Vascular and bodily duct treatment devices and methods

• US 8,529,596 B2
• Filed: 11/23/2011
• Issued: 09/10/2013
• Est. Priority Date: 07/08/2009
• Status: Active Grant

• Current Assignee: Stryker Corporation
• Original Assignee: Concentric Medical, Inc. (Stryker Corporation)
• Inventors: Grandfield, Ryan M., Wilson, Scott D., Sanders, Elliot H.
• Primary Examiner(s): HOLWERDA, KATHLEEN SONNETT
• Application Number:
  US13/303,890
• Publication Number:
  US 20120215250A1
• Time in Patent Office: 657 Days
• Field of Search: 606/127, 606/128, 606/159, 606/200, 623/1.37
• US Class Current: 606/200
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 17/32075 Pullback cutting; combined forward and pullback cutting, e.g. with cutters at both sides of the plaque
• CPC Class Codes: A61B 2017/22045 fixed to the catheter; guiding tip
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61B 2017/320716 comprising means for preventing embolism by dislodged material
• 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 2002/91558 connected peak to peak

Abstract

Devices including, but not limited to, a self-expandable member having a proximal end portion and a main body portion. The self-expandable member is movable from a first delivery position to a second placement position, in the first delivery position the expandable member being in an unexpanded position and having a nominal first diameter and in the second position the expandable member being in a radially expanded position and having a second nominal diameter greater than the first nominal diameter for deployment within a vessel or duct of a patient. The expandable member includes a plurality of cell structures with the cell structures in the main body portion extending circumferentially around a longitudinal axis of the expandable member and the cell structures in the proximal end portion extending less than circumferentially around the longitudinal axis of the expandable member to form first and second peripheral rails that vary in width along their lengths.

Claims

1. An embolic obstruction retrieval device comprising:

an elongate self-expandable member expandable from a first delivery position to a second position, in the first delivery position the self-expandable member being in an unexpanded position and having a first nominal diameter and in the second position the self-expandable member being in a radially expanded position and having a second nominal diameter greater than the first nominal diameter for deployment within an embolic obstruction within a vessel of a patient, the self-expandable member comprising a plurality of generally longitudinal undulating elements with adjacent undulating elements being interconnected in a manner to form a plurality of diagonally disposed cell structures, the self-expandable member having a proximal end portion and an elongate cylindrical main body portion, the cell structures in the elongate cylindrical main body portion extending circumferentially around a longitudinal axis of the self-expandable member, the cell structures in the proximal end portion extending less than circumferentially around the longitudinal axis of the self-expandable member, the proximal end portion having a plurality of outer-most cell structures that include outer-most wall segments that form first and second rail segments that each extend from a position at or near a proximal-most end of the self-expandable member to a position at or near the elongate cylindrical main body portion, a proximal-most cell structure of the proximal end portion comprising first and second outer struts that extend distally from a proximal antenna, when the self-expandable member is cut and laid flat on a surface at least a portion of each of the first and second outer struts comprise a straight segment, each of the straight segments being coextensive with the proximal antenna, the proximal-most cell structure being a closed four-sided structure when the self-expandable member is cut and laid flat on a surface, the closed four-sided structure comprising the first outer strut, the second outer strut, a first inner strut and a second inner strut, the first inner strut extending distally from the first outer strut, the second inner strut extending distally from the second outer strut, when the self-expandable member is cut and laid flat on a surface all or substantially all of the first and second inner struts are curvilinear.

2. The embolic obstruction retrieval device of claim 1, wherein when the self-expandable member is cut and laid flat on a surface substantially the entire length of the first and second outer struts are straight and all or substantially all of the first and second inner struts are curvilinear.

3. The embolic obstruction retrieval device of claim 1, wherein when the self-expandable member is cut and laid flat on a surface all or substantially all of the first and second inner struts are curvilinear, substantially all of the first outer strut is straight and only a portion of the second outer strut is straight.

4. The embolic obstruction retrieval device of claim 1, wherein the combined length of the first outer strut and the first inner strut is substantially equal to the combined length of the second outer strut and second inner strut.

5. The embolic obstruction retrieval device of claim 1, wherein when the self-expandable member is cut and laid flat on a surface substantially all of the first and second outer struts are straight and all or substantially all of the first and second inner struts are curvilinear, the combined length of the first outer strut and the first inner strut being substantially equal to the combined length of the second outer strut and second inner strut.

6. The embolic obstruction retrieval device of claim 1, wherein when the self-expandable member is cut and laid flat on a surface all or substantially all of the first and second inner struts are curvilinear, substantially all of the first outer strut is straight and only a portion of the second outer strut is straight, the combined length of the first outer strut and the first inner strut being substantially equal to the combined length of the second outer strut and second inner strut.

7. The embolic obstruction retrieval device of claim 1, wherein the straight segment of the first outer strut comprises a first proximal portion adjacent to the proximal antenna and the straight segment of the second outer strut comprises a second proximal portion adjacent to the proximal antenna, each of the first and second proximal portions having a width dimension less than the remainder of their respective straight segments.

8. The embolic obstruction retrieval device of claim 7, wherein the first and second proximal portions comprise tapers.

9. The embolic obstruction retrieval device of claim 1, wherein each of the first and second outer struts comprise a proximal portion, a mid-portion and a distal portion, the first inner strut extending distally from the distal portion of the first outer strut, the second inner strut extending distally from the distal portion of the second outer strut, when the self-expandable member is cut and laid flat on a surface the mid-portion of the first and second outer struts are straight and all or substantially all of the first and second inner struts are curvilinear.

10. The embolic obstruction retrieval device of claim 9, wherein the proximal portions of the first and second outer struts are situated adjacent to the proximal antenna, each of the proximal portions having a width dimension less than the width dimension of the respective mid-portions.

11. The embolic obstruction retrieval device of claim 10, wherein the proximal portions comprise tapers which extend proximally from the proximal ends of the respective mid-portions.

12. The embolic obstruction retrieval device of claim 10, wherein the distal portions of the first and second outer struts have a width dimension less than the width dimension of the respective mid-portions.

13. The embolic obstruction retrieval device of claim 12, wherein the proximal portions comprise tapers which extend proximally from the proximal ends of the respective mid-portions and wherein the distal portions comprise tapers which extend distally from the distal ends of the respective mid-portions.

14. The embolic obstruction retrieval device of claim 1, further comprising a first proximally extending elongate flexible wire connected to the proximal antenna.

15. The embolic obstruction retrieval device of claim 1, wherein the expandable member further comprises a distal end portion comprising cell structures that extend less than circumferentially around the longitudinal axis of the expandable member, the distal end portion comprising two rows of cell structures.

16. The embolic obstruction retrieval device of claim 1, wherein the expandable member further comprises a distal end portion comprising cell structures that extend less than circumferentially around the longitudinal axis of the expandable member, the cell structures of the distal end portion comprising struts, at least a portion of the struts having flared segments.

17. The embolic obstruction retrieval device of claim 15, wherein the cell structures in the distal end portion are generally smaller than the cell structures in the cylindrical main body portion.

18. An embolic obstruction retrieval device comprising;

an elongate self-expandable member expandable from a first delivery position to a second position, in the first delivery position the self-expandable member being in an unexpanded position and having a first nominal diameter and in the second position the self-expandable member being in a radially expanded position and having a second nominal diameter greater than the first nominal diameter for deployment within an embolic obstruction within a vessel of a patient, the self-expandable member comprising a plurality of generally longitudinal undulating elements with adjacent undulating elements being interconnected in a manner to form a plurality of diagonally disposed cell structures, the self-expandable member having a proximal end portion and an elongate cylindrical main body portion, the cell structures in the elongate cylindrical main body portion extending circumferentially around a longitudinal axis of the self-expandable member, the cell structures in the proximal end portion extending less than circumferentially around the longitudinal axis of the self-expandable member, a first set of outer-most cell structures in the proximal end portion having outer-most wall segments that form a non-undulating rail segment that extends from a position at or near a proximal-most end of the self-expandable member to a position at or near the elongate cylindrical main body portion, and a second set of outer-most cell structures in the proximal end portion having outer-most wall segments that form an undulating rail segment that extends from a position at or near the proximal-most end of the self-expandable member to a position at or near the elongate cylindrical main body portion.

19. The embolic obstruction retrieval device of claim 18, wherein when the self-expandable member is cut and laid flat on a surface the non-undulating rail segment comprises a straight segment.

20. The embolic obstruction retrieval device of claim 18, wherein the proximal end portion comprises a proximal-most cell structure that is a closed four-sided structure when the self-expandable member is cut and laid flat on a surface, the proximal-most cell structure comprising first and second outer struts and first and second inner struts, the first inner strut extending distally from the first outer strut, the second inner strut extending distally from the second outer strut, the first outer strut forming a part of the non-undulating rail segment, the second outer strut forming a part of the undulating rail segment, when the self-expandable member is cut and laid flat on a surface at least a portion of the second outer strut comprising a straight segment.

21. The embolic obstruction retrieval device of claim 20, wherein the combined length of the first outer strut and the first inner strut is substantially equal to the combined length of the second outer strut and second inner strut.

22. The embolic obstruction retrieval device of claim 20, wherein the first outer strut comprises a first proximal portion adjacent to a proximal antenna and the second outer strut comprises a second proximal portion adjacent to the proximal antenna, each of the first and second proximal portions having a reduced width dimension with respect to the remainder of the respective first and second outer struts.

23. The embolic obstruction retrieval device of claim 22, wherein the first and second proximal portions comprise tapers.

24. The embolic obstruction retrieval device of claim 18, wherein a proximal-most cell structure is a closed four-sided structure when the self-expandable member is cut and laid flat on a surface, the proximal-most cell structure comprising the first and second outer struts and first and second inner struts, each of the first and second outer struts comprising a proximal portion, a mid-portion and a distal portion, the first inner strut extending distally from the distal portion of the first outer strut, the second inner strut extending distally from the distal portion of the second outer strut, when the self-expandable member is cut and laid flat on a surface the mid-portion of the second outer strut is straight.

25. The embolic obstruction retrieval device of claim 24, wherein the proximal portions of the first and second outer struts are situated adjacent to a proximal antenna, each of the proximal portions having a width dimension less than the width dimension of the respective mid-portions.

26. The embolic obstruction retrieval device of claim 25, wherein the proximal portions comprise tapers which extend proximally from the proximal ends of the respective mid-portions.

27. The embolic obstruction retrieval device of claim 25, wherein the distal portions of the first and second outer struts have a width dimension less than the width dimension of the respective mid-portions.

28. The embolic obstruction retrieval device of claim 27, wherein the proximal portions comprise tapers which extend proximally from the proximal ends of the respective mid-portions and wherein the distal portions comprise tapers which extend distally from the distal ends of the respective mid-portions.

29. The embolic obstruction retrieval device of claim 18, further comprising a first proximally extending elongate flexible wire connected to a proximal antenna.

30. The embolic obstruction retrieval device of claim 18, wherein the expandable member further comprises a distal end portion comprising cell structures that extend less than circumferentially around the longitudinal axis of the expandable member, the distal end portion comprising two rows of cell structures.

31. The embolic obstruction retrieval device of claim 18, wherein the expandable member further comprises a distal end portion comprising cell structures that extend less than circumferentially around the longitudinal axis of the expandable member, the cell structures of the distal end portion comprising struts, at least a portion of the struts having flared segments.

32. The embolic obstruction retrieval device of claim 30, wherein the cell structures in the distal end portion are generally smaller than the cell structures in the cylindrical main body portion.