Blood flow conduit delivery system and method of use

• US 6,582,444 B2
• Filed: 04/10/2001
• Issued: 06/24/2003
• Est. Priority Date: 08/04/1999
• Status: Expired due to Fees

• Current Assignee: Horizon Technology Funding Co. LLC (Horizon Technology Finance Management LLC)
• Original Assignee: Percardia, Inc.
• Inventors: Wilk, Peter J.
• Primary Examiner(s): Robert, Eduardo C.
• Application Number:
  US09/828,795
• Publication Number:
  US 20020004662A1
• Time in Patent Office: 805 Days
• Field of Search: 606/108, 606/194, 606/195, 606/198, 606/153, 606/155, 623/1.1, 623/1.11, 128/898, 604/96.01, 604/164.01, 604/528, 604/8, 604/9, 604/10
• US Class Current: 606/153
• CPC Class Codes: A61B 2017/00252 for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
• CPC Class Codes: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11
• CPC Class Codes: A61F 2/2493 Transmyocardial revascularisation [TMR] devices

Abstract

Described herein is a catheter system for delivering an L-shaped conduit into the body of a patient between the left ventricle and coronary artery. A shunt preferably made of semirigid material is inserted into the lumen of a delivery catheter. The delivery catheter is advanced within the patient until its distal end is located adjacent to the desired insertion site, which is preferably the junction between a coronary artery and passageway formed in the myocardium between the left ventricle and coronary artery. A proximal section of the shunt is first advanced out of the delivery catheter into the myocardial passageway. A distal section of the shunt is advanced into the coronary artery, preferably by advancing the distal section of the shunt into the myocardial passageway and then pulling the distal section back into the coronary artery, or by pushing the distal section of the shunt in a folded configuration out of the delivery catheter into the coronary artery. In one embodiment, the shunt is made of a collapsible material for insertion into the delivery catheter, the shunt expanding upon removal from the delivery catheter.

Claims

1. A method for delivering a conduit between a chamber of a heart and a blood vessel adjacent the chamber, the method comprising:

providing a conduit having a first end and a second end;

advancing the conduit through a patient'"'"'s vascular system to the heart;

placing the first end of the conduit through a passageway formed in a myocardial wall surrounding the heart chamber; and

placing the second end of the conduit in the blood vessel, wherein the blood vessel joins the passageway generally at an angle, and the conduit bends between the first end and the second end.

2. The method of claim 1, wherein placing the second end in the blood vessel includes placing the second end in a portion of the blood vessel downstream from the passageway.

3. The method of claim 1, wherein the blood vessel is a coronary artery and the heart chamber is a left ventricle.

4. The method of claim 1, further comprising providing a delivery catheter, wherein advancing the conduit through the vascular system includes advancing the conduit via the delivery catheter.

5. The method of claim 1, further comprising forming the passageway in the myocardial wall.

6. The method of claim 1, wherein the conduit is made of semi-rigid material.

7. The method of claim 1, wherein the conduit has a unitary construction.

8. The method of claim 1, wherein the conduit is made of a plurality of sections joined together prior to the advancing of the conduit.

9. The method of claim 1, wherein advancing the conduit includes advancing the conduit in a folded configuration to the heart.

10. The method of claim 1, wherein advancing the conduit includes advancing the conduit in a substantially straight configuration to the heart.

11. The method of claim 1, wherein advancing the conduit includes advancing the conduit in a collapsed configuration to the heart and wherein placing the first end and the second end includes expanding the conduit.

12. The method of claim 1, wherein the conduit is made of a shape memory material.

13. The method of claim 1, wherein advancing the conduit includes advancing the conduit through the blood vessel to the heart.

14. The method of claim 13, the blood vessel is a coronary artery.

15. The method of claim 1, wherein the conduit defines a first opening in the first end and a second opening in the second end, and wherein placing the first end includes placing the first opening in flow communication with the heart chamber.

16. The method of claim 15, wherein the heart chamber is a left ventricle and the blood vessel is a coronary artery.