Expansion unit and apparatus for expanding tubular organ lumen

• US 5,201,901 A
• Filed: 04/02/1990
• Issued: 04/13/1993
• Est. Priority Date: 10/08/1987
• Status: Expired due to Term

• Current Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Inventors: Ishida, Toshinobu, Harada, Fumiaki
• Primary Examiner(s): Thaler, Michael H.
• Assistant Examiner(s): Lewis, William W.
• Application Number:
  US07/477,843
• Time in Patent Office: 1,107 Days
• Field of Search: 606/191, 606/192, 606/194, 606/195, 606/198, 623/1, 623/12
• US Class Current: 606/198
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61F 2/88 the wire-like elements formed as helical or spiral coils forming a net-like or mesh-like structure A61F2/90
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation
• CPC Class Codes: A61F 2210/0042 using a fluid, e.g. circulating
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

A tubular-organ expansion unit has a cylindrical body made of a shape memory alloy which is capable of maintaining the inside diameter of a tubular body organ. The tubular-organ expansion unit includes an X-ray contrast enhancer for improving the X-ray contrast of the tubular-organ expansion unit relative to the X-ray contrast of the tubular-organ expansion unit before the X-ray enhancer was provided on the expansion unit. In a tubular-organ expansion apparatus and a method for indwelling the tubular-organ expansion unit into a lumen of a tubular body organ, the shape memory alloy of the tubular-organ expansion unit will change its radial dimension in response to changes in temperature. The shape memory alloy may be bidirectional. The tubular-organ expansion apparatus not only includes the tubular-organ expansion unit but also comprises a catheter to which the tubular-body organ expansion unit is attached and a catheter sheath which can sheath the tubular body expansion unit and the portion of the catheter to which said unit is attached.

Claims

1. A tubular-organ expansion unit comprising:

a mesh-like cylindrical body comprising a plurality of thin-woven wires that are formed of a shape memory alloy which is insertable into a tubular body organ and which is capable of maintaining an inside diameter of a lumen of the tubular body organ, said cylindrical body having a given X-ray contrast; and

X-ray contrast enhancing means on at least a portion of said cylindrical body for improving the X-ray contrast of at least said portion of said cylindrical body relative to said given X-ray contrast.

2. A tubular-organ expansion unit according to claim 1, wherein the cylindrical body comprises a coil-like member.

3. A tubular-organ expansion unit according to claim 1, wherein said cylindrical body has a helical shape.

4. A tubular-organ expansion unit according to claim 1, wherein said cylindrical body has a longitudinal axis, and wherein said cylindrical body includes a slit formed substantially parallel to the longitudinal axis.

5. A tubular-organ expansion unit according to claim 1, wherein:

the shape memory alloy has a given density; and

the X-ray contrast enhancing means comprises a metal plated on said cylindrical body, said metal having a density higher then the given density of said shape memory alloy.

6. A tubular-organ expansion unit according to claim 1, wherein:

the shape memory alloy has a given density; and

said cylindrical body has a metal pressed thereon, said metal having a higher density than said given density of said shape memory alloy.

7. A tubular-organ expansion unit according to claim 1, wherein:

the shape memory alloy has a given density; and

said cylindrical body has a metal wound thereon having a higher density than said given density of said shape memory alloy.

8. A tubular-organ expansion apparatus for indwelling a tubular-organ expansion unit in a lumen of a tubular body organ, comprising:

a tubular-organ expansion unit including a mesh-like substantially tubular body comprising a plurality of woven wires, said tubular body having a given radial dimension and an outside diameter when in an unexpanded state, said woven wires of said tubular body comprising a shape memory alloy having a given X-ray contrast, and said tubular body further being capable of changing the given radial dimension thereof in response to changes in temperature;

a catheter including;

a base portion having an outside diameter;

a distal end portion having an outside diameter;

an outside portion;

a tubular-organ expansion unit attaching portion having a periphery in the vicinity of the distal end portion of said catheter for attaching the tubular-organ expansion unit to the catheter; and

a catheter sheath having first and second open end portions for sheathing said tubular-organ expansion unit when said tubular-organ expansion unit is attached to said tubular-organ expansion unit attaching portion of said catheter; and

X-ray contrast enhancing means formed on at least a portion of said tubular-organ expansion unit for improving the X-ray contrast of at least a portion of said shape metal alloy relative to said given X-ray contrast.

9. A tubular-organ expansion apparatus according to claim 8, wherein:

said catheter is provided with a passageway extending from the base portion thereof to at least a position in the vicinity of the distal end portion thereof; and

at least one of side pores and slit-like apertures formed in said catheter for providing communication with said tubular-organ expansion unit-attaching portion of the catheter positioned in the vicinity of the distal end portion of said catheter and providing fluid communication between said passageway and the outside portion of said catheter.

10. A tubular-organ expansion apparatus according to claim 9, wherein at least one of the outside diameter of the base portion of the catheter and the outside diameter of the distal end portion of said catheter are larger than the outside diameter of said tubular-organ expansion unit attached to said tubular-organ expansion unit-attaching portion of said catheter when said tubular-organ expansion unit is in an unexpanded state.

11. A tubular-organ expansion apparatus according to claim 9, wherein said catheter further comprises:

a catheter lumen extending from the base portion of said catheter to at least a position of the catheter in the vicinity of the distal end portion thereof; and

a hollow hub having a hub lumen therein provided on said base portion of said catheter for communicating with said catheter lumen; and

said passageway being defined at least by said catheter lumen and said hub lumen.

12. A tubular-organ expansion apparatus according to claim 11, wherein said hollow hub comprises:

a branch hub having two ports; and

wherein a check valve is provided in one of said two ports.

13. A tubular-organ expansion apparatus according to claim 8, wherein said catheter is provided with at least one X-ray non-transmission marker in the vicinity of the distal end portion thereof.

14. A tubular-organ expansion apparatus according to claim 13, wherein said catheter sheath includes at least one of:

an X-ray non-transmission material, and said at least one X-ray non-transmission marker positioned in the vicinity of the distal end portion of the catheter.

15. A tubular-organ expansion apparatus according to claim 8, wherein said catheter sheath comprises:

a sheath lumen extending between the first and second open end portion thereof; and

a hollow hub including a hub lumen provided on the base portion of the catheter; and

a check valve positioned in the hollow hub for controlling fluid communicating between said sheath lumen and said hub lumen.

16. A tubular-organ expansion apparatus for indwelling a tubular-organ expansion unit in a lumen of a tubular body organ, comprising:

a tubular-organ expansion unit including a substantially mesh-like tubular body comprising a plurality of woven wires, said tubular body having a given radial dimension, and an outside diameter when in an unexpanded state, said woven wires of said tubular body comprising a bidirectional shape memory alloy which is capable of changing the given radial dimension thereof in response to a change in temperature;

a catheter including;

a base portion having an outside diameter;

a distal end portion having an outside diameter;

an outside portion having an outside diameter;

a tubular-organ expansion unit attaching portion having an outside diameter and a periphery in the vicinity of the distal end portion of said catheter for attaching the tubular-organ expansion unit to the catheter; and

a catheter sheath having first and second open end portions and having an inside diameter which is no larger than the outside diameter of the tubular-organ expansion unit, when said tubular-organ expansion unit is in the expanded state;

said catheter sheath sheathing said tubular-organ expansion unit when said tubular-organ expansion unit is attached to said tubular-organ expansion unit attaching portion of said catheter.

17. A tubular-organ expansion apparatus according to claim 16, wherein:

said catheter is provided with a passageway extending from the base portion thereof to at least a position in the vicinity of the distal end portion thereof; and

at least one of pores and slit-like apertures are formed in said catheter for providing communication with said tubular-organ expansion unit attaching portion of the catheter positioned in the vicinity of the distal end portion of said catheter and for providing fluid communication between said passageway and the outside portion of said catheter.

18. A tubular-organ expansion apparatus according to claim 17, wherein said catheter further comprises:

a catheter lumen extending from the base portion of the catheter to at least a position of the catheter in the vicinity of the distal end portion thereof;

a hollow hub having a hub lumen therein provided on said base portion of said catheter for communicating with said catheter lumen; and

said passageway being defined at least by said catheter lumen and said hub lumen.

19. A tubular-organ expansion apparatus according to claim 18, wherein said hollow hub further comprises:

a branch hub having two ports; and

a check valve provided in one of said two ports.

20. A tubular-organ expansion apparatus according to claim 16, wherein:

both said outside diameter of said catheter and the outside diameter of said tubular-organ expansion unit attaching portion of the catheter in the vicinity of the distal end portion of said catheter are substantially equal in diameter to each other; and

wherein both said outside diameters are at least equal in size to the inside diameter of the tubular-organ expansion unit when said tubular-organ expansion unit is in the unexpanded state so that said tubular-organ expansion unit attaching portion of the catheter is capable of having said tubular-organ expansion unit attached thereto at a temperature which is substantially below body temperature.

21. A tubular-organ expansion apparatus according to claim 16, wherein at least one of the outside diameter of the base portion of said catheter and the outside diameter of the distal end portion of said catheter are larger than the outside diameter of said tubular-organ expansion unit attached to said tubular-organ expansion unit attaching portion of said catheter when said tubular-organ expansion unit is in the unexpanded state.

22. A tubular-organ expansion apparatus according to claim 17, wherein said catheter is provided with at least one X-ray non-transmission marker in the vicinity of the distal end portion of said catheter.

23. A tubular-organ expansion apparatus according to claim 22, wherein said catheter sheath includes at least one of:

an X-ray non-transmission material; and

said at least one X-ray non-transmission marker positioned in the vicinity of the distal end portion of the catheter.

24. A tubular-organ expansion apparatus according to claim 16, wherein said catheter sheath comprises:

a sheath lumen extending between the first and second open end portions thereof; and

a hollow hub including a hub lumen provided on the base portion of the catheter; and

a check valve is positioned in the hollow hub for controlling fluid communicating between said sheath lumen and said hub lumen.

25. A method of medically treating a lumen of a tubular body organ, comprising:

indwelling a tubular-organ expansion unit having a given X-ray contrast into the lumen of the tubular body organ, said tubular-organ expansion unit being defined substantially by a shape memory alloy having a cylindrical tubular body, a diameter of said tubular body changing in size in response to a change in temperature;

attaching said tubular-organ expansion unit to a periphery of a unit-attaching portion of a catheter having a distal end portion, said unit attaching portion being positioned in the vicinity of the distal end portion of the catheter;

sheathing the thus attached tubular-organ expansion unit and catheter unit attaching portion in a catheter sheath having first and second open end portions;

then inserting the thus sheathed tubular organ expansion unit attached to the catheter into a desired location of the tubular organ, said catheter and said tubular-organ expansion unit being projectable out of said catheter sheath; and

then expanding the tubular-organ expansion unit with heat of the body organ to thereby indwell said tubular-organ expansion unit into said desired location; and

enhancing the X-ray contrast of at least a portion of said tubular-organ expansion unit relative for said given X-ray contrast of said tubular-organ expansion unit.

26. A method for medically treating a lumen of a tubular body organ, comprising:

indwelling a tubular-organ expansion unit into the lumen of the tubular-body organ, said tubular-organ expansion unit being defined substantially by a bidirectional shape memory alloy having a cylindrical tubular body, a diameter of said tubular body changing diametrically in size in response to a change in temperature;

attaching said tubular-organ expansion unit to a periphery of a unit-attaching portion of a catheter having a distal end portion, said unit attaching portion being positioned in the vicinity of the distal end portion of the catheter;

forming a sheath of the catheter to have an inside diameter which is no longer than an outside diameter of the tubular-organ expansion unit when said tubular-organ expansions unit is in an expanded state, said catheter sheath having first and second open end portions;

sheathing the thus attached tubular-organ expansion unit and the unit attaching portion in the catheter sheath;

then inserting the thus sheathed tubular-organ expansion unit attached to the catheter through a lumen of a guiding catheter previously indwelt in the tubular organ into a desired location of the tubular organ;

projecting said catheter and said tubular-organ expansion unit out of said catheter sheath; and

then expanding the tubular-organ expansion unit with heat of the body organ to thereby indwell said tubular-organ expansion unit into said desired location.

27. A medical treatment method according to claim 26, further comprising:

inserting the sheathed tubular-body expansion unit into a location in the body organ where said tubular-organ expansion unit is to be indwelt;

shrinking the size of the tubular-organ expansion unit by feeding a cool fluid thereto from at least one of said catheter sheath and said catheter in order to shrink the tubular-body expansion unit around said unit-attaching portion of said catheter, said cool fluid being cooler than body temperature;

projecting said distal end portion of said catheter with the sheathed tubular-organ expansion unit shrunk therearound out of said catheter sheath; and

subsequently drawing the tubular-organ expansion unit, together with said catheter, inside the catheter sheath.

28. A method of medically treating a lumen of a tubular body organ comprising:

indwelling a tubular-organ expansion unit having a given X-ray contrast into the lumen of the tubular-body organ, said tubular organ expansion unit being defined substantially by a shape memory alloy having a cylindrical tubular body, a diameter of said tubular body changing in size in response to a change in temperature;

attaching said tubular-organ expansion unit to a periphery of a unit-attaching portion of a catheter having a distal end portion, said unit attaching portion being positioned in the vicinity of the distal end portion of said catheter;

sheathing the thus attached tubular-organ expansion unit and catheter unit attaching portion in a catheter sheath having first and second open end portions;

then inserting the thus sheathed tubular-organ expansion unit attached to the catheter through a lumen of a guiding catheter previously indwelt in the tubular organ into a desired location of the tubular organ, said catheter and said tubular-organ expansion unit being projectable out of said catheter sheath;

expanding the tubular-organ expansion unit with heat of the body organ to thereby indwell said tubular-organ expansion unit into said desired location; and

enhancing the X-ray contrast of at least a portion of said tubular-organ expansion unit relative to said given X-ray contrast of said tubular-organ expansion unit.

29. A method of medically treating a lumen of a tubular body organ comprising:

indwelling a tubular-organ expansion unit into the lumen of the tubular-body organ, said tubular-organ expansion unit being defined substantially by a bidirectional shape memory alloy having a cylindrical tubular body, a diameter of said tubular body changing in size in response to a change in temperature;

attaching said tubular-organ expansion unit to a periphery of a unit-attaching portion of a catheter having a distal end portion, said unit attaching portion being positioned in the vicinity of the distal end portion of the catheter;

forming a sheath for the catheter to have an inside diameter which is no larger than an outside diameter of the tubular-organ expansion unit when said tubular-organ expansion unit is in an expanded state;

said catheter sheath having first and second open end portions;

sheathing the thus attached tubular-organ expansion unit and catheter unit attaching portion in the catheter sheath;

then inserting the thus sheathed tubular organ expansion unit attached to the catheter into a desired location of the tubular organ, said catheter and said tubular-organ expansion unit being projectable out of said catheter sheath; and

then expanding the tubular-organ expansion unit with heat of the body organ to thereby indwell said tubular-organ expansion unit into said desired location.

30. The medical treatment method according to claim 29, wherein:

after the combination of said catheter and said catheter sheath is inserted through the lumen of a guiding catheter previously indwelt in the tubular organ, into a location where said tubular-organ expansion unit is to be indwelt, the distal end portion of said catheter with the tubular-organ expansion unit attached thereto is projected out of said catheter sheath;

then reducing the size of said tubular-organ expansion unit by feeding a cool fluid from at least one of said catheter sheath and said catheter in order to shrink said tubular-organ expansion unit around the unit-attaching portion of said catheter, said cool fluid being cooler than body temperature; and

then withdrawing said tubular-organ expansion unit, together with said catheter, inside the catheter sheath.