WO2001083016A3 - Apparatus and methods for treating congestive heart disease - Google Patents

Apparatus and methods for treating congestive heart disease Download PDF

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Publication number
WO2001083016A3
WO2001083016A3 PCT/US2001/013686 US0113686W WO0183016A3 WO 2001083016 A3 WO2001083016 A3 WO 2001083016A3 US 0113686 W US0113686 W US 0113686W WO 0183016 A3 WO0183016 A3 WO 0183016A3
Authority
WO
WIPO (PCT)
Prior art keywords
methods
congestive heart
treating congestive
aorta
cuff
Prior art date
Application number
PCT/US2001/013686
Other languages
French (fr)
Other versions
WO2001083016A2 (en
Inventor
Gad Keren
Ascher Shmulewitz
Benjamin Spenser
Michael Arad
Randy J Kesten
Sophia Pesotchinsky
Michael H Rosenthal
Andrew W Kramer
Sam G Payne
Original Assignee
Libra Medical Systems Inc
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 Libra Medical Systems Inc filed Critical Libra Medical Systems Inc
Priority to AU2001257368A priority Critical patent/AU2001257368A1/en
Priority to MXPA02010789A priority patent/MXPA02010789A/en
Priority to JP2001579887A priority patent/JP2005500862A/en
Priority to CA002407938A priority patent/CA2407938A1/en
Priority to EP01930872A priority patent/EP1278563A2/en
Priority to IL15251101A priority patent/IL152511A0/en
Publication of WO2001083016A2 publication Critical patent/WO2001083016A2/en
Publication of WO2001083016A3 publication Critical patent/WO2001083016A3/en
Priority to HK03105410.8A priority patent/HK1053071A1/en

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    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • AHUMAN NECESSITIES
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    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3613Reperfusion, e.g. of the coronary vessels, e.g. retroperfusion
    • AHUMAN NECESSITIES
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    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621Extra-corporeal blood circuits
    • A61M1/3653Interfaces between patient blood circulation and extra-corporal blood circuit
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    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621Extra-corporeal blood circuits
    • A61M1/3653Interfaces between patient blood circulation and extra-corporal blood circuit
    • A61M1/3659Cannulae pertaining to extracorporeal circulation
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    • A61M60/109Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems
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    • A61M60/126Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
    • A61M60/135Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel inside a blood vessel, e.g. using grafting
    • A61M60/139Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel inside a blood vessel, e.g. using grafting inside the aorta, e.g. intra-aortic balloon pumps
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    • A61M60/226Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller the blood flow through the rotating member having mainly radial components
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    • A61M60/30Medical purposes thereof other than the enhancement of the cardiac output
    • A61M60/31Medical purposes thereof other than the enhancement of the cardiac output for enhancement of in vivo organ perfusion, e.g. retroperfusion
    • A61M60/33Medical purposes thereof other than the enhancement of the cardiac output for enhancement of in vivo organ perfusion, e.g. retroperfusion of kidneys
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    • A61M60/40Details relating to driving
    • A61M60/403Details relating to driving for non-positive displacement blood pumps
    • A61M60/408Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being mechanical, e.g. transmitted by a shaft or cable
    • A61M60/411Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being mechanical, e.g. transmitted by a shaft or cable generated by an electromotor
    • A61M60/414Details relating to driving for non-positive displacement blood pumps the force acting on the blood contacting member being mechanical, e.g. transmitted by a shaft or cable generated by an electromotor transmitted by a rotating cable, e.g. for blood pumps mounted on a catheter
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    • A61M60/497Details relating to driving for balloon pumps for circulatory assistance
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
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    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
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    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/061Needles, e.g. needle tip configurations hollow or tubular
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22054Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation with two balloons
    • AHUMAN NECESSITIES
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    • A61F2/00Filters 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
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    • A61M60/126Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
    • A61M60/148Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
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    • A61M60/274Positive displacement blood pumps including a displacement member directly acting on the blood the displacement member being flexible, e.g. membranes, diaphragms or bladders the inlet and outlet being the same, e.g. para-aortic counter-pulsation blood pumps
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    • A61M60/89Valves
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Abstract

Methods and apparatus are provided for treating congestive heart by actively or passively enhancing perfusion to the renal arteries. A first embodiment comprises a specially configured balloon catheter and extracorporeal pump, wherein the pump operates in a 'once-through' fashion or alternating volume displacement mode. In another embodiment the catheter includes a pair of balloons to isolate a region of the aorta, and a third balloon that directs flow into the renal arteries. In still further embodiments, a stent or cuff having a constricted region is deployed in or around the aorta, respectively, to create a backpressure upstream of the stent or cuff. Methods of enhancing renal perfusion also are provided.
PCT/US2001/013686 2000-05-01 2001-04-27 Apparatus and methods for treating congestive heart disease WO2001083016A2 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
AU2001257368A AU2001257368A1 (en) 2000-05-01 2001-04-27 Apparatus and methods for treating congestive heart disease
MXPA02010789A MXPA02010789A (en) 2000-05-01 2001-04-27 Apparatus and methods for treating congestive heart disease.
JP2001579887A JP2005500862A (en) 2000-05-01 2001-04-27 Apparatus and method for treating congestive heart disease
CA002407938A CA2407938A1 (en) 2000-05-01 2001-04-27 Apparatus and methods for treating congestive heart disease
EP01930872A EP1278563A2 (en) 2000-05-01 2001-04-27 Apparatus and methods for treating congestive heart disease
IL15251101A IL152511A0 (en) 2000-05-01 2001-04-27 Apparatus and methods for treating congestive heart disease
HK03105410.8A HK1053071A1 (en) 2000-05-01 2003-07-25 Apparatus and methods for treating congestive heart disease

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/562,493 2000-05-01
US09/562,493 US7780628B1 (en) 1999-01-11 2000-05-01 Apparatus and methods for treating congestive heart disease

Publications (2)

Publication Number Publication Date
WO2001083016A2 WO2001083016A2 (en) 2001-11-08
WO2001083016A3 true WO2001083016A3 (en) 2002-07-18

Family

ID=24246496

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2001/013686 WO2001083016A2 (en) 2000-05-01 2001-04-27 Apparatus and methods for treating congestive heart disease

Country Status (9)

Country Link
US (3) US7780628B1 (en)
EP (1) EP1278563A2 (en)
JP (1) JP2005500862A (en)
AU (1) AU2001257368A1 (en)
CA (1) CA2407938A1 (en)
HK (1) HK1053071A1 (en)
IL (1) IL152511A0 (en)
MX (1) MXPA02010789A (en)
WO (1) WO2001083016A2 (en)

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US7914503B2 (en) 2002-09-20 2011-03-29 Angio Dynamics Method and apparatus for selective material delivery via an intra-renal catheter
US8118724B2 (en) 2003-09-18 2012-02-21 Thoratec Corporation Rotary blood pump
US8518011B2 (en) 2004-03-04 2013-08-27 Angiodynamics, Inc. Sheath for use in peripheral interventions
US8585678B2 (en) 2002-09-20 2013-11-19 Angiodynamics, Inc. Method and apparatus for intra-aortic substance delivery to a branch vessel
US8888740B2 (en) 2001-04-24 2014-11-18 Zoll Circulation, Inc. Partial aortic occlusion devices and methods for cerebral perfusion augmentation
US8992163B2 (en) 2004-09-17 2015-03-31 Thoratec Corporation Expandable impeller pump
US9138518B2 (en) 2011-01-06 2015-09-22 Thoratec Corporation Percutaneous heart pump
US9358329B2 (en) 2012-07-03 2016-06-07 Thoratec Corporation Catheter pump
US9364593B2 (en) 2004-09-17 2016-06-14 The Penn State Research Foundation Heart assist device with expandable impeller pump
US9421311B2 (en) 2012-07-03 2016-08-23 Thoratec Corporation Motor assembly for catheter pump
US9446179B2 (en) 2012-05-14 2016-09-20 Thoratec Corporation Distal bearing support
US9512852B2 (en) 2006-03-31 2016-12-06 Thoratec Corporation Rotary blood pump
US9512839B2 (en) 2009-05-05 2016-12-06 Ecp Entwicklungsgesellschaft Mbh Fluid pump changeable in diameter, in particular for medical application

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US6302875B1 (en) 1996-10-11 2001-10-16 Transvascular, Inc. Catheters and related devices for forming passageways between blood vessels or other anatomical structures
US6889082B2 (en) 1997-10-09 2005-05-03 Orqis Medical Corporation Implantable heart assist system and method of applying same
US6610004B2 (en) * 1997-10-09 2003-08-26 Orqis Medical Corporation Implantable heart assist system and method of applying same
US7481803B2 (en) * 2000-11-28 2009-01-27 Flowmedica, Inc. Intra-aortic renal drug delivery catheter
US7780628B1 (en) * 1999-01-11 2010-08-24 Angiodynamics, Inc. Apparatus and methods for treating congestive heart disease
US6544206B1 (en) * 1999-10-14 2003-04-08 Robert H. Johnston, Jr. Dialysis access system and method
US6616624B1 (en) * 2000-10-30 2003-09-09 Cvrx, Inc. Systems and method for controlling renovascular perfusion
US6761700B2 (en) 2001-02-09 2004-07-13 Orqis Medical Corporation Extra-corporeal vascular conduit
DE10115740A1 (en) 2001-03-26 2002-10-02 Ulrich Speck Preparation for restenosis prophylaxis
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US7766892B2 (en) 2010-08-03
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US20040064090A1 (en) 2004-04-01
US20020169413A1 (en) 2002-11-14

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