Device for the treatment of constricted ducts in human bodies

• US 5,246,445 A
• Filed: 01/24/1992
• Issued: 09/21/1993
• Est. Priority Date: 04/19/1990
• Status: Expired due to Term

• Current Assignee: Ev3 Peripheral Inc. (Medtronic Plc)
• Original Assignee: Instent, Inc. (Medtronic Plc)
• Inventors: Yachia, Daniel, Beyar, Mordechay
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US07/827,031
• Time in Patent Office: 606 Days
• Field of Search: 606/108, 606/191, 606/195, 606/198, 606/200, 606/151-154, 623/1, 623/12, 128/858
• US Class Current: 623/1.2
• CPC Class Codes: A61F 2/88 the wire-like elements formed as helical or spiral coils forming a net-like or mesh-like structure A61F2/90
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2002/30199 Three-dimensional shapes
• CPC Class Codes: A61F 2002/9505 having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 2210/0014 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2220/0008 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2230/0063 Three-dimensional shapes
• CPC Class Codes: A61F 2230/0076 ellipsoidal or ovoid
• CPC Class Codes: A61M 25/0017 specially adapted for long-term hygiene care, e.g. urethral or indwelling catheters to prevent infections

Abstract

This invention is directed to a system for implanting a device to open constrictions in corpeal conduits, which comprises (a) an elongated tubular member and (b) a spatial spiral of elongate axial extension wound of thin wire and having attachment means at each end, said spiral being positioned on and concentric to said elongated tubular member, said spiral being in a constricted condition such that its lateral profile is smaller than it would be if said spiral were not constricted.

Claims

1. A medical device for opening constrictions in conduits in the body of humans or animals, comprising a spatial spiral of elongate axial extension wound of thin wire and having attachment means at each distal end, to hold the spiral when wound in a constricted condition and to permit self-expansion when the attachment means are released, wherein at one or more locations intermediary of the two ends of the spiral the diameter of the spiral is greater than the major part of the windings, such that at each such location a circumferential bulge of the otherwise cylindrical shape of the device is created.

2. The device of claim 1, wherein there are two bulges.

3. The device of claim 1, wherein the device has an amphora-like outer shape.

4. The device of claim 1, wherein the spatial spiral is wound of wire that is physiologically acceptable.

5. The device of claim 4, wherein the wire is selected from the group consisting of medical grade stainless steel, gold-plated medical grade stainless steel, medical grade stainless steel coated with silicone, biocarbon, or polytetrafluoroethylene, tantalum, titanium, nickel-titanium, bioabsorbable materials, and other medically implantable materials.

6. The device of claim 1, wherein the windings of the helix at two locations intermediate the two ends thereof are of successively increasing/decreasing diameter.

7. A system for implanting a device to open constrictions in corporal conduits, which comprises (a) an elongated tubular member comprised of an inner tube and an outer tube slidably and concentrically positioned around at least a portion of said inner tube and (b) a spatial spiral of elongate axial extension wound of thin wire and having proximal and distal ends with attachment means at each end, wherein said spiral is positioned on and concentric to said elongated tubular member, one end of the spiral is secured on each of said inner and outer tubes, respectively, said spiral is in a constricted condition such that its lateral profile is smaller than it would be if said spiral were not constricted, and said spiral is capable of being released from the elongated tubular member by rotating one of the inner an outer tubes relative to the other one.

8. The system of claim 7, wherein the elongated tubular member has openings in which the ends of the spiral are removably secured.

9. A method of opening a constriction in a body duct which comprises the steps of:

(a) inserting a system for implanting a device to open constrictions in corporal conduits, which comprises (a) an elongated tubular member comprised of an inner tube and an outer tube slidably and concentrically positioned around at least a portion of said inner tube and (b) a spatial spiral of elongate axial extension wound of thin wire and having proximal and distal ends with attachment means at each end, wherein said spiral is positioned on and concentric to said elongated tubular member, one end of the spiral is secured on each of said inner an outer tubes, respectively, said spiral is in a constricted condition such that its lateral profile is smaller than it would be if said spiral were not constricted, and said spiral is capable of being released from the elongated tubular member by rotating one of the inner and outer tubes relative to the other one;

(b) rotating one of the inner and outer tubes relative to the other one to disengage the spatial spiral from the elongated tubular member; and

(c) removing the elongated tubular member from the body in the proximal direction.

10. A system for implanting a device to open constrictions in corporal conduits, which comprises (a) an elongated tubular member and (b) a spatial spiral of elongate axial extension wound of thin wire and having proximal and distal ends with attachment means at each end, wherein said spiral is positioned on and concentric to said elongated tubular member, said spiral is in a constricted condition such that its lateral profile is smaller than it would be if said spiral were not constricted, and the elongated tubular member is a balloon dilatation catheter in which the balloon is sufficiently inflated to hold said spiral in its smaller profile.

11. A system for implanting a device to open constrictions in corporal conduits, which comprises (a) an elongated tubular member and (b) a spatial spiral of elongate axial extension wound of thin wire and having proximal and distal ends with attachment means at each end, wherein said spiral is positioned on and concentric to said elongated tubular member, said spiral si in a constricted condition such that its lateral profile is smaller than it would be if said spiral were not constricted, the respective ends of the spiral wire each form a ball, and the elongated tubular member has (1) two openings into which the wire ends and balls are positioned when the spiral is in a constricted condition and (2) a release wire extending therethrough, such that each ball fits under a portion of the release wire to secure that ball and that end of the spiral wire and such that when the spiral wire is pulled proximally and longitudinally the balls and the spiral wire ends are released to permit the lateral profile or diameter of the spatial spiral to spontaneously increase by unwinding.

12. The system of claim 11, wherein the wire extends proximally from the elongated tubular member.