Method and apparatus for inflating and deflating balloon catheters

• US 9,555,223 B2
• Filed: 09/26/2008
• Issued: 01/31/2017
• Est. Priority Date: 03/23/2004
• Status: Active Grant

• Current Assignee: Medtronic CryoCath LP (Medtronic Plc)
• Original Assignee: Medtronic CryoCath LP (Medtronic Plc)
• Inventors: Abboud, Marwan, Mahrouche, Rachid
• Primary Examiner(s): FOWLER, DANIEL WAYNE
• Application Number:
  US12/238,865
• Publication Number:
  US 20090088735A1
• Time in Patent Office: 3,049 Days
• Field of Search: 606 20- 26
• US Class Current: 1/1
• CPC Class Codes: A61B 18/02 by cooling, e.g. cryogenic techniques devices for cooling specific reflex points of the body within cell-life limits A61H39/06
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/22051 with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation A61B2017/22048, A61B2017/3486 take precedence
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/0212 using an instrument inserted into a body lumen, e.g. catheter
• CPC Class Codes: A61B 2018/0262 using a circulating cryogenic fluid
• CPC Class Codes: A61M 2025/1013 with concentrically mounted balloons, e.g. being independently inflatable
• CPC Class Codes: A61M 2205/15 Detection of leaks
• CPC Class Codes: A61M 2205/3337 Controlling, regulating pressure or flow by means of a valve by-passing a pump
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters
• CPC Class Codes: A61M 25/10182 Injector syringes
• CPC Class Codes: A61M 25/10185 Valves
• CPC Class Codes: A61M 25/10187 Indicators for the level of inflation or deflation

Abstract

A system and method for controlling the inflation, ablation, and deflation of a balloon catheter. The system includes a balloon catheter, a console, a pressurized gas or liquid inflation source, and an umbilical system to deliver pressurized coolant to the balloon catheter. The system may include controller that monitors the amount of pressure and volume within the balloon catheter. During inflation, the pressure and/or volume of fluid within the balloon is maintained at a target amount in order to provide sufficient mechanized pressure against the desired target region. The system limits the inflation pressure such that a safe quantity of gas would be released should a leak occur. If the amount falls below a certain threshold level, gas or fluid egress is presumed and the inflation process is halted.

Claims

1. A medical device system, comprising:

a medical device having an inlet and an outlet;

a coolant reservoir;

a first fluid path directing coolant from the coolant reservoir to the inlet of the medical device;

a second fluid path directing coolant from the coolant reservoir to the inlet of the medical device; and

a subcooler in thermal communication with the second fluid path, wherein the first fluid path and the second fluid path intersect at a first location distal of the subcooler and a second location proximal of the subcooler.

2. The medical system of claim 1, wherein the first fluid path includes a valve.

3. The medical system of claim 1, further comprising a vacuum source and a third fluid path from the medical device to the vacuum source.

4. The medical system of claim 3, further comprising a pressure sensor coupled to at least one of the first, second, and third fluid paths.

5. The medical system of claim 3, wherein the third fluid flow path does not overlap the first or second fluid paths.

6. The medical system of claim 1, wherein the medical device includes an expandable element.

7. The medical system of claim 1, further comprising a first controller coupled to a valve in fluid communication with the coolant reservoir and the medical device, the controller operating to adjust the valve to achieve a desired coolant pressure.

8. The medical system of claim 1, further comprising a first controller coupled to a valve in fluid communication with the coolant reservoir and the medical device, the controller operating to adjust the valve to achieve a desired coolant flow rate.

9. A medical system, comprising:

a first fluid flow path directing fluid from a reservoir to a medical device inlet connector, the first fluid flow path including a subcooler;

a second fluid flow path directing fluid from the reservoir to the medical device inlet connector that bypasses the subcooler; and

a fluid return path between the medical device connector and a vacuum source, the fluid return path not overlapping with the first or second fluid flow paths.

10. The medical system of claim 9, wherein the medical device inlet connector establishes fluid communication to a fluid injection lumen of a medical device.

11. The medical system of claim 9, further comprising at least one valve operable to selectively allow fluid flow through either the first or second fluid flow path.

12. The medical system of claim 9, wherein the first and second fluid flow paths intersect at a first location distal of the subcooler and a second location proximal of the subcooler.

13. The medical system of claim 9, wherein the reservoir contains a cryogenic coolant.