Drug loaded elastic membrane and method for delivery

• US 5,707,385 A
• Filed: 11/16/1994
• Issued: 01/13/1998
• Est. Priority Date: 11/16/1994
• Status: Expired due to Term

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Advanced Cardiovascular Systems Incorporated
• Inventors: Williams, Michael S.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): SMITH, CHALIN A
• Application Number:
  US08/340,717
• Time in Patent Office: 1,154 Days
• Field of Search: 604/96, 604/104, 604/171, 604/264, 604/265, 604/280, 604/282, 606/1, 606/108, 606/190-194, 606/198, 623/1, 623/11, 623/12
• US Class Current: 606/192
• CPC Class Codes: A61F 2/92 Stents in the form of a rolled-up sheet expanding after insertion into the vessel , e.g. with a spiral shape in cross-section
• CPC Class Codes: A61F 2210/0076 multilayered, e.g. laminated structures
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: A61F 2230/0013 Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61M 2025/0183 Rapid exchange or monorail catheters
• CPC Class Codes: A61M 31/00 Devices for introducing or retaining media, e.g. remedies, in cavities of the body A61M25/00 takes precedence ; introducing or retaining ophthalmic products into the ocular cavities A61F9/0008

Abstract

An expandable sheath is provided for delivering a therapeutic drug in a body lumen which comprises an expandable membrane with a therapeutic drug incorporated therein. The expandable membrane is in a cylindrical configuration and mounted on the balloon portion of a catheter for intraluminal drug delivery into a patient'"'"'s vascular system. The expandable membrane may also be mounted on an intravascular stent, both of which are implanted within the patient'"'"'s vascular system. The therapeutic drug then diffuses into the vascular system at a controlled rate to match a specific clinical need.

Claims

1. An expandable sheath for delivering a therapeutic drug in a body lumen, comprising:

an expandable membrane in the form of a cylindrical member and having a first end and a second end;

a therapeutic drug combined with said expandable membrane;

means for intraluminally delivering and expanding said expandable membrane in the body lumen so that said therapeutic drug can be eluted at a specific site in the body lumen;

said expandable membrane further comprises a first layer and a second layer, said first layer and said second layer are bonded together along their edges to form a reservoir between the two layers;

a plurality of apertures formed in said first layer by a laser when said expandable membrane is in a stretched condition;

said therapeutic drug is loaded into said reservoir through said apertures when said membrane is in said stretched condition; and

said expandable membrane retains said therapeutic drug within said reservoir when said membrane is in a relaxed condition;

whereby said membrane is rolled into a cylinder so that said first edge and said second edge overlap and are attached to each other.

2. The expandable sheath of claim 1, wherein said membrane is rolled into a cylinder so that said first edge and said second edge abut and are attached to each other.

3. The expandable sheath of claim 1, wherein said expandable membrane is attached to a balloon portion of a catheter for intravascular transport and delivery to a specific site in the body lumen.

4. The expandable sheath of claim 3, wherein said balloon portion of said catheter expands, thereby expanding said expandable membrane and forcing said therapeutic drug in said reservoir to diffuse through said apertures and into the lumen wall.

5. An expandable sheath for delivering a therapeutic drug in a body lumen, comprising:

an expandable membrane having a first layer and a second layer, said first layer and said second layer affixed to each other along their edges to form a drug-containing reservoir between the two layers;

a plurality of apertures on said first layer through which the therapeutic drug can diffuse from within said drug-containing reservoir, said plurality of apertures remaining open when said first layer is in a stretched condition and said apertures tightly closing when said first layer is in a relaxed condition; and

a catheter having a proximal end and a distal end, the catheter further having an expandable balloon portion at the distal end and an intravascular stent mounted thereon, said expandable membrane is affixed to said stent by rolling said expandable membrane to form a cylinder around said intravascular stent.

6. The expandable sheath of claim 5, wherein said expandable balloon is expanded from a first diameter to a second enlarged diameter thereby expanding said stent and said expandable membrane so that said stent and said expandable membrane are implanted in the body lumen.

7. The expandable sheath of claim 6, wherein said plurality of apertures on said first layer open when said expandable membrane is expanded by said expandable balloon and intravascular stent, so that as said plurality of apertures open the therapeutic drug will diffuse from within said drug-containing reservoir to said body lumen.

8. An expandable sheath for delivering a therapeutic drug in a body lumen, comprising:

an expandable membrane having a first layer and a second layer, said first layer and said second layer affixed to each other along their edges to form a drug-containing reservoir between the two layers;

a plurality of apertures on said first layer through which the therapeutic drug can diffuse from within said drug-containing reservoir, said plurality of apertures remaining open when said first layer is in a stretched condition and said apertures tightly closing when said first layer is in a relaxed condition; and

a catheter having a proximal end and a distal end, the catheter further having an expandable balloon portion at its distal end and an intravascular stent mounted thereon, said expandable membrane is affixed to said stent by rolling said expandable membrane to form a cylinder around said intravascular stent;

said second layer has an inner surface in contact with blood flow, said inner surface loaded with a sustained release antithrombotic drug for diffusing into the blood at a predetermined rate.