Vascular device for emboli and thrombi removal and methods of use

• US 7,993,363 B2
• Filed: 11/07/2007
• Issued: 08/09/2011
• Est. Priority Date: 07/30/1999
• Status: Expired due to Fees

• Current Assignee: Incept LLC
• Original Assignee: Incept LLC
• Inventors: Renati, Richard J., Demond, Jackson F., Ramee, Stephen, Young, Kirk Hsueh-kai, Krolik, Jeff A., Khosravi, Farhad, Salahieh, Amr
• Primary Examiner(s): Milano; Michael J
• Assistant Examiner(s): NGUYEN, VI X
• Application Number:
  US11/936,757
• Publication Number:
  US 20080058860A1
• Time in Patent Office: 1,371 Days
• Field of Search: 606/159, 606/194, 606/198, 606/200, 604104-107, 604/164.05
• 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 2017/2212 having a closed distal end, e.g. a loop
• 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 2/012 Multiple filtering units
• 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 2230/0008 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 and/or performing thrombectomy and embolectomy, wherein a vascular device disposed on a guidewire includes a support hoop disposed from a suspension strut. Alternately, a support hoop having an articulation region may be directly connected to a region proximate the distal end of the guidewire. 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 longitudinal axis of the guidewire and is capable of being properly used in a wide range of vessel diameters. The vascular device collapses during removal to prevent material from escaping from the sac. A delivery sheath and introducer sheath for use with the vascular device of the present invention are also provided.

Claims

1. Apparatus suitable for filtering emboli, comprising:

an elongated member having a distal region having a longitudinal axis;

a filter frame disposed on the elongated member, the filter frame having a hoop portion at least partially forming a filter mouth and an elongate portion extending longitudinally from the hoop portion at a first region that is an articulation region and at a second region spaced apart from the first region;

a polymeric blood permeable sac affixed to the hoop portion so that the filter mouth is a proximally facing mouth of the blood permeable sac;

wherein the elongate portion of the filter fame extends distal from the hoop portion to provide support for the blood permeable sac; and

wherein the elongate portion is substantially U shaped, having a first portion extending longitudinally separated from a second portion extending longitudinally by a curved portion.

2. The apparatus of claim 1, wherein the hoop includes first and second curved regions and wherein the articulation region is disposed between the first and second curved regions.

3. The apparatus of claim 1 wherein the first and second portions and the curved portion and the longitudinal axis all lie in the same plane.

4. The apparatus of claim 1 wherein the apparatus has a collapsed configuration and an expanded configuration and where the elongate portion of the filter frame is longer in the collapsed configuration than in the expanded configuration.

5. The apparatus of claim 4 wherein the first portion has a distal end and wherein the second portion has a distal end and wherein the longitudinal distance between the distal ends of the first and second portions is greater in the collapsed configuration.

6. The apparatus of claim 1 further including a delivery sheath having a distal section and a proximal section separated by a bridge section wherein the sheath is disposed around the elongate member and the filter frame can be expanded when the distal section is distal the filter frame while the proximal section is proximal the filter frame.