One piece loop and coil

• US 7,320,697 B2
• Filed: 12/08/2003
• Issued: 01/22/2008
• Est. Priority Date: 07/30/1999
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Hirshman, Peter, Moreno, Marlon C., Kim, Eliot T., Demond, Jackson, Cassell, Robert L.
• Primary Examiner(s): Nguyen; Anhtuan T.
• Assistant Examiner(s): NEAL, TIMOTHY JAY
• Application Number:
  US10/730,232
• Publication Number:
  US 20040116960A1
• Time in Patent Office: 1,506 Days
• Field of Search: 606/200, 623/1.23
• US Class Current: 606/200
• 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 2017/2215 having an open distal end
• CPC Class Codes: A61F 2/0105 Open ended, i.e. legs gathered only at one side
• 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 2230/0008 elliptical or oval
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/008 paraboloidal
• CPC Class Codes: A61M 2025/09183 having tools at the distal tip
• CPC Class Codes: A61M 2025/1052 for temporarily occluding a vessel for isolating a sector
• CPC Class Codes: A61M 2025/109 having balloons for removing solid matters, e.g. by grasping or scraping plaque, thrombus or other matters that obstruct the flow

Abstract

Apparatus and methods are provided for use in filtering emboli from a vessel, wherein a vascular filter is disposed on a guide wire, the vascular filter having a support hoop disposed from a suspension strut so as to permit lateral eccentric displacement of the support hoop relative to a longitudinal axis of the guide wire. A blood permeable sac is affixed to the support hoop to form a mouth of the blood permeable sac. The support hoop is disposed obliquely relative to the guide wire and is capable of being properly used in a wide range of vessel diameters. The support hoop collapses the mouth of the blood permeable sac during removal of the vascular filter to prevent material from escaping from the sac. A delivery sheath and introducer sheath for use with the vascular filter of the present invention are also provided.

Claims

1. An embolic filter assembly, said filter assembly comprising:

at least one strand of wire forming a support hoop;

the strand of wire extending from said support hoop and forming at least one suspension strut;

the suspension strut coupled, at least in part, to a guide wire or a filter wire; and

a blood permeable sac having an opening, said opening fixedly attached to the support hoop, thereby forming a proximal opening or mouth of the embolic filter;

wherein the at least one suspension strut is at least in part, entwined around said guide wire or said filter wire, thereby forming a helix around the guidewire or filter wire;

and wherein the helix is formed by first longitudinally traversing the at least one suspension strut, at least in part, along said guide wire or said filter wire in a distal to proximal direction, and then entwining the at least one suspension strut, at least in part, in the proximal to distal direction.

2. The filter assembly of claim 1, wherein the support hoop is self-expanding.

3. The filter assembly of claim 2, wherein said support hoop has a preformed shape.

4. The filter assembly of claim 1, wherein the support hoop and/or the suspension strut is comprised of a bio-compatible material.

5. The filter assembly of claim 4, wherein the bio-compatible material comprises a nickel-titanium alloy (nitinol).

6. The filter assembly of claim 4, wherein the bio-compatible material comprises stainless steel.

7. The filter assembly of claim 1, wherein the helix defines a lumen, the guide wire or the filter wire moveably passing through the lumen comprised by said helix.

8. The filter assembly of claim 1, wherein the helix is formed by entwining the at least one suspension strut, at least in part, in the distal to proximal direction.

9. The filter assembly of claim 1, wherein the helix is held together with a thread or a wire or a ribbon comprised of a bio-compatible material.

10. The filter assembly of claim 9, wherein the bio-compatible material comprises a nickel-titanium alloy (nitinol).

11. The filter assembly of claim 9, wherein the bio-compatible material comprises stainless steel.

12. The filter assembly of claim 1, wherein the helix is covered with a bio-compatible material.

13. The filter assembly of claim 12, wherein the bio-compatible material is a heat shrink tubing.

14. The filter assembly of claim 12, wherein the bio-compatible material is an adhesive.

15. The filter assembly of claim 12, wherein the bio-compatible material is a soldering material.

16. The filter assembly of claim 12, wherein the bio-compatible material is a welding material.

17. The filter assembly of claim 1, wherein emboli-laden blood enters the proximal mouth or opening of the embolic filter, and the emboli becomes entrapped within said blood permeable sac.

18. The filter assembly of claim 1, wherein the at least one suspension strut is comprised of at least two sections of the strand of wire forming the support hoop.

19. The filter assembly of claim 18, wherein the at least one suspension strut has an articulation point whereafter the at least two sections of the strand of wire extend proximally for attachment to a guide wire or a filter wire.

20. The filter assembly of claim 19, wherein the at least two sections of the strand of wire proximal of the articulation point are entwined around the guide wire or the filter wire, thereby forming the helix having the guide wire or the filter wire moveably passing through the lumen comprised by said helix.

21. The filter assembly of claim 19, wherein:

one or more regions on the at least two sections of the strand of wire proximal of the articulation point are stamped flat having one or more regions of unstamped wire therebetween;

the at least two sections of the strand of wire are intertwined and held in place by a bio-compatible bonding material forming a bonded strand of wire; and

the bonded strand of wire is entwined around the guide wire or the filter wire, thereby forming the helix having the guide wire or the filter wire moveably passing through the lumen comprised by said helix.

22. The filter assembly of claim 19, wherein:

the at least two sections of the strand of wire proximal of the articulation point are intertwined together;

one or more regions on the intertwined wire proximal of the articulation point are stamped flat having one or more regions of unstamped wire therebetween;

the intertwined wire is held in place by a bio-compatible bonding material forming a bonded strand of wire; and

the bonded strand of wire is entwined around the guide wire or the filter wire, thereby forming the helix having the guide wire or the filter wire moveably passing through the lumen comprised by said helix.

23. The filter assembly of claim 19, wherein:

the at least two sections of the strand of wire proximal of the articulation point are stamped flat;

the at least two sections of the flattened strand of wire are intertwined and held in place by a bio-compatible bonding material forming a bonded strand of wire; and

the bonded strand of wire is entwined around the guide wire or the filter wire, thereby forming the helix having the guide wire or the filter wire moveably passing through the lumen comprised by said helix.

24. The filter assembly of claim 19, wherein the at least two sections of the strand of wire proximal of the articulation point are weaved through one or more turns of wire forming a coil, and having the guide wire or the filter wire moveably passing through the lumen of the coil.

25. An embolic filter assembly, said filter assembly comprising:

at least one strand of wire forming a support hoop;

the strand of wire extending from said support hoop and forming at least one suspension strut including at least two sections of the strand of wire proximal of an articulation point;

a coil extending over a portion of a guide wire or a filter wire, the coil having an inside diameter defining a lumen;

the suspension strut coupled, at least in part, to the guide wire or the filter wire, such that at least a portion of the at least two sections of the strand of wire proximal of the articulation point extend through the lumen of the coil; and

a blood permeable sac having an opening, said opening fixedly attached to the support hoop, thereby forming a proximal opening or mouth of the embolic filter.

26. The filter assembly of claim 25, wherein the at least two sections of the strand of wire proximal of the articulation point are mechanically attached to the coil by weaving the strand of wire through alternate turns of the coil, and having the guide wire or the filter wire moveably passing through the lumen of the coil.

27. The filter assembly of claim 25, wherein:

the at least two sections of the strand of wire proximal of the articulation point are coiled around the coil;

the coiled strand of wire is bonded to the coil using a bio-compatible bonding material; and

the guide wire or the filter wire moveably passes through the lumen of the coil.

28. The filter assembly of claim 25, wherein:

the at least two sections of the strand of wire proximal of the articulation point are formed into a ring having a diameter greater than the inside diameter of the coil;

the ring squeezed into a smaller diameter and placed within the lumen of the coil and held in place by mechanical forces imposed by the ring onto the inside surface of the coil; and

the guide wire or the filter wire moveably passes through the lumen of the coil.

29. The filter assembly of claim 25, wherein:

the at least two sections of the strand of wire proximal of the articulation point are separated from each other such that the distance between the at least two sections of the strand of wire is greater than the inside diameter of the coil;

the separated proximal sections of the strand of wire squeezed together and placed within the lumen of the coil and held in place by mechanical forces imposed by the at least two sections of the strand of wire onto the inside surface of the coil; and

the guide wire or the filter wire moveably passes through the lumen of the coil.

30. An embolic filter assembly, said filter assembly comprising:

at least one strand of wire forming a support hoop;

the strand of wire extending from said support hoop and forming at least one suspension strut;

the suspension strut fixedly attached, at least in part, to a tube having a moveable guide wire or a moveable filter wire therethrough; and

a blood permeable sac having an opening, said opening fixedly attached to the support hoop, thereby forming a proximal opening or mouth of the embolic filter;

wherein the at least one suspension strut is, at least in part, entwined around said tube, thereby forming a helix around the tube.

31. The filter assembly of claim 30, wherein the helix is formed by entwining the at least one suspension strut, at least in part, in the distal to proximal direction.

32. The filter assembly of claim 30, wherein the helix is formed by first longitudinally traversing the at least one suspension strut, at least in part, along said guide wire or said filter wire in a distal to proximal direction, and then entwining the at least one suspension strut, at least in part, in the proximal to distal direction.

33. The filter assembly of claim 30, wherein the helix is held together with a thread or a wire or a ribbon comprised of a bio-compatible bonding material.

34. The filter assembly of claim 30, wherein the helix is covered with a bio-compatible bonding material.

35. The filter assembly of claim 34, wherein the bio-compatible bonding material is a heat shrink tubing.

36. The filter assembly of claim 34, wherein the bio-compatible bonding material is an adhesive.

37. The filter assembly of claim 34, wherein the bio-compatible bonding material is a soldering material.

38. The filter assembly of claim 34, wherein the bio-compatible bonding material is a welding material.

39. The filter assembly of claim 30, wherein emboli-laden blood enters the proximal mouth or opening of the embolic filter, and the emboli becomes entrapped within said blood permeable sac.

40. The filter assembly of claim 30, wherein the at least one suspension strut is comprised of at least two sections of the strand of wire forming the support hoop.

41. The filter assembly of claim 40, wherein the at least one suspension strut has an articulation point whereafter the at least two sections of the strand of wire extend proximally for attachment to the tube.

42. The filter assembly of claim 41, wherein the at least two sections of the strand of wire proximal of the articulation point are held in place by a bio-compatible bonding material.

43. The filter assembly of claim 41, wherein:

one or more regions on the at least two sections of the strand of wire proximal of the articulation point are stamped flat having one or more regions of unstamped wire therebetween;

the at least two sections of the strand of wire are intertwined and held in place by a bio-compatible bonding material forming a bonded strand of wire; and

the bonded strand of wire is entwined around the tube and held in place by a bio-compatible bonding material.

44. The filter assembly of claim 41, wherein:

the at least two sections of the strand of wire proximal of the articulation point are intertwined together;

one or more regions on the intertwined wire proximal of the articulation point are stamped flat having one or more regions of unstamped wire therebetween;

the intertwined wire is held in place by a bio-compatible bonding material forming a bonded strand of wire; and

the bonded strand of wire positioned on the tube and held in place by a bio-compatible bonding material.

45. The filter assembly of claim 41, wherein:

the at least two sections of the strand of wire proximal of the articulation point are stamped flat;

the at least two sections of the flattened strand of wire are intertwined and held in place by a bio-compatible bonding material forming a bonded strand of wire; and

the bonded strand of wire is entwined around the tube and held in place by a bio-compatible bonding material.

46. The filter assembly of claim 41, wherein the at least two sections of the strand of wire proximal of the articulation point are weaved through one or more turns of wire forming a coil around the tube and held in place by a bio-compatible bonding material.

47. An embolic filter assembly, said filter assembly comprising:

at least one strand of wire forming a support hoop;

the strand of wire extending from said support hoop and forming at least one suspension strut including at least two sections of the strand of wire proximal of an articulation point;

a coil extending over a portion of a tube, the coil having an inside diameter defining a lumen;

the suspension strut fixedly attached, at least in part, to the tube, such that at least a portion of the at least two sections of the strand of wire proximal of the articulation point extends through the lumen of the coil; and

a blood permeable sac having an opening, said opening fixedly attached to the support hoop, thereby forming a proximal opening or mouth of the embolic filter.

48. The filter assembly of claim 47, wherein the at least two sections of the strand of wire proximal of the articulation point are mechanically attached to the coil by weaving the strand of wire through alternate turns of the coil forming wire around the tube and held in place by a bio-compatible bonding material.

49. The filter assembly of claim 47, wherein:

the at least two sections of the strand of wire proximal of the articulation point are coiled around the coil;

the coiled strand of wire is bonded to the coil using a bio-compatible bonding material; and

the tube placed within the lumen of the coil and held in place by a bio-compatible bonding material.

50. The filter assembly of claim 47, wherein:

the at least two sections of the strand of wire proximal of the articulation point are formed into a ring having a diameter greater than the inside diameter of the coil;

the ring squeezed into a smaller diameter and placed within the lumen of the coil and held in place by mechanical forces imposed by the ring onto the inside surface of the coil; and

the tube placed within the lumen of the coil and held in place by a bio-compatible bonding material.

51. The filter assembly of claim 47, wherein:

the at least two sections of the strand of wire proximal of the articulation point are separated from each other such that the distance between the at least two sections of the strand of wire is greater than the inside diameter of the coil;

the separated proximal sections of the strand of wire squeezed together and placed within the lumen of the coil and held in place by mechanical forces imposed by the at least two sections of the strand of wire onto the inside surface of the coil; and

the tube placed within the lumen of the coil and held in place by a bio-compatible bonding material.

52. An embolic filter assembly, said filter assembly comprising:

at least one strand of wire forming a support hoop;

the strand of wire extending from said support hoop and forming at least one suspension strut including at least two sections of the strand of wire proximal of an articulation point;

the suspension strut fixedly attached, at least in part, to a tube having a moveable guide wire or a moveable filter wire therethrough; and

a blood permeable sac having an opening, said opening fixedly attached to the support hoop, thereby forming a proximal opening or mouth of the embolic filter;

wherein the at least two sections of the strand of wire proximal of the articulation point are formed into a zig-zag shape;

the zig-zag strand of wire placed on the outside surface of the tube; and

the stand of wire held in place on the tube using a bio-compatible bonding material.

53. An embolic filter assembly, said filter assembly comprising:

at least one strand of wire forming a support hoop;

the strand of wire extending from said support hoop and forming at least one suspension strut including at least two sections of the strand of wire proximal of an articulation point;

the suspension strut fixedly attached, at least in part, to a tube having a moveable guide wire or a moveable filter wire therethrough; and

a blood permeable sac having an opening, said opening fixedly attached to the support hoop, thereby forming a proximal opening or mouth of the embolic filter;

wherein a bio-compatible bonding material is applied forming a common bead at the proximal ends of the at least two sections of the strand of wire; and

the at least two sections of the strand of wire proximal of the articulation point positioned to the tube and held in place using a bio-compatible bonding material applied between the articulation point and the common bead.

54. An embolic filter assembly, said filter assembly comprising:

at least one strand of wire forming a support hoop;

the strand of wire extending from said support hoop and forming at least one suspension strut including at least two sections of the strand of wire proximal of an articulation point;

the suspension strut fixedly attached, at least in part, to a tube having a moveable guide wire or a moveable filter wire therethrough; and

a blood permeable sac having an opening, said opening fixedly attached to the support hoop, thereby forming a proximal opening or mouth of the embolic filter;

wherein the at least two sections of the strand of wire proximal of the articulation point are intertwined; and

the intertwined strand of wire proximal of the articulation point positioned to the tube and held in place using a bio-compatible bonding material.

55. An embolic filter assembly, said filter assembly comprising:

at least one strand of wire forming a support hoop;

the strand of wire extending from said support hoop and forming at least one suspension strut including at least two sections of the strand of wire proximal of an articulation point;

the suspension strut fixedly attached, at least in part, to a tube having a moveable guide wire or a moveable filter wire therethrough; and

a blood permeable sac having an opening, said opening fixedly attached to the support hoop, thereby forming a proximal opening or mouth of the embolic filter;

wherein the tube is a thick-walled tube having an inside diameter substantially smaller than the outside diameter;

one or more holes having a diameter smaller than the diameter of the strand of wire are drilled into the distal end of the thick-walled tube;

the thick-walled tube heated to a temperature greater than the room temperature causing an increase in the diameter of the one or more holes;

the proximal ends of the strand of wire are placed with the one or more holes while the thick-walled tube is at the elevated temperature; and

the thick-walled tube is cooled to room temperature causing a decrease in the diameter of the one or more holes forming a mechanical bond having the strand of wire securely held in place inside the one or more holes in the thick-walled tube.

56. An embolic filter assembly, said filter assembly comprising:

at least one strand of wire forming a support hoop;

the strand of wire extending from said support hoop and forming at least one suspension strut comprising at least two sections of the strand of wire forming the support hoop, the suspension strut having an articulation point whereafter the at least two sections of the strand of wire extend proximally for attachment to a guide wire or a filter wire;

the suspension strut coupled, at least in part, to the guide wire or the filter wire; and

a blood permeable sac having an opening, said opening fixedly attached to the support hoop, thereby forming a proximal opening or mouth of the embolic filter;

wherein the at least one suspension strut is at least in part, entwined around said guide wire or said filter wire, thereby forming a helix around the guidewire or filter wire;

one or more regions on the at least two sections of the strand of wire proximal of the articulation point are stamped flat having one or more regions of unstamped wire therebetween;

the at least two sections of the strand of wire are intertwined and held in place by a bio-compatible bonding material forming a bonded strand of wire; and

the bonded strand of wire is entwined around the guide wire or the filter wire, thereby forming the helix having the guide wire or the filter wire moveably passing through the lumen comprised by said helix.

57. An embolic filter assembly, said filter assembly comprising:

at least one strand of wire forming a support hoop;

the strand of wire extending from said support hoop and forming at least one suspension strut comprising at least two sections of the strand of wire forming the support hoop, the suspension strut having an articulation point whereafter the at least two sections of the strand of wire extend proximally for attachment to a guide wire or a filter wire;

the suspension strut coupled, at least in part, to the guide wire or the filter wire; and

a blood permeable sac having an opening, said opening fixedly attached to the support hoop, thereby forming a proximal opening or mouth of the embolic filter;

wherein the at least one suspension strut is at least in part, entwined around said guide wire or said filter wire, thereby forming a helix around the guidewire or filter wire;

the at least two sections of the strand of wire proximal of the articulation point are intertwined together;

one or more regions on the intertwined wire proximal of the articulation point are stamped flat having one or more regions of unstamped wire therebetween;

the intertwined wire is held in place by a bio-compatible bonding material forming a bonded strand of wire; and

the bonded strand of wire is entwined around the guide wire or the filter wire, thereby forming the helix having the guide wire or the filter wire moveably passing through the lumen comprised by said helix.

58. An embolic filter assembly, said filter assembly comprising:

at least one strand of wire forming a support hoop;

the strand of wire extending from said support hoop and forming at least one suspension strut comprising at least two sections of the strand of wire forming the support hoop, the suspension strut having an articulation point whereafter the at least two sections of the strand of wire extend proximally for attachment to a guide wire or a filter wire;

the suspension strut coupled, at least in part, to the guide wire or the filter wire; and

a blood permeable sac having an opening, said opening fixedly attached to the support hoop, thereby forming a proximal opening or mouth of the embolic filter;

wherein the at least one suspension strut is at least in part, entwined around said guide wire or said filter wire, thereby forming a helix around the guidewire or filter wire;

the at least two sections of the strand of wire proximal of the articulation point are stamped flat;

the at least two sections of the flattened strand of wire are intertwined and held in place by a bio-compatible bonding material forming a bonded strand of wire; and

the bonded strand of wire is entwined around the guide wire or the filter wire, thereby forming the helix having the guide wire or the filter wire moveably passing though the lumen comprised by said helix.