Device and method for modifying the shape of a body organ

• US 7,179,282 B2
• Filed: 05/02/2003
• Issued: 02/20/2007
• Est. Priority Date: 12/05/2001
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Kowalsky, Leonard, Mathis, Mark L., Alferness, Clifton A., Beeson, Cruz, Adams, John M., Reuter, David G.
• Primary Examiner(s): Isabella; David J.
• Application Number:
  US10/429,171
• Publication Number:
  US 20040010305A1
• Time in Patent Office: 1,390 Days
• Field of Search: 623/1.1, 623/1.11, 623/2.1, 623/2.11, 623/2.36, 623/2.37, 623/1.36, 623/1.23, 623/11.11, 623/902, 623/66.1, 128/898, 606/108, 606156-158, 606191-198, 600/16, 600/36, 600/37
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/2451 Inserts in the coronary sinus for correcting the valve shape
• CPC Class Codes: A61F 2250/001 for adjusting a diameter
• CPC Class Codes: A61F 2250/0059 temporary

Abstract

An intravascular support device includes a support or reshaper wire, a proximal anchor and a distal anchor. The support wire engages a vessel wall to change the shape of tissue adjacent the vessel in which the intravascular support is placed. The anchors and support wire are designed such that the vessel in which the support is placed remains open and can be accessed by other devices if necessary. The device provides a minimal metal surface area to blood flowing within the vessel to limit the creation of thrombosis. The anchors can be locked in place to secure the support within the vessel.

Claims

1. A device for modifying the shape of tissue adjacent to a lumen, the device comprising:

an anchor adapted to securely contact a lumen wall when the device is deployed in a lumen,

a reshaper extending from the anchor and adapted to contact the lumen wall when the device is deployed in the lumen to modify the shape of tissue adjacent to the lumen wall;

the anchor being expandable within the lumen from a first configuration to a second configuration such that the anchor'"'"'s diameter perpendicular to the central axis of the lumen in the second configuration is at least 50% greater than the anchor'"'"'s diameter perpendicular to the central axis of the lumen in the first configuration,

the device further comprising a lock adapted to maintain the anchor in the deployed configuration.

2. The device of claim 1 wherein the anchor is further adapted to expand from the first configuration to the second configuration after being deployed from a catheter.

3. The device of claim 1 wherein the anchor is further adapted to be recaptured by a catheter after being deployed from a catheter.

4. The device of claim 3 wherein the anchor is adapted to change shape to fit within a catheter in response to a recapture force applied to the anchor.

5. The device of claim 4 wherein the recapture force is less than 20 lbs.

6. The device of claim 1 wherein the anchor is further adapted to expand to a third configuration as the lumen distends.

7. The device of claim 1 wherein the anchor, is a first anchor, the device further comprising a second anchor, the reshaper extending from the first anchor to the second anchor.

8. A method of modifying the shape of tissue adjacent to a lumen, the method comprising:

providing a device in a catheter, the device comprising an anchor and a reshaper extending from the anchor;

inserting a distal end of the catheter into a lumen; and

deploying the device from the distal end of the catheter into the lumen, the deploying step comprising;

expanding the anchor to contact a lumen wall, the anchor expanding from a first configuration to a second configuration such that the anchor'"'"'s diameter perpendicular to the central axis of the lumen in the second configuration is at least 50% greater than the anchor'"'"'s diameter perpendicular to the central axis of the lumen in the first configuration;

locking the anchor to maintain the anchor in the second configuration; and

placing the reshaper in contact with the lumen wall to modify the shape of tissue adjacent to the lumen wall.

9. The method of claim 8 wherein the placing step comprises:

applying a proximally-directed force to the anchor and the reshaper.

10. A method of modifying the shape of tissue adjacent to a lumen, the method comprising:

providing a device in a catheter, the device comprising a first anchor and the device further comprises a second anchor and a reshaper extending from the first anchor;

inserting a distal end of the catheter into a lumen; and

deploying the device from the distal end of the catheter into the lumen, the deploying step comprising;

expanding the first anchor to contact a lumen wall, the anchor expanding from a first configuration to a second configuration such that the anchor'"'"'s diameter perpendicular to the central axis of the lumen in the second configuration is at least 50% greater than the anchor'"'"'s diameter perpendicular to the central axis of the lumen in the first configuration;

placing the reshaper in contact with the lumen wall to modify the shape of tissue adjacent to the lumen wall;

expanding the second anchor from a first configuration to a second configuration such that the anchor'"'"'s diameter perpendicular to the central axis of the lumen in the second configuration is at least 100% greater than the anchor'"'"'s diameter perpendicular to the central axis of the lumen in the first configuration; and

recapturing the device into a catheter.

11. A method of modifying the shape of tissue adjacent to a lumen, the method comprising:

providing a device in a catheter, the device comprising a first anchor and a reshaper extending from the first anchor;

inserting a distal end of the catheter into a lumen; and

deploying the device from the distal end of the catheter into the lumen, the deploying step comprising;

expanding the first anchor to contact a lumen wall, the first anchor expanding from a first configuration to a second configuration such that the first anchor'"'"'s diameter perpendicular to the central axis of the lumen in the second configuration is at least 50% greater than the first anchor'"'"'s diameter perpendicular to the central axis of the lumen in the first configuration;

placing the reshaper in contact with the lumen wall to modify the shape of tissue adjacent to the lumen wall; and

recapturing the first anchor into a catheter.

12. A device for modifying the shape of tissue adjacent to a lumen, the device comprising:

an anchor adapted to securely contact a lumen wall when the device is deployed in a lumen; and

a reshaper extending from the anchor and adapted to contact the lumen wall when the device is deployed in the lumen to modify the shape of tissue adjacent to the lumen wall,

the anchor being deployable to a deployed configuration within the lumen such that the anchor'"'"'s open cross-sectional area measured perpendicular to a central axis of the lumen is at least 50% of the lumen cross-sectional area,

the device further comprising a lock adapted to maintain the anchor in the deployed configuration.

13. The device of claim 12 wherein the anchor is adapted to expand to the deployed configuration after being deployed from a catheter.

14. The device of claim 13 wherein the anchor is further adapted to be recaptured by a catheter after being deployed from the catheter.

15. The device of claim 13 wherein the anchor is adapted to change shape to fit within a catheter in response to a recapture force applied to the anchor.

16. The device of claim 15 wherein the recapture force is less than 20 lbs.

17. The device of claim 12 wherein the anchor is further adapted to expand as the lumen distends.

18. The device of claim 12 wherein the anchor is a first anchor, the device further comprising a second anchor, the reshaper extending from the first anchor to the second anchor.

19. A method of modifying the shape of tissue adjacent to a lumen, the method comprising:

providing a device in a catheter, the device comprising an anchor and a reshaper extending from the anchor;

inserting a distal end of the catheter into a lumen; and

deploying the device from the distal end of the catheter into the lumen, the deploying step comprising;

expanding the anchor to contact a wall of the lumen, the anchor expanding from a first configuration to a second configuration such that the anchor'"'"'s open cross-sectional area measured perpendicular to a central axis of the lumen is at least 40% of the lumen cross-sectional area;

locking the anchor to maintain the anchor in the second configuration; and

placing the reshaper in contact with the lumen wall to modify the shape of tissue adjacent to the lumen wall.

20. The method of claim 19 wherein the placing step comprises:

applying a proximally-directed force to the anchor and the reshaper.

21. A method of modifying the shape of tissue adjacent to a lumen, the method comprising:

providing a device in a catheter, the device comprising an anchor and a reshaper extending from the anchor;

inserting a distal end of the catheter into a lumen; and

deploying the device from the distal end of the catheter into the lumen, the deploying step comprising;

expanding the anchor to contact a wall of the lumen, the anchor expanding from a first configuration to a second configuration such that the anchor'"'"'s open cross-sectional area measured perpendicular to a central axis of the lumen is at least 50% of the lumen cross-sectional area;

placing the reshaper in contact with the lumen wall to modify the shape of tissue adjacent to the lumen wall; and

recapturing the device into a catheter.

22. A method of modifying the shape of tissue adjacent to a lumen, the method comprising:

providing a device in a catheter, the device comprising first and second anchors and a reshaper extending from the first anchor to the second anchor;

inserting a distal end of the catheter into a lumen; and

deploying the device from the distal end of the catheter into the lumen, the deploying step comprising;

expanding the first anchor to contact a wall of the lumen;

placing the reshaper in contact with the lumen wall to modify the shape of tissue adjacent to the lumen wall;

expanding the second anchor;

the first and second anchors and the reshaper providing metal coverage within the lumen of less than 30%; and

recapturing the device into a catheter.