Method and apparatus for placing a catheter within a vasculature

• US 9,125,683 B2
• Filed: 03/24/2014
• Issued: 09/08/2015
• Est. Priority Date: 06/26/2007
• Status: Active Grant

• Current Assignee: Roxwood Medical, Inc. (Boston Scientific Corporation)
• Original Assignee: Roxwood Medical, Inc. (Boston Scientific Corporation)
• Inventors: Farhangnia, Mehrdad, Miller, John, Taber, Mark, Yang, Mark C.
• Primary Examiner(s): EISEMAN, ADAM JARED
• Application Number:
  US14/223,458
• Publication Number:
  US 20140207179A1
• Time in Patent Office: 533 Days
• Field of Search: 600/585, 604/510, 604/523, 604/526, 604/527, 604/528, 604/530, 604/532, 604/536
• US Class Current: 1/1
• CPC Class Codes: A61B 17/3207 Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions A61B17/32037 takes precedence; endoscopic cutting instruments A61B17/320016
• CPC Class Codes: A61B 2017/22042 Details of the tip of the guide wire
• CPC Class Codes: A61B 2017/22044 with a pointed tip
• CPC Class Codes: A61B 2017/22069 Immobilising; Stabilising
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing
• CPC Class Codes: A61M 2025/0042 Microcatheters, cannula or the like having outside diameters around 1 mm or less
• CPC Class Codes: A61M 2025/09175 having specific characteristics at the distal tip
• CPC Class Codes: A61M 2025/09183 having tools at the distal tip
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

A catheter for insertion into vasculature of a patient to a target area in the vasculature includes a hollow inner shaft, a non-occluding self-expandable scaffold coupled to the distal end of the inner shaft and disposed at the distal end of the inner shaft, and a hollow outer shaft. The outer shaft is slidable over the inner shaft and scaffold such that the scaffold is in a non-expanded state when the outer shaft is around the scaffold. The outer shaft has a state where the distal end of the outer shaft remains near the target area without the inner shaft and the scaffold being within the outer shaft. The inner shaft and the scaffold are removable through the proximal end of the outer shaft while the distal end of the outer shaft remains near the target area.

Claims

1. A catheter apparatus for insertion into vasculature of a patient and to a target area in the vasculature, comprising:

a hollow inner shaft with a distal end and a proximal end;

a removable non-occluding self-expandable scaffold coupled to the distal end of the inner shaft and disposed at the distal end of the inner shaft, a portion of the distal end of the inner shaft being disposed at least in part inside the self-expandable scaffold; and

a hollow outer shaft with a distal end and a proximal end, the outer shaft being slidable over the inner shaft and the scaffold such that the scaffold is in a non-expanded state when the outer shaft is disposed around the scaffold, the outer shaft having a state where the distal end of the outer shaft remains near the target area without the inner shaft and the scaffold being disposed within the outer shaft,

wherein the inner shaft and the scaffold are configured to be removable through the proximal end of the outer shaft while the distal end of the outer shaft remains near the target area, and wherein the outer shaft is configured for passing at least one medical device to the target area in the vasculature; and

wherein the scaffold is configured to center the distal end of the inner shaft along a central longitudinal axis of the scaffold when the scaffold is expanded.

2. The catheter apparatus of claim 1, further comprising a microcatheter having a lumen, a distal opening, and a distal end.

3. The catheter apparatus of claim 2, wherein the outer shaft, the inner shaft, and the microcatheter are capable of being independently operable.

4. The catheter apparatus of claim 2, further comprising one or more guidewire, wherein the lumen of the microcatheter is configured to be moveable over at least one of the one or more guidewires.

5. The catheter apparatus of claim 2, wherein the microcatheter is configured to be removable through the proximal end of the inner shaft while the distal end of the outer shaft remains near the target area in the vasculature of the patient.

6. The catheter apparatus of claim 1, wherein the proximal end of the outer shaft has an opening adapted to slidably receive the inner shaft and the scaffold, and through which the inner shaft and the scaffold can be removed from the outer shaft while the distal end of the outer shaft remains near the target area in the vasculature.

7. The catheter apparatus of claim 2, wherein the proximal end of the inner shaft has an opening adapted to slidably receive the microcatheter, and through which the microcatheter can be removed from the inner shaft while the distal end of the outer shaft remains near the target area in the vasculature.

8. The catheter apparatus of claim 1, wherein at least a portion of the distal end of the inner shaft is disposed along the central longitudinal axis of the scaffold.

9. The catheter apparatus of claim 1, wherein the scaffold comprises a distal end and a proximal end, one of the distal and proximal ends of the scaffold configured to be slidable relative to the inner shaft.

10. The catheter apparatus of claim 1, wherein the outer shaft comprises a support catheter in the state where the distal end of the outer shaft remains near the target area without the inner shaft and the scaffold being disposed within the outer shaft.

11. The catheter apparatus of claim 1, wherein the at least one additional medical device comprises at least one of a microcatheter and a balloon catheter.

12. The catheter apparatus of claim 9, wherein the distal end of the scaffold is arranged slideably around the inner shaft by an inverted portion of the scaffold, the inverted portion extending inwardly within the scaffold and closely around the inner shaft.

13. The catheter apparatus of claim 1, wherein the scaffold has a distal end configured to be slidable along the inner shaft.

14. The catheter apparatus of claim 1, wherein the scaffold has a distal end configured with a distal loop to be slidable along the inner shaft.

15. The catheter apparatus of claim 14, wherein the distal loop of the scaffold comprises at least one peak and at least one valley.

16. The catheter apparatus of claim 14, wherein the distal loop comprises a zig-zag arrangement.

17. The catheter apparatus of claim 14, wherein the apparatus further comprises a ring disposed on the distal loop of the scaffold.

18. The catheter apparatus of claim 14, wherein the distal loop of the scaffold is oriented towards the proximal end.

19. The catheter apparatus of claim 14, wherein the distal loop of the scaffold is connected to the distal end of the scaffold by connectors.

20. The catheter apparatus of claim 14, wherein the distal loop of the scaffold is crimped on the hollow shaft.

21. The catheter apparatus of claim 1, wherein the scaffold comprises a honeycomb structure.

22. The catheter apparatus of claim 1, wherein the scaffold when expanded is approximately cylindrical in shape and wherein the scaffold has a distal end that tapers towards the inner shaft.

23. The catheter apparatus of claim 1, wherein the scaffold has a proximal end configured to be coupled to the distal end of the inner shaft.