Methods of protecting a patient from embolization during surgery
First Claim
Patent Images
1. A system for deploying and retracting a filter during a procedure, the system comprising:
- (a) a filter device adapted to capture material within a fluid, said filter device comprising;
(i) a guide member adapted to act as an exchange guidewire;
(ii) a filter connected to said guide member, said filter being adapted to capture the material within the fluid;
(iii) a restraining member coupled to said guide member and adapted to prevent said filter from being deployed;
(iv) an actuating assembly cooperating with said restraining member, said actuating assembly being configured to deploy said filter and maintain said filter in a selected position upon activation of said actuating assembly; and
(b) a capture catheter selectively coupled to said filter device, said capture catheter being adapted to at least partially surround said filter when material has been capture by said filter following deploying said filter.
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Abstract
An apparatus suitable for filtering emboli in an open surgical procedure. The apparatus comprises an elongated member having a distal region and a support hoop attached to the distal region. A blood permeable sac is affixed to the support hoop so that the support hoop forms a distally-facing mouth of the blood permeable sac. A guidewire is slideably attached to the elongated member. A delivery sheath is provided having a cavity for accepting the elongated member, support hoop and blood permeable sac, and a lumen extending through the cavity to permit the guidewire to pass therethrough. Methods of use are also described.
190 Citations
120 Claims
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1. A system for deploying and retracting a filter during a procedure, the system comprising:
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(a) a filter device adapted to capture material within a fluid, said filter device comprising;
(i) a guide member adapted to act as an exchange guidewire;
(ii) a filter connected to said guide member, said filter being adapted to capture the material within the fluid;
(iii) a restraining member coupled to said guide member and adapted to prevent said filter from being deployed;
(iv) an actuating assembly cooperating with said restraining member, said actuating assembly being configured to deploy said filter and maintain said filter in a selected position upon activation of said actuating assembly; and
(b) a capture catheter selectively coupled to said filter device, said capture catheter being adapted to at least partially surround said filter when material has been capture by said filter following deploying said filter. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A system for deploying and retracting a filter device for use during a procedure, the filter system comprising:
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(a) a filter device adapted to capture material within a fluid, said filter device comprising;
(i) a guide member adapted to act as an exchange guidewire;
(ii) a filter assembly coupled to said guide member, said filter assembly comprising a filter adapted to capture material within the fluid and a plurality of struts coupled to said filter, said plurality of struts being adapted to extend outwardly to open said filter;
(iii) a restraining member coupled to at least one of said guide member and said filter assembly, said restraining member being adapted to prevent said plurality of struts extending outwardly to deploy said filter;
(iv) an actuating assembly cooperating with said restraining member, said actuating assembly being configured to release said restraining member to enable said plurality of struts to extend outwardly; and
(b) a capture catheter coupled to said filter device, said capture catheter being adapted to at least partially surround said filter when material has been capture by said filter following deploying said filter. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 62, 63)
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29. A method for deploying and retracting a filter during a procedure, the method comprising:
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(a) inserting a filter device into a vasculature of a patient distal of a portion of a blood vessel to be accessed during a procedure, said filter device being adapted to act as an exchange guidewire, said filter device comprising;
(i) a guide member comprising a proximal end and a distal end;
(ii) a filter assembly comprising a filter and a plurality of struts cooperating with said guide member and said filter; and
(iii) a restraining member coupled to at least a portion of said plurality of struts, said restraining member being adapted to apply a restraining force to prevent said filter from being deployed;
(b) deploying said filter into the blood stream to capture material dislodged during the procedure; and
(c) upon positioning a capture catheter to enclose at least a portion of said filter and said guide member, removing said filter device and said capture catheter from the vasculature of the patient. - View Dependent Claims (30, 31, 32, 33, 34, 35, 36)
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37. A filter device comprising:
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(a) a guide member comprising a distal end, a proximal end, and a lumen extending from the distal end to the proximal end, (b) a plurality of struts coupled to said guide member, at least one of said plurality of struts being biased to extend outwardly;
(c) a filter coupled to at least two of said plurality of struts, said filter being adapted to filter material from a blood stream; and
(d) means for preventing said plurality of struts extending outwardly until said filter is to be deployed into a blood vessel. - View Dependent Claims (38, 39, 40, 41, 42, 43, 44)
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45. A filter device comprising:
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(a) a guide member comprising a distal end, a proximal end, and a lumen extending from the distal end to the proximal end;
(b) a strut assembly coupled to said distal end of said guide member, said strut assembly comprising a plurality of struts, at least one of said plurality of struts being biased to extend outwardly away from a longitudinal axis of said lumen of said guide member;
(c) a filter coupled to at least one of said plurality of struts, said filter being adapted to filter material from fluid flowing in a fluid stream within which said filter is disposed; and
(d) a restraining member surrounding at least one of said plurality of struts and said distal end of said guide member, said restraining member being adapted to prevent said plurality of struts extending outwardly and subsequently release said plurality of struts when said filter is to be deployed into the fluid stream. - View Dependent Claims (46, 47, 48, 49, 50, 51)
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52. A filter device for percutaneous insertion into a blood vessel during a procedure, the filter device comprising:
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(a) a guide member comprising a distal end, a proximal end, and a lumen extending from said distal end to said proximal end, said guide member being configured to act as an exchange guidewire;
(b) a filter assembly coupled to said guide member, said filter assembly comprising a filter adapted to filter material from a blood stream and a plurality of struts; and
(c) means for preventing said plurality of struts from extending outwardly to allow said filter to deploy into the blood stream in the blood vessel. - View Dependent Claims (53, 54, 55, 56, 57, 58, 59, 60, 61, 64, 65)
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66. A filter device comprising:
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(a) a guide member comprising a distal end, a proximal end, and a lumen extending from the distal end to the proximal end;
(b) a filter assembly coupled to said guide member, said filter assembly comprising;
(i) a filter comprising a proximal end with an opening formed therein; and
(ii) a plurality of struts coupled to said proximal end of said filter, each of said plurality of struts being biased to open said opening; and
(c) an actuating assembly coupled to said guide member and said filter assembly, said actuating assembly comprising;
(i) a restraining member cooperating with said plurality of struts, said restraining member applying a restraining force to the plurality of struts to prevent the plurality of struts from extending outwardly;
(ii) an actuating member coupled to said restraining member and extending toward said proximal end of said guide member; and
(iii) an actuating element coupled to a proximal end of said actuating member, said actuating element being adapted to move in a proximal direction to release the restraining force to enable said plurality of struts to extend outwardly. - View Dependent Claims (67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78)
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79. A filter device for percutaneous insertion into a blood vessel during a procedure, the filter device comprising:
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(a) a guide member comprising a distal end, a proximal end, and a lumen extending from the distal end to the proximal end, said guide member being configured to act as an exchange guidewire;
(b) means for filtering material from a blood stream, said means being disposed within said lumen of said guide member; and
(c) means for deploying said means for filtering from said lumen of said guide member into the blood stream in the blood vessel and retracting said means for filtering upon completing the procedure. - View Dependent Claims (80, 81, 82, 83, 84, 85, 86, 87)
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88. A filter device comprising:
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(a) a guide member comprising a distal end, a proximal end, and a lumen extending from said distal end to said proximal end;
(b) an actuating assembly coupled to said guide member, said actuating assembly comprising;
(i) an actuating member disposed within said lumen of said guide member; and
(ii) an actuating mechanism coupled to said distal end of said guide member and to said actuating member; and
(c) a filter assembly disposed within said lumen and configured to be deployed by said actuating member, said filter assembly comprising;
(i) a filter comprising a proximal end with an opening formed therein; and
(ii) a plurality of struts coupled to said proximal end of said filter and said actuating member, at least one of said plurality of struts being biased to open said opening. - View Dependent Claims (89, 90, 91, 92, 93, 94, 95)
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96. A method for operating a vascular filter device during a procedure, comprising:
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(a) inserting a filter device into the vasculature of a patient distal of a portion of a blood vessel to be accessed during a procedure, said filter device comprising;
(i) a guide member having a proximal end, a distal end, and a lumen extending from said distal end; and
(ii) a filter disposed within said lumen at said distal end of said guide member;
(b) deploying said filter from within said lumen into the blood stream to capture material that is dislodged during the procedure;
(c) retracting said filter until an open-ended proximal end thereof is positioned in relationship with said guide member to prevent said captured material from escaping from said filter; and
(d) upon positioning a capture catheter to enclose said filter, removing said filter device and said capture catheter from the vasculature of the patient. - View Dependent Claims (97, 98, 99, 100, 101, 102, 103)
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104. A method for removing a vascular filter device, comprising:
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(a) following deploying a filter of a filter assembly from a guide member by moving an actuating member disposed within a lumen of said guide member in a distal direction, retracting said filter until an opened proximal end of said filter is positioned in relationship with said guide member to prevent the captured material from escaping from said filter; and
(b) upon positioning a capture catheter to enclose said filter, removing said filter device and said capture catheter from the vasculature of the patient. - View Dependent Claims (105, 106)
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107. A restraining mechanism configured to prevent a plurality of struts of a filter device from extending outwardly prior to deploying a filter of the filter device, the restraining mechanism comprising:
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(a) a sleeve adapted to be disposed substantially at a distal end of the filter device, said sleeve being adapted to apply a restraining force to the plurality of struts of the filter device to prevent the plurality of struts from extending outwardly; and
(b) at least one actuating member coupled to said sleeve, said at least one actuating member being adapted to release said restraining force of said sleeve and enable the plurality of struts of the filter device to extend outwardly. - View Dependent Claims (108, 109, 110, 111)
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112. A restraining mechanism configured to prevent a plurality of struts of a filter device from extending outwardly prior to deploying a filter of the filter device, the restraining mechanism comprising:
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(a) means for applying a restraining force to the plurality of struts of the filter device to prevent the plurality of struts from extending outwardly, said means for apply the restraining force being coupled to at least one of the plurality of struts; and
(b) at least one actuating member cooperating with said means for applying the restraining force, said at least one actuating member being adapted to release said restraining force of said means for applying said restraining force and enable the plurality of struts of the filter device to extend outwardly to deploy the filter. - View Dependent Claims (113, 114, 115)
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116. A method for releasing a plurality of struts of a filter device during a procedure, comprising:
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(a) positioning a filter device in a vasculature of a patient distal of a portion of a blood vessel to be accessed during a procedure, the filter device comprising;
(i) a guide member comprising a distal end;
(ii) a plurality of struts cooperating with said distal end of said guide member;
(iii) a filter coupled to said guide member; and
(iv) a restraining member cooperating with said plurality of struts to prevent said plurality of struts from extending outwardly; and
(b) actuating an actuating member cooperating with said restraining member, wherein actuating said actuating member releases said plurality of struts to deploy said filter. - View Dependent Claims (117, 118, 119, 120)
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Specification