Balloon expandable temporary radioisotope stent system

• US 5,730,698 A
• Filed: 05/09/1995
• Issued: 03/24/1998
• Est. Priority Date: 05/09/1995
• Status: Expired due to Fees

• Current Assignee: David R. Fischell, Robert E. Fischell, Tim A. Fischell
• Original Assignee: David R. Fischell, Robert E. Fischell, Tim A. Fischell
• Inventors: Fischell, David R., Fischell, Robert E., Fischell, Tim A.
• Primary Examiner(s): Lacyk, John P.
• Assistant Examiner(s): HUANG, STEPHEN D
• Application Number:
  US08/437,400
• Time in Patent Office: 1,050 Days
• Field of Search: 600/1-7, 604/102, 604/108, 604/95-97, 604/160, 604/194, 604/198, 604/22, 604/28, 606/8, 606/159, 606/191, 606/194-198, 606/200
• US Class Current: 600/3
• CPC Class Codes: A61F 2/86 Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2220/0033 made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2230/005 Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61N 2005/1004 having expandable radiation sources
• CPC Class Codes: A61N 2005/1021 Radioactive fluid
• CPC Class Codes: A61N 5/1002 Intraluminal radiation therapy

Abstract

An expandable temporary stent system (10) is provided for creating a temporary stent within a vessel of a human body and includes an over-the-wire balloon angioplasty catheter (20) having a central lumen (26) and a distal section having an inflatable balloon (23). The balloon angioplasty catheter (20) has a proximal section that remains outside the body. A stent assembly (30) is slidably mounted on the balloon angioplasty catheter (20) in a coaxial manner and has a proximal section as well as a distal section where a temporary stent (31) is located at the distal section. The distal end of the stent assembly (30) is fixed to the distal section of the balloon angioplasty catheter (20). The proximal end of the temporary stent (31) is fixed to a distal end of a pusher tube (32). The pusher tube (32) cooperates with the proximal section of the balloon angioplasty catheter (20) and allows the temporary stent (31) to be reversibly deployed in a radial outward manner responsive to inflation of the balloon and, retracted so that the temporary stent (31) reforms around the balloon (23) of the balloon angioplasty catheter (20) for providing blood flow through the vessel and removal of the system from the vessel of the human body.

Claims

1. A system for creating a temporary stent within a vessel of a human body, the system comprising:

an over-the-wire balloon angioplasty catheter having a central lumen and a distal section having an inflatable balloon, the balloon angioplasty catheter having a proximal section that remains outside the body; and

,

a stent assembly slideably mounted onto the balloon angioplasty catheter in a coaxial relationship and having a proximal section and a distal section at which distal section is located a temporary stent whose distal end is fixedly attached to the distal section of the balloon angioplasty catheter, said balloon being fixedly secured to said distal section of said balloon angioplasty catheter, whereby said balloon and said temporary stent are fixedly positioned each to the other, the temporary stent'"'"'s proximal end being fixedly attached to a distal end of an elongated pusher tube for cooperative positional relationship of said balloon and said temporary stent the pusher tube being adapted to cooperate with the proximal section of the balloon angioplasty catheter to cause the temporary stent to be reversibly deployed (1) radially outward responsive to inflation of said balloon and, (2) retracted so that the temporary stent reforms around the balloon of the balloon angioplasty catheter for providing blood flow through said vessel and removal of the system from the vessel of the human body.

2. The system of claim 1 further including a flexible guide wire that passes through the central lumen of the balloon angioplasty catheter.

3. The system of claim 1 wherein the temporary stent is formed from a multiplicity of metal spokes.

4. The system of claim 3 wherein the spokes prior to deployment are straight and extend in a longitudinal direction.

5. The system of claim 3 wherein each spoke is formed into a helical coil contour.

6. The system of claim 1 further comprising a radiation shield placed over the stent assembly.

7. The system of claim 1 wherein the stent assembly has a Tuohy-Borst fitting located at its proximal section.

8. The system of claim 1 wherein a least part of the temporary stent includes a radioisotope.

9. The system of claim 8 wherein the radioisotope emits beta particles.

10. The system of claim 8 wherein inflation of the balloon causes the spokes of the temporary stent to be deployed in a radially outward direction thereby causing dilatation and irradiation of a stenosis.

11. The system of claim 8 wherein the pusher tube remains in its most forward position to maintain an outward deployment of the radioisotope stent spokes while the balloon is deflated so that blood can pass through a space between a deployed temporary stent and the deflated balloon thereby perfusing tissue distal to the stent.

12. A system for creating a temporary stent within a vessel of a human body, the system comprising:

a flexible guide wire;

a rapid exchange balloon angioplasty catheter having distal and proximal sections, and being adapted for dilatation of an arterial stenosis, the balloon angioplasty catheter having an inner shaft and an outer shaft each having distal and proximal ends both shafts being located at the distal section of the balloon angioplasty catheter, and an inflatable balloon that connects the inner shaft to the outer shaft, the balloon angioplasty catheter having a lumen for the guide wire which exits from the distal end of the inner shaft with a lumen entry that is situated just proximal to the proximal end of the outer shaft, the balloon angioplasty catheter also having a proximal section that remains outside the body; and

,

a stent assembly coaxially mounted onto the balloon angioplasty catheter and having a proximal section and a distal section at which distal section is located a temporary stent whose distal end is fixedly attached near the distal end of the inner shaft of the balloon angioplasty catheter, the temporary stent'"'"'s proximal end being fixedly attached to the distal end of an elongated pusher tube, the pusher tube having a guide wire entry slit situated near its distal end, and the pusher tube being adapted to cooperate with the proximal section of the balloon angioplasty catheter to cause the temporary stent to be deployed radially outward or to be retracted so that the temporary stent reforms around the balloon of the balloon angioplasty catheter for removal of the system from the vessel.

13. A balloon angioplasty catheter for dilating and irradiating a stenosis in a vessel of a human body, said balloon angioplasty catheter including a balloon having a source of radioactivity embedded into a material of said balloon.

14. The catheter of claim 13 wherein the balloon angioplasty catheter is an over-the-wire type.

15. The catheter of claim 13 wherein the balloon angioplasty catheter is a rapid exchange type.

16. The catheter of claim 13 wherein the balloon angioplasty catheter is adapted to provide perfusion of distal tissue.

17. The catheter of claim 13 wherein the source of the radioactivity is contained in an expandable layer which surrounds the balloon.

18. A method for treatment of an arterial stenosis comprising the following steps:

a) placing a temporary stent system formed from a stent assembly and a balloon angioplasty catheter into an artery of a human body, the stent assembly and the balloon angioplasty catheter each having a distal section and a proximal section, the balloon angioplasty catheter having an inflatable balloon located at its distal section and having a proximal section that is situated outside of the human body, the stent assembly having a temporary stent located at its distal section and an elongated pusher tube fixedly attached to the temporary stent and extending in a proximal direction, the pusher tube having a proximal section that extends outside the human body and includes a means for locking the proximal tube'"'"'s proximal section to the proximal section of the balloon angioplasty catheter,

b) expanding an inflatable balloon that is at the distal end of the balloon angioplasty catheter and within the temporary stent so as to push the stent radially outward against a stenosis,

c) simultaneously applying a forward force at the proximal section of the stent assembly and a backward pull at the proximal section of the balloon angioplasty catheter,

d) engaging the locking means on the stent assembly'"'"'s proximal section to frictionally attach the stent assembly to the balloon angioplasty catheter,

e) deflating the balloon,

f) positionally maintaining said temporary stent in fixed position to expose an arterial wall in contact with the stent to be irradiated from a radioisotope source located on the stent,

g) disengaging the locking means on the stent assembly'"'"'s proximal section,

h) simultaneously applying a backward force on the proximal section of the stent assembly while applying a forward force on the proximal section of the balloon angioplasty catheter, and

i removing the temporary stent from the human body.

19. The method of claim 18 further comprising the following step of:

i allowing sufficient time to repair an intimal dissection.

20. The method of claim 19 further comprising the following step of:

k) providing a separate balloon angioplasty catheter to pre-dilate an arterial stenosis.