Catheter having dual balloon hydraulic actuator

Abstract

Catheter comprising an inner tubular member defining a fluid lumen and inflation lumen therein. An exterior surface of the inner tubular member defines a fluid flow port in fluid communication with the fluid lumen and located along a region of the inner tubular member. Catheter further includes an outer member having a distal section movable relative to the inner tubular member and having an interior surface. A piston balloon is coupled to the inner tubular member distal to the fluid flow port and is in fluid communication with the inflation lumen. A pressure chamber is in fluid communication with the fluid flow port. Fluid introduced through the inflation lumen inflates the piston balloon to seal against the interior surface and fluid introduced through the fluid flow port and into the pressure chamber applies a force to urge at least the distal section of the outer member in a proximal direction.

What is claimed is: 
     
         1 . A catheter comprising:
 an inner tubular member having a length and an exterior surface, the inner tubular member defining a fluid lumen and an inflation lumen therein, the exterior surface defining a fluid flow port in fluid communication with the fluid lumen and located along a region of the inner tubular member;   an outer member having a distal section movable relative to the inner tubular member, the outer member having an interior surface facing the exterior surface of the inner tubular member;   a piston balloon coupled to the inner tubular member distal to the fluid flow port and in fluid communication with the inflation lumen, the piston balloon disposed between the inner tubular member and the outer member, the piston balloon having a deflated condition and an inflated condition, wherein the piston balloon in the inflated condition sealingly engages with the interior surface of the outer tubular member;   a proximal seal located proximal to the distal section and proximal to the fluid flow port; and   a pressure chamber defined by the proximal seal, the piston balloon in the inflated position, the exterior surface of the inner tubular member, and the interior surface of outer member, the pressure chamber being in fluid communication with the fluid flow port;   wherein fluid introduced through the inflation lumen inflates the piston balloon to seal against the interior surface of the outer member to define the pressure chamber, and fluid introduced through the fluid flow port and into the pressure chamber applies a force to urge at least the distal section of the outer member in a proximal direction.   
     
     
         2 . The catheter according to  claim 1 , wherein the inner tubular member further comprises a guidewire lumen defined therein. 
     
     
         3 . The catheter according to  claim 2 , wherein the guidewire lumen is defined by a guidewire tube disposed within the fluid lumen. 
     
     
         4 . The catheter according to  claim 1 , further comprising a marker secured to the inner tubular member to seal a distal end of the fluid lumen distal of the fluid flow port. 
     
     
         5 . The catheter according to  claim 1 , wherein the fluid lumen is configured to receive a guidewire, the fluid lumen further comprising proximal and distal guidewire seals to seal around a guidewire disposed therethrough. 
     
     
         6 . The catheter according to  claim 1 , wherein the proximal seal comprises a hydrophobic material. 
     
     
         7 . The catheter according to  claim 1 , further comprising a strengthening member disposed in the inner tubular member along a length corresponding to the pressure chamber. 
     
     
         8 . The catheter according to  claim 1 , wherein the piston balloon comprises an inflatable member made of a non-compliant material. 
     
     
         9 . The catheter according to  claim 1 , wherein the outer member includes a proximal section proximal to the distal section, the piston balloon being disposed proximate the proximal section. 
     
     
         10 . The catheter according to  claim 9 , wherein the proximal section of the outer member is less compliant than the distal section. 
     
     
         11 . The catheter according to  claim 9 , wherein the proximal section of the outer member comprises an outer balloon to define at least a portion of the pressure chamber. 
     
     
         12 . The catheter according to  claim 9 , wherein the proximal section of the outer member includes a different material than the distal section. 
     
     
         13 . The catheter according to  claim 1 , wherein the distal section of the outer member is a multi-layer construction. 
     
     
         14 . The catheter according to  claim 13 , wherein the multi-layer construction includes an outer layer of a non-compliant material. 
     
     
         15 . The catheter according to  claim 1 , wherein the outer member comprises a braided material. 
     
     
         16 . The catheter according to  claim 1 , further comprising a stent seat at a distal end of the inner tubular member and a stent positioned at the stent seat. 
     
     
         17 . The catheter according to  claim 16 , further comprising a marker coupled to the inner tubular member proximal to the stent seat. 
     
     
         18 . The catheter according to  claim 16 , wherein the stent is positioned between the inner tubular member and the outer member, wherein upon proximal movement of the outer member, the stent is exposed. 
     
     
         19 . The catheter according to  claim 1 , wherein the catheter is a rapid exchange catheter. 
     
     
         20 . The catheter according to  claim 1 , further comprising a stop to inhibit axial movement of the outer member in the proximal direction beyond a predetermined distance. 
     
     
         21 . The catheter according to  claim 1 , wherein the proximal seal extends from the interior surface of the outer member toward the exterior surface of the inner tubular member. 
     
     
         22 . The catheter according to  claim 1 , wherein the proximal seal is movable in the proximal direction relative the inner tubular member. 
     
     
         23 . The catheter according to  claim 1 , wherein the proximal seal comprises at least one of hydrophilic material or molded hydrophilic material. 
     
     
         24 . The catheter according to  claim 1 , wherein the outer tubular member includes a proximal end, the proximal end sealing coupled with the inner tubular member to form the proximal seal. 
     
     
         25 . The catheter according to  claim 1 , wherein the force is applied proximally against the interior surface of the outer member to urge the outer member in the proximal direction. 
     
     
         26 . The catheter according to  claim 1 , wherein the proximal seal comprises a collar. 
     
     
         27 . The catheter according to  claim 1 , further comprising an indeflator to control pressure in the pressure chamber. 
     
     
         28 . A catheter comprising:
 an inner tubular member having a length and an exterior surface, the inner tubular member defining a lumen therein, the exterior surface defining a fluid flow port in fluid communication with the lumen and located along a region of the inner tubular member, the lumen further including a directional control valve fluidly coupled with the fluid flow port, the directional control valve having a first position and a second position;   an outer member having a distal section movable relative to the inner tubular member, the outer member having an interior surface facing the exterior surface of the inner tubular member;   a piston balloon coupled to the inner tubular member and in fluid communication with the fluid flow port, the piston balloon disposed between the inner tubular member and the outer member, the piston balloon having a deflated condition and an inflated condition, wherein the piston balloon in the inflated condition sealingly engages with the interior surface of the outer member;   a proximal seal located proximal to the distal section and proximal to the fluid flow port; and   a pressure chamber defined by the proximal seal, the piston balloon in the inflated condition, the exterior surface of the inner tubular member, and the interior surface of outer member, the pressure chamber being in fluid communication with the fluid flow port;   wherein the directional control valve in the first position channels fluid from the lumen to inflate the piston balloon to the extended position, and the directional control valve in the second position introduces fluid through the fluid flow port and into the pressure chamber to apply a force to urge the outer member in a proximal direction.   
     
     
         29 . The catheter according to  claim 1 , wherein the proximal seal extends from the interior surface of the outer member toward the exterior surface of the inner tubular member. 
     
     
         30 . A method of deploying a catheter comprising:
 providing a catheter comprising
 an inner tubular member having a length and an exterior surface, the inner tubular member defining a fluid lumen and an inflation lumen therein, the exterior surface defining a fluid flow port in fluid communication with the fluid lumen and located along a region of the inner tubular member, 
 an outer member having a distal section movable relative to the inner tubular member, the outer member having an interior surface facing the exterior surface of the inner tubular member, 
 a piston balloon coupled to the inner tubular member distal to the fluid flow port and in fluid communication with the inflation lumen, the piston balloon disposed between the inner tubular member and the outer member, the piston balloon having a deflated condition and an inflated condition, wherein the piston balloon in the inflated condition sealingly engages with the interior surface of the outer tubular member, 
 a proximal seal located proximal to the distal section and proximal to the fluid flow port, and 
 a pressure chamber defined by the proximal seal, the piston balloon in the inflated position, the exterior surface of the inner tubular member, and the interior surface of outer member, the pressure chamber being in fluid communication with the fluid flow port; 
   inflating the piston balloon to the inflated condition by introducing inflation fluid through the inflation lumen; and   pressurizing the pressure chamber by introducing pressurizing fluid through the fluid flow port to apply a force on the proximal seal to urge the outer member in a proximal direction.