PRESSURE INHIBITOR FOR INTRAVASCULAR CATHETER SYSTEM
20200155216 ยท 2020-05-21
Inventors
Cpc classification
A61M25/10184
HUMAN NECESSITIES
A61B2018/0212
HUMAN NECESSITIES
A61B2090/064
HUMAN NECESSITIES
A61M2025/1013
HUMAN NECESSITIES
International classification
Abstract
A pressure inhibitor for an intravascular catheter system includes a check valve and/or a pressure relief valve. The intravascular catheter system includes a handle assembly, an inner balloon, an outer balloon and a low pressure fluid line. The inner balloon and the outer balloon define an inter-balloon space therebetween. The low pressure fluid line extends between the handle assembly and the inter-balloon spaced The low pressure fluid line is in fluid communication with the inter-balloon space. The pressure inhibitor is positioned on the low pressure fluid line. The pressure inhibitor inhibits flow of a fluid to the inter-balloon space. The pressure inhibitor can be positioned within the handle assembly or outside of the handle assembly. A method of inhibiting flow of a fluid to the inter-balloon space includes positioning a pressure inhibitor on the low pressure fluid of an intravascular catheter system.
Claims
1. A pressure inhibitor for an intravascular catheter system, the intravascular catheter system including (i) a handle assembly, (ii) an inner balloon, (iii) an outer balloon and (iv) a low pressure fluid line, the inner balloon and the outer balloon defining an inter-balloon space therebetween, the low pressure fluid line extending between the handle assembly and the inter-balloon space, the low pressure fluid line being in fluid communication with the inter-balloon space, the pressure inhibitor comprising a check valve that is positioned on the low pressure fluid line, the check valve inhibiting flow of a fluid to the inter-balloon space.
2. The pressure inhibitor of claim 1 wherein the check valve is positioned within the handle assembly.
3. The pressure inhibitor of claim 1 wherein the check valve is positioned outside the handle assembly.
4. The pressure inhibitor of claim 3 wherein the check valve is positioned between the handle assembly and the inner-balloon space.
5. The pressure inhibitor of claim 1 further comprising a pressure relief valve, the pressure relief valve being positioned on the low pressure fluid line, the pressure relief valve releasing pressure within the low pressure fluid line.
6. The pressure inhibitor of claim 5 wherein the pressure relief valve is positioned within the handle assembly.
7. The pressure inhibitor of claim 5 wherein the pressure relief valve is positioned outside the handle assembly.
8. The pressure inhibitor of claim 7 wherein the pressure relief valve is positioned between the handle assembly and the inner-balloon space.
9. The pressure inhibitor of claim 1 further comprising a pressure relief valve, the pressure relief valve being positioned on the low pressure fluid line, the pressure relief valve releasing pressure within the inter-balloon space.
10. The pressure inhibitor of claim 9 wherein the pressure relief valve is positioned within the handle assembly.
11. The pressure inhibitor of claim 9 wherein the pressure relief valve is positioned outside the handle assembly.
12. The pressure inhibitor of claim 11 wherein the pressure relief valve is positioned between the handle assembly and the inner-balloon space.
13. A pressure inhibitor for an intravascular catheter system, the intravascular catheter system including (i) a handle assembly, (ii) an inner balloon, (iii) an outer balloon and (iv) a low pressure fluid line, the inner balloon and the outer balloon defining an inter-balloon space therebetween, the low pressure fluid line extending between the handle assembly and the inter-balloon space, the low pressure fluid line being in fluid communication with the inter-balloon space, the pressure inhibitor comprising a pressure relief valve that is positioned on the low pressure fluid line, the pressure relief valve releasing pressure within the inter-balloon space.
14. The pressure inhibitor of claim 13 further comprising a pressure relief valve, the pressure relief valve being positioned on the low pressure fluid line, the pressure relief valve releasing pressure within the low pressure fluid line.
15. The pressure inhibitor of claim 13 wherein the pressure relief valve is positioned within the handle assembly.
16. The pressure inhibitor of claim 13 wherein the pressure relief valve is positioned outside the handle assembly.
17. An intravascular catheter system, comprising: a handle assembly; an inner balloon; an outer balloon that substantially encircles the inner balloon to define an inter-balloon space therebetween; a low pressure fluid line that extends between the handle assembly and the inter-balloon space, the low pressure fluid line being in fluid communication with the inter-balloon space; and a pressure inhibitor that is positioned on the low pressure fluid line, the pressure inhibitor inhibiting flow of a fluid to the inter-balloon space, wherein the pressure inhibitor includes a check valve and a pressure relief valve.
18. The intravascular catheter system of claim 17 wherein the pressure inhibitor is positioned within the handle assembly.
19. The intravascular catheter system of claim 17 wherein the pressure inhibitor is positioned outside the handle assembly.
20. The intravascular catheter system of claim 19 wherein the pressure inhibitor is positioned between the handle assembly and the inner-balloon space.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0014] The novel features of this invention, as well as the invention itself, both as to its structure and its operation, will be best understood from the accompanying drawings, taken in conjunction with the accompanying description, in which similar reference characters refer to similar parts, and in which:
[0015]
[0016]
[0017]
[0018]
[0019]
DESCRIPTION
[0020] Embodiments of the present invention are described herein in the context of a pressure inhibitor for an intravascular catheter system. Those of ordinary skill in the art will realize that the following detailed description of the present invention is illustrative only and is not intended to be in any way limiting. Other embodiments of the present invention will readily suggest themselves to such skilled persons having the benefit of this disclosure. Reference will now be made in detail to implementations of the present invention as illustrated in the accompanying drawings.
[0021] In the interest of clarity, not all of the routine features of the implementations described herein are shown and described. It will, of course, be appreciated that in the development of any such actual implementation, numerous implementation-specific decisions must be made in order to achieve the developer's specific goals, such as compliance with application-related and business-related constraints, and that these specific goals will vary from one implementation to another and from one developer to another. Moreover, it will be appreciated that such a development effort might be complex and time-consuming, but would nevertheless be a routine undertaking of engineering for those of ordinary skill in the art having the benefit of this disclosure.
[0022] Although the disclosure provided herein focuses mainly on cryogenics, it is understood that various other forms of energy are used to ablate diseased heart tissue. Examples of these various forms of energy can include radio frequency (RF), ultrasound, pulsed DC electric fields and/or laser energy, to name a few. The present invention is intended to be effective with any or all of these forms of energy, or any other suitable form of energy.
[0023]
[0024] It is understood that although
[0025] In various embodiments, the controller 14 is configured to monitor and control various processes of the ablation procedure. More specifically, the controller 14 can monitor and control release and/or retrieval of a cooling fluid 26 (e.g., a cryogenic fluid) to and/or from the balloon catheter 18. The controller 14 can also control various structures that are responsible for maintaining and/or adjusting a flow rate and/or pressure of the cryogenic fluid 26 that is released to the balloon catheter 18 during the cryoablation procedure. In such embodiments, the intravascular catheter system 10 delivers ablative energy in the form of cryogenic fluid 26 to cardiac tissue of the patient 12 to create tissue necrosis, rendering the ablated tissue incapable of conducting electrical signals. Additionally, in various embodiments, the controller 14 can control activation and/or deactivation of one or more other processes of the balloon catheter 18. Further, or in the alternative, the controller 14 can receive data and/or other information (hereinafter sometimes referred to as sensor output) from various structures within the intravascular catheter system 10. In some embodiments, the controller 14 can receive, monitor, assimilate and/or integrate the sensor output and/or any other data or information received from any structure within the intravascular catheter system 10 in order to control the operation of the balloon catheter 18. As provided herein, in various embodiments, the controller 14 can initiate and/or terminate the flow of cryogenic fluid 26 to the balloon catheter 18 based on the sensor output. Still further, or in the alternative, the controller 14 can control positioning of portions of the balloon catheter 18 within the body of the patient 12, and/or can control any other suitable functions of the balloon catheter 18.
[0026] The fluid source 16 contains the cryogenic fluid 26, which is delivered to the balloon catheter 18 with or without input from the controller 14 during a cryoablation procedure. Once the ablation procedure has initiated, the cryogenic fluid 26 can be delivered and the resulting gas, after a phase change, can be retrieved from the balloon catheter 18, and can either be vented or otherwise discarded as exhaust. Additionally, the type of cryogenic fluid 26 that is used during the cryoablation procedure can vary. In one non-exclusive embodiment, the cryogenic fluid 26 can include liquid nitrous oxide. However, any other suitable cryogenic fluid 26 can be used. For example, in one non-exclusive alternative embodiment, the cryogenic fluid 26 can include liquid nitrogen.
[0027] The design of the balloon catheter 18 can be varied to suit the specific design requirements of the intravascular catheter system 10. As shown, the balloon catheter 18 is configured to be inserted into the body of the patient 12 during the cryoablation procedure, i.e. during use of the intravascular catheter system 10. In one embodiment, the balloon catheter 18 can be positioned within the body of the patient 12 using the controller 14. Stated in another manner, the controller 14 can control positioning of the balloon catheter 18 within the body of the patient 12. Alternatively, the balloon catheter 18 can be manually positioned within the body of the patient 12 by a healthcare professional (also referred to herein as an operator). As used herein, a healthcare professional and/or an operator can include a physician, a physician's assistant, a nurse and/or any other suitable person and/or individual. In certain embodiments, the balloon catheter 18 is positioned within the body of the patient 12 utilizing at least a portion of the sensor output that is received by the controller 14. For example, in various embodiments, the sensor output is received by the controller 14, which can then provide the operator with information regarding the positioning of the balloon catheter 18. Based at least partially on the sensor output feedback received by the controller 14, the operator can adjust the positioning of the balloon catheter 18 within the body of the patient 12 to ensure that the balloon catheter 18 is properly positioned relative to targeted cardiac tissue (not shown).
[0028] The handle assembly 20 is handled and used by the operator to operate, position and control the balloon catheter 18. The design and specific features of the handle assembly 20 can vary to suit the design requirements of the intravascular catheter system 10. In the embodiment illustrated in
[0029] In various embodiments, the handle assembly 20 can be used by the operator to initiate and/or terminate the cryoablation process, e.g., start the flow of the cryogenic fluid 26 to the balloon catheter 18 in order to ablate certain targeted heart tissue of the patient 12. In certain embodiments, the controller 14 can override use of the handle assembly 20 by the operator. Stated in another manner, in some embodiments, the controller 14 can terminate the cryoablation process without the operator using the handle assembly 20 to do so.
[0030] The control console 22 is coupled to the balloon catheter 18 and the handle assembly 20. Additionally, in the embodiment illustrated in
[0031] In various embodiments, the graphical display 24 is electrically connected to the controller 14. Additionally, the graphical display 24 provides the operator of the intravascular catheter system 10 with information that can be used before, during and after the cryoablation procedure. For example, the graphical display 24 can provide the operator with information based on the sensor output and any other relevant information that can be used before, during and after the cryoablation procedure. The specifics of the graphical display 24 can vary depending upon the design requirements of the intravascular catheter system 10, or the specific needs, specifications and/or desires of the operator.
[0032] In one embodiment, the graphical display 24 can provide static visual data and/or information to the operator. In addition, or in the alternative, the graphical display 24 can provide dynamic visual data and/or information to the operator, such as video data or any other data that changes over time, e.g., during an ablation procedure. Further, in various embodiments, the graphical display 24 can include one or more colors, different sizes, varying brightness, etc., that may act as alerts to the operator. Additionally, or in the alternative, the graphical display 24 can provide audio data or information to the operator.
[0033]
[0034] The balloon catheter 218 is inserted into the body of the patient 212 during a cryoablation procedure. The design of the balloon catheter 218 can be varied to suit the design requirements of the intravascular catheter system 210. In this embodiment, the balloon catheter 218 includes an inner balloon 232 and an outer balloon 234. The outer balloon 234 substantially encircles the inner balloon 232. The outer balloon 234 can protect against cryogenic fluid 26 (illustrated in
[0035] During use, the inner balloon 232 can be partially or fully inflated so that at least a portion of the inner balloon 232 expands toward and/or against a portion of the outer balloon 234 (although a space is shown between the inner balloon 232 and the outer balloon 234 in
[0036] The handle assembly 220 enables the operator or other user to operate, steer, position and control the balloon catheter 218. The design and specific features of the handle assembly 220 can vary. In this embodiment, the handle assembly 220 can include a pressure sensor 238 and an umbilical receptacle 240. It is understood that the handle assembly 220 can include fewer or additional components than those specifically illustrated and described herein.
[0037] In various embodiments, the pressure sensor 238 can measure and/or monitor the pressure within the low pressure fluid line 228, i.e., sense leaks and/or excessive pressure during cryoablation procedures. In other embodiments, the pressure sensor 238 can measure and/or monitor a balloon pressure in the inter-balloon space 236. As used in this embodiment, the balloon pressure means the pressure within the inter-balloon space 236 at or substantially contemporaneously with the time the pressure in the inter-balloon space 236 is measured. While in this embodiment the pressure sensor 238 is located on the low pressure fluid line 228 within the handle assembly 220, it is appreciated that the pressure sensor 238 can be located outside of the handle assembly 220, i.e., at any other suitable location within the intravascular catheter system 210.
[0038] In certain embodiments, the umbilical receptacle 240 provides connectivity between the handle assembly 220 and the umbilical connector 229. The design and specific features of the umbilical receptacle 240 can vary. As illustrated in
[0039] The high pressure fluid line 227 is in fluid communication with an inner balloon interior 242 of the inner balloon 232. In certain embodiments, the high pressure fluid line 227 can include a relatively small diameter tube through which the cryogenic fluid 26, e.g., nitrous oxide, moves. In various embodiments, the high pressure fluid line 227 can allow the cryogenic fluid 26 to flow at any suitable pressure known to those skilled in the art sufficient to inject cryogenic fluid 26 into the inner balloon 232. In the embodiment illustrated in
[0040] In the embodiment illustrated in
[0041] The umbilical connector 229 provides connectivity to the handle assembly 220. The design of the umbilical connector 229 can be varied to suit the design requirements of the intravascular catheter system 210. In various embodiments, the umbilical connector 229 can contain a portion of the high pressure fluid line 227 and the low pressure fluid line 228. In the embodiment illustrated in
[0042] In various embodiments, the pressure inhibitor 230 can inhibit the flow of cryogenic fluid 26 (or any other fluid) toward the inter-balloon space 236 via the low pressure fluid line 228. The design and specific features of the pressure inhibitor 230 can vary. In the embodiment illustrated in
[0043]
[0044] In the embodiment illustrated in
[0045]
[0046] In various embodiments, the pressure inhibitor 430 can inhibit the flow of cryogenic fluid 26 (or any other fluid) toward the inter-balloon space 436 via the low pressure fluid line 428. The design and specific features of the pressure inhibitor 430 can vary. In the embodiment illustrated in
[0047] In this embodiment, the pressure inhibitor 430 is positioned on the low pressure fluid line 428. As one non-exclusive embodiment illustrated in
[0048]
[0049] In the embodiment illustrated in
[0050] It is appreciated that some or all of the embodiments of the pressure inhibitor 230, 330, 430, 530 described in detail herein can enable the realization of one or more certain advantages in the event of a leak of any cryogenic fluid 26 (or any other fluid) from the high pressure fluid line 227, 327, 427, 527 into the low pressure fluid line 228, 328, 428, 528 during a cryoablation procedure. With the various designs illustrated and described herein, the pressure inhibitor 230, 330, 430, 530 can help to protect from and/or reduce the likelihood of any cryogenic fluid 26 entering into the inter-balloon space 236, 436, via the low pressure fluid line 228, 328, 428, 528, which could cause the outer balloon 234, 334, 434, 534 to rupture.
[0051] It is understood that although a number of different embodiments of the pressure inhibitor have been illustrated and described herein, one or more features of any one embodiment can be combined with one or more features of one or more of the other embodiments, provided that such combination satisfies the intent of the present invention.
[0052] While a number of exemplary aspects and embodiments of the pressure inhibitor have been discussed above, those of skill in the art will recognize certain modifications, permutations, additions and sub-combinations thereof. It is therefore intended that the following appended claims and claims hereafter introduced are interpreted to include all such modifications, permutations, additions and sub-combinations as are within their true spirit and scope.