Embolism prevention device

• US 6,364,900 B1
• Filed: 07/14/1999
• Issued: 04/02/2002
• Est. Priority Date: 07/14/1999
• Status: Expired due to Term

• Current Assignee: Arizona Medical Systems, LLC
• Original Assignee: Richard R. Heuser
• Inventors: Heuser, Richard R.
• Primary Examiner(s): Robert, Eduardo C.
• Application Number:
  US09/353,104
• Time in Patent Office: 993 Days
• Field of Search: 606/200, 606/195, 606/127, 606/108, 606/191, 606/192, 606/194, 606/198, 604/52, 604/53, 128/344, 623/1.11
• US Class Current: 623/1.11
• CPC Class Codes: A61B 17/12109 in a blood vessel
• CPC Class Codes: A61B 17/12136 Balloons
• CPC Class Codes: A61B 2017/22067 Blocking; Occlusion A61B2017/22054 takes precedence
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2/97 the outer sleeve being splittable
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• 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 2025/1093 having particular tip characteristics
• 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 25/10 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 25/1011 Multiple balloon catheters
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

An apparatus for preventing embolisms resulting from an operation being performed in a body conduit by an instrument. The apparatus includes a selectively actuable conduit blocking mechanism that is actuated prior to performing the operation to thereby block the conduit while the operation is being performed upon an interior wall of the conduit, wherein the conduit blocking mechanism is de-actuated subsequent to the operation being performed. A transporting mechanism is movable within the conduit. The conduit blocking mechanism and the instrument are disposed at separate positions upon the transporting mechanism. The apparatus may be used for stent delivery, vessel predilation, or other operations.

Claims

1. A stent delivery system for use in a fluid conduit in a body, the conduit having an interior wall, the system comprising:

a catheter configured to be placed into a designated region of the conduit;

a pre-formed stent configured to be mounted exterior to the catheter and moved into the designated region of the conduit by the catheter and placed upon the interior wall;

a conduit blocking mechanism mounted on the catheter distal from the stent and configured to block the conduit while the stent is being placed upon the interior wall;

wherein, the catheter has a fluid bypass channel that permits fluid to bypass the designated region of the conduit while the conduit blocking mechanism blocks the conduit, and

an evacuation apparatus that removes embolism-forming particles from the conduit after the stent is placed upon the interior wall and while the conduit blocking mechanism blocks the conduit.

2. The stent delivery system of claim 1, wherein the stent comprises a wire mesh cylinder.

3. The stent delivery system of claim 1, wherein the stent includes a flexible covering.

4. The stent delivery system of claim 1, further comprising a flexible membrane disposed upon the catheter, wherein the stent is mounted in a compressed state upon the flexible membrane such that inflation of the flexible membrane causes the stent to expand to be placed upon the interior wall.

5. The stent delivery system of claim 4, wherein the flexible membrane has a first end proximal the conduit blocking mechanism, a second end distal from the conduit blocking mechanism, and an intermediate portion between the first and second ends, and wherein the first end of the flexible membrane is constructed with a level of flexibility different from that of the intermediate portion, such that the first end is configured to inflate prior to the inflation of the intermediate portion.

6. The stent delivery system of claim 5, wherein the second end of the flexible membrane is constructed with a level of flexibility different from that of the intermediate portion, such that the second end is configured to inflate prior to the inflation of the intermediate portion.

7. The stent delivery system of claim 5, wherein the first and second ends of the flexible membrane inflate substantially simultaneously.

8. The stent delivery system of claim 1, wherein the stent is nominally encased in a sheath and is self-expanding when the sheath is removed.

9. The stent delivery system of claim 1, wherein the stent is self-expanding.

10. The stent delivery system of claim 1, wherein the catheter has a distal end, and further including an opening disposed at the distal end and communicating with the fluid bypass channel, wherein fluid passes through the fluid bypass channel and the opening to bypass the designated region of the conduit.

11. The stent delivery system of claim 1, wherein the stent includes a covering comprising PTFE.

12. The stent delivery system of claim 1, wherein the evacuation apparatus includes a syringe placed proximal the stent and configured to draw the embolism-forming particles from the conduit.

13. A dilation system for use in a fluid conduit in a body, the conduit having an interior wall, the system comprising:

a catheter configured to be placed into a designated region of the conduit;

a conduit dilation mechanism mounted on the catheter and configured to be moved into the designated region of the conduit by the catheter to selectively contact the interior wall; and

a conduit blocking mechanism mounted on the catheter and configured to block the conduit while the conduit dilation mechanism is contacting the interior wall, wherein the conduit dilation mechanism comprises a flexible membrane, including a first portion and a second portion, wherein the portions are formed with different levels of compliance for selective inflation; and

an evacuation apparatus that removes embolism-forming particles from the conduit after the conduit dilation mechanism contacts the interior wall and while the conduit blocking mechanism blocks the conduit.

14. The dilation system of claim 13, wherein the evacuation apparatus includes a syringe configured to draw the embolism-forming particles from the conduit.

15. The dilation system of claim 13, further comprising a stent configured to be mounted exterior to the catheter and moved into the designated region of the conduit by the catheter and placed upon the interior wall.

16. A dilation system for use in a fluid conduit in a body, the conduit having an interior wall, the system comprising:

a catheter configured to be placed into a designated region of the conduit;

a conduit dilation mechanism mounted on the catheter mid configured to be moved into the designated region of the conduit by the catheter to selectively contact the interior wall; and

a conduit blocking mechanism mounted on the catheter and configured to block the conduit while the conduit dilation system is contacting the interior wall, wherein the conduit dilation mechanism and the conduit blocking mechanism are different portions of a single flexible membrane; and

an evacuation apparatus that removes embolism-forming particles from the conduit after the conduit dilation mechanism contacts the interior wall and while the conduit blocking mechanism blocks the conduit.