Intravascular treatment system

• US 5,562,698 A
• Filed: 11/08/1994
• Issued: 10/08/1996
• 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: Parker, Fred T.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US08/335,982
• Time in Patent Office: 700 Days
• Field of Search: 606/108, 606/191, 606/192, 606/194, 606/195, 606/198, 606/200, 128/898, 128/899, 623/1, 623/11, 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 intravascular treatment device (11) including a first connection mechanism (12) and having a delivery state and a treatment state and

a percutaneous release mechanism (57) releasably attached to said intravascular treatment device in said delivery state and including;

an outer member (13) having a distal end (14), a proximal end (15), and a passage (16) extending longitudinally therebetween, said outer member including an inner cannula (46) and outer coil (47) position longitudinally therearound; and

an inner member (17) positioned in said passage of said outer member, having a second 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 first and said second connection mechanisms being interconnected and positioned in said passage when said treatment device is in said delivery state, whereby movement of said proximal end of said inner member is translated to said distal end thereof to extend from said passage said first and said second connection mechanisms interconnected in said passage and to release said first and said second connection mechanisms from each other when said treatment device is positioned in said treatment state.

2. The system of claim 1 wherein said first connection mechanism (12) comprises a first wire (42) attached to said treatment device.

3. The system of claim 2 wherein said second connection mechanism (18) comprises a second wire (41) attached to said distal end of said inner member and interlockable with said first wire in said outer member.

4. The system of claim 3 wherein each of said first and said second wires includes a recessed channel (44,43) positioned transversely thereacross in which an end of the other of said first and said second wires is positioned and maintained therein when positioned in said outer member.

5. The system of claim 1 wherein said inner member comprises an inner stylet wire (48) positioned in said inner cannula and having a distal end (49) attached to said second connection mechanism.

6. The system of claim 1 wherein said outer member further comprises a first outer cannula (50) having a proximal end (51) positioned over and attached to a distal end (52) of said outer coil and wherein said second connection mechanism is selectively positioned in said first outer cannula.

7. The system of claim 6 further comprising a second outer cannula (53) positioned over and attached to a proximal end (54) of said outer coil and an intermediate cannula (55) positioned in said second outer cannula engaging said outer coil and attached to a proximal end (61) of said inner stylet wire.

8. The system of claim 7 further comprising a peel-away sleeve (56) fixedly positioned over said second outer cannula and said intermediate cannula.

9. An intravascular treatment system (10) comprising:

an intravascular blood filter (40) including a first connection mechanism (12) and having a delivery state and a treatment state and

a percutaneous release mechanism (57) releasably attached to said intravascular blood filter in said delivery state and including;

an outer member (13) having a distal end (14), a proximal end (15), and a passage (16) extending longitudinally therebetween, said outer member including an inner cannula (46) and an outer coil (47) positioned longitudinally therearound; and

an inner member (17) positioned in said passage of said outer member, having a second 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 first and said second connection mechanisms being interconnected and positioned in said passage when said treatment device is in said delivery state, whereby movement of said proximal end of said inner member is translated to said distal end thereof to extend from said passage said first and said second connection mechanisms interconnected in said passage and to release said first and said second connection mechanisms from each other when said treatment device is positioned in said treatment state.

10. The system of claim 9 wherein said first connection mechanism comprises a first wire (42) attached to said blood filter.

11. The system of claim 10 wherein said second connection mechanism comprises a second wire (41) attached to said distal end of said inner member and interlockable with said first wire in said outer member.

12. The system of claim 11 wherein each of said first and said second wires includes a recessed channel (44,43) positioned transversely thereacross in which an end of the other of said first and said second wires is positioned and maintained therein when positioned in said outer member.

13. The system of claim 9 further comprising a hollow catheter (45) in which said intravascular blood filter is positioned in said delivery state.

14. The system of claim 9 wherein said inner member comprises an inner stylet wire (48) positioned in said inner cannula and having a distal end (49) attached to said second connection mechanism.

15. The system of claim 9 wherein said outer member further comprises a first outer cannula (50) having a proximal end (51) positioned over and attached to a distal end (52) of said outer coil and wherein said second connection mechanism is selectively positioned in said first outer cannula.

16. The system of claim 15 further comprising a second outer cannula (53) positioned over and attached to a proximal end (54) of said outer coil and an intermediate cannula (55) positioned in said second outer cannula engaging said outer coil and attached to a proximal end (61) of said inner stylet wire.

17. The system of claim 16 further comprising a peel-away sleeve (56) fixedly positioned over said second outer cannula and said intermediate cannula.

18. An intravascular treatment system (10) comprising:

an intravascular blood filter (40) including a first connection wire (42) and having a delivery state and a treatment state;

a hollow catheter (45) in which said intravascular blood filter is positioned in said delivery state; and

a percutaneous release mechanism (57) releasably attached to said intravascular blood filter in said delivery state and including;

an outer member (13) having a distal end (14), a proximal end (15), and a passage (16) extending longitudinally therebetween, said outer member including an inner cannula (46), an outer coil (47) positioned longitudinally therearound, and a first outer cannula (50) having a proximal end (51) positioned over and attached to a distal end (52) of said outer coil;

an inner member (17) including an inner stylet wire (48) positioned in said inner cannula and having a distal end (49) attached to a second connection wire (41) positioned proximate a distal end (19) of said inner member, said inner member also having a proximal end (20) positioned proximate said proximal end of said outer member, said first and said second connection wires being interconnected and positioned in said passage when said blood filter is in said delivery state;

a push-button handle (37) including a second outer cannula (53) positioned over and attached to a proximal end (54) of said outer coil and an intermediate cannula (55) positioned in said second outer cannula and attached to a proximal end (61) of said inner stylet wire; and

a peel-away sleeve (56) fixedly positioned over said second cannula and said intermediate cannula, whereby movement of said proximal end of said inner member is translated to said distal end thereof to extend from said passage said first and said second connection wires interconnected in said passage and to release said first and said second connection wires from each other when said blood filter is positioned in said treatment state.