Endovascular device for entrapment of particulate matter and method for use

• US 20030171803A1
• Filed: 12/05/2002
• Published: 09/11/2003
• Est. Priority Date: 12/05/2001
• Status: Active Grant

• Current Assignee: Keystone Heart, Ltd. (Venus Medtech (Hangzhou), Inc.)
• Original Assignee: Sagax Inc.
• Inventors: Shimon, Dov V.
• Granted Patent: US 7,232,453 B2
• Time in Patent Office: Days
• US Class Current: 623/1.24
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/145 Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissuemeasuring of blood pressure or blood flow A61B5/02; non-radiation detecting or locating of foreign bodies in blood A61B5/06
• CPC Class Codes: A61B 5/283 Invasive
• 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 2/90 characterised by a net-like or mesh-like structure
• 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 2210/0076 multilayered, e.g. laminated structures
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/008 paraboloidal
• CPC Class Codes: A61F 2230/0095 Saddle-shaped
• CPC Class Codes: A61F 2250/0017 differing in yarn density
• CPC Class Codes: A61F 2250/0023 differing in porosity

Abstract

A device and method for protecting a blood vessel, and hence bodily tissues, against damage caused by particulate such as an embolus. The device may be a stent, for insertion in a large artery such as the ascending aorta, and may be combined with a filter. In one embodiment, the device includes an outer wire frame rather than a stent. The stent may be made of at least one layer of mesh, which is typically attached or mounted to the arterial wall. Typically only part of the stent is attached (for example at a reinforcing ring structure). Typically the size of the apertures of the mesh at the top portion of the stent is smaller than the bottom portion of the stent. The device and method are particularly useful in preventing blockages of flow to the brain, but have other uses as well. An electric charge may be placed on the device, for example, to prevent blood components from collecting.

Claims

1. A device for filtering particulate matter in a bodily passage, the device comprising:

an outer structure capable of insertion into the bodily passage; and

an inner filter connected to said outer structure.

2. The device of claim 1, wherein said inner filter includes at least a portion extending beyond said outer structure.

3. The device of claim 1, wherein said extended portion includes at least two overlapping leaflets.

4. The device of claim 1, wherein said inner filter includes at least a partially flexible portion.

5. The device of claim 1, wherein said inner filter is flexible.

6. The device of claim 1, wherein said outer structure includes a mesh.

7. The device of claim 1, wherein said outer structure includes a stent.

8. The device of claim 1, wherein said outer structure includes holes of a first size and said inner filter includes holes of a second size, said first size being larger than said second size.

9. The device of claim 1, wherein the outer structure is capable of insertion into a blood vessel.

10. The device of claim 1 comprising an anchoring structure.

11. The device of claim 1 comprising an anchoring pin capable of anchoring the device to a blood vessel.

12. The device of claim 1 comprising a valve located on the inner filter.

13. The device of claim 12 wherein the valve includes a plurality of flaps.

14. The device of claim 1 comprising an electric charge producing material.

15. The device of claim 1 wherein the inner filter extends over only a portion of the outer structure.

16. The device of claim 1 wherein the outer structure is a wire frame.

17. The device of claim 1 wherein the inner filter is comprised of a plurality of flat portions.

18. A device for filtering in a bodily passage, the device comprising:

an outer structure capable of insertion into the bodily passage; and

an inner filter disposed within said outer structure and extending beyond said outer structure.

19. A device for filtering in a bodily passage, the device comprising:

an outer structure capable of insertion into the bodily passage; and

an inner filter disposed within said outer structure and including at least two overlapping leaflets.

20. A device for filtering in a bodily passage, the device comprising:

an inner filter means for filtering particulate; and

an outer stent means for holding said inner filter means.

21. A method for filtering particulate matter from a blood vessel in a patient, the method comprising:

inserting a device into the blood vessel, said device including at least;

an outer structure capable of insertion into the blood vessel; and

an inner filter connected anchored to said outer structure.

22. The method of claim 21 comprising:

inserting said device into the blood vessel in a surgical procedure,

allowing said device to remain in the blood vessel after said insertion procedure is complete.

23. The method of claim 21 comprising:

inserting an additional filter into said device during a surgical procedure; and

removing said additional filter after said surgical procedure is complete.

24. The method of claim 21 comprising treating the patient with a drug for endocarditis.

25. The method of claim 21, the method comprising treating the patient with a drug for blood clots.

26. The method of claim 21, the method comprising dilating a valve of the patient with a catheter.

27. The method of claim 21, comprising inserting the device to protect against cardio embolic stroke.

28. The method of claim 21, further comprising removing the inner filter without removing the outer structure.

29. A method for filtering particulate matter from a blood vessel in a patient, the method comprising:

inserting a device into the blood vessel during a surgical procedure, said device including at least;

an outer structure capable of insertion into the blood vessel; and

an inner filter connected anchored to said outer structure; and

,

keeping said device to remain in the blood vessel after said procedure is complete.

30. A method for filtering particulate matter from a blood vessel in a patient, the method comprising:

inserting a device into the blood vessel during a surgical procedure, said device including at least;

an outer structure capable of insertion into the blood vessel; and

an inner filter connected anchored to said outer structure; and

, inserting an additional filter into said device.

31. A device for filtering particulate matter in a bodily passage, the device comprising:

an outer structure for insertion into the bodily passage, said outer structure conforming to a shape of the bodily passage; and

an inner filter for being anchored to said outer structure and for filtering the particulate matter, said inner filter having a portion extending beyond said outer structure, said extended portion being at least partially flexible.

32. The device of claim 31, wherein said extended portion comprises two overlapping leaflets.

33. The device of claim 31, wherein said outer structure has holes of a first size and said inner filter includes holes of a second size, said first size being larger than said second size.

34. A method for filtering particulate matter from a blood vessel, the method comprising:

providing a device for being inserted into the blood vessel, said device featuring;

an outer structure for conforming to a shape of the blood vessel; and

an inner filter for being anchored to said outer structure and for filtering the particulate matter, said inner filter having a portion extending beyond said outer structure, said extended portion being at least partially flexible;

inserting said device into the blood vessel during an insertion procedure; and

allowing said device to remain in the blood vessel after said insertion procedure is complete for filtering the particulate matter.

35. The method of claim 34, further comprising:

inserting an additional filter into said device during a surgical procedure; and

removing said additional filter after said surgical procedure is complete.

36. The method of claim 34, further comprising removing the inner filter without removing the outer structure.