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EP0388486A1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Steerable "PTCA" dilatation catheter with a regulating expansion section

Assignee: Individual
•
Filing: 1989-03-20
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Granted: —
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Expires: 2009-03-20
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Abstract

Abstract Steerable percutaneous transluminal coronary angioplasty (PTCA) dilatation catheter with a regulating expanding device (10) embodied in a connector (9) having three ports: One for pressure application (7) at the pre-­set expandable section (3); one for pressure, time and temperature reading (8) of the fluid at the same expandable section, and one for introducing guide wire (10). The interlumen of the longitudinal circular body is made of a polymer coated metal coil tightly wound (5) and an outer jacket (4) with one single alternating section of closed and open braided mesh of unstretchable material of ultra high modulus metals or fibers. At the distal end of the catheter the two bodies are sealed at (2) to form the passageway (53) for the fluid. The steerable PTCA catheter with the expandable section can be internally pressurized with or without inflation of the expandable section, the degree of expansion is controlled by the regulating device.

Inventors

  • 👤 Gianfederico Dick

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-11-04 16:48
CPC Classifications
A; A61; A61M; A61M25/00; A61M25/10; A61M25/104

Claims Analysis

Total Claims: 19
Claim 1
Independent Claim 214 words
A dilatation catheter to be used in percutaneous transluminal coronary angioplasty having an adjustable expandable section which under pressure takes up a pre-set balloon dimension to dilate stenotic coronary arteries according to their sizes without risk of under or over dilatation, the catheter comprising: a flexible reinforced tubular body, said shaft, of inner and outer tubes made of elastomeric materials and reinforced by high Joung modulus material, steel, metals, or fibers of max. elongation at break less than 6% which lies tightly packed lor a major length and contiguous thereto at the distal end a more open packed shorter length, said expandable section, the catheter can be internally pressurized in its total length with or without radial expansion at the expansion section, said balloon, the radial expansion section of the shaft distal end is controlled by the thumbwheel placed in the connector house, together with a polymer coated steel coil forming the catheter internal lumen being able to take up compression and extension forces in y-x axis without substantial physical deformation, the adjustable radial expandable section of the shaft allows to be compressed in the longitudinal axis, thus achieving the pre-set ballon diameter which under pressure takes up a well defined expanded diameter,increasing or decreasing balloon diameter, can be achieved at equal internal pressure.
Claim 2
Dependent Claim 214 words
A dilatation catheter to be used in percutaneous transluminal coronary angioplasty having an adjustable expandable section which under pressure takes up a pre-set balloon dimension to dilate stenotic coronary arteries according to their sizes without risk of under or over dilatation, the catheter comprising: a flexible reinforced tubular body, said shaft, of inner and outer tubes made of elastomeric materials and reinforced by high Joung modulus material, steel, metals, or fibers of max. elongation at break less than 6% which lies tightly packed lor a major length and contiguous thereto at the distal end a more open packed shorter length, said expandable section, the catheter can be internally pressurized in its total length with or without radial expansion at the expansion section, said balloon, the radial expansion section of the shaft distal end is controlled by the thumbwheel placed in the connector house, together with a polymer coated steel coil forming the catheter internal lumen being able to take up compression and extension forces in y-x axis without substantial physical deformation, the adjustable radial expandable section of the shaft allows to be compressed in the longitudinal axis, thus achieving the pre-set ballon diameter which under pressure takes up a well defined expanded diameter,increasing or decreasing balloon diameter, can be achieved at equal internal pressure.
Claim 3
Dependent Claim 50 words
The dilatation catheter of claim 1 wherein the longitudinal flexible, tubular body is made of biocompatible rubbery materials, preferable polyurethane (PU), silicone rubber (Q) or other elastomers reinforced by braided steel ribbon or rod of closed and open mesh chemically and physically bonded to adjacent inner and outer polymer tubes.
Claim 4
Dependent Claim 23 words
The dilatation catheter of claim 2 wherein the reinforcing braided material is any of the metals, carbon, glass, boron, aramid, ceramic, whiskers fibers.
Claim 5
Dependent Claim 41 words
The dilatation catheter of claim 2 in which the longitudinal tubular body can be internally pressurized without radial expansion at the balloon section and has in its total length a uniform substantially constant circular size in a pressurized or unpressurized state.
Claim 6
Dependent Claim 39 words
The dilatation catheter of claim 2 hwerein the distal end of the longitudinal tubular body, said shaft, has an adjustable inflatable section, said balloon, the diameter of which can be regulated by the thumbwheel device in the connector house.
Claim 7
Dependent Claim 42 words
The dilatation catheter of claim 4, wherein the longitudinal tubular body a distal end inflatable section, said balloon, the diameter of which can increase or decrease with or without constant internal fluid pressure by the regulating thumbwheel device in the connector house.
Claim 8
Dependent Claim 28 words
The dilatation catheter of claim 1 further comprises an inner-body made of tight wound steel coil, polymeric coated on the outer surface forming a flexible and incompressible inner-tube.
Claim 9
Dependent Claim 22 words
The dilatation catheter of claim 7 wherein at the proximal end ot the inner-coil a threaded and sealing bushing device is soldered.
Claim 10
Dependent Claim 18 words
The dilatation catheter of claim 6 wherein the total length of the inner-coil is radiopaque, including distal tip.
Claim 11
Dependent Claim 27 words
The dilatation catheter of claim 1 further comprises: a connector to which the longitudinal tubular body and the inner-coil are sealed to two separated connecting ports, respectively.
Claim 12
Dependent Claim 20 words
The dilatation catheter of claim 10 further comprises a third port for pressure, time and temperature recording of the fluid.
Claim 13
Dependent Claim 41 words
The dilatation catheter of claim 1 further comprises an assembly of coaxial system wherein the adjacent surfaces of the inner-coil and the longitudinal tubular body are movable to each other at the confined expansion section, said balloon, during inflation and deflation.
Claim 14
Dependent Claim 21 words
The dilatation catheter of claim 12 wherein the confined pre-set expansion section is not coaxial movable during balloon inflation or deflation.
Claim 15
Dependent Claim 30 words
The dilatation catheter of claim 12 wherein the space in between allows the fluid to be injected and pressurized up to 30 atm. at temperature up to 80 degree C.
Claim 16
Dependent Claim 16 words
The dilatation catheter of claim 1 wherein the axial stiffness is adjustable by fluid pressure application.
Claim 17
Dependent Claim 22 words
The dilatation catheter of claim 1 wherein the operating physician does not need to change for other size balloon catheters during dilatation.
Claim 18
Dependent Claim 36 words
The dilatation catheter of claim 1 wherein the pre-set balloon diameter is controlled by the longitudinal axial movement of inner-coil through the thumbwheel rotating system where a slide gauge is incorporated thus to read its value.
Claim 19
Dependent Claim 65 words
The dilatation catheter of claim 1 is to provide a surgical instrument to dilate under full control of balloon diameter narrow stenotic strictures in the coronary blood vessel permitting to form together with a guide wire and guiding catheter a complete working assembly for dilatation purposes with minimum risk of balloon rupture, with no kinking possibilities while in use and preserving tracking capability and pushability.

References Cited (Backward Citations)

EP0186267A1 Cited

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