Methods and devices for occluding a patient's ascending aorta and delivering oxygenated blood to the patient

• US 6,783,511 B2
• Filed: 04/12/2001
• Issued: 08/31/2004
• Est. Priority Date: 04/12/2001
• Status: Active Grant

• Current Assignee: Edwards Lifesciences LLC (Edwards Lifesciences Corporation)
• Original Assignee: Heartport, Inc. (Johnson & Johnson)
• Inventors: Komtebedde, Jan, Soo Hoo, John, Groh, Mark A., Rosales, Gerardo, Hundertmark, Ronald R., Siegel, Lawrence C.
• Primary Examiner(s): Casler, Brian L.
• Assistant Examiner(s): Han, Mark K.
• Application Number:
  US09/835,286
• Publication Number:
  US 20020151869A1
• Time in Patent Office: 1,237 Days
• Field of Search: 604/4.01, 604/6.16, 604/43, 604/97.01, 604/102.01, 604/103.07, 604/171, 604/173, 604/912, 604/915, 604/916, 604/96.01, 604/27, 604/164.09
• US Class Current: 604/102.01
• CPC Class Codes: A61M 1/3653 Interfaces between patient blood circulation and extra-corporal blood circuit
• CPC Class Codes: A61M 1/3659 Cannulae pertaining to extracorporeal circulation
• CPC Class Codes: A61M 1/3664 for preparing cardioplegia solutions
• CPC Class Codes: A61M 2025/1052 for temporarily occluding a vessel for isolating a sector
• CPC Class Codes: A61M 2202/047 cardioplegic
• CPC Class Codes: A61M 2210/127 Aorta

Abstract

A device for delivering oxygenated blood and occluding the ascending aorta is provided. The device has a blood flow lumen with a movable portion. The movable portion is movable from a position contained within a body of the device to a position which extends outwardly from the device. The movable portion is made of a tube of flexible material and everts when moving to the extended position.

Claims

1. A method of occluding a patient'"'"'s ascending aorta and delivering oxygenated blood to the patient, comprising the steps of:

providing a device having a body, an expandable member and a blood flow lumen, the expandable member being movable from a collapsed shape to an expanded shape, the blood flow lumen having a movable portion which is movable relative to the body, the movable portion having an outlet;

introducing the device into the patient'"'"'s aorta to position the expandable member in the ascending aorta;

moving the movable portion so that the movable portion moves to a position within the body to a position which extends outwardly from the body;

expanding the expandable member to occlude the ascending aorta; and

delivering oxygenated blood to the patient through the blood flow lumen and out of the outlet of the movable portion.

2. The method of claim 1, wherein:

the providing step is carried out with the movable portion of the blood flow lumen being movable from a position contained entirely within the body to a position in which substantially the entire movable portion extends outwardly from the body.

3. The method of claim 1, wherein:

the moving step is carried out by everting the movable portion.

4. The method of claim 3, wherein:

the moving step is carried out with the movable portion being everted during the delivering step so that the flow of oxygenated blood evens the movable portion.

5. The method of claim 1, wherein:

the moving step is carried out manually by a user moving the movable portion so that the movable portion extends outwardly from the body.

6. The method of claim 1, wherein:

the providing step is carried out with thc expandable member being an inflatable balloon.

7. The method of claim 1, wherein:

the providing step is carried out with the device having a cardioplege lumen, the cardioplege lumen being coupled to a source of cardioplegic fluid.

8. The method of claim 7, further comprising the step of:

delivering cardioplegic fluid through the cardioplege lumen to stop the patient'"'"'s heart.

9. The method of claim 1, wherein:

the providing step is earned out with the movable portion comprising PTFE or polyurethane.

10. A device for occluding a patient'"'"'s ascending aorta and delivering oxygenated blood to the patient, comprising:

a body;

an expandable member coupled to the body, the expandable member being movable from a collapsed shape to an expanded shape;

a blood flow lumen coupled to the body, the blood flow lumen configured to deliver blood and having a movable portion which is movable relative to the body, the movable portion being movable from a position contained within the body to an extended position in which the movable portion extends outwardly from the body.

11. The device of claim 10, wherein:

the moveable portion of the blood flow lumen is movable from a position contained entirely within the body to a position in which substantially the entire movable portion extends outwardly from the body.

12. The device of claim 10, wherein:

the movable portion everts when moving to the extended position.

13. The device of claim 10, wherein:

the movable portion is everted by a flow of oxygenated blood through the blood flow lumen.

14. The device of claim 10, wherein:

the moveable portion is manually movable by a user to the extended position.

15. The device of claim 10, wherein:

the expandable member is an inflatable balloon.

16. The device of claim 10, further comprising:

a cardioplege lumen extending through the body and being coupled to a source of cardioplegic fluid.

17. The device of claim 10, wherein:

the movable portion comprises PTFE or polyurethane.

18. The device of claim 10, wherein:

the body has a proximal portion and a distal portion, the distal portion having a smaller cross-sectional shape than the proximal portion;

the expandable member being mounted to the distal portion; and

the blood flow lumen terminates in the proximal portion and terminates before the expandable member.

19. The device of claim 10, wherein the blood flow lumen is configured to deliver blood into the aortic arch.

20. The device of claim 19, wherein the movable portion is configured to deliver blood in a direction away from the great arteries when the movable portion is in the extended position.

21. The device of claim 20, wherein the movable portion is configured to deliver blood downstream of the great arteries when the movable portion is in the extended position.

22. A device for occluding a patient'"'"'s ascending aorta and delivering oxygenated blood to the patient, comprising:

a body having a blood flow lumen configured to deliver blood into the sortie arch;

an expandable member coupled to the body, the expandable member being movable from a collapsed shape to an expanded shape; and

a movable portion substantially disposed within the blood flow lumen, the movable portion configured to be movable between a first position where it is substantially disposed within the blood flow lumen and a second position where the movable portion extends outwardly from the body.

23. The device of claim 22, wherein the movable portion is configured to deliver blood in a direction away from the great arteries when the movable portion is in the second position.

24. The device of claim 22, wherein the movable portion is disposed substantially outside the blood flow lumen when the movable portion is in the second position.

25. The device of claim 22, wherein the movable portion is in fluid communication with the blood flow lumen when the movable portion is in the second position.