WO1999044542A2 - Distal protection device and method - Google Patents

Distal protection device and method Download PDF

Info

Publication number
WO1999044542A2
WO1999044542A2 PCT/US1999/004460 US9904460W WO9944542A2 WO 1999044542 A2 WO1999044542 A2 WO 1999044542A2 US 9904460 W US9904460 W US 9904460W WO 9944542 A2 WO9944542 A2 WO 9944542A2
Authority
WO
WIPO (PCT)
Prior art keywords
sheath
filter
guidewire
mouth
profile
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US1999/004460
Other languages
English (en)
French (fr)
Other versions
WO1999044542A3 (en
Inventor
Thomas E. Broome
John M. K. Daniel
Thomas R. Hektner
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Scimed Inc
Original Assignee
Scimed Life Systems Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=21884520&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=WO1999044542(A2) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Priority to CA002322451A priority Critical patent/CA2322451C/en
Priority to DE69922351T priority patent/DE69922351T2/de
Priority to EP99909708A priority patent/EP1059890B8/en
Priority to AT99909708T priority patent/ATE283674T1/de
Priority to JP2000534150A priority patent/JP4102023B2/ja
Priority to DE1059890T priority patent/DE1059890T1/de
Publication of WO1999044542A2 publication Critical patent/WO1999044542A2/en
Publication of WO1999044542A3 publication Critical patent/WO1999044542A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01—Filters implantable into blood vessels
    • A61F2/0108—Both ends closed, i.e. legs gathered at both ends
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01—Filters implantable into blood vessels
    • A61F2/011—Instruments for their placement or removal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01—Filters implantable into blood vessels
    • A61F2002/018—Filters implantable into blood vessels made from tubes or sheets of material, e.g. by etching or laser-cutting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/0006—Rounded shapes, e.g. with rounded corners circular
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/0008—Rounded shapes, e.g. with rounded corners elliptical or oval
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/005—Rosette-shaped, e.g. star-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0067—Three-dimensional shapes conical

Definitions

  • FIG. 7 is a view of the protection device of FIGS. 1-3 operating in a vessel in an expanded deployed profile and illustrating a retrieval sheath for withdrawal of the deployed protection device.
  • FIG. 19 is a view of the protection device of FIG. 18 in an expanded deployed profile in a vessel, shown with the insertion sheath withdrawn proximaliy.
  • FIG. 20 is a view of the protection device of FIG. 18 in a collapsed profile being withdrawn from the vessel via a retrieval sheath.
  • frame 94 is formed of an elongated wire 112 having opposed ends. Opposed ends of wire 112 are coupled to collar 96 to form a mouth, and filter 92 (in particular, pleated portion 102) is coupled to wire 112 along substantially the entire length of wire 112.
  • guidewire 32 extends through collar 96 and through the mouth and extends along the entire longitudinal length of filter 92.
  • collar 96 is moved proximally as illustrated by arrow 114 to collapse the mouth formed by frame 94 for insertion.
  • Collar 96 is slid distally to expand the mouth formed by frame 94 and filter 92 to a deployment position.
  • wire 112 is formed of a relatively elastic material such as Nitinol.
  • -Latch 194 on collar 156 includes a camming surface 200 and a lateral locking surface 202.
  • Sheath 184 is advanced over the guidewire 32 to insert tip 190 through the opening in tubular collar 156. Tip 190 is advanced until camming surfaces 196, 200 expand collar 156 to further advance arrow-shaped tip 190 until collar 156 collapses to align locking surfaces 198, 202 to lock device 150 to sheath 184 for withdrawal.
  • retrieval device 184 is first withdrawn proximally, as illustrated by arrow 204, while maintaining the position of guidewire 32 to force the frame 154 and filter 152 against the spring bias to a low-profile dimension. Thereafter, retrieval sheath 184 and guidewire 32 are collectively proximally withdrawn as illustrated to remove the device .
  • device 230 is mounted relative to the guidewire by inserting guidewire 210 through an opening in cone 232.
  • Device 230 is advanced over guidewire 210 to align cone 232 with docking member 216.
  • Cone 232 is forced into channel 220 of docking member 216 until ring 242 snaps into groove 222 and is maintained therein.
  • Device 230 is inserted in a low-profile collapsed condition via cooperation with sheath 64, and is deployed by withdrawing sheath 64 while maintaining the position of guidewire 210 after device 230 is positioned at a treatment site (as comparatively illustrated in FIGS. 18-19) similar to that previously described with reference to FIGS. 13-14.
  • Outer tubular member 283 is formed of a composite structure including a first tubular portion 288 and a second tubular portion 290.
  • the first tubular portion 288 includes a proximal end (not shown) and a distal end 292.
  • the second tubular portion 290 includes a proximal end 294 and a distal end 296.
  • Proximal end 294 is coupled to distal end 292 of tubular member 288 to form a composite outer tubular structure 283 having a proximal end (not shown) and distal end 296.
  • Inner tube 284 includes a proximal end (not shown) and a distal end 298.
  • retrieval sheath 280 is inserted into a patient's vasculature with flanged end 308 in a collapsed position within inner tube 283 to provide a low profile for insertion. Retrieval sheath 280 is inserted and aligned closely proximate to deployed protection device 282.
  • frame 330 is formed of an elongate wire 332 and a polymer sleeve 334.
  • Frame 330 is coupled to guidewire 322 and is supported thereby between the insertion dimension illustrated in FIG. 23 and the deployed dimension illustrated in FIGS. 22 and 24.
  • Filter 328 is coupled to frame 330 and is supported thereby at its proximal end by frame 330.
  • Filter 328 may be formed of a polymer sheet material or a mesh-like material having holes or openings 336 therein to allow blood to flow therethrough while restricting flow of emboli, debris and clotting material.
  • Filter 328 is cone-shaped, preferably having a "V" -shaped tip and a large opening to funnel debris for collection.
  • Filter 328 and sleeve 334 may be integrally or separately formed, and secured via known attachment methods such as known adhesives.

Landscapes

  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Public Health (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Window Of Vehicle (AREA)
  • Electronic Switches (AREA)
  • Shovels (AREA)
  • Inorganic Insulating Materials (AREA)
  • Amplifiers (AREA)
  • Emergency Protection Circuit Devices (AREA)
  • Air Bags (AREA)
PCT/US1999/004460 1998-03-05 1999-03-01 Distal protection device and method Ceased WO1999044542A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
CA002322451A CA2322451C (en) 1998-03-05 1999-03-01 Distal protection device and method
DE69922351T DE69922351T2 (de) 1998-03-05 1999-03-01 Schutzvorrichtung gegen Embolien
EP99909708A EP1059890B8 (en) 1998-03-05 1999-03-01 Emboli protection device
AT99909708T ATE283674T1 (de) 1998-03-05 1999-03-01 Schutzvorrichtung gegen emboli
JP2000534150A JP4102023B2 (ja) 1998-03-05 1999-03-01 遠位側防護装置および方法
DE1059890T DE1059890T1 (de) 1998-03-05 1999-03-01 Vorrichtung und verfahren zum distalen schutz

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/035,740 1998-03-05
US09/035,740 US6152946A (en) 1998-03-05 1998-03-05 Distal protection device and method

Publications (2)

Publication Number Publication Date
WO1999044542A2 true WO1999044542A2 (en) 1999-09-10
WO1999044542A3 WO1999044542A3 (en) 1999-11-04

Family

ID=21884520

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1999/004460 Ceased WO1999044542A2 (en) 1998-03-05 1999-03-01 Distal protection device and method

Country Status (8)

Country Link
US (1) US6152946A (enExample)
EP (4) EP2113223B1 (enExample)
JP (1) JP4102023B2 (enExample)
AT (3) ATE283674T1 (enExample)
CA (1) CA2322451C (enExample)
DE (4) DE1059890T1 (enExample)
ES (1) ES2325018T3 (enExample)
WO (1) WO1999044542A2 (enExample)

Cited By (185)

* Cited by examiner, † Cited by third party
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WO2000049970A1 (en) * 1999-02-24 2000-08-31 Scimed Life Systems, Inc. Intravascular filter and method
WO2001010346A1 (fr) * 1999-08-10 2001-02-15 B. Braun Medical Dispositif intraluminal expansible
WO2001039673A1 (en) 1999-12-06 2001-06-07 Bacchus Vascular, Inc. Systems and methods for clot disruption and retrieval
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WO2001097697A1 (en) * 2000-06-22 2001-12-27 White Geoffrey H Method and apparatus for performing percutaneous thromboembolectomies
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DE29924224U1 (de) 2002-07-25
US6152946A (en) 2000-11-28
CA2322451C (en) 2008-10-28
DE69922351D1 (de) 2005-01-05
EP2343027B1 (en) 2012-12-26
CA2322451A1 (en) 1999-09-10
EP1059890A2 (en) 2000-12-20
WO1999044542A3 (en) 1999-11-04
JP4102023B2 (ja) 2008-06-18
ATE430532T1 (de) 2009-05-15
JP2002505151A (ja) 2002-02-19
EP1479357B1 (en) 2009-05-06
ES2325018T3 (es) 2009-08-24
EP1059890B8 (en) 2005-02-02
DE1059890T1 (de) 2001-09-06
EP2113223A1 (en) 2009-11-04
ATE515243T1 (de) 2011-07-15
ATE283674T1 (de) 2004-12-15
EP1479357A1 (en) 2004-11-24
EP2343027A1 (en) 2011-07-13
DE69922351T2 (de) 2005-11-10
EP1059890B1 (en) 2004-12-01
EP2113223B1 (en) 2011-07-06
DE69940860D1 (de) 2009-06-18

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