Embolic protection device and method of use

• US 8,657,849 B2
• Filed: 02/05/2013
• Issued: 02/25/2014
• Est. Priority Date: 12/29/2008
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Parker, Fred T.
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US13/759,202
• Publication Number:
  US 20130144329A1
• Time in Patent Office: 385 Days
• Field of Search: 606/191, 606/194, 606/198, 606/200, 623/1.11, 623/1.12
• 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 2/014 Retrograde blood flow filters, i.e. device inserted against the blood flow direction
• CPC Class Codes: A61F 2002/016 made from wire-like elements
• CPC Class Codes: A61F 2002/018 made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61M 2025/0175 having telescopic features, interengaging nestable members movable in relations to one another
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 25/0082 Catheter tip comprising a tool

Abstract

A method of embolic protection during a medical procedure in a patient'"'"'s body vessel includes inserting a medical device having an outer tubular member and an inner tubular member into the body vessel. A flexible filter portion has one end attached to the distal end of the inner tubular member and the other end attached to the distal end of the outer tubular member. The filter portion is deployed within the body vessel so that the filter portion extends distally from the outer tubular member and expands radially outward to engage the filter body with an enclosing body vessel wall. A medical instrument is inserted through the inner tubular member to perform the medical procedure. The filter portion allows the passage of blood cells to surrounding vessels and prevents emboli from entering surrounding vessels. After removing medical instrument, the medical device is also removed from the body vessel.

Claims

1. A method of embolic protection during a medical procedure in a patient'"'"'s body vessel, comprising the steps of:

inserting a medical device into an operative position within the body vessel, the medical device including an outer tubular member and an inner tubular member movable within the outer tubular member, each of the outer and inner tubular members having a proximal end and a distal end and a lumen formed through the proximal and distal ends defining a proximal opening at the proximal end and a distal opening at the distal end, the medical device further comprising a flexible filter portion having a body extending from a first end to a second end, the first end being attached to the distal end of the inner tubular member and the second end being attached to the distal end of the outer tubular member, the filter portion being compressed in an everted state within the distal end of the outer tubular member defining a collapsed configuration during insertion of the medical device;

deploying the filter portion within the body vessel to an expanded configuration wherein the filter portion extends distally from the outer tubular member and is biased to expand radially outward to engage the filter body with an enclosing body vessel wall;

inserting an elongate medical instrument through the lumen of the inner tubular member to perform the medical procedure within the body vessel, wherein the filter portion allows the passage of blood cells to surrounding vessels and prevents emboli from entering surrounding vessels;

removing the elongate medical instrument from within the inner tubular member and the body vessel; and

removing the medical device from within the body vessel.

2. The method of claim 1, wherein the first end of the filter portion attached to the distal end of the inner tubular member is arranged proximal to the distal end of the outer tubular member such that the filter body is everted and defines a distal cavity within the distal end of the outer catheter in the collapsed configuration, wherein deploying the filter portion to the expanded configuration includes moving the inner and outer tubular members relative to one another such that the first end of the filter portion attached to the distal end of the inner tubular member is arranged distal to the second end of the filter portion attached to the distal end of the outer tubular member, the filter body defining a cylindrical distal extension of the outer tubular member in the expanded configuration.

3. The method of claim 1, wherein removing the medical device includes moving the inner and outer tubular members relative to one another to evert the filter portion into the collapsed configuration and proximally retracting the medical device from within the body vessel.