Balloon guide

• US 4,848,344 A
• Filed: 11/13/1987
• Issued: 07/18/1989
• Est. Priority Date: 11/13/1987
• Status: Expired due to Term

• Current Assignee: Cook Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Incorporated (Cook Group Incorporated)
• Inventors: Sos, Thomas A., Osborne, Thomas A., DeBruyne, Michael
• Primary Examiner(s): Truluck, Dalton L.
• Application Number:
  US07/120,463
• Time in Patent Office: 613 Days
• Field of Search: 128/1 D, 128/344, 128/348.1, 128/656-658, 604/95-103, 600/18
• US Class Current: 606/194
• CPC Class Codes: A61B 2017/22001 Angioplasty, e.g. PCTA
• CPC Class Codes: A61M 2025/09008 having a balloon
• CPC Class Codes: A61M 2025/1093 having particular tip characteristics
• CPC Class Codes: A61M 25/09 Guide wires

Abstract

A balloon guide is disclosed which includes a single lumen useful alternately for fluid communication through the distal tip or for inflation of a balloon when the distal end is closed. The guide includes a body formed from coiled wire having a proximal portion in which the coils are held together and a distal portion in which the coils are separable. The balloon is located about the separable coils. A restriction adjacent the distal tip of the guide body is closable by a plug mandril extending through the central lumen of the guide. With the distal tip open, fluid communication is available through the central lumen for pressure measurements, fluid infusion or the like. In an alternate condition, a plug is positioned to close off the distal opening of the guide and also to stretch the coiled wire to separate the coils in the region underlying the balloon, preventing fluid communication through the distal tip, but permitting inflation or deflation of the balloon through the separated wire coils.

Claims

1. A balloon guide which comprises:

a guide body comprising a coiled wire forming a cylindrical body having a central lumen open at the proximal and distal ends, said coiled wire including a first, proximal portion in which the coils are secured together with one another, and a second, distal portion in which the coils are normally adjacent one another but are separable from one another,

said guide body including a plug seat located within the central lumen distal of the second portion of the coiled wire, the plug seat defining a passageway communicating with the central lumen, the plug seat being configured to provide a closing off of the central lumen upon closing off of the plug seat,

said guide body further including a balloon attached to the coiled wire, the balloon being positioned over and in fluid communication with the second portion of the coiled wire to enable fluid passing from within the central lumen and through the separated coils of the second portion to enter into and inflate the balloon;

a plug mandril comprising an elongated mandril having proximal and distal ends, said plug mandril further including a plug secured to the distal end of the mandril, the mandril and plug being sized to be receivable within the central lumen of said guide body and extendable therethrough, the plug defining a seating portion sized and configured to be received against the plug seat of said guide body and to close off the plug seat when received thereagainst;

extension means for extending said plug mandril into and through the central lumen of said guide body between first and second positions, the first position locating the plug of the mandril spaced from the plug seat of said guide body to permit fluid communication through the plug seat, the second position locating the plug in sealing position against the plug seat and preventing fluid communication therethrough, said extension means extending said plug mandril in the second position through the central lumen a sufficient distance to cause separation of the normally adjacent coils in the second portion of the coiled wire; and

inflation means communicating with the central lumen of said guide body for introducing a fluid into the central lumen and through the separated coils of the second portion of the coiled wire for inflating the balloon when said plug mandril is in the second position within the guide body.

2. The balloon guide of claim 1 in which the coiled wire of said guide body is a flat wire.

3. The balloon guide of claim 1 in which said guide body includes a cannula member positioned within the central lumen and defining the plug seat.

4. The balloon guide of claim 1 in which the plug of said plug mandril includes a tapered point facing in the distal direction and defining the seating portion of the plug.

5. The balloon guide of claim 4 in which said guide body includes a cannula member positioned within the central lumen and defining the plug seat, the tapered point of the plug being received against the cannula member in sealing relationship with the plug mandril in the second position.

6. The balloon guide of claim 1 in which said guide body includes a sleeve received over the first portion of the coiled wire, the sleeve being sized to fit tightly about the first portion of the coiled wire and securing the coils together with one another and preventing separation thereof.

7. The balloon guide of claim 6 in which said guide body includes a sleeve extending over the coiled wire from the proximal end of the coiled wire to the proximal end of the balloon.

8. The balloon guide of claim 7 in which said guide body includes a third portion of coiled wire distal of the second, separable portion, the balloon of said guide body includes a central balloon portion and first and second sleeve extensions therefrom, the first sleeve extension being proximal of the central balloon portion and being sealingly secured over the sleeve received over the coiled wire, the second sleeve extension being distal of the central balloon portion and being received over the third portion of coiled wire, the second sleeve extension being sized to fit tightly about the third portion of the coiled wire and securing the coils together with one another and preventing separation thereof.

9. The balloon guide of claim 6 in which the coiled wire of said guide body is a flat wire.

10. The balloon guide of claim 1 and which further includes locking means for locking said plug mandril in the second position relative said guide body.

11. The balloon guide of claim 10 in which said guide body includes a sleeve received over the first portion of the coiled wire, the sleeve being sized to fit tightly about the first portion of the coiled wire and securing the coils together with one another and preventing separation thereof.

12. The balloon guide of claim 10 in which the coiled wire of said guide body is a flat wire.

13. The balloon guide of claim 12 in which said guide body includes a sleeve received over the first portion of the coiled wire, the sleeve being sized to fit tightly about the first portion of the coiled wire and securing the coils together with one another and preventing separation thereof.

14. The balloon guide of claim 13 in which said guide body includes a cannula member positioned within the central lumen and defining the plug seat.

15. The balloon guide of claim 13 in which the plug of said plug mandril includes a tapered point facing in the distal direction and defining the seating portion of the plug.

16. The balloon guide of claim 15 in which said guide body includes a cannula member positioned within the central lumen and defining the plug seat, the tapered point of the plug being received against the cannula member in sealing relationship with the plug mandril in the second position.

17. A method for inflating a balloon guide which comprises the steps of:

a. providing a guide body having a coiled wire forming a cylindrical body having a central lumen open at the proximal and distal ends, the guide body including a first portion of the coiled wire in which the coils are secured together with one another, and a second portion of the coiled wire in which the coils are normally adjacent one another but are separable from one another, the guide body including a plug seat located within the central lumen distal of the second portion of the coiled wire, the plug seat defining a passageway communicating with the central lumen, the plug seat being configured to provide a closing off of the central lumen upon closing off of the plug seat, the guide body further including a balloon attached to the coiled wire and positioned over the second portion of the coiled wire to enable fluid passing from within the central lumen and through the separated coils of the second portion to enter into and inflate the balloon;

b. providing a plug mandril comprising an elongated mandril having proximal and distal ends, the plug mandril further including a plug secured to the distal end of the mandril, the mandril and plug being sized to be receivable within the central lumen of said guide body and extendable therethrough, the plug defining a seating portion sized and configured to be received against the plug seat of said guide body and to close off the plug seat when received thereagainst;

c. extending the plug mandril into and through the central lumen of said guide body to locate the plug in sealing position against the plug seat and a sufficient distance to cause separation of the normally adjacent coils in the second portion of the coiled wire; and

d. after step c., introducing a fluid into the central lumen and through the separated coils of the second portion of the coiled wire for inflating the balloon.