Occlusion of a vessel

• US 6,312,407 B1
• Filed: 02/19/1998
• Issued: 11/06/2001
• Est. Priority Date: 06/05/1995
• Status: Expired due to Fees

• Current Assignee: Medtronic Ave Incorporated (Medtronic Plc)
• Original Assignee: Medtronic PercuSurge, Inc. (Medtronic Plc)
• Inventors: Muni, Ketan P., Patel, Mukund R., Bagaoisan, Celso J., Zadno-Azizi, Gholam-Reza
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): BIANCO, PATRICIA
• Application Number:
  US09/026,106
• Time in Patent Office: 1,356 Days
• Field of Search: 604/507-509, 604/96, 604/99, 604/104-109, 604/528, 604/96.01, 604/99.01, 604/103.03, 604/523, 604/538, 606/191, 606/194, 606/198
• US Class Current: 604/103.03
• 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 17/12036 partial occlusion
• CPC Class Codes: A61B 17/12109 in a blood vessel
• CPC Class Codes: A61B 17/12168 having a mesh structure A61B17/1214 takes precedence
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 2017/1205 Introduction devices
• CPC Class Codes: A61B 2017/22067 Blocking; Occlusion A61B2017/22054 takes precedence
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2002/016 made from wire-like elements
• CPC Class Codes: A61F 2002/018 made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/005 Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61F 2230/0065 toroidal, e.g. ring-shaped, doughnut-shaped
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2230/0076 ellipsoidal or ovoid
• CPC Class Codes: A61F 2230/008 paraboloidal
• CPC Class Codes: A61F 2230/0091 helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section
• CPC Class Codes: A61M 2025/0018 having a plug, e.g. an inflatable plug for closing catheter lumens
• CPC Class Codes: A61M 2025/0079 Separate user-activated means, e.g. guidewires, guide tubes, balloon catheters or sheaths, for sealing off an orifice, e.g. a lumen or side holes, of a catheter
• CPC Class Codes: A61M 2025/09008 : having a balloon
• CPC Class Codes: A61M 2025/09116 : Design of handles or shafts or gripping surfaces thereof for manipulating guide wires
• CPC Class Codes: A61M 2025/09125 : Device for locking a guide wire in a fixed position with respect to the catheter or the human body
• CPC Class Codes: A61M 2025/09175 : having specific characteristics at the distal tip
• CPC Class Codes: A61M 2025/1015 : having two or more independently movable balloons where the distance between the balloons can be adjusted, e.g. two balloon catheters concentric to each other forming an adjustable multiple balloon catheter system
• CPC Class Codes: A61M 2025/1045 : for treating bifurcations, e.g. balloons in y-configuration, separate balloons or special features of the catheter for treating bifurcations
• CPC Class Codes: A61M 2025/1052 : for temporarily occluding a vessel for isolating a sector
• CPC Class Codes: A61M 2025/1079 : having radio-opaque markers in the region of the balloon
• CPC Class Codes: A61M 2025/1081 : having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
• CPC Class Codes: A61M 2025/1093 : having particular tip characteristics
• CPC Class Codes: A61M 25/0009 : Making of catheters or other medical or surgical tubes
• CPC Class Codes: A61M 25/0026 : Multi-lumen catheters with stationary elements catheter assemblies comprising a catheter in combination with a guide tube, sheath or sleeve A61M2025/0681; catheters comprising telescoping coaxial elements A61M2025/0175
• CPC Class Codes: A61M 25/0054 : with regions for increasing flexibility
• CPC Class Codes: A61M 25/0075 : Valve means
• CPC Class Codes: A61M 25/09 : Guide wires
• CPC Class Codes: A61M 25/09033 : with fixed mandrils, e.g. mandrils fixed to tip; Tensionable wires
• CPC Class Codes: A61M 25/10 : Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61M 25/1011 : Multiple balloon catheters
• CPC Class Codes: A61M 25/10182 : Injector syringes
• CPC Class Codes: A61M 29/02 : Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

A device for occluding a vessel employs one of a number of different expansion members joined to one or more elongate members. The expansion member may include a braid, one or more coils, ribs, a ribbon-like structure, a slotted tube, or a filter-like mesh. If the expansion member is enclosed by a suitable membrane, the device seals with the vessel wall to partially or completely occlude the vessel. A perforated membrane may be used to permit the perfusion of blood. The expansion member may be self-expanding, or it may be expanded by engaging it with one of the elongate members. Alternatively, the expansion member may be expanded by heating it.

Claims

1. A device for occluding a vascular segment, comprising:

a tubular member having an expandable member at a distal end portion thereof, said tubular member configured for insertion into a blood vessel, said tubular member defining a lumen having at its proximal section a transverse surface at least partially occluding said lumen, said transverse surface having an opening of a first transverse profile;

an elogated member within said tubular member and passing through said opening of said tubular member promixal section, said expandable member connected to a distal end portion of said elongate member, said elongate member expanding said expandable member into contact with the blood vessel as said tubular member and said elongate member are moved with respect to each other; and

a lock fixed on a proximal portion of said elongate member which engages said transverse surface of said tubular member, without extending radially beyond an outer surface of said tubular member, to prevent movement of said elongate member in at least one direction with respect to said tubular member when said expandable member is expanded to contact the blood vessel;

said lock having a second transverse profile which, when said expandable member is expanded, interferes with said first transverse profile of said opening of said tubular member proximal section.

2. The device of claim 1, further comprising a material that adjoins said expandable member for creating a seal with the vascular segment.

3. The device of claim 2, wherein said material does not completely encapsulate said expandable member.

4. The device of claim 1, wherein said expandable member comprises a member selected from the group consisting of a braid, a coil, a ribbon-like structure, a slotted tube, a plurality of ribs and a filter-like mesh.

5. The device of claim 1, wherein said expandable member expands as said elongate member is retracted.

6. The apparatus of claim 1, wherein said elongate member comprises a pull wire.

7. The apparatus of claim 1, wherein said lock comprises a handle and a locking member.

8. The apparatus of claim 1, wherein said expandable member occludes the blood vessel when said expandable member contacts the blood vessel.

9. The apparatus of claim 8, wherein said expandable member has holes therein to allow for the perfusion of blood when said expandable member is expanded.

10. The apparatus of claim 1, wherein said lock is located outside of the blood vessel.

11. The device claim 1, wherein said lock is proximal to said tubular member.

12. The device of claim 1, in which said expandable member has the tendency to return to an undeployed, relaxed state from a deployed, expanded state.

13. The device of claim 1, wherein said tubular member and said elongate member are moved longitudinally with respect to each other to expand said expandable member.

14. A method of occluding a segment with blood vessel, comprising:

inserting a tubular member into the blood vessel, the tubular member having an expandable member at a distal portion thereof;

inserting an elongate member within the blood vessel, the elongate member positioned within the tubular member and including a distal portion which is connected to the expandable member;

passing the elongate member through a transverse opening formed is a proximal section of the tubular member, the opening having a first profile;

expanding the expandable member into contact with the blood vessel by moving the tubular member and the elongate member with respect to each other;

moving a lock at a proximal portion of the elongate member into a locked configuration to prevent movement of the elongate member and the tubular member with respect to each other in at least one direction, the lock having a second profile which is different from but engages and interferes with the first profile of the opening of the tubular member, the lock not extending in the radial sense beyond an outer surface of the tubular member, so that the expandable member remains in contact with the blood vessel; and

maintaining the lock in the locked configuration without the lock extending in the radial sense beyond an outer surface of the tubular member.

15. The method of claim 14, comprising retracting the elongate member to expand the expandable member.

16. The method of claim 15, in which said retracting the elongate member causes the expandable member to expand and form a seal with the blood vessel.

17. The method of claim 15, in which the longitudinal position of the elongate member is varied with respect to the longitudinal position of the tubular member to expand the expandable member until the vessel is occluded.

18. The method of claim 17, further comprising:

performing a medical procedure near the segment; and

retrieving the elongate member, the tubular member and the expandable member from the vessel.

19. An apparatus, comprising:

a tubular member having an expandable member at a distal end portion thereof, said tubular member configured for insertion into a blood vessel, said tubular member defining a lumen and having at its proximal section an opening of a first transverse profile;

an elongate member within said tubular member passing through said opening of said tubular member proximal section and which is connected to said expandable member to expand said expandable member into contact with the blood vessel as said tubular member and said elongate member are moved with respect to each other; and

a lock at a proximal portion of said elongate member which is adjustable between a locked configuration, and an unlocked configuration, wherein;

the locked configuration prevents movement of said elongate member and said tubular member with respect to each other through interference of a second transverse profile of said lock with the first transverse profile of said opening in said tubular member; and

the unlocked configuration permits said lock to slide within said tubular member.

20. The device of claim 19, further comprising a material that adjoins said expandable member for creating a seal with the vascular segment.

21. The device of claim 20, wherein said material does not completely encapsulate said expandable member.

22. The device of claim 19, wherein said expandable member comprises a member selected from the group consisting of a braid, a coil, a ribbon-like structure, a slotted tube, a plurality of ribs and a filter-like mesh.

23. The device of claim 19, wherein said expandable member expands as said elongate member is retracted.

24. The apparatus of claim 19, wherein said elongate member comprises a pull wire.

25. The apparatus of claim 19, wherein said lock comprises a handle and a locking member.

26. The apparatus of claim 19, wherein said expandable member occludes the blood vessel when said expandable member contacts the blood vessel.

27. The apparatus of claim 26, wherein said expandable member has holes therein to allow for the perfusion of blood when said expandable member is expanded.

28. The apparatus of claim 19, wherein said lock is located outside of the blood vessel.

29. The apparatus of claim 19, wherein said lock is proximal to said tubular member.

30. The apparatus of claim 19, wherein said tubular member is insertable into the blood vessel when said expandable member is in an undeployed, relaxed state.

31. The apparatus of claim 19, wherein said expandable member is connected to a distal end portion of said elongate member.

32. The apparatus of claim 19, wherein said lock contacts said elongate member and said tubular member.

33. The apparatus of claim 19, wherein said tubular member and said elongate member are moved longitudinally with respect to each other to expand said expandable member.