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US6746464B1 Expired / Lapsed US ⏱️ 0.0 years remaining

Device, system and method for interstitial transvascular intervention

Assignee: Medtronic Vascular Inc
•
Filing: 1998-10-28
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Granted: 2004-06-08
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Expires: 2018-10-28
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Abstract

Abstract Method and apparatus for utilizing the vascular system as a conduit to reach other vascular and extravascular locations within the body. Included are methods for revascularization wherein the extravascular passageways are formed to permit blood flow between vascular locations. Also included are methods for performing transvascular interstitial surgery (TVIS) wherein extravascular passageways are formed from a blood vessel to another vascular or non-vascular intracorporeal location. Also disclosed are devices usable for forming extravascular passageways in accordance with the invention, or for modifying, valving, maintaining or closing such passageways.

Inventors

  • 👤 Joshua Makower

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 16:23
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/12; A61B17/12022; A61B1/00; A61B1/313; A61B1/3137; A61B17/11; A61B17/12027; A61B17/1204; A61B17/12045; A61B17/12099; A61B17/12109; A61B17/12131; A61B17/12136; A61B17/12181; A61B17/1219; A61B17/34; A61B17/3417; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B18/1442; A61B18/1445; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2493; A61F2/95; A61B17/00234; A61B17/00491; A61B17/0057; A61B17/064; A61B17/0643; A61B17/32; A61B17/3205; A61B17/3207; A61B17/320725; A61B17/3494; A61B17/3496; A61B18/1477; A61B18/1492; A61B18/18; A61B18/20; A61B18/22; A61B18/24; A61B2017/00238; A61B2017/00243; A61B2017/00247; A61B2017/00252; A61B2017/00292; A61B2017/003; A61B2017/00504; A61B2017/00641; A61B2017/0641; A61B2017/1107; A61B2017/1139; A61B2017/12127; A61B17/22; A61B2017/22038; A61B2017/22072; A61B2017/22074; A61B2017/22077; A61B17/30; A61B2017/306; A61B2017/347; A61B2017/348; A61B2017/3482; A61B2017/3484; A61B2017/3488; A61B2018/00315; A61B2018/00345; A61B2018/00351; A61B2018/00392; A61B2018/00636; A61B2018/00773; A61B2018/00869; A61B2018/1405; A61B2018/1425; A61B90/00; A61B90/36; A61B90/37; A61B2090/378; A61B90/39; A61B2090/3925; A61B2090/3929; A61B2090/3954; A61B2090/3958; A61B90/361; A61B90/40; A61F2/04; A61F2/06; A61F2/07; A61F2/82; A61F2/86; A61F2/90; A61F2/30; A61F2002/30001; A61F2002/30003; A61F2002/3006; A61F2002/30079; A61F2/848; A61F2002/8486; A61F2210/00; A61F2210/009; A61M; A61M25/00; A61M25/0067; A61M25/0074; A61M25/0075; A61M2025/0076; A61M25/01; A61M2025/018; A61M25/10; A61M2025/1043; A61M2025/1052

Claims Analysis

Total Claims: 23
Claim 1
Independent Claim 103 words
A catheter device for delivering a substance to a target site located outside of the lumen of a blood vessel; a catheter that is advanceable into the blood vessel lumen; a penetrator that is advanceable from the catheter; a lumen extending through the penetrator; and, trajectory indicating apparatus for indicating the trajectory on which the penetrator will advance relative to the location of the target site, thereby enabling an operator to place the catheter in such position and rotational orientation within the blood vessel lumen that the penetrator will advance from the catheter, out of the blood vessel lumen to the target site.
Claim 2
Dependent Claim 103 words
A catheter device for delivering a substance to a target site located outside of the lumen of a blood vessel; a catheter that is advanceable into the blood vessel lumen; a penetrator that is advanceable from the catheter; a lumen extending through the penetrator; and, trajectory indicating apparatus for indicating the trajectory on which the penetrator will advance relative to the location of the target site, thereby enabling an operator to place the catheter in such position and rotational orientation within the blood vessel lumen that the penetrator will advance from the catheter, out of the blood vessel lumen to the target site.
Claim 3
Dependent Claim 16 words
A catheter device according to claim 1 wherein the trajectory indicating apparatus comprises a passive marker.
Claim 4
Dependent Claim 16 words
A catheter device according to claim 1 wherein the trajectory indicating apparatus comprises an active marker.
Claim 5
Dependent Claim 22 words
A catheter device of claim 1 wherein the trajectory indicating apparatus comprises a marker that may be sensed by a magnetic apparatus.
Claim 6
Dependent Claim 23 words
A catheter device according to claim 1 wherein the trajectory indicating apparatus comprises marker that may be imaged by a radiographic imaging apparatus.
Claim 7
Dependent Claim 42 words
A catheter device according to claim 1 wherein the trajectory indicating apparatus comprises a) an imageable marker which indicates the trajectory on which the penetrator will subsequently advance and b) imaging apparatus for concurrently imaging the target site and the imageable marker.
Claim 8
Dependent Claim 18 words
A catheter device according to claim 6 wherein the imageable marker is located on or in the catheter.
Claim 9
Dependent Claim 23 words
A catheter device according to claim 7 wherein both the imageable marker and the imaging apparatus are located on or in the catheter.
Claim 10
Dependent Claim 30 words
A catheter device according to claim 7 wherein the imageable marker is located on or in the catheter and the imaging device is not located on or in the catheter.
Claim 11
Dependent Claim 30 words
A catheter device according to claim 7 wherein the imaging device is located on or in the catheter and the imageable marker is not located on or in the catheter.
Claim 12
Dependent Claim 21 words
A catheter device according to claim 1 wherein the trajectory indicating apparatus is operative to sense flow within the target location.
Claim 13
Dependent Claim 17 words
A catheter device according to claim 1 wherein the trajectory indicating apparatus comprises a transmitter and receiver.
Claim 14
Dependent Claim 20 words
A catheter device according to claim 12 wherein one of the transmitter and receiver are positionable at the target site.
Claim 15
Dependent Claim 21 words
A catheter device according to claim 1 wherein the penetrator comprises a hollow needle through which the substance may be injected.
Claim 16
Dependent Claim 22 words
A catheter device according to claim 1 wherein the penetrator comprises a curved hollow needle through which the substance may be injected.
Claim 17
Independent Claim 228 words
A method for delivering a substance to a target site located outside the lumen of a blood vessel, said method comprising the steps of: A. providing a catheter device which comprises i) a catheter, ii) a penetrator that is advanceable from the catheter, iii) a lumen extending through the penetrator and, iv) trajectory indicating apparatus for indicating the trajectory on which the penetrator will advance relative to the location of the target site, thereby enabling an operator to place the catheter in such position and rotational orientation within the blood vessel lumen that the penetrator will advance from the catheter, out of the blood vessel lumen to the target site. B. positioning the catheter device within the lumen of the blood vessel; C. using the trajectory indicating apparatus to obtain an indication of the trajectory on which the penetrator will subsequently advance from the catheter; D. making any necessary adjustments to the position and/or rotational orientation of the catheter within the blood vessel lumen to cause the indication of the trajectory on which the penetrator will subsequently advance from the catheter to indicate that when subsequently advanced the penetrator will enter the target site; E. advancing the penetrator from the catheter, out of the blood vessel lumen and into the target site; and, E. infusing the substance through the lumen of the penetrator and into the target site.
Claim 18
Independent Claim 228 words
A method for delivering a substance to a target site located outside the lumen of a blood vessel, said method comprising the steps of: A. providing a catheter device which comprises i) a catheter, ii) a penetrator that is advanceable from the catheter, iii) a lumen extending through the penetrator and, iv) trajectory indicating apparatus for indicating the trajectory on which the penetrator will advance relative to the location of the target site, thereby enabling an operator to place the catheter in such position and rotational orientation within the blood vessel lumen that the penetrator will advance from the catheter, out of the blood vessel lumen to the target site. B. positioning the catheter device within the lumen of the blood vessel; C. using the trajectory indicating apparatus to obtain an indication of the trajectory on which the penetrator will subsequently advance from the catheter; D. making any necessary adjustments to the position and/or rotational orientation of the catheter within the blood vessel lumen to cause the indication of the trajectory on which the penetrator will subsequently advance from the catheter to indicate that when subsequently advanced the penetrator will enter the target site; E. advancing the penetrator from the catheter, out of the blood vessel lumen and into the target site; and, E. infusing the substance through the lumen of the penetrator and into the target site.
Claim 19
Dependent Claim 13 words
A method according to claim 16 wherein the blood vessel is a vein.
Claim 20
Dependent Claim 13 words
A method according to claim 16 wherein the blood vessel is an artery.
Claim 21
Dependent Claim 14 words
A method according to claim 16 wherein the blood vessel is a coronary vein.
Claim 22
Dependent Claim 14 words
A method according to claim 16 wherein the blood vessel is a coronary artery.
Claim 23
Dependent Claim 12 words
A method according to claim 16 wherein the substance is a drug.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2007-06-08 2007-12-08 2008-06-08 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2011-06-08 2011-12-08 2012-06-08 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2015-06-08 2015-12-08 2016-06-08 $7700.00 Window Closed / Lapsed

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