Method and apparatus for patient protection against vessel rupture from balloon-tipped catheters

• US 5,007,919 A
• Filed: 10/11/1989
• Issued: 04/16/1991
• Est. Priority Date: 10/11/1989
• Status: Expired due to Term

• Current Assignee: Dwayne R. Westenskow, Fidel H. Silva
• Original Assignee: Dwayne R. Westenskow, Fidel H. Silva
• Inventors: Westenskow, Dwayne R., Silva, Fidel H.
• Primary Examiner(s): Yasko, John D.
• Assistant Examiner(s): CERMAK, ADAM
• Application Number:
  US07/419,828
• Time in Patent Office: 552 Days
• Field of Search: 604/96-101, 604/118, 604/236, 604/246, 604/121, 604/280, 604/283, 606/191, 606/192-194, 606/196
• US Class Current: 606/194
• 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
• CPC Class Codes: A61M 25/10182 Injector syringes
• CPC Class Codes: A61M 25/10184 Means for controlling or monitoring inflation or deflation
• CPC Class Codes: A61M 25/10188 Inflation or deflation data displays

Abstract

The present invention comprises a safety inflation apparatus for preventing full inflation of a catheter balloon in a small body cavity of lesser internal diameter than that of the fully-inflated catheter balloon. The present invention includes a safety reservoir which inflates to absorb excess fluid volume from a catheter inflation device (such as a syringe) when the catheter balloon comes into contact with the wall of the small cavity, thereby preventing damage to the cavity wall and injury to the patient. In one embodiment of the invention, sensors and associated electronic displays are employed to provide an indication of the operating state of the system as the catheter balloon is inflated.

Claims

1. A method of safely introducing gas into a catheter balloon in a cavity in a patient, comprising:

injecting said gas into said catheter balloon until internal balloon pressure reaches a first predetermined level;

preventing pressure above that level in said balloon by relieving gas into a closed void exterior to the patient;

sensing the pressure level of said injected gas; and

indicating if said pressure does not reach a second predetermined level below said first predetermined level.

2. The method of claim 1, further comprising the additional steps of:

moving said balloon into a larger cavity, thereby lowering said internal pressure below said first predetermined level; and

inflating said catheter balloon to a larger diameter utilizing said relived gas from said closed void.

3. A safety inflation apparatus for use with a catheter including a catheter balloon disposed thereon, said catheter balloon having both a first predetermined inflation threshold pressure and a normal inflated diameter in a substantially externally unconstrained state, said apparatus being adapted to prevent damage to a body cavity of lesser internal diameter than said normal inflated diameter of said balloon when inflation of said catheter balloon within the external constraint of said body cavity is attempted, and said apparatus comprising:

relief conduit means having fluid inlet means adapted to receive fluid and fluid outlet means adapted to dispense said fluid through said catheter to said catheter balloon within said body cavity;

a fluid relief aperture in said conduit means between said fluid inlet means and said fluid outlet means communicating the interior of said relief conduit means with the exterior thereof; and

safety reservoir means preloaded in tension against expansion, in communication with said relief conduit means through said relief aperture, and expandable at a second threshold pressure between that of said catheter balloon in its said substantially unconstrained state and that at which damage to said body cavity would normally result.

4. The apparatus of claim 3, wherein said safety reservoir means comprises an elastomeric compound.

5. The apparatus of claim 4, wherein said elastomeric compound comprises a latex compound.

6. The apparatus of claim 3, wherein said safety reservoir means is expandable at said second threshold pressure to accommodate the difference in fluid volume between that received from said catheter inflation device and that accepted by said constrained balloon.

7. The apparatus of claim 6, wherein said safety reservoir means comprises an elastomeric compound.

8. The apparatus of claim 7, wherein said elastomeric compound comprises a latex compound.

9. The apparatus of claim 3, wherein said relief conduit means is tubular, said relief aperture extends through the wall thereof, and said safety reservoir means comprises a sleeve-like member disposed about and sealed at its ends to said relief conduit means on either side of said relief aperture and between said fluid inlet means and said fluid outlet means.

10. The apparatus of claim 9, wherein said safety reservoir means comprises an elastomeric compound.

11. The apparatus of claim 10, wherein said elastomeric compound comprises a latex compound.

12. The apparatus of claim 9, further including a barrel disposed about said relief conduit means and surrounding said safety reservoir means in non-constraining relationship thereto.

13. The apparatus of claim 12, wherein said safety reservoir means comprises an elastomeric compound.

14. The apparatus of claim 13, wherein said elastomeric compound comprises a latex compound.

15. The apparatus of claim 3, wherein said safety reservoir means expansion threshold pressure is substantially less than 900 mg Hg.