Devices for installing stasis reducing means in body tissue

• US 6,132,438 A
• Filed: 06/07/1995
• Issued: 10/17/2000
• Est. Priority Date: 06/07/1995
• Status: Expired due to Term

• Current Assignee: EP Technology (Boston Scientific Corporation)
• Original Assignee: EP Technology (Boston Scientific Corporation)
• Inventors: Swanson, David K., Fleischman, Sidney D., Bourne, Thomas M., Whayne, James G.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US08/483,991
• Time in Patent Office: 1,959 Days
• Field of Search: 606/139, 606/144, 606/148, 606/149, 606/151, 606/213, 606/214
• US Class Current: 606/139
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/12013 for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00349 Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue A61B17/06066 takes precedence
• CPC Class Codes: A61B 2017/0443 the shaft being resilient and having a coiled or helical shape in the released state
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/048 for reducing heart wall tension, e.g. sutures with a pad on each extremity
• CPC Class Codes: A61B 2017/0649 Coils or spirals
• CPC Class Codes: A61B 2017/3488 Fixation to inner organ or inner body tissue

Abstract

Devices for insertion into an atrial appendage of stasis reducing components such as mesh members, chemical bonding agents or expandable anchors are disclosed.

Claims

1. A catheter for installing expandable anchors into a body comprising:

a catheter body having a distal tip portion manipulatable by external control, said catheter body having a size and flexibility sufficient to allow the catheter body to travel within a vein defining a longitudinal axis and be advanced along the longitudinal axis of the vein, said distal tip portion having a central axially extending opening,

an axially movable hollow needle fitted within said central opening and being axially moveable, from a retracted position located within said distal tip portion, to an extended position extending distally therefrom, said hollow needle having a sharp distal tip and a central lumen adapted to hold at least one expandable anchor therein, and

an axially moveable expelling member fitted within the central lumen of said hollow needle adapted to expel an expandable anchor therefrom by means of an externally actuatable control.

2. A catheter according to claim 1 wherein the catheter body contains a lumen for feeding suture material in a distal direction for connection to at least one expandable anchor.

3. A catheter according to claim 1 wherein said expandable anchors have a preselected nonlinear configuration at body temperature and wherein said needle holds an expandable anchors in a substantially linear configuration for insertion through tissue.

4. A catheter according to claim 1 wherein said needle and said expandable anchor expelling means are independently actuatable.

6. A method fixing an atrial appendage in a position wherein the effective volume thereof is reduced comprising

inserting a catheter according to claim 1 into contact with a surface of said appendage,

advancing said hollow needle through the wall of said appendage,

expelling an expandable anchor through a wall of said appendage,

using said anchor to compress the tissue of said appendage to a reduced effective volume.

5. A catheter for installing a wire mesh member into a body comprising:

a catheter body having a distal tip portion manipulatable by external control, said catheter being adapted for percutaneous insertion into a body, said distal tip portion having a central axially extending opening,

an axially movable annularly-shaped member fitted within said distal tip portion and being remotely axially movable from a retracted position located proximally from said distal tip a distance sufficient to hold an annularly-shaped mesh member, to an extended position extending distally to the end of said catheter, said annularly-shaped member having a central lumen adapted to receive and allow axial movement therethrough of a second catheter having a means at its distal tip for attaching itself to the surface of a selected body tissue member, and

a member on the exterior surface of said catheter, said member being adapted to anchor elongated tying members secured to said annularly-shaped mesh member whereby as said mesh member is ejected from said catheter body the distal diameter of said mesh member is enlarged.

7. A catheter for installing at least one expandable anchor into a body, comprising:

a catheter body having a proximal portion and a distal tip portion, the distal tip portion being deflectable relative to a remaining portion of the catheter body and having a central axially extending opening;

a control mechanism operably connected to the distal portion of the catheter body such that the distal portion of the catheter body deflects relative to the remaining portion of the catheter body in response to manipulation of the control mechanism;

an axially movable hollow needle fitted within the central opening and being axially moveable, from a retracted position located within the distal tip portion, to an extended position extending distally therefrom, the hollow needle having a lumen adapted to hold the at least one expandable anchor therein, and

an axially moveable expelling member fitted within the central lumen of the hollow needle adapted to expel the at least one expandable anchor therefrom in response to actuation of an externally actuatable control.

8. A catheter as claimed in claim 7, wherein the catheter body includes a lumen for feeding suture material in a distal direction for connection to the at least one expandable anchor ejected from the catheter.

9. A catheter as claimed in claim 7, wherein the at least one expandable anchor has a preselected nonlinear configuration at body temperature and wherein the needle holds the at least one expandable anchor in a substantially linear configuration for insertion through tissue.

10. A catheter as claimed in claim 7, wherein the needle and the expelling member are independently actuatable.

11. A catheter as claimed in claim 7, wherein the catheter body has a size and flexibility sufficient to allow the catheter body to travel within a vein defining a longitudinal axis and be advanced along the longitudinal axis of the vein.