Filter delivery system

• US 8,992,562 B2
• Filed: 09/13/2010
• Issued: 03/31/2015
• Est. Priority Date: 11/12/2004
• Status: Active Grant

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Tessmer, Alexander W., Spilka, David G., Rauch, David W., Chanduszko, Andrzej J., Carr, Robert M. Jr.
• Primary Examiner(s): Erezo, Darwin
• Assistant Examiner(s): BACHMAN, LINDSEY MICHELE
• Application Number:
  US12/880,839
• Publication Number:
  US 20110034952A1
• Time in Patent Office: 1,660 Days
• Field of Search: 606/200, 606/108, 606/113, 606/114, 606/127, 606/128, 623/1.11, 623/1.12
• US Class Current: 606/200
• 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 2002/016 made from wire-like elements
• CPC Class Codes: A61F 2230/005 Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/008 paraboloidal

Abstract

A filter delivery device for implanting a vessel filter within a blood vessel of a patient'"'"'s body. The filter delivery device includes a mechanism for preventing hooks and/or legs on a vessel filter from entangling with each other while the vessel filter is loaded within the delivery device. In one variation, the filter delivery device includes a delivery catheter with grooves at the distal end lumen opening. When a vessel filter with radially expanding legs is compressed and inserted into the distal end of the delivery catheter, the hooks on the distal end of the legs are received and separated by the corresponding grooves on the delivery catheter. In another variation, a pusher rod, with a receptacle for receiving the hooks, is positioned within a delivery catheter to prevent the entanglement of the hooks and/or legs of a filter loaded within the delivery catheter.

Claims

1. A vessel filter delivery system, comprising:

a) an elongated flexible tube having a central, longitudinal axis, proximal and distal ends, and a tube wall with an outer surface and an inner surface surrounding a tube lumen that extends from the proximal end to the distal end;

b) an expandable vessel filter stored within the tube lumen in a compressed state, the filter including a head and multiple legs extending distally of the head, at least some legs having a distal hook, each distal hook having a hook free end;

c) wherein the filter is movable between the compressed state wherein the filter is contained in the tube lumen and an expanded state wherein the filter is positioned distally of the distal end of the elongated flexible tube;

d) the tube wall including a plurality of slots that each communicate with the distal end of the flexible tube, wherein the slots are circumferentially spaced apart about the tube wall inner surface and lumen, the slots extending longitudinally along the tube wall inner surface, each slot terminating proximally at a radially extending ledge;

e) wherein in said compressed state each of the slots receiving at least a portion of a hook of a vessel filter leg, wherein the hook free end of each leg engages the ledge to prevent the vessel filter from migrating beyond the ledge in a proximal direction; and

f) a pusher that engages the filter head proximally and opposite the hooks, wherein the pusher is movable within the tube lumen from a proximal position to a distal position which proximal to distal movement of the pusher enables discharge of the filter from the tube and to the expanded state, wherein the hooks exit the tube before the head exits the tube.

2. The vessel filter delivery system according to claim 1, wherein the radially extending ledge is generally perpendicular to the central, longitudinal tube axis.

3. A vessel filter assembly, comprising:

a) a vessel filter including a head and a plurality of elongated legs extending distally from said head;

b) said plurality of elongated legs being configured to expand radially from an initial stored position to an expanded position;

c) each of said plurality of legs having a hook located at a distal end thereof such that when said legs are moved to the expanded position the hooks engage an inner wall of the vessel, each hook having a hook free end;

d) an elongated catheter having a central, longitudinal axis and including an inner surface surrounding a lumen that extends from a proximal catheter end to a distal catheter end, the lumen being configured to receive said vessel filter and maintain said vessel filter in a first compressed configuration that defines said stored position;

e) a plurality of grooves being provided on the distal end of the catheter and communicating with the inner surface, said grooves being circumferentially spaced apart and configured for receiving said hooks;

f) a transverse surface that transversely intersects each groove proximally of said groove;

g) wherein in the first compressed, stored position, the hooks engage the catheter wall at said grooves to prevent said plurality of legs from entangling with each other; and

h) wherein in the first compressed, stored position, each hook free end engages a said transverse surface;

j) a filter delivery portion that comprises a rod slidably positioned within said elongated catheter for applying pressure when said vessel filter is to be moved from the stored position to a deployed position exiting from the distal end of said elongated catheter.

4. The vessel filter assembly according to claim 3, wherein said vessel filter further comprises a plurality of arms extending distally from said head, wherein said plurality of arms are configured to expand radially from a longitudinal axis to form a second filter portion in an expanded position.

5. The vessel filter assembly according to claim 4, wherein said arms are compressed by an inner wall of said catheter, and wherein said arms do not engage said plurality of grooves when said vessel filter is positioned within the lumen of said catheter.

6. The vessel filter assembly according to claim 3, wherein said vessel filter is conically shaped.

7. The vessel filter assembly according to claim 3, wherein a length along the longitudinal axis of said catheter for each of said grooves is approximately the length of said hooks along the longitudinal axis of each of said hook'"'"'s corresponding leg.

8. The vessel filter assembly according to claim 3, wherein said grooves are configured to prevent the vessel filter from sliding proximally along the lumen of the catheter once said hooks are placed within said grooves.

9. The vessel filter assembly according to claim 8, wherein each of said grooves is configured with a distal end opening at a distal tip of said elongated catheter to allow said hooks to slide out of said grooves, and wherein a proximal end of each of said grooves includes said transverse surface for blocking said hooks and preventing said vessel filter from migrating in the proximal direction along the length of the catheter.

10. The vessel filter assembly according to claim 3, wherein each of said grooves is configured with a distal end opening at a distal tip of said elongated catheter to allow said hooks to slide out of said grooves, and wherein a proximal end of each of said grooves includes said transverse surface for blocking said hooks and preventing said vessel filter from migrating in the proximal direction along the length of the catheter.

11. The vessel filter assembly according to claim 3, wherein said grooves are configured such that said grooves prevent said vessel filter from sliding proximally along the lumen of the catheter once said hooks are placed within said grooves.

12. The vessel filter assembly according to claim 3, wherein said elongated catheter comprises a flexible tubing and a spline cap attached to a distal end of said tubing, said spline cap being configured with said plurality of grooves at the distal end thereof, said grooves being positioned on an inner wall surrounding a lumen of said spline cap, and said grooves being configured to receive said hooks and to prevent said plurality of legs from entangling with each other.

13. The vessel filter assembly according to claim 12, wherein said grooves are configured to prevent said vessel filter from sliding proximally along the lumen of the catheter once said hooks are placed within said grooves.

14. The vessel filter assembly according to claim 12, wherein each of said grooves is configured with a distal end opening at the distal end of said spline cap to allow said hook to slide out of said groove, and wherein a proximal end of each of said grooves includes said transverse surface for blocking said hook and preventing said vessel filter from migrating in the proximal direction along a length of said flexible tubing.

15. The vessel filter assembly according to claim 3, further comprising a filter delivery portion that comprises a sheath slidably disposed around said elongated catheter.

16. The vessel filter assembly according to claim 3, wherein the radially extending transverse surface is generally perpendicular to the central, longitudinal tube axis.

17. A vessel filter delivery device for implanting an expandable vessel filter in a hollow body organ in a human, comprising:

a) an elongated flexible tube having proximal and distal tube ends, an outer surface, an inner circumferential surface, a tube lumen extending from the proximal tube end to the distal tube end;

b) an expandable filter contained within said tube lumen in a first, stored position, said filter including a plurality of filter legs, each leg having a distal hook with a hook free end;

c) a plurality of slots positioned at said distal end of the tube and each slot communicating with the inner circumferential surface thereof and tube lumen;

d) wherein in said stored position, each of said slots being configured to receive one of a plurality of said hooks on said expandable vessel filter;

e) a distal end of said slots opening at the tube distal end to allow said hooks to move distally of the tube lumen; and

f) a proximal end of each said slot including a radially extending ledge to prevent the vessel filter from migrating towards said proximal end of said tube, wherein each hook free end engages a said radially extending ledge in the stored position;

g) an elongated flexible wire slidably disposed within the lumen of said elongated flexible tube, wherein a distal end of said elongated flexible wire is configured to apply a force on said vessel filter to deploy said vessel filter from the lumen of said tube.

18. The vessel filter delivery device according to claim 17, wherein said expandable filter forms a conical shape in an expanded state, and wherein said hooks are discharged from and spaced from the distal end of said tube.

19. The vessel filter delivery device according to claim 17, further comprising a plurality of flexible elements including first and second ends, each of said flexible elements being attached to the distal end of said elongated flexible tube at the first end of said flexible element, the second end of said flexible element extending distally away from the distal end of said elongated flexible tube and outwardly away from a longitudinal axis of said elongated flexible tube.

20. The vessel filter delivery device according to claim 17, further comprising an introducer sheath, wherein a lumen in said introducer sheath is configured to slidably receive said elongated flexible tube, the introducer sheath comprising an interlocking mechanism for temporarily securing said elongated flexible tube within the lumen of said introducer sheath such that the introducer sheath and the elongated tube can be displaced inside a blood vessel as a single unit.