WO2004032791A3 - Method and apparatus for selective material delivery via an intra-renal catheter - Google Patents

Method and apparatus for selective material delivery via an intra-renal catheter Download PDF

Info

Publication number
WO2004032791A3
WO2004032791A3 PCT/US2003/029744 US0329744W WO2004032791A3 WO 2004032791 A3 WO2004032791 A3 WO 2004032791A3 US 0329744 W US0329744 W US 0329744W WO 2004032791 A3 WO2004032791 A3 WO 2004032791A3
Authority
WO
WIPO (PCT)
Prior art keywords
intra
material delivery
delivery via
selective material
renal
Prior art date
Application number
PCT/US2003/029744
Other languages
French (fr)
Other versions
WO2004032791A2 (en
Inventor
Harry B Goodson Iv
Jeffrey M Elkins
Samir R Patel
Aurelio Valencia
Ricardo Aboytes
Craig A Ball
Randy J Kesten
Andrew K Kramer
Sam G Payne
Sophia Pesotchinsky
Michael H Rosenthal
Original Assignee
Flowmedica Inc
Harry B Goodson Iv
Jeffrey M Elkins
Samir R Patel
Aurelio Valencia
Ricardo Aboytes
Craig A Ball
Randy J Kesten
Andrew K Kramer
Sam G Payne
Sophia Pesotchinsky
Michael H Rosenthal
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 Flowmedica Inc, Harry B Goodson Iv, Jeffrey M Elkins, Samir R Patel, Aurelio Valencia, Ricardo Aboytes, Craig A Ball, Randy J Kesten, Andrew K Kramer, Sam G Payne, Sophia Pesotchinsky, Michael H Rosenthal filed Critical Flowmedica Inc
Priority to JP2005501060A priority Critical patent/JP2006508776A/en
Priority to AU2003276903A priority patent/AU2003276903A1/en
Priority to EP03808092A priority patent/EP1539291A4/en
Priority to EP04785654A priority patent/EP1635736A2/en
Priority to PCT/US2004/008573 priority patent/WO2004107965A2/en
Priority to JP2006509250A priority patent/JP2006526464A/en
Publication of WO2004032791A2 publication Critical patent/WO2004032791A2/en
Publication of WO2004032791A3 publication Critical patent/WO2004032791A3/en
Priority to US11/084,738 priority patent/US7914503B2/en
Priority to US11/241,749 priority patent/US7993325B2/en
Priority to US11/295,735 priority patent/US7766961B2/en
Priority to US11/768,390 priority patent/US8012121B2/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M25/04Holding devices, e.g. on the body in the body, e.g. expansible
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M25/0054Catheters; Hollow probes characterised by structural features with regions for increasing flexibility
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M2025/0008Catheters; Hollow probes having visible markings on its surface, i.e. visible to the naked eye, for any purpose, e.g. insertion depth markers, rotational markers or identification of type
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • A61M2025/0034Multi-lumen catheters with stationary elements characterized by elements which are assembled, connected or fused, e.g. splittable tubes, outer sheaths creating lumina or separate cores
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • A61M2025/0037Multi-lumen catheters with stationary elements characterized by lumina being arranged side-by-side
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M2025/0161Tip steering devices wherein the distal tips have two or more deflection regions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M2025/0188Introducing, guiding, advancing, emplacing or holding catheters having slitted or breakaway lumens
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M25/10Balloon catheters
    • A61M25/1002Balloon catheters characterised by balloon shape
    • A61M2025/1004Balloons with folds, e.g. folded or multifolded
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1047Balloon catheters with special features or adapted for special applications having centering means, e.g. balloons having an appropriate shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1052Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026Multi-lumen catheters with stationary elements
    • A61M25/0029Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the middle part of the catheter, e.g. slots, flaps, valves, cuffs, apertures, notches, grooves or rapid exchange ports
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M25/0147Tip steering devices with movable mechanical means, e.g. pull wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M25/0152Tip steering devices with pre-shaped mechanisms, e.g. pre-shaped stylets or pre-shaped outer tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/06Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof

Abstract

Two renal delivery members have two distal ports (212, 214) that are adapted to be positioned within two renal arteries via their corresponding renal ostia at unique location along an abdominal aortic wall.
PCT/US2003/029744 2002-09-20 2003-09-22 Method and apparatus for selective material delivery via an intra-renal catheter WO2004032791A2 (en)

Priority Applications (10)

Application Number Priority Date Filing Date Title
JP2005501060A JP2006508776A (en) 2002-09-20 2003-09-22 Method and apparatus for selective substance delivery via an intrarenal catheter
AU2003276903A AU2003276903A1 (en) 2002-09-20 2003-09-22 Method and apparatus for selective material delivery via an intra-renal catheter
EP03808092A EP1539291A4 (en) 2002-09-20 2003-09-22 Method and apparatus for selective material delivery via an intra-renal catheter
JP2006509250A JP2006526464A (en) 2003-06-05 2004-03-19 System and method for performing bilateral intervention or diagnosis in a branched body lumen
PCT/US2004/008573 WO2004107965A2 (en) 2002-09-20 2004-03-19 Systems and methods for performing bi-lateral interventions or diagnosis in branched body lumens
EP04785654A EP1635736A2 (en) 2003-06-05 2004-03-19 Systems and methods for performing bi-lateral interventions or diagnosis in branched body lumens
US11/084,738 US7914503B2 (en) 2002-09-20 2005-03-16 Method and apparatus for selective material delivery via an intra-renal catheter
US11/241,749 US7993325B2 (en) 2002-09-20 2005-09-29 Renal infusion systems and methods
US11/295,735 US7766961B2 (en) 2003-06-05 2005-12-05 Systems and methods for performing bi-lateral interventions or diagnosis in branched body lumens
US11/768,390 US8012121B2 (en) 2002-09-20 2007-06-26 Method and apparatus for selective material delivery via an intra-renal catheter

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US41247602P 2002-09-20 2002-09-20
US41234302P 2002-09-20 2002-09-20
US60/412,343 2002-09-20
US60/412,476 2002-09-20
US47634703P 2003-06-05 2003-06-05
US60/476,347 2003-06-05
US50260003P 2003-09-13 2003-09-13
US60/502,600 2003-09-13

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US11/084,434 Continuation-In-Part US7364566B2 (en) 2002-09-20 2005-03-18 Method and apparatus for intra-aortic substance delivery to a branch vessel

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US11/084,738 Continuation-In-Part US7914503B2 (en) 2002-09-20 2005-03-16 Method and apparatus for selective material delivery via an intra-renal catheter

Publications (2)

Publication Number Publication Date
WO2004032791A2 WO2004032791A2 (en) 2004-04-22
WO2004032791A3 true WO2004032791A3 (en) 2004-07-01

Family

ID=32097072

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/029744 WO2004032791A2 (en) 2002-09-20 2003-09-22 Method and apparatus for selective material delivery via an intra-renal catheter

Country Status (5)

Country Link
US (2) US7914503B2 (en)
EP (1) EP1539291A4 (en)
JP (1) JP2006508776A (en)
AU (1) AU2003276903A1 (en)
WO (1) WO2004032791A2 (en)

Cited By (16)

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US8845629B2 (en) 2002-04-08 2014-09-30 Medtronic Ardian Luxembourg S.A.R.L. Ultrasound apparatuses for thermally-induced renal neuromodulation
US8852163B2 (en) 2002-04-08 2014-10-07 Medtronic Ardian Luxembourg S.A.R.L. Renal neuromodulation via drugs and neuromodulatory agents and associated systems and methods
US8880186B2 (en) 2002-04-08 2014-11-04 Medtronic Ardian Luxembourg S.A.R.L. Renal neuromodulation for treatment of patients with chronic heart failure
US8948865B2 (en) 2002-04-08 2015-02-03 Medtronic Ardian Luxembourg S.A.R.L. Methods for treating heart arrhythmia
US9023037B2 (en) 2002-04-08 2015-05-05 Medtronic Ardian Luxembourg S.A.R.L. Balloon catheter apparatus for renal neuromodulation
US9037244B2 (en) 2007-02-13 2015-05-19 Virender K. Sharma Method and apparatus for electrical stimulation of the pancreatico-biliary system
US9108040B2 (en) 2004-10-05 2015-08-18 Medtronic Ardian Luxembourg S.A.R.L. Methods and apparatus for multi-vessel renal neuromodulation
US9131978B2 (en) 2002-04-08 2015-09-15 Medtronic Ardian Luxembourg S.A.R.L. Methods for bilateral renal neuromodulation
US9186213B2 (en) 2002-04-08 2015-11-17 Medtronic Ardian Luxembourg S.A.R.L. Methods for renal neuromodulation
US9192715B2 (en) 2002-04-08 2015-11-24 Medtronic Ardian Luxembourg S.A.R.L. Methods for renal nerve blocking
US9308043B2 (en) 2002-04-08 2016-04-12 Medtronic Ardian Luxembourg S.A.R.L. Methods for monopolar renal neuromodulation
US9308044B2 (en) 2002-04-08 2016-04-12 Medtronic Ardian Luxembourg S.A.R.L. Methods for therapeutic renal neuromodulation
US9327122B2 (en) 2002-04-08 2016-05-03 Medtronic Ardian Luxembourg S.A.R.L. Methods for catheter-based renal neuromodulation
US9364280B2 (en) 2002-04-08 2016-06-14 Medtronic Ardian Luxembourg S.A.R.L. Methods and apparatus for pulsed electric field neuromodulation via an intra-to-extravascular approach
US9439726B2 (en) 2002-04-08 2016-09-13 Medtronic Ardian Luxembourg S.A.R.L. Methods for therapeutic renal neuromodulation
US9474563B2 (en) 2002-04-08 2016-10-25 Medtronic Ardian Luxembourg S.A.R.L. Methods for renal neuromodulation

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AU2003276903A1 (en) 2004-05-04
EP1539291A2 (en) 2005-06-15
WO2004032791A2 (en) 2004-04-22
JP2006508776A (en) 2006-03-16
AU2003276903A8 (en) 2004-05-04
US8012121B2 (en) 2011-09-06
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US20070249997A1 (en) 2007-10-25
US20060036218A1 (en) 2006-02-16

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