Aortic embolic protection device

• US 9,980,805 B2
• Filed: 01/14/2016
• Issued: 05/29/2018
• Est. Priority Date: 12/30/2010
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Claret Medical, Inc. (Boston Scientific Corporation)
• Inventors: Fifer, Daniel W., Lashinski, Randall T., Fields, Antony J., Lee, Michael
• Primary Examiner(s): Anderson, Gregory
• Application Number:
  US14/996,117
• Publication Number:
  US 20160193028A1
• Time in Patent Office: 866 Days
• CPC Class Codes: A61B 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes precedence
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2/012 Multiple filtering units
• CPC Class Codes: A61F 2/2427 Devices for manipulating or deploying heart valves during implantation
• CPC Class Codes: A61F 2002/015 Stop means therefor
• 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 2210/0014 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/0008 elliptical or oval
• 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
• CPC Class Codes: A61F 2230/0093 Umbrella-shaped, e.g. mushroom-shaped
• CPC Class Codes: A61F 2250/0029 differing in bending or flexure capacity

Abstract

Single filter and multi-filter endolumenal methods and systems for filtering fluids within the body. In some embodiments a blood filtering system captures and removes particulates dislodged or generated during a surgical procedure and circulating in a patient'"'"'s vasculature. In some embodiments a filter system protects the cerebral vasculature during a cardiac valve repair or replacement procedure.

Claims

1. A method of positioning a filter embolic protection device in an aorta, the method comprising:

advancing the filter embolic protection device, the filter embolic protection device comprising;

a first elongate, tubular body, having a proximal end, a distal end and a central lumen extending therethrough;

a second tubular body, extending through the central lumen; and

a filter assembly carried by the second tubular body, the filter assembly comprising a plurality of filter portions joined together about a longitudinal axis;

deploying the filter assembly;

advancing a catheter, the catheter comprising a tubular body;

positioning the catheter and the filter assembly such that the filter assembly forms a seal with the catheter to prevent substantially all debris from flowing past the filter assembly when the catheter is positioned between the filter assembly and a vessel wall.

2. The method of positioning the filter embolic protection device of claim 1, wherein each filter portion is a filter lobe comprising an open end and an opposite closed end, the filter lobe being tapered from the open end toward the opposite closed end.

3. The method of positioning the filter embolic protection device of claim 2, wherein adjacent filter lobes are joined together along a lengthwise edge of the respective filter lobes.

4. The method of positioning the filter embolic protection device of claim 2, wherein positioning the catheter relative to the filter assembly comprises positioning the catheter such that two adjacent filter lobes form the seal with the catheter.

5. The method of positioning the filter embolic protection device of claim 1, wherein the filter embolic protection device further comprises a plurality of self-expanding tines, each self-expanding tine having a proximal end and a distal end and forming a boundary between adjacent filter portions.

6. The method of positioning the single filter embolic protection device of claim 5, wherein ends of the plurality of self-expanding tines join together at a proximal end of the filter assembly.

7. The method of positioning the single filter embolic protection device of claim 5, wherein a filter element is suspended between adjacent self-expanding tines.

8. The method of positioning the filter embolic protection device of claim 7, wherein positioning the catheter relative to the filter assembly comprises positioning the catheter such that the filter element forms the seal with the catheter.

9. The method of positioning the filter embolic protection device of claim 1, wherein the filter embolic protection device is advanced to a target location before the step of advancing the catheter.

10. The method of positioning the filter embolic protection device of claim 1, wherein the filter embolic protection device is advanced to a target location after the step of advancing the catheter.

11. The method of positioning the filter embolic protection device of claim 1, wherein the filter assembly is deployed before the step of advancing the catheter.

12. The method of positioning the filter embolic protection device of claim 1, wherein the catheter is a TAVI catheter.

13. A method of positioning a filter embolic protection device in an aorta, the method comprising:

advancing the filter embolic protection device, the filter embolic protection device comprising;

a first elongate, tubular body, comprising a proximal end, a distal end and a central lumen extending therethrough;

a second tubular body, extending through the central lumen; and

a filter assembly carried by the second tubular body, the filter assembly comprising a plurality of filter portions joined together about a longitudinal axis;

wherein the filter assembly comprises a proximal end, a distal end, an inner surface and an outer surface;

wherein the filter assembly comprises a plurality of passageways on the outer surface;

deploying the filter assembly;

advancing a catheter, the catheter comprising a tubular body;

positioning the catheter and the filter assembly relative to each other such that one of the passageways forms a seal around the catheter to prevent substantially all debris from flowing past the filter assembly when the catheter is positioned between the filter assembly and a vessel wall.

14. The method of positioning the filter embolic protection device of claim 13, wherein each passageway extends from the proximal end of the filter assembly to the distal end of the filter assembly.

15. The method of positioning the filter embolic protection device of claim 13, wherein each filter portion is a filter lobe comprising an open end and an opposite closed end, the filter lobe being tapered from the open end toward the opposite closed end.

16. The method of positioning the filter embolic protection device of claim 15, wherein each filter lobe is joined to an adjacent lobe along a lengthwise edge of the respective filter lobes.

17. The method of positioning the filter embolic protection device of claim 15, wherein each passageway is located between adjacent filter lobes, and wherein outer surfaces of the filter lobes form walls of the plurality of passageways.

18. The method of positioning the filter embolic protection device of claim 13, further comprising a plurality of self-expanding tines, each self-expanding tine comprises a proximal end and a distal end and forms a boundary between adjacent filter portions.

19. The method of positioning the filter embolic protection device of claim 18, wherein ends of the plurality of self-expanding tines join together at the proximal end of the filter assembly.

20. The method of positioning the filter embolic protection device of claim 18, wherein each self-expanding tine forms a boundary between adjacent passageways.

21. The method of positioning the filter embolic protection device of claim 13, wherein the filter embolic protection device is advanced to a target location before the step of advancing the catheter.

22. The method of positioning the filter embolic protection device of claim 13, wherein the filter embolic protection device is advanced to a target location after the step of advancing the catheter.

23. The method of positioning the filter embolic protection device of claim 13, wherein the filter embolic protection device is deployed before the step of advancing the catheter.

24. The method of positioning the filter embolic protection device of claim 13, wherein the catheter is a TAVI catheter.