Method and apparatus for treating body tissues and bodily fluid vessels

• US 6,159,197 A
• Filed: 09/17/1999
• Issued: 12/12/2000
• Est. Priority Date: 09/17/1999
• Status: Expired due to Term

• Current Assignee: Richard R. Heuser
• Original Assignee: Richard R. Heuser
• Inventors: Heuser, Richard R.
• Primary Examiner(s): Kennedy, Sharon
• Assistant Examiner(s): Sirmons, Kevin C.
• Application Number:
  US09/397,806
• Time in Patent Office: 452 Days
• Field of Search: 604/506, 604/82, 604/93, 604/96, 604/104, 604/174, 604/187, 604/191, 604/257, 604/264, 604/518, 604/57, 604/167.06, 604/500, 604/509, 604/907, 606/108, 606/213
• US Class Current: 604/506
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/00575 for closure at remote site, e.g. closing atrial septum defects
• CPC Class Codes: A61M 2025/1052 for temporarily occluding a vessel for isolating a sector
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters

Abstract

Methods for treating bodily tissues and fluid vessels are disclosed. According to a method of repairing a perforation in a bodily fluid vessel, a viscous, moldable substance is inserted into the vessel at the location of the perforation. A path is opened through the moldable substance to permit fluid flow through the vessel. According to a method of introducing a tissue-killing substance into a bodily fluid vessel, a catheter is provided that has a blocking mechanism configured to selectively block and unblock the vessel. The catheter also has a delivery system that is configured to introduce the tissue-killing substance into the vessel. The vessel is substantially blocked upstream of a selected tissue using the blocking mechanism. The tissue-killing substance is introduced into the vessel through the delivery system, and the vessel is unblocked when the tissue-killing substance has substantially traveled toward the selected tissue. According to a method of occluding a bodily fluid vessel, a catheter is provided that has a first passage. The first passage has an occlusion element housed therein. The catheter is positioned in the vessel, and the occlusion element is moved out of the passage and into the vessel to thereby occlude the vessel. A catheter is also disclosed that may be used with the above methods.

Claims

1. A method of repairing a perforation in a bodily fluid vessel, comprising:

providing a first catheter, and inserting the first catheter into the vessel,

stopping fluid flow in the vessel,

after stopping fluid flow, inserting through the first catheter a viscous, moldable substance into the vessel at the location of the perforation;

providing a second cather having a second flexible membrane attached thereto; and

opening a path through the viscous, moldable substance by inserting the second cather into the moldable substance and expanding the second flexible membrane to permit fluid flow through the vessel.

2. The method of claim 1, further including providing a guide wire through the vessel, and wherein the insertion of the first catheter is accomplished by moving the first catheter along the guide wire.

3. The method of claim 1, further including providing a first catheter with a first flexible membrane attached thereto, wherein expansion of the first flexible membrane stops fluid flow in the vessel.

4. The method of claim 1, wherein the viscous, moldable substance hardens over time, and wherein the path is opened through the moldable substance after the moldable substance has at least partially hardened.

5. The method of claim 4, wherein the positioning of the second catheter is accomplished by moving the second catheter along a guide wire that is placed in the bodily fluid vessel.

6. The method of claim 1, wherein the first catheter is removed from the vessel prior to moving the second catheter into the vessel.

7. A method of repairing a perforation in a wall of a bodily fluid vessel, comprising:

providing a first catheter, the first catheter having a distal end and a first flexible membrane disposed adjacent the distal end, the first catheter further including first and second passages, wherein the first passage communicates with an aperture in the distal end and the second passage communicates with an inner volume defined by the flexible membrane;

positioning the first catheter into the vessel adjacent the perforation;

inflating the first flexible membrane so that fluid flow through the vessel adjacent the perforation is substantially blocked;

releasing a viscous, moldable substance through the second passage and the aperture so that the moldable substance substantially fills a region of the vessel at the perforation without passing through the perforation;

deflating the first flexible membrane;

removing the first catheter from the vessel;

providing a second catheter, the second catheter having a distal end and a second flexible membrane adjacent the distal end of the second catheter, the second catheter further including first and second passages;

introducing the second catheter into the vessel;

positioning the catheter so that the distal end of the second catheter passes through the moldable substance;

expanding the second flexible membrane to press the moldable substance against the wall of the vessel;

deflating the second flexible membrane; and

removing the second catheter from the vessel.