Magnetically navigable balloon catheters

• US 8,419,681 B2
• Filed: 05/17/2005
• Issued: 04/16/2013
• Est. Priority Date: 11/18/2002
• Status: Active Grant

• Current Assignee: Stereotaxis, Inc.
• Original Assignee: Stereotaxis, Inc.
• Inventors: Sell, Jonathan C.
• Primary Examiner(s): Lucchesi, Nicholas
• Assistant Examiner(s): Zhang, Jenna
• Application Number:
  US11/131,476
• Publication Number:
  US 20050273130A1
• Time in Patent Office: 2,891 Days
• Field of Search: 604/96.01, 60410201-10203, 604/103.05, 604/103.1, 604/104, 604/529, 606191-195, 606/198, 606/106, 623/1.11, 600/12, 600/421, 600/422, 600/426, 600/407, 600/425, 600/427
• US Class Current: 604/103.1
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 34/73 Manipulators for magnetic surgery
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61M 2025/0081 Soft tip
• CPC Class Codes: A61M 2025/018 Catheters having a lateral opening for guiding elongated means lateral to the catheter
• CPC Class Codes: A61M 2025/1079 having radio-opaque markers in the region of the balloon
• CPC Class Codes: A61M 25/0054 with regions for increasing flexibility
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers

Abstract

A balloon catheter comprising an elongate tube having a proximal end and a distal end, and a lumen therebetween, and a balloon at the distal end of the tube, in fluid communication with the lumen. A magnetically responsive element at the distal end of the device sized and shaped to orient the distal end of the device in an operating region in a subject upon the application of a magnetic field from an external source magnet.

Claims

1. A magnetically guidable angioplasty catheter comprising

an elongate flexible member having a proximal end and a distal end, and

an expandable element adjacent the distal end for selectively expanding the lumen of a blood vessel in which it is disposed, and

a magnetically responsive element on the distal tip of the elongate flexible member, sized and spaced distally, relative to the expandable element to be able to orient the distal end of the elongate flexible member and the expandable element in a desired direction in an operating region inside a subject'"'"'s body, upon the application of a magnetic field from an external source magnet.

2. The magnetically guidable angioplasty catheter according to claim 1 wherein the magnetically responsive element is sized and spaced relative to the expandable element to be able to orient the distal end of the expandable element in a desired direction in an operating region inside a subject'"'"'s body, upon the application of a magnetic field of about 0.2 T or less.

3. The magnetically guidable angioplasty catheter according to claim 1 further comprising a core wire extending through the distal end portion of the elongate flexible member and the expandable element, the distal end portion of the core wire tapering in the distal direction at least in the distal end portion of the catheter.

4. A balloon catheter comprising an elongate tube having a proximal end and a distal end, and a lumen therebetween, and a balloon at the distal end of the elongate tube, in fluid communication with the lumen, and a magnetically responsive element at the distal tip of the balloon catheter sized, shaped, and spaced distally relative to the balloon to be able to orient the distal end of the balloon catheter in an operating region in a subject upon the application of a magnetic field from an external source magnet.

5. The balloon catheter according to claim 4 further comprising a coil of magnetically responsive material between the balloon and the magnetically responsive element.

6. The balloon catheter according to claim 5 wherein the coil of magnetically responsive material includes a radiopaque material.

7. The balloon catheter according to claim 5 wherein the proximal end of the coil extends into the balloon.

8. The balloon catheter according to claim 7 wherein the coil of magnetically responsive material includes a radiopaque material.

9. The balloon catheter according to claim 4 further comprising a flexible, radiopaque member between the balloon and the magnetically responsive element.

10. The balloon catheter according to claim 9 wherein the flexible, radiopaque member is a coil of radiopaque material.

11. The balloon catheter according to claim 9 wherein the flexible, radiopaque member extends at least partly into the distal end of the balloon.

12. The balloon catheter according to claim 4 further comprising at least one radiopaque marker band for identifying the position of the balloon.

13. The balloon catheter according to claim 12 wherein there is a radiopaque marker band intermediate the proximal and distal ends of the balloon.

14. The balloon catheter according to claim 12 wherein there is a radiopaque marker band at least one of the proximal and distal ends of the balloon.

15. The balloon catheter according to claim 14 wherein there is a radiopaque marker band at both the proximal and distal ends of the balloon.

16. The balloon catheter according to claim 4 further comprising a core wire in at least a portion of the lumen of the elongate tube, the core wire tapering from at least a point proximal to the balloon, to the distal end of the balloon.

17. The balloon catheter according to claim 16 further comprising a proximal tube at the proximal end of the elongate tube, and wherein the core wire extends generally from the proximal tube to the distal end of the balloon.

18. The balloon catheter according to claim 16 further comprising a proximal tube at the proximal end of the elongate tube, and wherein the core wire extends through to the proximal end of the proximal tube.

19. The balloon catheter according to claim 4 wherein the balloon is formed integrally from the wall of the elongate tube.

20. The balloon catheter according to claim 4 wherein the balloon is formed separately from the elongate tube and is secured thereto.

21. The balloon catheter according to claim 4 further comprising an expandable stent on the exterior of the balloon.

22. The balloon catheter according to claim 4 further comprising at least one magnetically responsive element inside the balloon.

23. The balloon catheter according to claim 4 further comprising at least one magnetically responsive element inside the balloon, whose position can be moved relative to the length of the balloon.

24. The balloon catheter according to claim 23 wherein the at least one magnetically responsive element inside the balloon is mounted on a wire in the lumen of the elongate tube so that movement of the wire moves the at least one magnetically responsive element.

25. A catheter for use in opening a vessel occlusion comprising

an elongate flexible tubular member having a proximal and distal end;

a lumen extending between said proximal and said distal end;

a core member that is smaller than the elongate flexible tubular member and having a proximal end connected to the distal end of the elongate flexible tubular member and extending distally beyond the distal end of the elongate flexible tubular member;

an inflatable balloon having a first end secured to the distal end of the elongate flexible tubular member and a second end connected to the core member, the inflatable balloon surrounding the core member and being in fluid communication with the interior passage of the elongate flexible tubular member;

at least one magnetically responsive element attached to a distal tip of said core member and spaced distally relative to the inflatable balloon, to orient the distal end of the core member in a desired direction inside a subject'"'"'s body upon application of a magnetic field from an external source magnet outside the subject'"'"'s body.

26. The catheter according to claim 25 above where the at least one magnetically responsive element is positioned on the core member distal of the elongate flexible tubular member.

27. The catheter according to claim 26 wherein the inflatable balloon is made of a high strength polymer balloon material that can withstand up to 25 ATM of pressure.

28. The catheter according to claim 25 wherein an expandable endovascular stent is disposed over the inflatable balloon.