Arterial-venous switching

• US 9,295,771 B2
• Filed: 07/17/2012
• Issued: 03/29/2016
• Est. Priority Date: 01/16/2007
• Status: Expired due to Fees

• Current Assignee: Bravo Biomed, Inc
• Original Assignee: Bravo Biomed, Inc
• Inventors: Mesallum, Sameh
• Primary Examiner(s): Wiest, Philip R
• Application Number:
  US13/550,651
• Publication Number:
  US 20130184632A1
• Time in Patent Office: 1,351 Days
• Field of Search: 604 401- 616, 604 8- 10, 604/500, 604/507, 604/508, 604/509, 604/93.01, 604/96.01, 604/264
• US Class Current: 1/1
• CPC Class Codes: A61M 1/36 Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
• CPC Class Codes: A61M 1/3613 Reperfusion, e.g. of the coronary vessels, e.g. retroperfusion
• CPC Class Codes: A61M 1/367 Circuit parts not covered by the preceding subgroups of group A61M1/3621

Abstract

Methods and devices are provided for switching fluid flow through a body part, such as all or portions of an organ or extremity. In general, fluid inflow and fluid outflow vessels to at least a portion of a body part can be switched such that all fluid in at least a portion of the inflow and outflow vessels flows in an opposite direction. In other words, the fluid inflow vessel (or at least a portion thereof) becomes the fluid outflow vessel that receives fluid from a body part, and the fluid outflow vessel (or at least a portion thereof) becomes the fluid inflow vessel that delivers fluid to a body part.

Claims

1. A method for switching blood flow in a body part, comprising:

coupling a flow control system to the body part, the flow control system configured to provide a plurality of flow paths;

delivering, with the flow control system configured to provide a first flow path, oxygenated blood flowing to a body part through a blood outflow vessel of the body part and providing oxygenated blood flowing out of the body part through a blood inflow vessel of the body part such that oxygenated blood enters the body part through the blood outflow vessel and oxygenated blood exits the body part through the blood inflow vessel; and

delivering, with the flow control system configured to provide a second flow path, oxygenated blood flowing to a body part through a blood inflow vessel of the body part and providing oxygenated blood flowing out of the body part through a blood outflow vessel of the body part such that oxygenated blood enters the body part through the blood inflow vessel and oxygenated blood exits the body part through the blood outflow vessel.

2. The method of claim 1, wherein oxygenated blood is delivered using at least two catheters that are implanted to form blockages in the blood inflow and outflow vessels.

3. The method of claim 2, further comprising generating a negative pressure in at least one of the catheters to cause all oxygenated blood to enter the body part through the blood outflow vessel and all oxygenated blood to exit the body part through the blood inflow vessel.

4. The method of claim 2, wherein each blockage includes a distal side in fluid communication with the body part and a proximal side blocked from fluid communication with the body part, and further comprising redirecting with the at least two catheters fluid from the proximal side of the blood inflow vessel to the distal side of the blood outflow vessel and from the distal side of the blood inflow vessel to the proximal side of the blood outflow vessel.

5. The method of claim 2, wherein oxygenated blood is delivered using a pump mechanism.

6. The method of claim 1, wherein the body part comprises the brain and blood enters the brain through the jugular vein and blood exits the brain through the carotid artery.

7. The method of claim 1, wherein the body part comprises the heart and blood flows from the left side of the heart to the right side of the heart.

8. The method of claim 1, wherein the body part comprises the heart and blood enters the heart through the coronary sinus and blood exits the heart through the coronary artery.

9. The method of claim 1, wherein the blood inflow vessel comprises an arterial vessel and the blood outflow vessel comprises a lymphatic vessel, and wherein blood enters the body part through the lymphatic vessel and blood exits the body part through a venous vessel.

10. The method of claim 1, wherein the blood inflow vessel comprises an arterial vessel and blood outflow vessel comprises a lymphatic vessel, and wherein the blood enters the body part through the lymphatic vessel and a venous vessel and blood exits the body part through the arterial vessel.

11. The method of claim 1, wherein the body part comprises the liver and blood enters the liver through the hepatic veins and blood exits the liver through the hepatic artery and portal vein.

12. The method of claim 1, wherein the body part comprises the lungs and blood enters the lungs through the pulmonary veins and blood exits the lungs through the pulmonary arteries.

13. A method for switching blood flow in an arterial-venous system, comprising:

forming a first blockage in a blood inflow vessel that delivers blood to a body part to prevent blood flow between a distal side of the first blockage in fluid communication with the body part and a proximal side of the first blockage blocked from communication with the body part;

forming a second blockage in a blood outflow vessel that drains blood from the body part to prevent blood flow between a distal side of the second blockage in fluid communication with the body part and a proximal side of the second blockage blocked from communication with the body part; and

redirecting blood from the proximal side of the first blockage to the distal side of the second blockage, and from the distal side of the first blockage into the proximal side of the second blockage such that oxygenated blood is provided to a body part through a blood outflow vessel of the body part and oxygenated blood flows out of the body part through a blood inflow vessel of the body part.

14. The method of claim 13, further comprising delivering oxygenated blood around the first blockage from the proximal side of the first blockage to the distal side of the first blockage to provide the oxygenated blood to the body part through the blood inflow vessel of the body part and providing oxygenated blood flowing out of the body part through a blood outflow vessel around the second blockage from the distal side of the second blockage to the proximal side of the second blockage such that oxygenated blood exits the body part through the blood outflow vessel.

15. The method of claim 13, wherein forming the first blockage comprises positioning a first catheter within the blood inflow vessel and inflating a balloon on the first catheter to form the first blockage, and wherein forming the second blockage comprises positioning a second catheter within the blood outflow vessel and inflating a balloon on the second catheter to form the second blockage, and wherein the first and second catheters each include at least one lumen formed therein that redirects blood.

16. The method of claim 15, wherein blood flows from the body part into a first lumen of the first catheter and out of a second lumen of the second catheter and into the blood outflow vessel, and from the blood inflow vessel into a second lumen of the first catheter and out of a first lumen of the second catheter and into the body part.

17. The method of claim 13, further comprising:

forming a third blockage in a second blood inflow vessel that delivers blood to a body part to prevent blood flow between a distal side of the third blockage in fluid communication with the body part and a proximal side of the third blockage blocked from communication with the body part; and

forming a fourth blockage in a second blood outflow vessel that drains blood from the body part to prevent blood flow between a distal side of the fourth blockage in fluid communication with the body part and a proximal side of the fourth blockage blocked from communication with the body part.

18. The method of claim 13, further comprising activating a pumping mechanism to redirect blood flow.

19. The method of claim 13, wherein the blood inflow and outflow vessels comprise arterial and venous vessels.

20. The method of claim 13, wherein the body part comprises the brain and the blood inflow vessel comprises the carotid artery and the blood outflow vessel comprises the jugular vein.

21. The method of claim 19, wherein the first blockage is formed by advancing a first catheter through the femoral artery to position a balloon on the first catheter within the carotid artery, and inflating the balloon to form the first blockage within the carotid artery, and the second blockage is formed by advancing a second catheter through the femoral vein to position a balloon on the second catheter within the jugular vein, and inflating the balloon to form the second blockage within the carotid artery.

22. The method of claim 21, wherein blood flowing from the heart and into the carotid artery on a proximal side of the first blockage flows through a first lumen in the first catheter and through a first lumen in the second catheter and is delivered to a distal side of the second blockage in the jugular vein such that the blood flows into the brain from the jugular vein, and

wherein blood flowing from the brain and into the carotid artery on a distal side of the first blockage flows through a second lumen in the first catheter and through a second lumen in the second catheter and is delivered to a proximal side of the second blockage in the jugular vein such that the blood flows from the jugular vein toward the heart.

23. The method of claim 13, wherein the body part comprises the heart and the first and second blockages are formed such that blood flows from the left side of the heart to the right side of the heart.

24. The method of claim 13, wherein the body part comprises the heart and the first and second blockages are formed such that blood exits the heart through the coronary artery and enters the heart through the coronary sinus.

25. The method of claim 13, wherein the blood inflow vessel comprises an arterial vessel and the blood outflow vessel comprises a lymphatic vessel, and wherein the first and second blockages are formed such that blood enters the body part through the lymphatic vessel and blood exits the body part through a venous vessel.

26. The method of claim 13, wherein the blood inflow vessel comprises an arterial vessel and blood outflow vessel comprises a lymphatic vessel, and wherein the first and second blockages are formed such that blood enters the body part through the lymphatic vessel and a venous vessel and blood exits the body part through the arterial vessel.

27. The method of claim 13, wherein the body part comprises the liver and the first and second blockages are formed such that blood enters the liver through the hepatic veins and blood exits the liver through the hepatic artery and portal vein.

28. The method of claim 13, wherein the body part comprises the lungs and the first and second blockages are formed such that blood enters the lungs through the pulmonary veins and blood exits the lungs through the pulmonary arteries.

29. A method for switching blood flow, comprising:

forming a blockage in an artery, wherein blood normally flows toward the blockage on a first side of the blockage and blood normally flows away from the blockage on a second side of the blockage;

forming a blockage in a vein, wherein blood flows toward the blockage on a first side of the blockage and blood flows away from the blockage on a second side of the blockage;

delivering blood from the first side of the blockage in the artery to the first side of the blockage in the vein and delivering blood from the second side of the blockage in the artery to the second side of the blockage in the vein such that blood flow on the second side of the blockage in the artery and the first side of the blockage in the vein is switched to flow toward the blockage on the second side of the blockage in the artery and to flow away from the first side of the blockage in the vein.

30. The method of claim 29, further comprising delivering blood around the first blockage from the proximal side of the first blockage to the distal side of the first blockage to provide the oxygenated blood flowing away from the second side of the blockage in the artery and providing blood around the second blockage from the distal side of the second blockage to the proximal side of the second blockage such that oxygenated blood flows toward the first side of the blockage in the vein.