Reperfusion balloon inflation device

• US 8,366,659 B2
• Filed: 02/23/2011
• Issued: 02/05/2013
• Est. Priority Date: 04/30/2010
• Status: Expired due to Fees

• Current Assignee: Abbott Cardiovascular Systems Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Abbott Cardiovascular Systems Incorporated (Abbott Laboratories Incorporated)
• Inventors: Ehrenreich, Kevin J., Magana, Jesus
• Primary Examiner(s): Lucchesi, Nicholas
• Assistant Examiner(s): Snyder, Melissa A
• Application Number:
  US13/032,743
• Publication Number:
  US 20110270174A1
• Time in Patent Office: 713 Days
• Field of Search: 604 9901- 9902, 604/96.01, 604/97.01, 604/98.01
• US Class Current: 604/97.01
• CPC Class Codes: A61M 2025/004 characterized by lumina being arranged circumferentially
• CPC Class Codes: A61M 2025/0059 having means for preventing the catheter, sheath or lumens from collapsing due to outer forces, e.g. compressing forces, or caused by twisting or kinking
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence
• CPC Class Codes: A61M 25/10186 One-way valves
• CPC Class Codes: A61M 25/10187 Indicators for the level of inflation or deflation
• CPC Class Codes: A61M 39/105 Multi-channel connectors or couplings, e.g. for connecting multi-lumen tubes multi-channel connectors in general F16L37/56
• CPC Class Codes: A61M 39/22 Valves or arrangement of valves A61M39/02, A61M39/0247, A61M39/16 take precedence; regulating valves in infusion systems A61M5/16881; in devices worn by the patient for the reception of urine, faeces, catamenial or other discharge, or in colostomy devices A61F5/4405

Abstract

An ischemic postconditioning system and related method comprising a catheter including a plurality of lumens and at least one expandable member with at least one chamber including a moveable plunger and a return mechanism operatively engaged with the plunger. The moveable plunger divides the at least one chamber into first and second volumes. A first pressure source is provided having a first fluid at a first pressure and is disposed in fluid communication with the first volume of the chamber. Further, a second pressure source is provided having a second fluid at a second pressure and is disposed in fluid communication with the second volume of the chamber. Similarly, the at least one expandable member is disposed in fluid communication with the second volume of the chamber. The first fluid supplied by the first pressure source displaces the plunger in a first direction delivering at least a portion of the second fluid into the at least one expandable member. Also, the return mechanism displaces the plunger in a second direction delivering the second fluid from the second pressure source to the second volume of the chamber.

Claims

1. An ischemic postconditioning system comprising:

a catheter, the catheter including a plurality of lumens and at least one expandable member;

at least one chamber including a moveable plunger and a return mechanism operatively engaged with the plunger, the moveable plunger dividing the at least one chamber into first and second volumes;

a first pressure source having a first fluid at a first pressure, the first pressure source disposed in fluid communication with the first volume of the chamber;

a second pressure source having a second fluid at a second pressure, the second pressure source and the at least one expandable member disposed in fluid communication with the second volume of the chamber;

wherein the first fluid supplied by the first pressure source displaces the plunger in a first direction delivering at least a portion of the second fluid into the at least one expandable member; and

wherein the return mechanism displaces the plunger in a second direction delivering the second fluid from the second pressure source to the second volume of the chamber.

2. The system of claim 1, wherein the first pressure source provides fluid at a higher pressure than the second pressure source.

3. The system of claim 1, wherein the amount of expansion of the expandable member is determined by the amount of displacement of the moveable plunger.

4. The system of claim 1, wherein the displacement of the plunger in the first direction compresses the return mechanism.

5. The system of claim 1, wherein displacement of the plunger in the first direction decreases the second volume of the chamber, and displacement of the plunger in the second direction increases the second volume of the chamber.

6. The system of claim 1, wherein the first volume of the chamber includes at least one exhaust port.

7. The system of claim 1, wherein the return mechanism is a compression spring.

8. The system of claim 1, further comprising a check valve disposed between the chamber and the at least one expandable member, the check valve permitting flow of fluid in one direction.

9. The system of claim 1, further comprising an inflation valve disposed between the chamber and the first pressure source, the inflation valve actuated by a button or trigger.

10. The system of claim 1, further comprising an exhaust valve disposed between the chamber and the at least one expandable member, the exhaust valve diverting flow of fluid away from the at least one expandable member.

11. The system of claim 10, wherein the exhaust valve is actuated by a button or trigger.

12. The system of claim 1, further comprising a regulator disposed between the second pressure source and the chamber.

13. The system of claim 12, wherein the pressure of the regulator is constant.

14. The system of claim 12, wherein the pressure of the regulator is variably controlled by a switch, valve, or trigger.

15. An ischemic postconditioning system comprising:

a catheter, the catheter including a plurality of lumens and at least one expandable member;

a first chamber, the first chamber including a first moveable plunger and a return mechanism operatively engaged with the plunger, the at least one expandable member disposed in fluid communication with the first chamber;

a second chamber, the second chamber including a second moveable plunger and return mechanism operatively engaged with the second plunger, the at least one expandable member disposed in fluid communication with the second chamber;

at least one pressure source having a fluid disposed therein, the at least one pressure source disposed in fluid communication with the first and second chambers;

wherein the fluid supplied by the at least one pressure source to the first chamber displaces the first plunger in a first direction to inflate the at least one expandable member; and

wherein the fluid supplied by the at least one pressure source to the second chamber displaces the second plunger in a second direction to deflate the at least one expandable member.

16. The system of claim 15, wherein the at least one pressure source includes a first and second pressure source:

wherein the first pressure source includes a first fluid at a first pressure, the first pressure source disposed in fluid communication with the first and second chambers; and

the second pressure source includes a second fluid at a second pressure, the second pressure source disposed in fluid communication with the first chamber.

17. The system of claim 16, wherein the first return mechanism displaces the first plunger in the second direction delivering the second fluid from the second pressure source to the first chamber.

18. The system of claim 15, wherein the second moveable plunger of the second chamber is configured as a dual plunger.

19. The system of claim 18, wherein the fluid supplied by the first pressure source acts on only one portion of the dual plunger.

20. The system of claim 19, wherein movement of the first portion of the plunger is synchronized with movement of the second portion of the plunger.

21. The system of claim 15, wherein the second chamber includes at least one exhaust port.

22. The system of claim 15, further comprising a switch valve disposed between the first pressure source and the chambers, the switch valve directing flow to one of the first and second chambers.

23. An ischemic postconditioning system comprising:

a catheter, the catheter including a plurality of lumens and at least one expandable member;

a chamber, the chamber including a moveable plunger and a return mechanism operatively engaged with the plunger, the at least one expandable member disposed in fluid communication with the chamber;

at least one pressure source having a fluid disposed therein, the at least one pressure source operatively disposed in fluid communication with the chamber;

a valve, the valve having first and second positions;

wherein when the valve is in the first position, the at least one pressure source is in fluid communication with the chamber; and

wherein when the valve is in the second position, the at least one expandable member is in fluid communication with an exhaust outlet of the valve.

24. The system of claim 23, wherein the moveable plunger divides the chamber into first and second volumes.

25. The system of claim 24, wherein the at least one pressure source includes a first and second pressure source:

wherein the first pressure source includes a first fluid at a first pressure, the first pressure source operatively disposed in fluid communication with the first volume of the chamber; and

the second pressure source includes a second fluid at a second pressure, the second pressure source operatively disposed in fluid communication with the second volume of the chamber.

26. The system of claim 25, wherein the first fluid supplied by the first pressure source displaces the plunger in a first direction delivering at least a portion of the second fluid into the at least one expandable member.

27. The system of claim 25, wherein the return mechanism displaces the plunger in a second direction delivering the second fluid from the second pressure source to the second volume of the chamber.

28. The system of claim 25, wherein the valve includes an inlet and outlet:

the inlet disposed in fluid communication with the first pressure source and the outlet disposed in fluid communication with the first volume of the chamber when in the first position;

the inlet disposed in fluid communication with the first volume of the chamber and the outlet disposed in fluid communication with the ambient atmosphere when in the second position.

29. The system of claim 23, wherein the valve permits fluid transfer in a single direction, the direction alternating between inflation and deflation of the expandable member with the first and second position of the valve.

30. The system of claim 23, wherein the chamber includes at least one exhaust port.