Methods and devices for occluding a patient's ascending aorta

• US 5,755,687 A
• Filed: 04/01/1997
• Issued: 05/26/1998
• Est. Priority Date: 04/01/1997
• Status: Expired due to Term

• Current Assignee: Edwards Lifesciences LLC (Edwards Lifesciences Corporation)
• Original Assignee: Heartport, Inc. (Johnson & Johnson)
• Inventors: Donlon, Brian S.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): Blyveis, Deborah
• Application Number:
  US08/831,102
• Time in Patent Office: 420 Days
• Field of Search: 600/18, 604/96-102, 604/49, 604/52, 604/53, 604/51, 606/192, 606/194
• US Class Current: 604/508
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12109 in a blood vessel
• CPC Class Codes: A61B 17/12136 Balloons
• CPC Class Codes: A61M 2025/0002 with a pressure sensor at the distal end
• CPC Class Codes: A61M 2025/0031 characterized by lumina for withdrawing or delivering, i.e. used for extracorporeal circuit treatment
• CPC Class Codes: A61M 2025/0034 characterized by elements which are assembled, connected or fused, e.g. splittable tubes, outer sheaths creating lumina or separate cores making of catheters A61M25/0009
• CPC Class Codes: A61M 2025/1052 for temporarily occluding a vessel for isolating a sector
• CPC Class Codes: A61M 2210/127 Aorta
• CPC Class Codes: A61M 25/0009 Making of catheters or other medical or surgical tubes
• CPC Class Codes: A61M 25/0023 by the form of the lumen, e.g. cross-section, variable diameter
• CPC Class Codes: A61M 25/0032 characterized by at least one unconventionally shaped lumen, e.g. polygons, ellipsoids, wedges or shapes comprising concave and convex parts
• 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 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence

Abstract

An aortic occlusion catheter has a blood return lumen for returning oxygenated blood to a patient and an occluding member for occluding the patient'"'"'s ascending aorta. The blood return lumen has openings on both sides of the occluding member for infusing oxygenated blood on both sides of the occluding member.

Claims

1. A method of occluding a patient'"'"'s ascending aorta and returning oxygenated blood to the patient, comprising the steps of:

providing an aortic occlusion catheter having a shaft, an occluding member mounted to the shaft, a blood flow lumen, a first opening positioned proximal of the occluding member, and a second opening positioned distal to the occluding member, the first and second openings being fluidly coupled to the blood flow lumen;

positioning the aortic occlusion catheter in at least a portion of a patient'"'"'s brachiocephalic artery;

expanding the occluding member to an expanded condition so that the patient'"'"'s ascending aorta is thereby occluded;

coupling the blood flow lumen to a source of oxygenated blood; and

infusing oxygenated blood from the source of oxygenated blood into the patient though the blood flow lumen and first and second openings.

2. The method of claim 1, wherein:

the expanding step is carried out so that the patient'"'"'s brachiocephalic artery is occluded at the aortic arch.

3. The method of claim 1, wherein:

the providing step is carried out with the occluding member being a balloon, the balloon being attached to the shaft at a proximal portion and a distal portion, the balloon also being attached to the shaft along a section extending between the proximal and distal portions.

4. The method of claim 1, wherein:

the positioning step is carried out with the aortic occlusion catheter passing through the patient'"'"'s right subclavian artery.

5. The method of claim 1, further comprising the step of:

creating an opening in an artery of the patient, the opening being created in an artery selected from the group consisting of subclavian and axillary arteries; and

inserting the aortic occlusion catheter through the opening.

6. The method of claim 1, further comprising the step of:

measuring a pressure on a side of the occluding member.

7. The method of claim 6, further comprising the step of:

measuring a pressure on the other side of the occluding member.

8. The method of claim 1, further comprising the steps of:

stopping the patient'"'"'s heart with a cardioplegic fluid;

withdrawing blood from the patient through a venous cannula;

directing the blood withdrawn from the venous cannula to a bypass system and from the bypass system to the blood flow lumen of the aortic occlusion catheter.