Aortic catheter with porous aortic root balloon and methods for inducing cardioplegic arrest

• US 6,267,747 B1
• Filed: 05/06/1999
• Issued: 07/31/2001
• Est. Priority Date: 05/11/1998
• Status: Expired due to Fees

• Current Assignee: Cardeon Corporation
• Original Assignee: Cardeon Corporation
• Inventors: Robinson, Janine, Baker, Steve, Leary, James J., Samson, Wilfred J.
• Primary Examiner(s): Nguyen, Anhtuan T.
• Assistant Examiner(s): Thanh, LoAn H.
• Application Number:
  US09/306,696
• Time in Patent Office: 817 Days
• Field of Search: 604/96.01, 604/99.04, 604/264, 604/523, 604/529, 604/101-1-1, 604/103.01, 604/103.06, 604/103.07, 604/103.08, 604/103.1, 604/103.11, 604/4.01, 604/5.01, 604/6.16, 604/101.05, 604/915, 604/916, 606/194, 606/192
• US Class Current: 604/103.07
• CPC Class Codes: A61M 1/3613 Reperfusion, e.g. of the coronary vessels, e.g. retroperfusion
• CPC Class Codes: A61M 2025/0073 Tip designed for influencing the flow or the flow velocity of the fluid, e.g. inserts for twisted or vortex flow general flow characteristics A61M2206/10
• CPC Class Codes: A61M 2025/0076 Unidirectional valves
• CPC Class Codes: A61M 2025/1052 for temporarily occluding a vessel for isolating a sector
• CPC Class Codes: A61M 2025/1072 having balloons with two or more compartments
• CPC Class Codes: A61M 2025/1086 having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves
• 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 2202/047 cardioplegic
• CPC Class Codes: A61M 2210/127 Aorta
• CPC Class Codes: A61M 25/0075 Valve means
• 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 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence
• CPC Class Codes: A61M 39/22 Valves or arrangement of valves A61M39/02, A61M39/0247, A61M39/16 take precedence; regulating valves in infusion systems A61M5/16881; in devices worn by the patient for the reception of urine, faeces, catamenial or other discharge, or in colostomy devices A61F5/4405
• CPC Class Codes: A61M 5/16881 Regulating valves on-off valves, e.g. clamps A61M39/28

Abstract

The present invention relates to a catheter or cannula system that facilitates cardiopulmonary bypass surgeries and enables prolonged circulatory support of the heart. More specifically, the present invention provides an aortic catheter system including a porous aortic root balloon capable of occluding the aorta, delivering cardioplegia and providing tactile feedback and helping to maintain the competency of regurgitant aortic valves.

Claims

1. An aortic catheter comprising:

an elongated catheter shaft configured for introduction into a patient'"'"'s aorta and having a proximal end and a distal end, a flow control member coupled to said elongated catheter having an expanded diameter sufficient to block blood flow through the patient'"'"'s aortic root when inflated, said flow control member having a distal surface with three lobes extending distally therefrom, said flow control member comprising at least one permeable portion;

whereby a fluid used to inflate said flow control member may seep through said at least one permeable portion.

2. The aortic catheter of claim 1, further comprising a downstream anchoring member spaced apart from said flow control member.

3. The aortic catheter of claim 2, further comprising a perfusion lumen extending through said elongated catheter shaft from said proximal end to at least one perfusion port on said elongated catheter shaft between said flow control member and said downstream anchoring member.

4. The aortic catheter of claim 3, further comprising a second perfusion lumen extending through said elongated catheter shaft from said proximal end to at least one perfusion port on said elongated catheter shaft proximal to said downstream anchoring member.

5. The aortic catheter of claim 2, wherein said downstream anchoring member is in the form of a balloon.

6. The aortic catheter of claim 2, wherein said downstream anchoring member is in the form of a valve.

7. The aortic catheter of claim 1, wherein said flow control member is configured such that the flow control member when inflated in the aortic root is restricted from moving out of the aortic root by the patient'"'"'s sinotubular ridge and a aortic valve annulus.

8. The aortic catheter of claim 1, wherein said flow control member is configured to conform to the shape of the aortic root.

9. The aortic catheter of claim 8, wherein said flow control member is further configured to conform to a shape of the cusps of the aortic valve.

10. The aortic catheter of claim 1, wherein said at least one permeable portion comprises a plurality of porous windows.

11. The aortic catheter of claim 1, wherein said at least one permeable portion comprises a circumferential porous strip.

12. The aortic catheter of claim 1, wherein said at least one permeable portion comprises pressure valves.

13. The aortic catheter of claim 1, wherein said at least one permeable portion comprises a multiplicity of bistable nipples.

14. The aortic catheter of claim 1, wherein said at least one permeable portion comprises a multiplicity of bistable nipples.

15. The aortic catheter of claim 1, wherein said flow control member comprises three lobed portions longitudinally aligned with respect to said elongated catheter shaft.

16. The aortic catheter of claim 1, wherein said flow control member comprises two inflatable balloons.

17. The aortic catheter of claim 1, further comprising a perfusion lumen extending through said elongated catheter shaft from said proximal end to at least one perfusion port on said elongated catheter shaft proximal to said flow control member.

18. The aortic catheter of claim 1, wherein said at least one permeable portion provides fluid flow at a variable rate.

19. The aortic catheter of claim 18, wherein the flow rate is correlated to a fluid pressure inside said flow control member.

20. The aortic catheter of claim 1, further comprising a distal impermeable portion, a middle permeable portion and a proximal impermeable portion.

21. The aortic catheter of claim 1, wherein the permeable portion is surrounded by an impermeable portion.

22. The aortic catheter of claim 1, wherein the permeable portion is comprised of at least one bistable nipple.

23. The aortic catheter of claim 1, further comprising a second lumen in fluid communication with a proximal opening and a distal port, the second lumen configured to be coupled to a CPB machine to perfuse oxygenated blood to a patient'"'"'s arterial system.

24. The aortic catheter of claim 1, wherein the flow control member is comprised of at least one balloon.