Vascular occlusion assembly

• US 5,334,210 A
• Filed: 04/09/1993
• Issued: 08/02/1994
• Est. Priority Date: 04/09/1993
• Status: Expired due to Term

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Cook Incorporated (Cook Group Incorporated)
• Inventors: Gianturco, Cesare
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US08/045,414
• Time in Patent Office: 480 Days
• Field of Search: 606/108, 606/195, 606/213, 606/151, 606/198
• US Class Current: 606/151
• 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 17/12109 in a blood vessel
• CPC Class Codes: A61B 17/1215 comprising additional materials, e.g. thrombogenic, having filaments, having fibers, being coated

Abstract

A vascular occlusion assembly for therapeutically occluding a vascular site in a patient. The assembly comprises a foldable material occlusion bag having an expanded diamond shape and an elongated flexible filler member which is inserted in the internal cavity of the occlusion bag. When positioned in the internal cavity of the bag, the filler member assumes a convoluted configuration expanding the bag to the expanded shape. The occlusion bag is positioned on the flared distal end of a positioning catheter. A collar is wrapped around the neck of the bag to securely position the bag and prevent premature detachment from the positioning catheter. A pusher catheter is coaxially positioned around the positioning catheter to release the expanded occlusion bag from the flared distal end of the positioning catheter. A handle is releasably attached to the proximal end of the flexible filler member and inserted into the positioning catheter for expanding the occlusion bag to the diamond shape. The distal portion of the filler member is hook-shaped for readily inserting the filler member in the bag without tearing the bag. The distal end segment of the filler member is also enlarged to minimize perforation of the bag and prevent withdrawal through the positioning catheter.

Claims

1. A vascular occlusion assembly comprising:

a foldable material bag having an expanded shape, an internal cavity, and an external opening communicating with said internal cavity; and

an elongated flexible member which is inserted in said internal cavity through said external opening of said foldable material bag and when positioned in said internal cavity of said foldable material bag assumes a convoluted configuration expanding said foldable material bag to said expanded shape without being fixedly secured thereto, said vascular occlusion assembly adapted to be placed within the vascular system to occlude the same.

2. The assembly of claim 1 wherein said foldable material bag further comprises a neck positioned between said external opening and said internal cavity.

3. The assembly of claim 2 further comprising a wire wrap positioned around said neck.

4. The assembly of claim 1 wherein said foldable material bag comprises first and second pieces of rip stop nylon attached together proximate a circumference thereof.

5. The assembly of claim 1 wherein said expanded shape is a volumetric diamond configuration.

6. The assembly of claim 1 further comprising a positioning catheter having a flared distal end positioned in said internal cavity of said foldable material bag.

7. The assembly of claim 6 wherein said positioning catheter has a curved distal portion.

8. The assembly of claim 6 wherein said foldable material bag further comprises a neck positioned between said external opening and said internal cavity and wherein said assembly further comprises a collar positioned around said neck.

9. The assembly of claim 6 further comprising a pusher catheter coaxially positioned around said positioning catheter.

10. The assembly of claim 9 wherein said pusher catheter has a curved distal portion.

11. The assembly of claim 6 further comprising a handle positioned in said positioning catheter and releasably attached to a proximal end of said elongated flexible member.

12. The assembly of claim 11 further comprising a method of using the assembly comprising the steps of:

positioning said elongated flexible member and said handle releasably attached thereto in said positioning catheter;

introducing said foldable material bag to a vascular site in a patient;

pushing said elongated flexible member with said handle into said internal cavity of said foldable material bag;

releasing said handle from said elongated flexible member when said member is positioned in said internal cavity of said foldable material bag; and

pushing said foldable material bag from said flared distal end of said positioning catheter with said pusher catheter.

13. The assembly of claim 1 wherein said elongated flexible member comprises a helical coil having a hook-shaped distal portion.

14. The assembly of claim 1 wherein said elongated flexible member includes a distal end segment having a cross-sectional dimension larger than a remainder of said elongated flexible member.

15. A vascular occlusion assembly comprising:

a foldable material bag having an expanded shape, an internal cavity, a neck, and an external opening communicating with said internal cavity through said neck;

a positioning catheter having a flared distal end positioned in said internal cavity of said foldable material bag; and

a filler member formed from a solid material positioned in said positioning catheter and when positioned in said internal cavity of said foldable material bag assuming a convoluted configuration expanding said foldable material bag to said expanded shape without being fixedly secured thereto, said bag with said filler material positioned therein adapted to be placed within the vascular system to occlude the same.

16. The assembly of claim 15 further comprising a collar positioned around said neck and a pusher catheter coaxially positioned around said positioning catheter and having a distal end for releasing said foldable material bag from said flared distal end of said positioning catheter when said filler member has assumed said convoluted configuration in said internal cavity of said foldable material bag.

17. The assembly of claim 16 further comprising a handle positioned in said positioning catheter and releasably attached to said filler member.

18. The assembly of claim 17 further comprising an introducer sheath positioned coaxially over said positioning catheter and said pusher catheter.

19. The assembly of claim 15 wherein said filler member has a preformed hook-shaped distal portion.

20. A vascular occlusion assembly comprising:

a foldable material bag of rip stop nylon material having an expanded, diamond shape;

an internal cavity;

a neck; and

an external opening communicating with said internal cavity through said neck;

a wire wrap fixedly positioned around said neck;

a positioning catheter having a flared distal end positioned in said internal cavity of said foldable material bag through said external opening;

a pusher catheter coaxially positioned around said positioning catheter;

a filler member formed from a solid material positioned in said positioning catheter and having a preformed hook-shaped distal portion, said filler member when positioned in said internal cavity of said bag assuming a convoluted configuration expanding said foldable material bag to said expanded, diamond shape without being fixedly secured thereto, said bag with said filler material positioned therein adapted to be placed within the vascular system to occlude the same; and

a handle positioned in said positioning catheter and releasably attached to said filler member.