Multi-lumen fluted balloon radiation centering catheter

• US 7,163,504 B1
• Filed: 02/16/2000
• Issued: 01/16/2007
• Est. Priority Date: 02/16/2000
• Status: Expired due to Fees

• Current Assignee: Advanced Cardiovascular Systems Incorporated (Abbott Laboratories)
• Original Assignee: Advanced Cardiovascular Systems Incorporated (Abbott Laboratories)
• Inventors: Chiu, Jessica, Peterson, Eric D., Lumauig, Manolo F.
• Primary Examiner(s): Lacyk; John P.
• Application Number:
  US09/506,081
• Time in Patent Office: 2,526 Days
• Field of Search: 600 1- 8, 606/194, 604507-510, 604/96.01, 604/97.01, 60410101-10314
• US Class Current: 600/3
• CPC Class Codes: A61M 2025/0036 with more than four lumina
• CPC Class Codes: A61M 2025/004 characterized by lumina being arranged circumferentially
• CPC Class Codes: A61M 2025/1047 having centering means, e.g. balloons having an appropriate shape
• CPC Class Codes: A61M 2025/1097 with perfusion means for enabling blood circulation only while the balloon is in an inflated state, e.g. temporary by-pass within balloon
• CPC Class Codes: A61M 25/0029 characterized by features relating to least one lumen located at the middle part of the catheter, e.g. slots, flaps, valves, cuffs, apertures, notches, grooves or rapid exchange ports catheter shaft surface irregularities A61M2025/006
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters
• CPC Class Codes: A61M 25/1027 Making of balloon catheters
• CPC Class Codes: A61M 25/1029 Production methods of the balloon members, e.g. blow-moulding, extruding, deposition or by wrapping a plurality of layers of balloon material around a mandril
• CPC Class Codes: A61M 25/1034 Joining of shaft and balloon
• CPC Class Codes: A61M 25/1038 Wrapping or folding devices for use with balloon catheters
• CPC Class Codes: A61N 2005/1003 having means for centering a radioactive source within the lumen, e.g. balloons
• CPC Class Codes: A61N 5/1002 Intraluminal radiation therapy

Abstract

A multi-lumen balloon for use in a fluted balloon centering catheter and method for providing the same. The multi-lumen balloon maintains a radiation source at the center of a cardiovascular artery, has improved blood perfusion capability, and has improved balloon refolding characteristics. The method of fabricating a multi-lumen balloon designed for a radiation centering catheter uses an improved extrusion process that allows the manufacture of the multi-lumen balloon sub-assembly to be done separately from the catheter shaft assembly.

Claims

1. A multi-lumen balloon radiation centering catheter assembly, comprising:

a multi-lumen balloon having a plurality of inflatable outer lumens disposed around a central lumen, the plurality of outer lumens integrally coupled with the central lumen so as to form the multi-lumen balloon with a continuous perimeter; and

a catheter shaft disposed proximate to the balloon, the catheter shaft including an inner lumen longitudinally extending through at least a portion of the catheter shaft proximate the balloon and connected to the central lumen, the inner lumen adapted for receiving a radiation source lumen, the inner lumen further adapted for receiving a guidewire lumen for positioning the multi-lumen balloon radiation centering catheter within a body vessel, wherein the guidewire lumen extends lengthwise through one of the plurality of outer lumens, and wherein slideable seals are provided to seal both ends of the multi-lumen balloon where the guidewire is received.

2. The multi-lumen balloon radiation centering catheter assembly of claim 1, wherein the inner lumen is further adapted for receiving a plurality of inflation lumens that are in fluid communication with the plurality of outer lumens to allow an inflation medium to enter and inflate the plurality of outer lumens so as to cause the radiation source lumen to be centered within a body vessel.

3. The multi-lumen balloon radiation centering catheter assembly of claim 2, wherein each outer lumen is inflatable to different inflation pressures.

4. The multi-lumen balloon radiation centering catheter assembly of claim 1, wherein the inner lumen serves as an inflation lumen for the plurality of outer lumens.

5. The multi-lumen balloon radiation centering catheter assembly of claim 1, further comprising a catheter outer member coupled with the catheter shaft.

6. The multi-lumen balloon radiation centering catheter assembly of claim 5, wherein the catheter outer member includes an outer member lumen extending through at least a portion of the catheter outer member and connected to the catheter shaft inner lumen, the outer member lumen adapted for receiving a inflation lumen that is in fluid communication with the plurality of outer lumens for inflating the multi-lumen balloon.

7. The multi-lumen balloon radiation centering catheter assembly of claim 1, wherein the radiation source lumen extends lengthwise through the central lumen of the multi-lumen balloon.

8. The multi-lumen balloon radiation centering catheter assembly of claim 7, wherein the plurality of outer lumens have a plurality of proximal ends and distal ends coupled with the radiation source lumen so as to form a balloon proximal seal and a balloon distal seal.

9. The multi-lumen balloon radiation centering catheter assembly of claim 8, wherein a balloon treatment area is formed between the balloon proximal seal and the balloon distal seal.

10. The multi-lumen balloon radiation centering catheter assembly of claim 9, wherein the balloon treatment area has a fluted shape.

11. The multi-lumen balloon radiation centering catheter assembly of claim 1, wherein the guidewire lumen extending lengthwise through one of the outer lumens of the multi-lumen balloon is a standard rapid exchange guidewire lumen.

15. The multi-lumen balloon radiation centering catheter assembly of claim 1, further comprising a radiation source disposed within the radiation source lumen.

16. The multi-lumen balloon radiation centering catheter assembly of claim 15, wherein the radiation source comprises a gamma radiation-emitting radiation source.

17. The multi-lumen balloon radiation centering catheter assembly of claim 15, wherein the radiation source comprises a beta radiation-emitting radiation source.

18. The multi-lumen balloon radiation centering catheter assembly of claim 17, wherein the radiation source comprises phosphorous-32.

19. The multi-lumen balloon radiation centering catheter assembly of claim 2, wherein when inflated and engaged with the body vessel, the plurality of outer lumens form straight longitudinal paths that allow for perfusion of blood past the multi-lumen balloon.

20. The multi-lumen balloon radiation centering catheter assembly of claim 1, wherein the plurality of outer lumens have equal diameters when inflated by an inflation medium.

21. The multi-lumen balloon radiation centering catheter assembly of claim 1, wherein the plurality of outer lumens have unequal diameters when inflated by the inflation medium.

22. The multi-lumen balloon radiation centering catheter assembly of claim 9, wherein the balloon treatment area has a longitudinal length in a range of approximately 10–

250 mm.

23. The multi-lumen balloon radiation centering catheter assembly of claim 9, wherein the balloon treatment area has a longitudinal length in a range of approximately 18–

54 mm.

24. The multi-lumen balloon radiation centering catheter assembly of claim 9, wherein the balloon treatment area has a combined diameter in a range of approximately 1.5–

10 mm when inflated by the inflation medium.

25. The multi-lumen balloon radiation centering catheter assembly of claim 9, wherein the balloon treatment area has a combined diameter in a range of approximately 1.5–

4 mm when inflated by the inflation medium.

26. The multi-lumen balloon radiation centering catheter assembly of claim 1, wherein the multi-lumen balloon is manufactured from a material selected from the group consisting of resin, nylon and pebax.

12. The multi-lumen balloon radiation centering catheter of claim assembly 1, further comprising a soft tip coupled to a distal end of the guidewire lumen.

13. The multi-lumen balloon radiation centering catheter of claim assembly 8, further comprising a distal marker and a proximal marker coupled with the radiation source lumen and disposed within the balloon distal seal and the balloon proximal seal.

14. The multi-lumen balloon radiation centering catheter assembly of claim 13, wherein the distal marker is part of a radiation source lumen plug.

27. A multi-lumen balloon radiation centering catheter assembly, comprising:

a multi-lumen balloon having a plurality of inflatable outer lumens disposed around a central lumen, the plurality of outer lumens integrally coupled with the central lumen so as to form the multi-lumen balloon with a continuous perimeter; and

a catheter shaft disposed proximate to the balloon, the catheter shaft including an inner lumen longitudinally extending through at least a portion of the catheter shaft proximate the balloon and connected to the central lumen, the inner lumen adapted for receiving a radiation source lumen, the inner lumen further adapted for receiving a guidewire lumen for positioning the multi-lumen balloon radiation centering catheter within a body vessel, wherein the guidewire lumen is positioned distal to the multi-lumen balloon, and wherein slideable seals are provided to seal both ends of the catheter shaft where a guidewire is received.

28. The multi-lumen balloon radiation centering catheter assembly of claim 27, wherein the inner lumen is further adapted for receiving a plurality of inflation lumens that are in fluid communication with the plurality of outer lumens to allow an inflation medium to enter and inflate the plurality of outer lumens so as to cause the radiation source lumen to be centered within a body vessel.

29. The multi-lumen balloon radiation centering catheter assembly of claim 28, wherein each outer lumen is inflatable to different inflation pressures.

30. The multi-lumen balloon radiation centering catheter assembly of claim 27, wherein the inner lumen serves as an inflation lumen for the plurality of outer lumens.

31. The multi-lumen balloon radiation centering catheter assembly of claim 27, further comprising a catheter outer member coupled with the catheter shaft.

32. The multi-lumen balloon radiation centering catheter assembly of claim 31, wherein the catheter outer member includes an outer member lumen extending through at least a portion of the catheter outer member and connected to the catheter shaft inner lumen, the outer member lumen adapted for receiving a inflation lumen that is in fluid communication with the plurality of outer lumens for inflating the multi-lumen balloon.

33. The multi-lumen balloon radiation centering catheter assembly of claim 27, wherein the radiation source lumen extends lengthwise through the central lumen of the multi-lumen balloon.

34. The multi-lumen balloon radiation centering catheter assembly of claim 33, wherein the plurality of outer lumens have a plurality of proximal ends and distal ends coupled with the radiation source lumen so as to form a balloon proximal seal and a balloon distal seal.

35. The multi-lumen balloon radiation centering catheter assembly of claim 34, wherein a balloon treatment area is formed between the balloon proximal seal and the balloon distal seal.

36. The multi-lumen balloon radiation centering catheter assembly of claim 35, wherein the balloon treatment area has a fluted shape.

37. The multi-lumen balloon radiation centering catheter assembly of claim 27, wherein the guidewire lumen is a tip rapid exchange guidewire lumen.

41. The multi-lumen balloon radiation centering catheter assembly of claim 27, further comprising a radiation source disposed within the radiation source lumen.

42. The multi-lumen balloon radiation centering catheter assembly of claim 41, wherein the radiation source comprises a gamma radiation-emitting radiation source.

43. The multi-lumen balloon radiation centering catheter assembly of claim 41, wherein the radiation source comprises a beta radiation-emitting radiation source.

44. The multi-lumen balloon radiation centering catheter assembly of claim 43, wherein the radiation source comprises phosphorous-32.

45. The multi-lumen balloon radiation centering catheter assembly of claim 28, wherein when inflated and engaged with the body vessel, the plurality of outer lumens form straight longitudinal paths that allow for perfusion of blood past the multi-lumen balloon.

46. The multi-lumen balloon radiation centering catheter assembly of claim 27, wherein the plurality of outer lumens have equal diameters when inflated by an inflation medium.

47. The multi-lumen balloon radiation centering catheter assembly of claim 27, wherein the plurality of outer lumens have unequal diameters when inflated by an inflation medium.

48. The multi-lumen balloon radiation centering catheter assembly of claim 35, wherein the balloon treatment area has a longitudinal length in a range of approximately 10–

250 mm.

49. The multi-lumen balloon radiation centering catheter assembly of claim 35, wherein the balloon treatment area has a longitudinal length in a range of approximately 18–

54 mm.

50. The multi-lumen balloon radiation centering catheter assembly of claim 35, wherein the balloon treatment area has a combined diameter in a range of approximately 1.5–

10 mm when inflated by the inflation medium.

51. The multi-lumen balloon radiation centering catheter assembly of claim 35, wherein the balloon treatment area has a combined diameter in a range of approximately 1.5–

4 mm when inflated by the inflation medium.

52. The multi-lumen balloon radiation centering catheter assembly of claim 27, wherein the multi-lumen balloon is manufactured from a material selected from the group consisting of resin, nylon and Pebax.

53. The multi-lumen balloon radiation centering catheter assembly of claim 28, wherein the outer lumens are inflated at different inflation pressures to cause the central lumen not to be centered within the body vessel.

38. The multi-lumen balloon radiation centering catheter of claim assembly 27, further comprising a soft tip coupled to a distal end of the guidewire lumen.

39. The multi-lumen balloon radiation centering catheter of claim assembly 34, further comprising a distal marker and a proximal marker coupled with the radiation source lumen and disposed within the balloon distal seal and the balloon proximal seal.

40. The multi-lumen balloon radiation centering catheter assembly of claim 39, wherein the distal marker is part of a radiation source lumen plug.

54. A multi-lumen balloon radiation centering catheter assembly, comprising:

a multi-lumen balloon having a plurality of inflatable outer lumens disposed around a central lumen, the plurality of outer lumens integrally coupled with the central lumen so as to form the multi-lumen balloon with a continuous perimeter and having a slideable proximal seal end and a distal seal end to seal a lumen capable of receiving a guidewire; and

a catheter shaft having a proximal end and a distal end, the catheter distal end coupled with the balloon proximal seal end, the catheter shaft comprising an inner tubular member which extends coaxially within an outer tubular member, the inner tubular member adapted for receiving a radiation source lumen, the inner tubular member further adapted for receiving at least one inflation lumen that is in fluid communication with the plurality of outer lumens to allow an inflation medium to inflate the plurality of outer lumens so as to cause the radiation source lumen to be centered within a body vessel.

55. The multi-lumen balloon radiation centering catheter assembly of claim 54, wherein the inner tubular member is further adapted to receive a guidewire lumen for positioning the multi-lumen balloon radiation centering catheter assembly within the body vessel.

56. The multi-lumen balloon radiation centering catheter assembly of claim 55, wherein the guidewire lumen extends lengthwise through the central lumen.

57. The multi-lumen balloon radiation centering catheter assembly of claim 54, wherein the inner tubular member extends lengthwise through the central lumen.

58. The multi-lumen balloon radiation centering catheter assembly of claim 57, wherein the plurality of outer lumens have a plurality of proximal and distal ends coupled with the inner tubular member so as to form a fluted shape multi-lumen balloon between the balloon distal seal end and balloon proximal seal end.

59. The multi-lumen balloon radiation centering catheter assembly of claim 57, wherein the inner tubular member extending lengthwise through the central lumen of the multi-lumen balloon is adapted to be attached with a tip rapid exchange guidewire lumen for positioning the catheter within the body vessel.

60. The multi-lumen balloon radiation centering catheter assembly of claim 55, further comprising a soft tip coupled to a distal end of the guidewire lumen.

61. The multi-lumen balloon radiation centering catheter assembly of claim 59, further comprising a soft tip coupled to a distal end of the tip rapid exchange guidewire lumen.

62. The multi-lumen balloon radiation centering catheter assembly of claim 54, further comprising a distal marker and a proximal marker coupled with the radiation source lumen and disposed within the distal seal end and the proximal seal end of the multi-lumen balloon.

63. The multi-lumen balloon radiation centering catheter assembly of claim 62, wherein the distal marker is part of a radiation source lumen plug.

64. The multi-lumen balloon radiation centering catheter assembly of claim 54, further comprising a radiation source disposed within the radiation source lumen.

65. The multi-lumen balloon radiation centering catheter assembly of claim 64, wherein the radiation source comprises a gamma radiation-emitting radiation source.

66. The multi-lumen balloon radiation centering catheter assembly of claim 64, wherein the radiation source comprises a beta radiation-emitting radiation source.

67. The multi-lumen balloon radiation centering catheter assembly of claim 66, wherein the radiation source comprises phosphorous-32.

68. The multi-lumen balloon radiation centering catheter assembly of claim 54, wherein when inflated and engaged with the body vessel, the plurality of outer lumens form straight longitudinal paths that allow for perfusion of blood past the multi-lumen balloon.

69. The multi-lumen balloon radiation centering catheter assembly of claim 54, wherein a balloon treatment area is formed between the balloon distal seal end and the balloon proximal seal end.

70. The multi-lumen balloon radiation centering catheter assembly of claim 54, wherein the plurality of outer lumens have equal diameters when inflated by the inflation medium.

71. The multi-lumen balloon radiation centering catheter assembly of claim 54, wherein the plurality of outer lumens have unequal diameters when inflated by the inflation medium.

72. The multi-lumen balloon radiation centering catheter assembly of claim 54, wherein the catheter shaft is a standard rapid exchange type.

73. The multi-lumen balloon radiation centering catheter assembly of claim 54, wherein the catheter shaft is a tip rapid exchange type.

74. The multi-lumen balloon radiation centering catheter assembly of claim 54, wherein the catheter shaft is an over-the-wire catheter type.

75. The multi-lumen balloon radiation centering catheter assembly of claim 69, wherein the balloon treatment area has a longitudinal length in a range of approximately 10–

250 mm.

76. The multi-lumen balloon radiation centering catheter assembly of claim 69, wherein the balloon treatment area has a longitudinal length in a range of approximately 18–

54 mm.

77. The multi-lumen balloon radiation centering catheter assembly of claim 69, wherein the balloon treatment area has a combined diameter in a range of approximately 1.5–

10 mm when inflated by the inflation medium.

78. The multi-lumen balloon radiation centering catheter assembly of claim 69, wherein the balloon treatment area has a combined diameter in a range of approximately 1.5–

4 mm when inflated by the inflation medium.

79. The multi-lumen balloon radiation centering catheter assembly of claim 69, wherein the multi-lumen balloon is manufactured from a material selected from the group consisting of resin, nylon and pebax.