referring now to the drawings and to fig1 - 3 in particular , an intravascular pump and balloon catheter assembly 12 according to the invention is shown . the assembly 12 comprises a primary catheter 14 having a distal end 16 and a proximal end 18 , a secondary catheter 20 having a distal end 22 and a plurality of supply catheters 24 extending therefrom , and a plurality of arteriotomy cannulae 26 selectively attached to the terminal ends 28 of the supply catheters 24 . each of these subcomponents will be described separately . first , the primary catheter 14 comprises a catheter body 32 and an inflatable member or balloon 34 provided on the exterior surface of the catheter body . preferably , the balloon is provided adjacent the distal end 16 of the catheter body 32 . one end of an inflation lumen 36 is fluidly connected to the balloon and a conventional luer connector and stopcock valve 38 is provided on the other end thereof . the balloon 34 is adapted for selective inflation from a retracted state as seen in fig2 and an expanded state as seen in fig1 and 3 through the application of fluid under pressure through the connector / valve 38 and lumen 36 . an intravascular pump 40 is also incorporated into the primary catheter 14 . preferably , the pump 40 is mounted in the lumen 42 of the catheter body 32 , adjacent the distal end 16 . the pump 40 is mounted a spaced distance from fluid inlets 58 provided on the distal end 16 of the catheter body 32 . the pump 40 comprises a rotor 44 rotatably mounted inside the pump body 46 and a stator 48 fixedly mounted to the interior of the pump body 46 . rotation of the rotor 44 inside the pump body 46 is controlled by a suitable drive mechanism 54 provided a spaced distance from the pump . the rotor 44 is interconnected to the drive mechanism 54 by a drive cable 50 extending proximally therefrom . preferably , the drive cable 50 is provided inside a cable sheath formed from a compatible material . examples of acceptable structures for the intravascular blood pump 40 are seen in pct patent application wo 89 / 05164 , u . s . pat . no . 4 , 846 , 152 and u . s . pat . no . 4 , 944 , 722 , each of which are expressly incorporated herein by reference . one example of an acceptable drive mechanism is seen in u . s . pat . no . 4 , 895 , 557 which is expressly incorporated herein by reference . the proximal end 18 of the primary catheter 14 has a conventional connector 56 provided thereon . the connector 56 is adapted to telescopically receive a complementary connector 60 provided on the distal end 22 of the secondary catheter 20 . the connectors 56 , 60 cooperate to establish fluid communication between the lumen 42 of the primary catheter 14 and the lumen of the secondary catheter 20 . the secondary catheter is commercially available from the dlp division of medtronic , inc ., located in grand rapids , mich . the secondary catheter 20 comprises a main body 62 with a lumen extending therethrough and a plurality of supply catheters 24 extending therefrom . preferably , the main body 62 has a clamp 63 provided thereon which can be used to close the lumen and prevent the flow of fluid therethrough . a conventional interconnection 64 is provided at the junction of the main body 62 of the secondary catheter 20 and each of the supply catheters 24 . the lumens of each of the supply catheters 20 are fluidly connected to the lumen of the main body 62 . preferably , each secondary catheter 20 has a clamp 66 provided on the body thereof and a conventional connector 68 provided on the terminal end thereof . the connectors 68 of the supply catheters 24 are adapted to be telescopically received in the proximal end 72 of the arteriotomy cannulae 26 . a lumen extends through the body of the cannula 26 to an aperture provided at the distal end 74 . the distal end 74 is adapted to be received in a blood vessel so that blood can flow through the primary catheter 14 , secondary catheter 20 , supply catheter 24 and cannula 26 . the cannulae 26 are commercially available from the dlp division of medtronic , inc . located in grand rapids , mich . one application of the intravascular pump and balloon catheter assembly 12 according to the invention is seen in fig1 . in this embodiment , the assembly 12 is adapted for use in repairing an aortic aneurysm . the process is performed by first inserting the distal end 16 of the primary catheter 14 into the aorta 80 through an incision 82 provided upstream from the affected aortic tissue 84 . the distal end 16 of the catheter is inserted with the balloon 34 in the retracted state . next , one or more of the cannulae 26 are inserted into the aorta 80 downstream from the affected tissue 84 through an appropriate incision 88 . a suitable fluid is supplied through the inflation lumen 36 to inflate the balloon until it fully occludes the fluid flow through the aorta 80 . while it is preferred that the balloon fully occludes the fluid flow , this condition is not necessary . the balloon could be adapted to only partially occlude the aorta 80 . simultaneously , or prior to the inflation , the pump 40 is activated by the drive mechanism 54 . fluid is drawn into the distal end 16 of the primary catheter 14 and flows to the secondary catheter 20 and the fluidly connected cannula 26 . once these fluid interconnections are established and the pump 40 is activated , the pump 40 creates an effective bypass of the affected tissue 84 of the aorta 80 . with the bypass in place , the aorta can be cross clamped both upstream and downstream of the affected tissue 84 by a pair of clamps 90 , 92 . next , the affected tissue 84 of the aorta 80 can be opened so that the necessary repair of the aneurysm can be performed . depending upon the location of the affected tissue , the fluid flow from the aorta could be terminated for one or more arteries . as seen in fig1 an artery 94 fluidly connects to the aorta 80 intermediate the clamps 90 , 92 . in order to continue the flow of blood to the artery 94 and the tissue serviced by the artery , one of the cannula 26 is inserted into the artery 94 and the appropriate clamp 66 is opened . with this arrangement , oxygenated blood is drawn through the intravascular pump and supplied to the aorta 80 downstream from the clamp and to arteries intermediate the clamps 90 , 92 on the aorta . the arteriotomy cannulae 26 can also be tapped into other arteries requiring an enhanced fluid flow or arteries 96 , as seen in fig1 intermediate the balloon 34 and the upstream aortic clamp 90 in which the natural blood flow is disrupted . using this structure , bypass for the cross clamped aorta is achieved while simultaneously providing means for supplying pressurized blood flow to other affected arteries . use of the intravascular pump is ideal for patients having a weakened heart or which are otherwise prevented from generating strong blood flow . the pump will create a significant pressure differential between the inlet of the pump and the outlet so that all arteries fluidly connected to the outlet of the pump will be provided with an adequate supply of blood . experimentation has shown that use of the intravascular pump according to the invention reduces the required amount of anticoagulant drugs such as heparin . it is believed that this beneficial effect is the result of the reduced surface area which the blood contacts during the bypass procedure . regardless of the cause , the benefit is substantial because surgeons can now reduce the amount of heparin introduced into the bloodstream during an aneurysm repair procedure and thereby speed recovery from the surgical procedure . fig4 shows an alternative application of the intravascular pump and balloon catheter assembly 12 according to the invention . in this application , a patient 100 has a catheter 102 inserted into the right femoral artery 104 . the catheter 102 can be used for a host of different conventional procedures . one problem experienced by patients having devices , such as the catheter 102 , inserted into the femoral artery is the sufficiency of the blood flow to the right leg 106 , downstream from the insertion point 108 of the catheter 102 . the intravascular pump and balloon catheter assembly 12 according to the invention can be used to divert some of the blood flow from the left femoral artery 110 to the right femoral artery 104 , downstream from the insertion point 108 of the catheter 102 . specifically , the distal end 16 of the catheter assembly 12 is inserted into the left femoral artery 110 through an appropriate incision 112 . at least one of the arteriotomy cannulae 26 extend from the primary catheter 14 and is inserted through an appropriate incision into the right leg 106 , downstream from the insertion point of the catheter 108 . the pump 40 is activated so that at least a portion of the blood flowing through the left femoral artery 110 is redirected to the right femoral artery 104 downstream from the occlusion caused , in this example , by the catheter . in the embodiment described above , the balloon is not inflated in the left femoral artery 110 so that blood flow continues therethrough . if it is necessary to inflate the balloon in order to properly position and secure the distal end 16 of the primary catheter in the artery , then some means must be provided for redirecting a portion of the blood flow to the remainder of the left leg . in the embodiment seen in fig4 a second arteriotomy cannula 26 is inserted through an appropriate incision into the left artery , downstream from the incision 112 . with this structure , the blood flow through the left femoral artery 110 is split between the right femoral artery 104 and the remainder of the left femoral artery 110 . an alternative to utilizing a second cannula 26 for tapping into the left femoral artery 110 would be to provide one or more apertures directly on the primary catheter body 14 so that some of the blood flow through the primary catheter is directed to the cannula 26 while a portion of the blood flows out the apertures , back into the femoral artery 110 . as is evident , the intravascular pump and balloon catheter assembly according to the invention 12 can be used in any application in which blood flow within a vessel must bypass an occlusion or restriction in flow . the incorporation of the secondary catheter and the cannulae on the primary catheter allow for a wide range of applications and adaptions of this basic structure . reasonable variation and modification are possible within the spirit of the foregoing specification and drawings without departing from the scope of the invention .
an intravascular pump and balloon catheter assembly is shown . the assembly includes a primary catheter having a balloon provided thereon and an intravascular pump provided therein . the pump is adapted to generate a pressure differential between the inlet of the catheter and the outlet . with this structure , fluid is supplied , under pressure , to multiple arteriotomy cannulae provided at the terminal end of the assembly . the cannulae are inserted into blood vessels at appropriate points so that an occlusion or restriction in a blood vessel can be bypassed while still maintaining blood flow throughout the body .