Fluoroscopy-independent balloon guided occlusion catheter and methods
A system for deploying and selectively inflating a balloon at a desired location, without the aid of fluoroscopy is described.
1. An endovascular occlusion system for occluding a major vessel of a patient, the endovascular occlusion system comprising:
a catheter member having a proximal section and a distal section and plural lumens within the catheter member, the plural lumens passing longitudinally from the proximal section to the distal section along a longitudinal axis, the catheter member having a main diameter;
an occlusion balloon connected to the catheter member and being in fluid communication with a first lumen of the plural lumens within the catheter member;
a curved distal tip at a leading end of the distal section, the occlusion balloon positioned proximally along the catheter member relative to the curved distal tip, the curved distal tip having a distal tip shaft between the occlusion balloon and a curved portion of the curved distal tip, a tip diameter measured on the longitudinal axis through the distal tip shaft, the curved portion of the curved distal tip being configured to prevent departure from a vessel path as the curved distal tip and the catheter member are advanced together from an insertion puncture in the patient to a predetermined location in the major vessel, the curved portion of the curved distal tip including a maximum spaced portion spaced at a lateral distance radially from the longitudinal axis, the lateral distance being greater than the tip diameter, the curved portion of the distal tip being sufficiently flexible to straighten from a curved configuration;
a distal pressure sensor port positioned on the catheter member between the occlusion balloon and the distal tip, the distal pressure sensor port being in communication with a pressure lumen of the plural lumens;
a hypotube extending substantially parallel to the longitudinal axis within the catheter member, the hypotube including a lumen therein; and
a multi-port and valve assembly in fluid communication with a proximal end of a pressure sensor lumen of the plural lumens within the catheter member.
2. The occlusion system of claim 1 , wherein the curved portion of distal tip comprises a J tip having a substantially constant diameter.
3. The occlusion system of claim 1 , wherein the distal pressure sensor port is associated with an electronic pressure sensor disposed distally from the occlusion balloon.
4. The occlusion system of claim 1 , wherein each of the catheter member and the occlusion balloon, when in an uninflated condition, has a transverse cross-sectional dimension sufficient to pass through an 8 French percutaneous sheath.
5. The occlusion system of claim 1 , further comprising an anchoring balloon positioned along the catheter member proximally from and spaced apart from the occlusion balloon.
6. The occlusion system of claim 1 , further comprising a plurality of ports located distally from the occlusion balloon to permit fluid flow around the occlusion balloon.
7. The occlusion system of claim 1 , wherein the catheter member is configured for insertion into the vessel path through a 6 French sheath.
8. The occlusion system of claim 1 , wherein the main diameter is greater than the tip diameter.
9. The occlusion system of claim 1 , further comprising:
a proximal pressure sensor port located between the occlusion balloon and the proximal section.
10. The occlusion system of claim 1 , wherein the occlusion balloon has a maximum diameter in an inflated condition of twenty-six millimeters.
11. An endovascular occlusion kit for occluding a major vessel of a patient, the endovascular occlusion kit comprising:
a catheter member having a proximal section and a distal section and plural lumens within the catheter member, the plural lumens passing longitudinally from the proximal section to the distal section along a longitudinal axis, the catheter member having a main diameter;
a curved distal tip at a leading end of the distal section, an occlusion balloon positioned proximally along the catheter member relative to the curved distal tip, the curved distal tip having a distal tip shaft between the occlusion balloon and a curved portion of the curved distal tip, a tip diameter measured on the longitudinal axis through the distal tip shaft, the curved portion of the curved distal tip configured to prevent departure from a vessel path as the curved distal tip and the catheter member are advanced together from an insertion puncture in the patient to a predetermined location in the major vessel, the curved portion of the curved distal tip including a maximum spaced portion spaced at a lateral distance radially from the longitudinal axis, the lateral distance being greater than the tip diameter, the curved portion of the distal tip being sufficiently flexible to straighten from a curved configuration;
the occlusion balloon connected to the catheter member and being in fluid communication with a first lumen of the plural lumens within the catheter member;
a distal pressure sensor port positioned on the catheter member between the occlusion balloon and the distal tip, the distal pressure sensor port being in communication with a pressure lumen of the plural lumens;
a hypotube extending substantially parallel to the longitudinal axis within the catheter member, the hypotube including a lumen therein;
a multi-port and valve assembly in fluid communication with a proximal end of a pressure sensor lumen of the plural lumens within the catheter member;
annotated markings on the proximal section;
a nomogram associated with the annotated markings configured to correlate distances between identifiable anatomical landmarks of the patient with a distance between the insertion puncture and the predetermined location for positioning of the occlusion balloon; and
an inflator in communication with an inflation fluid source and the occlusion balloon.
12. The endovascular occlusion kit of claim 11 , further comprising at least one pressure sensor disposed distally from the occlusion balloon.
13. The endovascular occlusion kit of claim 12 , wherein each of the catheter member and the occlusion balloon, when in an uninflated condition, has a transverse cross-sectional dimension sufficient to pass through an 8 French percutaneous sheath.
14. The endovascular occlusion kit of claim 13 , further including a stiffening wire disposed within the catheter member.
15. The endovascular occlusion kit of claim 14 , wherein the stiffening wire is selected from the group consisting of a tube with a tube lumen, an inner catheter with an inner lumen, a catheter body with a body lumen, an extrusion with an extrusion lumen, and a hypotube.
16. The endovascular occlusion kit of claim 11 , wherein the inflation fluid source further comprises an inflation gas.
17. The endovascular occlusion kit of claim 11 , further comprising a second occlusion balloon positioned about the catheter member proximally from and spaced apart from the occlusion balloon.
18. The endovascular occlusion kit of claim 11 , further comprising a pressure sensor disposed at least partially within the pressure lumen, the pressure sensor positioned intermediate the occlusion balloon and the distal tip, the pressure sensor capable of sensing a pressure condition distal from the occlusion balloon.
19. The endovascular occlusion kit of claim 11 , wherein the distal tip comprises a J-tip structure.
20. The endovascular occlusion kit of claim 11 , wherein the proximal section has a first diameter and the distal section has a second diameter, the first diameter greater than the second diameter.
21. The endovascular occlusion kit of claim 11 , wherein the catheter member is configured for insertion into the vessel path through a 6 French sheath.
22. The endovascular occlusion kit of claim 11 , further comprising:
a pressure regulator that controls inflation pressure within the occlusion balloon.