Cryovascular Systems, Inc.

Boston Scientific Scimed, Inc.

Pq Bypass, Inc.

Saratoga, Inc.

Odyssey Technologies

Uryovascular Systems, Inc.

James D Joye

Richard Stanley Williams

Ronald G Williams

Kristine Tatsutani

Richard R Heuser

Eugene Edward Reis

Richard A Lotti

Kumar Jambunathan

Timothy Douglas Holland

Joseph J Williams

Glen Reuschling

Keith M Burger

Michael G Fourkas

Ronald William

Kumar Ganesan Jambunathan

Williams Ronald

A system for deploying a stent-graft from the femoral artery into the femoral vein and back into the femoral artery in order to bypass a femoral occlusion comprises a penetration catheter and a guidewire capture and stabilization catheter. The penetration catheter may be advanced contralaterally to a location above the occlusion and the capture and stabilization catheter may be introduced upwardly through the femoral vein. The penetration tool on the penetration catheter is used in multiple steps to deploy guidewires which are then used to deploy the stent-graft in the desired location.

Methods and systems for bypassing occlusions in a femoral artery

Improved systems, devices, and methods for delivering cryogenic cooling fluid to cryosurgical probes such as cryosurgical endovascular balloon catheters take advantage of the transients during the initiation and termination of cryogenic fluid flow to moderate the treatment temperatures of tissues engaged by the probe. A flow limiting element along a cryogenic fluid path intermittently interrupts the flow of cooling fluid, often cycling both the fluid flow and treatment temperature. This can maintain the tissue treatment temperature within a predetermined range which is above the treatment temperature provided by a steady flow of cryogenic fluid. In another aspect, room temperature single-use cooling fluid cartridges are filled with a sufficient quantity of cryosurgical fluid to effect a desired endovascular cryosurgical treatment.

Cryosurgical fluid supply

Devices, systems, and methods controllably cool blood vessels and other body lumens. The blood vessel will often be treated for atherosclerotic or other diseases by inflating a balloon so as to engage the surrounding luminal wall. Controlled cooling of the balloon effected by a change in phase of a cryogenic fluid within the balloon typically a change from a liquid phase to a gas phase can be provided with a controlled, gradual inflation of the balloon. A single control system can be used for any of a variety of alternative selectable balloon catheters having significantly differing cooling fluid flow characteristics.

Controllable pressure cryogenic balloon treatment system and method

The catheter apparatus may be used to assist in creating a fistula between two adjacent blood vessels. The apparatus includes a catheter for inserting into a first blood vessel which lies adjacent to a second blood vessel, the catheter having a plurality of openings through which a physician may navigate a piercing tool. The physician maneuvers the tip of the catheter to a position within the first blood vessel adjacent to a portion of the first blood vessel wall in which the physician intends to create an opening. The physician may then rotate the piercing tool within the catheter and extend the piercing tool through one opening at a time, without rotating the catheter, until the physician chooses an opening that is properly aimed at the second blood vessel. Such a configuration allows for a wide arc of potential firing space.

Catheter system for connecting adjacent blood vessels

Methods, apparatus, and kits detect and/or treat vulnerable plaque of a blood vessel. A temperature differential can be sensed along a lumen surface with temperature sensors on a balloon filled with warm gas. Treatment methods include controlled and safe cryogenic cooling of vulnerable plaque to inhibit release of retained fluid within the vulnerable plaque so as to inhibit acute coronary syndrome and to help maintain patency of a body lumen.

Cryotherapy method for detecting and treating vulnerable plaque

The present invention provides cryotherapy treatment of dissections in a blood vessel of a patient. The present invention further provides cryotherapy treatment of side branch occlusion in a bifurcated blood vessel. One method for treating potential or existing dissections in a blood vessel comprises cooling the blood vessel to a temperature and for a time sufficient to remodel the blood vessel such that dissections of the blood vessel are reduced. Another method for treating side branch occlusion in a bifurcated blood vessel, the bifurcated blood vessel having a side branch and a main branch, the main branch having plaque disposed thereon, comprises cooling an inner surface of the main branch to a temperature and for a time sufficient to inhibit plaque shift from the main branch into the side branch.

Cryotherapy methods for treating vessel dissections and side branch occlusion

The invention provides techniques and devices for treating atherosclerotic disease using controlled cryogenic cooling, often in combination with angioplusty. The efficacy of endolusninal cryogenic cooling is enhanced by cooling of target tissues using an insulated cryogenic balloon, the lnsulation ideally comprising a fluid which undergoes a phase change at a predetermined temperature. A combination cryogenic/angioplasty catheter avoids exchange procedures between dilation of a stenotic region within a vessel wall and the application of cryogenic cooling. The combination angioplasty/cryogenic cooling catheter may cool the diseased blood vessel before, during, and/or after dilation. Controlled cooling of the vessel wall may change its mechanical properties, weakening the vessel and allowing it to be expanded at a much lower pressure than with conventional uncooled angioplasty. Similar reductions in restenosis may be provided for other primary treatments of the blood vessel, including directional arthrectomy, rotational arthrectomy, laser angioplasty, stenting, and the like.

Cryogenically enhanced intravascular interventions

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Saratoga, CA, United States of America

James D Joye