Low profile catheter for emboli protection

• US 6,786,888 B1
• Filed: 10/06/2000
• Issued: 09/07/2004
• Est. Priority Date: 05/20/1996
• Status: Expired due to Fees

• Current Assignee: Medtronic Ave Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Ave Incorporated (Medtronic Plc)
• Inventors: Bagaoisan, Celso J., Zadno-Azizi, Gholam-Reza, Bleam, Jefferey C.
• Primary Examiner(s): Bianco, Patricia
• Application Number:
  US09/684,186
• Time in Patent Office: 1,432 Days
• Field of Search: 604/96.01, 604/97-1-, 604/98.01, 604/99-1-, 604/100-1-1, 604/523-28, 604/538, 604/93-1-, 604/101.01, 604/101.05, 604/102-1-1, 604/103-3-1, 604/103.09, 604/103.11, 604/104-109, 606/191-201, 600/433-35
• US Class Current: 604/99.02
• CPC Class Codes: A61M 2025/0018 having a plug, e.g. an inflatable plug for closing catheter lumens
• CPC Class Codes: A61M 2025/09008 having a balloon
• CPC Class Codes: A61M 2025/09175 having specific characteristics at the distal tip
• CPC Class Codes: A61M 2025/1015 having two or more independently movable balloons where the distance between the balloons can be adjusted, e.g. two balloon catheters concentric to each other forming an adjustable multiple balloon catheter system
• CPC Class Codes: A61M 2025/1052 for temporarily occluding a vessel for isolating a sector
• CPC Class Codes: A61M 2025/1079 having radio-opaque markers in the region of the balloon
• CPC Class Codes: A61M 2025/1093 having particular tip characteristics
• CPC Class Codes: A61M 25/0009 Making of catheters or other medical or surgical tubes
• CPC Class Codes: A61M 25/0026 Multi-lumen catheters with stationary elements catheter assemblies comprising a catheter in combination with a guide tube, sheath or sleeve A61M2025/0681; catheters comprising telescoping coaxial elements A61M2025/0175
• CPC Class Codes: A61M 25/0054 with regions for increasing flexibility
• CPC Class Codes: A61M 25/0075 Valve means
• CPC Class Codes: A61M 25/09 Guide wires
• CPC Class Codes: A61M 25/09033 with fixed mandrils, e.g. mandrils fixed to tip; Tensionable wires
• 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 25/10185 Valves
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

A low profile catheter valve comprises a movable sealer portion positioned within the inflation lumen of a catheter. The sealer portion forms a fluid tight seal with the inflation lumen by firmly contacting the entire circumference of a section of the inflation lumen. The sealer portion may be positioned proximally of a side-access inflation port on the catheter, to establish an unrestricted fluid pathway between the inflation port and an inflatable balloon on the distal end of the catheter. As desired, the clinician may move the sealer portion to a position distal of the inflation port, thereby preventing any fluid from being introduced into or withdrawn from the balloon via the inflation port.

Claims

1. An emboli protection apparatus for use in a blood vessel, comprising:

a tube having a proximal end portion and a distal end portion and a lumen therethrough;

an expandable member on said distal end portion of said tube, said expandable member being expandable from a nonexpanded state, which permits delivery of said expandable member through the vessel, to an expanded state in which the expandable member prevents migration of emboli;

an elongate member being moveable relative to said tube between a first position at least partially within said tube and a second position at least partially within said tube, the elongate member having a holding portion with a cross section greater than a cross section of the lumen wherein the holding portion is deformable to fit within the lumen, the movement of the elongate member between the first and the second positions enabling the expansion of the expandable member, said elongate member configured to frictionally engage an interior surface of said proximal end portion of said tube when said elongate member is in both of the first and second positions, the frictional engagement being sufficient to maintain the position of said elongate member relative to said tube, thereby maintaining the state of said expandable member.

2. The apparatus of claim 1, wherein said expandable member is a balloon.

3. The apparatus of claim 2, further comprising an inflation notch in said proximal end portion of said tube.

4. The apparatus of claim 3, wherein a distal end portion of said elongate member is proximal to said inflation notch when said elongate member is in the first position.

5. The apparatus of claim 3, wherein a distal end portion of said elongate member is distal to said inflation notch when said elongate member is in the second position.

6. The apparatus of claim 3, comprising a sealer portion at a distal end portion of said elongate member, said sealer portion providing at least some of the frictional engagement.

7. The apparatus of claim 3, comprising a wavy portion between proximal and distal end portions of said elongate member, said wavy portion providing at least some of the frictional engagement.

8. The apparatus of claim 1, said expandable member being in a non-expanded state when said elongate member is in the first position, said expandable member being in an expanded state when said elongate member is in the second position.

9. The apparatus of claim 1, wherein said elongate member includes a wavy portion, said wavy portion contacting said interior surface of said tube to frictionally engage said interior surface.

10. The apparatus of claim 1, wherein said elongate member extends proximal to said tube.

11. The apparatus of claim 1, wherein said apparatus can be repeatedly moved between the first and second positions.

12. The apparatus of claim 1, wherein said elongate member is slidable within said tube between the first and second positions.

13. The apparatus of claim 1, wherein said elongate member is moveable within a lumen of said tube.

14. The apparatus of claim 1, wherein:

said elongate member is configured to frictionally engage the interior surface of said tube when said elongate member is in the first position to maintain said expandable member in the nonexpanded state; and

said elongate member is configured to frictionally engage the interior surface of said tube when said elongate member is in the second position to maintain said expandable member in the expanded state.

15. An emboli protection apparatus for use in a blood vessel, comprising:

a tube having a proximal end portion and a distal end portion;

an expandable member on said distal end portion of said tube, said expandable member being expandable from a nonexpanded state, which permits delivery of said expandable member through the vessel, to an expanded state in which the expandable member prevents migration of emboli;

an elongate member being moveable relative to said tube between a first position at least partially within said tube and a second position at least partially within said tube, the movement of the elongate member between the first and the second positions enabling the expansion of the expandable member, said elongate member including a wavy portion, said wavy portion contacting an interior surface of said tube when said elongate member is in at least one of the first and second positions, the frictional engagement being sufficient to maintain the position of said elongate member in a plurality of positions relative to said tube, thereby maintaining the state of said expandable member.

16. An emboli protection apparatus for use in a blood vessel, comprising:

a tube having a proximal end portion and a distal end portion;

an expandable member on said distal end portion of said tube, said expandable member being expandable from a nonexpanded state, which permits delivery of said expandable member through the vessel, to an expanded state in which the expandable member prevents migration of emboli; and

an elongate member being moveable relative to said tube between a first position at least partially within said tube and a second position at least partially within said tube, the movement of the elongate member between the first and the second positions enabling the expansion of the expandable member, said elongate member configured to frictionally engage an interior surface of said tube when said elongate member is in both the first and second positions, the frictional engagement being sufficient to maintain the position of said elongate member relative to said tube, thereby maintaining said expandable member in the nonexpanded state.