SUBINTIMAL RE-ENTRY CATHETER WITH SHAPE CONTROLLED BALLOON
First Claim
1. A recanalization catheter for facilitating re-entry into a lumen of a blood vessel from a subintimal space, comprising:
- an inflatable balloon; and
an elongate shaft extending distally from a hub assembly along a longitudinal axis to the inflatable balloon, the elongate shaft including;
a guidewire lumen having a distal opening and a lateral opening in a distal region of the elongate shaft proximal of the distal opening; and
an inflation lumen in fluid communication with the inflatable balloon;
wherein the inflatable balloon is configured to be inflated in the subintimal space to a first inflation state at inflation pressures below a threshold inflation pressure and inflated to a second inflation state at inflation pressures above the threshold inflation pressure; and
wherein the inflatable balloon is configured to orient the lateral opening toward the lumen of the blood vessel when the inflatable balloon is inflated to the first inflation state.
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Accused Products
Abstract
A recanalization catheter for facilitating re-entry into a lumen of a blood vessel from a subintimal space. The catheter includes an inflatable balloon mounted on a distal end region of the catheter shaft of the catheter. The catheter shaft includes a guidewire lumen having a distal opening and a lateral opening in a distal region of the catheter shaft proximal of the distal opening, and an inflation lumen in fluid communication with the balloon. The balloon is configured to be inflated in the subintimal space to a first inflation state at inflation pressures below a threshold inflation pressure to orient the lateral opening toward the lumen of the blood vessel, and inflated to a second inflation state at inflation pressures above the threshold inflation pressure. The catheter includes means for retaining the balloon in the first inflation state at pressures below the threshold inflation pressure.
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Citations
20 Claims
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1. A recanalization catheter for facilitating re-entry into a lumen of a blood vessel from a subintimal space, comprising:
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an inflatable balloon; and an elongate shaft extending distally from a hub assembly along a longitudinal axis to the inflatable balloon, the elongate shaft including; a guidewire lumen having a distal opening and a lateral opening in a distal region of the elongate shaft proximal of the distal opening; and an inflation lumen in fluid communication with the inflatable balloon; wherein the inflatable balloon is configured to be inflated in the subintimal space to a first inflation state at inflation pressures below a threshold inflation pressure and inflated to a second inflation state at inflation pressures above the threshold inflation pressure; and wherein the inflatable balloon is configured to orient the lateral opening toward the lumen of the blood vessel when the inflatable balloon is inflated to the first inflation state. - View Dependent Claims (2, 3, 4, 5, 6, 7)
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8. A recanalization catheter for facilitating re-entry into a lumen of a blood vessel from a subintimal space, comprising:
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an elongate shaft extending distally from a hub assembly; an inflatable balloon mounted on a distal region of the elongate shaft, the inflatable balloon configured to be inflated in the subintimal space to a first inflation state at inflation pressures below a threshold inflation pressure and inflated to a second inflation state at inflation pressures above the threshold inflation pressure; and means for retaining the inflatable balloon in the first inflatable state until the inflatable balloon is inflated to an inflation pressure above the threshold inflation pressure. - View Dependent Claims (9, 10, 11, 12, 13, 14, 15, 16, 17)
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18. A method of recanalizing a blood vessel having an occlusion therein, the method comprising:
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advancing a distal region of a catheter shaft including an inflatable balloon mounted thereon into a subintimal space between a first tissue layer and a second tissue layer of a wall of a blood vessel; inflating the inflatable balloon to a first inflation state in the subintimal space by inflating the inflatable balloon to a first inflation pressure below a threshold inflation pressure to orient a lateral port in the distal region of the catheter shaft toward a lumen of the blood vessel distal of the occlusion; advancing a penetration member from the lateral port of the catheter shaft to penetrate through the first tissue layer into the lumen of the blood vessel; and thereafter, inflating the inflatable balloon to a second inflation state different from the first inflation state by inflating the inflatable balloon to a second inflation pressure above the threshold inflation pressure to expand the subintimal space. - View Dependent Claims (19, 20)
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Specification