Drug delivery and dilatation catheter having a reinforced perfusion lumen

• US 5,421,826 A
• Filed: 01/13/1994
• Issued: 06/06/1995
• Est. Priority Date: 04/29/1992
• Status: Expired due to Term

• Current Assignee: CardioVascular Dynamics, Inc. (Radiance Medical Systems, Inc.)
• Original Assignee: CardioVascular Dynamics, Inc. (Radiance Medical Systems, Inc.)
• Inventors: Henson, Michael R., Crocker, Michael D., Chum, Muny
• Primary Examiner(s): MCDERMOTT, CORRINE MARIE
• Application Number:
  US08/181,399
• Time in Patent Office: 509 Days
• Field of Search: 606/108, 606/191, 606/192, 606/194, 604/53, 604/96, 604/101, 604/282, 604/102
• US Class Current: 604/509
• 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

An improved 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, an inflation balloon disposed about a catheter body. In a drug delivery embodiment, a perforated drug delivery balloon is disposed concentrically about the inflation balloon. In another embodiment, the two balloons are heat sealed together at the distal and proximal ends of the catheter body. 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 describing the intraluminal delivery of drugs to a site specific location are also disclosed, including the delivery of a drug to a vascular area before, during or after a conventional PTCA procedure.

Claims

1. A method of treating a preselected vascular site, comprising the steps of:

providing a treatment catheter having an inner inflation balloon in communication with an inflation lumen extending through the catheter and an outer delivery balloon, said balloons exhibiting an inflated profile having a central generally cylindrical section and proximal and distal generally conical sections, wherein the inflation balloon and delivery balloon are sealed together at the proximal and distal conical sections;

positioning the treatment catheter so that the delivery balloon is adjacent the preselected vascular site;

at least partially inflating the inflation balloon to bring the delivery balloon into contact with the vascular site; and

initiating flow of a treatment media through the catheter, into the delivery balloon and permitting treatment media to escape from the delivery balloon.

2. A method of treating a preselected vascular site as in claim 1, wherein the partial inflation pressure of said inflation balloon is between about 0.4 ATM and 1.5 ATM.

3. A method of treating a preselected vascular site as in claim 1, further comprising the steps of:

halting the flow of the treatment media; and

inflating said inflation balloon to a fully inflated pressure to dilate said preselected vascular site.

4. A method of treating a preselected vascular site as in claim 3, wherein the fully inflated pressure of said inflation balloon is preferably between about 2 ATM and 12 ATM.

5. A method of treating a preselected vascular site as in claim 1, further comprising the step of:

supplying a flow of treatment media through the catheter and into the delivery balloon while said inflation balloon is inflated to a fully inflated pressure to dilate said preselected vascular site.

6. A method of treating a preselected vascular site as in claim 5, wherein the fully inflated pressure of said inflation balloon is preferably between about 2 ATM and 12 ATM.

7. A drug delivery, balloon dilatation and perfusion catheter, comprising:

an elongate catheter body, having proximal and distal ends;

an inflation balloon on the distal end of the catheter body, said inflation balloon having proximal and distal ends;

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;

a bypass conduit extending through the inflation balloon and the delivery balloon, for permitting perfusion through the inflation and delivery balloons, said bypass conduit having proximal and distal ends and a spring coil wall, and the distal end of the bypass conduit extends distally beyond the distal end of the catheter body;

a proximal annular seal between the inflation balloon and the delivery balloon; and

a distal annular seal between the inflation balloon and the delivery balloon; and

wherein deflation of the inflation balloon causes a reduction in the exterior profile of the delivery balloon.

8. A drug delivery, balloon dilatation and perfusion catheter as in claim 7, further comprising a proximal guide wire access port, a distal guide wire access port, and a guide wire lumen extending through the catheter body, connecting the proximal and distal guide wire access ports.

9. A drug delivery, balloon dilatation and perfusion catheter as in claim 8, wherein said proximal guide wire access port is positioned on the catheter body in between the proximal and distal ends thereof.

10. A drug delivery, balloon dilatation and perfusion catheter as in claim 8, wherein said bypass conduit functions as the guide wire lumen.

11. A drug delivery, balloon dilatation and perfusion catheter as in claim 7, further comprising a tubular sheath surrounding the spring coil, and extending within the inflation balloon.