Methods for external treatment of blood

• US 6,595,941 B1
• Filed: 01/11/2000
• Issued: 07/22/2003
• Est. Priority Date: 01/11/2000
• Status: Expired due to Fees

• Current Assignee: DF Vital Holdings, LLC
• Original Assignee: Integrated Vascular Interventional Technologies LC (Integrated Vascular Interventional Technologies)
• Inventors: Blatter, Duane D.
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): DEAK, LESLIE R
• Application Number:
  US09/481,283
• Time in Patent Office: 1,288 Days
• Field of Search: 604/8, 604/9, 604/264, 604/632, 604/93.1, 604/96.01, 604/101.04, 604/28, 604/508, 604/509, 623/1.25, 623/1.36, 210/646, 128/898
• US Class Current: 604/4.01
• CPC Class Codes: A61M 2025/1052 for temporarily occluding a vessel for isolating a sector
• 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

Abstract

Vascular access systems, devices and methods for facilitating repeated access to a blood vessel. These systems, devices and methods can be used in external blood treatment, such as dialysis, and in intra-venous administration of medicines, such as heparin, for extended periods of time, while avoiding deleterious effects such as those derived from repeated puncturing of the blood vessel tissues or exposure of such tissues to abnormal fluid flows. The vascular access systems comprise an anastomosis graft vessel, an occlusal device, such as an occlusal balloon, and a port device for accessing the occlusal device. Occlusal devices can be self-contained, they can rely on osmosis, and they can serve as the support of an agent to which the blood stream is exposed, either by transport or by mere contact. In addition, occlusal devices can adopt a distended and a collapsed configuration, the latter allowing for blood flow through the anastomosis graft vessel.

Claims

1. A method for external treatment of blood, comprising:

providing an occludable extraction graft vessel having an anastomosis end which is anastomosed to an extraction blood vessel, wherein the extraction graft vessel is occluded at its anastomosis end to prevent blood from entering the occludable extraction graft vessel;

providing an occludable delivery graft vessel having an anastomosis end which is anastomosed to a delivery blood vessel, wherein the occludable delivery graft vessel is occluded at its anastomosis end to prevent blood from entering the occludable delivery graft vessel;

enabling fluid communication between said extraction blood vessel and said occludable extraction graft vessel;

enabling fluid communication between said delivery blood vessel and said occludable delivery graft vessel;

allowing blood to flow in fluid communication between said occludable extraction graft vessel to a blood treatment device and then to said delivery graft vessel, such that blood flow from said occludable extraction graft vessel first reaches said blood treatment device and then reaches said occludable delivery graft vessel after being treated; and

occluding said occludable extraction graft vessel and said occludable delivery graft vessel at their respective anastomosis ends after completion of blood treatment with the blood treatment device.

2. The method as recited in claim 1, wherein said extraction blood vessel is an artery and said delivery blood vessel is a vein.

3. The method as recited in claim 1, wherein said extraction blood vessel is a vein and said delivery blood vessel is a vein.

4. The method as recited in claim 1, wherein at least one of said occludable extraction graft vessel and said occludable delivery graft vessel is configured for the delivery of a physiologically active agent into the blood.

5. The method as recited in claim 1, wherein at least one of said occludable extraction graft vessel and said occludable delivery graft vessel is configured for the delivery of heparin into the blood.

6. The method as recited in claim 1, wherein said blood treatment device is a hemodialyzer.

7. The method as recited in claim 1, wherein said blood treatment device is a plasmapheresis separator.

8. The method as recited in claim 1, wherein said blood treatment device is an ultrafiltration hemodialyzer.

9. The method as recited in claim 1, wherein said blood treatment device comprises a biocompatible hemoperfusion cartridge for hemoperfusion.

10. The method as recited in claim 1, wherein said blood treatment device comprises a hemofiltration cartridge.

11. A method for external treatment of blood, comprising:

providing an occludable extraction graft vessel having an anastomosis end which is anastomosed to an extraction blood vessel, wherein the occludable extraction graft vessel is occuded at its anastomosis end to prevent blood from entering the occludable extraction graft vessel;

providing an occludable delivery graft vessel having an anastomosis end which is anastomosed to a delivery blood vessel, wherein the occludable delivery graft vessel is occluded at its anastomosis end to prevent blood from entering the occludable delivery graft vessel;

enabling fluid communication between said extraction blood vessel and said occludable extraction graft vessel;

enabling fluid communication between said delivery blood vessel and said occludable delivery graft vessel;

accessing said occludable extraction graft vessel;

accessing said occludable delivery graft vessel;

establishing fluid communication from said occludable extraction graft vessel to said occludable delivery graft vessel via a blood treatment device to enable blood flowing from said occludable extraction graft vessel to be treated by said blood treatment device and then to be returned into said occludable delivery graft vessel; and

occluding said occludable extraction graft vessel and said occludable delivery graft vessel at their respective anastomosis ends after completion of blood treatment with the blood treatment device.

12. The method as recited in claim 11, wherein said extraction blood vessel is an artery and said delivery blood vessel is a vein.

13. The method as recited in claim 11, wherein said extraction blood vessel is a vein and said delivery blood vessel is a vein.

14. The method as recited in claim 11, wherein at least one of said occludable extraction graft vessel and said occludable delivery graft vessel is configured for the delivery of a physiologically active agent into the blood.

15. The method as recited in claim 11, wherein at least one of said occludable extraction graft vessel and said occludable delivery graft vessel is configured for the delivery of heparin into the blood.

16. The method as recited in claim 11, wherein said step of enabling fluid communication between said extraction blood vessel and said occludable extraction graft vessel is achieved by deflating an occlusal balloon positioned in said occludable extraction graft vessel.

17. The method as recited in claim 11, wherein said step of enabling fluid communication between said delivery blood vessel and said occludable delivery graft vessel is achieved by deflating an occlusal balloon positioned in said occludable delivery graft vessel.

18. The method as recited in claim 16, further comprising expanding said occlusal balloon after the external treatment of the blood such that said occludable extraction graft vessel is effectively sealed at its anastomosis end.

19. The method as recited in claim 17, further comprising expanding said occlusal balloon after the external treatment of the blood such that said occludable delivery graft vessel is effectively sealed at its anastomosis end.

20. The method as recited in claim 11, wherein said blood treatment device is a hemodialyzer.

21. A method for external treatment of blood, comprising:

providing an occludable extraction graft vessel having an anastomosis end which is anastomosed to an extraction blood vessel, the occludable extraction graft vessel having an occlusal balloon disposed herein;

providing an occludable delivery graft vessel having an anastomosis end which is anastomosed to a delivery blood vessel, the occludable delivery graft vessel having an occlusal balloon disposed therein, wherein the occludable extraction graft vessel and the occludable delivery graft vessel are distinct vessels;

enabling fluid communication between said extraction blood vessel and said occludable extraction graft vessel by deflating the occlusal balloon in the occludable extraction graft vessel;

enabling fluid communication between said delivery blood vessel and said occludable delivery graft vessel by deflating the occlusal balloon in the occludable delivery graft vessel;

accessing said occludable extraction graft vessel;

accessing said occludable delivery graft vessel; and

establishing fluid communication from said occludable extraction graft vessel to said occludable delivery graft vessel via a blood treatment device to enable blood flowing from said occludable extraction graft vessel to be treated by said blood treatment device and then to be returned into said occludable delivery graft vessel.

22. The method as recited in claim 21, wherein said extraction blood vessel is an artery and said delivery blood vessel is a vein.

23. The method as recited in claim 21, wherein said extraction blood vessel is a vein and said delivery blood vessel is a vein.

24. The method as recited in claim 21, wherein at least one of the occlusal balloons is configured for the delivery of a physiologically active agent into the blood.

25. The method as recited in claim 21, wherein at least one of said occlusal balloons is configured for the delivery of heparin into the blood.

26. The method as recited in claim 21, wherein said blood treatment device is a hemodialyzer.

27. The method as recited in claim 21, further comprising the step of terminating fluid communication between said occludable extraction graft vessel, said blood treatment device and said occludable delivery graft vessel by expanding at least one of the occlusal balloons after the external treatment of the blood.

28. A method for external treatment of blood, comprising:

providing an occludable extraction graft vessel having an anastomosis end which is anastomosed to an extraction blood vessel, the occludable extraction graft vessel having an occlusal balloon disposed therein;

providing an occludable delivery graft vessel having an anastomosis end which is anastomosed to a delivery blood vessel, the occludable delivery graft vessel having an occlusal balloon disposed therein;

enabling fluid communication between said extraction blood vessel and said occludable extraction graft vessel by deflating the occlusal balloon in the occludable extraction graft vessel;

enabling fluid communication between said delivery blood vessel and said occludable delivery graft vessel by deflating the occlusal balloon in the occludable delivery graft vessel;

accessing said occludable extraction graft vessel;

accessing said occludable delivery graft vessel;

establishing fluid communication from said occludable extraction graft vessel to said occludable delivery graft vessel via a blood treatment device to enable blood flowing from said occludable extraction graft vessel to be treated by said blood treatment device and then to be returned into said occludable delivery graft vessel; and

terminating fluid communication between said occludable extraction graft vessel, said blood treatment device and said occludable delivery graft vessel by expanding at least one of the occlusal balloons upon completion of the treatment of the blood.

29. A hemodialysis method, comprising:

providing an occludable extraction graft vessel having an anastomosis end which is anastomosed to an extraction blood vessel, the occludable extraction graft vessel having an occlusal balloon disposed therein;

providing an occludable delivery graft vessel having an anastomosis end which is anastomosed to a delivery blood vessel, the occludable delivery graft vessel having an occlusal balloon disposed therein, wherein the occludable extraction graft vessel and the occludable delivery graft vessel are distinct vessels;

enabling fluid communication between said extraction blood vessel and said occludable extraction graft vessel by deflating the occlusal balloon in the occludable extraction graft vessel;

enabling fluid communication between said delivery blood vessel and said occludable delivery graft vessel by deflating the occlusal balloon in the occludable delivery graft vessel;

accessing said occludable extraction graft vessel;

accessing said occludable delivery graft vessel; and

establishing fluid communication from said occludable extraction graft vessel to said occludable delivery graft vessel via a hemodialyzer to enable blood flowing from said occludable extraction graft vessel to be treated by said hemodialyzer and then to be returned into said occludable delivery graft vessel.

30. The method as recited in claim 29, wherein said extraction blood vessel is an artery and said delivery blood vessel is a vein.

31. The method as recited in claim 29, wherein said extraction blood vessel is a vein and said delivery blood vessel is a vein.

32. The method as recited in claim 29, wherein at least one of the occlusal balloons is configured for the delivery of a physiologically active agent into the blood.

33. The method as recited in claim 29, wherein at least one of said occlusal balloons is configured for the delivery of heparin into the blood.

34. The method as recited in claim 29, further comprising terminating fluid communication between said occludable extraction graft vessel, said hemodialyzer and said occludable delivery graft vessel by expanding at least one of the occlusal balloons upon completion of the treatment of the blood.