« PreviousContinue »
(12) United States Patent ao) Patent No.: Us 7,122,019 Bi
Kesten et al. (45) Date of Patent: Oct. 17,2006
A catheter for delivering a therapeutic or diagnostic agent to a branch blood vessel of a major blood vessel, generally comprising an elongated shaft having at least one lumen in fluid communication with an agent delivery port in a distal section of the shaft, an expandable tubular member on the distal section of the shaft, and a radially expandable member on the tubular member. The tubular member is configured to extend within the blood vessel up-stream and down-stream of a branch vessel, and has an interior passageway which is radially expandable within the blood vessel to separate blood flow through the blood vessel into an outer blood flow stream exterior to the tubular member and an inner blood flow stream within the interior passageway of the tubular member. The radially expandable member is located downstream of the shaft agent delivery port, and has an expanded configuration with an outer diameter larger than an outer diameter of the tubular member. The expanded radially expandable member is configured to decrease the blood flow in the outer blood flow stream down-stream of the branch vessel. The catheter provides for delivery of an agent to a branch vessel of a major vessel, and continuous perfusion of the major blood vessel. Another aspect of the invention is directed to methods of delivering a therapeutic or diagnostic agent to one or both kidney's of a patient.
14 Claims, 8 Drawing Sheets
Katsumata et al.; "Newly-Developed Catheter for CardioRenal Assist During Intraaortic Balloon Counterpulsation," The Japanese Journal of Thoracic Surgery, vol. 46, pp. 767-770, (1993).
Kehrer et al.; "Construction and Experimental Application
of a Catheter for Selective Arterial Kidney Perfusion in
Situ," Urological Research, vol. 13, pp. 85-89, (1985).
"FDA Form 510(K) on Related Correspondence for
Advanced Equipment Development, Inc."
Garwood, Susan et al.; "Renal Preservation Strategies for
High Risk Patients," University of Chico School of Medi-
cine, Cover Page, Table of Contents Page, pp. 1-19, (1998).
Postman, C.T. et al.; "Treatment of Renal Artery Stenosis
with Intra-Arterial Stents," Ned Tijdshr Genneeskd., vol.
142, No. 39, pp. 2132-2137, Sep. 26, 1998. Abstract Only.
Jacobs, M.J. et al.; "Reduced Renal Failure Following
Thoracoabdominal Aortic Aneurysm Repair by Selective
Prefusion," Eur. J. Cardiothorac. Surg., vol. 14, No. 2, pp.
201-205, Aug. 1998. Abstract Only.
Novick, A.C.; "Atherosclerotic Ischemic Nephropathy. Epi-
demiology and Clinical Considerations," Urol. Clin. North
Am., vol. 21, No. 2, pp. 195-200, May, 1994. Abstract Only.
Canaud, B. et al.; "Temporary Vascular Access for Extra-
corporeal Renal Replacement Therapies in Acute Renal
Failure Patients," Kidney Int. Suppl., vol. 66, pp.
S142-S150, May, 1998. Abstract Only.
Iannone, L.D. et al.; "Effect of Primary Balloon Expandable
Renal Artery Stents on Long-Term Patency, Renal Function,
and Blood Pressure in Hypertensive and Renal Insufficient
Patients with Renal Artery Stenosis," Cathet. Cardiovasc.
Diagn., vol. 37, No. 3, pp. 243-250, Mar., 1996. Abstract
White, C.J. et al.; "Renal Artery Stent Placement: Utility in
Lesions Difficult to Reat with Balloon Angioplasty," Am.
Coll. Cardiol, vol. 30, No. 6, pp. 1445-1450, Nov. 15, 1997.
Bergey, E.A. et al.; "Transhepatic Insertion of Vascular Dialysis Catheters in Children: A Safe, Life-Prolonging Procedure," Pediatr. Radiol, vol. 29, No. 1, pp. 42-50, Jan. 1999. Abstract Only.
Masaki, Z. et al.; "In Situ Perfusion by Retrograde Cannulation of a Tumor Artery for Nephron-Sparing Surgery," Int. J. Urol, vol. 2, No. 3, pp. 161-165, Jul, 1995. Abstract Only. Walker, H.S. et al.; "Use of a Balloon-Tipped Perfusion Catheter for Renal Preservation During Suprarenal Abdominal Aortic Operations," J. Vase. Surg, vol. 2, No. 2, pp. 337-339, Mar, 1985. Abstract Only.
Seiter, H. et al.; "Modified T-Catheter and its use for Transvenous Hypothermic in Situ Perfusion in the Surgical Restoration of the Kidney with Staghorn calculi," Z. Urol Nephrol, vol. 76, No. 6, pp. 403-406, Jun, 1983. Abstract Only.
Eisenberger, F. et al.; "Transfemoral Cannulation of the Renal Vessels. Diagnostic and Therapeutic use in Urology," Urologe [A], vol. 16, No. 1, pp. 1-5, Jan, 1977. Abstract Only.
Bischoff, W. et al.; "Modified in Situ Perfusion of the Kidney Using Balloon Catheters," vol. 94, No. 30, pp. 1695-1697, Oct. 21, 1976. Abstract Only. Kehrer, G. et al.; "Construction and Experimental Application of a Catheter for Selective Arterial Kidney Perfusion in Situ," Urol. Res, vol. 13, No. 2, pp. 85-89, (1985). Abstract Only.
Williams, D.M. et al.; "Design and Testing of a High-FLo2 Autoperfusion Catheter: An Experimental Study," J. Vase. Interv. Radiol, vol. 3, No. 2, pp. 285-290, May, 1992. Abstract Only.
Kobayashi, A. et al.; "Experimental Study on the Usefulness of the Autoperfusion Balloon Catheter in Maintaining the Blood Supply to the Distal Organs," Nippon Igaku Hoshasen Gakkai Zasshi, vol. 52, No. 5, pp. 682-684, May 25, 1992. Abstract Only.
Greco, B.A. et al.; "Atherosclerotic Ischemic Renal Disease," Am. J. Kidney Dis, vol. 29, No. 2, pp. 167-187, Feb, 1997. Abstract Only.
Middleton, J.P; "Ischemic Disease of the Kidney: How and Why to Consider Revascularization," J. Nephrol, vol. 11, No. 3, pp. 123-136, May-Jun, 1998. Abstract Only. Katsumata, T. et al.; "Newly-Developed Catheter for Cardio-Renmal Assist During Intraaortic Balloon Counterpulsation," Kyobu Geka, vol. 46, No. 9, pp. 767-770, Aug, 1993. Abstract Only.
Akaba, N. et al.; "A Cylinder-Shaped Balloon Catheter for the Management of Dissecting Aneurysms in Acute Stage," Herz, vol. 17, No. 6, pp. 390-393, Dec, 1992. Abstract Only.
Mathis, J.M. et al.; "Use of Guide Catheter as a Temporary Stent During Microcatheter Intervention," AJNR Am. J. Neuroradiol, vol. 19, No. 5, pp. 932-933, May, 1998. Abstract Only.
* cited by examiner