Intravascular treatment system and percutaneous release mechanism therefor

• US 5,417,708 A
• Filed: 03/09/1994
• Issued: 05/23/1995
• Est. Priority Date: 03/09/1994
• Status: Expired due to Term

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Incorporated (Cook Group Incorporated)
• Inventors: Hall, Todd A., Parker, Fred T.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Lewis, William W.
• Application Number:
  US08/208,766
• Time in Patent Office: 440 Days
• Field of Search: 606/108, 606/191, 606/192, 606/194, 606/195, 606/199, 606/200, 128/898, 128/899, 623/1, 623/12
• US Class Current: 606/200
• 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
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 17/12177 comprising additional materials, e.g. thrombogenic, having filaments, having fibers or being coated
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61M 2025/09175 having specific characteristics at the distal tip
• CPC Class Codes: A61M 25/09 Guide wires

Abstract

A percutaneous release mechanism (57) for use with an intravascular treatment device (11) in an intravascular treatment system (10). The release mechanism includes an inner member (17) having a connection mechanism (18) positioned about the distal end (14) thereof for interconnection with another connection mechanism (12) positioned on an intravascular treatment device. The release mechanism also includes an outer member tube (13) of which the inner member is positioned therein. The first and second connection mechanisms are interconnectable and positionable in the passage (16) of the tube for delivering the treatment device in a delivery state to the treatment site. The release mechanism also includes a handle (37) having parts (38, 39) connected to the inner member and outer tube, whereby movement of the proximal end of the inner member is translated to the distal end thereof for extending the interconnected connection mechanisms from the passage of the outer member tube and positioning the treatment device in a treatment state. The intravascular treatment system includes the percutaneous release mechanism along with the intravascular treatment device. The treatment device includes an occlusion coil (23) and a rigid tube (36) connected to the flexible outer member tube (35) for maintaining the delivery coil in a delivery state. In another example, the treatment device includes a blood clot filter (40) in which the percutaneous delivery mechanism is adapted for connection thereto.

Claims

1. An intravascular treatment system (10) comprising:

an occlusion coil (23) having a distal end (24), a proximal end (25), and a plurality of turns (26) having a first spacing (27) and a second spacing (28) between said turns, said second spacing being wider than said first spacing, said occlusion coil also having a contained, delivery state and a treatment state;

an outer member (13) for containment of said occlusion coil in said delivery state and having a distal end (14), a proximal end (15), and a passage (16) extending longitudinally therebetween; and

an inner member (17) positioned in said passage of said outer member, having a connection mechanism (18) positioned proximate a distal end (19) thereof and a proximal end (20) positioned proximate said proximal end of said outer member, said connection mechanism being interconnected with said occlusion coil and positioned in said second spacing of said occlusion coil when said occlusion coil is in said contained, delivery state, whereby movement of said proximal end of said inner member is translated to said distal end thereof to release said occlusion coil from said outer member and to position said occlusion coil in said treatment state.

2. The system of claim 1 wherein said inner member includes a proximal segment (29) and a distal segment (30) having a cross-sectional area (31) less than a cross-sectional area (32) of said proximal segment and wherein said connection mechanism has a cross-sectional area (33) larger than said cross-sectional area of said distal segment of said inner member and sized for positioning in said second spacing between said turns of said occlusion coil when positioned in said outer member.

3. The system of claim 2 wherein said connection mechanism comprises a ball (34) connected to said distal segment of said inner member.

4. The system of claim 1 wherein said outer member comprises a flexible tube (35) and a rigid tube (36) positioned proximate said distal end of and over said flexible tube containing said occlusion coil when positioned therein.

5. The system of claim 4 wherein said system further comprises a guiding catheter (21) having a hollow passage (22) extending longitudinally therethrough, wherein said rigid tube is positionable adjacent said guiding catheter for loading said occlusion coil into said guiding catheter and wherein said rigid tube is slidable proximally over said flexible tube after said occlusion coil has been loaded into said guiding catheter.

6. The system of claim 1 further comprising a handle (37) having a first part (38) attached to said inner member and a second part (39) slidably connected to said first part and to said outer member, whereby said handle is operated for extending said occlusion coil and said connection mechanism beyond said distal end of said outer member and releasing said occlusion coil from said inner member.

7. An intravascular treatment system (10) comprising:

an occlusion coil (23) having a distal end (24), a proximal end (25), and a plurality of turns (26) having a first spacing (27) therebetween and a second spacing (28) between said turns proximate said distal end thereof wider than said first spacing;

an inner stylet wire (48) having a proximal segment (29) and a distal segment (30) having a cross-sectional area (31) less than a cross-sectional area (32) of said proximal segment;

a ball (34) connected to said distal segment of said inner stylet wire and having a cross-sectional area (33) larger than said cross-sectional area of said distal segment of said inner stylet wire and sized for positioning in said second spacing between said turns of said occlusion coil;

a flexible outer tube (35) having a distal end (14), a proximal end (15), and a passage (16) extending longitudinally therebetween with said inner style wire positioned therein;

a rigid tube (36) positioned proximate said distal end of and over said flexible tube for containment of said occlusion coil positioned therein, said rigid tube being slidable proximally over said flexible tube;

a handle (37) having a first part (38) attached to said inner stylet wire and a second part (39) slidably connected to said first part and to said proximal end of said flexible tube for extending said occlusion coil and said ball beyond said distal end of said flexible tube and releasing said ball from said second spacing between said turns; and

a guiding catheter (21) having a hollow passage (22) extending longitudinally therethrough and sized for positioning said flexible tube and said occlusion coil therein.