Infusion catheter tip for biologics with reinforced external balloon valve
A system for moving particles suspended in a first fluid, and for infusing them into the stream of a second fluid, includes a catheter with a multi-lumen distal separator. The separator is formed with a plurality of parallel lumens, wherein each lumen has a predetermined diameter to reduce particle flocculation. An inflatable balloon, affixed to the outside of the catheter, can be provided to regulate flow of the second fluid and thereby facilitate entry of the particles into the stream of the second fluid. A reinforcing member is employed to strengthen the catheter wall under the inflatable balloon. With this arrangement, the catheter does not kink or collapse due to the pressure exerted on the catheter wall when the balloon is inflated. In one embodiment, the reinforcing member includes an annular shaped ring. In another embodiment, the separator is positioned under the balloon and acts as the reinforcing member.
1. A system for infusing stem cells into a patient at a predetermined site in the vasculature, which comprises:
an elongated catheter having a tubular-shaped wall with an inner surface and an outer surface, wherein the inner surface of the wall defines a central lumen extending between a proximal end and a distal end of the catheter;
an inflatable balloon mounted on the outer surface of the catheter wall;
an inflator connected in fluid communication with the balloon for selectively inflating the balloon to control and regulate the flow of blood in the vasculature past the catheter;
a reinforcement member positioned in contact with a section of the catheter wall encircling a portion of the central lumen, wherein the reinforcement member is positioned under the inflatable balloon, to strengthen the catheter wall and to maintain a substantially constant cross-section for the central lumen during an inflation of the balloon; and
a separator positioned distal of the inflatable balloon and defining a plurality of lumens in fluid communication with the central lumen;
wherein the plurality of lumens of the separator are arranged to receive groups of cells traveling through the central lumen of the elongated catheter and to separate the groups of cells into smaller groupings or individual cells, allowing the smaller groupings or individual cells to pass through the separator and away from the distal end of the elongated catheter.
2. A system as recited in claim 1 wherein the infusion catheter defines a longitudinal axis, and wherein the reinforcement member comprises at least one annular shaped ring, with the ring affixed to the outer surface of the catheter wall and oriented substantially perpendicular to the longitudinal axis.
3. A system as recited in claim 1 further comprising:
a source of a fluid medium having stem cells suspended therein, wherein the source is connected in fluid communication with the proximal end of the catheter.
4. A system as recited in claim 3 wherein:
the separator has a proximal end and a distal end formed with the plurality of lumens extending therebetween, wherein the separator is positioned in the lumen of the catheter at a distance d from the distal end thereof to establish a recollection chamber at the distal end, and to individually place each lumen of the separator in fluid communication with the central lumen, and wherein each individual lumen is dimensioned to sequentially receive stem cells therethrough.
5. A system as recited in claim 4 further comprising:
an infusion device for moving the fluid medium with suspended particles through the lumen of the catheter, for further movement of the particles in a separated alignment through individual lumens of the separator for reconstitution of the fluid medium with stem cells in the recollection chamber.
6. A system as recited in claim 5 wherein the catheter defines an axis and the proximal end of the separator is slanted at an angle α relative to the axis, with the distal end of the separator being substantially perpendicular to the axis.
7. A system as recited in claim 5 wherein the proximal end of each lumen in the separator is oriented substantially perpendicular to the axis of the separator to establish a step configuration for the proximal end of the separator.
8. A system for introducing particles into the vasculature of a patient, the system comprising:
an elongated catheter formed with a central lumen extending between a proximal end and a distal end, wherein the catheter defines an axis;
a source of the particles suspended in a fluid, wherein the source is connected in fluid communication with the proximal end of the catheter;
a substantially cylindrical shaped separator in fluid communication with the particle source, wherein the separator has a proximal end and a distal end and is formed with a plurality of longitudinally aligned, parallel lumens, with each lumen dimensioned to receive particles therethrough;
an inflatable balloon positioned around the catheter and affixed thereto, with the balloon extendable in a radial direction outward from the catheter to control blood flow around the catheter in a direction substantially parallel to the axis;
a reinforcement member positioned in contact with a section of the catheter wall encircling a portion of the central lumen, wherein the reinforcement member is positioned under the inflatable balloon, to strengthen the catheter wall and to maintain a substantially constant cross section for the central lumen during an inflation of the balloon;
an infusion device for moving particles from the source, through the separator, and into the vasculature of the patient; and
an inflator for selectively configuring the balloon from a base configuration to a secondary configuration, wherein the balloon is deflated in the base configuration and inflated in the secondary configuration;
wherein the balloon is positioned around the catheter at a location proximal the separator.
9. A system as recited in claim 8 wherein the reinforcement member comprises at least one annular shaped ring, with the ring affixed to the outer surface of the catheter wall and oriented substantially perpendicular to the longitudinal axis.
10. A system as recited in claim 8 wherein the separator is positioned in the catheter at a distance d from the distal end thereof to establish a recollection chamber between the separator and the distal end of the catheter.
11. A system as recited in claim 8 wherein the proximal end of the separator is slanted at an angle α relative to the axis, with the distal end of the separator being substantially perpendicular to the axis.
12. A system as recited in claim 8 wherein the proximal end of each lumen in the separator is oriented substantially perpendicular to the axis of the catheter to establish a step configuration for the proximal end of the separator.
13. A system as recited in claim 8 wherein the particles are selected from a group consisting of agents useful for gene therapy, drug therapy and protein therapy.
14. A system as recited in claim 8 wherein the particles are stem cells.
15. A method for introducing particles into the vasculature of a patient, the method comprising the steps of:
providing an elongated catheter having a tubular-shaped wall with an inner surface and an outer surface, wherein the inner surface of the wall defines a central lumen extending between a proximal end and a distal end of the catheter, wherein an inflatable balloon is mounted on the outer surface of the catheter wall, wherein a reinforcement member is positioned in contact with a section of the catheter wall encircling a portion of the central lumen, wherein the reinforcement member is positioned under the inflatable balloon to strengthen the catheter wall and to maintain a substantially constant cross section for the central lumen during an inflation of the balloon, and wherein a separator defining a plurality of lumens in fluid communication with the central lumen is positioned distal of the inflatable balloon;
connecting an inflator in fluid communication with the balloon;
selectively inflating the balloon to control and regulate the flow of blood in the vasculature past the catheter; and
using an infusion device to move particles from a source, through the central lumen, through the separator, and into the vasculature of the patient;
wherein the plurality of lumens of the separator are arranged to receive groups of cells traveling through the central lumen of the elongated catheter and to separate the groups of cells into smaller groupings or individual cells, allowing the smaller groupings or individual cells to pass through the separator and away from the distal end of the elongated catheter.
16. A method as recited in claim 15 wherein the step of using an infusion device to move particles from a source, through the central lumen, and into the vasculature of the patient is performed with the balloon in an inflated state.
17. An infusion system for infusing cells into a patient, comprising:
an elongated catheter having a proximal end and distal end and a central lumen extending between the proximal end and the distal end, the distal end of the elongated catheter arranged for insertion into a patient;
a separator at the distal end of the elongated catheter, the separator defining a plurality of lumens in fluid communication with the central lumen; and
an expandable member positioned along an exterior surface of the elongated catheter and expandable from a contracted configuration to an expanded configuration;
wherein the plurality of lumens of the separator are arranged to receive groups of cells traveling through the central lumen from the proximal end to the distal end of the elongated catheter and to separate the groups of cells into smaller groupings or individual cells, allowing the smaller groupings or individual cells to pass through the separator and away from the distal end of the elongated catheter; and
wherein the infusion system is arranged so that all cells infused into the patient from the central lumen pass through the separator; and
wherein the expandable member is positioned proximal of the separator.
18. The infusion system of claim 17 , comprising a guide wire lumen extending alongside said plurality of lumens of said separator.
19. The infusion system of claim 17 , comprising a source of fluid medium having cells suspended therein, wherein the source of fluid medium is connected in fluid communication with the proximal end of the elongated catheter and the central lumen; and wherein the plurality of lumens of the separator are arranged to de-flocculate cells received from the source of fluid medium into smaller groupings or individual cells, allowing the smaller groupings or individual cells to pass through the separator and away from the distal end for the elongated catheter.
20. The infusion system of claim 19 , comprising a device for moving the fluid medium having cells suspending therein through the central lumen of the elongated catheter and the plurality of lumens of the separator.
21. The infusion system of claim 17 , wherein the expandable member is an inflatable balloon.
22. The infusion system of claim 21 , comprising an inflator for selectively expanding or contacting the inflatable balloon.
23. The infusion system of claim 17 , wherein the separator is affixed to the distal end of the elongated catheter.
24. An infusion system for infusing cells into a patient, comprising:
an elongated catheter having a proximal end and distal end and a central lumen extending between the proximal end and the distal end, the distal end of the elongated catheter arranged for insertion into a patient;
a separator at the distal end of the elongated catheter, the separator defining a plurality of lumens in fluid communication with the central lumen; and
an expandable member positioned along an exterior surface of the elongated catheter and expandable from a contracted configuration to an expanded configuration;
wherein the plurality of lumens of the separator are arranged to receive groups of cells traveling through the central lumen from the proximal end to the distal end of the elongated catheter and to separate the groups of cells into smaller groupings or individual cells, allowing the smaller groupings or individual cells to pass through the separator and away from the distal end of the elongated catheter; and
wherein the infusion system is arranged so that all cells infused into the patient from the central lumen pass through the separator; and
wherein a length of the infusion system extending from the expandable member to a distal end of the infusion system includes the separator and is free of another expandable member.
25. The infusion system of claim 24 , comprising a guide wire lumen extending alongside said plurality of lumens of said separator.
26. The infusion system of claim 25 , comprising a source of fluid medium having cells suspended therein, wherein the source of fluid medium is connected in fluid communication with the proximal end of the elongated catheter and the central lumen; and wherein the plurality of lumens of the separator are arranged to de-flocculate cells received from the source of fluid medium into smaller groupings or individual cells, allowing the smaller groupings or individual cells to pass through the separator and away from the distal end for the elongated catheter.
27. The infusion system of claim 26 , comprising a device for moving the fluid medium having cells suspending therein through the central lumen of the elongated catheter and the plurality of lumens of the separator.
28. The infusion system of claim 27 , wherein the expandable member is an inflatable balloon.
29. The infusion system of claim 28 , comprising an inflator for selectively expanding or contacting the inflatable balloon.