Temporary stenting catheter with one-piece expandable segment

• US 5,456,667 A
• Filed: 05/20/1993
• Issued: 10/10/1995
• Est. Priority Date: 05/20/1993
• Status: Expired due to Term

• Current Assignee: Advanced Cardiovascular Systems Incorporated (Abbott Laboratories)
• Original Assignee: Advanced Cardiovascular Systems Incorporated (Abbott Laboratories)
• Inventors: Khosravi, Farhad, Garrison, Michi E., Ham, Kevin
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): SMITH, CHALIN A
• Application Number:
  US08/064,966
• Time in Patent Office: 873 Days
• Field of Search: 604/93, 604/102, 604/104-109, 604/280, 604/282, 604/96, 604/49-53, 604/171, 604/175, 606/108, 606/191, 606/192, 606/194, 606/198, 623/1, 623/11, 623/12
• US Class Current: 604/107
• CPC Class Codes: A61M 2025/0183 Rapid exchange or monorail catheters
• CPC Class Codes: A61M 2025/1097 with perfusion means for enabling blood circulation only while the balloon is in an inflated state, e.g. temporary by-pass within balloon
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 25/0082 Catheter tip comprising a tool
• CPC Class Codes: A61M 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

An intravascular catheter with an expandable region formed of a tubular material that continues the distal end of the catheter body in a one-piece configuration and is radially expanded and contracted by means of a control wire. The interior of the expandable region is in fluid communication with a lumen in the catheter body to allow the delivery of a fluid to the artery via openings in the surface of the expandable region. The catheter is particularly adapted to hold open an artery after a vascular procedure therein such as a balloon or other type of angioplasty, and if desired to introduce a therapeutic drug or other fluid to the site of the vascular procedure.

Claims

1. An intravascular catheter for maintaining the patency of an arterial vasculature for an extended period, the catheter comprising:

a) a catheter body having a proximal end and a distal end, said catheter body also having a first inner lumen and a second inner lumen extending therethrough from a proximal guidewire port to a distal guidewire port which is adapted to receive a guidewire therein;

b) an expandable region having a proximal end and a distal end, said expandable region formed from said distal end of said catheter body in a one-piece configuration, said distal end of said expandable region having a passageway for the passage of said guidewire therethrough;

c) a flexible tubular guide element extending through said expandable region and having an interior in communication with said second inner lumen of said catheter body and adapted to receive said guidewire therein; and

d) a control wire disposed within said first inner lumen of said catheter body having a distal end attached to said distal end of said expandable region and having means on said proximal end of said catheter body to move said control wire axially for adjusting the axial distance between said proximal and distal ends of said expandable region thereby adjusting the radial dimension of said expandable region; and

e) said expandable region comprises a continuation of the catheter body having voids formed therein.

2. The intravascular catheter of claim 1 wherein said expandable region comprises a continuation of the catheter body having voids formed therein.

3. The intravascular catheter of claim 1 wherein, said expandable region has an interior lumen in fluid communication with said first inner lumen, said first inner lumen also in fluid communication with a port near said proximal end of said catheter body, said port providing for the introduction of a therapeutic fluid into said intravascular catheter for delivery to the artery.

4. The intravascular catheter of claim 1 wherein, said second inner lumen is defined at least in part by a sidewall section of said catheter body with said proximal guidewire port extending through said sidewall section.

5. The intravascular catheter of claim 4 wherein, said sidewall section has a longitudinally extending slit therein which facilitates the rapid removal of said catheter from said guidewire.

6. The intravascular catheter of claim 5 wherein, said longitudinally extending slit extends distally from said proximal guidewire port to a location proximally adjacent said distal end of said second inner lumen.

7. The intravascular catheter of claim 1 wherein, said proximal guidewire port of said second inner lumen is positioned about 20 cm to about 50 cm from said distal end of said expandable region.

8. The intravascular catheter of claim 1 wherein, a third inner lumen is provided in said catheter body which extends from said proximal end of said catheter body to a location proximal to said proximal guidewire port of said second inner lumen.

9. The intravascular catheter of claim 8 wherein, said third inner lumen has a stiffening element disposed therein.

10. The intravascular catheter of claim 1 wherein, said expandable region has a radiopaque material disposed therein.

11. The intravascular catheter of claim 1 wherein, said expandable region and said catheter body are made of stainless steel.

12. The intravascular catheter of claim 1 wherein, said expandable region and said catheter body are made of a nickel titanium alloy.

13. The intravascular catheter of claim 1 wherein, said expandable region and said catheter body are made of a polymer tubing.

14. A method for repairing an arterial vasculature having an occluded or partially occluded portion, comprising:

a) providing a catheter having

i) a catheter body having a first inner lumen and a second inner lumen extending from a proximal guidewire port to a distal guidewire port which is adapted to receive a guidewire therein, said guidewire having a proximal end and a distal end;

iii) an expandable region having a proximal end and a distal end, said expandable region formed from said distal end of said catheter body in a one-piece configuration, said distal end of said expandable region having a passageway for the passage of said guidewire therethrough, said expandable region comprising a continuation of the catheter body having voids therein;

iv) a flexible tubular guide element extending through said expandable region and having an interior in communication with said second inner lumen of said catheter body and adapted to receive said guidewire therein; and

v) a control wire disposed within said first inner lumen of said catheter body having a distal end attached to said distal end of said expandable region and having control means on a proximal end of said catheter body to move said control wire axially so as to adjust the axial distance between said proximal and distal ends of said expandable region and thereby adjust the radial dimension of said expandable region;

b) advancing said guidewire through said passageway provided in said expandable region, through said flexible tubular guiding element within said expandable region, through said second inner lumen of said catheter body, and out said proximal guidewire port;

c) positioning said distal end of said guidewire in the arterial vasculature across the site of the occlusion;

d) advancing said catheter body over said guidewire until said expandable region is positioned across the site of the occlusion; and

e) manipulating said control means to move said control wire proximally thereby expanding said expandable region.