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US5868698A Expired / Lapsed US ⏱️ 0.0 years remaining

Apparatus for performing diagnostic and therapeutic modalities in the biliary tree

Assignee: Boston Scientific Scimed Inc
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Filing: 1997-04-23
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Granted: 1999-02-09
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Expires: 2017-04-23
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Abstract

Abstract Catheter apparatus for performing diagnostic and therapeutic modalities in the biliary tree includes a catheter with multiple lumens. A first lumen is adapted to receive a guidewire and can serve as a transport lumen for contrast agent. A second lumen carries a cutting wire for performing a sphincterotomy. A third lumen can be used as an inflation lumen for a distally located balloon. Expansion of the balloon occludes a portion of the biliary tree and allows the catheter to sweep any gallstones through the sphincter of Oddi into the duodenum.

Inventors

  • 👤 Christopher A. Rowland
  • 👤 Michael G. Vergano
  • 👤 Bryan P. Eddy
  • 👤 Peter B. Cotton

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 19:54
CPC Classifications
A; A61; A61B; A61B18/00; A61B18/04; A61B18/08; A61B18/10; A61B18/12; A61B18/14; A61B18/1492; A61B17/00; A61B17/22; A61B17/22031; A61B17/22032; A61B17/32; A61B17/3205; A61B17/32056; A61B17/3207; A61B17/320725; A61B2017/22051; A61B2017/22082; A61B2018/00315; A61B2018/00553; A61B2018/00636; A61B2018/00642; A61B2018/1405; A61B2018/144; A61M; A61M25/00; A61M25/0021; A61M25/0023; A61M25/0026; A61M2025/004; A61M25/0029; A61M25/003

Claims Analysis

Total Claims: 38
Claim 1
Independent Claim 146 words
An apparatus for treating a patient, the apparatus comprising: a catheter having a proximal end and a distal end, the catheter including first, second, and third lumens extending therethrough from the proximal end to the distal end, the second and third lumens each including an entry port at the proximal end in communication with an exit port at the distal end; an actuator connected to the proximal end of the catheter; a first device at the distal end proximate the exit port of the second lumen for performing a first operation on a patient; and a second device at the distal end proximate the exit port of the third lumen for performing a second operation on a patient, the second device extending through the third lumen to connect to the actuator so that actuation of the actuator causes the second device to perform the second operation.
Claim 2
Independent Claim 146 words
An apparatus for treating a patient, the apparatus comprising: a catheter having a proximal end and a distal end, the catheter including first, second, and third lumens extending therethrough from the proximal end to the distal end, the second and third lumens each including an entry port at the proximal end in communication with an exit port at the distal end; an actuator connected to the proximal end of the catheter; a first device at the distal end proximate the exit port of the second lumen for performing a first operation on a patient; and a second device at the distal end proximate the exit port of the third lumen for performing a second operation on a patient, the second device extending through the third lumen to connect to the actuator so that actuation of the actuator causes the second device to perform the second operation.
Claim 3
Dependent Claim 11 words
The apparatus of claim 1, wherein the first device is expansible.
Claim 4
Dependent Claim 13 words
The apparatus of claim 1, wherein the first device is an expansible balloon.
Claim 5
Dependent Claim 23 words
The apparatus of claim 3, wherein the entry port of the second lumen is adapted to receive fluid for expanding the expansible balloon.
Claim 6
Dependent Claim 17 words
The apparatus of claim 3, wherein the first operation includes retrieval of objects from within the patient.
Claim 7
Dependent Claim 13 words
The apparatus of claim 1, wherein the second device is a cutting device.
Claim 8
Dependent Claim 30 words
The apparatus of claim 6, wherein the cutting device connects to the distal end of the third lumen, and a portion of the cutting device is exterior the third lumen.
Claim 9
Dependent Claim 23 words
The apparatus of claim 7, wherein the second operation includes cutting tissue from the patient to enlarge a working area within the patient.
Claim 10
Dependent Claim 13 words
The apparatus of claim 7, wherein the cutting device is a cutting wire.
Claim 11
Dependent Claim 22 words
The apparatus of claim 9, wherein the actuator includes a connector connected to the cutting wire for connection to a heating source.
Claim 12
Dependent Claim 28 words
The apparatus of claim 1, wherein the entry port of the third lumen is adapted to receive fluid for discharge from the exit port of the third lumen.
Claim 13
Dependent Claim 25 words
The apparatus of claim 1, wherein the first lumen has a diameter larger than a diameter of either the second lumen or the third lumen.
Claim 14
Dependent Claim 16 words
The apparatus of claim 12, wherein the first lumen is adapted to receive a guide wire.
Claim 15
Dependent Claim 19 words
The apparatus of claim 1, wherein the first device is expansible and the second device is a cutting device.
Claim 16
Independent Claim 160 words
An apparatus for removal of objects from a biliary tree of a patient, the apparatus comprising: a catheter for being directed through a sphincter of Oddi and into a biliary tree, the catheter having a proximal end and a distal end, the catheter including first, second, and third lumens extending therethrough from the proximal end to the distal end, the second and third lumens each including an entry port at the proximal end in communication with an exit port at the distal end; an actuator connected to the proximal end of the catheter; a first device at the distal end proximate the exit port of the second lumen for performing an operation on a patient; and a cutting device at the distal end proximate the exit port of the third lumen, the cutting device extending through the third lumen to connect to the actuator so that actuation of the actuator causes the cutting device to cut a sphincter of Oddi.
Claim 17
Independent Claim 160 words
An apparatus for removal of objects from a biliary tree of a patient, the apparatus comprising: a catheter for being directed through a sphincter of Oddi and into a biliary tree, the catheter having a proximal end and a distal end, the catheter including first, second, and third lumens extending therethrough from the proximal end to the distal end, the second and third lumens each including an entry port at the proximal end in communication with an exit port at the distal end; an actuator connected to the proximal end of the catheter; a first device at the distal end proximate the exit port of the second lumen for performing an operation on a patient; and a cutting device at the distal end proximate the exit port of the third lumen, the cutting device extending through the third lumen to connect to the actuator so that actuation of the actuator causes the cutting device to cut a sphincter of Oddi.
Claim 18
Dependent Claim 11 words
The apparatus of claim 15, wherein the first device is expansible.
Claim 19
Dependent Claim 13 words
The apparatus of claim 15, wherein the first device is an expansible balloon.
Claim 20
Dependent Claim 23 words
The apparatus of claim 17, wherein the entry port of the second lumen is adapted to receive fluid for expanding the expansible balloon.
Claim 21
Dependent Claim 16 words
The apparatus of claim 17, wherein the operation includes retrieval of objects from within a patient.
Claim 22
Dependent Claim 30 words
The apparatus of claim 15, wherein the cutting device connects to the distal end of the third lumen, and a portion of the cutting device is exterior the third lumen.
Claim 23
Dependent Claim 13 words
The apparatus of claim 20, wherein the cutting device is a cutting wire.
Claim 24
Dependent Claim 22 words
The apparatus of claim 21, wherein the actuator includes a connector connected to the cutting wire for connection to a heating source.
Claim 25
Dependent Claim 28 words
The apparatus of claim 15, wherein the entry port of the third lumen is adapted to receive fluid for discharge from the exit port of the third lumen.
Claim 26
Dependent Claim 25 words
The apparatus of claim 15, wherein the first lumen has a diameter larger than a diameter of either the second lumen or the third lumen.
Claim 27
Dependent Claim 16 words
The apparatus of claim 24, wherein the first lumen is adapted to receive a guide wire.
Claim 28
Independent Claim 141 words
A method of removing objects from the biliary tree of a patient, the method comprising the steps of: inserting a catheter into a patient, the catheter having first, second, and third lumens extending therethrough from a distal end within a patient to a proximal end exterior a patient, the second and third lumens each including an entry port at the proximal end, cutting a sphincter of Oddi with a cutting device to enlarge a working area within a patient, the cutting device extending through the third lumen to the distal end, expanding a device located beyond an object in a biliary tree, the device being connected to the catheter at the distal end proximate the exit port of the second lumen, and withdrawing the catheter from a patient while the device is expanded to remove an object from a biliary tree.
Claim 29
Independent Claim 141 words
A method of removing objects from the biliary tree of a patient, the method comprising the steps of: inserting a catheter into a patient, the catheter having first, second, and third lumens extending therethrough from a distal end within a patient to a proximal end exterior a patient, the second and third lumens each including an entry port at the proximal end, cutting a sphincter of Oddi with a cutting device to enlarge a working area within a patient, the cutting device extending through the third lumen to the distal end, expanding a device located beyond an object in a biliary tree, the device being connected to the catheter at the distal end proximate the exit port of the second lumen, and withdrawing the catheter from a patient while the device is expanded to remove an object from a biliary tree.
Claim 30
Dependent Claim 15 words
The method of claim 26, further comprising the step of positioning the catheter through fluoroscopy.
Claim 31
Dependent Claim 14 words
The method of claim 27, wherein the catheter includes markers at the distal end.
Claim 32
Dependent Claim 25 words
The method of claim 26, further comprising the step of injecting a contrast agent through the third lumen to confirm the presence of an object.
Claim 33
Dependent Claim 21 words
The method of claim 29, wherein the device is expanded during the injecting step to block migration of a contrast agent.
Claim 34
Dependent Claim 25 words
The method of claim 26, wherein the cutting device is a cutting wire, a portion of the cutting wire being exterior to the third lumen.
Claim 35
Dependent Claim 19 words
The method of claim 31, wherein heat is applied to the cutting wire to cut the sphincter of Oddi.
Claim 36
Dependent Claim 37 words
The method of claim 26, wherein the device is an expansible balloon, and the expanding step includes inserting fluid through the second lumen and to the exit port of the second lumen to expand the expansible balloon.
Claim 37
Dependent Claim 25 words
The method of claim 26, wherein the first lumen has a diameter larger than a diameter of either the second lumen or the third lumen.
Claim 38
Dependent Claim 22 words
The method of claim 34, further comprising positioning the catheter within a patient by use of a guidewire in the first lumen.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2002-02-08 2002-08-10 2003-02-09 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2006-02-08 2006-08-10 2007-02-09 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2010-02-08 2010-08-10 2011-02-09 $7700.00 Window Closed / Lapsed

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