Method Of Delivering Embolic Particles To An Aneurysm

• US 20080103477A1
• Filed: 10/26/2005
• Published: 05/01/2008
• Est. Priority Date: 10/26/2004
• Status: Active Grant

• Current Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Original Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Inventors: Jones, Donald K.
• Granted Patent: US 7,780,645 B2
• Time in Patent Office: Days
• US Class Current: 604/508
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12113 within an aneurysm
• CPC Class Codes: A61B 17/12118 for positioning in conjunction with a stent
• CPC Class Codes: A61B 17/12186 liquid materials adapted to be injected
• CPC Class Codes: A61B 17/1219 expandable in contact with liquids
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/00898 expandable upon contact with fluid
• CPC Class Codes: A61B 2017/1205 Introduction devices

Abstract

A method of delivering embolic particles to an aneurysm includes inserting a delivery catheter into the vasculature of a patient and directing the distal end of the delivery catheter to a pre-selected deployment site. Embolic particles are loaded into the delivery catheter, and hydraulic pressure is applied to move the embolic particles through the delivery catheter. The hydraulic pressure is adjusted to control the velocity of the embolic particles and to reduce jetting.

Claims

1. A method of deploying embolic particles within a patient, comprising:

inserting a delivery catheter having a proximal end portion and a distal end portion into the vasculature of a patient;

directing the distal end of the delivery catheter to a pre-selected site within the vasculature;

loading embolic particles into the delivery catheter;

applying hydraulic pressure to the embolic particles to move the embolic particles through the delivery catheter and out of the distal end of the delivery catheter into the pre-selected site;

monitoring a velocity of the embolic particles;

monitoring the hydraulic pressure being applied to the embolic particles; and

adjusting the hydraulic pressure to control the velocity of the embolic particles.

2. The method according to claim 1 wherein the inserting of the embolic particles comprises compressing expandable embolic particles to fit within the delivery catheter.

3. The method according to claim 1 wherein applying hydraulic pressure comprises activating a fluid filled syringe connected to the delivery catheter to infuse fluid into the delivery catheter.

4. The method according to claim 3 wherein the adjusting of hydraulic pressure comprises employing the fluid filled syringe to adjust hydraulic pressure.

5. The method according to claim 1 wherein the monitoring of the velocity of the embolic particles comprises employing fluoroscopy techniques.

6. The method according to claim 1 wherein the monitoring of hydraulic pressure comprises using a pressure gauge.

7. The method according to claim 1 further comprising rapidly releasing hydraulic pressure from the delivery catheter if the hydraulic pressure exceeds a selected threshold pressure.

8. The method according to claim 1 further comprising rapidly releasing hydraulic pressure from the delivery catheter upon exiting of a last embolic particle from the delivery catheter.

9. The method according to claim 1 wherein the adjusting of the hydraulic pressure comprises incrementally lowering hydraulic pressure after each embolic particle exits the delivery catheter.

10. The method according to claim 1 wherein the adjusting of the hydraulic pressure comprises adjusting the hydraulic pressure so that each embolic particle exits the delivery catheter at substantially the same velocity.

11. A method of deploying expandable embolic particles within the vasculature of a patient, comprising:

inserting a delivery catheter having a proximal end portion and a distal end portion into the vasculature of a patient;

directing the distal end of the catheter to a pre-selected site within the vasculature;

loading a plurality of expandable embolic particles into an introducer having a proximal end portion and a distal end portion;

attaching a fluid injector to the proximal end portion of the introducer;

attaching the distal end of the introducer to the proximal end portion of the delivery catheter;

applying hydraulic pressure to the embolic particles by injecting fluid from the fluid injector into the introducer so that the embolic particles move from the introducer into the delivery catheter and out of the distal end of the delivery catheter into the pre-selected site;

monitoring a velocity of the embolic particles;

monitoring the hydraulic pressure applied to the embolic particles; and

adjusting the hydraulic pressure to control the velocity of the embolic particles.

12. The method according to claim 11 wherein attaching a fluid injector comprises attaching a fluid-filled syringe.

13. The method according to claim 12 wherein the adjusting of hydraulic pressure comprises employing the fluid filled syringe to adjust hydraulic pressure.

14. The method according to claim 11 wherein the monitoring of the velocity of the embolic particles comprises employing fluoroscopy techniques.

15. The method according to claim 11 wherein the monitoring of hydraulic pressure comprises using a pressure gauge.

16. The method according to claim 11 further comprising rapidly releasing hydraulic pressure from the delivery catheter if the hydraulic pressure exceeds a selected threshold pressure.

17. The method according to claim 11 further comprising rapidly releasing hydraulic pressure from the delivery catheter upon exiting of a last embolic particle from the delivery catheter.

18. The method according to claim 11 wherein the adjusting of the hydraulic pressure comprises incrementally lowering hydraulic pressure after each embolic particle exits the delivery catheter.

19. The method according to claim 11 wherein the adjusting of the hydraulic pressure comprises adjusting the hydraulic pressure so that each embolic particle exits the delivery catheter at substantially the same velocity.