35. The system of claim 34, wherein a pulse valve is disposed between the inflation lumen and the deflation lumen.

36. The system of claim 35, wherein the pulse valve comprises a cylindrical body having first and second ends and an inner wall disposed between the first and second ends and a spring biased against the inner wall.

37. The system of claim 36, wherein the inner wall includes an inlet port and an outlet port and further wherein the inlet port is larger than the outlet port.

38. The system of claim 37, wherein inflation fluid enters the pulse valve, and further wherein the inflation fluid has a differential of fluid pressure is created in the cylindrical body.

39. The system of claim 38, wherein the pulse valve at least in part provides Venturi-assisted deflation of the balloon.

40. The system of claim 38, wherein the inner wall blocks an outlet port disposed on the cylindrical body of the pulse valve, and further wherein additional inflation fluid cannot flow into the balloon when the outlet port is blocked.

41. A system comprising:

a catheter shaft including an inflation lumen and an independent deflation lumen,

an indicator in communication with the deflation lumen;

an expandable member disposed on the catheter shaft, wherein the wherein the indicator is configured to notify a user of inflation or deflation of the expandable member.

42. The system of claim 41, wherein indicator is a balloon pressure marker.

43. The system of claim 42, wherein the balloon pressure marker indicates pressure in the deflation lumen.

44. The system of claim 43, wherein presence of fluid pressure in the deflation lumen indicates that the expandable member is inflated.

45. The system of claim 42, wherein the balloon pressure marker indicates when the expandable member is in a deflated state.