Bifurcated catheter assembly

• US 6,494,875 B1
• Filed: 09/08/2000
• Issued: 12/17/2002
• Est. Priority Date: 08/24/1998
• Status: Expired due to Term

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Advanced Cardiovascular Systems Incorporated
• Inventors: Mauch, Kevin M.
• Primary Examiner(s): NGUYEN, ANH TUAN TUONG
• Application Number:
  US09/657,872
• Time in Patent Office: 830 Days
• Field of Search: 604/96.01, 604/101.01, 604/101.02, 604/101.03, 604/103, 604/103.5, 604/507-509, 604/284, 128/898, 606/108, 606/191, 606/192, 606/194, 606/195, 606/198, 623/1.11, 623/1.35
• US Class Current: 604/509
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/9665 with additional retaining means

Abstract

A bifurcated catheter assembly is provided for treating bifurcated vessels. The bifurcated catheter assembly comprises an elongate main catheter shaft having a stiffer proximal portion, a more flexible distal portion, and a pair of branch catheters attached to the distal portion. An expandable member is located on each of the branch catheters. The balloons are held together to provide a low profile as the device is advanced over the tracking guide wire. Upon reaching the bifurcated vessel, the balloons separated and are advanced over separate guide wires into separate branches of the bifurcated vessel. The bifurcated catheter assembly can be used to dilate a stenoses or deliver and implant a Y-shaped stent in the bifurcation.

Claims

1. A method for treating bifurcated vessels, comprising:

providing an elongated main catheter body having a proximal portion and a distal portion, a first inflation lumen, a first guide wire lumen, and a second guide wire lumen;

a first catheter branch connected to the distal portion of the main catheter body and having a second inflation lumen in fluid communication with the first inflation lumen in the main catheter body and the first guide wire lumen extending therethrough and in communication with the first guide wire lumen in the main catheter body;

a second catheter branch connected to the distal portion of the main catheter body and having a third inflation lumen in fluid communication with the first inflation lumen and the second guide wire lumen extending therethrough and in communication with the second guide wire lumen in the main catheter body;

a first expandable member associated with the first catheter branch and in fluid communication with the second inflation lumen;

a second expandable member associated with the second catheter branch and in fluid communication with the third inflation lumen;

a coupler mounted on distal end of the first catheter branch for coupling to a distal end of the second catheter branch;

advancing a tracking wire distally through the first guide wire lumen and through the main vessel so that the distal end of the tracking guide wire is positioned distally of the bifurcation;

advancing the main catheter body over the tracking guide wire so that the first and second expandable members are positioned distal to the bifurcation;

decoupling the expandable members by withdrawing the tracking wire proximally from engagement with the coupler until a distal tip of the tracking wire pulls out of the coupler;

advancing the tracking guide wire distal of the bifurcation;

withdrawing the main catheter body proximally over the tracking guide wire so that the expandable members are positioned proximal of the bifurcation;

with the tracking guide wire still positioned in the main vessel distal of the bifurcation, advancing an integrating guide wire through the second guide wire lumen and into the side branch vessel; and

advancing the main catheter body over the tracking and the integrated guide wires so that the first expandable member is positioned in the main vessel and the second expandable member is positioned in the side branch vessel.

2. The method of claim 1, wherein the first expandable member and the second expandable member are inflated by injecting inflation fluid through the first inflation lumen and the second and third inflation lumens.

3. The method of claim 2, wherein the first expandable member and the second expandable member are deflated by withdrawing inflation fluid through the first, second and third inflation lumens after the main vessel and the side branch vessel have been repaired.

4. The method of claim 3, wherein the main catheter body is withdrawn proximally over the tracking guide wire and the integrated guide wire and is removed from the patient.

5. The method of claim 1, wherein an intravascular stent is mounted on the first and second expandable member and when the first expandable member and the second expandable member are inflated, the intravascular stent expands radially outwardly so that it is permanently implanted in the main vessel and the side branch vessel.

6. The method of claim 5, wherein the bifurcated stent is in the form of a Y-shape so that the main vessel and the side branch vessel are simultaneously stented with a single stent.

7. The method of claim 1, wherein the main catheter body includes a rapid exchange configuration so that after the first and second expandable members are deflated, the main catheter body is withdrawn from the patient.