Some medical procedures utilize one or more balloon catheters. Certain procedures may benefit from the ability to easily inflate multiple balloon catheters.
An example connector for a balloon catheter assembly according to an example of the present disclosure includes, among other possible things, an inlet branch, a first outlet branch in fluid communication with the inlet branch and configured to be connected to a first balloon, a second outlet branch in fluid communication with the inlet branch and configured to be connected to a second balloon, and a valve integrated the first outlet branch. The valve has a first position and a second position. The valve is configured to limit fluid flow through the valve when in the first position.
An example connector for a balloon catheter assembly according to an example of the present disclosure includes, among other possible things, a connector with an inlet branch, a first outlet branch in fluid communication with the inlet branch and configured to be connected to a first balloon, and a second outlet branch in fluid communication with the inlet branch and configured to be connected to a second balloon. The balloon catheter assembly also includes a valve in fluid communication with the first outlet branch. The valve has a first position and a second position, and the valve is configured to allow fluid flow through the valve when in the first position. The valve has a housing, a knob, and a one-way valve. A passageway is defined between first and second fluid ports, and the knob includes a receivable portion received in the housing and rotatable relative to the housing between the first position and the second position.
A method of inflating a balloon catheter assembly according to an example of the present invention includes, among other possible things, connecting a first balloon catheter to a first outlet branch of a connector, connecting a second balloon catheter to a second outlet branch of the connector, and opening a valve to inflate the first balloon catheter with fluid provided to an inlet branch of the connector. The inlet branch is in fluid communication with the first outlet branch of the connector. The valve integrated with the first outlet branch of the connector.
In one example the valve 34 is a valve that has an open position and a closed position. In the open position, fluid can flow in either direction through the valve 34, allowing the balloon 32 to be inflated or deflated. In the closed position, no fluid can flow through the valve 34. Another valve 34 could be included on the first outlet branch 24 between the inflation device 28 and the first balloon 30.
In another example, the valve 34 has at least two positions: an open position and a one-way position. The valve 34 has a knob 38 that allows a user to move the valve 34 between the open position and the one-way position. In the open position, fluid may flow in either direction into or out of the balloon 32. In the one-way position, fluid may flow out of the balloon 32 towards the inflation device 28 but may not flow into the balloon 32. That is, in the one-way position, the balloon 32 can be deflated but not inflated. Alternately, in the one-way position, the valve can allow for inflation only, and not deflation. The valve 34 can be switched between the open position and the one-way position as needed via the knob 38.
The connector 20 and valve 34 allows a user to inflate and deflate both balloons 30, 32 simultaneously. The connector 20 may be used in a heart procedure, for example. A physician or user could access the vascular arteries of a patient through an access point, which may be the radial artery at the patient's wrist or the femoral artery at the patient's groin, for example. A guide catheter and guidewire may be inserted into the patient from the access point. Two balloon catheters 30, 32 may then be inserted. The connector 20 connects both of the balloon catheters 30, 32 to a single inflation device 28. The physician or user can then inflate both balloons 30, 32 at the same time by having the valve 34 in the open position. Once the second balloon 32, which is on the branch 26 with the valve 34, is inflated to the desired pressure, the physician or user turns the valve 34 to the one-way position. The first balloon 30 can then be inflated to a greater pressure, if desired. Since the valve 34 is in the one-way position, fluid will not continue to travel into the second balloon 32. Once the physician or user is ready to deflate the balloons 30, 32, both the first and second balloons 30, 32 are deflated simultaneously. In one example, the inflation device 28 includes a syringe, and pulling the plunger creates a negative pressure so fluid travels out of the balloons 30, 32. Because the valve 34 is in the one-way position, fluid will travel out of the second balloon 32 without having to move the valve 34 to the open position.
The illustrated example shows a connector 20 having a single valve 34 and pressure gauge 36. In this example, the second balloon 32 which is on the outlet branch 26 with the valve 34 will be inflated to a pressure that is the same or lower than the pressure of the first balloon 30. In this example, the single pressure gauge 36 will display the pressure of the second balloon 32 and the physician or user could use a pressure gauge on the inflation device 28 to determine the pressure of the first balloon 30. In other examples, the connector 20 could have a valve 34 and/or a pressure gauge 36 on each outlet branch 24, 26. Although an angioplasty procedure is described, the example connector 20, 120 may be used for other medical procedures in which balloon catheters are used.
In one example the valve 134 is a valve that has an open position and a closed position. In the open position, fluid can flow in either direction through the valve 134, allowing the balloon 132 to be inflated or deflated. In the closed position, no fluid can flow through the valve 134. Another valve 134 could be included on the first outlet branch 24 between the inflation device 128 and the first balloon 130.
In one example, the valve 20, 120 and the inflation device 28,128 are integrated together and into a single device, which may also include an integral pressure gauge 36.
In the open position, the open passageway 154 is aligned with the passageway 150, such that fluid can flow in either direction between the connector 140 and the connector 142. In this position, the one-way passageway 152 and one-way valve 146 are blocked by the housing 144. In this open position, the second balloon 132 can be either inflated or deflated.
In other examples, the valve 134 is integrated with the connector 120 as in the example of
In some prior systems, a valve needs to be moved to an open position in order to deflate the second balloon. However, in such systems, fluid can flow from the first balloon to the second balloon once the valve is opened before the user has the chance to start deflating the balloons when the first balloon is at a higher pressure than the second balloon. This may cause the second balloon to be inflated to a higher pressure than desired. The disclosed connector and valve arrangement permits the physician or user to deflate both balloons simultaneously without having to adjust the valve 34, 134, and without risk of fluid flowing from the first balloon to the second balloon before deflation. That is, the valve 34, 134 protects the lower pressure balloon from being exposed or pressurized to the higher pressure of the other balloon.
Further, although the valve 134 is described in combination with a y-connector, the valve 134 may be used without a y-connector for a single balloon. In this example, the valve 134 is attached to the inflation device via the connector 140 and attached to the balloon 132 via the connector 142. The valve 134 permits the physician or user to inflate the balloon 132 to the desired pressure with the valve 134 in the open position. The physician or user then turns the valve 134 to the one-way position. In the one-way position, the user can no longer inflate the balloon 132. The balloon 132 can then be deflated whenever needed without needing to reopen the valve 134.
Although the different examples have the specific components shown in the illustrations, embodiments of this disclosure are not limited to those particular combinations. It is possible to use some of the components or features from one of the examples in combination with features or components from another one of the examples.
Although an embodiment of this disclosure has been explained, a worker of ordinary skill in this art would recognize that certain modifications would come within the spirit and scope of this invention.
This application claims priority U.S. Provisional Application No. 63/250,614 filed Sep. 30, 2021, which is hereby incorporated herein in its entirety.
Number | Date | Country | |
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63250614 | Sep 2021 | US |