CA2378577A1 - Clip-on access port and methods of use - Google Patents

Clip-on access port and methods of use Download PDF

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Publication number
CA2378577A1
CA2378577A1 CA002378577A CA2378577A CA2378577A1 CA 2378577 A1 CA2378577 A1 CA 2378577A1 CA 002378577 A CA002378577 A CA 002378577A CA 2378577 A CA2378577 A CA 2378577A CA 2378577 A1 CA2378577 A1 CA 2378577A1
Authority
CA
Canada
Prior art keywords
cannula
medical device
port
catheter
vessel
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002378577A
Other languages
French (fr)
Other versions
CA2378577C (en
Inventor
Roman Turovskiy
Yue-Teh Jang
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Edwards Lifesciences Corp
Original Assignee
Embol-X, Inc.
Roman Turovskiy
Yue-Teh Jang
Edwards Lifesciences Corporation
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Embol-X, Inc., Roman Turovskiy, Yue-Teh Jang, Edwards Lifesciences Corporation filed Critical Embol-X, Inc.
Publication of CA2378577A1 publication Critical patent/CA2378577A1/en
Application granted granted Critical
Publication of CA2378577C publication Critical patent/CA2378577C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01—Filters implantable into blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A61B2017/00252—Making holes in the wall of the heart, e.g. laser Myocardial revascularization for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205—Introduction devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents

Abstract

Modular systems comprising a cannula (44) and at least one clip-on access po rt (20) adjacent to a distal end of the cannula (44) to provide insertion of on e or more therapeutic or diagnostic devices into a vessel or cardiac tissue through a single incision site. The access port (20) can be removably attach ed to a distal region (40) of the cannula (44) in a fixed orientation or in any desired orientation. The devices can be operated in combination or independently. The systems can be employed to provide multiple therapies, including blood perfusion, filtration, aspiration, vessel occlusion, atherectomy, and endoscopic devices. Methods of using the system for vessel cannulation are also disclosed herein.

Claims (44)

1. A cannula for cardiopulmonary bypass, comprising:
an elongate tubular member having a proximal end, a distal end, and a lumen extending from the proximal to the distal end; and a removably attached port adjacent the distal end of the cannula, said port having a proximal end adapted to receive a medical device, a distal end, and a lumen therebetween.
2. The cannula of claim 1, further comprising a second port adjacent the first port at the distal end of the cannula, said second port having a proximal end adapted to receive a medical device, a distal end, and a lumen therebetween.
3. The cannula of claim 1, wherein the medical device is a blood filter.
4. The cannula of claim 1, wherein the medical device is a balloon occluder.
5. The cannula of claim 1, wherein the medical device is a pressure monitor.
6. The cannula of claim 1, wherein the medical device is an endoscope.
7. The cannula of claim 1, wherein the medical device is an atherectomy device.
8. The cannula of claim 1, wherein the medical device is an aspirator.
9. The cannula of claim 1, wherein the medical device is a drug delivery catheter.
10. The cannula of claim 1, wherein the medical device is a blood-sampling device.
11. The cannula of claim 10, wherein the blood-sampling device obtains blood for analyzing activated clotting time.
12. The cannula of claim 1, further comprising a second port adjacent the distal end of the cannula and adjacent the first port, wherein the ports are arranged at the vertices of a triangle.
13. The cannula of claim 1, further comprising a second port adjacent the distal end of the cannula and adjacent the first port, wherein the ports and the distal end of the cannula are arranged substantially in a line.
14. The system of claim 1, wherein the proximal end of the tubular member is adapted for attachment to a bypass oxygenator machine.
15. The cannula of claim 1, wherein the medical device is selected from the group consisting of a blood filter, an occlusion catheter, an aspirator, an angioplasty catheter, a valvuloplasty catheter, an electrode catheter, internal vessel segregating or isolating dams, an endoscopic camera, a pressure monitor, a stent, a graft, a stent-graft, a shunt, a perfusion catheter, and endoscopic devices.
16. The cannula of claim 1, wherein the medical device is angled relative to its proximal end.
17. The cannula of claim 1, wherein the first and the second ports further include hemostatic valves in their lumens.
18. The cannula of claim 1, wherein the cannula further includes a suture flange.
19. A method for cannulation of a patient's blood vessel or cardiac tissue, comprising the steps of:
providing a cannula having a lumen;
attaching a port adjacent a distal end of the cannula;
inserting the distal end of the cannula into a vessel or cardiac tissue;
inserting a medical device through the port into the vessel or cardiac tissue;
and deploying the medical device.
20. The method of claim 19, further comprising the steps of:
inserting a second medical device through the port into the vessel or cardiac tissue; and deploying the second medical device.
21. The method of claim 19, wherein the first medical device is selected from the group consisting of a blood filter, an occlusion catheter, an aspirator, an angioplasty catheter, a valvuloplasty catheter, an electrode catheter, internal vessel segregating or isolating dams, an endoscopic camera, a pressure monitor, a stent, a graft, a stent-graft, a shunt, a perfusion catheter, and endoscopic devices.
22. The method of claim 19, wherein the vessel is an artery.
23. The method of claim 22, wherein the artery is the aorta.
24. The method of claim 19, wherein the cardiac tissue is the right atrium.
25. The method of claim 19, wherein the vessel is a vein.
26. The method of claim 19, wherein the vessel is the inferior vena cava.
27. The method of claim 19, further comprising the step of infusing blood through the lumen of the cannula.
28. The method of claim 19, wherein the second medical device is selected from the group consisting of a blood filter, an occlusion catheter, an aspirator, an angioplasty catheter, a valvuloplasty catheter, an electrode catheter, internal vessel segregating or isolating dams, an endoscopic camera, a pressure monitor, a stent, a graft, a stent-graft, a shunt, a perfusion catheter, and endoscopic devices.
29. The method of claim 19, further comprising the steps of:
attaching a second port adjacent the distal end of the cannula; and inserting a second medical device through the second port into the vessel or cardiac tissue.
30. The method of claim 19, further comprising the steps of inserting an obturator through the port.
31. The method of claim 30, wherein the obturator includes a porous plug.

1. A cannula for cardiopulmonary bypass, comprising:
an elongate tubular member having a proximal end, a distal end, and a lumen extending from the proximal to the distal end;
a clip to hold a removably attached port adjacent the distal end of the cannula, said port having a proximal end adapted to receive a medical device, a distal end, and a lumen therebetween; and a medical device inserted through the port and passing through cardiac tissue into a lumen or body cavity.

2. The cannula of claim 1, further comprising a second port adjacent the first port at the distal end of the cannula, said second port having a proximal end adapted to receive a medical device, a distal end, and a lumen therebetween.

3. The cannula of claim 1, wherein the medical device is a blood filter.

4. The cannula of claim 1, wherein the medical device is a balloon occluder.

5. The cannula of claim 1, wherein the medical device is a pressure monitor.

6. The cannula of claim 1, wherein the medical device is an endoscope.

7. The cannula of claim 1, wherein the medical device is an atherectomy device.

8. The cannula of claim 1, wherein the medical device is an aspirator.

9. The cannula of claim 1, wherein the medical device is a drug delivery catheter.

10. The cannula of claim 1, wherein the medical device is a blood-sampling device.

11. The cannula of claim 10, wherein the blood-sampling device obtains blood for analyzing activated clotting time.

12. The cannula of claim 1, further comprising a second port adjacent the distal end of the cannula and adjacent the first port, wherein the ports are arranged at the vertices of a triangle.

13. The cannula of claim 1, further comprising a second port adjacent the distal end of the cannula and adjacent the first port, wherein the ports and the distal end of the cannula are arranged substantially in a line.

14. The system of claim 1, wherein the proximal end of the tubular member is adapted for attachment to a bypass oxygenator machine.

15. The cannula of claim 1, wherein the medical device is selected from the group consisting of a blood filter, an occlusion catheter, an aspirator, an angioplasty catheter, a valvuloplasty catheter, an electrode catheter, internal vessel segregating or isolating dams, an endoscopic camera, a pressure monitor, a stent, a graft, a stent-graft, a shunt, a perfusion catheter, and endoscopic devices.

16. The cannula of claim 1, wherein the elongate tubular member is flexible.

17. The cannula of claim 1, wherein the first and the second ports further include hemostatic valves in their lumens.

18. The cannula of claim 1, wherein the cannula further includes a suture flange.

19. A method for cannulation of a patient's blood vessel or cardiac tissue, comprising the steps of:
providing a cannula having a lumen;
attaching a removable port adjacent a distal end of the cannula by operating a clip;

inserting the distal end of the cannula and adjacent port into a blood vessel or cardiac tissue;
inserting a medical device through the port into the vessel or cardiac tissue;
and deploying the medical device.

20. The method of claim 19, further comprising the steps of:
inserting a second medical device through the port into the vessel or cardiac tissue; and deploying the second medical device.

21. The method of claim 19, wherein the first medical device is selected from the group consisting of a blood filter, an occlusion catheter, an aspirator, an angioplasty catheter, a valvuloplasty catheter, an electrode catheter, internal vessel segregating or isolating dams, an endoscopic camera, a pressure monitor, a stent, a graft, a stent-graft, a shunt, a perfusion catheter, and endoscopic devices.

22. The method of claim 19, wherein the vessel is an artery.

23. The method of claim 22, wherein the artery is the aorta.

24. The method of claim 19, wherein the cardiac tissue is the right atrium.

25. The method of claim 19, wherein the vessel is a vein.

26. The method of claim 19, wherein the vessel is the inferior vena cava.

27. The method of claim 19, further comprising the step of infusing blood through the lumen of the cannula.

28. The method of claim 19, wherein the second medical device is selected from the group consisting of a blood filter, an occlusion catheter, an aspirator, an angioplasty catheter, a valvuloplasty catheter, an electrode catheter, internal vessel segregating or isolating dams, an endoscopic camera, a pressure monitor, a stent, a graft, a stent-graft, a shunt, a perfusion catheter, and endoscopic devices.

29. The method of claim 19, further comprising the steps of:
attaching a second port adjacent the distal end of the cannula; and inserting a second medical device through the second port into the vessel or cardiac tissue.

30. The method of claim 19, further comprising the steps of inserting an obturator through the port.

31. The method of claim 30, wherein the obturator includes a porous plug.
32. The cannula of claim 1, wherein the clip comprises one or more members that extend between the cannula and the port.
33. The method of claim 19, wherein the clip comprises one or more members that extend between the cannula and the port.
34. The method of claim 19, wherein the first medical device is selected from the group consisting of a blood filter, an occlusion catheter, an aspirator, an angioplasty catheter, a valvuloplasty catheter, an electrode catheter, internal vessel segregating or isolating dams, an endoscopic camera, a pressure monitor, a stent, a graft, a stent-graft, a shunt, a perfusion catheter, and endoscopic devices.
35. The method of claim 19, wherein the vessel is an artery.
36. The method of claim 22, wherein the artery is the aorta.
37. The method of claim 19, wherein the cardiac tissue is the right atrium.
38. The method of claim 19, wherein the vessel is a vein.
39. The method of claim 19, wherein the vessel is the inferior vena cava.
40. The method of claim 19, further comprising the step of infusing blood through the lumen of the cannula.
41. The method of claim 19, wherein the second medical device is selected from the group consisting of a blood filter, an occlusion catheter, an aspirator, an angioplasty catheter, a valvuloplasty catheter, an electrode catheter, internal vessel segregating or isolating dams, an endoscopic camera, a pressure monitor, a stent, a graft, a stent-graft, a shunt, a perfusion catheter, and endoscopic devices.
42. The method of claim 19, further comprising the steps of:
attaching a second port adjacent the distal end of the cannula; and inserting a second medical device through the second port into the vessel or cardiac tissue.
43. The method of claim 19, further comprising the steps of inserting an obturator through the port.
44. The method of claim 43, wherein the obturator includes a porous plug.
CA002378577A 1999-08-04 2000-08-01 Clip-on access port and methods of use Expired - Lifetime CA2378577C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/369,058 1999-08-04
US09/369,058 US6280432B1 (en) 1999-08-04 1999-08-04 Clip-on access port and methods of use
PCT/US2000/021100 WO2001010495A1 (en) 1999-08-04 2000-08-01 Clip-on access port and methods of use

Publications (2)

Publication Number Publication Date
CA2378577A1 true CA2378577A1 (en) 2001-02-15
CA2378577C CA2378577C (en) 2009-12-08

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CA002378577A Expired - Lifetime CA2378577C (en) 1999-08-04 2000-08-01 Clip-on access port and methods of use

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US (2) US6280432B1 (en)
EP (1) EP1216071B1 (en)
AT (1) ATE375809T1 (en)
AU (1) AU6755500A (en)
CA (1) CA2378577C (en)
DE (1) DE60036811T2 (en)
WO (1) WO2001010495A1 (en)

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DE60036811D1 (en) 2007-11-29
DE60036811T2 (en) 2008-07-31
US20020045884A1 (en) 2002-04-18
CA2378577C (en) 2009-12-08
EP1216071A4 (en) 2005-07-06
EP1216071A1 (en) 2002-06-26
US6280432B1 (en) 2001-08-28
WO2001010495A1 (en) 2001-02-15
US6679872B2 (en) 2004-01-20
AU6755500A (en) 2001-03-05
EP1216071B1 (en) 2007-10-17
WO2001010495A9 (en) 2002-12-05
ATE375809T1 (en) 2007-11-15

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