A balloon dilatation catheter defines an inflation lumen communicating with its balloon, and a guidewire lumen extending along the catheter. An aperture portion is defined in the catheter shaft between the guidewire lumen and the catheter exterior, the aperture portion being covered by a frangible wall that is typically thinner than the rest of the tubular catheter shaft wall. The catheter may be used in either the conventional over-the-wire technique or the "rapid exchange" technique of balloon angioplasty.
A dilatation catheter having a balloon with an inflated length than can be adjusted according to the length of stenosis to be dilated. In one embodiment an exterior sheath having an expandable distal tip is employed about a elongated balloon which can be longitudinally adjusted so as to expose a length of balloon which provides a working balloon length required to dilate the stenosis. In another embodiment, the balloon has independently inflatable chambers. In yet another embodiment, the balloon has longitudinal tubular sections which expand sequentially higher pressures. Other means are also described.
A stylet and hub assembled for stiffening a catheter in rapid exchange mode. The catheter guidewire lumen has a side port associated with a bi-stable guide element that lies across the lumen. A disengageable feature assembly limits insertion of the stylet into the lumen in rapid exchange mode. To convert from rapid exchange mode, disengagement of the disengageable feature enables the stylet to displace the guide element, clearing the guidewire lumen and enabling guidewire or other device to extend throughout the lumen. The stylet has a long proximal portion, a relatively short portion tapering distally to a smaller diameter, and enlarged end. The guide element is formed by plastic deformation of the catheter wall. The disengageable feature is in a removable housing having an end cap that can be replaced with a syringe for flushing liquid along the stylet. A balloon, preferably a PTCA balloon, is mounted on the catheter.
A stylet and hub assembled for stiffening a catheter in rapid exchange mode. The catheter guidewire lumen has a side port associated with a bi-stable guide element that lies across the lumen. A disengageable feature assembly limits insertion of the stylet into the lumen in rapid exchange mode. To convert from rapid exchange mode, disengagement of the disengageable feature enables the stylet to displace the guide element, clearing the guidewire lumen and enabling guidewire or other device to extend throughout the lumen. The stylet has a long proximal portion, a relatively short portion tapering distally to a smaller diameter, and enlarged end. The guide element is formed by plastic deformation of the catheter wall. The disengageable feature is in a removable housing having an end cap that can be replaced with a syringe for flushing liquid along the stylet. A balloon, preferably a PTCA balloon, is mounted on the catheter.
The present invention preferably includes a balloon catheter for use with a guidewire. The catheter has a body with a balloon located thereon, preferably at the distal end. A lumen within the catheter body communicates with the interior of the balloon which can be inflated by known methods with saline solution. A series of sleeve members of predetermined lengths and sizes are coupled to and positioned along the length of the catheter body. One or more of the sleeve members can span the length of the balloon. Each sleeve member has a passageway and both an exit and entry port so that the guidewire can pass therethrough. Instead of a balloon, the catheter can include a device member that forms a chamber which can store medicine until discharged at the desired site within the blood vessel. Apertures or pores on the catheter body allow for the perfusion of blood or the delivery of medicine to the site of the blood vessel. A method of operation is also disclosed.
A Balloon dilation catheter comprising an elongated tubular shaft and an inner tube defining inflation and guide wire lumens. A dilation balloon is mounted on the distal end of the tubular shaft and communicates with the inflation lumen. The guide wire lumen extends through the balloon. A stiffening wire is positioned within the tubular shaft and has a proximal end secured in the proximal portion of the catheter. The distal end of the stiffening wire is anchored within the inner tube in an area adjacent the guide wire entrance port. The stiffening wire maximizes strength to the proximal portion of the catheter while maintaining flexibility in the distal end of the catheter as well as the balloon.
