Device for treating aneurysms

• US 6,231,573 B1
• Filed: 05/29/1998
• Issued: 05/15/2001
• Est. Priority Date: 04/21/1998
• Status: Expired due to Term

• Current Assignee: Bolton Medical, Inc. (Terumo Corporation)
• Original Assignee: Medicorp, S.A.
• Inventors: Henry, Michel, Amor, Max
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US09/086,545
• Time in Patent Office: 1,082 Days
• Field of Search: 606/1, 606/27, 606/31, 606/41, 606/49, 606/108, 606/151, 606/213, 606/206
• US Class Current: 606/49
• 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 17/12113 within an aneurysm
• CPC Class Codes: A61B 17/1214 Coils or wires
• 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 17/12186 liquid materials adapted to be injected
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 50/30 Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40

Abstract

Device for treating lesions of the wall of blood vessels, in particular false aneurysms, by coagulation, which device comprises an introducer with value and with removable needle, a filament which is able to be introduced into the pocket of this aneurysm and to roll up on itself therein, and a introducing the said filament into the pocket through the introducer.

Claims

1. A device for treating an aneurysm by means of coagulation within a tissue pocket of said aneurysm, comprising:

an introducer having alumen therein, with a needle being removably disposed in said lumen;

a filament which is adapted to be introduced into the pocket of said aneurysm, where said filament will temporarily dwell, and to roll up on itself therein; and

a filament delivery device, adapted for insertion in said lumen in place of said needle to introduce said filament into the pocket through the introducer.

2. A device according to claim 1, wherein said filament delivery device is adapted to retain at least a proximal end of the filament such that said filament delivery device can withdraw said filament form the pocket after a defined time.

3. A device according to claim 2, wherein the filament is made up of a plurality of portions joined to one another by pliable zones.

4. A device according to claim 3, wherein said portions are straight portions.

5. A device according to claim 2, wherein the filament is hollow and is bored longitudinally with a plurality of orifices therein.

6. A device according to claim 5, wherein the plurality of orifices establishes communication between the pocket and a hollow portion of the filament, the filament having a proximal end coupled to a coagulant feeding device.

7. A device according to claim 2, wherein the filament comprises a wire made of shape-memory metal treated in such a way that it has a substantially rectilinear shape at ambient temperature and a substantially rolled-up shape at the temperature of a body.

8. A device according to claim 7, wherein the filament comprises a core which is covered with an interlacing made of a thrombogenic material.

9. A device according to claim 8, wherein the covering is a braid.

10. A device according to claim 8, wherein the material of the interlacing is chosen from between natural silk and polyethylene fibers.

11. A device according to claim 7, wherein the filament comprises a core co-braided with a bundle of wires made of a thrombogenic material.

12. A device according to claim 2, wherein the filament comprises a core which is covered with an interlacing made of a thrombogenic material.

13. A device according to claim 12, wherein the covering is a braid.

14. A device according to claim 13, wherein the material of the interlacing is chosen from between natural silk and polyethylene fibers.

15. A device according to claim 2, wherein the filament comprises a core co-braided with a bundle of wires made of a thrombogenic material.

16. A device according to claim 2, wherein the filament delivery device comprises an envelope which can be torn longitudinally and in which the filament is accommodated.

17. A device according to claim 16, wherein the envelope is disposed proimate to a proimal end of said filament delivery device.

18. A device according to claim 2, wherein the filament delivery device comprises a guide along which the filament is applied in a detachable manner.

19. A device according to claim 18, wherein the guide is disposed proximate to a proximal end of said filament delivery device.

20. A device according to claim 2, wherein the filament delivery device comprises a rod having an end in the form of an elastically deformable loop which is able to introduce the filament into the pocket by a reciprocating movement.

21. A device according to claim 20, wherein the loop is disposed proximate to a distal end of said introducer, and is adapted to pull the filament into the pocket by said reciprocating movement.

22. A device according to claim 21, wherein said guide comprises an envelope that is adapted to accommodate the filament and to be torn longitudinally.

23. A device according to claim 1, wherein the filament is made of bioabsorbable material with a thrombogenic effect.

24. A device according to claim 23, wherein the material of the filament has a minimum absorption period of 20 minutes.

25. A device according to claim 1, wherein the filament delivery device comprises an envelope which can be torn longitudinally and in which the filament is accommodated.

26. A device according to claim 25, wherein the envelope is disposed proximate to a proimal end of said filament delivery device.

27. A device according to claim 1, wherein the filament delivery device comprises a guide along which the filament is applied in a detachable manner.

28. A device according to claim 27, wherein the guide is disposed proximate to a proimal end of said filament delivery device.

29. A device according to claim 1, wherein the filament delivery device comprises a rod having an end in the form of an electrically deformable loop which is able to introduce the filament into the pocket by way of a reciprocating movement.

30. A device according to claim 29, wherein the loop is disposed proximate to a distal end of said introducer, and is adapted to pull the filament into the pocket by said reciprocating movement.

31. A device according to claim 1, wherein the filament is radiopaque.

32. A device according to claim 1, wherein the filament is able to send an electric current sufficient to provoke electrocoagulation.

33. A device according to claim 1, wherein said introducer comprises a valve.

34. A device according to claim 1, wherein said introducer is a separated tubular introducer.

35. A device according to claim 1, wherein said filament delivery device comprises a guide disposed proximate to a proximal end of said filament delivery device, the filament being detachably applied to the guide.

36. A method for treating aneurysms comprising the following steps:

introducing in a pocket of an aneurysm an introducer having a removable needles;

removing the needle;

inserting a filament delivery device in the introducer;

introducing a thrombogenic bendable filament through the introducer into the pocket;

causing the filament to form a ball inside the pocket;

allowing the filament to provoke coagulation of the blood contained in the pocket; and

removing the filament.

37. A method according to claim 36, wherein said introducer comprises a valve.

38. A method according to claim 36, wherein:

the filament removing step removes the filament through the introducer and filament delivery device; and

the method further comprises the steps of;

removing the filament delivery device; and

removing the introducer.

39. A device for treating an aneurysm by means of coagulation within a tissue pocket of said aneurysm, comprising:

an introducer comprising a removable needle;

a filament which is adapted to be introduced into the pocket of said aneurysm, where said filament will temporarily dwell, and to roll up on itself therein; and

a filament delivery device, adapted to introduce said filament into the pocket through the introducer, and comprising an envelope which can be torn longitudinally and in which the filament is accommodated.

40. A device according to claim 39, wherein the envelope is disposed proximate to a proximal end of said filament delivery device.

41. A device according to claim 40, wherein the envelope is disposed proximate to a proximal end of said filament delivery device.

42. A device for treating an aneurysm by means of coagulation within a tissue pocket of said aneurysm, comprising:

an introducer comprising a removable needle;

a filament which is adapted to be introduced into the pocket of said aneurysm, where said filament will temporarily dwell, and to roll up on itself therein; and

a filament delivery device, adapted to introduce said filament into the pocket through the introducer, and to retain at least a proximal end of the filament such that said filament delivery device can withdraw said filament from the pocket after a defined time, the filament delivery device comprising an envelope which can be torn longitudinally and in which the filament is accommodated.

43. A device for treating an aneurysm by means of coagulation within a tissue pocket of said aneurysm, comprising:

an introducer comprising a removable needle;

a filament which is adapted to be introduced into the pocket of said aneurysm, where said filament will temporarily dwell, and to roll up on itself therein; and

a filament delivery device, adapted to introduce said filament into the pocket through the introducer, said filament delivery device comprising a guide disposed proximate to a proximal end of said filament delivery device, the filament being detachably applied to the guide, said guide comprising an envelope that is adapted to accommodate the filament and to be torn longitudinally.