Shockwave balloon catheter system
A system for breaking obstructions in body lumens includes a catheter including an elongated carrier, a balloon about the carrier in sealed relation thereto, the balloon being arranged to receive a fluid therein that inflates the balloon, and an arc generator including at least one electrode within the balloon that forms a mechanical shock wave within the balloon. The system further includes a power source that provides electrical energy to the arc generator.
1. A method of treating calcified lesions in the wall of a vessel comprising the steps of:
providing a catheter including a hollow sheath for receiving a guidewire, said catheter including a dilating balloon sealed at the distal end thereof, said dilating balloon being fillable with a liquid, said catheter further including a pair of spaced apart electrodes located within the balloon and outside the hollow sheath;
advancing the catheter into the vessel until the balloon is in proximity to the calcified lesion;
inflating the balloon with the liquid to fix the balloon to the wall of the vessel;
supplying a voltage pulse across the electrode pair, the pulse have a duration on the order of microseconds, the voltage pulse having sufficient energy to create a plasma arc across the spaced apart electrodes resulting in the formation of a shock wave that passes through the balloon to the calcified lesion; and
repeating the supplying step a plurality of times sufficient to crack the calcified lesion with the shock waves such that the dilating balloon expands the vessel.
2. The method of claim 1 wherein said advancing step is performed by advancing the catheter over a guide wire positioned within the hollow sheath.
3. The method of claim 1 where the voltage pulse is between 100 and 1,000 volts.
4. The method of claim 1 wherein the electrode pair is spaced apart radially.
5. The method of claim 1 wherein the electrode pair is spaced apart longitudinally.
6. The method of claim 1 wherein cracking of the calcified lesion comprises pulverizing at least a portion of the calcified lesion.
7. The method of claim 1 wherein the liquid is conductive.
8. The method of claim 1 wherein the liquid is saline.
9. The method of claim 1 wherein one electrode in the pair is larger than the other electrode in the pair.
10. The method of claim 1 further including a power source for supplying high voltage pulses to the electrodes.
11. The method of claim 1 further including sensing reflecting signals to determine the quality of the calcification and/or the quality of the pulverization of the calcified lesion.
12. The method of claim 1 wherein said catheter further includes a reflector for directing the angle of the shock waves.