Embolic debris deflector

• US 9,744,023 B2
• Filed: 10/24/2012
• Issued: 08/29/2017
• Est. Priority Date: 10/25/2011
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Wang, Huisun, Anderson, James M., Miller, Paul J., Plessel, Justin
• Primary Examiner(s): Miles, Jonathan
• Assistant Examiner(s): Rwego, Kankindi
• Application Number:
  US13/659,027
• Publication Number:
  US 20130103075A1
• Time in Patent Office: 1,770 Days
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 2017/320012 Brushes
• CPC Class Codes: A61F 2/01 Filters implantable into blood vessels
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2230/0019 rectangular
• CPC Class Codes: A61F 2230/0023 triangular
• CPC Class Codes: A61F 2230/0026 trapezoidal

Abstract

The disclosure pertains to debris diverters for use within the aorta and methods of diverting or redirecting emboli and other debris away from the carotid arteries to prevent cerebral embolization. The disclosure includes aortic diverters positionable in the ascending aorta in order to divert embolic material of all sizes away from the carotid arteries, thereby washing emboli downstream into the thoracic and peripheral vasculature. The debris diverters of the disclosure are adapted to be placed in the ascending and transverse aorta via the left subclavian artery in order to divert embolic material away from the carotid arteries and methods of use therefor.

Claims

1. A debris deflector comprising:

an elongate support member and

a porous deflection structure adapted to lie substantially along a longitudinal segment of an aortic arch while extending transversely about less than an entire circumference of the aorta,

wherein the porous deflection structure comprises a single panel blood permeable membrane and a support structure,

wherein the single panel blood permeable membrane of the porous deflection structure further includes a plurality of projections which provide a trapping texture extending substantially perpendicular to the support surface of the single panel blood permeable membrane,

wherein the support structure comprises a central spine and a plurality of laterally extending branches,

wherein the plurality of laterally extending branches of the support structure are biased to assume a configuration which is convex toward the wall of the aorta proximate the brachiocephalic artery, the right common carotid artery, and the left common carotid artery and further wherein the central spine of the support structure is convex along the wall of the aorta proximate the brachiocephalic artery and the left common carotid artery,

wherein the elongate support member and porous deflection structure are adapted to be delivered to an aorta via the left subclavian artery and to deploy generally upstream therefrom to cover the ostium of the brachiocephalic artery, the ostium of the right common carotid artery, the ostium of the left common carotid artery, and at least a portion of the ostium of the left subclavian artery.

2. The debris deflector of claim 1, wherein the porous deflection structure is free of a perimeter support component.

3. The debris deflector of claim 1, wherein the single panel blood permeable membrane of the porous deflection structure is a woven fabric.

4. The debris deflector of claim 1, wherein the single panel blood permeable membrane of the porous deflection structure is a nonwoven fabric.

5. The debris deflector of claim 1, wherein the single panel blood permeable membrane of the porous deflection structure is a perforated membrane.

6. The debris deflector of claim 1, wherein the single panel blood permeable membrane of the porous deflection structure is integrally formed with the central spine and the plurality of laterally extending branches.

7. The debris deflector of claim 1, wherein the single panel blood permeable membrane of the porous deflection structure comprises a biocompatible polymer.

8. The debris deflector of claim 1, wherein the single panel blood permeable membrane of the porous deflection structure comprises a biocompatible metal.

9. The debris deflector of claim 1, wherein at least one of the central spine and the plurality of laterally extending branches of the porous deflection structure comprises a biocompatible polymer.

10. The debris deflector of claim 1, wherein at least one of the central spine and the plurality of laterally extending branches of the porous deflection structure comprises a biocompatible metal.

11. The debris deflector of claim 9, wherein at least one of the central spine and the plurality of laterally extending branches of the porous deflection structure comprises a shape memory material.

12. The debris deflector of claim 1, wherein the support structure of the porous deflection structure includes a perimeter support component along at least a portion of a perimeter of the single panel blood permeable membrane.