Method for angioplasty

• US 5,226,430 A
• Filed: 05/24/1991
• Issued: 07/13/1993
• Est. Priority Date: 10/24/1984
• Status: Expired due to Fees

• Current Assignee: Beth Israel Hospital
• Original Assignee: Beth Israel Hospital
• Inventors: Spears, J. Richard, Bourgelais, Donna
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US07/705,094
• Time in Patent Office: 781 Days
• Field of Search: 606/7, 606/15, 606/28, 606/194, 606/14, 606/27, 606/192, 606/194, 606/162, 128/401, 128/898, 604/96
• US Class Current: 128/898
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/245 for removing obstructions in blood vessels or calculi
• CPC Class Codes: A61B 2017/22002 preventing restenosis
• CPC Class Codes: A61B 2017/22061 for spreading elements apart
• CPC Class Codes: A61B 2017/22062 to be filled with liquid
• CPC Class Codes: A61B 2017/22064 transparent liquid
• CPC Class Codes: A61B 2018/00559 Female reproductive organs
• CPC Class Codes: A61B 2018/046 in liquid form
• CPC Class Codes: A61B 2018/068 none of the reactants being oxygen
• CPC Class Codes: A61F 2/06 Blood vessels
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

The region surrounding the balloon utilized in percutaneous transluminal coronary angioplasty is heated by means within the balloon or within the skin of the balloon upon inflation of the balloon such that disrupted tissues of the plaque in the arterial wall are heated in order to fuse together fragmented segments of tissue and to coagulate blood trapped within dissected planes of tissue and within fissures created by wall fracture such that upon subsequent balloon deflation a smooth cylindrically-shaped channel results, thereby to prevent collapse of any flap of material which could cause either abrupt arterial closure and an acute myocardial infarction or gradual restenosis at the site of balloon inflation.

Claims

1. A Method for transluminal angioplasty of a stenosed artery comprising the steps of:

applying sufficient outward pressure to a selected stenosed region of the artery to form an enlarged channel therethrough, the outward pressure being applied with an expandable device; and

applying sufficient energy to the stenosed region to cause the stenosed region to be heated sufficiently to substantially maintain said enlarged channel after removal of outward pressure, said energy being applied to substantially the entire circumference of the stenosed region of the artery simultaneously.

2. A method as defined in claim 1 wherein the step of applying energy is performed after sufficient outward pressure has been applied to the stenosed region to form an enlarged channel therethrough.

3. A method for treatment of a body passage comprising the steps of:

expanding an expandable device at a selected site within a body passage to form an enlarged lumen through the body passage; and

while the expandable device is expanded to form an enlarged lumen, providing heat to the selected site within the body passage, said heat being provided at a level sufficient to fuse the tissue, said level being below the vaporization threshold of the tissue, and said heat being provided to substantially the entire circumference of the body passage simultaneously.

4. A method for treatment of a body passage comprising the steps of:

expanding a selected region of a body passage with an expandable device to form an enlarged lumen through the body passage; and

heating substantially the entire circumference of the selected region simultaneously, the selected region being heated sufficiently to substantially maintain the enlarged lumen after removal of the expandable device.

5. A method as defined in claim 4 wherein said body passage comprises a blood vessel.

6. A method as defined in claim 4 wherein the step of heating the selected region is performed after an enlarged lumen has been formed through the body passage.

7. A method for treatment of a body passage comprising the steps of:

compressing the tissue in a selected region of the body passage with an expandable device; and

applying energy to the selected region at a level sufficient to fuse the compressed tissue in the selected region, said level being below the vaporization threshold of the tissue and said energy being applied to substantially the entire circumference of the body passage simultaneously.