Cage for medical balloon

{
  "publication_number": "US10463842B2",
  "country": "US",
  "kind": "B2",
  "title": "Cage for medical balloon",
  "abstract": "A cage can be positioned around a medical balloon, such as an angioplasty balloon, to assist in a medical procedure. The cage can include a plurality of strips, each extending between a set of rings including first and second rings. As the balloon expands, the first and second rings move closer together and allow the strips to expand outward. The cage may have wedge dissectors on the strips.",
  "claims": [
    "1. A balloon catheter comprising: an elongate member having an inner lumen, the elongate member defining a longitudinal axis; a balloon connected to the elongate member at a distal end of the elongate member; a cage for positioning about the balloon comprising: a plurality of strips, each strip of the plurality of strips including a plurality of wedge dissectors spaced apart along a surface of the strip by open spaces between adjacent wedge dissectors on the strip such that a height of the adjacent wedge dissectors is greater than a height of the open spaces in between adjacent wedge dissectors, each strip extending longitudinally along an outer surface of the balloon; and a plurality of rings configured to secure the plurality of strips to the balloon catheter, wherein each strip of the plurality of strips has a first ring of the plurality of rings at a distal end, a second ring of the plurality of rings at a proximal end, and at least a portion of the strip between the distal and proximal ends remaining uncovered by and/or unconnected to any ring, wherein at least some of the rings of the plurality of rings comprise a heat shrink material; wherein the balloon and cage are configured to have an initial state and an expanded state, the plurality of strips configured to move with the balloon as it moves toward the expanded state, wherein each ring of the plurality of rings comprise a central aperture and a plurality of holes offset from the central aperture and comprising a narrowed portion and a wider portion, wherein the wider portion is configured to accommodate each wedge dissector, and the narrowed portion is configured to accommodate each open space between wedge dissectors.",
    "2. The balloon catheter of claim 1, wherein the heat shrink material comprises one or more of polyolefin, silicone, elastomer or synthetic rubber and fluoropolymer elastomer.",
    "3. The balloon catheter of claim 1, wherein the plurality of rings secure the plurality of strips to distal and proximal ends of the balloon.",
    "4. The balloon catheter of claim 1, wherein at least some of the strips of the plurality of strips are secured with rings at intermediate points of the balloon.",
    "5. The balloon catheter of claim 1, wherein at least some of the strips of the plurality of strips extend longitudinally in a helical pattern across the balloon.",
    "6. The balloon catheter of claim 1, wherein at least some of the strips of the plurality of strips extend parallel to the longitudinal axis across the balloon.",
    "7. The balloon catheter of claim 1, wherein at least some of the rings of the plurality of rings comprise a part ring having a top layer of heat sink material and a bottom layer, an end of a strip of the plurality of strips sandwiched between the top layer and the bottom layer.",
    "8. The balloon catheter of claim 1, wherein at least one end of each of the strips of the plurality of strips forms a hook, and wherein each hook is disposed about a portion of an end of the balloon.",
    "9. The balloon catheter of claim 1, wherein a portion of each strip of the plurality of strips has a grooved surface where the strip contacts a ring of the plurality of rings.",
    "10. The balloon catheter of claim 1, wherein each ring of the plurality of rings is free-floating about the balloon.",
    "11. The balloon catheter of claim 1, wherein a portion of at least some of the strips of the plurality of strips includes a spring.",
    "12. The balloon catheter of claim 1, wherein each of ring of the plurality of rings includes a groove that can accommodate a width of one of the strips of the plurality of strips.",
    "13. The balloon catheter of claim 1, wherein the strips of the plurality of strips are positioned serially in rows around the balloon with 4 rows, each having between 2-6 strips per row.",
    "14. The balloon catheter of claim 1, wherein a spacing length between the wedge dissectors is from 4:1 to 3:1 space to length.",
    "15. The balloon catheter of claim 1, wherein a spacing length between the wedge dissectors is from 3:1 to 1:1 space to length.",
    "16. The balloon catheter of claim 1, wherein a spacing length between the wedge dissectors is from 3:1 to 1:1 space to length.",
    "17. A method of retrofitting a balloon catheter with a cage comprising: positioning a plurality of strips around an inflated balloon of a balloon catheter, the strips being positioned equally spaced around the inflated balloon, each strip of the plurality of strips including a plurality of wedge dissectors spaced apart along a surface of the strip by open spaces between adjacent wedge dissectors on the strip such that a height of the adjacent wedge dissectors is greater than a height of the open spaces in between adjacent wedge dissectors; advancing rings of heat shrink material over the balloon so that each end of the strips of the plurality of strips is covered by a ring heat shrink material; and heating the rings of heat shrink material to shrink the rings of heat shrink material to thereby secure the plurality of strips to the balloon, at least a portion of each strip of the plurality of strips between distal and proximal ends of the strip remaining uncovered by and/or unconnected to any ring of heat shrink material, wherein each of the rings comprise a central aperture and a plurality of holes offset from the central aperture and comprising a narrowed portion and a wider portion, wherein the wider portion is configured to accommodate each wedge dissector, and the narrowed portion is configured to accommodate each open space between wedge dissectors.",
    "18. The method of claim 17, wherein positioning a plurality of strips around an inflated balloon further comprises positioning the strips to extend primarily longitudinally.",
    "19. The method of claim 17, wherein positioning a plurality of strips around an inflated balloon further comprises positioning the strips serially in rows around the balloon with 4 rows, each having between 2-6 strips per row.",
    "20. The method of claim 17, further comprising attaching the strips either permanently or temporarily to the balloon with an adhesive.",
    "21. The method of claim 17, wherein advancing rings of heat shrink material over the balloon further comprises covering a distal end of distal-most strips of the plurality of strips with a single ring of heat shrink material.",
    "22. The method of claim 21, wherein advancing rings of heat shrink material over the balloon further comprises covering a proximal end of proximal-most strips of the plurality of strips with a single ring of heat shrink material."
  ],
  "description_excerpt": "Field of the Invention\n\nCertain embodiments disclosed herein relate generally to a cage for use with a medical balloon, such as an angioplasty balloon. Methods of manufacturing the cage and treatment methods involving the cage are also disclosed.\n\nDescription of the Related Art\n\nAtherosclerotic occlusive disease is the primary cause of stroke, heart attack, limb loss, and death in the United States and the industrialized world. Atherosclerotic plaque forms a hard layer along the wall of an artery and is comprised of calcium, cholesterol, compacted thrombus and cellular debris. As the atherosclerotic disease progresses, the blood supply intended to pass through a specific blood vessel is diminished or even prevented by the occlusive process. One of the most widely utilized methods of treating clinically significant atherosclerotic plaque is balloon angioplasty.\n\nBalloon angioplasty is a method of opening blocked or narrowed blood vessels in the body. The balloon angioplasty catheter is placed into the artery from a remote access site that is created either percutaneously or through open exposure of the artery. The catheter is passed along the inside of the blood vessel over a wire that guides the way of the catheter. The portion of the catheter with the balloon attached is placed at the location of the atherosclerotic plaque that requires treatment. The balloon is generally inflated to a size that is consistent with the original diameter of the artery prior to developing occlusive disease.",
  "cpc": [
    "A61M 25/1002",
    "A61L 29/04",
    "A61M 2025/1031",
    "A61M 2025/105",
    "A61M 2025/1081",
    "A61M 2025/1086",
    "A61M 25/1029",
    "A61M 25/1036",
    "A61M 25/104",
    "B23P 11/025",
    "B29C 48/0022",
    "B29C 48/09",
    "B29C 63/0065",
    "B29C 65/48",
    "B29L 2031/7543",
    "Y10T 29/49865"
  ],
  "ipc": [
    "A61L 29/04",
    "A61M 25/10",
    "B29C 48/09",
    "B29C 63/00",
    "B29C 65/48",
    "B29C 48/00"
  ],
  "assignees": [
    "Cagent Vascular Inc"
  ],
  "inventors": [
    "Robert M. Giasolli",
    "Peter Schneider"
  ],
  "filing_date": "2015-06-03",
  "publication_date": "2019-11-05",
  "grant_date": "2019-11-05",
  "priority_date": "2014-06-04",
  "application_number": "US-201515316067-A",
  "family_id": "54767336",
  "cited_by_count": 20,
  "citations": [
    "US5192291A",
    "US20040158270A1",
    "US6626861B1",
    "US20050267409A1",
    "US20030153870A1",
    "US20030163148A1",
    "US20050021070A1"
  ]
}