Methods for embolic protection during treatment of a stenotic lesion in a body vessel

• US 7,867,247 B2
• Filed: 02/26/2010
• Issued: 01/11/2011
• Est. Priority Date: 07/12/2005
• Status: Active Grant

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Cook Incorporated (Cook Group Incorporated)
• Inventors: Pal, Dharmendra, Lentz, David Christian
• Primary Examiner(s): Robert; Eduardo C
• Assistant Examiner(s): EVERAGE, KEVIN D
• Application Number:
  US12/714,265
• Publication Number:
  US 20100222805A1
• Time in Patent Office: 319 Days
• Field of Search: 606/200, 606/114, 606127-128, 604104-107
• US Class Current: 606/200
• CPC Class Codes: A61B 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes precedence
• 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 2017/2212 having a closed distal end, e.g. a loop
• 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 2002/018 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 2230/008 paraboloidal
• CPC Class Codes: A61F 2230/0093 Umbrella-shaped, e.g. mushroom-shaped

Abstract

A method for embolic protection during treatment of a stenotic lesion in a body vessel is provided. The method comprises disposing an embolic protection device in an undeployed state in the body vessel. The device comprises a basket with a set of struts extending from a distal end to a proximal end of the basket, the struts being arranged to define an opening at the distal end, the basket having an expanded state and a collapsed state. A core wire with a distal end and a proximal end is able to reciprocate through the opening at the distal end of the basket. A filter bag is attached only at the distal end of the core wire, the filter bag being located distally to the distal end of the basket when in the collapsed state. The method further comprises moving the core wire relative to the basket to expand the basket and the filter bag in a deployed state downstream from the stenotic lesion to capture emboli during treatment of the stenotic lesion.

Claims

1. A method for embolic protection during treatment of a stenotic lesion in a body vessel, the method comprising:

disposing an embolic protection device in an undeployed state in the body vessel, the device comprising;

a basket with a set of struts extending from a distal end to a proximal end of the basket, the struts being arranged to define an opening at the distal end, the basket having an expanded state and a collapsed state;

a core wire with a distal end and a proximal end, the core wire being able to reciprocate through the opening at the distal end of the basket; and

a filter bag attached only at the distal end of the core wire, the filter bag being located distally to the distal end of the basket when in the collapsed state; and

moving the core wire relative to the basket to expand the basket and the filter bag in a deployed state downstream from the stenotic lesion to capture emboli during treatment of the stenotic lesion, the filter bag being disposed over substantially the entire basket when in their respective expanded states defining the deployed state.

2. The method of claim 1 further comprising moving the core wire relative to the basket to close the basket and the filter bag to their respective collapsed states for retrieving the embolic protection device from the body vessel.

3. The method of claim 1 wherein disposing the device in an undeployed state in the body vessel includes:

introducing a catheter within the body vessel; and

disposing the device within a lumen of the catheter, the basket and the filter bag being in their respective collapsed states,

wherein the device is advanced beyond a distal end of the catheter to the deployed state.

4. The method of claim 3 wherein the catheter is a balloon catheter.

5. The method of claim 1 wherein the wherein the filter bag is made of a mesh material.

6. The method of claim 1 wherein the filter bag is made of connective tissue including extracellular matrix.

7. The method of claim 6 wherein the extracellular matrix is made of small intestinal submucosa.

8. The method of claim 1 wherein the struts are made of shape memory material with a transition temperature.

9. The method of claim 1 wherein the struts are made of superelastic material.

10. The method of claim 9 wherein the superelastic material is Nitinol.

11. The method of claim 5 wherein the filter bag includes a set of radial spokes to provide structural rigidity to the filter bag.

12. The method of claim 11 wherein the radial spokes are pre-set such that the filter bag self-collapses to the collapsed state.

13. A method for embolic protection during treatment of a stenotic lesion in a body vessel, the method comprising:

introducing a balloon catheter within a body vessel;

disposing an embolic protection device in a collapsed state within an inner lumen of the balloon catheter, the device comprising;

a set of wires including a first section arranged as struts that define a basket with a distal end and a proximal end, the struts at the distal end of the basket being arranged to define an opening, the basket having a collapsed state and being configured to move to an expanded state;

a core wire with a distal end and a proximal end, the core wire being able to reciprocate through the opening at the distal end of the basket; and

a filter bag attached only at the distal end of the core wire, the filter bag having a collapsed state and being configured to move to an expanded state;

advancing the device beyond a distal end of the balloon catheter; and

deploying the device in an expanded state downstream from the stenotic lesion to capture emboli during treatment of the stenotic lesion, wherein deploying the device includes moving the core wire relative to the basket to expand the basket and the filter bag, the filter bag being disposed over substantially the entire basket when in the expanded state.

14. The method of claim 13 further comprising moving the core wire relative to the basket to close the basket and the filter bag to their respective collapsed states for retrieving the embolic protection device from the body vessel.

15. The method of claim 14 further comprising retracting the device into the lumen of the balloon catheter and retrieving the balloon catheter and the device from the body vessel.

16. The method of claim 13 wherein the filter bag is located distally relative to the distal end of the basket when the filter bag and the basket are in their respective collapsed states, wherein movement of the core wire in the proximal direction relative to the basket causes the filter bag to be disposed over the basket, and wherein further movement of the core wire in the proximal direction causes the basket and the filter bag to open to the expanded state.

17. The method of claim 16 wherein movement of the core wire in the distal direction relative to the basket causes the basket and the filter bag to close to their respective collapsed states.

18. The method of claim 13 wherein the filter bag is made of a mesh material comprised of small intestinal submucosa.

19. The method of claim 13 wherein the set of wires is made of Nitinol.

20. The method of claim 13 wherein the filter bag includes a set of radial spokes to provide structural rigidity to the filter bag, wherein the radial spokes are pre-set such that the filter bag self-collapses to the collapsed state.