Method of using interventional medical device system having an elongation retarding portion

• US 8,425,537 B2
• Filed: 09/10/2012
• Issued: 04/23/2013
• Est. Priority Date: 07/31/2006
• Status: Active Grant

• Current Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Original Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Inventors: Mitelberg, Vladimir, Thinnes, John H. Jr., Balgobin, Keith, Sowers, William W.
• Primary Examiner(s): McDermott, Corrine M
• Assistant Examiner(s): MASHACK, MARK F
• Application Number:
  US13/608,532
• Publication Number:
  US 20130006345A1
• Time in Patent Office: 225 Days
• Field of Search: 606/108, 606/139, 606/153, 606/155, 606/191, 606/198, 606/200, 623/1.1, 623/1.11, 623/1.15, 623/1.16, 623/1.22, 600/585, 600/523, 604/28, 604/508, 604523-525, 604/527, 464/78
• US Class Current: 606/139
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 2017/12054 Details concerning the detachment of the occluding device from the introduction device
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter

Abstract

Use of an interventional medical device system operable while within a body vessel is provided with a generally hollow tubular proximal portion, distal portion, and intermediate portion. The proximal portion and at least part of the distal portion remains outside of the body in use, with the remainder of the distal portion positioned within the body. The intermediate portion includes a spiral ribbon having adjacent turns, with at least one frangible bridge member between two adjacent turns. The proximal and distal portions are movable away from each other by elongating the spiral ribbon and, eventually, breaking the frangible bridge member. According to the method of using such a system to deploy an implantable medical device, such as an embolic coil, an actuation member is moved proximally with the proximal portion to disengage a bond or joint between the actuation member and the implantable medical device.

Claims

1. A method of using an interventional medical device system in a body vessel, comprising:

providing a generally hollow tubular system comprising;

(a) a distal end portion, (b) a proximal end handle portion, (c) an intermediate portion between the distal end portion and the proximal end handle portion, said intermediate portion comprising a spiral having a plurality of turns and at least one bridge member between two adjacent turns, and (d) an actuation member fixedly connected to the proximal end handle portion and extending generally from an interior of the proximal end handle portion of the system to an interior of the distal end portion of the system;

introducing a portion of the distal end portion of the system into a body vessel;

positioning the distal end portion of the system generally adjacent to a target location within the body vessel;

moving the proximal end handle portion proximally with respect to the distal end portion; and

thereby breaking the bridge member and proximally moving the actuation member.

2. The method of claim 1, wherein said moving of the proximal end handle portion, said breaking of the bridge member, and said proximal moving of the actuation member comprise the same proximal movement of the proximal end handle portion of the system.

3. The method of claim 1, wherein said providing of a generally hollow tubular delivery system includes providing an intermediate portion comprising a plurality of the bridge members, and wherein said breaking the bridge member includes breaking said plurality of bridge members.

4. The method of claim 1, wherein said providing of a generally hollow tubular delivery system includes providing the intermediate portion with a proximal helical section adjacent to the proximal end handle portion, a distal helical section adjacent to the distal end portion of the system, and an intermediate helical section substantially defined by the intermediate helical section turns and the bridge member, and wherein said moving of the proximal end handle portion includes elongating the proximal helical section and the distal helical section.

5. The method of claim 1, further including providing an implantable medical device and operatively connecting same to a deployment end portion of the actuation member, wherein said moving of the proximal end handle portion which proximally moves the actuation member also disengages the implantable medical device from the actuation member and delivers the implantable medical device for implanting same within the body vessel.

6. The method of claim 1, wherein said providing of a generally hollow tubular delivery system includes providing the intermediate portion with (a) a proximal helical section adjacent to the proximal end handle portion and defined by a plurality of turns, (b) a distal helical section adjacent to the distal end portion of the system and defined by a plurality of turns, (c) an intermediate helical section substantially defined by the intermediate helical section turns and the bridge member, and (d) at least one bridge member between two adjacent turns of one of the proximal helical section and the distal helical section and adapted to break after the bridge member of the intermediate helical section;

and wherein said moving of the proximal end handle portion includes breaking the bridge member of the proximal helical section or the distal helical section.

7. A method of using an interventional medical device system in a body vessel, comprising:

providing a generally hollow tubular system comprising;

(a) a distal end portion, (b) a proximal end handle portion, (c) an intermediate portion between the distal end portion and the proximal end handle portion, said intermediate portion comprising a spiral-cut section of a hypotube having a plurality of turns and with an interrupted spiral-cut section having a plurality of frangible bridge members between two adjacent turns, and (d) an actuation member fixedly connected to the proximal end handle portion and extending generally from an interior of the proximal end handle portion of the system to an interior of the distal end portion of the system;

said providing further including providing bridge members out of axial alignment with a bridge member immediately adjacent thereto;

introducing a portion of the distal end portion of the system into a body vessel;

positioning the distal end portion of the system generally adjacent to a target location within the body vessel;

moving the proximal end handle portion proximally with respect to the distal end portion; and

thereby breaking bridge members and proximally moving the actuation member, and the bridge members retard axial extension of the spiral ribbon thereat in response to application of a force applied to the intermediate portion from the proximal portion.

8. The method of claim 7, wherein said moving of the proximal end handle portion, said breaking of the bridge member, and said proximal moving of the actuation member comprise the same proximal movement of the proximal end handle portion of the system.

9. The method of claim 7, wherein said breaking the bridge member includes breaking said plurality of bridge members.

10. The method of claim 7, wherein said providing of a generally hollow tubular delivery system includes providing the intermediate portion with a proximal helical section adjacent to the proximal end handle portion, a distal helical section adjacent to the distal end portion of the system, and an intermediate helical section substantially defined by the intermediate helical section turns and by the bridge members, and wherein said moving of the proximal end handle portion includes elongating the proximal helical section and the distal helical section.

11. The method of claim 7, further including providing an implantable medical device and operatively connecting same to a deployment end portion of the actuation member, wherein said moving of the proximal end handle portion which proximally moves the actuation member also disengages the implantable medical device from the actuation member and delivers the implantable medical device for implanting same within the body vessel.

12. The method of claim 7, wherein said providing of a generally hollow tubular delivery system includes providing the intermediate portion with (a) a proximal helical section adjacent to the proximal end handle portion and defined by a plurality of turns, (b) a distal helical section adjacent to the distal end portion of the system and defined by a plurality of turns, (c) an intermediate helical section substantially defined by the intermediate helical section turns and the bridge members, and (d) the breaking includes breaking at least one bridge member between two adjacent turns of one of the proximal helical section and the distal helical section after breaking the bridge member of the intermediate helical section;

and wherein said moving of the proximal end handle portion includes breaking the bridge member of the proximal helical section or the distal helical section.

13. The method of claim 7, further including fixedly connecting the actuation member to the proximal end handle and extending same through a passageway of the proximal end handle and through a passageway of the distal end portion.

14. The method of claim 13, further including deploying an implantable medical device by movement of the activation member at a location distal of the intermediate portion when the spiral ribbon axially elongates between the proximal and distal portions.

15. The method of claim 7, wherein said breaking occurs at a pre-selected pull force.