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US5695508A Expired / Lapsed US ⏱️ 0.0 years remaining

Device and method for dynamic dilation of hollow organs with active perfusion and extraction

Assignee: BAKULEV INSTITUTE OF CARDIO VASCULAR SURGERY
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Filing: 1996-05-16
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Granted: 1997-12-09
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Expires: 2016-05-16
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Abstract

Abstract The invention constitutes a dilating catheter for blood vessels in which the catheter is constituted of a hollow radiopaque tube designed to be snaked into the blood vessel and includes a working guide inside the tube which is both longitudinally movable and rotatable. The working guide is in the form of a flexible guide which arcs out from the longitudinal axis at the distal end and rotate in three dimensions. The arc portion is designed to be located at a single point or at several points along the flexible guide, where a stenosis, i.e. vessel constriction, is located. The guide rotates to distend the tube and thereby the blood vessel at the stenosis location. The guide is connected to a rotational drive, through a speed reducer. It is also connected to a gauge which measures the mechanical resistance of the guide to rotation and to an integrating meter which integrates the mechanical resistance to rotation, to provide the physician with interactive control over the dilation process. In a preferred embodiment, there are a pair of tubes and a pair of guides in which the respective arcs of the guides are turned 180° relative to one another and which operate in tandem.

Inventors

  • 👤 Nikolay A. Chigogidze

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 10:18
CPC Classifications
A; A61; A61M; A61M25/00; A61M25/10; A61M25/104; A61B; A61B17/00; A61B17/22; A61B90/00; A61B90/06

Claims Analysis

Total Claims: 13
Claim 1
Independent Claim 98 words
A dilating catheter, comprising: at least one for insertion into a body vessel; a flexible guide inside each tube, each guide including an arc portion capable of being positioned at a desired location inside the tube; a driving device for rotating the guide including the arc portion thereof inside the tube, said arc portion applying force to the tube so as to distend a potion of the tube radially outwardly to treat a constricted portion of the body vessel; and a gauge connected to the guide and effective for measuring mechanical resistance to rotation encountered by the guide.
Claim 2
Dependent Claim 98 words
A dilating catheter, comprising: at least one for insertion into a body vessel; a flexible guide inside each tube, each guide including an arc portion capable of being positioned at a desired location inside the tube; a driving device for rotating the guide including the arc portion thereof inside the tube, said arc portion applying force to the tube so as to distend a potion of the tube radially outwardly to treat a constricted portion of the body vessel; and a gauge connected to the guide and effective for measuring mechanical resistance to rotation encountered by the guide.
Claim 3
Dependent Claim 26 words
The dilating catheter of claim 1, including an integrating meter coupled to the gauge for integrating the value of the dilation forces encountered by the guide.
Claim 4
Dependent Claim 25 words
The dilating catheter of claim 2, further including a tachometer coupled to the guide for providing an indication of the rotational speed of the guide.
Claim 5
Dependent Claim 36 words
The dilating catheter of claim 3, in which the driving device is capable of turning the guide in a first direction and in a second direction to respectively promote perfusion and extraction in the body vessel.
Claim 6
Dependent Claim 39 words
The dilating catheter of claim 3, in which the integrating meter comprises an adder for adding the values of mechanical resistance to rotation during each rotation of the guide and for providing a reading graduated in units of force.
Claim 7
Dependent Claim 21 words
The dilating catheter of claim 1, in which the tube comprises a body in the form of a hollow radiopaque tube.
Claim 8
Dependent Claim 40 words
The dilating catheter of claim 1, in which the tube, the guide and driving device are configured so that rotation of the guide selectively promotes perfusion of liquid through the body vessel and extraction of released matter from the vessel.
Claim 9
Dependent Claim 52 words
The dilating catheter of claim 1, in which the at least one tube comprises a first tube and a second tube, each of the first and second tubes having its respective flexible guide so as to act at any given moment of time at two different circumferential locations of the body vessel.
Claim 10
Dependent Claim 30 words
The dilating catheter of claim 8, in which the arc of each of the respective flexible guides points in directions which are circumferentially about 180° apart relative to one another.
Claim 11
Dependent Claim 16 words
The dilating catheter of claim 1, further including a speed reducer coupled with the driving device.
Claim 12
Dependent Claim 34 words
The dilating catheter of claim 1, in which the gauge comprises a current meter for measuring the driving device's current and for providing an indication of the resistance to rotation in units of force.
Claim 13
Dependent Claim 24 words
The dilating catheter of claim 1, further including a microprocessor data-analysis system coupled to the integrating meter for providing positive and negative feedback control.

References Cited (Backward Citations)

US4646736A Cited
US4706671A Cited
US5269751A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2000-12-08 2001-06-09 2001-12-09 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2004-12-08 2005-06-09 2005-12-09 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2008-12-08 2009-06-09 2009-12-09 $7700.00 Window Closed / Lapsed

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