Medical device

• US 9,480,584 B2
• Filed: 12/23/2014
• Issued: 11/01/2016
• Est. Priority Date: 05/18/2010
• Status: Active Grant

• Current Assignee: Rbkpark LLC
• Original Assignee: Rbkpark LLC
• Inventors: Park, Richard
• Primary Examiner(s): Sweet, Thomas J
• Assistant Examiner(s): SHIPMON, TIFFANY P
• Application Number:
  US14/581,584
• Publication Number:
  US 20160030208A1
• Time in Patent Office: 679 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 2090/3966 Radiopaque markers visible in an X-ray image
• CPC Class Codes: A61B 5/0059 using light, e.g. diagnosis by transillumination, diascopy, fluorescence A61B5/0093, A61B5/1455, A61B5/02416 and A61B5/0261 take precedence
• CPC Class Codes: A61B 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 6/504 for diagnosis of blood vessels, e.g. by angiography
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61F 2/844 folded prior to deployment
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2230/0071 spherical
• CPC Class Codes: A61F 2250/0096 Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

Novel devices and methods for implanting medical stents are provided. A novel apparatus, which may be in a first compressed position, may be inserted into the artery, such as by being positioned over a catheter. The apparatus may be expanded to a second position. In one embodiment, the apparatus is configured to expand away in two substantially opposing directions along a second axis away from the longitudinal axis. The second axis may be perpendicular to the longitudinal axis. The apparatus may include markers that are detectable to determine the orientation of the catheter or the apparatus and/or assist in the determination of the type or size of stent to utilize.

Claims

1. An apparatus configured to be positioned within a passageway of a living being, the apparatus comprising:

a structure configured to be selectively expanded from a first configuration to a second configuration, comprising;

a first-stage outer wall having a length along a first axis, a depth along a second axis and a height along a third axis; and

an expandable strut member configured to be selectively expanded along the second axis to a maximum expansion distance that is greater than the depth of the living passageway;

wherein at the first configuration of the apparatus, the depth and a height of the first-stage outer wall form an outer perimeter of the apparatus that is less than an inner perimeter of the passageway of the living being, such that the length of the first-stage outer wall is configured to be maneuverable along a longitudinal axis of the passageway from a first location to a second location;

wherein at the second configuration of the apparatus, the expandable strut member expands along the second axis until it reaches an interior surface of the passageway or a physical structure to form two opposing outer surfaces separated by a first inner diameter, wherein the first inner diameter is a distance that is less than the maximum expansion distance and further comprises a first plurality of markers that are each separated by a predetermined distance along the first inner diameter of the apparatus; and

wherein the first plurality of markers are configured to be detected by an imaging device to allow an indication of an orientation of the apparatus and a diameter of the passageway.

2. The apparatus of claim 1, wherein the expandable strut member is a first expandable strut member, and the apparatus further comprises a second expandable strut member configured to be selectively expanded along the third axis to a maximum expansion distance that is greater than the depth of the living passageway, wherein at the second configuration of the apparatus, the first and the second expandable strut members each expand a distance that is less than their maximum expansion distance, and wherein the second expandable strut member comprises a second plurality of markers.

3. The apparatus of claim 2, wherein the maximum expansion distance of the first expandable strut member is not equal to the maximum expansion distance of the second expandable strut member.

4. The apparatus of claim 1, wherein the expandable strut member expands along a first direction and a second opposing direction.

5. The apparatus of claim 2, wherein the first plurality and the second plurality of markers are configured to be detected by an imaging device to allow an indication of an orientation of the apparatus and a diameter of the passageway.

6. The apparatus of claim 5, wherein at the second configuration, at least one marker is located at about each of the second axis outer surface and the third axis outer surface.

7. The apparatus of claim 1, wherein the apparatus is configured such that the length of the apparatus increases along the first axis upon expansion from the first configuration to the second configuration.

8. The apparatus of claim 7 wherein at least two markers are located on the structure along the first axis.

9. The apparatus of claim 2, wherein the position of at least a portion of the first or the second plurality of markers is configured such that when detected by imaging equipment allows the determination of an orientation of a catheter operatively connected to the apparatus.

10. The apparatus of claim 2, wherein the first plurality of markers are configured to be detected by a first imaging technique and the second plurality of markers are configured to be detected by a second imaging technique.

11. An apparatus configured to be expanded from a first configuration to a second configuration within a passageway of a living being, comprising:

an outer wall extending along a first axis configured to be maneuvered within a passageway of a living being when the apparatus is at the first configuration such that the first axis is orientated along the longitudinal axis of the passageway;

at least one expansion member configured to be selectively expanded along a second axis and a third axis, wherein the third axis is perpendicular to the second axis, wherein the at least one expandable strut member is configured to be expanded to a maximum expansion distance along the second axis that is greater than the depth of the living passageway and a maximum expansion distance along the third axis that is greater than the width of the living passageway;

wherein upon being selectively transitioned from the first configuration to the second configuration, the at least one expandable strut member expands along the second axis and the third axis until reaching an interior surface of the passageway or a physical structure to form two opposing outer surfaces along each of the second axis and the second axis, the respective ends of the axes being separated by a first inner diameter and a second inner diameter that are each less than the maximum expansion distance and further comprise a plurality of markers that are each separated by a predetermined distance along the inner diameters of the first second and third axes; and

a plurality of markers that are separated by a predetermined distance along each of the first and the second inner diameters of the apparatus, and configured to be detected by an imaging device to allow an indication of an orientation of the apparatus and a diameter of the passageway.

12. The apparatus of claim 11, wherein the outer wall is configured to be positioned over a catheter while in the first configuration.

13. The apparatus of claim 11, wherein the plurality of markers comprises a first portion and a second portion, wherein the first portion are configured to be detected by a first imaging technique and the second portion are configured to be detected by a second imaging technique.

14. The apparatus of claim 11, wherein at least a portion of an outer surfaces of the apparatus is spherical when the apparatus is at the second configuration.

15. The apparatus of claim 11, wherein at least one marker is located at about each of the second axis outer surface and the third axis outer surface when the apparatus is at the second configuration.

16. The apparatus of claim 11, wherein the apparatus is configured such that the length of the apparatus increases along the first axis upon expansion from the first configuration to the second configuration.

17. The apparatus of claim 11, wherein at least two markers are located on the structure along the first axis.