Blood flow bypass catheters and methods for the delivery of medium to the vasculature and body ducts

• US 8,655,798 B2
• Filed: 07/26/2012
• Issued: 02/18/2014
• Est. Priority Date: 02/16/2005
• Status: Active Grant

• Current Assignee: University of Virginia Patent Foundation (University of Virginia)
• Original Assignee: University of Virginia Patent Foundation (University of Virginia)
• Inventors: Humphrey, Joseph A. C., Gillies, George T.
• Primary Examiner(s): Clow, Lori A
• Application Number:
  US13/559,008
• Publication Number:
  US 20130085386A1
• Time in Patent Office: 572 Days
• Field of Search: None
• US Class Current: 706/6
• CPC Class Codes: A61M 2025/105 having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes
• 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 25/10 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 25/1011 Multiple balloon catheters
• CPC Class Codes: A61M 5/007 for contrast media

Abstract

A catheterization device that may be designed by use of an adaptive genetic algorithm computational fluid dynamics approach, as well as other Global Optimization methods that may include simulated annealing, multistart and interval methods, continuous branch and bound methods, evolutionary algorithms, and tabu search and scatter search methods, as well as other available Global Optimization methods that is able to maximize/optimize the dwell time of an infused agent in the vicinity of a vascular lesion. The device may have an internal by-pass channel that allows the blood upstream of the lesion to continue its pulsatile flow through the vessel in the part of it occluded by the lesion, while simultaneously allowing the disbursement and maximal dwell time of an antithrombolytic or other diagnostic or therapeutic agent needed to treat the lesion.

Claims

1. A catheter device for insertion into a vascular structure or body duct, said catheter device having a distal end and a proximal end for delivery of a medium to a lesion, said device comprising:

a blood lumen for allowing blood to pass there through;

a medium lumen for the delivery of a medium to the lesion, said medium lumen comprising at least one medium egress port for communication with the lesion;

an expandable component disposed on said catheter device to block or impede the vascular flow of blood in the vascular structure or body duct; and

said blood lumen comprising at least one blood entrance port proximally before said expandable component to allow blood to enter and at least one blood egress port distally beyond said expandable component to allow blood to pass distally beyond said expandable component,

wherein, a position of said inlet ports and said exit ports is determined by application of a global optimization algorithm comprising;

selecting variables including;

a) geometrical shapes and dimensions of at least one of said blood lumen and said medium lumen,

b) relative locations and orientations of flow planes of at least one of said blood entrance port and blood egress port, and

c) concentration and residence time of the medium in the vicinity of a specific location outside said catheter device; and

applying the global optimization algorithm to the variables to generate a catheter with optimized flow conditions.

2. The device of claim 1, wherein said variables further comprise:

velocity components, vorticity components, pressure, and/or concentration of blood and/or medium at specific locations of blood and/or medium inside and outside of the catheter device.

3. The device of claim 1, wherein said variables further comprise-shear stresses and/or vorticity components of the flow of the blood and/or medium inside and outside said catheter device.

4. The device of claim 3, wherein the specific location outside said catheter device being simulated is located in the vasculature or tubular body duct.

5. The device of claim 3, wherein said variables further comprise at least one of:

Reynolds, Schmidt and/or Pulsating Flow parameters for the blood and/or medium.

6. The device of claim 1, wherein the global optimization algorithm further comprises applying constraints comprising at least one of:

a) maximum or minimum allowed sizes of the catheter and/or dimensions of said passages;

b) maximum allowed flow speeds and/or shear stresses;

c) maximum allowed pressure drop and skin friction;

e) maximum allowed medication concentration; and

f) overall expected elapsed time needed for treatment.

7. The device of claim 1, wherein said global optimization algorithm comprises a genetic algorithm.

8. The device of claim 1, wherein said global optimization algorithm comprises at least one of simulated annealing, multistart and interval methods, continuous branch and bound methods, evolutionary algorithms, and tabu search and scatter search methods.

9. The device of claim 1, wherein the medium comprises at least one of agent, substance, material, thrombolytic agents, clot lysis agents, chemotherapies, cell slurries, gene therapy vectors, growth factors, contrast agents, angiogenesis factors, radionuclide slurries, anti-infection agents, anti-tumor compounds, and receptor-bound agents.

10. A method for delivering a medium to a lesion inside of a vascular structure or body duct by inserting a catheter device into a subject, said catheter device having a distal end and a proximal end, lumens there through, medium port holes, a blood inlet port, and a blood exit port, wherein said method comprises:

inflating an expandable component to block or impede the vascular flow of blood or other body fluid through the vasculature structure or the body duct;

delivering the medium through one of said lumens to said lesion through at least one of said medium port holes; and

allowing blood of the vasculature of the subject to proximally enter through said blood inlet port and flow through one of said lumens and to exit on a side of said lesion toward said distal end of said catheter device through said blood exit port,

wherein, a position of said inlet ports and said exit ports is determined by application of a global optimization algorithm comprising;

selecting variables including;

a) geometrical shapes and dimensions of at least one of said lumens,

b) relative locations and orientations of flow planes of at least one of said blood inlet port and said blood exit port, and

c) concentration and residence time of the medium in the vicinity of a specific location outside said catheter device; and

applying the global optimization algorithm to the variables to generate a catheter with optimized flow conditions.

11. The method of claim 10, wherein the medium comprises at least one of agent, substance, material, thrombolytic agents, clot lysis agents, chemotherapies, cell slurries, gene therapy vectors, growth factors, contrast agents, angiogenesis factors, radionuclide slurries, anti-infection agents, anti-tumor compounds, receptor-bound agents and/or other types of drugs, therapeutic agent and/or diagnostic agent.

12. The method of claim 10, wherein said inflating comprises placing said expandable component on a side of said lesion that is toward said distal end of said catheter device or placing a portion of said expandable component on a side of said lesion that is toward said distal end of said catheter device.

13. The method of claim 10, wherein said inflating comprises placing said expandable component to surround said lesion or at least partially surround said lesion.

14. The method of claim 10, wherein said inflating comprises placing said expandable component adjacent to said lesion or at least partially adjacent to said lesion.

15. The method of claim 10, wherein said delivering the medium comprises sending the medium through said medium port holes that are located on a side of said expandable component that is toward said distal end of said catheter device, or partially located on a side of said expandable component that is toward said distal end of said catheter device.

16. The method of claim 10, wherein said delivering comprises:

sending said medium through said medium port holes that are located on a side of said expandable component that is toward said proximal end of said catheter device, or partially located on a side of said expandable component that is toward said proximal end of said catheter device; and

re-entering said medium through said medium port holes.

17. The method of claim 10, wherein:

said expandable component comprises an at least one port hole disposed thereto or in communication therewith; and

said delivering comprises sending said medium through said expandable component.

18. The method of claim 10, further comprising performing an angioplasty procedure on said lesion using said expandable component.

19. The method of claim 10, further comprising controlling the rate of irrigation of said medium with said lesion.