Reperfusion catheter system

• US 9,192,746 B2
• Filed: 08/17/2010
• Issued: 11/24/2015
• Est. Priority Date: 06/07/2010
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Guimaraes, Marcelo Silveira
• Primary Examiner(s): Mehta, Bhisma
• Assistant Examiner(s): OSINSKI, BRADLEY JAMES
• Application Number:
  US12/858,156
• Publication Number:
  US 20110301571A1
• Time in Patent Office: 1,925 Days
• Field of Search: 604/6.16, 604/509
• US Class Current: 1/1
• CPC Class Codes: A61M 2025/0681 Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
• CPC Class Codes: A61M 25/0662 Guide tubes
• 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

Abstract

A reperfusion catheter system with an introducer sheath having an inner wall defining a longitudinal opening extending from a proximal portion to a distal end. A balloon catheter has an outer wall and has a longitudinal opening extending from a proximal portion to a distal end. The balloon catheter is disposed through the opening in the introducer sheath, and the balloon catheter has an inflatable balloon at the distal end. A conduit has a first end disposed in fluid communication with the area inside the introducer sheath between the inner wall of the introducer sheath and the outer wall of the balloon catheter. The conduit also has a second end disposed in fluid communication with the inside of the balloon catheter. The invention provides for the establishment of artificial antegrade blood flow in the lumen of a target vessel through a path between the outer wall of the balloon catheter and the inner wall of the introducer sheath, through the conduit, through the opening in the balloon catheter, and exiting through the distal end of the balloon catheter. When the occlusion balloon is inflated, there is no back flow in the target vessel and, as the artificial antegrade flow takes place, there is full control of the target vessel blood flow and as a result a significant increase in the safety of the embolization procedures.

Claims

1. A reperfusion catheter system, comprising:

an introducer sheath having an inner wall defining a longitudinal opening extending from a proximal portion to a distal end;

a balloon catheter having an outer wall and having a longitudinal opening extending from a proximal end to a distal end, the balloon catheter disposed through the opening in the introducer sheath, the balloon catheter having an inflatable balloon at the distal end, the balloon catheter configured to allow a catheter to be inserted through the entire opening of the balloon catheter from the proximal end of the balloon catheter to the distal end of the balloon catheter;

a conduit having a first end disposed in fluid communication with the inside of the introducer sheath and having a second end disposed in fluid communication with the inside of the balloon catheter;

wherein antegrade blood flow is established in a lumen of a target vessel through a path between the inside of the introducer sheath, through the conduit, through the opening in the balloon catheter, and exiting through the distal end of the balloon catheter;

wherein the conduit includes a lateral check flow member extending laterally from the introducer sheath, the check flow member having a stopcock at an end of the lateral check flow member opposite the introducer sheath, the conduit further including a single connecting tube having first and second ends and extending between the stopcock and a side port of a valve system, wherein the first end is attached to the stopcock and the second end is attached to the side port of the valve system, wherein the valve system attaches to the proximal end of the balloon catheter;

wherein substantially all of the blood flowing through the conduit reaches the longitudinal opening of the balloon catheter and does not branch off into other branches of other conduits.

2. The reperfusion catheter system of claim 1, wherein the first end of the conduit is disposed in fluid communication with an area inside the introducer sheath between the inner wall of the introducer sheath and the outer wall of the balloon catheter.

3. The reperfusion catheter system of claim 1, further comprising a micro catheter disposed through the opening in the balloon catheter.

4. The reperfusion catheter system of claim 1, further comprising a side port integrally formed in the introducer sheath.

5. The reperfusion catheter system of claim 1, further comprising a tip at the distal end of the balloon catheter, the tip having a diameter smaller than the diameter of the balloon catheter.

6. The reperfusion catheter system of claim 1, further comprising an embolic agent carried by the balloon catheter.

7. The reperfusion catheter system of claim 6, wherein the embolic agent is a micro coil.

8. The reperfusion catheter system of claim 6, wherein the embolic agent is a micro particle.

9. The reperfusion catheter system of claim 6, wherein the embolic agent is a liquid.

10. The reperfusion catheter system of claim 6, wherein the embolic agent is an Amplatzer vascular plug.

11. The reperfusion catheter system of claim 1, wherein the valve system is a Tuohy-Borst adaptor.

12. A reperfusion catheter system, comprising:

an introducer sheath having an inner wall defining a longitudinal opening extending from a proximal portion to a distal end;

a balloon catheter having an outer wall and having a longitudinal opening extending from a proximal end to a distal end, the balloon catheter disposed through the opening in the introducer sheath, the balloon catheter having an inflatable balloon at the distal end;

a conduit having a first end disposed in fluid communication with the inside of the introducer sheath and having a second end disposed in fluid communication with the inside of the balloon catheter;

a micro catheter disposed through the entire opening of the balloon catheter and through the proximal end of the balloon catheter and out of the distal end of the balloon catheter;

wherein antegrade blood flow is established in a lumen of a target vessel through a path between the inside of the introducer sheath, through the conduit, through the opening in the balloon catheter, and exiting through the distal end of the balloon catheter;

wherein the conduit includes a lateral check flow member extending laterally from the introducer sheath, the check flow member having a stopcock at an end of the lateral check flow member opposite the introducer sheath, the conduit further including a single connecting tube having first and second ends and extending between the stopcock and a side port of a valve system, wherein the first end is attached to the stopcock and the second end is attached to the side port of the valve system, wherein the valve system attaches to the proximal end of the balloon catheter;

wherein substantially all of the blood flowing through the conduit reaches the longitudinal opening of the balloon catheter and does not branch off into other branches of other conduits.

13. The reperfusion catheter system of claim 12, wherein the first end of the conduit is disposed in fluid communication with an area inside the introducer sheath between the inner wall of the introducer sheath and the outer wall of the balloon catheter.

14. The reperfusion catheter system of claim 12, further comprising a side port integrally formed in the introducer sheath and the lateral check flow member extends from the side port.

15. The reperfusion catheter system of claim 12, further comprising a tip at the distal end of the balloon catheter, the tip having a diameter smaller than the diameter of the balloon catheter.

16. The reperfusion catheter system of claim 12, further comprising an embolic agent carried by the micro catheter.

17. A reperfusion catheter system, comprising:

an introducer sheath having an inner wall defining a longitudinal opening extending from a proximal portion to a distal end;

a balloon catheter having an outer wall and having a longitudinal opening extending from a proximal end to a distal end, the balloon catheter disposed through the opening in the introducer sheath, the balloon catheter having an inflatable balloon at the distal end, the balloon catheter configured to allow an embolic agent to be inserted through the entire opening of the balloon catheter from the proximal end of the balloon catheter and to be delivered through the distal end of the balloon catheter;

a conduit having a first end disposed in fluid communication with the inside of the introducer sheath and having a second end disposed in fluid communication with the inside of the balloon catheter;

wherein antegrade blood flow is established in a lumen of a target vessel through a path between the inside of the introducer sheath, through the conduit, through the opening in the balloon catheter, and exiting through the distal end of the balloon catheter;

wherein the conduit includes a lateral check flow member extending laterally from the introducer sheath, the check flow member having a stopcock at an end of the lateral check flow member opposite the introducer sheath, the conduit further including a single connecting tube having first and second ends and extending between the stopcock and a side port of a valve system, wherein the first end is attached to the stopcock and the second end is attached to the side port of the valve system, wherein the valve system attaches to the proximal end of the balloon catheter;

wherein substantially all of the blood flowing through the conduit reaches the longitudinal opening of the balloon catheter and does not branch off into other branches of other conduits.