Expandable cannula for performing cardiopulmonary bypass and method for using same

• US 6,190,357 B1
• Filed: 04/21/1998
• Issued: 02/20/2001
• Est. Priority Date: 04/21/1998
• Status: Expired due to Fees

• Current Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Original Assignee: Cardiothoracic Systems, Inc. (Boston Scientific Corporation)
• Inventors: Sepetka, Ivan, Morejohn, Dwight P., Glines, Robert C., Ferrari, Richard M.
• Primary Examiner(s): Kennedy, Sharon
• Assistant Examiner(s): RODRIGUEZ, CRIS LOIREN
• Application Number:
  US09/063,588
• Time in Patent Office: 1,036 Days
• Field of Search: 604/96, 604/104, 604/264, 604/171, 604/523, 604/96.01, 604/102.01
• US Class Current: 604/102.01
• CPC Class Codes: A61B 17/3439 with means for changing the inner diameter of the cannula, e.g. expandable A61B17/3423, A61B17/3431 take precedence; catheters A61M25/0662
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61M 25/0023 by the form of the lumen, e.g. cross-section, variable diameter

Abstract

A device for occlusion of a body passageway and subsequent perfusion of the body passageway with arterial return blood, cardioplegia and other fluid is disclosed. The device of the present invention is an expandable cannula comprising a flexible, expandable tubular elongate body having a first diameter and a second diameter, wherein the expandable cannula is inserted having a first diameter and then expanded to a second diameter to provide perfusion flow to the body passageway through at least one arterial return aperture provided on the distal end of the expandable tubular elongate body in fluid communication with a perfusion lumen provided within the cannula. The device may be further provided with one or more additional lumens for providing additional functions to the vessel lumen and may also include an expandable occluding member fixed at the distal end of the cannula for isolating the surgical area from the rest of the arterial system. A preferred method of use of the present invention is also disclosed wherein having a first diameter is inserted endovascularly into the vessel of a patient and advanced to a point of interest. At the point of interest, the device is expanded to a second diameter and perfusion flow to the vessel lumen is provided. Following the performance of a surgical procedure, perfusion flow is terminated and the device is removed from the vessel.

Claims

1. An expandable cannula for performing cardiopulmonary bypass functions in a body passageway, the cannula comprising:

an inner tubular elongate body having a distal end and a proximal end;

an outer expandable tubular elongate body expandable from a first diameter to a second diameter, the outer tubular elongate body substantially disposed-about the inner tubular elongate body, the inner tubular elongate body and the outer tubular elongate body cooperating to form a perfusion lumen within the tubular elongate body;

at least one arterial return aperture in fluid communication with the perfusion lumen provided within the tubular elongate body;

an expandable member fixed at the distal end of the inner tubular elongate body; and

having an inflation lumen in the tubular elongate body in fluid communication with the expandable member; and

a cardioplegia lumen with the inner tubular elongate body to provide cardioplegia flow to the body passageway.

2. The cannula of claim 1 further comprising a venting lumen within the inner tubular elongate body configured to remove excess gasses from the body passageway.

3. The cannula of claim 1 further comprising a tool lumen provided within the inner tubular elongate body, the tool lumen configured to allow insertion of a surgical tool into the body passageway to accomplish a surgical procedure.

4. The cannula of claim 1 further comprising a pressure lumen provided within the inner tubular elongate body, the pressure lumen in pressure communication with the body passageway.

5. The cannula of claim 1 wherein the inner tubular elongate body is integrally formed with the expandable outer tubular elongate body.

6. The cannula of claim 1 further comprising means for expanding from a first diameter to a second diameter comprised of a sheath disposed about the outer expandable tubular elongate body which restrains the outer tubular elongate body to the first diameter wherein removal of the sheath allows the outer tubular elongate body to expand to the second diameter.