Catheter system for treating a vascular occlusion

• US 6,398,798 B2
• Filed: 02/28/1998
• Issued: 06/04/2002
• Est. Priority Date: 02/28/1998
• Status: Expired due to Term

• Current Assignee: Cardinal Health Switzerland 515 GmbH (Cardinal Health, Inc.)
• Original Assignee: LuMend, Inc. (Cardinal Health, Inc.)
• Inventors: Milo, Charles, Selmon, Matthew R., Hansen, Gerald
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Bui, Vy Q.
• Application Number:
  US09/032,773
• Publication Number:
  US 20010020172A1
• Time in Patent Office: 1,557 Days
• Field of Search: 606/159, 606/170, 606/171, 606/167, 606/205
• US Class Current: 606/159
• CPC Class Codes: A61B 17/221 Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions surgical snare instruments A61B17/32056
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61B 2017/320044 Blunt dissectors blunt suture needles A61B2017/06085

Abstract

A catherer system and method are provided including a blunt end assembly with a catheter and a blunt end member. The blunt end member includes jaw sections which have a first position or closed position for locating the blunt end member at the site of the occlusion within the native lumen of the blood vessel and a second position or open position wherein the jaw sections are able to press against the interior walls of the lumen adjacent the occlusion. The assembly includes an actuation member for moving the jaw sections from the closed to the open positions repeatedly resulting in a fracturing of the occlusion. A guide wire may be thread through an internal opening in the catheter and the blunt end member and after fracturing, across the occlusion.

Claims

1. A method for bypassing a vascular occlusion, comprising:

positioning a distal end of an intravascular catherer adjacent to the vascular occlusion, wherein the intravascular catherer includes at least one distally mounted hinged jaw section configured for placement within a blood vessel that is movable between an open position and a closed position, and an actuation member formed with a ferrule and a guide wire tube to move at least one hinged jaw section located at the distal end of the intravascular catherer towards the open position to displace a vascular occlusion; and

actuating member to move the at least one jaw section to an open position to displace the vascular occlusion.

2. The method of claim 1, further comprising:

positioning a guidewire adjacent the occlusion;

advancing the intravascular catherer along the guidewire; and

positioning the intravascular catherer adjacent the vascular occlusion.

3. The method of claim 2, wherein the intravascular catherer is formed with a guidewire guide for slidable movement of the guidewire.

4. The method of claim 1 further comprising stabilizing the at least one jaw section before actuating the at least one jaw section.

5. The method of claim 4, wherein the intravascular catherer includes a balloon to stabilize the catherer at a selected location within a blood vessel.

6. The method of claim 1, wherein the at least one jaw section is fabricated from a biocompatible alloy.

7. The method of claim 1, wherein the at least one jaw section is fabricated from a nickel and titanium alloy.

8. The method of claim 1, wherein the at least one jaw section is formed with a spade-shape.

9. The method of claim 1, wherein the at least one jaw section includes a distal end having a rectangular shape.

10. The method of claim 1, wherein the at least one jaw section has a rectangular paw disposed at the distal end thereof.

11. The method of claim 1, wherein the guide wire tube is disposed in the catherer and includes a proximal end manipulable from the proximal end of the catherer and a distal end coupled to the at least one jaw section, and wherein the ferrule is coupled to the distal end of the guide wire tube and is in slidable contact with the at least one jaw section.

12. The method of claim 11, wherein the ferrule has a frusto-conical profile.

13. The method of claim 11, wherein the ferrule has a ball-shaped profile.

14. The method of claim 1, further comprising:

providing a guide wire tube disposed in the catherer, wherein the ferrule is coupled to the distal end of the guide wire tube; and

manipulating a proximal end of the guide wire tube to actuate the actuating member.

15. A method for fracturing a vascular occlusion comprising:

positioning an intravascular catherer adjacent to the vascular occlusion, wherein the intravascular catherer includes an actuation member and at least one hinged end member that is configured for placement within a blood vessel, wherein the actuation member comprises a ferrule and a guide wire tube to move the at least one end member located at the distal end of the intravascular catherer towards a relatively open position to fracture the vascular occlusion;

activating the actuating member to move the at least one end member towards an open position; and

displacing the vascular occlusion.

16. The method of claim 15, further comprising

advancing a guidewire through a guidewire lumen of the intravascular catherer into at least a portion of the vascular occlusion.

17. The method of claim 15, wherein the intravascular catherer includes a balloon,

wherein the balloon is inflated to stabilize the intravascular catherer before activating the actuating member.

18. The method of claim 15, wherein the at least one end member is fabricated from a nickel titanium alloy.

19. The method of claim 15, wherein at least one end member is spade-shaped.

20. The method of claim 15, wherein the at least one end member includes a distal end having a rectangular shape.

21. A method for fracturing an occlusion within a blood vessel, comprising:

providing an intravascular catherer comprising at least one jaw section located at the distal end of the intravascular catherer having a first position for allowing the at least one jaw section to be positioned substantially adjacent the occlusion and a second position for fracturing te occlusion;

coupling an actuation tube assembly to the at least one jaw section, wherein the actuation tube assembly includes a ferrule for moving the at least one jaw section between the first and second positions;

positioning the at least one jaw section adjacent to the occlusion while the at least one jaw section is maintained in the first position; and

actuating the at least one jaw section by manipulating the actuation tube assembly; and

fracturing the occlusion.

22. The method of claim 21, further comprising:

providing a guidewire lumen within the actuation tube; and

advancing a guidewire through the guidewire luen towards the occlusion.

23. The method of claim 21, wherein the intravascular catherer includes a selectively activatable securing member for securing the catherer at a relatively fixed location.

24. A method for bypassing a vascular occlusion, comprising:

positioning an intravascular catherer adjacent to the vascular occlusion, wherein the intravascular cathere includes at least one hinged section coupled to an actuation member located at the distal end of the intravascular catherer, wherein the at least one hinged section is rotatably coupled among at least one open position and at least one closed position, wherein the actuation member includes a ferrule and a guide wire tube coupled to control movement of the at least one hinged section;

opening the at least one hinged section to the at least one open position in response to a force applied to the actuation member; and

displacing the vascular occlusion.