Embolic protection devices

• US 7,217,255 B2
• Filed: 03/10/2003
• Issued: 05/15/2007
• Est. Priority Date: 12/30/1999
• Status: Expired due to Term

• Current Assignee: Advanced Cardiovascular Systems Incorporated (Abbott Laboratories)
• Original Assignee: Advanced Cardiovascular Systems Incorporated (Abbott Laboratories)
• Inventors: Huter, Scott J., Boyle, William J., Huter, Benjamin C., Stack, Richard S., Stalker, Kent C. B., Whitfield, John D., Denison, Andy E., Tarapata, Christopher
• Primary Examiner(s): Lucchesi; Nicholas
• Assistant Examiner(s): Stigell; Theodore J.
• Application Number:
  US10/386,071
• Publication Number:
  US 20030212361A1
• Time in Patent Office: 1,527 Days
• Field of Search: 606/1, 606110-114, 606/127, 606/128, 606/159, 606/213, 606119-200, 604/508, 604/540
• US Class Current: 604/104
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2/013 Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
• CPC Class Codes: A61F 2002/015 Stop means therefor
• 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 2230/0067 conical
• CPC Class Codes: A61F 2230/008 paraboloidal

Abstract

An embolic protection device for use in a blood vessel when an interventional procedure is being performed in a stenosed or occluded region to capture any embolic material which may be created and released into the bloodstream during the procedure. The device includes a filtering assembly having a self-expanding strut assembly and a filter element attached thereto. In one embodiment, the filtering assembly is attached to the distal end of a guide wire and is deployed within the patient'"'"'s vasculature as the guide wire is manipulated into the area of treatment. A restraining sheath placed over the filtering assembly in a coaxial arrangement maintains the filtering assembly in its collapsed position until it is ready to be deployed by the physician. Thereafter, the sheath can be retracted to expose the filtering assembly which will then self-expand within the patient'"'"'s vasculature. Interventional devices can be delivered over the guide wire and any embolic debris created during the interventional procedure and released into the blood stream will enter the filtering assembly and be captured therein. Other embodiments include filtering assemblies attached to an outer tubular member and inner shaft member which apply axial force to the distal ends of the assembly to either expand or contract the struts as needed.

Claims

1. An embolic protection device for capturing embolic debris released into a body vessel of a patient, comprising:

a shaft member having a distal end and a proximal end; and

a filtering assembly rotatably mounted on the shaft member, the filtering assembly including an expandable strut assembly and a filter attached to the strut assembly for capturing embolic debris, the expandable strut assembly having a set of struts, each strut having a first end and a second end, a deployment member movable between a collapsed position and an expanded position;

each of the first ends of the struts being attached to the deployment member at different locations along the deployment member and the struts being movable between a collapsed position and an expanded position, wherein the strut assembly and filter are mounted to a single tubular member rotatably mounted to the shaft member, the filter being movable with the set of struts and deployment member to the expanded position so that at least a portion contacts the wall of the vessel to capture embolic debris released into the body lumen and the deployment member is a pleated ring forming a substantially circular structure when placed in the expanded position.

2. The embolic protection device of claim 1, wherein the tubular member is disposed between two stop elements located on the shaft member.

3. The embolic protection device of claim 2, wherein the shaft member is a guide wire and one of the stop fittings is coils forming part of the guide wire.

4. The embolic protection device of claim 1, wherein the filter has a distal end attached to the tubular member.

5. The embolic protection device of claim 1, wherein the tubular member extends through the opening formed by the deployment member.

6. An embolic protection device for capturing embolic debris released into a body vessel of a patient, comprising:

a guide wire having a proximal section and a distal section;

a filtering assembly including an expandable strut assembly and a filter element, the strut assembly and filter element being mounted to a single tubular member which is rotatably mounted to the guide wire in the distal section, the strut assembly having a self-expanding deployment member which is biased to move from a collapsed position to an expanded position and forms an opening when placed in the expanded position, the filter element being attached to the deployment member and movable to the expanded position so that at least a portion of the filter element contacts the wall of the body vessel to capture embolic debris released into the body lumen; and

a retractable restraining sheath adapted to extend over the filtering assembly to maintain the deployment member in the collapsed position wherein the tubular member extends through the opening formed by the deployment member and the deployment member is a pleated ring.

7. The embolic protection device of claim 6, wherein the tubular member is disposed between two stop elements located on the guide wire.

8. The embolic protection device of claim 7, wherein one of the stop fittings is a distal coil forming part of the guide wire.

9. The embolic protection device of claim 6, wherein the filter element has a distal end attached to the tubular member.

10. The embolic protection device of claim 6, wherein the filter element has a substantially conical shape and includes an inlet opening which is attached to the deployment member.

11. The embolic protection device of claim 6, wherein the strut assembly includes a proximal strut having one end attached to the tubular member and one end attached to the deployment member.

12. The embolic protection device of claim 11, further including a second proximal strut having one end attached to the tubular member and one end attached to the deployment member.

13. The embolic protection device of claim 6, wherein the tubular member is made from a nickel-titanium alloy.

14. An embolic protection device for capturing embolic debris released into a body vessel of a patient, comprising:

a guide wire having a proximal section and a distal section;

a filtering assembly including an expandable strut assembly and a filter element, the strut assembly and filter element being mounted to a single tubular member which is rotatably mounted to the guide wire in the distal section, the strut assembly having a self-expanding deployment ring which is biased to move from a collapsed position to an expanded position and forms an opening when placed in the expanded position, the filter element being attached to the deployment ring and movable to the expanded position so that at least a portion of the filter element contacts the wall of the body vessel to capture embolic debris released into the body lumen; and

a retractable restraining sheath adapted to extend over the filtering assembly to maintain the deployment ring in the collapsed position.

15. The embolic protection device of claim 14, wherein the tubular member is disposed between two stop elements located on the guide wire.

16. The embolic protection device of claim 15, wherein one of the stop fittings is a distal coil forming part of the guide wire.

17. The embolic protection device of claim 14, wherein the deployment ring is a pleated.