Balloon catheter for abrading a patent foramen ovale and method of using the balloon catheter

• US 5,919,200 A
• Filed: 10/09/1998
• Issued: 07/06/1999
• Est. Priority Date: 10/09/1998
• Status: Expired due to Term

• Current Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Hearten Medical, Inc.
• Inventors: Nguyen, Hien V., Stambaugh, Bruce D.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US09/169,142
• Time in Patent Office: 270 Days
• Field of Search: 606/159, 606/170, 606/167, 606/180, 623/1
• US Class Current: 606/159
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 2017/00575 for closure at remote site, e.g. closing atrial septum defects
• CPC Class Codes: A61B 2017/22061 for spreading elements apart
• CPC Class Codes: A61B 2017/320004 abrasive
• CPC Class Codes: A61M 2025/1086 having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves
• 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

Abstract

The present invention provides a device and method for closing a patent foramen ovale. The present invention comprises a catheter sheath with proximal and distal ends. A balloon catheter with a plurality of abrasive members is deployably retained within the catheter sheath. Once the catheter sheath is placed by a treating health care professional across a patent foramen ovale, the balloon catheter is advanced such that the balloon and the abrasive members are deployed outside of the distal end of the catheter sheath. The catheter sheath is then removed from the foramen ovale and the balloon is inflated. The treating healthcare professional then abrades the inner surfaces of the patent foramen ovale to thereby cause an area of thrombogenesis. The balloon catheter is then deflated and the abrasive members are then repositioned into the distal end of the catheter sheath and then removed from the patient. The thrombogenic area created along the inner surfaces of the patent foramen ovale then creates of thrombus which over time turns into a scar and the foramen ovale is obliterated.

Claims

1. A balloon catheter device for abrading a patent foramen ovale comprising:

A a sheath catheter with proximal and distal ends;

B a foramen ovale balloon catheter deployably retained within the sheath catheter, the foramen ovale catheter having proximal and distal ends;

C an inflatable balloon attached near the distal end of the foramen ovale balloon catheter;

D a plurality of abrasive members attached over the inflatable balloon.

2. The catheter device of claim 1 wherein the abrasive members are a plurality of glue drops.

3. The catheter device of claim 1 wherein the abrasive members are a plurality of cylinders.

4. The catheter device of claim 1 wherein the abrasive members are a plurality of rectangular members.

5. The catheter device of claim 4 wherein the rectangular members have top and bottom corners and the wherein the bottom corners are rounded off.

6. The catheter device of claim 1 wherein the foramen ovale balloon catheter comprises an outer catheter and an inner catheter.

7. The catheter device of claim 6 wherein the inner catheter is longer than the outer catheter.

8. The catheter device of claim 7 wherein the balloon, outer catheter, and inner catheter all have proximal and distal ends and wherein the proximal end of the balloon is attached to the distal end of the outer catheter and wherein the distal end of the balloon is attached to the inner catheter.

9. The catheter device of claim 1 further comprising a plurality of wires attached over the balloon.

10. The catheter device of claim 9 wherein the wires are anchored via two rings, one on the proximal end of the balloon and the other on the distal end of the balloon.

11. The catheter device of claim 10 wherein the distal ring is free floating.

12. The catheter device of claim 1 further comprising a Y fitting attached to the proximal end of the foramen ovale balloon catheter.

13. A method of abrading a patent foramen ovale comprising the steps of:

A inserting an introducer catheter into a vessel of a patient with a patent foramen ovale;

B inserting a foramen ovale balloon catheter with proximal and distal ends and a balloon attached near its distal end and with a plurality of abrasive members attached over the balloon through the introducer catheter;

C advancing the foramen ovale balloon catheter through the patent foramen ovale;

D inflating the balloon;

E abrading the patent foramen ovale by manipulating the foramen ovale catheter such that the abrasive members abrade the lining of the foramen ovale;

F deflating the balloon; and

G removing the foramen ovale catheter and the introducer catheter from the patient.

14. The method of abrading a patent foramen ovale of claim 13 further comprising the step of inserting a sheath catheter through the introducer catheter.

15. The method of abrading a patent foramen ovale of claim 13 wherein the abrading is accomplished by translating the distal end of the foramen ovale catheter through the patent foramen ovale.

16. The method of abrading a patent foramen ovale of claim 13 wherein the abrading is accomplished by rotating the distal end of the foramen ovale catheter in the patent foramen ovale.

17. A method of training a person to perform the method of abrading a patent foramen ovale comprising the steps of demonstrating or instructing the performance of the method of claim 13.

18. The method of training a person of claim 17 further comprising the step of claim 14.