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WO1993025265A1 - Catheter gonflable a double fonction de dilatation et de perfusion - Google Patents

Catheter gonflable a double fonction de dilatation et de perfusion Download PDF

Info

Publication number
WO1993025265A1
WO1993025265A1 PCT/US1993/005396 US9305396W WO9325265A1 WO 1993025265 A1 WO1993025265 A1 WO 1993025265A1 US 9305396 W US9305396 W US 9305396W WO 9325265 A1 WO9325265 A1 WO 9325265A1
Authority
WO
WIPO (PCT)
Prior art keywords
infusion
catheter
lumen
balloon
dilatation
Prior art date
Application number
PCT/US1993/005396
Other languages
English (en)
Inventor
B. Daniel Burleigh
Leon R. Lyle
Original Assignee
Mallinckrodt Medical, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Mallinckrodt Medical, Inc. filed Critical Mallinckrodt Medical, Inc.
Priority to EP93914410A priority Critical patent/EP0646031A1/fr
Priority to AU44081/93A priority patent/AU4408193A/en
Priority to JP6501633A priority patent/JPH07507704A/ja
Publication of WO1993025265A1 publication Critical patent/WO1993025265A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/104—Balloon catheters used for angioplasty
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0434—Cuffs
    • A61M16/0454—Redundant cuffs
    • A61M16/0456—Redundant cuffs one cuff within another
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0475—Tracheal tubes having openings in the tube
    • A61M16/0477—Tracheal tubes having openings in the tube with incorporated means for delivering or removing fluids
    • A61M16/0481—Tracheal tubes having openings in the tube with incorporated means for delivering or removing fluids through the cuff wall
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1011—Multiple balloon catheters
    • A61M2025/1013—Multiple balloon catheters with concentrically mounted balloons, e.g. being independently inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/105—Balloon catheters with special features or adapted for special applications having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes

Definitions

  • the infusion balloon 50 includes infusion pores 58, which allow for the infusion of therapeutic agents to a treatment site.
  • the infusion pores 58 normally have a diameter in the range of 15 to 75 microns, preferably about 25 to 50 microns. Infusion pores 58, having such a diameter allow for infusion of soluble therapeutic agents. Infusion of large numbers or a high concentration of insoluble particles having a particle size greater than 1 microns in diameter may cause problems of clogging or partial blocking of the infusion pores 58, unless special measures are taken.
  • the main shaft 120 includes a guidewire lumen 135, a balloon dilatation inflation lumen 145, and an infusion lumen 155, each of which extend the entire length of the main shaft 120, from a proximal end of catheter 100, to the joint portion 160.
  • the lumens 135, 145 and 155 are formed in a side-by-side configuration.
  • the balloon shaft 125 includes concentrically formed lumens.
  • a guidewire lumen 135' extends the entire length of the balloon shaft 125, from the joint portion 160, to the distal end 130, of catheter 100.
  • the main shaft 120, and balloon shaft 125 may be joined by any suitable method such that the corresponding lumens of the two shafts are joined.
  • guidewire lumens 135, and 135' are joined; dilatation balloon inflation lumens 145 and 145' are joined; and infusion lumens 155 and 155' are joined.
  • the joining should provide a continuous lumen from the proximal end of the catheter 100, to the distal end 130, dilatation balloon 140, or infusion lumen 150, as appropriate.
  • the catheter according to the present invention is very advantageous because it allows both angioplasty and drug infusion to be carried out at their different optimal inflation pressures.

Landscapes

  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Emergency Medicine (AREA)
  • Vascular Medicine (AREA)
  • Child & Adolescent Psychology (AREA)
  • Biophysics (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

L'invention se rapporte à un cathéter pouvant servir à la fois à un procédé d'angioplastie au moyen d'un ballon de dilatation (40) et à l'administration de médicaments thérapeutiques au moyen d'un ballon de perfusion (50). Le cathéter décrit par l'invention présente des avantages étant donné qu'il élimine la nécessité de retirer et de réintroduire des cathéters séparés ou de repositionner le même cathéter pour effectuer les opérations de dilatation et de perfusion. L'invention concerne également un cathéter gonflable à double fonction de dilatation et de perfusion, dans lequel le ballon de perfusion (50) peut introduire par perfusion des agents thérapeutiques insolubles dans le site de traitement, ce qui présente des avantages étant donné que les agents insolubles comportent des profiles améliorés de séjour dans les tissus, ainsi que des caractéristiques de traitement plus bénéfiques.
PCT/US1993/005396 1992-06-12 1993-06-08 Catheter gonflable a double fonction de dilatation et de perfusion WO1993025265A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP93914410A EP0646031A1 (fr) 1992-06-12 1993-06-08 Catheter gonflable a double fonction de dilatation et de perfusion
AU44081/93A AU4408193A (en) 1992-06-12 1993-06-08 Dual dilatation balloon and infusion balloon catheter
JP6501633A JPH07507704A (ja) 1992-06-12 1993-06-08 二重の拡張バルーンおよび注入バルーン付きカテーテル

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US89763592A 1992-06-12 1992-06-12
US07/897,635 1992-06-12
US2692993A 1993-03-05 1993-03-05
US08/026,929 1993-03-05

Publications (1)

Publication Number Publication Date
WO1993025265A1 true WO1993025265A1 (fr) 1993-12-23

Family

ID=26701831

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1993/005396 WO1993025265A1 (fr) 1992-06-12 1993-06-08 Catheter gonflable a double fonction de dilatation et de perfusion

Country Status (5)

Country Link
EP (1) EP0646031A1 (fr)
JP (1) JPH07507704A (fr)
AU (1) AU4408193A (fr)
CA (1) CA2136839A1 (fr)
WO (1) WO1993025265A1 (fr)

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5344402A (en) * 1993-06-30 1994-09-06 Cardiovascular Dynamics, Inc. Low profile perfusion catheter
US5421826A (en) * 1992-04-29 1995-06-06 Cardiovascular Dynamics, Inc. Drug delivery and dilatation catheter having a reinforced perfusion lumen
US5569215A (en) * 1993-06-24 1996-10-29 Cardiovascular Dynamics, Inc. Low profile infusion catheter
WO1997041916A1 (fr) * 1996-05-03 1997-11-13 Emed Corporation Mise en place d'un extenseur coronarien combinee avec un apport local d'un agent
WO1999015227A1 (fr) * 1997-09-26 1999-04-01 Cardeon Corporation Instrument de catheterisation de phase principale
US6669674B1 (en) 1997-09-26 2003-12-30 Cardeon Corporation Introducer and perfusion cannula
EP1409063A1 (fr) * 2001-07-03 2004-04-21 Syntheon, LLC. Methode et appareil utilises pour scleroser la paroi d'une varice
WO2006136964A1 (fr) * 2005-05-26 2006-12-28 Leonid Shturman Dispositif d'angioplastie transluminale a capacite de protection distale
US7789915B2 (en) 2005-08-31 2010-09-07 Vance Products Incorporated Stent for implantation
US9498356B2 (en) 2012-12-19 2016-11-22 Cook Medical Technologies, LLC Flexible stent and delivery system
US9763814B2 (en) 2014-10-24 2017-09-19 Cook Medical Technologies Llc Elongate medical device
WO2017161331A1 (fr) * 2016-03-18 2017-09-21 Procept Biorobotics Corporation Procédés et systèmes très peu invasifs pour l'hémostase d'un volume tissulaire hémorragique clos

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4693243A (en) * 1983-01-14 1987-09-15 Buras Sharon Y Conduit system for directly administering topical anaesthesia to blocked laryngeal-tracheal areas
US4994033A (en) * 1989-05-25 1991-02-19 Schneider (Usa) Inc. Intravascular drug delivery dilatation catheter

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4693243A (en) * 1983-01-14 1987-09-15 Buras Sharon Y Conduit system for directly administering topical anaesthesia to blocked laryngeal-tracheal areas
US4994033A (en) * 1989-05-25 1991-02-19 Schneider (Usa) Inc. Intravascular drug delivery dilatation catheter

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5421826A (en) * 1992-04-29 1995-06-06 Cardiovascular Dynamics, Inc. Drug delivery and dilatation catheter having a reinforced perfusion lumen
US5569215A (en) * 1993-06-24 1996-10-29 Cardiovascular Dynamics, Inc. Low profile infusion catheter
US6027487A (en) * 1993-06-24 2000-02-22 Radiance Medical Systems, Inc. Low profile infusion catheter
US5344402A (en) * 1993-06-30 1994-09-06 Cardiovascular Dynamics, Inc. Low profile perfusion catheter
US5522800A (en) * 1993-06-30 1996-06-04 Cardiovascular Dynamics, Inc. Low profile perfusion catheter
US5542926A (en) * 1993-06-30 1996-08-06 Cardiovascular Dynamics, Inc. Low profile perfusion catheter
US5571089A (en) * 1993-06-30 1996-11-05 Cardiovascular Dynamics, Inc. Low profile perfusion catheter
WO1997041916A1 (fr) * 1996-05-03 1997-11-13 Emed Corporation Mise en place d'un extenseur coronarien combinee avec un apport local d'un agent
WO1999015227A1 (fr) * 1997-09-26 1999-04-01 Cardeon Corporation Instrument de catheterisation de phase principale
US6669674B1 (en) 1997-09-26 2003-12-30 Cardeon Corporation Introducer and perfusion cannula
EP1409063A1 (fr) * 2001-07-03 2004-04-21 Syntheon, LLC. Methode et appareil utilises pour scleroser la paroi d'une varice
EP1409063A4 (fr) * 2001-07-03 2007-11-07 Syntheon Llc Methode et appareil utilises pour scleroser la paroi d'une varice
WO2006136964A1 (fr) * 2005-05-26 2006-12-28 Leonid Shturman Dispositif d'angioplastie transluminale a capacite de protection distale
US7789915B2 (en) 2005-08-31 2010-09-07 Vance Products Incorporated Stent for implantation
US9498356B2 (en) 2012-12-19 2016-11-22 Cook Medical Technologies, LLC Flexible stent and delivery system
US9763814B2 (en) 2014-10-24 2017-09-19 Cook Medical Technologies Llc Elongate medical device
WO2017161331A1 (fr) * 2016-03-18 2017-09-21 Procept Biorobotics Corporation Procédés et systèmes très peu invasifs pour l'hémostase d'un volume tissulaire hémorragique clos
US10315023B2 (en) 2016-03-18 2019-06-11 Procept Biorobotics Corporation Minimally invasive methods for hemostasis in a bleeding closed tissue volume
US11278293B2 (en) 2016-03-18 2022-03-22 Procept Biorobotics Corporation Minimally invasive methods for hemostasis in a bleeding closed tissue volume without occlusion
US11553924B2 (en) 2016-03-18 2023-01-17 Procept Biorobotics Corporation Minimally invasive systems with expandable supports for hemostasis in a bleeding closed tissue volume
US11871933B2 (en) 2016-03-18 2024-01-16 Procept Biorobotics Corporation Tensioning apparatus for hemostasis and maintaining catheter placement

Also Published As

Publication number Publication date
EP0646031A1 (fr) 1995-04-05
JPH07507704A (ja) 1995-08-31
CA2136839A1 (fr) 1993-12-23
AU4408193A (en) 1994-01-04

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