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EP0720837A1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Integrated dual-function catheter system for balloon angioplasty and stent delivery

Assignee: Cordis Corp
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Filing: 1995-12-05
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Granted: —
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Expires: 2015-12-05
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Abstract

Abstract An integrated catheter (10) system utilizes a balloon angioplasty catheter placed through a central passageway of a stent delivery catheter to enable balloon angioplasty and stent (40) delivery to be accomplished with a single device. The integrated catheter system is able to perform dilatation of an arterial stenosis, placement of the stent (40) at the site of the stenosis and then the angioplasty catheter balloon (16) can be used to further embed the stent into the arterial wall. Balloon angioplasty, stent placement and stent embedding into the arterial wall are all accomplished while the catheter's angioplasty balloon (16) remains situated at the site of the stenosis. A conically-shaped distal portion of the stent delivery catheter allows stent placement over the deflated balloon after balloon angioplasty even when intimal dissection causes an intimal flap to be pushed inwardly against the deflated balloon. A proximal portion of the integrated catheter system employs longitudinal motion constraining spacers (90) to prevent the stent from being inadvertently positioned beyond the distal end of the balloon. The balloon of the balloon angioplasty catheter can be readily advanced through tortuous coronary arteries because the distal end of the stent delivery catheter can be placed back by 0.5 to 20 cm from the balloon's proximal end during insertion. Thus, the stiffness of the stent and the stent delivery catheter do not add stiffness to the distal portion of the balloon angioplasty catheter, which stiffness can prevent catheter advancement through such tortuous vessels.

Inventors

  • 👤 Robert E. Fischell
  • 👤 Tim A. Fischell
  • 👤 David R. Fischell

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-23 08:57
CPC Classifications
A; A61; A61M; A61M25/00; A61M25/10; A61M25/104; A61F; A61F2/00; A61F2/95; A61F2/9517; A61F2/958; A61F2/0095; A61F2210/00; A61F2210/0014; A61F2210/0019; A61F2250/00; A61F2250/0058; A61F2250/0096; A61F2250/0098; A61M2025/0004; A61M2025/0006; A61M29/00; A61M29/02

Claims Analysis

Total Claims: 17
Claim 1
Independent Claim 261 words
An integrated catheter system for performing a dilatation procedure within a vessel of a human body and for placement of a stent within that region of the vessel that underwent dilatation, the catheter system comprising: a balloon angioplasty catheter having a balloon located near the catheter's distal end, the balloon having a proximal end fixedly attached to an elongated outer tube, the balloon being able to be inflated to an inflated state and deflated to a deflated state; a first elongate cylindrical tube which is a pusher tube having a proximal end and a distal end and being adapted to move slidably over the balloon angioplasty catheter; a second elongate cylindrical tube which is an outer sheath, the pusher tube being adapted to move slidably within the outer sheath which has a sheath containment cavity containing a radially expandable stent situated near the sheath's distal end, the stent containment cavity being bounded at its distal end by a distal portion in the shape of a frustrum of a cone having a distal end that intersects the outer tube of the balloon angioplasty catheter at an acute angle, the stent containment cavity being bounded at its proximal end by the distal end of the pusher tube, the outer sheath and the pusher tube each having separate proximal pullback means adapted to lie outside the human body for pulling the sheath back relative to the pusher tube so as to release the radially expandable stent from the stent containment cavity so that the stent can be expanded radially outward against the vessel wall.
Claim 2
Dependent Claim 191 words
An integrated catheter system for performing a dilatation procedure within the coronary arteries of a human body and for placement of a stent within that region of the vessel that underwent dilatation, the catheter system comprising: a balloon angioplasty catheter having a balloon located near the catheter's distal end, the balloon having a distal end and a proximal end; a pusher tube mounted coaxially over the balloon angioplasty catheter, the pusher tube being in the form of a first elongate' cylindrical tube having a proximal end and a distal end and being adapted to move slidably over the balloon angioplasty catheter; and, an outer sheath mounted coaxially over the pusher tube, the outer sheath being in the form of a second elongate cylindrical tube, the pusher tube being adapted to move slidably within the outer sheath which has a stent containment cavity containing a radially expandable stent situated near the outer sheath's distal end, the distal end of the outer sheath being adapted to be placed greater than 0.5 cm back from the proximal end of the balloon as the balloon is being advanced within the vessel of the human body.
Claim 3
Dependent Claim 33 words
The catheter system of Claim 1 or Claim 2, wherein the balloon angioplasty catheter is of the "over-the-wire" design having a central lumen extending throughout the entire length of the balloon angioplasty catheter.
Claim 4
Dependent Claim 24 words
The catheter system of Claim 3,further comprising a flexible guide wire adapted to be advanced through the central lumen of the balloon angioplasty catheter.
Claim 5
Dependent Claim 41 words
The catheter system or Claim 1 or any claim appended thereto, wherein the distal end of the frustrum of a cone is adapted to be moved with a snug fit over the balloon when the balloon is in its deflated state.
Claim 6
Dependent Claim 37 words
The catheter system of Claim 5, wherein the conically shaped distal portion includes at least one longitudinally placed slit to allow the outer sheath to be easily pulled back over the stent and over the pusher tube.
Claim 7
Dependent Claim 20 words
The catheter system of any preceding claim, wherein the pusher tube includes a radiopaque marker band at its distal end.
Claim 8
Dependent Claim 17 words
The catheter system of any preceding claim, wherein the radially expandable stent is a balloon expandable stent.
Claim 9
Dependent Claim 16 words
The catheter system of any preceding claim, wherein the radially expandable stent is a self-expanding stent.
Claim 10
Dependent Claim 18 words
The catheter system of Claim 9, wherein the self-expanding stent is made from a shape memory alloy metal.
Claim 11
Dependent Claim 20 words
The catheter system of Claim 1 or any claim appended thereto, wherein the proximal pullback means is a Tuohy-Borst fitting.
Claim 12
Dependent Claim 25 words
The catheter system of any preceding claim, wherein the integrated catheter has four separate lumens, each being accessible for flushing from the catheter's proximal end.
Claim 13
Dependent Claim 24 words
The catheter system of Claim 12, wherein three of the lumens are annular passageways and the central lumen is generally of a cylindrical geometry.
Claim 14
Dependent Claim 25 words
The catheter system of any preceding claim, wherein at least one radiopaque marker band is used to indicate the location of the stent containment cavity.
Claim 15
Dependent Claim 30 words
The catheter system of any preceding claim, further comprising a longitudinal displacement limiting means to prevent the inadvertent release of the stent beyond the distal end of the inflatable balloon.
Claim 16
Dependent Claim 34 words
The catheter system of any preceding claim, further comprising a longitudinal displacement limiting means to prevent inadvertent release of the stent by disallowing inadvertent pullback of the outer sheath relative to the pusher tube.
Claim 17
Dependent Claim 16 words
The catheter system of Claim 16, wherein the longitudinal displacement limiting means is a removable spacer.

References Cited (Backward Citations)

EP0150281A1 Cited
EP0362444A1 Cited
EP0319918A2 Cited
WO1989008433A1 Cited
US5019090A Cited

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