Fluid exchange system for controlled and localized irrigation and aspiration
The control of fluid introduction into and out of body conduits such as vessels, is of great concern in medicine. As the development of more particular treatments to vessels and organs continues it is apparent that controlled introduction and removal of fluids is necessary. Fluid delivery and removal from such sites, usually referred to as irrigation and aspiration, using fluid exchange devices that control also need to be considerate of potential volume and/or pressure in the vessel or organ are described together with catheter and lumen configurations to achieve the fluid exchange. The devices include several electrically or mechanically controlled embodiments and produce both controlled and localized flow with defined volume exchange ratios for fluid management. The applications in medicine include diagnostic, therapeutic, imaging, and uses for the introduction or removal of concentrations of emboli within body cavities.
1 . A system for fluid exchange within a localized region of the body comprising:
an irrigation reservoir in fluid communication with a chamber and an irrigation lumen, wherein the chamber controls delivery of irrigant fluid from the irrigation reservoir through the irrigation lumen to a target site;
an aspiration lumen having means for controlled collection of aspirant fluid through an aspiration lumen; and
a catheter element comprised of the irrigation lumen terminating in at least one irrigation port, the aspiration lumen terminating in at least one aspiration port, wherein the at least one irrigation and aspiration ports are located at a distal end of the catheter element such that fluid volume exchange occurs between the at least one irrigation port and the at least one aspiration port; and
an occluding element proximal to the at least one irrigation port and the at least one aspiration port, and wherein the catheter lacks a more distal occluding element in the system.
2 . The system of claim 1 wherein the aspiration lumen is further comprised of a branch establishing fluid connection with a second aspiration chamber.
3 . The system of claim 1 wherein the aspiration lumen is a branched lumen further comprised of a three-way valve.
4 . The system of claim 1 wherein the aspiration lumen is a branched lumen further comprised of a one-way valve.
5 . The system of claim 1 wherein the aspiration lumen is a branched lumen further comprised of a one-way valve and a three-way valve.
6 . The system of claim 5 wherein the aspiration lumen is further comprised of a bypass loop.
7 . The system of claim 1 wherein the occluding element is a balloon.
8 . The system of claim 1 wherein irrigation lumen is further comprised of a one-way valve.
9 . The system of claim 1 wherein the irrigation lumen is further comprised of a three-way valve.
10 . The system of claim 1 wherein the irrigation lumen is further comprised of a one-way valve.
11 . The system of claim 1 wherein the irrigation lumen is further comprised of a one-way valve and a three-way valve.
12 . The system of claim 11 wherein the branched lumen is further comprised of a bypass loop.
13 . The system of claim 1 wherein the at least one aspiration port is distal to the at least one irrigation port.
14 . The system of claim 13 wherein each at least one aspiration port is located distal to each at least one irrigation port.