Catheter having variable size guide wire lumen
First Claim
1. A catheter tip assembly for crossing both vessel lumen obstructions or placed stents, said tip assembly comprising:
- an elongate tubular member having a proximal end, a distal end, and a guide wire receiving lumen and an inflation lumen extending therethrough;
an inflatable balloon disposed proximate said distal end of said elongate tubular member, wherein a distal portion of said elongate tubular member extends distally beyond said inflatable balloon to form a catheter tip which defines a first tapered leading edge for crossing vessel lumen obstructions or placed stents, wherein said inflatable balloon has an interior in fluid communication with said inflation lumen; and
a distal inflatable tip balloon disposed distal of said inflatable balloon, wherein said distal inflatable tip balloon has an interior in fluid communication with said inflatable balloon interior and said distal inflatable tip balloon is adapted and configured to shift between a first generally collapsed position and a second generally expanded position such that when in the second position a portion of an exterior surface of said distal inflatable tip balloon defines a second leading edge that aligns with said first tapered leading edge to aid in crossing a stent or vessel obstruction without said leading edge catching on a stent strut or vessel obstruction.
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Accused Products
Abstract
A balloon catheter having a first balloon member and a second distal expandable member. The increased distal profile of the catheter with inflation of the second distal expandable member can deflect the distal-most end away from stent walls and edges. Another catheter has a distal region including longitudinal slits and a pre-stressed body configured to expand upon exposure to warm body fluids. Another catheter has a distal region including a first, inner tube disposed about a second, innermost tube. The inner and innermost tubes are secured at the distal-most end. The distal region includes longitudinal slits through the inner tube, thereby defining flaps between the slits. The innermost tube can be retracted relative to the inner tube disposed about the innermost tube, thereby causing the longitudinal flaps to expand outward, thereby increasing the maximum radial extent of the distal region. In yet another embodiment, a balloon catheter having a first guide wire tube is provided. A second guide wire tube is also provided, adapted to be received within the larger, first guide wire tube.
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Citations
9 Claims
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1. A catheter tip assembly for crossing both vessel lumen obstructions or placed stents, said tip assembly comprising:
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an elongate tubular member having a proximal end, a distal end, and a guide wire receiving lumen and an inflation lumen extending therethrough;
an inflatable balloon disposed proximate said distal end of said elongate tubular member, wherein a distal portion of said elongate tubular member extends distally beyond said inflatable balloon to form a catheter tip which defines a first tapered leading edge for crossing vessel lumen obstructions or placed stents, wherein said inflatable balloon has an interior in fluid communication with said inflation lumen; and
a distal inflatable tip balloon disposed distal of said inflatable balloon, wherein said distal inflatable tip balloon has an interior in fluid communication with said inflatable balloon interior and said distal inflatable tip balloon is adapted and configured to shift between a first generally collapsed position and a second generally expanded position such that when in the second position a portion of an exterior surface of said distal inflatable tip balloon defines a second leading edge that aligns with said first tapered leading edge to aid in crossing a stent or vessel obstruction without said leading edge catching on a stent strut or vessel obstruction. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A method for advancing a therapeutic catheter across a stent placed within a body vessel comprising the steps of:
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providing a catheter including an elongate tubular member having a proximal end, a distal end, and a guide wire receiving lumen and an inflation lumen extending therethrough, an inflatable balloon disposed proximate said distal end of said elongate tubular member, said inflatable balloon having a maximum inflated radial extent, wherein a distal portion of said elongate tubular member extends distally beyond said inflatable to form a catheter tip which defines a leading edge for crossing a vessel obstruction or placed stent, wherein said inflatable balloon interior is in fluid communication with said inflation lumen, a distal inflatable member disposed distal of said balloon, wherein said distal inflatable member has an interior in fluid communication with said balloon interior, wherein said distal inflatable member has a maximum inflated radial extent that is less than said balloon maximum inflated radial extent, and a one-way valve in fluid communication with, and disposed between, said inflatable balloon interior and said distal inflatable member, wherein said one-way valve allows a substantially greater rate of flow from said balloon to said distal inflatable member than from said distal inflatable member to said balloon;
advancing said catheter into a body vessel;
providing inflation fluid to said inflatable balloon;
inflating said inflatable balloon and said distal inflatable member, such that said catheter distal region is radially expanded;
allowing said inflatable balloon to at least partially deflate; and
advancing said catheter distal inflatable member through said stent.
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Specification