Catheter deliverable coiled wire thromboginic apparatus and method

• US 5,800,454 A
• Filed: 03/17/1997
• Issued: 09/01/1998
• Est. Priority Date: 03/17/1997
• Status: Expired due to Term

• Current Assignee: Precision Vascular Systems, Inc. (Boston Scientific Corporation)
• Original Assignee: Sarcos Incorporated (Rtx Corporation)
• Inventors: Jacobsen, Stephen C., Davis, Clark C., Lippert, John A.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): Woo, Julian W.
• Application Number:
  US08/818,268
• Time in Patent Office: 533 Days
• Field of Search: 606/191, 606/198, 606/200, 606/194, 604/104
• US Class Current: 606/191
• 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 17/12145 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61F 2002/016 made from wire-like elements
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/0091 helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section

Abstract

A catheter deliverable thrombogenic device includes a catheter for threading into a body vasculature passageway to a target location, and a resilient wire element coiled and shaped to occupy a certain volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter, for ultimate discharge therefrom to expand and occupy the target location. The wire element includes a first length of wire, and a second length of wire coiled about the first wire to form a composite pair. The composite pair itself is coiled and shaped to occupy the certain volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter.

Claims

1. Thrombogenic apparatus comprising

a catheter for threading into a body vasculature passageway to a target location, and

a resilient wire means coiled and shaped to occupy a certain volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter, for ultimate discharge therefrom to expand and occupy the target location, said wire means further including

a first length of wire, and

a second length of wire coiled into a primary coil about the first wire to form a composite pair, said composite pair itself being coiled into a secondary coil and shaped to occupy said volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter.

2. An apparatus as in claim 1 wherein said first wire is tapered to be narrower at a distal end, and thus more flexible at the distal end.

3. An apparatus as in claim 1 or 2 wherein said second wire is tapered to be narrower at a distal end, and thus more flexible at the distal end.

4. An apparatus as in claim 1 wherein said first wire extends to a location short of a distal end of the second coiled wire so that a distal end of the composite pair is more flexible than other portions of the composite pair.

5. An apparatus as in claim 1 wherein said first wire includes a plurality of cuts at selected locations along at least a portion of the length to increase the flexibility thereof.

6. An apparatus as in claim 1 wherein said composite pair is formed to have a coil diameter which becomes gradually smaller toward the distal end.

7. An apparatus as in claim 6 wherein the smaller diameter coils near and at the distal end are tightly wound to inhibit flow of blood therepast when inserted in a blood vessel.

8. Thrombogenic apparatus comprising

a catheter for threading into a body vasculature passageway to a target location,

a resilient wire means coiled and shaped to occupy a certain volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter, for ultimate discharge therefrom to expand and occupy the target location, said wire means comprising a tightly coiled length of wire which itself is formed into a larger coil and shaped to occupy said volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter, the diameter of the wire becoming gradually smaller toward a distal end, and therefore more flexible, and

a core wire disposed to extend centrally in the coil formed by the wire means.

9. An apparatus as in claim 8 wherein the diameter of the larger coil becomes smaller toward a distal end.

10. An apparatus as in claim 8 wherein said wire means is made of a material selected from the group consisting of an alloy of nickel and titanium, and stainless steel.

11. Apparatus as in claim 8 wherein said wire means is solid.

12. Apparatus as in claim 8 wherein said wire means is tubular having sidewalls surrounding a central hollow.

13. Apparatus as in claim 8 wherein the diameter of the core wire is selectively varied to thereby selectively vary the flexibility of the combination wire means and core wire.

14. Thrombogenic apparatus comprising

a catheter for threading into a body vasculature passageway to a target location,

a resilient wire means comprising a length of wire coiled into a primary coil which, itself, is coiled into a larger secondary coil, and shaped to occupy a certain volume when unconstrained and to straighten when inserted lengthwise into and constrained by the catheter, said wire means being formed to be more flexible at one end than the other.

15. Thrombogenic apparatus comprising

a catheter for threading into a body vasculature passageway to a target location, and

a resilient wire means coiled and shaped to occupy a certain volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter, for ultimate discharge therefrom to expand and occupy the target location, said wire means further including

a first length of wire, and

a second length of wire coiled about the first wire to form a composite pair, said second wire being tapered to be narrower at a distal end, and thus more flexible at the distal end, said composite pair itself being coiled and shaped to occupy said volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter.

16. Thrombogenic apparatus comprising

a catheter for threading into a body vasculature passageway to a target location, and

a resilient wire means coiled and shaped to occupy a certain volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter, for ultimate discharge therefrom to expand and occupy the target location, said wire means further including

a first length of wire, and

a second length of wire coiled about the first wire to form a composite pair, said first wire extending to a location short of a distal end of the second coiled wire so that a distal end of the composite pair is more flexible than other portions of the composite pair, said composite pair itself being coiled and shaped to occupy said volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter.

17. Thrombogenic apparatus comprising

a catheter for threading into a body vasculature passageway to a target location, and

a resilient wire means coiled and shaped to occupy a certain volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter, for ultimate discharge therefrom to expand and occupy the target location, said wire means further including

a first length of wire including a plurality of cuts at selected locations along at least a portion of the length to increase the flexibility thereof, and

a second length of wire coiled about the first wire to form a composite pair, said composite pair itself being coiled and shaped to occupy said volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter.

18. Thrombogenic apparatus comprising

a catheter for threading into a body vasculature passageway to a target location, and

a resilient wire means coiled and shaped to occupy a certain volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter, for ultimate discharge therefrom to expand and occupy the target location, said wire means further including

a first length of wire including a plurality of cuts at selected locations along at least a portion of the length to increase the flexibility thereof, and

a second length of wire coiled about the first wire to form a composite pair, said composite pair itself being coiled and shaped to occupy said volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter, said composite pair being formed to have a coil diameter which becomes gradually smaller toward the distal end, the smaller diameter coils near and at the distal end being tightly wound to inhibit flow of blood therepast when inserted in a blood vessel.

19. Thrombogenic apparatus comprising

a catheter for threading into a body vasculature passageway to a target location, and

a resilient tubular wire means having sidewalls surrounding a central hollow and being coiled and shaped to occupy a certain volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter, for ultimate discharge therefrom to expand and occupy the target location, said wire means comprising a tightly coiled length of wire which itself is formed into a larger coil and shaped to occupy said volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter, the diameter of the wire becoming gradually smaller toward a distal end, and therefore more flexible.