CA2648905A1 - Infusion catheter having an atraumatic tip - Google Patents

Infusion catheter having an atraumatic tip Download PDF

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Publication number
CA2648905A1
CA2648905A1 CA002648905A CA2648905A CA2648905A1 CA 2648905 A1 CA2648905 A1 CA 2648905A1 CA 002648905 A CA002648905 A CA 002648905A CA 2648905 A CA2648905 A CA 2648905A CA 2648905 A1 CA2648905 A1 CA 2648905A1
Authority
CA
Canada
Prior art keywords
proximal
disposed
occlusion
infusion catheter
delivery port
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
CA002648905A
Other languages
French (fr)
Other versions
CA2648905C (en
Inventor
Gerald Dorros
Michael Hogendijk
Mark C. Bates
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Gore Enterprise Holdings Inc
Original Assignee
Arteria Medical Science 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 Arteria Medical Science Inc filed Critical Arteria Medical Science Inc
Publication of CA2648905A1 publication Critical patent/CA2648905A1/en
Application granted granted Critical
Publication of CA2648905C publication Critical patent/CA2648905C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3203Fluid jet cutting instruments
    • A61B17/32037Fluid jet cutting instruments for removing obstructions from inner organs or blood vessels, e.g. for atherectomy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • A61B2017/22042Details of the tip of the guide wire
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22079Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with suction of debris
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22082Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance
    • A61B2017/22084Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance stone- or thrombus-dissolving
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B2017/320716Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions comprising means for preventing embolism by dislodged material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/008Strength or flexibility characteristics of the catheter tip
    • A61M2025/0081Soft tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/0662Guide tubes
    • A61M2025/0681Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1047Balloon catheters with special features or adapted for special applications having centering means, e.g. balloons having an appropriate shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1052Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1079Balloon catheters with special features or adapted for special applications having radio-opaque markers in the region of the balloon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1093Balloon catheters with special features or adapted for special applications having particular tip characteristics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • A61M25/007Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M25/04Holding devices, e.g. on the body in the body, e.g. expansible

Abstract

The present invention is directed to apparatus and methods for treating a vascular occlusion by providing an infusion catheter (10) having an atraumatic tip (12) and at least one delivery port (14) configured to infuse fluid into the occlusion. The fluid that is infused dilutes the occlusion and reduces adhesion of the occlusion to an intima of the vessel wall, thereby causing the occlusion to dislodge. Emboli generated in the process are directed into an emboli removal catheter (60) for removal.

Claims (9)

1. Apparatus suitable for treating an occlusion adhered to a vessel wall, the apparatus comprising:
an infusion catheter having proximal and distal ends and a lumen extending therebetween, an atraumatic tip disposed at the distal end, and at least one delivery port disposed proximal of the atraumatic tip in fluid communication with the lumen;
and a centering device having proximal and distal ends and a lumen extending therebetween, the centering device comprising a plurality of deployable struts disposed at the distal end, the lumen adapted to permit the infusion catheter to pass therethrough, wherein the infusion catheter is configured to infuse fluid into the occlusion so that the fluid reduces adhesion of the occlusion to an intima of the vessel wall.
2. The apparatus of claim 1 further comprising an outer sheath having proximal and distal ends and a lumen extending therebetween, the outer sheath being configured to constrain the deployable struts in a contracted state within the outer sheath.
3. The apparatus of claim 1 wherein the deployable struts are sized to engage the vessel wall in a deployed state.
4. The apparatus of 1 wherein the deployable struts comprise a nickel-titanium alloy.
5. The apparatus of claim 1 wherein at least one delivery port delivers a jet of fluid that forms an oblique angle relative to a longitudinal axis of the infusion catheter.
6. The apparatus of claim 5 wherein the delivery port causes fluid to be ejected in a proximal direction.
7. The apparatus of claim 1 wherein the infusion catheter further comprises at least one radiopaque marker band disposed proximal of the atraumatic tip.
8. The apparatus of claim 7 wherein a first radiopaque marker band is disposed proximal of the delivery port and a second radiopaque marker band is disposed distal of the delivery port.
9. The apparatus of claim 1 further comprising an emboli removal catheter having proximal and distal ends and a lumen extending therebetween, and further comprising an occlusive element disposed at the distal end, wherein the lumen of the emboli removal catheter is sized to permit the longitudinal advancement of the centering device.
CA2648905A 2002-04-25 2003-04-17 Infusion catheter having an atraumatic tip Expired - Fee Related CA2648905C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/134,237 2002-04-25
US10/134,237 US6855136B2 (en) 2002-04-03 2002-04-25 Infusion catheter having an atraumatic tip
CA002483264A CA2483264C (en) 2002-04-25 2003-04-17 Infusion catheter having an atraumatic tip

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CA002483264A Division CA2483264C (en) 2002-04-25 2003-04-17 Infusion catheter having an atraumatic tip

Publications (2)

Publication Number Publication Date
CA2648905A1 true CA2648905A1 (en) 2003-11-06
CA2648905C CA2648905C (en) 2011-11-29

Family

ID=29268795

Family Applications (2)

Application Number Title Priority Date Filing Date
CA002483264A Expired - Fee Related CA2483264C (en) 2002-04-25 2003-04-17 Infusion catheter having an atraumatic tip
CA2648905A Expired - Fee Related CA2648905C (en) 2002-04-25 2003-04-17 Infusion catheter having an atraumatic tip

Family Applications Before (1)

Application Number Title Priority Date Filing Date
CA002483264A Expired - Fee Related CA2483264C (en) 2002-04-25 2003-04-17 Infusion catheter having an atraumatic tip

Country Status (8)

Country Link
US (1) US6855136B2 (en)
EP (2) EP1970093A1 (en)
JP (2) JP4723189B2 (en)
AT (1) ATE414553T1 (en)
AU (1) AU2003234142B2 (en)
CA (2) CA2483264C (en)
DE (1) DE60324780D1 (en)
WO (1) WO2003090831A2 (en)

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US6855136B2 (en) 2005-02-15
ATE414553T1 (en) 2008-12-15
EP1496972B1 (en) 2008-11-19
JP2005523123A (en) 2005-08-04
DE60324780D1 (en) 2009-01-02
WO2003090831A2 (en) 2003-11-06
CA2648905C (en) 2011-11-29
AU2003234142B2 (en) 2009-02-26
EP1970093A1 (en) 2008-09-17
US20030191434A1 (en) 2003-10-09
CA2483264A1 (en) 2003-11-06
CA2483264C (en) 2009-12-08
AU2003234142A1 (en) 2003-11-10
EP1496972A4 (en) 2007-04-18
JP2011019941A (en) 2011-02-03
WO2003090831A3 (en) 2004-02-05
EP1496972A2 (en) 2005-01-19

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