MICROCATHETER SYSTEM

• US 20150005801A1
• Filed: 06/27/2013
• Published: 01/01/2015
• Est. Priority Date: 06/27/2013
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Marquis, James, Rowson, Eric
• Application Number:
  US13/928,638
• Publication Number:
  US 20150005801A1
• Time in Patent Office: Days
• US Class Current: 606/194
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61M 2025/0042 Microcatheters, cannula or the like having outside diameters around 1 mm or less
• CPC Class Codes: A61M 25/0021 characterised by the form of the tubing A61M25/0054 takes precedence
• CPC Class Codes: A61M 25/005 with embedded materials for reinforcement, e.g. wires, coils, braids
• CPC Class Codes: A61M 25/0053 having a variable stiffness along the longitudinal axis, e.g. by varying the pitch of the coil or braid
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence

Abstract

A system for use in a vascular procedure includes a guidewire dimensioned to remotely access a neurovascular space, a microcatheter for positioning over the guidewire, an interventional treatment element for passage within the catheter member of the microcatheter, and an outer guide positionable over the catheter member of the microcatheter upon removal of the catheter hub. The microcatheter includes an elongated catheter member and a catheter hub. The catheter member defines a longitudinal axis and has a longitudinal length and with proximal and distal ends. The catheter hub is connected to the proximal end of the catheter member and is dimensioned and adapted to be selectively released from the catheter member. The outer guide is advanceable over the catheter member of the microcatheter after the catheter hub is released from the catheter member to a location proximate the lesion. The interventional treatment element is adapted to perform treatment on the lesion within the vasculature

Claims

1. A system for use in a vascular procedure, which comprises:

a guidewire dimensioned to remotely access a neurovascular space;

a microcatheter including;

a catheter member defining a longitudinal axis and having a longitudinal length and with proximal and distal ends; and

a catheter hub connected to the proximal end of the catheter member, the catheter hub dimensioned and adapted to be selectively released from the catheter member;

an interventional treatment element for passage within the catheter member of the microcatheter, the interventional treatment element adapted to perform treatment on the lesion within the vasculature.

an outer guide positionable over the catheter member of the microcatheter upon removal of the catheter hub, the outer guide advanceable over the catheter member to a location proximate the lesion.

2. The system according to claim 1 wherein the catheter hub is connected to the proximal end of the catheter member through one of thread means, a bayonet coupling, a snap fit mechanism, an interference fit, an adhesive or a chemical bond.

3. The system according to claim 1 wherein the interventional treatment element is dimensioned to be introduced within the catheter member of the microcatheter upon removal of the guidewire, the interventional treatment element being selected from the group consisting of a stent, a coil, a flow diverter, a flow restoration element, a thrombectomy element, a retrieval element, an aspirator and a snare.

4. The system according to claim 3 wherein the outer guide is a balloon catheter, the balloon catheter dimensioned to receive the interventional treatment device during withdrawal thereof subsequent to performing the treatment on the lesion.

5. The system according to claim 4 wherein the balloon catheter includes an aspirator.

6. The system according to claim 1 wherein the interventional treatment element is one of an embolic solution or glue.

7. The system according to claim 1 including an extension member connectable to the proximal end of the catheter member upon removal of the catheter hub, the outer guide being advanceable over the extension member and the catheter member of the microcatheter.

8. The system according to claim 7 wherein the extension member and the proximal end of the catheter member include corresponding structure to connect the extension member to the catheter member.

9. The system according to claim 1 wherein the catheter member of the microcatheter includes a catheter tip segment, the catheter tip segment comprising a soft material relative to a neighboring segment of the catheter member proximal of the leading tip segment.

10. The system according to claim 9 wherein the catheter tip segment of the catheter member is in telescoping relation with respect to at least the neighboring segment of the catheter member adjacent the catheter tip segment, the catheter tip segment adapted for longitudinal movement between a first retracted position at least partially enclosed within the neighboring segment of the catheter member and a second extended position exposed beyond the neighboring segment.

11. The system according to claim 9 including a radiopaque marker adjacent the catheter tip segment of the catheter member of the microcatheter.

12. The system according to claim 1 wherein the catheter member of the microcatheter includes one of a hypotube segment or reinforced polymer tube segment disposed at least adjacent the proximal end of the catheter member.

13. The system according to claim 12 wherein the catheter member of the microcatheter includes one of a braided segment disposed at least adjacent the proximal end of the catheter member.

14. A method for performing a neurovascular procedure, comprising:

accessing a treatment site within a neurovascular space with a guidewire;

advancing a microcatheter over the guidewire to traverse remote locations in the neurovasculature to access the treatment site and penetrate a lesion located at the treatment site without the assistance of an independent outer guide support positioned about the microcatheter;

removing the guidewire from the microcatheter;

introducing an interventional treatment element through the microcatheter to a location adjacent the lesion within the neurovasculature;

treating the lesion with the interventional treatment element;

removing a catheter hub member from the microcatheter leaving an catheter member of the microcatheter within the neurovasculature;

positioning an outer guide over the catheter member of the microcatheter and advancing the outer guide to a location proximate the treatment site; and

withdrawing the microcatheter through the outer guide.

15. The method according to claim 14 wherein treating the lesion includes deploying a flow restoration device within the lesion to restore flow through the adjacent neurovasculature.

16. The method according to claim 15 including removing at least a portion of the lesion from the neurovasculature while withdrawing the flow restoration device through the guide catheter.

17. The method according to claim 16 including expanding a balloon member of the outer guide to secure the outer guide within the neurovasculature and then withdrawing the interventional treatment device through the outer guide and supplying aspiration to the outer guide.

18. The method according to claim 14 wherein withdrawing the microcatheter and the interventional treatment device is performed simultaneously.

19. The system according to claim 14 wherein treating the lesion includes delivering the treatment element, the treatment element selected from the group consisting of a stent, a coil, an embolic solution, glue, a flow diverter, a flow restoration element, a thrombectomy element, a retrieval element, an aspirator and a snare.

20. The system according to claim 14 wherein advancing the microcatheter includes penetrating the lesion with a catheter tip segment of the microcatheter, the catheter tip segment being relatively soft relative to a neighboring segment neighboring the catheter tip segment.

21. The system according to claim 14 including introducing a second interventional element within the outer guide subsequent to withdrawing the microcatheter.