CA2513368A1 - Catheter with disruptable guidewire channel - Google Patents
Catheter with disruptable guidewire channel Download PDFInfo
- Publication number
- CA2513368A1 CA2513368A1 CA002513368A CA2513368A CA2513368A1 CA 2513368 A1 CA2513368 A1 CA 2513368A1 CA 002513368 A CA002513368 A CA 002513368A CA 2513368 A CA2513368 A CA 2513368A CA 2513368 A1 CA2513368 A1 CA 2513368A1
- Authority
- CA
- Canada
- Prior art keywords
- guidewire
- balloon
- sleeve
- catheter
- implement
- 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
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/856—Single tubular stent with a side portal passage
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/954—Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/958—Inflatable balloons for placing stents or stent-grafts
-
- 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
- A61M25/1002—Balloon catheters characterised by balloon shape
-
- 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
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M2025/0183—Rapid exchange or monorail catheters
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M2025/0188—Introducing, guiding, advancing, emplacing or holding catheters having slitted or breakaway lumens
-
- 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
- A61M2025/1056—Balloon catheters with special features or adapted for special applications having guide wire lumens outside the main shaft, i.e. the guide wire lumen is within or on the surface of the balloon
-
- 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
- A61M2025/107—Balloon catheters with special features or adapted for special applications having a longitudinal slit in the balloon
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0138—Tip steering devices having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
Abstract
The present invention is a catheter device (36) that includes a disruptable guidewire channel (30). The guidewire channel is configured to provide trackability of the catheter along the guidewire (40) during introduction of the catheter to a treatment site. Once treatment is completed, the guidewire channel (30) can then be disrupted so as to free the guidewire from the catheter in situ. The apparatus of the present invention provides advantages over existing over-the-wire and rapid exchange catheter introduction methods, including the ability to achieve much faster treatment in series, the ability to maintain multiple treatment implements simultaneously at a treatment site using a single guidewire (40).
Claims (34)
1. A balloon and catheter assembly comprising an enlargeable balloon, having a length, mounted on a catheter shaft;
a sleeve attached to the balloon forming a guidewire channel along at least a portion of the balloon;
wherein the sleeve is disruptable to cause a guidewire placed within the sleeve to free from the balloon when the sleeve is disrupted.
a sleeve attached to the balloon forming a guidewire channel along at least a portion of the balloon;
wherein the sleeve is disruptable to cause a guidewire placed within the sleeve to free from the balloon when the sleeve is disrupted.
2. The assembly of claim 1 wherein the balloon has a compacted dimension and an enlarged dimension;
the assembly includes a guidewire within the guidewire channel;
the sleeve includes a separation line; and the sleeve is disrupted by parting along the separation line when the balloon is enlarged, separating the guidewire from the balloon.
the assembly includes a guidewire within the guidewire channel;
the sleeve includes a separation line; and the sleeve is disrupted by parting along the separation line when the balloon is enlarged, separating the guidewire from the balloon.
3. The assembly of claim 2 wherein the separation line comprises a line of perforations formed in the sleeve.
4. The assembly of claim 2 wherein the separation line comprises an attachment line between the balloon and the sleeve.
5. The assembly of claim 1 wherein the balloon includes a fluid inflatable structure.
6. The assembly of claim 1 wherein the balloon includes a mechanical expansion structure.
7. The assembly of claim 1 wherein the catheter shaft includes a support member.
8. The assembly of claim 1 wherein once the sleeve is disrupted the balloon is removable independently from other apparatus being advanced on the guidewire.
9. The assembly of claim 1 wherein once the sleeve is disrupted other apparatus may be advanced to a treatment site without removal of the balloon.
10. The assembly of claim 1 wherein multiple devices are loaded in series on the guidewire.
11. A guidewire deliverable implement comprising a sleeve attached to the implement forming a guidewire channel along at least a portion of the implement;
wherein the sleeve is disruptable to cause a guidewire placed within the sleeve to free from the implement when the sleeve is disrupted.
wherein the sleeve is disruptable to cause a guidewire placed within the sleeve to free from the implement when the sleeve is disrupted.
12. The implement of claim 11 wherein the implement comprises a balloon.
13. The implement of claim 12 wherein the balloon has a compacted dimension and an enlarged dimension, and a guidewire within the guidewire channel;
the sleeve includes a separation line; and the sleeve is disrupted by parting along the separation line when the balloon is enlarged, separating the guidewire from the balloon.
the sleeve includes a separation line; and the sleeve is disrupted by parting along the separation line when the balloon is enlarged, separating the guidewire from the balloon.
14. The implement of claim 11 wherein the sleeve is disrupted by parting along a separation line.
15. The implement of claim 14 wherein the separation line comprises an attachment line between the implement and the sleeve.
16. The implement of claim 14 wherein comprises the separation line comprises line of perforations formed in the sleeve.
17. The implement of claim 11 wherein once the sleeve is disrupted the implement is removable independently from other apparatus being advanced on the guidewire.
18. The implement of claim 11 wherein once the sleeve is disrupted other apparatus may be advanced to a treatment site without removal of the implement.
19. The implement of claim 11 wherein multiple devices are loaded in series on the guidewire.
20. A temporary guidewire channel comprising a sleeve having a separation line formed therein;
wherein the sleeve is adapted to receive a guidewire therein and serve as a guidewire channel to permit advancement of the sleeve over the guidewire; and wherein the sleeve is disruptable along the separation line to cause a guidewire placed within the sleeve to separate from the sleeve when the sleeve is disrupted.
wherein the sleeve is adapted to receive a guidewire therein and serve as a guidewire channel to permit advancement of the sleeve over the guidewire; and wherein the sleeve is disruptable along the separation line to cause a guidewire placed within the sleeve to separate from the sleeve when the sleeve is disrupted.
21. The guidewire channel of claim 20 wherein the sleeve is attached to a balloon to form a guidewire channel along at least a portion of the balloon.
22. The guidewire channel of claim 21 wherein the separation line comprises an attachment line between the balloon and the sleeve.
23. The guidewire channel of claim 21 wherein the separation line comprises a line of perforations formed in the sleeve.
24. The guidewire channel of claim 20 wherein the separation line comprises a line of perforations formed in the sleeve.
25. A medical device comprising a balloon configured for insertion within a patient's body directed along a guidewire;
a guidewire channel exterior to the balloon;
the guidewire channel formed from a material that maintains the guidewire close to the balloon during insertion and alters upon inflation of the balloon to separate the guidewire from the balloon upon subsequent deflation of the balloon.
a guidewire channel exterior to the balloon;
the guidewire channel formed from a material that maintains the guidewire close to the balloon during insertion and alters upon inflation of the balloon to separate the guidewire from the balloon upon subsequent deflation of the balloon.
26. The medical device of claim 25 wherein the guidewire channel comprises a material that disrupts upon inflation of the balloon, freeing the guidewire from the balloon upon subsequent deflation of the balloon.
27. The medical device of claim 26 wherein the guidewire channel includes perforations therein to effectuate disruption of the guidewire channel upon inflation of the balloon.
28. The medical device of claim 25 wherein the guidewire channel comprises a material that distends upon inflation of the balloon.
29. The medical device of claim 28 wherein the material that distends upon inflation of the balloon undergoes minimal return to its original shape upon subsequent deflation of the balloon.
30. A medical treatment method comprising providing a first catheter having a disruptable guidewire channel;
positioning a guidewire in a patient;
mounting the catheter on the guidewire through the guidewire channel;
advancing the catheter along the guidewire to a treatment site in the patient;
disrupting the guidewire channel to free the catheter from the guidewire at the treatment site.
positioning a guidewire in a patient;
mounting the catheter on the guidewire through the guidewire channel;
advancing the catheter along the guidewire to a treatment site in the patient;
disrupting the guidewire channel to free the catheter from the guidewire at the treatment site.
31. The method of claim 30 wherein a second catheter is advanced along the guidewire prior to removal of the first catheter.
32. The method of claim 31 wherein the second catheter is advanced distal to the treatment site.
33. The method of claim 31 wherein the second catheter is advanced adjacent to the treatment site.
34. The method of claim 30 wherein a second catheter is mounted on the guidewire prior to the first catheter reaching the treatment site.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/346,599 US20040143286A1 (en) | 2003-01-17 | 2003-01-17 | Catheter with disruptable guidewire channel |
US10/346,599 | 2003-01-17 | ||
PCT/US2004/001068 WO2004067057A2 (en) | 2003-01-17 | 2004-01-14 | Catheter with disruptable guidewire channel |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2513368A1 true CA2513368A1 (en) | 2004-08-12 |
CA2513368C CA2513368C (en) | 2010-01-12 |
Family
ID=32712188
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002513368A Expired - Fee Related CA2513368C (en) | 2003-01-17 | 2004-01-14 | Catheter with disruptable guidewire channel |
Country Status (7)
Country | Link |
---|---|
US (4) | US20040143286A1 (en) |
EP (2) | EP1583582B1 (en) |
JP (1) | JP2006515788A (en) |
AU (3) | AU2004207462A1 (en) |
CA (1) | CA2513368C (en) |
ES (2) | ES2412205T3 (en) |
WO (1) | WO2004067057A2 (en) |
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2003
- 2003-01-17 US US10/346,599 patent/US20040143286A1/en not_active Abandoned
-
2004
- 2004-01-14 EP EP04702229.8A patent/EP1583582B1/en not_active Expired - Lifetime
- 2004-01-14 EP EP13162996.6A patent/EP2653185B1/en not_active Expired - Lifetime
- 2004-01-14 ES ES04702229T patent/ES2412205T3/en not_active Expired - Lifetime
- 2004-01-14 CA CA002513368A patent/CA2513368C/en not_active Expired - Fee Related
- 2004-01-14 ES ES13162996.6T patent/ES2662794T3/en not_active Expired - Lifetime
- 2004-01-14 WO PCT/US2004/001068 patent/WO2004067057A2/en active Application Filing
- 2004-01-14 JP JP2006502844A patent/JP2006515788A/en active Pending
- 2004-01-14 AU AU2004207462A patent/AU2004207462A1/en not_active Abandoned
-
2006
- 2006-08-07 US US11/501,089 patent/US8308749B2/en active Active
- 2006-09-29 US US11/540,091 patent/US8216294B2/en active Active
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2008
- 2008-07-17 AU AU2008203188A patent/AU2008203188A1/en not_active Abandoned
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2010
- 2010-11-18 AU AU2010241523A patent/AU2010241523B2/en not_active Ceased
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2012
- 2012-09-14 US US13/620,062 patent/US8845675B2/en not_active Expired - Lifetime
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EP1583582A2 (en) | 2005-10-12 |
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US8845675B2 (en) | 2014-09-30 |
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AU2010241523B2 (en) | 2011-08-11 |
ES2662794T3 (en) | 2018-04-09 |
EP1583582A4 (en) | 2010-01-27 |
AU2004207462A1 (en) | 2004-08-12 |
WO2004067057A2 (en) | 2004-08-12 |
CA2513368C (en) | 2010-01-12 |
US8308749B2 (en) | 2012-11-13 |
US20070027524A1 (en) | 2007-02-01 |
AU2010241523A1 (en) | 2010-12-09 |
JP2006515788A (en) | 2006-06-08 |
EP1583582B1 (en) | 2013-04-10 |
ES2412205T3 (en) | 2013-07-10 |
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