Directional anchoring mechanism, method and applications thereof

• US 10,406,325 B2
• Filed: 05/18/2012
• Issued: 09/10/2019
• Est. Priority Date: 02/09/2004
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Averbuch, Dorian
• Primary Examiner(s): Mehta, Bhisma
• Assistant Examiner(s): Schell, Laura C
• Application Number:
  US13/475,836
• Publication Number:
  US 20120232475A1
• Time in Patent Office: 2,671 Days
• Field of Search: 604 9601
• CPC Class Codes: A61B 2017/22071 Steering
• CPC Class Codes: A61M 2025/0057 Catheters delivering medicament other than through a conventional lumen, e.g. porous walls or hydrogel coatings
• CPC Class Codes: A61M 2025/0089 Single injection needle protruding axially, i.e. along the longitudinal axis of the catheter, from the distal tip
• CPC Class Codes: A61M 2025/1013 with concentrically mounted balloons, e.g. being independently inflatable
• CPC Class Codes: A61M 2025/105 having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes
• CPC Class Codes: A61M 2025/1075 having a balloon composed of several layers, e.g. by coating or embedding
• CPC Class Codes: A61M 2025/1081 having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
• CPC Class Codes: A61M 25/0105 Steering means as part of the catheter or advancing means; Markers for positioning systems for detection of markers A61B
• CPC Class Codes: A61M 25/0133 Tip steering devices
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters
• CPC Class Codes: A61M 37/0069 Devices for implanting pellets, e.g. markers or solid medicaments for introducing of radioactive sources for interstitial radiation therapy, i.e. brachytherapy A61N5/1027

Abstract

An anchoring mechanism and method for anchoring a device within a biological conduit include an expandable element configured for retaining the device at a desired angle relative to a central axis of the biological conduit. A steering mechanism is preferably provided for orienting the device prior to operation of the anchoring mechanism. The anchoring mechanism and method are employed in drug delivery devices, brachytherapy devices or for anchoring a catheter or sheath to provide a working channel for reliable guidance of a wide range of tools to a target location within the body.

Claims

1. An instrument for deployment within a biological conduit comprising:

a catheter defining a longitudinal axis, the catheter having a distal tip angled with respect to the longitudinal axis of the catheter to form a bend;

a first expandable anchor comprising a first anchoring cage and extending from the distal tip to a location proximal of the bend, the first anchoring cage, the first anchoring cage annularly disposed about the catheter and configured to transition between an expanded state and a retracted state, wherein, in the expanded state, an outer peripheral surface of the first anchoring cage is configured to act against an internal surface of the biological conduit, and the distal tip of the catheter is oriented at a predefined non-zero angle relative to a central axis of the biological conduit, such that the distal tip is angled with respect to the longitudinal axis of the catheter towards a target region on or behind a wall of the biological conduit; and

a second expandable anchor comprising a second anchoring cage and positioned proximal to the first expandable anchor, and the second anchoring cage configured to transition between an expanded state and a retracted state, at least one of the first or second anchoring cages configured to produce high friction engagement with the internal surface of the biological conduit while allowing fluid flow through the biological conduit when in the expanded state.

2. The instrument of claim 1, wherein at least one of the first or second anchoring cages comprises at least one filamentous element.

3. The instrument of claim 2, wherein the at least one filamentous element comprises a material selected from the group of materials comprising:

stainless steel and Nitinol.

4. The instrument of claim 2, wherein the at least one filamentous element is woven.

5. The instrument of claim 1, wherein, in the expanded state, at least one of the first or second anchoring cages is configured to align itself in a predefined orientation relative to the central axis of the biological conduit.

6. The instrument of claim 1, wherein the catheter further comprises a sheath configured to retain at least one of the first or second anchoring cages in the retracted state.

7. The instrument of claim 1, further comprising a position sensor forming part of a position measuring system for monitoring a position and attitude of the distal tip of the catheter.

8. The instrument of claim 7, wherein the position sensor is associated with a steering mechanism operable to deflect the distal tip of the catheter.

9. The instrument of claim 8, wherein the steering mechanism is implemented as part of a guide element removably deployable within the catheter.

10. The instrument of claim 7, wherein the catheter further defines a lumen having the position sensor removably disposed therein.

11. The instrument of claim 1, wherein at least one of the first or second anchoring cages is biased towards the expanded state of the respective first or second anchoring cages.

12. The instrument of claim 1, wherein the first anchoring cage is configured to expand towards the expanded state of the first anchoring cage beginning from the distal tip of the catheter.

13. The instrument of claim 1, wherein at least one of the first or second anchoring cages is configured to expand towards the expanded state of the respective first or second anchoring cages beginning at a point proximal of the distal tip of the catheter.