BALLOON DESIGN TO REDUCE DISTAL LENGTH

• US 20150265812A1
• Filed: 03/21/2014
• Published: 09/24/2015
• Est. Priority Date: 03/21/2014
• Status: Active Grant

• Current Assignee: Medtronic CryoCath LP (Medtronic Plc)
• Original Assignee: Medtronic CryoCath LP (Medtronic Plc)
• Inventors: LALONDE, Jean-Pierre
• Granted Patent: US 9,925,359 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• 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 2018/0025 Multiple balloons
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/0212 using an instrument inserted into a body lumen, e.g. catheter
• CPC Class Codes: A61M 2025/1013 with concentrically mounted balloons, e.g. being independently inflatable
• CPC Class Codes: A61M 2025/1065 having a balloon which is inversely attached to the shaft at the distal or proximal end
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters

Abstract

A device and system for thermally affecting tissue that includes a balloon catheter with a reduced distal length for ease of navigation and that also includes a balloon that is more resistant to bursting and delamination. The balloon may include a proximal neck generally attached to an elongate body and a distal neck generally attached to a shaft disposed within the elongate body. The distal neck is turned inward to extend within the balloon chamber and the proximal neck may either extend within the chamber or extend proximally away from the balloon chamber. Alternatively, the device may include an inner balloon and an outer balloon, the distal necks of both being turned inward and extending within the inner balloon chamber. The proximal necks may both also be turned inward to extend within the chamber or the proximal neck of the outer balloon may extend away from the balloon chamber.

Claims

1. A medical device for thermally affecting tissue comprising:

an elongate body;

a shaft disposed in the elongate body;

an inflatable element defining a chamber and having a proximal neck coupled to the catheter body and forming a proximal seal, the inflatable element also having a distal neck coupled to the shaft and forming a distal seal that is substantially coterminous with the shaft;

wherein the distal seal extends within the chamber of the inflatable body.

2. The medical device of claim 1, wherein the inflatable body is a balloon.

3. The medical device of claim 1, wherein the proximal neck and the distal neck each include an outer surface and an inner surface, the distal seal being formed between the outer surface of the distal neck and a distal portion of the shaft.

4. The medical device of claim 3, wherein the proximal seal extends within the chamber of the inflatable element.

5. The medical device of claim 4, wherein the proximal seal is formed between the outer surface of the proximal neck and a distal portion of the elongate body.

6. The medical device of claim 3, wherein the proximal seal is external to the chamber of the expandable element and extends along the elongate body in a proximal direction from the chamber of the expandable element.

7. The medical device of claim 6, wherein the device further comprises a fluid injection conduit in fluid communication with a coolant reservoir.

8. The medical device of claim 4, wherein the proximal seal and the distal seal each define a length of approximately 10% to 30% of the total length of the expandable element when the expandable element is inflated.

9. The medical device of claim 6, wherein the distal seal defines a length of approximately 10% to 30% of the total length of the expandable element when the expandable element is inflated.

10. The medical device of claim 3, wherein the shaft and the expandable element are coterminous and define a distal face that is substantially continuous.

11. A medical device for thermally affecting tissue comprising:

an elongate body;

a shaft movably disposed in the elongate body;

a first balloon disposed within a second balloon, each balloon defining a chamber and having a proximal adhesive junction and a distal adhesive junction, the second balloon when expanded defining a substantially continuous surface with the distal end of the shaft.

12. The medical device of claim 11, wherein the distal adhesive junction of the first balloon is between the first balloon and the shaft and extends within the chamber of the first balloon, and the distal adhesive junction of the second balloon is between the second balloon and the shaft and extends within the chamber of the first balloon.

13. The medical device of claim 12, wherein the first balloon is asymmetrically positioned within the second balloon, with the proximal adhesive junction of the first balloon being between the first balloon and the elongate body and extending within the chamber of the first balloon, and proximal adhesive junction of the second balloon being between the second balloon and the elongate body and extending proximally along the elongate body external to the chamber of the first balloon.

14. The medical device of claim 13, wherein the proximal adhesive junction of the first balloon is located a distance along the elongate body from the proximal adhesive junction of the second balloon, the distance defining an interstitial space between the first balloon and the second balloon.

15. The medical device of claim 12, wherein the distal adhesive junction of the first balloon defines a length that is greater than the length defined by the distal adhesive junction of the second balloon.

16. The medical device of claim 12, wherein the first balloon is symmetrically positioned within the second balloon, with the proximal adhesive junction of the first balloon being between the first balloon and the elongate body, the proximal adhesive junction of the first balloon and the adhesive junction of the second balloon both extending within the chamber of the first balloon.

17. The medical device of claim 16, wherein the first balloon is symmetrically positioned within the second balloon, the proximal adhesive junction of the first balloon being between the first balloon and the elongate body and extending within the chamber of the first balloon, and the proximal adhesive junction of the second balloon being between the second balloon and the elongate body and extending proximally along the elongate body external to the chamber of the first balloon.

18. The medical device of claim 12, wherein the distal adhesive junction and the proximal adhesive junction of the first balloon extending within the chamber of the first balloon each define a length of approximately 10% to 30% of the total inflated balloon length.

19. The medical device of claim 16, wherein the second balloon defines a distal face when inflated, the shaft being coterminous with the distal face.

20. A medical device for thermally affecting tissue comprising:

an elongate body defining a proximal portion, a distal portion, and a lumen therebetween;

a shaft slidably disposed within the catheter body lumen, the shaft defining a proximal portion and a distal portion;

a first balloon disposed within a second balloon, each balloon defining a chamber and having a proximal neck coupled to the distal portion of catheter body to form a proximal seal, and each balloon having a distal neck coupled to the distal portion of the shaft, the distal neck of the second balloon forming a distal seal that is substantially coterminous with the distal portion of the shaft;

a fluid injection conduit disposed within the chamber of the first balloon;

the first balloon being symmetrically positioned within the second balloon, with the proximal seal of the first balloon comprising an adhesive junction between the first balloon and the distal portion of the catheter body and extending within the chamber of the first balloon, and the proximal seal of the second balloon comprising an adhesive junction between the second balloon and the distal portion of the catheter body at a distance proximal to the proximal seal of the first balloon, the proximal seal of the second balloon extending externally to the chamber of the first balloon;

the at least one distal seal of the first balloon comprising an adhesive junction between the first balloon and the distal portion of the shaft, the distal seal of the first balloon extending within the chamber of the first balloon;

the second balloon defining a distal face when inflated, the shaft being coterminous with the distal face; and

the proximal seal and the distal seal of the first balloon each defining a length of approximately 10% to 30% of the inflated balloon length.