WO2019191281A1 - Accessory device to provide neuroprotection during interventional procedures - Google Patents

Accessory device to provide neuroprotection during interventional procedures Download PDF

Info

Publication number
WO2019191281A1
WO2019191281A1 PCT/US2019/024356 US2019024356W WO2019191281A1 WO 2019191281 A1 WO2019191281 A1 WO 2019191281A1 US 2019024356 W US2019024356 W US 2019024356W WO 2019191281 A1 WO2019191281 A1 WO 2019191281A1
Authority
WO
WIPO (PCT)
Prior art keywords
filter device
filter
catheter
emboli
vessel
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/US2019/024356
Other languages
English (en)
French (fr)
Inventor
Brian B. Martin
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.)
Maduro Discovery LLC
Original Assignee
Maduro Discovery LLC
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
Application filed by Maduro Discovery LLC filed Critical Maduro Discovery LLC
Priority to ES19778385T priority Critical patent/ES2952935T3/es
Priority to EP19778385.5A priority patent/EP3773329B1/en
Priority to JP2020573574A priority patent/JP7237997B2/ja
Priority to CN202211129969.XA priority patent/CN115475029A/zh
Priority to CN201980035636.0A priority patent/CN112423703A/zh
Priority to EP23173583.8A priority patent/EP4218669A1/en
Publication of WO2019191281A1 publication Critical patent/WO2019191281A1/en
Anticipated expiration legal-status Critical
Priority to JP2023031443A priority patent/JP7675756B2/ja
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
    • A61F2/013—Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
    • 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
    • A61F2/013—Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
    • A61F2/014—Retrograde blood flow filters, i.e. device inserted against the blood flow direction
    • 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
    • A61F2002/016—Filters implantable into blood vessels made from wire-like elements
    • 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
    • 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2002/068—Modifying the blood flow model, e.g. by diffuser or deflector
    • 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
    • A61F2210/0061—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof swellable
    • 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
    • A61F2210/0076—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof multilayered, e.g. laminated structures
    • 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
    • A61F2230/0069—Three-dimensional shapes cylindrical

Definitions

  • FIG. 4F illustrates another variation where the polymer layer or membrane is located within a filter device 100.
  • a soft, ultra-compliant polymer such as urethane or another thermoplastic elastomer TPE
  • TPE thermoplastic elastomer
  • the seal 102 shown in FIG. 4F includes a large upper sealing surface 166 adjacent to an outer surface of the filter device 100 and a smaller lower sealing surface 168 adjacent to an inner passage of the filter device 100.
  • FIG. 4H and 41 illustrate a variation of a filter device 100 having a first flow activated seal 102 with a secondary seal 114.
  • Tethering can be accomplished with a tack melt, additional encapsulation/thermal fuse, or using additional fibers or polymer or metal filaments.

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (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)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
PCT/US2019/024356 2018-03-27 2019-03-27 Accessory device to provide neuroprotection during interventional procedures Ceased WO2019191281A1 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
ES19778385T ES2952935T3 (es) 2018-03-27 2019-03-27 Dispositivo accesorio para proporcionar neuroprotección durante procedimientos de intervención
EP19778385.5A EP3773329B1 (en) 2018-03-27 2019-03-27 Accessory device to provide neuroprotection during interventional procedures
JP2020573574A JP7237997B2 (ja) 2018-03-27 2019-03-27 インターベンション治療中の神経保護のための付属装置
CN202211129969.XA CN115475029A (zh) 2018-03-27 2019-03-27 在介入治疗手术期间提供神经保护的辅助器械
CN201980035636.0A CN112423703A (zh) 2018-03-27 2019-03-27 在介入治疗手术期间提供神经保护的辅助器械
EP23173583.8A EP4218669A1 (en) 2018-03-27 2019-03-27 Accessory device to provide neuroprotection during interventional procedures
JP2023031443A JP7675756B2 (ja) 2018-03-27 2023-03-01 インターベンション治療中の神経保護のための付属装置

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201862648393P 2018-03-27 2018-03-27
US62/648,393 2018-03-27

Publications (1)

Publication Number Publication Date
WO2019191281A1 true WO2019191281A1 (en) 2019-10-03

Family

ID=68060745

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2019/024356 Ceased WO2019191281A1 (en) 2018-03-27 2019-03-27 Accessory device to provide neuroprotection during interventional procedures

Country Status (6)

Country Link
US (4) US11684465B2 (https=)
EP (2) EP3773329B1 (https=)
JP (2) JP7237997B2 (https=)
CN (2) CN112423703A (https=)
ES (1) ES2952935T3 (https=)
WO (1) WO2019191281A1 (https=)

Cited By (1)

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US11020211B2 (en) 2018-03-27 2021-06-01 Maduro Discovery, Llc Accessory device to provide neuroprotection during interventional procedures

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US9345573B2 (en) 2012-05-30 2016-05-24 Neovasc Tiara Inc. Methods and apparatus for loading a prosthesis onto a delivery system
US10631984B2 (en) 2015-12-15 2020-04-28 Neovasc Tiara Inc. Transseptal delivery system
EP4183372A1 (en) 2016-01-29 2023-05-24 Neovasc Tiara Inc. Prosthetic valve for avoiding obstruction of outflow
EP3541462A4 (en) 2016-11-21 2020-06-17 Neovasc Tiara Inc. METHODS AND SYSTEMS FOR THE QUICK RETURN OF A TRANSCATHETER HEART VALVE RELEASE SYSTEM
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CN113520674B (zh) * 2021-07-16 2024-09-27 湖南埃普特医疗器械有限公司 一种瓣膜扩张保护装置
WO2023091894A1 (en) * 2021-11-16 2023-05-25 Encompass Technologies, Inc. Cerebral embolic protection during open heart surgery
CN116138923A (zh) * 2021-11-19 2023-05-23 上海蓝帆博奥医疗科技有限公司 血栓过滤装置
JP2025513542A (ja) 2022-04-22 2025-04-24 インクイス メディカル，インコーポレーテッド 血餅除去のための吸引装置
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CN115363815A (zh) * 2022-09-29 2022-11-22 中国医学科学院阜外医院 一种脑保护装置及瓣膜输送系统、应用
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Publication number Priority date Publication date Assignee Title
US11020211B2 (en) 2018-03-27 2021-06-01 Maduro Discovery, Llc Accessory device to provide neuroprotection during interventional procedures
US11684465B2 (en) 2018-03-27 2023-06-27 Maduro Discovery, Llc Accessory device to provide neuroprotection during interventional procedures
US12251297B2 (en) 2018-03-27 2025-03-18 Maduro Discovery, Llc Accessory device to provide neuroprotection during interventional procedures

Also Published As

Publication number Publication date
JP2023060070A (ja) 2023-04-27
US11684465B2 (en) 2023-06-27
US11020211B2 (en) 2021-06-01
JP7675756B2 (ja) 2025-05-13
US20200054432A1 (en) 2020-02-20
US20250241739A1 (en) 2025-07-31
US20230277290A1 (en) 2023-09-07
JP7237997B2 (ja) 2023-03-13
ES2952935T3 (es) 2023-11-07
CN112423703A (zh) 2021-02-26
EP3773329A1 (en) 2021-02-17
US20210022845A1 (en) 2021-01-28
EP4218669A1 (en) 2023-08-02
CN115475029A (zh) 2022-12-16
EP3773329A4 (en) 2021-12-08
JP2022515690A (ja) 2022-02-22
EP3773329B1 (en) 2023-05-17
US12251297B2 (en) 2025-03-18

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