Shockwave valvuloplasty catheter system

• US 9,044,618 B2
• Filed: 11/04/2009
• Issued: 06/02/2015
• Est. Priority Date: 11/05/2008
• Status: Active Grant

• Current Assignee: Shockwave Medical, Incorporated
• Original Assignee: Shockwave Medical, Incorporated
• Inventors: Hawkins, Daniel, Adams, John M.
• Primary Examiner(s): ALEMAN, SARAH WEBB
• Application Number:
  US12/611,997
• Publication Number:
  US 20100114020A1
• Time in Patent Office: 2,036 Days
• Field of Search: 606/41, 606/108, 606127-129, 606/170, 606/191, 606/194, 604/22, 604/96.01, 623/1.11, 126/41, 126/108, 126127-129, 126/170, 126/191, 126/194
• US Class Current: 1/1
• CPC Class Codes: A61B 17/22022 using electric discharge
• CPC Class Codes: A61B 2017/22025 applying a shock wave A61B2017/22091 takes precedence
• CPC Class Codes: A61B 2017/22054 with two balloons
• CPC Class Codes: A61B 2017/22061 for spreading elements apart
• CPC Class Codes: A61B 2017/22062 to be filled with liquid
• CPC Class Codes: A61B 2017/22068 Centering
• CPC Class Codes: A61B 2017/22098 Decalcification of valves
• CPC Class Codes: A61M 2025/1072 having balloons with two or more compartments
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/38 for producing shock effects

Abstract

A valvuloplasty system comprises a balloon adapted to be placed adjacent leaflets of a valve. The balloon is inflatable with a liquid. The system further includes a shock wave generator within the balloon that produces shock waves. The shock waves propagate through the liquid and impinge upon the valve to decalcify and open the valve.

Claims

1. An intravascular valvuloplasty system for treating a valve having leaflets and an annulus by breaking calcium deposits on the leaflets and annulus of the valve, each leaflet connected to a wall and having a concave region, comprising:

an elongate body;

a balloon being inflatable with a liquid via an inflation lumen of the elongate body, wherein the inflated balloon has a portion shaped to fit within the concave region of a leaflet and between the leaflet and the wall; and

a shock wave generator having a pair of electrodes located within the balloon that produces a plurality of high voltage pulses across the electrodes to generate electric arcs that create shock waves that propagate through the liquid for impinging upon the valve,

the balloon being configured to remain intact as the shock waves are produced by the shock wave generator.

2. The system of claim 1, wherein the balloon is at the distal end of the elongate body.

3. The system of claim 1, wherein the shock wave generator has a voltage pulse generator and said pair of electrodes are adapted for connection to the voltage pulse generator.

4. The system of claim 1, wherein the balloon is formed of a compliant material.

5. The system of claim 1, wherein the balloon is formed of a non-compliant material.

6. The system of claim 1, wherein the pair of electrodes include one pair of coaxially arranged electrodes within the balloon.

7. The system of claim 6, further including a cable comprising a center conductor and an outer conductive shield insulated from the inner conductor, wherein a first one of the coaxially arranged electrodes is at least in part formed by the center conductor of the cable, and wherein a second one of the coaxially arranged electrodes is at least in part formed by the outer conductive shield of the cable.

8. The system of claim 1, wherein the shock wave generator within the balloon produces rapidly expanding and collapsing bubbles in the liquid within the balloon that form a plurality of shock waves that propagate through the liquid for impinging upon the valve.

9. The system of claim 1, wherein the balloon is a single layer balloon.

10. The system of claim 1, wherein the pair of electrodes comprises an inner electrode and an outer electrode shield that surrounds the inner electrode.