Medical device delivery catheter

• US 7,347,868 B2
• Filed: 10/26/2004
• Issued: 03/25/2008
• Est. Priority Date: 10/26/2004
• Status: Active Grant

• Current Assignee: BAROnova, Inc.
• Original Assignee: BAROnova, Inc.
• Inventors: Fisher, Winfield Scott, Hites, Tibor Laszlo, Burnett, Daniel R., Hall, Gregory W., Bajor, Jordan T.
• Primary Examiner(s): GHERBI, SUZETTE JAIME J
• Application Number:
  US10/974,482
• Publication Number:
  US 20060089627A1
• Time in Patent Office: 1,246 Days
• Field of Search: 623 111- 211, 623 2364- 23, 606/198
• US Class Current: 623/1.11
• CPC Class Codes: A61B 17/12099 characterised by the location of the occluder
• CPC Class Codes: A61B 17/12159 Solid plugs; being solid before insertion
• CPC Class Codes: A61B 2017/12054 Details concerning the detachment of the occluding device from the introduction device
• CPC Class Codes: A61B 2017/12059 Joint of soluble material
• CPC Class Codes: A61B 2017/12081 detachable by inflation
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61F 2/88 the wire-like elements formed as helical or spiral coils forming a net-like or mesh-like structure A61F2/90
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/97 the outer sleeve being splittable
• CPC Class Codes: A61F 2002/044 Oesophagi or esophagi or gullets
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires
• CPC Class Codes: A61F 5/0079 Pyloric or esophageal obstructions

Abstract

Apparatus for delivering a medical device to a location in a patient'"'"'s body includes an elongate catheter body having a proximal end and a distal end, a pod coupled with the distal end of the catheter body and adapted to house the medical device during delivery to the location and to open to release the medical device, and at least one distal actuator coupled with at least one of the pod and the medical device. The distal actuator is adapted to promote opening of the pod. A method involves advancing a pod at the distal end of an elongate catheter to the location within the body and activating an actuator coupled with the pod and/or the medical device to cause the pod to open. Opening the pod releases the medical device.

Claims

1. Apparatus for delivering a medical device to a location in a patient'"'"'s body the apparatus comprising:

an elongate catheter body having a proximal end and a distal end;

a pod coupled with the distal end of the catheter body and adapted to house the medical device during delivery to the location and to open to release the medical device; and

at least one distal actuator coupled with at least one of the pod and the medical device, the distal actuator adapted to promote opening of the pod,

wherein the pod comprises a material disposed over the medical device, the material adapted to tear or peel to open the pod, and

wherein the material comprises a shape-memory material adapted to curl inward after the material is torn or peeled.

2. Apparatus for delivering a medical device to a location in a patient'"'"'s body, the apparatus comprising:

an elongate catheter body having a proximal end and a distal end;

a pod coupled with the distal end of the catheter body and adapted to house the medical device during delivery to the location and to open to release the medical device; and

at least one distal actuator coupled with at least one of the pod and the medical device, the distal actuator adapted to promote opening of the pod,

wherein the pod comprises a material disposed over the medical device, the material adapted to tear or peel to open the pod, and

wherein the material includes a plurality of apertures disposed along opposite ends, the apparatus further comprising a cord for passing through the apertures to maintain the material over the medical device, wherein removing the cord causes the pod to open.

3. Apparatus for delivering a medical device to a location in a patient'"'"'s body, the apparatus comprising:

an elongate catheter body having a proximal end and a distal end;

a pod coupled with the distal end of the catheter body and adapted to house the medical device during delivery to the location and to open to release the medical device; and

at least one distal actuator coupled with at least one of the pod and the medical device, the distal actuator adapted to promote opening of the pod,

wherein the pod comprises a material disposed over the medical device, the material adapted to tear or peel to open the pod, and

wherein the distal actuator comprises a pressure input member for introducing positive pressure into the pod to cause the material to burst.

4. Apparatus for delivering a medical device to a location in a patient'"'"'s body, the apparatus comprising:

an elongate catheter body having a proximal end and a distal end;

a pod coupled with the distal end of the catheter body and adapted to house the medical device during delivery to the location and to open to release the medical device;

and at least one distal actuator coupled with at least one of the pod and the medical device, the distal actuator adapted to promote opening of the pod,

wherein the pod comprises a material disposed over the medical device, the material adapted to tear or peel to open the pod, and

wherein the distal actuator comprises an inflation device coupled with the medical device for inflating the medical device to cause the device to expand and rupture the material.

5. Apparatus for delivering a medical device to a location in a patient'"'"'s body, the apparatus comprising:

an elongate catheter body having a proximal end and a distal end;

a pod coupled with the distal end of the catheter body and adapted to house the medical device during delivery to the location and to open to release the medical device; and

at least one distal actuator coupled with at least one of the pod and the medical device, the distal actuator adapted to promote opening of the pod,

further comprising a retractable inner shaft extending axially through the housing, wherein the medical device includes at least one lumen to allow the medical device to reside over the inner shaft during delivery, and wherein retracting the inner shaft releases at least part of the medical device,

wherein the retractable shaft extends beyond a distal end of the pod,

wherein retracting the shaft releases a distal portion of the medical device, and

wherein opening the pod releases a proximal portion of the medical device.

6. Apparatus for delivering a medical device to a location in a patient'"'"'s body, the apparatus comprising:

an elongate catheter body having a proximal end and a distal end;

a pod coupled with the distal end of the catheter body and adapted to house the medical device during delivery to the location and to open to release the medical device; and

at least one distal actuator coupled with at least one of the pod and the medical device, the distal actuator adapted to promote opening of the pod,

wherein the pod comprises;

at least two opposed housing members for releasably housing the medical device; and

at least one hinge for movably coupling the housing members, wherein the housing members are adapted to move about the hinge(s) to cause the pod to open.

7. Apparatus as in claim 6, wherein the housing members comprise a material selected from the group consisting of a polymer, a ceramic, a metal, a composite and a biological material.

8. Apparatus as in claim 6, wherein the hinge is selected from the group consisting of a flexible material hinge, a living hinge, a pin joint and a universal joint.

9. Apparatus as in claim 6, wherein at least part of each housing member comprises at least one of a shape-memory material, a super-elastic material and a spring loaded material, and wherein the housing members are preformed to move away from one another when released from constraint.

10. Apparatus as in claim 9, wherein the distal actuator is adapted to releasably hold the pod in a closed configuration and, upon activation, to release the pod to allow it to assume the open configuration.

11. Apparatus as in claim 10, wherein the distal actuator is selected from the group comprising a ring, a retractable sleeve, a tearable sleeve, a pin and a clamp.

12. Apparatus as in claim 6, further comprising at least one spring disposed between the housing members to urge them apart.

13. Apparatus as in claim 6, wherein the distal actuator comprises at least one movable holder disposed about the housing members, wherein the holder is movable from a first position to hold the housing members together to a second position to allow the housing members to move apart.

14. Apparatus as in claim 13, wherein the holder is movable from the second position to the first position to move the housing members back together.

15. Apparatus as in claim 13, wherein the actuator further comprises a wedge for urging the housing members apart when the holder is moved from the first to the second position.

16. Apparatus as in claim 13, wherein the holder comprises at least one ring disposed around the housing members, and wherein the ring in the first position is disposed near a distal end of the pod and the ring in the second position is disposed near a proximal end of the pod.

17. Apparatus as in claim 13, wherein the holder comprises a sleeve movably disposed over the housing members.

18. Apparatus for delivering a medical device to a location in a patient'"'"'s body, the apparatus comprising:

an elongate catheter body having a proximal end and a distal end;

a pod coupled with the distal end of the catheter body and adapted to house the medical device during delivery to the location and to open to release the medical device; and

at least one distal actuator coupled with at least one of the pod and the medical device, the distal actuator adapted to promote opening of the pod,

wherein the pod includes an open distal end, and

wherein a distal end of the medical device extends out of the open distal end of the pod to form a flexible tip.

19. Apparatus for delivering a medical device to a location in a patient'"'"'s body, the apparatus comprising:

an elongate catheter body having a proximal end and a distal end;

a pod coupled with the distal end of the catheter body and adapted to house the medical device during delivery to the location and to open to release the medical device; and

at least one distal actuator coupled with at least one of the pod and the medical device, the distal actuator adapted to promote opening of the pod,

wherein the pod comprises a distal tip, and

wherein the tip comprises a rigid, pointed tip adapted to pierce through tissue.

20. Apparatus for delivering a medical device to a location in a patient'"'"'s body, the apparatus comprising:

an elongate catheter body having a proximal end and a distal end;

a pod coupled with the distal end of the catheter body and adapted to house the medical device during delivery to the location and to open to release the medical device; and

at least one distal actuator coupled with at least one of the pod and the medical device, the distal actuator adapted to promote opening of the pod,

wherein the pod comprises a distal tip, and

wherein the tip comprises a flexible nose having at least one aperture or lumen for accepting a guidewire.

21. Apparatus for delivering a medical device to a location in a patient'"'"'s body, the apparatus comprising:

an elongate catheter body having a proximal end and a distal end;

a pod coupled with the distal end of the catheter body and adapted to house the medical device during delivery to the location and to open to release the medical device; and

at least one distal actuator coupled with at least one of the pod and the medical device, the distal actuator adapted to promote opening of the pod,

further comprising at least one support member disposed along at least part of a length of the pod for reducing bending of the pod,

wherein the at least one support member comprises multiple support members disposed along an inner surface of the pod.

22. Apparatus as in claim 21, wherein the support members comprise silicone.

23. Apparatus for delivering a medical device to a location in a patient'"'"'s body, the apparatus comprising:

an elongate catheter body having a proximal end and a distal end; and

a pod coupled with the distal end of the catheter body and adapted to house the medical device during delivery to the location and to open to release the medical device,

wherein the pod is adapted to automatically open after being positioned in the location,

wherein the pod comprises a material disposed over the medical device, and

wherein at least part of the material is biodegradable.

24. Apparatus as in claim 23, the pod further comprising at least two opposed housing members disposed within the material, wherein the housing members automatically move apart to cause the pod to open when the material at least partially degrades.

25. Apparatus as in claim 23 or 24, wherein the location is a stomach of the patient, and wherein at least part of the material is rapidly biodegradable in the stomach.

26. Apparatus as in claim 23, wherein the pod comprises a material disposed over the medical device, and wherein at least part of the material degrades upon reaching a temperature present at a desired delivery location.