WO1997024154A1 - Multipurpose balloon catheter - Google Patents

Multipurpose balloon catheter Download PDF

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Publication number
WO1997024154A1
WO1997024154A1 PCT/US1996/020903 US9620903W WO9724154A1 WO 1997024154 A1 WO1997024154 A1 WO 1997024154A1 US 9620903 W US9620903 W US 9620903W WO 9724154 A1 WO9724154 A1 WO 9724154A1
Authority
WO
WIPO (PCT)
Prior art keywords
balloon
proximal
tubular body
distal
end portion
Prior art date
Application number
PCT/US1996/020903
Other languages
French (fr)
Inventor
James Ernest Leone
Karl Phillip Weissinger
Margaret Frances Yoklavich
Original Assignee
Cordis Corporation
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 Cordis Corporation filed Critical Cordis Corporation
Priority to EP96945449A priority Critical patent/EP0935479B1/en
Priority to DE69633410T priority patent/DE69633410T2/en
Priority to CA002241176A priority patent/CA2241176C/en
Publication of WO1997024154A1 publication Critical patent/WO1997024154A1/en

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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
    • 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
    • A61M25/1011—Multiple balloon catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/20—Applying electric currents by contact electrodes continuous direct currents
    • A61N1/30—Apparatus for iontophoresis, i.e. transfer of media in ionic state by an electromotoric force into the body, or cataphoresis
    • 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
    • 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
    • A61M2025/1052—Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector
    • 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
    • A61M2025/1065—Balloon catheters with special features or adapted for special applications having a balloon which is inversely attached to the shaft at the distal or proximal end
    • 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

Definitions

  • the present invention relates to a multi-purpose balloon catheter having an angioplasty, occlusive/drug delivery or photodynamic therapy (PDT) balloon, a stent delivery balloon or iontophoresis section, and an occlusive/drug delivery balloon in a distal end portion ofthe catheter.
  • the multi-purpose balloon catheter ofthe present invention includes two or more lumens therein extending to the distal end portion ofthe multi-purpose balloon catheter.
  • a multi-purpose balloon catheter comprising a tubular body having a proximal end portion, a distal end portion and at least two lumens within the tubular body, and the distal end portion having three spaced apart balloons thereon, the distal balloon being an occlusive balloon, the middle balloon being a stent mounting balloon and the proximal balloon being an occlusive balloon.
  • the distal balloon is an angioplasty balloon and the proximal balloon is also a drug therapy balloon.
  • FIG. 1 is a plan view of the multi-purpose balloon catheter constructed according to the teachings ofthe present invention and shows a distal end portion ofthe catheter and a proximal end portion of the catheter.
  • FIG. 2 is an enlarged view of the distal end portion of the catheter shown in FIG. 1 and shows a first angioplasty balloon, a second or middle stent mounting balloon and a third, occlusive/drug delivery balloon.
  • FIG. 3 is a sectional view taken along lines 3-3 of FIG. 2.
  • FIG. 4 is a sectional view taken along lines 4-4 of FIG. 1.
  • FIG. 5 is an enlarged cross-sectional view ofthe occlusive/drug delivery balloon shown in
  • FIG. 6 is a longitudinal view with portions cut away ofa section ofa blood vessel and shows the distal end portion of the multi-purpose balloon catheter of the present invention disposed therein and with the first, most distal, balloon thereof in an inflated condition.
  • FIG. 7 is a longitudinal view ofthe blood vessel shown in FIG. 6 with portions cut away and shows the distal end portion of the multi-purpose balloon catheter therein, similar to the view shown in FIG. 5, but with a proximally located third, occlusive/drug delivery balloon also inflated.
  • FIG. 8 is a longitudinal view ofthe blood vessel shown in FIG. 6 with portions cut away and shows the distal end portion of the multi-purpose balloon catheter of the present invention disposed therein but with the angioplasty balloon and the thrombolysis balloon collapsed and with a stent mounting (delivery) balloon disposed between them inflated for the purpose of stent implantation.
  • FIG. 9 is a longitudinal view ofthe blood vessel shown in FIG. 6 with portions cut away and shows the distal end portion of the multi-purpose balloon catheter of the present invention disposed therein, similar to the view shown in FIG. 6, but shows an aneurysm in the portion ofthe blood vessel between the first, angioplasty balloon and the third occlusive/drug delivery balloon. DESCRIPTION OF THE PREFERRED EMBODIMENT(S)
  • the distal end portion 16 includes a first, most distal, occlusive/angioplasty/photodynamic balloon 20, a second, or middle stent mounting or stent delivery balloon 22 capable of carrying a stent 24 thereon, which can be a metal stent or a thermoplastic stent, and a third, occlusive/drug delivery balloon 26.
  • the tip 18 has a distal ring electrode 30 which is electrically coupled with a distal ring electrode 32 located just proximally ofthe occlusive balloon 26.
  • Proximal of the ring electrode 32 are one or more, namely four, perfusion ports 34.
  • the distal tip 18 is open at the outer end thereof to form a perfusion port 36 which is in communication with a perfusion lumen 38 within the tubular body 14 in the distal end portion 16 which is also in communication with the perfusion ports 34.
  • the proximal end portion 12 includes four input tubings 41-44 connected to a coupling member 46 that couples through a strain relief sleeve 48 to the tubular body 14.
  • an electrical cable 50 having at least two insulated wire conductors 51 and 52 that extend through the tubular body to the electrodes 30, 32 and the stent 24. Wire conductor 51 connects to the ring electrodes 30 and 32 and wire conductor 52 connects to the stent 24.
  • FIG. 3 is a sectional view through the tubular body 14, is taken along lines 3-3 of FIG. 2 and shows the perfusion lumen 38, which is the largest lumen, a fluid delivery lumen 54 for the stent mounting balloon 22 directly above the perfusion lumen 38, a fluid delivery lumen 56 for the angioplasty balloon 20 which also can have a light delivery fiber 57 therein, and a fluid delivery lumen 58 for delivering a fluid and/or drug to the occlusive/drug delivery balloon 26.
  • FIG. 4 is a sectional view ofthe tubings 41-44 shown in FIG. 1 and is taken along line 4-4 of FIG. 1.
  • the multi-purpose balloon catheter 10 ofthe present invention can be utilized for performing a number of procedures which will now be described in greater detail in connection with the description of FIGS. 5-9.
  • the occlusive/drug balloon 26 has a proximal end 60 fixed on the tubular body just proximal to a fluid delivery inlet port 62.
  • the balloon 26 has a distal end portion 64 which is inverted, or folded under itself, over the tubular body 14 and connected thereto as shown.
  • two or more outlet ports 66 are provided in an inwardly facing section 67 ofthe distal end portion 64 ofthe balloon 26.
  • FIG. 5 The balloon construction for the third balloon 26 illustrated in FIG. 5 is preferred when the third balloon 26 is used for drug delivery and can be used with a saline solution for other procedures illustrated in FIGS. 7 and 9. However, for these procedures it is desirable to use a balloon not having the outlet ports 66.
  • FIG. 6 there is illustrated the distal end portion 16 ofthe multi-purpose balloon catheter
  • the angioplasty balloon 20 can be made of a transparent or translucent plastic material and light can be supplied through the light delivery fiber 57 and directed through the transparent or translucent balloon 20 for photodynamic therapy.
  • FIG. 7 there is illustrated an iontophoresis procedure which can include drug delivery or thrombolysis.
  • the first balloon 20 is only inflated sufficient to occlude the blood vessel 70 and the third, occlusive balloon 26 is supplied with a drug solution from the lumen 58 and the inlet port 62 which is used for both inflating the balloon 26 from the lumen 58 through the inlet port 62 and for delivering a drug solution through the outlet port 66 ofthe balloon 26 to the area in the blood vessel 70 between the first balloon 20 and the third balloon 26.
  • the stent 24 can be used as an electrode and for this purpose covered with a porous polycarbonate membrane 72, a fragmentary portion of which is shown in FIG. 7. This covering will prevent shorting ofthe stent electrode 24 to the inner wall ofthe blood vessel 70.
  • the iontophoresis electrical circuit is completed through a silver oxide (+) or silver (-) electrodes 30, 32 depending on the polarity needed.
  • the first balloon 20 can be an inversion of the drug delivery balloon 26 and can be constructed in the same manner but as a mirror image ofthe balloon 26 shown in FIG. 5 whereby drug delivery is supplied through both the first and third balloons 20 and 26 which serve as occlusive and drug delivery balloons for this procedure.
  • FIG. 8 there is illustrated a stent implantation procedure where only the middle, second, stent delivery balloon 22 is inflated for implanting the stent 24.
  • the stent 24 can be a drug delivery stent ofthe type disclosed in U.S. Patent Application Serial No. 08/304,163 filed on September 12, 1994 and entitled: RETRIEVABLE DRUG DELIVERY STENT, the disclosure of which is incorporated herein by reference.
  • a stent sheath for local drug delivery is disclosed in U.S. Patent No. 5,383,928.
  • the stent 24 can be implanted and, if desired, utilized for delivery of a drug through the stent to the inner wall ofthe blood vessel 70.
  • FIG. 9 there is illustrated the use ofthe multi-purpose balloon catheter 10 as a "bail-out catheter" where the first and third balloons are positioned on either side of an aneurysm or thrombosis and inflated to bridge the aneurysm.
  • the multi-purpose balloon catheter 10 is illustrated as a "bail-out catheter" where the first and third balloons are positioned on either side of an aneurysm or thrombosis and inflated to bridge the aneurysm.
  • the third balloon 26 can be used to deliver a lysing agent 76 or other substance through the outlet ports 66 to the area of the aneurysm.
  • blood can flow through the perfusion ports 34, then through the perfusion lumen 38 and out the perfusion outlet port 36 to maintain blood flow while the aneurysm 74 is being treated.
  • a stent 24 can be omitted from the second balloon 22 when performing the procedures shown in FIGS. 6 and 9.
  • the balloon 26 can be constructed without outlet ports 66.
  • the first balloon 20 can have a mirror image construction ofthe balloon 26 (inverted from the construction shown in FIG. 5).

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  • Heart & Thoracic Surgery (AREA)
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Abstract

The multipurpose balloon catheter (10) comprises a tubular body (14) having a proximal end portion (12), a distal end portion (16), and at least two lumens within the tubular body (14). The distal end portion (16) has three spaced-apart balloons thereon, the distal balloon (20) being an occlusive balloon, the middle balloon (22) being a stent mounting balloon, and the proximal balloon (26) being an occlusive balloon.

Description

MULTI-PURPOSE BALLOON CATHETER BACKGROUND OF INVENTION
This is a continuation-in-part of patent application Serial No. 08/259,534, filed on June 14, 1994, now Patent No. 5,505,700. 1. Field of the Invention.
The present invention relates to a multi-purpose balloon catheter having an angioplasty, occlusive/drug delivery or photodynamic therapy (PDT) balloon, a stent delivery balloon or iontophoresis section, and an occlusive/drug delivery balloon in a distal end portion ofthe catheter. For this purpose, the multi-purpose balloon catheter ofthe present invention includes two or more lumens therein extending to the distal end portion ofthe multi-purpose balloon catheter. 2. Description of the related art including information disclosed under 37 CFR §§ 1.97- 1.99. Heretofore numerous balloon type catheters and perfusion catheters have been proposed for performing one or two procedures. However, heretofore, prior to the present invention a multi¬ purpose balloon catheter capable of performing three or more cardiovascular procedures has not been available.
Three non-analogous three balloon catheters are disclosed in the Solar U.S. Patent No. 4,546,759, the Landreneau U.S. Patent No. 4,681 ,564 and the Dalton U.S. Patent No. 5,315,992. A simultaneous angioplasty and drug delivery balloon is disclosed in PCT published patent application No. 95/05866.
Examples of catheters for delivering thrombolytic agents to a blood vessel are disclosed in the following U.S. Patents. U.S. Patent No. Patentee
4,968,307 Dake et al.
5,021,044 Sharkawy
5,279,546 Mische et al.
5,368,034 Isner 5,380,299 Fearnot et al.
Two methods for photodynamic therapy (PDT) treatment of blood vessels including use ofa balloon are disclosed in the Narciso, Jr. U.S. Patents Nos. 5,169,395 and 5,298,018.
Finally, an implantable system for myocardial iontophoretic delivery of medicinal materials to a heart is disclosed in U.S. Patent No. 5,087,243. SUMMARY OF THE INVENTION
According to the present invention there is provided a multi-purpose balloon catheter comprising a tubular body having a proximal end portion, a distal end portion and at least two lumens within the tubular body, and the distal end portion having three spaced apart balloons thereon, the distal balloon being an occlusive balloon, the middle balloon being a stent mounting balloon and the proximal balloon being an occlusive balloon.
Preferably the distal balloon is an angioplasty balloon and the proximal balloon is also a drug therapy balloon.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a plan view of the multi-purpose balloon catheter constructed according to the teachings ofthe present invention and shows a distal end portion ofthe catheter and a proximal end portion of the catheter. FIG. 2 is an enlarged view of the distal end portion of the catheter shown in FIG. 1 and shows a first angioplasty balloon, a second or middle stent mounting balloon and a third, occlusive/drug delivery balloon.
FIG. 3 is a sectional view taken along lines 3-3 of FIG. 2. FIG. 4 is a sectional view taken along lines 4-4 of FIG. 1. FIG. 5 is an enlarged cross-sectional view ofthe occlusive/drug delivery balloon shown in
FIG. 2.
FIG. 6 is a longitudinal view with portions cut away ofa section ofa blood vessel and shows the distal end portion of the multi-purpose balloon catheter of the present invention disposed therein and with the first, most distal, balloon thereof in an inflated condition. FIG. 7 is a longitudinal view ofthe blood vessel shown in FIG. 6 with portions cut away and shows the distal end portion of the multi-purpose balloon catheter therein, similar to the view shown in FIG. 5, but with a proximally located third, occlusive/drug delivery balloon also inflated.
FIG. 8 is a longitudinal view ofthe blood vessel shown in FIG. 6 with portions cut away and shows the distal end portion of the multi-purpose balloon catheter of the present invention disposed therein but with the angioplasty balloon and the thrombolysis balloon collapsed and with a stent mounting (delivery) balloon disposed between them inflated for the purpose of stent implantation.
FIG. 9 is a longitudinal view ofthe blood vessel shown in FIG. 6 with portions cut away and shows the distal end portion of the multi-purpose balloon catheter of the present invention disposed therein, similar to the view shown in FIG. 6, but shows an aneurysm in the portion ofthe blood vessel between the first, angioplasty balloon and the third occlusive/drug delivery balloon. DESCRIPTION OF THE PREFERRED EMBODIMENT(S)
Referring now to the drawings in greater detail, there is illustrated in FIG. 1 a multi-purpose balloon catheter 10 constructed according to the teachings of the invention and including a proximal end portion 12, a tubular body 14, and a distal end portion 16 including a distal tip 18. According to the teachings ofthe present invention, the distal end portion 16 includes a first, most distal, occlusive/angioplasty/photodynamic balloon 20, a second, or middle stent mounting or stent delivery balloon 22 capable of carrying a stent 24 thereon, which can be a metal stent or a thermoplastic stent, and a third, occlusive/drug delivery balloon 26.
As shown, the tip 18 has a distal ring electrode 30 which is electrically coupled with a distal ring electrode 32 located just proximally ofthe occlusive balloon 26.
Proximal of the ring electrode 32 are one or more, namely four, perfusion ports 34. Typically, the distal tip 18 is open at the outer end thereof to form a perfusion port 36 which is in communication with a perfusion lumen 38 within the tubular body 14 in the distal end portion 16 which is also in communication with the perfusion ports 34. The proximal end portion 12 includes four input tubings 41-44 connected to a coupling member 46 that couples through a strain relief sleeve 48 to the tubular body 14. Also coupled to the strain relief sleeve 48 is an electrical cable 50 having at least two insulated wire conductors 51 and 52 that extend through the tubular body to the electrodes 30, 32 and the stent 24. Wire conductor 51 connects to the ring electrodes 30 and 32 and wire conductor 52 connects to the stent 24.
FIG. 3 is a sectional view through the tubular body 14, is taken along lines 3-3 of FIG. 2 and shows the perfusion lumen 38, which is the largest lumen, a fluid delivery lumen 54 for the stent mounting balloon 22 directly above the perfusion lumen 38, a fluid delivery lumen 56 for the angioplasty balloon 20 which also can have a light delivery fiber 57 therein, and a fluid delivery lumen 58 for delivering a fluid and/or drug to the occlusive/drug delivery balloon 26.
FIG. 4 is a sectional view ofthe tubings 41-44 shown in FIG. 1 and is taken along line 4-4 of FIG. 1.
The multi-purpose balloon catheter 10 ofthe present invention can be utilized for performing a number of procedures which will now be described in greater detail in connection with the description of FIGS. 5-9. First of all, as shown in FIG. 5, the occlusive/drug balloon 26 has a proximal end 60 fixed on the tubular body just proximal to a fluid delivery inlet port 62. The balloon 26 has a distal end portion 64 which is inverted, or folded under itself, over the tubular body 14 and connected thereto as shown. Then, two or more outlet ports 66 are provided in an inwardly facing section 67 ofthe distal end portion 64 ofthe balloon 26.
The balloon construction for the third balloon 26 illustrated in FIG. 5 is preferred when the third balloon 26 is used for drug delivery and can be used with a saline solution for other procedures illustrated in FIGS. 7 and 9. However, for these procedures it is desirable to use a balloon not having the outlet ports 66. In FIG. 6, there is illustrated the distal end portion 16 ofthe multi-purpose balloon catheter
10 positioned in a blood vessel 70 and having the angioplasty balloon 20 inflated for an angioplasty procedure. If desired, the angioplasty balloon 20 can be made of a transparent or translucent plastic material and light can be supplied through the light delivery fiber 57 and directed through the transparent or translucent balloon 20 for photodynamic therapy. In FIG. 7, there is illustrated an iontophoresis procedure which can include drug delivery or thrombolysis. In this procedure, the first balloon 20 is only inflated sufficient to occlude the blood vessel 70 and the third, occlusive balloon 26 is supplied with a drug solution from the lumen 58 and the inlet port 62 which is used for both inflating the balloon 26 from the lumen 58 through the inlet port 62 and for delivering a drug solution through the outlet port 66 ofthe balloon 26 to the area in the blood vessel 70 between the first balloon 20 and the third balloon 26.
If desired, the stent 24 can be used as an electrode and for this purpose covered with a porous polycarbonate membrane 72, a fragmentary portion of which is shown in FIG. 7. This covering will prevent shorting ofthe stent electrode 24 to the inner wall ofthe blood vessel 70.
The iontophoresis electrical circuit is completed through a silver oxide (+) or silver (-) electrodes 30, 32 depending on the polarity needed.
Also, the first balloon 20 can be an inversion of the drug delivery balloon 26 and can be constructed in the same manner but as a mirror image ofthe balloon 26 shown in FIG. 5 whereby drug delivery is supplied through both the first and third balloons 20 and 26 which serve as occlusive and drug delivery balloons for this procedure. In FIG. 8 there is illustrated a stent implantation procedure where only the middle, second, stent delivery balloon 22 is inflated for implanting the stent 24. If desired, the stent 24 can be a drug delivery stent ofthe type disclosed in U.S. Patent Application Serial No. 08/304,163 filed on September 12, 1994 and entitled: RETRIEVABLE DRUG DELIVERY STENT, the disclosure of which is incorporated herein by reference. Also, a stent sheath for local drug delivery is disclosed in U.S. Patent No. 5,383,928.
Thus, in the procedure shown in FIG. 8, the stent 24 can be implanted and, if desired, utilized for delivery of a drug through the stent to the inner wall ofthe blood vessel 70.
In FIG. 9, there is illustrated the use ofthe multi-purpose balloon catheter 10 as a "bail-out catheter" where the first and third balloons are positioned on either side of an aneurysm or thrombosis and inflated to bridge the aneurysm. In this use ofthe multi-purpose balloon catheter
10, the third balloon 26 can be used to deliver a lysing agent 76 or other substance through the outlet ports 66 to the area of the aneurysm.
At the same time, blood can flow through the perfusion ports 34, then through the perfusion lumen 38 and out the perfusion outlet port 36 to maintain blood flow while the aneurysm 74 is being treated.
From the foregoing description, it will be apparent that the multi-purpose balloon catheter of the present invention has a number of advantages, some of which have been described above and others which are inherent in the invention.
Also, it is apparent that modifications can be made to the multi-purpose balloon catheter of the present invention without departing from the teachings ofthe invention. For example, a stent 24 can be omitted from the second balloon 22 when performing the procedures shown in FIGS. 6 and 9. Also, the balloon 26 can be constructed without outlet ports 66. Further, the first balloon 20 can have a mirror image construction ofthe balloon 26 (inverted from the construction shown in FIG. 5).
Accordingly, the scope of the invention is only to be limited as necessitated by the accompanying claims.

Claims

CLAIMS WE CLAIM:
1. A multi-purpose balloon catheter comprising a tubular body having a proximal end portion, a distal end portion, and at least two lumens within said tubular body, said distal end portion having three spaced apart balloons thereon, said balloons being positioned proximal, middle, and distal relative to each other, the distal balloon being an occlusive balloon, the middle balloon being a stent mounting balloon having a stent mounted thereon, and the proximal balloon being an occlusive balloon , one of said lumens communicating with said middle balloon, said tubular body defining at least one proximal perfusion port located proximally of said proximal balloon and at least one distal perfusion port located distally of said proximal perfusion port, the other of said lumens communicating between said proximal and distal perfusion ports.
2. The multi-purpose balloon catheter of Claim 1 , further comprising a third lumen defined by said tubular member that communicates with said proximal and distal balloons.
3. The multi-purpose balloon catheter of Claim 1, further comprising a third and fourth lumen defined by said tubular member, the third lumen communicating with said proximal balloon and the fourth lumen communicating with said distal balloon , said distal balloon being an angioplasty balloon.
4. The multi-purpose balloon catheter of Claim 1 , further comprising an electrode forming stent mounted about said middle balloon and an electric wire connected to said electrode forming stent which extends through said tubular body to said proximal end portion of said tubular body.
5. The multi-purpose balloon catheter of Claim 6 wherein said el ectrode forming stent has a microporous covering thereover to prevent shorting of said stent electrode to an interior wall of a blood vessel.
6. The multi-purpose balloon catheter of Claim 8 , wherein said second electrode is mounted on said tubular body distally of said distal balloon.
7. The multi-purpose balloon catheter of Claim 6 wherein said proximal balloon is a drug delivery balloon having an inwardly facing surface that faces inwardly toward said tubular body and defining drug delivery outlet ports that open onto the inwardly facing surface. 8. The multi-purpose balloon catheter of Claim 3, wherein said at least one proximal perfusion port is located proximally of said proximal balloon and said at least one distal perfusion port is located distal to said distal balloon. 2 PC17US96/20903
8
9. The multi-purpose balloon catheter of claim 1 wherein said distal balloon is a drug delivery balloon.
10. A multi-purpose balloon catheter, comprising: a tubular catheter body having a proximal and distal end portion, said tubular body defining a proximal and distal perfusion port, the tubular body further defining an inflation lumen and a perfusion lumen, the perfusion lumen providing fluid communication between the proximal and distal perfusion ports; a first, second and third balloon affixed to said distal end portion of the tubular body and being longitudinally spaced from each other, said first balloon being an occlusive balloon positioned proximal ofthe second balloon, and the second balloon being a stent mounting balloon positioned proximal ofthe third balloon, the third balloon being an occlusive balloon; a hub affixed to the proximal end portion of the tubular body and defining an inflation port, the inflation lumen providing fluid communication between the inflation port and the second balloon; and a flexible stent mounted on and crimped about said middle balloon.
1 1. A multi-purpose balloon catheter, comprising a tubular body having a proximal end portion, a distal end portion, and defining at least two lumens within said tubular body, said distal end portion having three spaced apart balloons thereon, said balloons being positioned proximal, middle, and distal relative to each other, the distal balloon being an occlusive balloon, the middle balloon being a stent mounting balloon and the proximal balloon being an occlusive balloon, wherein said middle balloon has an electrode forming stent mounted thereon, and said tubular body has an electric wire connected to said electrode forming stent which extends through said tubular body to said proximal end portion, wherein said proximal balloon is a drug delivery balloon and has drug delivery outlet ports that open onto an inwardly facing surface of said proximal balloon that faces inwardly toward said tubular body.
12. A multi-purpose balloon catheter, comprising: a tubular catheter body having a proximal and distal end portion, said tubular body defining a first, second and third inflation lumen; a first, second and third balloon affixed to said distal end portion of the tubular body and being longitudinally spaced from each other, said first balloon being a relatively elastic occlusive balloon positioned proximal ofthe second balloon, and the second balloon being a stent mounting balloon positioned proximal of the third balloon, the third balloon being a relatively inelastic angioplasty balloon; a hub affixed to the proximal end portion of the tubular body and defining a first, second and third inflation port, wherein the first, second and third inflation lumen provide fluid communication between the first, second and third inflation port and the first, second and third balloon, respectively.
13. The multi-purpose balloon catheter of Claim 20, further comprising an electrode mounted about the second balloon, and an electrically conductive wire which extends through said tubular body to said proximal end portion of said tubular body, said electrode being coupled to said wire.
14. The multi-purpose balloon catheter of Claim 20, wherein said proximal balloon is a drug delivery balloon and defines at least one drug delivery outlet port.
15. A multi-purpose balloon catheter, comprising: a tubular catheter body having a proximal and distal end portion, said tubular body defining a first, second and third inflation lumen; a first, second and third balloon affixed to said distal end portion of the tubular body and being longitudinally spaced from each other, said first balloon being a relatively elastic occlusive balloon positioned proximal ofthe second balloon, and the second balloon being a stent mounting balloon positioned proximal ofthe third balloon, the third balloon being a transparent or translucent photodynamic therapy balloon; wherein said first, second and third inflation lumen communicate with the first, second and third balloon, respectively; and a light delivery fiber extending within the tubular body to said third balloon to provide light energy to the interior of the third balloon.
16. The multi-purpose balloon catheter of Claim 23, further comprising at least one proximal perfusion port located proximally of said proximal balloon and at least one distal perfusion port located distally of said proximal perfusion port being defined by said tubular body, and a perfusion lumen communicating between said proximal and distal perfusion ports.
PCT/US1996/020903 1995-12-28 1996-12-20 Multipurpose balloon catheter WO1997024154A1 (en)

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EP96945449A EP0935479B1 (en) 1995-12-28 1996-12-20 Multipurpose balloon catheter
DE69633410T DE69633410T2 (en) 1995-12-28 1996-12-20 MULTI BALLOON CATHETER
CA002241176A CA2241176C (en) 1995-12-28 1996-12-20 Multipurpose balloon catheter

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Cited By (18)

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WO1999006096A1 (en) * 1997-07-30 1999-02-11 Johannes Rieger Balloon dilatation catheter
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US6231588B1 (en) 1998-08-04 2001-05-15 Percusurge, Inc. Low profile catheter for angioplasty and occlusion
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JP2005516655A (en) * 2002-02-01 2005-06-09 ロバート，ジェー． ゴールドマン Multifunctional catheter and method of use thereof
EP1469902A2 (en) * 2002-02-01 2004-10-27 Robert J. Goldman Multi-function catheter and use thereof
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US7645259B2 (en) 2002-02-01 2010-01-12 Vascular Designs, Inc. Multi-function catheter and use thereof
US8062251B2 (en) 2002-02-01 2011-11-22 Vascular Designs, Inc. Multi-function catheter and use thereof
US8251948B2 (en) 2002-02-01 2012-08-28 Vascular Designs, Inc. Multi-function catheter and use thereof
WO2004012589A3 (en) * 2002-08-05 2004-07-15 Miravant Medical Technologies Catheter for diagnosis and treatment of diseased vessels
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US8109985B2 (en) 2008-07-23 2012-02-07 Boston Scientific Scimed, Inc. Occlusion crossing device and method
US9427557B2 (en) 2008-07-23 2016-08-30 Boston Scientific Scimed, Inc. Occlusion crossing device and method
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Also Published As

Publication number Publication date
DE69633410T2 (en) 2005-10-27
EP0935479A1 (en) 1999-08-18
US5728068A (en) 1998-03-17
EP0935479B1 (en) 2004-09-15
EP0935479A4 (en) 2000-04-26
DE69633410D1 (en) 2004-10-21

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