# US 5,344,398 A · Heated balloon catheter

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- Number: US 5,344,398 A
- Document ID: US5344398A
- Status: Granted
- Kind: A
- Application number: 08/019,664
- Filed: 1993-02-19
- Granted: 1994-09-06
- Earliest claimed: 1992-02-25
- Assignees: Japan Crescent, Inc.
- Inventors: Shinji Hara
- Web page: https://patentgrep.com/patent/US5344398A

## CPC

- A61M 25/104: {used for angioplasty}
- A61B 18/08: by means of electrically-heated probes
- A61B 18/18: by applying electromagnetic radiation, e.g. microwaves
- A61N 1/403: {for thermotherapy, e.g. hyperthermia}
- A61B 18/1492: {having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence)}
- A61B 2017/00092: {using thermocouples}
- A61B 2017/00119: {alarm; indicating an abnormal situation}
- A61B 2017/00123: {and automatic shutdown}
- A61B 2017/22001: {Angioplasty, e.g. PCTA}
- A61B 2017/22062: {to be filled with liquid}
- A61B 2018/00011: {with fluids}
- A61B 2018/00214: {Expandable means emitting energy, e.g. by elements carried thereon}
- A61B 2018/00422: {Angioplasty}
- A61B 2018/00898: {Alarms or notifications created in response to an abnormal condition}
- A61M 2205/36: related to heating or cooling
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)

## Abstract

A heated balloon catheter for treatment of constricted zones of body fluid passages by applying heat and pressure to the constricted zone. The heat is generated by transmitting, to an antenna within a balloon carried by the catheter, radio frequency energy of about 13.56 MHz. Measuring the temperature of the balloon inflating fluid and controlling the temperature of the balloon inflating fluid to prevent overheating of the zone being treated and providing an alarm if the balloon leaks or bursts.

## Claims

### Claim 1

A heated balloon catheter for treatment of constricted zones of body fluid passages by applying heat and pressure to the constricted area comprising:
a catheter and a balloon secured to the distal end of the catheter, said balloon defining an internal volume communicating with at least one longitudinal passage in the catheter,
means for directing pressurized fluid to and from the internal volume of said balloon through said at least one longitudinal passage,
heat sensing means for the fluid in the balloon, electrical conductors connecting the heat sensing means with an external temperature controller.
an internal electrode within the balloon,
an external electrode outside the balloon, said external electrode being in contact with a patient body,
an R.F. generator external to the catheter, and electrical conductors connecting the R.F. generator to the internal and external electrodes to provide capacitive heating of the tissue surrounding said balloon, and
control means for maintaining a temperature in the zone of constriction not greater than a protein denaturation temperature.

### Claim 2 (depends on 1)

The heated balloon catheter, as defined in claim 1, wherein the temperature is not greater than 42.degree. C.

### Claim 3 (depends on 1)

The heated balloon catheter, as defined in claim 1, wherein the temperature is maintained between 39.degree.-62.degree. C.

### Claim 4 (depends on 1)

The heated balloon catheter, as defined in claim 1, wherein the energy for heating the fluid contained in the balloon and the zone surrounding the balloon is radio frequency in the order of 13.56 MHz.

### Claim 5 (depends on 4)

The catheter, as defined in claim 4, wherein the outside diameter of the balloon can be increased from about 1.5 mm to 10.0 mm upon inflation.

### Claim 6 (depends on 5)

The catheter, as defined in claim 5, wherein the balloon is inflated with a solution of about 0.9% sodium chloride and water.

### Claim 7 (depends on 5)

The invention defined in claim 5, wherein the balloon is inflated with an angiographic reagent.

### Claim 8 (depends on 5)

The invention defined in claim 5; wherein the inflating fluid is heated to about 39-62.degree. C.

### Claim 9 (depends on 4)

The invention, as defined in claim 4, further comprising a temperature sensing and control apparatus wherein a desired fluid temperature is compared with a measured temperature of the fluid, and the power output of the R.F. generator is increased or decreased by said temperature sensing and control apparatus based upon a comparison between the desired and measured temperatures.

### Claim 10 (depends on 9)

The invention, as defined in claim 9, wherein the temperature sensing and control apparatus contains a microprocessor which receives data relating to the R.F. power output, the desired fluid temperature, and the measured temperature and, with the use of stored heat distribution data, controls the timing interval of the R.F. energy on/off cycle.

### Claim 11 (depends on 1)

The invention defined in claim 1, further including an alarm activated by balloon breakage or balloon leakage.

### Claim 12 (depends on 11)

The invention defined in claim 11, further including a cooling fluid circulating pump and means for automatically stopping said pump if the balloon ruptures.

### Claim 13 (depends on 11)

The invention, as defined in claim 11, further comprising a sensor housing, a sensor balloon in fluid communication with said catheter balloon, and a pressure-sensitive balloon switch, said sensor balloon and said balloon switch being mounted within said housing such that, upon leakage of fluid from said catheter balloon, said sensor balloon will deflate thereby actuating the pressure sensitive switch.

### Claim 14 (depends on 13)

The invention defined in claim 13, wherein a wall of the sensor balloon actuates and deactivates said pressure-sensitive switch by engaging a movable contact member on said pressure sensitive switch.

### Claim 15 (depends on 11)

The invention, as defined in claim 11, further including a small reservoir and high-pressure pump, said high pressure pump being used to circulate coolant to the balloon and to pressurize the balloon and said longitudinal passage, said small reservoir for the circulating coolant, said reservoir having a volume in the order of 3 cc to thereby limit the fluid volume which may be injected into the body upon balloon failure.