Heated balloon catheter

• US 5,344,398 A
• Filed: 02/19/1993
• Issued: 09/06/1994
• Est. Priority Date: 02/25/1992
• Status: Expired due to Fees

• Current Assignee: Japan Crescent Co. Ltd.
• Original Assignee: Japan Crescent Co. Ltd.
• Inventors: Hara, Shinji
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): ELGART, VANITHA M
• Application Number:
  US08/019,664
• Time in Patent Office: 564 Days
• Field of Search: 128/400, 128/401, 128/658, 604/20, 604/21, 604/30, 604/31, 604/67, 604/113, 604/102, 604/103, 604/96, 606/28, 606/174, 606/27, 606/172, 606/29, 606/31
• US Class Current: 604/97.01
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2017/00092 using thermocouples
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• CPC Class Codes: A61B 2017/22001 Angioplasty, e.g. PCTA
• CPC Class Codes: A61B 2017/22062 to be filled with liquid
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00422 Angioplasty
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61M 2205/36 related to heating or cooling
• CPC Class Codes: A61M 25/104 used for angioplasty
• CPC Class Codes: A61N 1/403 for thermotherapy, e.g. hyperthermia

Abstract

A heated balloon catheter for treatment of constricted zones of body fluid passages by applying heat and pressure to the constricted zone. The heat is generated by transmitting, to an antenna within a balloon carried by the catheter, radio frequency energy of about 13.56 MHz. Measuring the temperature of the balloon inflating fluid and controlling the temperature of the balloon inflating fluid to prevent overheating of the zone being treated and providing an alarm if the balloon leaks or bursts.

Claims

1. A heated balloon catheter for treatment of constricted zones of body fluid passages by applying heat and pressure to the constricted area comprising:

a catheter and a balloon secured to the distal end of the catheter, said balloon defining an internal volume communicating with at least one longitudinal passage in the catheter,

means for directing pressurized fluid to and from the internal volume of said balloon through said at least one longitudinal passage,

heat sensing means for the fluid in the balloon, electrical conductors connecting the heat sensing means with an external temperature controller.

an internal electrode within the balloon,

an external electrode outside the balloon, said external electrode being in contact with a patient body,

an R.F. generator external to the catheter, and electrical conductors connecting the R.F. generator to the internal and external electrodes to provide capacitive heating of the tissue surrounding said balloon, and

control means for maintaining a temperature in the zone of constriction not greater than a protein denaturation temperature.

2. The heated balloon catheter, as defined in claim 1, wherein the temperature is not greater than 42°

C.

3. The heated balloon catheter, as defined in claim 1, wherein the temperature is maintained between 39°

-62°

C.

4. The heated balloon catheter, as defined in claim 1, wherein the energy for heating the fluid contained in the balloon and the zone surrounding the balloon is radio frequency in the order of 13.56 MHz.

5. The catheter, as defined in claim 4, wherein the outside diameter of the balloon can be increased from about 1.5 mm to 10.0 mm upon inflation.

6. The catheter, as defined in claim 5, wherein the balloon is inflated with a solution of about 0.9% sodium chloride and water.

7. The invention defined in claim 5, wherein the balloon is inflated with an angiographic reagent.

8. The invention defined in claim 5;

wherein the inflating fluid is heated to about 39-62°

C.

9. The invention, as defined in claim 4, further comprising a temperature sensing and control apparatus wherein a desired fluid temperature is compared with a measured temperature of the fluid, and the power output of the R.F. generator is increased or decreased by said temperature sensing and control apparatus based upon a comparison between the desired and measured temperatures.

10. The invention, as defined in claim 9, wherein the temperature sensing and control apparatus contains a microprocessor which receives data relating to the R.F. power output, the desired fluid temperature, and the measured temperature and, with the use of stored heat distribution data, controls the timing interval of the R.F. energy on/off cycle.

11. The invention defined in claim 1, further including an alarm activated by balloon breakage or balloon leakage.

12. The invention defined in claim 11, further including a cooling fluid circulating pump and means for automatically stopping said pump if the balloon ruptures.

13. The invention, as defined in claim 11, further comprising a sensor housing, a sensor balloon in fluid communication with said catheter balloon, and a pressure-sensitive balloon switch, said sensor balloon and said balloon switch being mounted within said housing such that, upon leakage of fluid from said catheter balloon, said sensor balloon will deflate thereby actuating the pressure sensitive switch.

14. The invention defined in claim 13, wherein a wall of the sensor balloon actuates and deactivates said pressure-sensitive switch by engaging a movable contact member on said pressure sensitive switch.

15. The invention, as defined in claim 11, further including a small reservoir and high-pressure pump, said high pressure pump being used to circulate coolant to the balloon and to pressurize the balloon and said longitudinal passage, said small reservoir for the circulating coolant, said reservoir having a volume in the order of 3 cc to thereby limit the fluid volume which may be injected into the body upon balloon failure.