Delivery and temporary stent catheter having a reinforced perfusion lumen

• US 5,368,566 A
• Filed: 04/29/1992
• Issued: 11/29/1994
• Est. Priority Date: 04/29/1992
• Status: Expired due to Term

• Current Assignee: Cardio Vascular Dynamics Co.
• Original Assignee: CardioVascular Dynamics, Inc. (Radiance Medical Systems, Inc.)
• Inventors: Crocker, Michael
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): Maglione, C.
• Application Number:
  US07/875,966
• Time in Patent Office: 944 Days
• Field of Search: 606/191, 606/192, 606/194, 606/108, 604/96, 604/101, 604/282, 604/102
• US Class Current: 604/101.02
• 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 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2250/0067 Means for introducing or releasing pharmaceutical products into the body
• CPC Class Codes: A61M 2025/0057 Catheters delivering medicament other than through a conventional lumen, e.g. porous walls or hydrogel coatings
• CPC Class Codes: A61M 2025/0183 Rapid exchange or monorail catheters
• CPC Class Codes: A61M 2025/1013 with concentrically mounted balloons, e.g. being independently inflatable
• 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 2025/1061 having separate inflations tubes, e.g. coaxial tubes or tubes otherwise arranged apart from the catheter tube
• CPC Class Codes: A61M 2025/1079 having radio-opaque markers in the region of the balloon
• CPC Class Codes: A61M 25/0043 characterised by structural features
• CPC Class Codes: A61M 25/005 with embedded materials for reinforcement, e.g. wires, coils, braids
• CPC Class Codes: A61M 25/0052 Localized reinforcement, e.g. where only a specific part of the catheter is reinforced, for rapid exchange guidewire port
• CPC Class Codes: A61M 25/09041 Mechanisms for insertion of guide wires
• CPC Class Codes: A61M 25/1006 Balloons formed between concentric tubes
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

Disclosed in an improved temporary stent and drug delivery catheter, for use in the prevention of restenosis of a dilated vascular region, and/or for use in the delivery of a medication to a preselected vascular site. The catheter comprises an elongate body, a perfusion conduit laterally offset from the axis of the catheter body, and an inflation balloon disposed about the perfusion conduit and at the end of the catheter body. In a drug delivery embodiment, a perforated drug delivery balloon is disposed concentrically about the inflation balloon. A first lumen extends through the catheter body for communicating with the inflation balloon, and a second lumen extends through the body for communicating with the drug delivery balloon. Methods of preventing restenosis during a post procedure observation period and of drug delivery to the vascular intima are also disclosed.

Claims

1. A temporary stent for maintaining patency of a body lumen while permitting perfusion of fluid through the lumen, comprising:

an elongate catheter body;

an inflatable balloon on the distal end of the catheter body; and

at least one perfusion conduit extending through the inflatable balloon, the wall of said perfusion conduit further comprising a spring coil;

wherein the longitudinal axis of the perfusion conduit is laterally offset from the longitudinal axis of the adjacent catheter body by a distance which exceeds the radius of the adjacent portion of the elongate catheter body.

2. A temporary stent as in claim 1, wherein the internal diameter of the perfusion conduit is at least about 0.030 inches in a catheter having a deflated profile through the balloon of no more than about 0.060 inches.

3. A temporary stent as in claim 1, wherein the proximal end of the inflation balloon surrounds both the catheter body and the perfusion conduit wall, and the distal end of the inflation balloon surrounds only the perfusion conduit wall.

4. A temporary stent as in claim 1, wherein the perfusion conduit wall further comprises a tubular coating around the spring coil.

5. A temporary stent as in claim 1, further comprising a drug delivery balloon disposed concentrically about the inflation balloon.

6. A temporary stent as in claim 5, wherein said catheter body comprises a first inflation lumen for inflating the inflation balloon and a second drug delivery lumen for delivering drug to the drug delivery balloon, and said first and second lumen extend side by side throughout the catheter body.

7. A temporary stent as in claim 5, wherein said catheter body comprises a first inflation lumen for inflating the inflation balloon and a second drug delivery lumen for delivering drug to the drug delivery balloon, and one of said first and second lumen extends concentrically within the other of said lumen.

8. A temporary stent as in claim 1, wherein the perfusion conduit is disposed adjacent at least a portion of the catheter body.

10. A delivery catheter as in claim 1, wherein the delivery balloon extends coaxially about the inflation balloon.

11. A delivery catheter as in claim 1, further comprising a wire receiving lumen extending throughout at least a portion of the axial length of the catheter.

9. A delivery catheter for delivering a quantity of a liquid or gas to a preselected site in a body lumen, comprising:

an elongate catheter body;

an inflation balloon on the distal end of the catheter body;

a delivery balloon on the catheter, disposed adjacent the inflation balloon;

a first lumen extending through the catheter for communication with the inflation balloon;

a second lumen extending through the catheter for communication with the delivery balloon; and

a bypass conduit extending through the inflation balloon and the delivery balloon, the wall of said bypass conduit further comprising a spring coil;

wherein the longitudinal axis of the bypass conduit is generally parallel to and laterally offset from the elongate catheter body.

12. A delivery catheter for delivering a quantity of a liquid or gas to a preselected site in a body lumen, comprising:

an elongate catheter body;

an inflation balloon on the distal end of the catheter body;

a delivery balloon on the catheter, disposed adjacent the inflation balloon;

a first lumen extending through the catheter for communication with the inflation balloon;

a second lumen extending through the catheter for communication with the delivery balloon; and

a bypass conduit extending through the inflation balloon and the delivery balloon, said the bypass conduit comprising a support structure for resisting radial compression of the bypass conduit;

wherein the longitudinal axis of the bypass conduit is generally parallel to and laterally offset from the elongate catheter body.