US6068608A
Expired / Lapsed
US
⏱️ 0.0 years remaining
Method of using integral aortic arch infusion clamp
Assignee: KDL MEDICAL Inc
•
Filing: 1997-05-01
•
Granted: 2000-05-30
•
Expires: 2017-05-01
Abstract
Abstract An improved method of using a single catheter to infuse blood to the heart, clamping the aorta and delivering a cardioplegia solution. Patient trauma is significantly reduced using a single cannulation. A single catheter (10, 90, 92) is used having a unique balloon (56, 93, 102) for occluding the aorta. In a first embodiment, a single catheter (10) is positioned upwardly in the aorta to infuse oxygenated blood into the ascending aorta via an infusion lumen (72) terminating at the distal end (54), with cardioplegia solution being delivered via openings (82) defined closely adjacent the balloon (56) on the proximal side of the balloon. The inflated balloon (56) isolates the two delivery openings (72,82) from one another to facilitate use of an extracorporeal circuit. In a second embodiment, a single catheter (90) can be positioned downwardly in the aorta to infuse blood via openings (82) into the ascending aorta proximate the subclavian artery, and deliver cardioplegia solution via the distal opening (72) downward toward the aortic base. The balloon (102) is preferably filled with a partitioned resilient material (104) to permit varying diameters of the balloon and occlude body passageways having varying diameters and curvatures.
Inventors
- 👤 Albert Davis
- 👤 Wendel Lloyd
- 👤 Christina Draper
- 👤 Mitta Suresh
- 👤 David Hernon
- 👤 Richard C. Bryant
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-22 23:12
CPC Classifications
A; A61; A61M; A61M25/00; A61M25/10; A61M25/1011
Claims Analysis
Total Claims: 26
Claim 1
Independent Claim
283 words
A method of providing cardiopulmonary bypass pump support during open heart surgery, wherein the heart has an ascending aorta, an aortic base, an aortic valve, an aortic arch, a coronary artery, and a subclavian artery, comprising the steps of: a) inserting an infusion catheter having a proximal end and a distal end into the ascending aorta, the catheter having a first lumen, a second lumen and a third lumen each extending between said proximal end and said distal end, said catheter having an expandable balloon proximate said distal end, said first lumen in fluid communication with said balloon, said catheter having an infusion opening in fluid communication with said second lumen and located at said catheter distal end, said catheter having a cardioplegia opening in fluid communication with said third lumen defined adjacent said balloon between said balloon and said catheter proximal end wherein said balloon comprises a flexible inner shell disposed about said catheter, and a resilient material disposed about said inner shell adapted to conform to said ascending aorta, said first lumen being in fluid communication with said flexible inner shell; b) advancing said infusion catheter upwardly into said ascending aorta such that said balloon is positioned above the aortic base and said catheter distal end including said infusion opening is positioned toward said aortic arch, said cardioplegia opening being positioned toward said aortic base; c) infusing oxygenated blood into said aorta via said catheter second lumen through said infusion opening; d) expanding said balloon to occlude said aorta with said resilient material compressing against and conforming to said aorta; and e) delivering a cardioplegia solution to said heart via said catheter third lumen through said cardioplegia opening to the heart.
Claim 2
Independent Claim
283 words
A method of providing cardiopulmonary bypass pump support during open heart surgery, wherein the heart has an ascending aorta, an aortic base, an aortic valve, an aortic arch, a coronary artery, and a subclavian artery, comprising the steps of: a) inserting an infusion catheter having a proximal end and a distal end into the ascending aorta, the catheter having a first lumen, a second lumen and a third lumen each extending between said proximal end and said distal end, said catheter having an expandable balloon proximate said distal end, said first lumen in fluid communication with said balloon, said catheter having an infusion opening in fluid communication with said second lumen and located at said catheter distal end, said catheter having a cardioplegia opening in fluid communication with said third lumen defined adjacent said balloon between said balloon and said catheter proximal end wherein said balloon comprises a flexible inner shell disposed about said catheter, and a resilient material disposed about said inner shell adapted to conform to said ascending aorta, said first lumen being in fluid communication with said flexible inner shell; b) advancing said infusion catheter upwardly into said ascending aorta such that said balloon is positioned above the aortic base and said catheter distal end including said infusion opening is positioned toward said aortic arch, said cardioplegia opening being positioned toward said aortic base; c) infusing oxygenated blood into said aorta via said catheter second lumen through said infusion opening; d) expanding said balloon to occlude said aorta with said resilient material compressing against and conforming to said aorta; and e) delivering a cardioplegia solution to said heart via said catheter third lumen through said cardioplegia opening to the heart.
Claim 3
Dependent Claim
30 words
The method as specified in claim 1 wherein said balloon is positioned in said step b) such that said balloon is positioned between the aortic base and the subclavian artery.
Claim 4
Dependent Claim
21 words
The method as specified in claim 1 wherein said oxygenated blood is delivered in said step c) using an extracorporeal circuit.
Claim 5
Dependent Claim
23 words
The method as specified in claim 1 wherein said catheter is held in place with respect to said aorta using purse string sutures.
Claim 6
Dependent Claim
37 words
The method as specified in claim 1 wherein said balloon is expanded in said step d) to occlude said aorta by inflating said balloon with a fluid until said balloon can be felt from outside the aorta.
Claim 7
Dependent Claim
24 words
The method as specified in claim 1 wherein said cardioplegia solution is delivered into the aorta between the aortic valve and said catheter balloon.
Claim 8
Dependent Claim
36 words
The method as specified in claim 1 wherein said catheter further comprises a fourth lumen extending from said proximal end to said distal end, further comprising the step of venting said heart via said fourth lumen.
Claim 9
Dependent Claim
21 words
The method as specified in claim 1 wherein said balloon further comprises a flexible outer shell disposed about said resilient material.
Claim 10
Dependent Claim
13 words
The method as specified in claim 8 wherein said resilient material comprises foam.
Claim 11
Dependent Claim
23 words
The method as specified in claim 1 wherein said resilient material is partitioned into sections, said sections interfacing one another along section edges.
Claim 12
Dependent Claim
18 words
The method as specified in claim 10 wherein said section edges extend longitudinally with respect to said catheter.
Claim 13
Dependent Claim
18 words
The method as specified in claim 10 wherein said section edges extend transverse with respect to said catheter.
Claim 14
Dependent Claim
16 words
The method as specified in claim 1 wherein said resilient material comprises a closed cell foam.
Claim 15
Dependent Claim
23 words
The method as specified in claim 1 further comprising the step of delivering oxygenated blood to said coronary artery via said cardioplegia opening.
Claim 16
Dependent Claim
36 words
The method as specified in claim 1 wherein said balloon has a pair of lobes defining a cavity therebetween in said aorta, further comprising the step of performing an anastomosis to said aorta proximate said cavity.
Claim 17
Dependent Claim
21 words
The method as specified in claim 15 wherein said pair of lobes are defined by an annular constriction about said balloon.
Claim 18
Dependent Claim
45 words
The method as specified in claim 1 wherein said catheter further comprises a fourth lumen extending from said proximal end to said distal end, further comprising the step of inserting a malleable material into said fourth lumen to permit shaping the curvature of said catheter.
Claim 19
Independent Claim
85 words
A method of occluding a body passageway with a catheter having a catheter body extending between a proximal end and a distal end and having a lumen extending therethrough, said catheter having a balloon comprising a flexible inner shell disposed about said catheter, a resilient material disposed about said inner shell, and a continuous flexible outer shell sealingly disposed about said resilient material, comprising the steps of: a) inserting said catheter into said body passageway; and b) inflating said balloon to occlude said body passageway.
Claim 20
Independent Claim
85 words
A method of occluding a body passageway with a catheter having a catheter body extending between a proximal end and a distal end and having a lumen extending therethrough, said catheter having a balloon comprising a flexible inner shell disposed about said catheter, a resilient material disposed about said inner shell, and a continuous flexible outer shell sealingly disposed about said resilient material, comprising the steps of: a) inserting said catheter into said body passageway; and b) inflating said balloon to occlude said body passageway.
Claim 21
Dependent Claim
20 words
The method as specified in claim 18 wherein said first lumen is in fluid communication with said flexible inner shell.
Claim 22
Dependent Claim
13 words
The method as specified in claim 18 wherein said resilient material comprises foam.
Claim 23
Dependent Claim
23 words
The method as specified in claim 19 wherein said resilient material is partitioned into sections, said sections interfacing one another along section edges.
Claim 24
Dependent Claim
18 words
The method as specified in claim 21 wherein said section edges extend longitudinally with respect to said catheter.
Claim 25
Dependent Claim
18 words
The method as specified in claim 21 wherein said section edges extend transverse with respect to said catheter.
Claim 26
Dependent Claim
16 words
The method as specified in claim 19 wherein said resilient material comprises a closed cell foam.
References Cited (Backward Citations)
US35352A
Cited
US35459A
Cited
US2701559A
Cited
US3640282A
Cited
US4129129A
Cited
GB1547328A
Cited
EP0028025A1
Cited
US4328056A
Cited
US4413989A
Cited
US4531936A
Cited
US4610662A
Cited
US4417576A
Cited
US4423725A
Cited
US4596552A
Cited
US5033998A
Cited
US4689041A
Cited
US4592340A
Cited
US4648384A
Cited
US4601706A
Cited
US4741328A
Cited
EP0218275A1
Cited
US4676778A
Cited
EP0266957A2
Cited
US5024668A
Cited
US4781682A
Cited
US4988515A
Cited
US5423745A
Cited
US5021045A
Cited
US5308323A
Cited
US5232444A
Cited
US5451204A
Cited
US5011469A
Cited
US4927412A
Cited
US4943277A
Cited
EP0417781A1
Cited
US5013296A
Cited
US5090960A
Cited
US5135484A
Cited
US5360403A
Cited
US5395330A
Cited
US5197952A
Cited
US5290231A
Cited
US5616149A
Cited
US5135474A
Cited
US5192290A
Cited
US5149330A
Cited
US5221258A
Cited
US5308325A
Cited
US5439444A
Cited
US5312344A
Cited
US5443446A
Cited
US5167628A
Cited
US5213576A
Cited
US5584803A
Cited
US5558644A
Cited
US5151087A
Cited
USRE35459E
Cited
US5334142A
Cited
US5662620A
Cited
US5437637A
Cited
US5171218A
Cited
US5324260A
Cited
US5395331A
Cited
US5620418A
Cited
US5443448A
Cited
US5433700A
Cited
USRE35352E
Cited
US5487730A
Cited
US5458575A
Cited
US5571215A
Cited
US5452733A
Cited
US5611775A
Cited
US5338298A
Cited
US5378230A
Cited
WO1995017919A1
Cited
EP0664104A2
Cited
US5501667A
Cited
US5458574A
Cited
US5451207A
Cited
US5533957A
Cited
US5597377A
Cited
US5478309A
Cited
WO1995032756A1
Cited
US5505598A
Cited
US5609571A
Cited
WO1996030072A1
Cited
WO1996040347A1
Cited
US5658311A
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2003-05-30 | 2003-11-29 | 2004-05-30 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2007-05-30 | 2007-11-29 | 2008-05-30 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2011-05-30 | 2011-11-29 | 2012-05-30 | $7700.00 | Window Closed / Lapsed |