Guiding catheter system
First Claim
1. A guidance catheter system of a size to fit within the human vascular or coronary system for providing a stabilizing platform proximate the ostium of a vessel that will minimize trauma and edema to the tissue of the vessel walls forming the ostium of the vessel, for inserting and guiding a surgical catheter therethrough and into the vessel to a selected position, comprising:
- a first hollow tubular body of semi-rigid, non-kinking material having an entry and an exit port and a first lumen therethrough, said first lumen having a diameter sufficient to permit the free passage therethrough of the surgical catheter inserted thereinto at said entry port so that it may exit therefrom at said exit port of said first hollow tubular body into the vessel;
a fixation balloon of soft elastomeric material surrounding said first hollow tubular body proximate said exit port;
a second hollow tubular body of semi-rigid non-kinking material attached in a lengthwise fashion to said first hollow tubular body and having a second lumen therethrough, said second hollow tubular body operatively attached at one end to said fixation balloon, and at an opposite second end connected to a source of liquid for selectively inflating and deflating said fixation balloon by applying a pressure differential to liquid applied to said second lumen, said second lumen providing a passageway for communicating said liquid under pressure to selectively inflate and deflate said fixation balloon;
limiting means operatively coupled between said second hollow tubular body and said source of liquid for limiting the pressure differential applied to selectively inflate and deflate said fixation balloon to a selected pre-set limit that is sufficient to resist dislodging of said fixation balloon from the vessel ostium by the passage of the surgical catheter through said first lumen of said first hollow tubular body, and insufficient to cause dilation injury to the tissues forming the wall of the vessel ostium surrounding said fixation balloon when said fixation balloon is fully inflated; and
a plurality of fluid passageway means extending from said exit port of said first hollow tubular body to the exterior surface thereof adjacent to and on the opposite side of said fixation balloon for communicating fluid contained in the vessel around said inflated fixation balloon, said fluid passageway means having a diameter less than that of said first lumen so as to be adapted to prevent the exit therethrough of the surgical catheter as it is advanced through said first lumen of said first hollow tubular body,whereby when said exit port of said first hollow tubular body is inserted into and positioned proximate the inside portion of a vein proximate a selected vascular ostium and said fixation balloon is inflated to said pre-set pressure limit to form an anatomically conforming seal against the inner walls of said vein, thereby holding said exit port of said first hollow tubular body in position, said guidance catheter system provides a stable guiding passageway through said first lumen of said first hollow tubular body for inserting and guiding an angioplasty catheter therethrough and into said vascular ostium.
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Accused Products
Abstract
This invention discloses a catheter comprising a first hollow tubular body of flexible non-kinking material having an entry and an exit port and a first lumen therethrough. A fixation balloon of soft elastomeric material is attached coaxially to the first hollow tubular body proximate the exit port. A second hollow tubular body of flexible non-kinking material having a second lumen therethrough is operatively attached at one end to the fixation balloon and at a opposite second end to means to selectively inflate or deflate the fixation balloon by applying pressure to a liquid contained in the second lumen. The second lumen provides a passageway for communicating pressure to inflate or deflate the fixation balloon to a liquid between the fixation balloon and the selective inflation and deflation means. Means are operatively coupled to the selective inflation and deflation means to limit the pressure supplied to inflate the fixation balloon through the second lumen to a selected pre-set pressure limit. The first hollow tubular body may be comprised of porous material adapted to permit fluid flow therethrough or have a plurality of holes therethrough proximate said fixation balloon. The preferred liquid used to communicate the pressure to the fixation balloon is a dilute mixture of a radiographic contrast agent and saline. The fixation balloon may have an inflated shape adapted to resist backward movement of the first hollow tubular body from an opening once the fixation balloon is inserted into the target vessel ostium and inflated.
86 Citations
12 Claims
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1. A guidance catheter system of a size to fit within the human vascular or coronary system for providing a stabilizing platform proximate the ostium of a vessel that will minimize trauma and edema to the tissue of the vessel walls forming the ostium of the vessel, for inserting and guiding a surgical catheter therethrough and into the vessel to a selected position, comprising:
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a first hollow tubular body of semi-rigid, non-kinking material having an entry and an exit port and a first lumen therethrough, said first lumen having a diameter sufficient to permit the free passage therethrough of the surgical catheter inserted thereinto at said entry port so that it may exit therefrom at said exit port of said first hollow tubular body into the vessel; a fixation balloon of soft elastomeric material surrounding said first hollow tubular body proximate said exit port; a second hollow tubular body of semi-rigid non-kinking material attached in a lengthwise fashion to said first hollow tubular body and having a second lumen therethrough, said second hollow tubular body operatively attached at one end to said fixation balloon, and at an opposite second end connected to a source of liquid for selectively inflating and deflating said fixation balloon by applying a pressure differential to liquid applied to said second lumen, said second lumen providing a passageway for communicating said liquid under pressure to selectively inflate and deflate said fixation balloon; limiting means operatively coupled between said second hollow tubular body and said source of liquid for limiting the pressure differential applied to selectively inflate and deflate said fixation balloon to a selected pre-set limit that is sufficient to resist dislodging of said fixation balloon from the vessel ostium by the passage of the surgical catheter through said first lumen of said first hollow tubular body, and insufficient to cause dilation injury to the tissues forming the wall of the vessel ostium surrounding said fixation balloon when said fixation balloon is fully inflated; and a plurality of fluid passageway means extending from said exit port of said first hollow tubular body to the exterior surface thereof adjacent to and on the opposite side of said fixation balloon for communicating fluid contained in the vessel around said inflated fixation balloon, said fluid passageway means having a diameter less than that of said first lumen so as to be adapted to prevent the exit therethrough of the surgical catheter as it is advanced through said first lumen of said first hollow tubular body, whereby when said exit port of said first hollow tubular body is inserted into and positioned proximate the inside portion of a vein proximate a selected vascular ostium and said fixation balloon is inflated to said pre-set pressure limit to form an anatomically conforming seal against the inner walls of said vein, thereby holding said exit port of said first hollow tubular body in position, said guidance catheter system provides a stable guiding passageway through said first lumen of said first hollow tubular body for inserting and guiding an angioplasty catheter therethrough and into said vascular ostium. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A guidance catheter system of a size to fit within the human vascular or coronary system for providing a stabilizing platform proximate the ostium of a vessel that will minimize trauma and edema to the tissue of the vessel walls forming the ostium of the vessel, for inserting and guiding a surgical catheter therethrough and into the vessel to a selected position, comprising:
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a first hollow tubular body of semi-rigid, non-kinking porous material having an entry and an exit port and a single first lumen therethrough, said first lumen having a diameter sufficient to permit the free passage therethrough of the surgical catheter inserted thereinto at said entry port so that it may exit therefrom at said exit port of said first hollow tubular body into the vessel; a single fixation balloon of soft elastomeric material surrounding said first hollow tubular body proximate said exit port; a second hollow tubular body of semi-rigid non-kinking material attached in a lengthwise fashion to said first hollow tubular body and having a second lumen therethrough, said second hollow tubular body operatively attached at one end to said fixation balloon, and at an opposite second end connected to a source of liquid for selectively inflating and deflating said fixation balloon by applying a pressure differential to liquid applied to said second lumen, said second lumen providing a passageway for communicating said liquid under pressure to selectively inflate and deflate said fixation balloon; limiting means operatively coupled between said second hollow tubular body and said source of liquid for limiting the pressure differential applied to selectively inflate and deflate said fixation balloon to a selected pre-set limit that is sufficient to resist dislodging of said fixation balloon from the vessel ostium by the passage of the surgical catheter through said first lumen of said first hollow tubular body, and insufficient to cause dilation injury to the tissues forming the wall of the vessel ostium surrounding said fixation balloon when said fixation balloon is fully inflated; and a plurality of fluid passageway means extending from said exit port of said first hollow tubular body to the exterior surface thereof adjacent to and on the opposite side of said fixation balloon for communicating fluid contained in the vessel around said inflated fixation balloon, said fluid passageway means having a diameter less than that of said first lumen so as to be adapted to prevent the exit therethrough of the surgical catheter as it is advanced through said first lumen of said first hollow tubular body, whereby when said exit port of said first hollow tubular body is inserted into and positioned proximate the inside portion of a vein proximate a selected vascular ostium and said fixation balloon is inflated to said pre-set pressure limit to form an anatomically conforming seal against the inner walls of said vein, thereby holding said exit port of said first hollow tubular body in position, said guidance catheter system provides a stable guiding passageway through said first lumen of said first hollow tubular body for inserting and guiding an angioplasty catheter therethrough and into said vascular ostium.
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Specification