Endoluminal filter having enhanced echogenic properties

• US 10,292,677 B2
• Filed: 09/24/2015
• Issued: 05/21/2019
• Est. Priority Date: 03/14/2013
• Status: Active Grant

• Current Assignee: Volcano Corporation (Koninklijke Philips N.V.)
• Original Assignee: Volcano Corporation (Koninklijke Philips N.V.)
• Inventors: Johnson, Eric, Stigall, Jeremy
• Primary Examiner(s): Lamprecht, Joel
• Application Number:
  US14/864,193
• Publication Number:
  US 20160074011A1
• Time in Patent Office: 1,335 Days
• CPC Class Codes: A61B 8/0833 involving detecting or locating foreign bodies or organic structures
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61B 8/0891 for diagnosis of blood vessels
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61F 2/01 Filters implantable into blood vessels
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2240/001 Designing or manufacturing processes
• CPC Class Codes: A61F 2250/0096 Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers

Abstract

An endoluminal filter, comprising a first support member having a first end and a second end; and a second support member attached to the first end of the first support member or the second end of the first support member and forming a crossover with the first support member to form two loops one on either side of the crossover, wherein at least a portion of the first or second support member is modified to provide an enhanced echogenic characteristic. A system for positioning a filter within a vasculature including an endoluminal filter, a user interface, a display, and a processor is also provided. A method for positioning a filter within a lumen is also provided wherein the steps are performed using an intravascular ultrasound system and the filter is modified to provide at least one echogenic characteristic.

Claims

1. A system for positioning a filter within the vasculature, the system comprising:

an endoluminal filter comprising;

a first support member having a first end and a second end; and

a second support member attached to the first end of the first support member or the second end of the first support member and forming a crossover with the first support member to form two loops one on either side of the crossover, wherein at least a portion of the first support member, the second support member, the first end, the second end or a region adjacent to the cross over or any portion of one of the above is modified to provide an enhanced echogenic characteristic of the endoluminal filter;

a guidewire having a proximal end, a distal end, and a first pressure sensor located near the distal end of the guidewire;

a sheath having a proximal end, a distal end and a lumen, the lumen configured to receive the guide wire;

the filter attached to a distal portion of the sheath;

an intravascular ultrasound transducer disposed at the distal end of the sheath;

a user interface configured to receive input from an operator regarding a surgical procedure including an insertion site and a destination site for positioning the filter according to the surgical procedure;

a display;

a processor programmed to;

receive input from the user interface regarding the surgical procedure;

determine anatomical landmarks between the insertion site and the destination site;

receive an intravascular ultrasound signal from the intravascular ultrasound transducer;

process the intravascular ultrasound signal into an image; and

send the image to the display.

2. The system of claim 1, wherein the processor is further programmed to:

identify any anatomical landmarks in the image; and

tag the anatomical landmarks in the displayed image.

3. The system of claim 2, wherein the processor is further programmed for determining a location of the filter based on the identified anatomical landmarks in the image.

4. The system of claim 3, wherein the processor is further programmed for determining whether the location is the destination site.

5. The system of claim 4, wherein the processor is further programmed to:

send a visual indicator to the display when the location has been determined to be the destination site.

6. The system of claim 5, wherein the visual indicator is color coded.

7. The system of claim 1, wherein the processor is further programmed for:

determining an orientation of the filter with respect to anatomical landmarks using the processed intravascular ultrasound imaging signal.

8. The system of claim 1, wherein the processor is further programmed to:

generate instructions for adjusting the position of the filter based on the determined orientation of the filter.

9. The system of claim 1 wherein the processor is further programmed to send a visual indicator to the display or determine an orientation of the filter or generate instructions for adjusting the position of the filter based on information obtained from one or more echogenic characteristics.

10. The system of claim 1 further comprising a material capture structure extending between the first and second support members, the crossover and the first end or the second end of the first support member, wherein any portion of one of the above is modified to provide an enhanced echogenic characteristic of the endoluminal filter related to the use, status or of clot burden of the material capture structure.

11. The system of claim 1 further comprising at least one tissue anchor on the first support member or the second support member wherein any portion of the tissue anchor or any portion of one of the above is modified to provide an enhanced echogenic characteristic of the endoluminal filter related to the use, status, position orientation of the at least one tissue anchor or the endoluminal filter.

12. The system of claim 1 wherein the modification to provide an enhanced echogenic characteristic of the filter is the formation of dimples into a surface of the filter.

13. The system of claim 1 wherein the modification to provide an enhanced echogenic characteristic of the filter is the formation of protrusions formed in, placed on or joined to a filter surface.

14. The system of claim 13 wherein the protrusions are of sufficient number and scaled to a suitable size, shape, orientation and pattern for use with an intravascular ultrasound system.

15. The system of claim 1 wherein the modification to provide an enhanced echogenic characteristic of the filter is the roughening one or more surf aces of a filter.

16. The system of claim 15 wherein the roughening is performed using a chemical process, a laser or bead blasting technique.

17. The system of claim 1 wherein the modification to provide an enhanced echogenic characteristic of the filter is altering one or more steps of a filter manufacturing technique to introduce cavities, voids or pockets to locally modify or adapt one or more acoustic reflection characteristics to improve echogenicity in one or more specific regions of the filter.

18. The system of claim 1, the endoluminal filter further comprising:

a retrieval feature on the first end and a retrieval feature on the second end, wherein at least one retrieval feature is modified to provide an echogenic capability.

19. The system of claim 11 wherein the tissue anchor is formed from or attached to a tube covering at least a portion of the first support member or the second support member;

the tissue anchor is a tube having a tissue engagement surface, the tissue engagement surface comprises a raised form or a spiral raised form, or the tissue anchor comprises a coil wrapped around the first or the second support member having at least one end adapted to pierce tissue and wherein the modification to provide an enhanced echogenic characteristic of the filter is a modification to a tissue anchor.

20. The system of claim 1, the endoluminal filter further comprising an IVUS transducer integrated into the filter.

21. A system for positioning a filter within the vasculature, the system comprising:

a filter delivery catheter, comprising;

a delivery catheter adapted and configured for delivery of an endoluminal filter;

an IVUS transducer integrated into the distal portion of the delivery catheter;

one or more connectors on the proximal end of the delivery catheter adapted and configured to connect the IVUS transducer to an appropriate imaging or processing system;

a user interface configured to receive input from an operator regarding a surgical procedure including an insertion site and a destination site for positioning the filter according to the surgical procedure;

a display;

a processor programmed to;

receive input from the user interface regarding the surgical procedure;

determine anatomical landmarks between the insertion site and the destination site;

receive an intravascular ultrasound signal from the intravascular ultrasound transducer;

process the intravascular ultrasound signal into an image; and

send the image to the display.

22. The system of claim 21, the filter delivery catheter further comprising:

a telescoping sleeve moveable relative to the filter delivery catheter.

23. The system of claim 21, the filter delivery catheter further comprising:

a pusher rod moveable relative to the filter delivery catheter.

24. The system of claim 21 wherein the IVUS transducer integrated into the distal portion of the delivery catheter is adapted and configured whereby advancing and retracting the delivery catheter generates a plurality of images slices from the IVUS transducer.

25. The system of claim 21 wherein the IVUS transducer integrated into the distal portion of the delivery catheter is adapted and configured whereby advancing and retracting the delivery catheter can provide an output from the IVUS transducer for positioning guidance of a filter delivered using the delivery catheter.

26. The system of claim 21 wherein the IVUS transducer is integrated into the distal tip or end of the delivery catheter.

27. The system of claim 21, the delivery catheter further comprising:

a pressure transducer.

28. The system of claim 27 wherein the pressure transducer is located proximal to the IVUS transducer.

29. The system of claim 21, the delivery catheter further comprising:

a filter comprising;

a first support member having a first end and a second end; and

a second support member attached to the first end of the first support member or the second end of the first support member and forming a crossover with the first support member to form two loops one on either side of the crossover,

wherein at least a portion of the first support member, the second support member, the first end, the second end or a region adjacent to the cross over or any portion of one of the above is modified to provide an enhanced echogenic characteristic of the endoluminal filter.

30. A method of positioning a filter within a lumen, comprising:

advancing a delivery catheter according to claim 27 through the lumen;

using imaging information provided by the IVUS transducer on the delivery catheter to determine relative position before deploying a portion of the filter from the delivery catheter into the lumen to engage the lumen wall while maintaining substantially all of a material capture structure of the filter within the sheath.

31. The method of claim 30 further comprising:

using imaging information provided by the IVUS transducer on the delivery catheter before deploying the material capture structure of the filter from the delivery catheter to a position across the lumen.

32. The method of claim 30 further comprising:

obtaining IVUS imaging of the lumen using the delivery catheter prior to deployment of the filter, after the deployment of the filter or during the deployment of the filter.

33. The method of claim 30 further comprising:

obtaining IVUS imaging of the lumen using the delivery catheter for imaging a deployment location and estimating the sizing of a filter for the deployment location.

34. The method of claim 30 further comprising:

estimating treatment duration using the imaging information collected.