Infusion catheter

• US 5,840,066 A
• Filed: 10/22/1996
• Issued: 11/24/1998
• Est. Priority Date: 10/26/1995
• Status: Expired due to Term

• Current Assignee: Tokai Kobunshi Kagaku Kabushikigaisha
• Original Assignee: Tokai Kobunshi Kagaku Kabushikigaisha
• Inventors: Matsuda, Takehisa, Inada, Jun, Tsutsui, Nobumasa
• Primary Examiner(s): Coggins, Wynn Wood
• Assistant Examiner(s): RODRIGUEZ, CRIS LOIREN
• Application Number:
  US08/735,135
• Time in Patent Office: 763 Days
• Field of Search: 604/96, 604/101-103, 606/194
• US Class Current: 604/102.02
• CPC Class Codes: A61M 2025/1095 with perfusion means for enabling blood circulation while the balloon is in an inflated state or in a deflated state, e.g. permanent by-pass within catheter shaft
• 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 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 25/0071 Multiple separate lumens multiple separate lumens throughout the catheter A61M25/0026
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

An infusion catheter having a catheter shaft with a distal end, an inflatable and contractible balloon provided adjacent the distal end but spaced therefrom, a blood passage with two openings for passing blood through the balloon, and first and second lumens. The first lumen communicating with the balloon to inflate and contract the balloon, and the second lumen including a medicine discharge port located between the balloon and one opening of the blood passage to supply medicine to a lesion part of a blood vessel.

Claims

1. An infusion catheter for supplying medicine upstream of a lesion formed in a blood vessel following expansion of a balloon, said infusion catheter comprising:

an elongate catheter shaft having a proximal end, a distal end, a first lumen for supplying and removing a fluid medium from a balloon, and a second lumen having a medicine discharge port for supplying medicine to the blood vessel, and both the first and second lumens being supported by the catheter shaft;

a balloon being located adjacent to the distal end of said catheter shaft but spaced therefrom, said balloon communicating with said first lumen and being inflatable and contractible such that said balloon inflates when the fluid medium is supplied to said balloon and contracts when the fluid medium is removed from said balloon;

a blood passage being provided in said catheter shaft for bypassing blood passed both said balloon and said medicine discharge port, said blood passage having a first opening located between the proximal end of said catheter shaft and said balloon and a second opening being located between said balloon and the distal end of said catheter shaft; and

the medicine discharge port being located between said balloon and the second opening of said blood passage such that during use, the medicine is introduced into the blood vessel proximate the lesion but spaced from the second opening of said blood passage thereby facilitating the medication to medicate the lesion.

2. An infusion catheter according to claim 1, wherein the first opening of said blood passage comprises a plurality of side holes.

3. An infusion catheter according to claim 1, wherein said catheter shaft has a marker positioned inside said balloon, said marker being x-rayable such that balloon position is confirmable via x-ray.

4. An infusion catheter according to claim 1, wherein the distal end of said catheter shaft terminates at a distal tip, and the second opening of said blood passage is provided in the distal tip.

5. An infusion catheter according to claim 4, wherein said catheter shaft comprises a third lumen communicating with said blood passage, said third lumen having a guide wire port located at the proximal end of said catheter shaft, said third lumen adapted to receive a guide wire such that, when received, said guide wire is extendible through said guide wire port, said third lumen and said blood passage.

6. An infusion catheter for supplying medicine downstream of a lesion formed in a blood vessel, following expansion of a balloon, said infusion catheter comprising:

an elongate catheter shaft having a proximal end, a distal end, a first lumen for supplying and removing a fluid medium from a balloon, and a second lumen having a medicine discharge port for supplying medicine to the blood vessel, and both the first and second lumens being supported by the catheter shaft;

a balloon being located adjacent to the distal end of said catheter shaft but spaced therefrom, said balloon communicating with said first lumen and being inflatable and contractible such that said balloon inflates when the fluid medium is supplied to said balloon and contracts when the fluid medium is removed from said balloon;

a blood passage being provided in said catheter shaft for bypassing blood passed both said medicine discharge port and said balloon, said blood passage having a first opening located between the proximal end of said catheter shaft and said balloon and a second opening being located between said balloon and the distal end of said catheter shaft; and

the medicine discharge port being located between the first opening of said blood passage and said balloon such the medicine is introduced, during use, into the blood vessel, via said second lumen, proximate the lesion but spaced from the first opening of said blood passage thereby facilitating the medication to medicate the lesion.

7. An infusion catheter according to claim 6, wherein the first opening of said blood passage comprises a plurality of side holes.

8. An infusion catheter according to claim 6, wherein said catheter shaft has marker positioned inside said balloon, said marker being x-rayable such that balloon position is confirmable via x-ray.

9. An infusion catheter according to claim 6, wherein the distal end of said catheter shaft terminates at a distal tip, and the second opening of said blood passage is provided in the distal tip.

10. An infusion catheter according to claim 9, wherein said catheter shaft comprises a third lumen in communication with said blood passage, said third lumen having a guide wire port located at the proximal end of said catheter shaft, said third lumen adapted to receive a guide wire such that, when received, said guide wire is extendible through said guide wire port, said third lumen and said blood passage.

11. An infusion catheter for supplying medicine to a lesion formed in a blood vessel following expansion of a balloon, said infusion catheter comprising:

an elongate catheter shaft having a proximal end and a distal end;

a blood bypass being provided in said catheter shaft for bypassing blood past a lesion, said blood passage having a first opening being located remote from the distal end of said catheter shaft and a second opening being located adjacent the distal end of said catheter shaft to facilitate the bypass of blood past the lesion during use;

a balloon being located adjacent to, but spaced from the distal end of the catheter shaft, between the first and second openings of the blood bypass, and a first lumen communicating with the balloon for supplying and removing a fluid medium from the balloon;

a medicine discharge port for supplying medicine to the blood vessel, the medicine discharge port being located between the first and second openings of the blood bypass but spaced from the balloon, and a second lumen communicating with the medicine discharge port; and

both the first and second lumens being supported by the catheter shaft, whereby when the medicine discharge port is located proximate the lesion and medicine is introduced to the lesion, via the second lumen, the blood bypass facilitates a continued flow of blood through the blood vessel while facilitating prolonged exposure of the medication to the lesion.

12. An infusion catheter according to claim 11 wherein the balloon is located between the first opening of the blood bypass and the medicine discharge port.

13. An infusion catheter according to claim 11 wherein the medicine discharge port is located between the first opening of the blood bypass and the balloon.