Balloon catheter apparatus with releasable distal seal and method of operation

• US 5,078,681 A
• Filed: 10/23/1989
• Issued: 01/07/1992
• Est. Priority Date: 10/23/1989
• Status: Expired due to Term

• Current Assignee: Olympus Optical Company Ltd. (Olympus Corporation)
• Original Assignee: Olympus Optical Company Ltd. (Olympus Corporation)
• Inventors: Kawashima, Masahiro
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): Maglione, Corrine
• Application Number:
  US07/426,892
• Time in Patent Office: 806 Days
• Field of Search: 604/52, 604/53, 604/96-98, 604/158, 604/164, 604/171, 604/264, 604/99, 128/772, 128/656-658
• US Class Current: 606/198
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/3137 for examination of the interior of blood vessels
• CPC Class Codes: A61B 2017/22097 Valve removal in veins
• CPC Class Codes: A61M 2025/0079 Separate user-activated means, e.g. guidewires, guide tubes, balloon catheters or sheaths, for sealing off an orifice, e.g. a lumen or side holes, of a catheter
• CPC Class Codes: A61M 2025/105 having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• 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

Abstract

A balloon catheter apparatus is used in combination with an endoscope having an insertion portion to be inserted in a body cavity. The apparatus comprises a catheter to be connected to a manipulating section, the catheter including an elongated tube through which the insertion portion is inserted, and in which a liquid is fed. The tube includes a balloon capable of being inflated outward in accordance with a liquid pressure in the tube, a first cylindrical portion for connecting the balloon to the manipulating section and defining a liquid path together with the inserted insertion portion, and a second cylindrical portion, which is connected to the balloon, and through which a distal end portion of the insertion portion is caused to protrude outward. The second cylindrical portion is brought into contact with the insertion portion to provide an elastic liquid-tight seal between the second cylindrical portion and the inssertion portion. The seal is released by a liquid pressure in the liquid path which exceeds a predetermined liquid pressure, thereby feeding the liquid in the liquid path outward through the second cylindrical portion.

Claims

1. A combination of a body cavity insertion device and a balloon catheter apparatus,

said body cavity insertion device comprising an insertion portion to be inserted in a body cavity through said balloon catheter apparatus, said insertion portion having a distal end portion;

and

said balloon catheter apparatus comprising a catheter to be inserted in the body cavity, said catheter including an elongated tube defining a reception portion, in which said insertion portion is insertable, said tube including a balloon portion which is inflatable under pressure of liquid in said reception portion so as to seal the body cavity, a liquid flow path communicating said reception portion with said balloon portion, and a seal portion, which is connected to said balloon portion, and through which a distal end portion of said insertion portion is caused to protrude outward, said seal portion including means for normally sealing said liquid within the catheter and being opened by said liquid in said balloon portion after the body cavity is sealed by said balloon portion as pressure of said liquid exceeds a predetermined value so as to feed the pressurized liquid in said balloon portion, toward the distal end portion of said insertion portion.

2. A combination according to claim 1, wherein said sealing means comprises a cylindrical elastic member which is brought into elastic contact with an outer surface of said insertion portion so as to provide a seal between said catheter and said insertion portion.

3. A combination according to claim 2, wherein said insertion portion of said body cavity insertion device comprises an annular projection at a distal end portion which can be brought into contact with said seal portion of said catheter.

4. An apparatus according to claim 1 wherein said reception portion has an inner diameter larger than an outer diameter of said insertion portion, at least a portion of said liquid flow path is formed between said reception portion and said insertion portion, and said means for normally sealing said liquid within the catheter having an elastic seal portion which is adapted to be brought into elastic contact with said reception portion.

5. An apparatus according to claim 1, further comprising feed means for feeding the liquid to said liquid flow path, said feed means including a cylinder in which the liquid is stored, a tube for coupling said cylinder to said liquid flow path, and a piston for increasing a pressure of the liquid in said cylinder in cooperation with said cylinder and feeding the liquid to said liquid flow path through said tube.

6. An apparatus according to claim 5, wherein said tube comprises an elastic balloon which is inflated in accordance with a liquid pressure in said tube when the liquid pressure exceeds a predetermined liquid pressure.

7. A balloon catheter apparatus for use with a device having a cylindrically shaped insertion portion adapted to be inserted in a body cavity, comprising:

a manipulating section having a reception portion adapted for receiving said insertion portion therein, and a liquid port in fluid communication with said reception portion; and

a catheter including a first portion, a balloon portion, and a second portion, said first and second portions being cylindrically shaped, with said first portion being connected between said manipulating section and said balloon portion, and said balloon portion being connected between said first and second portions, said catheter being adapted to receive the insertion portion therein as it extends from the reception portion to have its tip protruding outside of said first portion, said first portion being sized relative to said insertion portion to form with said insertion portion a liquid flow path to said balloon portion, said balloon portion being inflatable under pressure of liquid in said liquid flow path, and wherein said second portion includes means for forming a liquid tight seal with said insertion portion while pressure in said liquid flow path is below a predetermined value, and for releasing said seal by liquid from said liquid flow path so that liquid flows out of the second portion of said catheter when pressure in said liquid flow path is at least at said predetermined value.

8. An apparatus according to claim 7 wherein said first portion has an inner diameter larger than an outer diameter of said insertion portion, at least a portion of said liquid path is formed between said first portion and said insertion portion, and the seal forming means of said second portion having an elastic seal portion which is adapted to be brought into elastic contact with said insertion portion.

9. An apparatus according to claim 8, wherein said elastic seal portion comprises an elastic ring, detachably mounted on said second portion, for changing an elastic force of said seal portion.

10. An apparatus according to claim 7, further comprising feed means for feeding the liquid to said liquid port, said feed means including a cylinder in which the liquid is stored, a tube for connecting said cylinder to said liquid port, and a piston for increasing a pressure of the liquid in said cylinder in cooperation with said cylinder and feeding the liquid to said liquid port through said tube.

11. An apparatus according to claim 10, wherein said tube comprises an elastic balloon which is inflated in accordance with a liquid pressure in said tube when the liquid pressure exceeds a predetermined liquid pressure.

12. A method of operating a balloon catheter apparatus, comprising the steps of:

mounting a body cavity insertion device to a balloon catheter by (a) inserting an insertion section of the insertion device into a first insertion portion of the catheter, and (b) stopping the inserting step (a) when a distal end portion of the insertion device projects from a distal end of the catheter;

inserting the balloon catheter into a body cavity;

performing observation by the sequential steps of (a) connecting a syringe to a liquid port of the catheter, (b) injecting liquid through the syringe to a liquid flow path in communication with a balloon of the catheter so as to inflate said balloon while maintaining a seal which prevents flow of said liquid from the catheter into said body cavity, (c) causing the inflated balloon to interrupt a blood flow, (d) further injecting liquid so as to increase the internal pressure of the balloon to release said seal and, thus, to discharge the liquid from the catheter into said body cavity, and (e) performing a desired observation; and

withdrawing the balloon catheter from the body cavity.