Double balloon isolation catheters and methods therefor

• US 8,892,182 B2
• Filed: 02/08/2008
• Issued: 11/18/2014
• Est. Priority Date: 02/08/2008
• Status: Active Grant

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Matonick, John P.
• Primary Examiner(s): EVOY, NICHOLAS LANE
• Application Number:
  US12/028,147
• Publication Number:
  US 20090203995A1
• Time in Patent Office: 2,475 Days
• Field of Search: None
• US Class Current: 600/407
• CPC Class Codes: A61B 1/31 for the rectum, e.g. proctoscopes, sigmoidoscopes , colonoscopes
• CPC Class Codes: A61M 2025/1052 for temporarily occluding a vessel for isolating a sector
• CPC Class Codes: A61M 2210/1064 Large intestine
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters

Abstract

A system for examining a colon includes a catheter, such as a rectal catheter, having a proximal end, a distal end, and a central lumen extending from the proximal end to the distal end of the catheter, and a flexible tube coupled with the catheter. The system includes a first balloon located adjacent a distal end of the flexible tube, and a second balloon extending around the catheter and being located between the distal and proximal ends of the catheter, whereby the distance between the first and second balloons is adjustable by sliding the flexible tube through the central lumen of the catheter. The first and second balloons are inflatable for isolating a section of a colon, and a gas or contrast agent may be introduced into the isolated colon section for conducting the examination.

Claims

1. A system for examining a colon comprising:

a catheter having a proximal end, a distal end, and a central lumen extending from the proximal end to the distal end;

a flexible tube extending through the central lumen of said catheter, said flexible tube having a proximal end that extends proximally beyond the proximal end of said catheter and a distal end that extends distally beyond the distal end of said catheter, said flexible tube being of sufficient length to extend from the anus to the sigmoid colon of an adult human;

a first balloon secured to said flexible tube adjacent the distal end of said flexible tube; and

a second balloon secured to and extending around said catheter, said second balloon being proximal to the distal end of said catheter, wherein the distance between said first and second balloons is adjustable by engaging the proximal end of said flexible tube that extends proximally beyond the proximal end of said catheter for sliding said flexible tube through the central lumen of said catheter, and wherein the distal end of said flexible tube that extends distally beyond the distal end of said catheter is adapted to bend for tracking the path of the colon from the anus to the sigmoid colon as said flexible tube is advanced through the colon, wherein said catheter is a rectal catheter that tapers inwardly between said second balloon and the distal end of said rectal catheter for insertion into a patient'"'"'s anus so that said second balloon is located in the patient'"'"'s rectum and the proximal end of said rectal catheter projects outside the patient'"'"'s anus.

2. The system as claimed in claim 1, wherein said first and second balloons are inflatable for isolating a section of the colon.

3. The system as claimed in claim 2, wherein said rectal catheter has at least one opening for introducing gas into the isolated section of said colon, the at least one opening for introducing gas being distally located relative to said second balloon and proximal to the distal end of said rectal catheter, and wherein said second balloon is inflatable for forming an air-tight seal with inner walls of the patient'"'"'s rectum.

4. The system as claimed in claim 3, wherein said rectal catheter has at least one opening for introducing contrast agent into the isolated section of said colon, the at least one opening for introducing contrast agent being distally located relative to said second balloon and proximal to the distal end of said rectal catheter.

5. The system as claimed in claim 1, further comprising a guide wire extending through the central lumen of said catheter and said flexible tube, wherein said guide wire has a proximal end accessible at the proximal end of said flexible tube that extends proximally beyond the proximal end of said catheter and a distal end that extends distally beyond the distal end of said flexible tube.

6. The system as claimed in claim 5, wherein the distal end of said guide wire is curved.

7. The system as claimed in claim 1, further comprising a pressure sensor provided on said flexible tube between said first and second balloons.

8. The system as claimed in claim 1, further comprising a camera provided on said flexible tube.

9. The system as claimed in claim 3, further comprising at least one connector coupled with the proximal end of said flexible tube that extends proximally beyond the proximal end of said rectal catheter for introducing said gas into the isolated section of said colon.

10. The system as claimed in claim 9, further comprising a pump for introducing said gas into said isolated colon section.

11. The system as claimed in claim 1, wherein said flexible tube is of sufficient length to extend from the anus to the transverse colon of an adult human and wherein said flexible tube is adapted to bend for tracking the path of the colon from the anus to the transverse colon as said flexible tubing is advanced distally through the colon.

12. The system as claimed in claim 1, wherein the proximal end of said flexible tube that extends proximally beyond the proximal end of said rectal catheter is accessible for adjusting the distance between said first and second balloons, wherein the distance between said first and second balloons increases as the proximal end of said flexible tube is advanced distally toward the proximal end of said rectal catheter and decreases as the proximal end of said flexible tube moves proximally away from the proximal end of said rectal catheter.

13. A system for examining a colon comprising:

a catheter having a proximal end, a distal end, and a central lumen extending from the proximal end to the distal end of said catheter;

a proximal balloon secured to and extending around said catheter;

a flexible tube passing through the central lumen of said catheter, said flexible tube having a proximal end and a distal end;

a distal balloon secured to said flexible tube, said distal balloon being located adjacent the distal end of said flexible tube;

the proximal end of said flexible tube extending proximally beyond the proximal end of said catheter;

the distal end of said flexible tube extending distally beyond the distal end of said catheter;

wherein said catheter is a rectal catheter that tapers inwardly between said second balloon and the distal end of said rectal catheter for insertion into a patient'"'"'s anus so that said proximal balloon is located in the patient'"'"'s rectum and the proximal end of said rectal catheter projects outside the patient'"'"'s anus;

wherein the distance between said distal balloon and said proximal balloon is decreased by moving the proximal end of said flexible tube in a proximal direction away from the proximal end of said rectal catheter, and wherein the distance between said distal balloon and said proximal balloon is increased by moving the proximal end of said flexible tube in a distal direction toward the proximal end of said rectal catheter.

14. The system as claimed in claim 13, wherein said proximal and distal balloons are inflatable for isolating a section of the colon.

15. The system as claimed in claim 14, wherein said rectal catheter has at least one opening at the distal end thereof for introducing gas or contrast agent into the isolated section of said colon, the at least one opening for introducing gas or contrast agent being distal to said proximal balloon and proximal to the distal end of said rectal catheter.

16. The system as claimed in claim 13, further comprising a guide wire extending through the central lumen of said catheter and said flexible tube, wherein said guide wire has a proximal end that extends proximally beyond the proximal end of said flexible tube and a distal end that extends distally beyond the distal end of said flexible tube.

17. The system as claimed in claim 16, wherein the distal end of said guide wire is curved.

18. The system as claimed in claim 13, further comprising a pressure sensor provided on said flexible tube.

19. The system as claimed in claim 13, further comprising a camera provided on said flexible tube.

20. The system as claimed in claim 13, wherein said flexible tube has a non-threaded outer surface.