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Apparatus and method for angioplasty and for preventing re-stenosis

Assignee: Individual
•
Filing: 1990-10-10
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Granted: 1993-01-19
•
Expires: 2010-10-10
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Abstract

Abstract The present invention provides an angioplasty method and apparatus for performing same that reduces or eliminates restenosis in arteries that have undergone angioplasty. The invention prevents the proliferative response. To this end, the present invention provides a method and apparatus for depositing a time release anti-proliferation agent in the artery wall. The anti-proliferation agents inhibit the proliferation of cells that cause re-stenosis.

Inventors

  • 👤 W. T. Woods

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 15:30
CPC Classifications
A; A61; A61M; A61M25/00; A61M25/10; A61M25/104

Claims Analysis

Total Claims: 31
Claim 1
Independent Claim 83 words
An apparatus for performing angioplasty comprising: a multilumen catheter having an inflatable balloon and a separate means for implanting an anti-proliferation agent that is in the form of a pellet in a lining of a vessel wall, the means for implanting being located in juxtaposition to the balloon, the means for implanting including a rigid collar including a plurality of apertures for receiving the pellet and including means for expelling the pellet from the collar without increasing the exterior circumferences of the collar.
Claim 2
Independent Claim 83 words
An apparatus for performing angioplasty comprising: a multilumen catheter having an inflatable balloon and a separate means for implanting an anti-proliferation agent that is in the form of a pellet in a lining of a vessel wall, the means for implanting being located in juxtaposition to the balloon, the means for implanting including a rigid collar including a plurality of apertures for receiving the pellet and including means for expelling the pellet from the collar without increasing the exterior circumferences of the collar.
Claim 3
Dependent Claim 49 words
The apparatus of claim 1 wherein the antiproliferation agent includes at least one agent chosen form the group consisting of: antibiotics; anti-metabolites; cytotoxic agents; steroids; hormones; antiparasitics; anti-platelets; anticoagulants; calcium channel blockers; anti-hyperlipemics; alpha receptor blockers; beta receptor blockers; anti-connective tissue agents; anti-smooth muscle agents; and endothelial growth stimulators.
Claim 4
Dependent Claim 31 words
The apparatus of claim 1 wherein the catheter includes a guide wire located at least partially within a first lumen for guiding the catheter to a desired location within the vessel.
Claim 5
Dependent Claim 18 words
The apparatus of claim 1 wherein the inflatable balloon is located at a distal end of the catheter.
Claim 6
Dependent Claim 18 words
The apparatus of claim 1 wherein the means for implanting includes means for removably receiving the antiproliferation agent.
Claim 7
Dependent Claim 67 words
A multilumen catheter for performing angioplasty comprising: an inflatable balloon located at a distal end of the catheter; a rigid nonexpandable collar for implanting an anti-proliferation agent, the agent being in the form of pellets in a lining of a vessel wall, the collar including apertures for receiving the pellets; and means for expelling the pellets from the apertures without expanding the outer circumference of the collar.
Claim 8
Dependent Claim 67 words
A multilumen catheter for performing angioplasty comprising: an inflatable balloon located at a distal end of the catheter; a rigid nonexpandable collar for implanting an anti-proliferation agent, the agent being in the form of pellets in a lining of a vessel wall, the collar including apertures for receiving the pellets; and means for expelling the pellets from the apertures without expanding the outer circumference of the collar.
Claim 9
Dependent Claim 50 words
The multilumen catheter of claim 6 wherein the anti-proliferation agent is at least one agent chosen from the group consisting of: antibiotics; anti-metabolites; cyctotoxic agents; steroids; hormones; antiparasitics; anti-platelets; anticoagulants; calcium channel blockers; anti-hyperlipemics; alpha receptor blockers; beta receptor blockers; anti-connective tissue agents; anti-smooth muscle agents; and endothelial growth stimulators.
Claim 10
Dependent Claim 19 words
The multilumen catheter of claim 6 wherein the collar includes a plurality of holes for receiving the antiproliferation agent.
Claim 11
Dependent Claim 13 words
The multilumen catheter of claim 6 wherein the collar includes a flexible lining.
Claim 12
Dependent Claim 14 words
The multilumen catheter of claim 9 wherein the flexible lining is constructed from polyethylene.
Claim 13
Dependent Claim 44 words
The multilumen catheter of claim 6 wherein the collar includes a plurality of perforations for receiving the anti-proliferation agent and is so constructed and arranged that upon the application of a sufficient pressure through the catheter the anti-proliferation agents are expelled from the perforations.
Claim 14
Dependent Claim 89 words
The multilumen catheter for performing angioplasty and limiting or preventing re-stenosis comprising: a shaft defining a first lumen; an inflatable balloon located at an end of the shaft; a rigid drug delivery collar including a plurality of chambers for receiving at least one anti-proliferation agent, the agent being in the form of pellets, the collar being located in juxtaposition to said balloon; and means for expelling the anti-proliferation agents from the collar without expanding an outer circumference of the collar, and embedding the agent in tissue in a vessel.
Claim 15
Dependent Claim 89 words
The multilumen catheter for performing angioplasty and limiting or preventing re-stenosis comprising: a shaft defining a first lumen; an inflatable balloon located at an end of the shaft; a rigid drug delivery collar including a plurality of chambers for receiving at least one anti-proliferation agent, the agent being in the form of pellets, the collar being located in juxtaposition to said balloon; and means for expelling the anti-proliferation agents from the collar without expanding an outer circumference of the collar, and embedding the agent in tissue in a vessel.
Claim 16
Dependent Claim 50 words
The multilumen catheter of claim 12 wherein the anti-proliferation agent is at least one agent chosen from the group consisting of: antibiotics; anti-metabolites; cytotoxic agents; steroids; hormones; antiparasitics; anti-platelets; anticoagulants; calcium channel blockers; anti-hyperlipemics; alpha receptor blockers; beta receptor blockers; anti-connective tissue agents; anti-smooth muscle agents; and endothelial growth stimulators.
Claim 17
Dependent Claim 13 words
The multilumen catheter of claim 12 wherein the collar includes a flexible lining.
Claim 18
Dependent Claim 33 words
The multilumen catheter of claim 12 wherein the collar is so constructed and arranged that upon the application of a sufficient pressure through the catheter the anti-proliferation agents are expelled from the chambers.
Claim 19
Dependent Claim 32 words
The multilumen catheter of claim 12 wherein the means for embedding includes means for generating a pulse of pressure upon a floor of the collar that defines a bottom of the chamber.
Claim 20
Dependent Claim 76 words
The multilumen catheter for performing angioplasty and limiting or preventing re-stenosis comprising: a shaft defining a first lumen; an inflatable balloon located at an end of the shaft; a drug delivery collar including a plurality of chambers for receiving at least one anti-proliferation agent, the collar being located in juxtaposition to said balloon; and means for embedding the anti-proliferation agents int he collar in tissue in a vessel, the means for embedding includes a pulse generators.
Claim 21
Dependent Claim 76 words
The multilumen catheter for performing angioplasty and limiting or preventing re-stenosis comprising: a shaft defining a first lumen; an inflatable balloon located at an end of the shaft; a drug delivery collar including a plurality of chambers for receiving at least one anti-proliferation agent, the collar being located in juxtaposition to said balloon; and means for embedding the anti-proliferation agents int he collar in tissue in a vessel, the means for embedding includes a pulse generators.
Claim 22
Independent Claim 105 words
A method for increasing ht diameter of an occluded vessel comprising the steps of: inserting a catheter having a first section including an inflatable balloon and a second section including means for implanting anti-proliferation agents into a predetermined vessel; positioning the means for implanting in juxtaposition to an occluded portion of the vessel; implanting an anti-proliferation agent into a lining of the occluded portion of the vessel; moving the catheter to locate the first section including the inflatable balloon in juxtaposition to the occluded portion of the vessel; and inflating and deflating the balloon at least once to increase the diameter of the occluded vessel.
Claim 23
Independent Claim 105 words
A method for increasing ht diameter of an occluded vessel comprising the steps of: inserting a catheter having a first section including an inflatable balloon and a second section including means for implanting anti-proliferation agents into a predetermined vessel; positioning the means for implanting in juxtaposition to an occluded portion of the vessel; implanting an anti-proliferation agent into a lining of the occluded portion of the vessel; moving the catheter to locate the first section including the inflatable balloon in juxtaposition to the occluded portion of the vessel; and inflating and deflating the balloon at least once to increase the diameter of the occluded vessel.
Claim 24
Dependent Claim 49 words
The method of claim 18 wherein the anti-proliferation agent is at least one agent chosen from the group consisting of: antibiotics; anti-metabolites; cytotoxic agents; steroids; hormones; antiparasitics; anti-platelets; anticoagulants; calcium channel blockers; anti-hyperlipemics; alpha receptor blockers; beta receptor blockers; anti-connective tissue agents; anti-smooth muscle agents; and endothelial growth stimulators.
Claim 25
Independent Claim 120 words
A method for increasing the diameter of an occluded vessel comprising the steps of: inserting a catheter having an inflatable balloon and means for implanting anti-proliferation agents into a predetermined vessel; positioning the means for implanting in juxtaposition to an occluded portion of the vessel, after the means for implanting are in juxtaposition to the occluded portion of the vessel, suction is applied by the catheter to pull tissue of the vessel near the means for implanting; implanting an anti-proliferation agent into a lining of the occluded portion of the vessel; locating the balloon in juxtaposition to the occluded portion of the vessel; and inflating and deflating the balloon at least once to increase the diameter of the occluded vessel.
Claim 26
Independent Claim 120 words
A method for increasing the diameter of an occluded vessel comprising the steps of: inserting a catheter having an inflatable balloon and means for implanting anti-proliferation agents into a predetermined vessel; positioning the means for implanting in juxtaposition to an occluded portion of the vessel, after the means for implanting are in juxtaposition to the occluded portion of the vessel, suction is applied by the catheter to pull tissue of the vessel near the means for implanting; implanting an anti-proliferation agent into a lining of the occluded portion of the vessel; locating the balloon in juxtaposition to the occluded portion of the vessel; and inflating and deflating the balloon at least once to increase the diameter of the occluded vessel.
Claim 27
Dependent Claim 18 words
The method of claim 18 wherein the anti-proliferative agent is implanted by pulsing a pressure through the catheter.
Claim 28
Dependent Claim 24 words
The method of claim 18 wherein the anti-proliferative agent is implanted, the balloon catheter is inflated to further embed the agent in the tissue.
Claim 29
Independent Claim 62 words
A method for limiting or preventing re-stenosis in a patient in need of same comprising providing an anti-proliferation agent int he form of pellets, implanting, using a catheter having a rigid portion that receives and expels pellets, in an occluded portion of a vessel the pellets, and increasing the diameter of the occluded portion using a second expandable portion of the catheter.
Claim 30
Independent Claim 62 words
A method for limiting or preventing re-stenosis in a patient in need of same comprising providing an anti-proliferation agent int he form of pellets, implanting, using a catheter having a rigid portion that receives and expels pellets, in an occluded portion of a vessel the pellets, and increasing the diameter of the occluded portion using a second expandable portion of the catheter.
Claim 31
Dependent Claim 49 words
The method of claim 23 wherein the anti-proliferation agent is at least one agent chosen from the group consisting of: antibiotics; anti-metabolites; cytotoxic agents; steroids; hormones; antiparasitics; anti-platelets; anticoagulants; calcium channel blockers; anti-hyperlipemics; alpha receptor blockers; beta receptor blockers; anti-connective tissue agents; anti-smooth muscle agents; and endothelial growth stimulators.

References Cited (Backward Citations)

US4423725A Cited
US4693243A Cited
WO1989012478A1 Cited
US4994033A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1996-01-19 1996-07-20 1997-01-19 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2000-01-19 2000-07-20 2001-01-19 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2004-01-19 2004-07-20 2005-01-19 $7700.00 Window Closed / Lapsed

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