Method for infusing stem cells
A method for infusing a liquid into a patient's vasculature in accordance with an infusion protocol is disclosed. For this method, an infusion catheter having a multi-lumen infusion unit that is mounted adjacent the catheter's distal end is positioned in an artery within a predetermined distance from an intended target tissue surface. An inflation balloon is then deployed to at least partially occlude the artery and a force is exerted on the liquid to establish a flow rate for the liquid in the catheter. Specifically, the force is exerted to infuse the liquid from the catheter through the infusion unit and into the vasculature with a homogeneous distribution of the liquid to cover the intended surface of the target tissue. The flow rate can be established in accordance with an infusion protocol that is characterized by time and liquid volume parameters based on viscosity and pressure values in the liquid.
1. A method for infusing a liquid into the vasculature of a patient which comprises the steps of:
supplying a source of the liquid;
providing an infusion catheter, wherein the infusion catheter has a proximal end and a distal end and is formed with a multi-lumen infusion unit mounted adjacent the distal end of the infusion catheter, and wherein the infusion catheter includes an inflation balloon affixed to the infusion catheter proximal to the multi-lumen infusion unit;
positioning the distal end of the infusion catheter in an artery of the vasculature of the patient at a location within a predetermined distance from an intended target tissue surface;
inflating the inflation balloon to at least partially occlude the artery; and
exerting a force on the liquid to establish a flow rate for the liquid in the infusion catheter to infuse the liquid from the infusion catheter through the multi-lumen infusion unit and into the vasculature with a homogeneous distribution of the liquid to cover the surface of the intended target tissue, wherein the flow rate is established in accordance with an infusion protocol, and the infusion protocol is characterized by time and liquid volume parameters based on viscosity and pressure values in the liquid; and
wherein the liquid comprises a fluid medium having a suspension of cells.
2. A method as recited in claim 1 wherein the force is exerted on the liquid to provide a substantially constant shear-stress distribution in the liquid during an infusion.
3. A method as recited in claim 1 wherein the force is exerted on the liquid to provide a substantially homogeneous distribution of cells suspended in the liquid during an infusion.
4. A method as recited in claim 1 wherein the suspension of cells is a suspension of stem cells.
5. A method as recited in claim 1 wherein the force establishes the flow rate for the liquid in the range of 3 milliliters/minute to 12 milliliters/minute.
6. A method as recited in claim 4 wherein the concentration of stem cells in the fluid medium is in the range of 4×10 6 cells/milliliter to 6×10 6 cells/milliliter.
7. A method for infusing a fluid medium having a suspension of cells into the vasculature of a patient, the method comprising the steps of:
determining a shear stress parameter threshold below which the cells remain viable;
providing an infusion catheter having an internal multi-lumen separator to de-flocculate cells;
selecting a cell concentration for the fluid medium and a flow rate for the fluid medium through the infusion catheter to cause the fluid medium to flow through the infusion catheter without exceeding the shear stress parameter threshold;
positioning a distal end of the infusion catheter in an artery of the vasculature of the patient at a location within a predetermined distance from an intended target tissue surface;
inflating a balloon attached to the infusion catheter to at least partially occlude the artery; and
exerting a force on the fluid medium having the selected concentration to establish the selected flow rate for the fluid medium in the infusion catheter to infuse the fluid medium from the infusion catheter through the internal multi-lumen separator and into the vasculature with a homogeneous distribution of the fluid medium towards the intended target tissue surface without exceeding the cell viability shear stress parameter threshold, wherein the flow rate is established in accordance with an infusion protocol, and the infusion protocol is characterized by time and fluid medium volume parameters based on viscosity and pressure values in the fluid medium.
8. A method as recited in claim 7 wherein the shear stress parameter threshold is a maximum shear stress threshold.
9. A method as recited in claim 7 wherein the shear stress parameter threshold is a time that a cell is above a selected shear stress.
10. A method as recited in claim 7 wherein the suspension of cells is a suspension of stem cells.
11. A method as recited in claim 10 wherein the force establishes the flow rate for the liquid in the range of 3 milliliters/minute to 12 milliliters/minute.
12. A method as recited in claim 10 wherein the concentration of stem cells in the fluid medium is in the range of 4×10 6 cells/milliliter to 6×10 6 cells/milliliter.
13. A method as recited in claim 7 wherein the internal multi-lumen separator has a plurality of parallel lumens and is positioned in the infusion catheter at a distance, d, from the distal end of the infusion catheter to establish a recollection chamber at the distal end of the infusion catheter.
14. A method for infusing a fluid medium having a suspension of cells into the vasculature of a patient, the method comprising the steps of:
providing an infusion catheter having an internal multi-lumen separator to de-flocculate cells;
positioning a distal end of the infusion catheter in an artery of the vasculature of the patient at a location within a predetermined distance from an intended target tissue surface;
inflating a balloon attached to the infusion catheter to at least partially occlude the artery; and
flowing the fluid medium having a selected cell concentration through the infusion catheter and through the internal multi-lumen separator at a flow rate for the fluid medium to cause the fluid medium to flow through the infusion catheter without causing cell damage due to shear stress.
15. A method as recited in claim 14 wherein the suspension of cells is a suspension of stem cells.
16. A method as recited in claim 15 wherein the flow rate is established in accordance with an infusion protocol, and the infusion protocol is characterized by time and fluid medium volume parameters based on viscosity and pressure values in the fluid medium; wherein the step of flowing the fluid medium establishes the flow rate for the fluid medium in the range of 3 milliliters/minute to 12 milliliters/minute; and wherein the flowing includes flowing a homogeneous distribution of the fluid medium into the artery towards the intended target tissue surface.
17. A method as recited in claim 15 wherein the flow rate is established in accordance with an infusion protocol, and the infusion protocol is characterized by time and fluid medium volume parameters based on viscosity and pressure values in the fluid medium; wherein the concentration of stem cells in the fluid medium is in the range of 4×10 6 cells/milliliter to 6×10 6 cells/milliliter; and wherein the flowing includes flowing a homogeneous distribution of the fluid medium into the artery towards the intended target tissue surface.
18. A method as recited in claim 14 wherein the internal multi-lumen separator has a plurality of parallel lumens and is positioned in the infusion catheter at a distance, d, from the distal end of the infusion catheter to establish a recollection chamber at the distal end of the infusion catheter.
19. A method as recited in claim 14 wherein the flow rate is established in accordance with an infusion protocol, and the infusion protocol is characterized by time and fluid medium volume parameters based on viscosity and pressure values in the fluid medium.