Thrombectomy systems having curved tubular cutting devices, and methods of using them, are provided. These systems, devices, and methods can (i) effectively cut and remove a variety of thrombus tissue from blood vessels, including soft, tough, and hard tissue; (ii) safely self-collect and remove tissue particles to avoid release of emboli; and, (iii) effectively treat a blood vessel with a reduced risk of suffering vessel injuries that can lead to increased stenosis.
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
A61B 17/00 - Surgical instruments, devices or methods
Thrombectomy systems having curved tubular cutting devices, and methods of using them, are provided. These systems, devices, and methods can (i) effectively cut and remove a variety of thrombus tissue from blood vessels, including soft, tough, and hard tissue; (ii) safely self-collect and remove tissue particles to avoid release of emboli; and, (iii) effectively treat a blood vessel with a reduced risk of suffering vessel injuries that can lead to increased stenosis.
Thrombectomy systems having curved tubular cutting devices, and methods of using them, are provided. These systems, devices, and methods can (i) effectively cut and remove a variety of thrombus tissue from blood vessels, including soft, tough, and hard tissue; (ii) safely self-collect and remove tissue particles to avoid release of emboli; and, (iii) effectively treat a blood vessel with a reduced risk of suffering vessel injuries that can lead to increased stenosis.
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
A61B 17/00 - Surgical instruments, devices or methods
Disclosed are example embodiments of an endovascular coil having a twisted figure 8 shape. The endovascular coil includes: a first loop; a second loop; and an inflection region where a portion of the first loop transitions into a portion of the second loop. The second loop is rotated about an axis parallel to the longitudinal axis of the first loop to create the twisted figure 8 shape. The twist adds more randomness and variability to the filling behavior of the endovascular coil. The added randomness and variability enables the twisted figure 8 coil to better fill the void of irregular-shaped aneurysms than other conventional embolic coils.
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
B21F 3/02 - Coiling wire into particular forms helically
B21F 3/12 - Coiling wire into particular forms of interconnected helical springs
Telescoping, self-driving, and laterally-pushing atherectomy devices are provided, each having a flexible sheath, a cutter with helical flutes, and a drive assembly. The drive assembly can have a flexible driveshaft that is rotatably translational within the lumen of the flexible sheath, a positive displacement pump that begins pumping at the distal end of the drive shaft adjacent to the helical flutes at the proximal end of the cutter, and the flexible drive shaft can be longer than the flexible sheath to enable a reversible telescoping of the drive assembly from the lumen of the flexible sheath. The positive displacement pump can be a screw pump having a drive screw portion extending beyond the flexible sheath, exposed for contact with a vascular lumen for the self-driving. And, the devices can have a reversibly-expandable, lateral pushing member at the distal end of the flexible sheath for the lateral pushing.
Apparatus and methods for retrieving a foreign body from a vasculature are provided. The devices can be Funnel-trap type retrieval devices. The devices can include a compressible support member extending from the distal end of an elongate shaft, the compressible support member having an expanded configuration, a compressed configuration, a plurality of independent elongate support elements that have a memory for the funnel-shaped expanded configuration, and a cover material that covers the compressible support member and forms a pocket configured for capturing the foreign body in the interior of the compressible support member.
After a prolonged period in the body, an IVC filter can be substantially absorbed by the body. When this occurs, it can be very difficult and/or dangerous for the patient if the IVC filter is forcibly removed. Thus, it is desirable to have systems and methods for safely abandoning the removal procedure of the IVC filter. Example embodiments of an apparatus for safely abandoning the removal procedure of the IVC filter can include: a sleeve having a lumen and a first hole on a wall of the sleeve; a shaft slidably disposed within the lumen of the sleeve; a flexible distal extension comprising a braid structure with a first opening; and a first lasso encircling a portion of the first opening of the braid.
Telescoping, self-driving, and laterally-pushing atherectomy devices are provided, each having a flexible sheath, a cutter with helical flutes, and a drive assembly. The drive assembly can have a flexible driveshaft rotatably translational with the lumen of the flexible sheath, a positive displacement pump to transport cut tissue, and a flexible drive shaft that can be longer than the flexible sheath for a reversible telescoping of the drive assembly from the lumen of the flexible sheath. The positive displacement pump can be a screw pump having a drive screw portion exposed for contact with a vascular lumen for a self-driving of the device through the vascular lumen. A reversibly-expandable, lateral pushing member can be included at the distal end of the flexible sheath for a lateral pushing of the cutter. Improved cutting heads, and methods of making them, are provided for cutting a combination of soft and hard plaque.
Telescoping, self-driving, and laterally-pushing atherectomy devices are provided, each having a flexible sheath, a cutter with helical flutes, and a drive assembly. The drive assembly can have a flexible driveshaft rotatably translational with the lumen of the flexible sheath, a positive displacement pump to transport cut tissue, and a flexible drive shaft that can be longer than the flexible sheath for a reversible telescoping of the drive assembly from the lumen of the flexible sheath. The positive displacement pump can be a screw pump having a drive screw portion exposed for contact with a vascular lumen for a self-driving of the device through the vascular lumen. A reversibly-expandable, lateral pushing member can be included at the distal end of the flexible sheath for a lateral pushing of the cutter. Improved cutting heads, and methods of making them, are provided for cutting a combination of soft and hard plaque.
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
Telescoping, self-driving, and laterally-pushing atherectomy devices are provided, each having a flexible sheath, a cutter with helical flutes, and a drive assembly. The drive assembly can have a flexible driveshaft that is rotatably translational with the lumen of the flexible sheath, a positive displacement pump that begins pumping at the distal end of the drive shaft adjacent to the helical flutes at the proximal end of the cutter, and the flexible drive shaft can be longer than the flexible sheath to enable a reversible telescoping of the drive assembly from the lumen of the flexible sheath. The positive displacement pump can be a screw pump having a drive screw portion extending beyond the flexible sheath, exposed for contact with a vascular lumen for the self-driving. And, the devices can have a reversibly-expandable, lateral pushing member at the distal end of the flexible sheath for the lateral pushing.
Telescoping, self-driving, and laterally-pushing atherectomy devices are provided, each having a flexible sheath, a cutter with helical flutes, and a drive assembly. The drive assembly can have a flexible driveshaft that is rotatably translational with the lumen of the flexible sheath, a positive displacement pump that begins pumping at the distal end of the drive shaft adjacent to the helical flutes at the proximal end of the cutter, and the flexible drive shaft can be longer than the flexible sheath to enable a reversible telescoping of the drive assembly from the lumen of the flexible sheath. The positive displacement pump can be a screw pump having a drive screw portion extending beyond the flexible sheath, exposed for contact with a vascular lumen for the self-driving. And, the devices can have a reversibly-expandable, lateral pushing member at the distal end of the flexible sheath for the lateral pushing.
After a prolonged period in the body, an IVC filter can be substantially absorbed by the body. When this occurs, it can be very difficult and/or dangerous for the patient if the IVC filter is forcibly removed. Thus, it is desirable to have systems and methods for safely abandoning the removal procedure of the IVC filter. Example embodiments of an apparatus for safely abandoning the removal procedure of the IVC filter can include: a sleeve having a lumen and a first hole on a wall of the sleeve; a shaft slidably disposed within the lumen of the sleeve; a flexible distal extension comprising a braid structure with a first opening; and a first lasso encircling a portion of the first opening of the braid.
An embolic device and a corresponding embolic device delivery system and method. In one example, an embolic device delivery system comprises a delivery catheter, a coupler disposed inside the delivery catheter, and an embolic device that may be carried and placed by the coupler. The embolic device includes a primary winding that forms a hollow tube such that a coupler may be threaded therethrough. Further, the embolic device may include a slotted metal tube suited to be affixed to one end of the hollow tube formed by the primary winding. Additionally, the embolic device may include a retaining mechanism that includes one or more protrusions suited to engage with one or more slots of the slotted metal tube. In this manner, the retaining mechanism is affixed to the slotted metal tube and the hollow tube formed by the primary winding.
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
14.
EMBOLIC DEVICE SUITED FOR EASE OF DELIVERY AND PLACEMENT
An embolic device and a corresponding embolic device delivery system and method. In one example, an embolic device delivery system comprises a delivery catheter, a coupler disposed inside the delivery catheter, and an embolic device that may be carried and placed by the coupler. The embolic device includes a primary winding that forms a hollow tube such that a coupler may be threaded therethrough. Further, the embolic device may include a slotted metal tube suited to be affixed to one end of the hollow tube formed by the primary winding. Additionally, the embolic device may include a retaining mechanism that includes one or more protrusions suited to engage with one or more slots of the slotted metal tube. In this manner, the retaining mechanism is affixed to the slotted metal tube and the hollow tube formed by the primary winding.
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
A61F 2/01 - Filters implantable into blood vessels
15.
Systems, devices, and methods for retrieval systems having a tether
The embodiments described relate to retrieving temporary Inferior Vena Cava (IVC) filters and other endovascular implants or foreign bodies. Features are provided for effective actuation in closing an inner aperture of the embodiments.
A61F 2/01 - Filters implantable into blood vessels
A61B 17/50 - Instruments for removing foreign bodies from the human body
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
16.
Instrument for delivery or capture of a medical device in a blood vessel
Funnel-trap type delivery and/or retrieval devices for Inferior Vena Cava (IVC) filters or other medical implants are described in which the devices comprise two layers of braid with an axially support member. The support member may be interposed between braid layers or set inside the braid layers but interposed between heatset features. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated herein.
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
A61B 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
B21F 3/02 - Coiling wire into particular forms helically
B21F 3/12 - Coiling wire into particular forms of interconnected helical springs
A61B 17/00 - Surgical instruments, devices or methods
Disclosed are example embodiments of an endovascular coil having a twisted figure 8 shape. The endovascular coil includes: a first loop; a second loop; and an inflection region where a portion of the first loop transitions into a portion of the second loop. The second loop is rotated about an axis parallel to the longitudinal axis of the first loop to create the twisted figure 8 shape. The twist adds more randomness and variability to the filling behavior of the endovascular coil. The added randomness and variability enables the twisted figure 8 coil to better fill the void of irregular-shaped aneurysms than other conventional embolic coils.
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/03 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
A61B 17/122 - Clamps or clips, e.g. for the umbilical cord
A61F 2/82 - Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
After a prolonged period in the body, an IVC filter can be substantially absorbed by the body. When this occurs, it can be very difficult and/or dangerous for the patient if the IVC filter is forcibly removed. Thus, it is desirable to have systems and methods for safely abandoning the removal procedure of the IVC filter. Example embodiments of an apparatus for safely abandoning the removal procedure of the IVC filter can include: a sleeve having a lumen and a first hole on a wall of the sleeve; a shaft slidably disposed within the lumen of the sleeve; a flexible distal extension comprising a braid structure with a first opening; and a first lasso encircling a portion of the first opening of the braid.
A system and method for delivering an embolic device are disclosed. In one embodiment, the system and method may be directed to a combination of a catheter, coupler, and embolic device. The coupler is disposed inside of the catheter. The embolic device is coupled with a retaining mechanism at the proximal end. Until the embolic device is delivered to a certain location within an artery, the embolic device is engaged with the catheter by engaging the coupler with the retaining mechanism. The embolic device is further secured to the delivery catheter by securing the coupler with a securing mechanism formed on the catheter. When the delivery catheter reaches the desired location in the artery, the embolic device is released from the delivery catheter by simply pulling the coupler proximally such that the loop portion of the coupler first becomes disengaged from the locking window and then from the retaining mechanism.
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
A61F 2/01 - Filters implantable into blood vessels
21.
SYSTEM AND METHOD FOR DELIVERING AN EMBOLIC DEVICE
A system and method for delivering an embolic device are disclosed. In one embodiment, the system and method may be directed to a combination of a catheter, coupler, and embolic device. The coupler is disposed inside of the catheter. The embolic device is coupled with a retaining mechanism at the proximal end. Until the embolic device is delivered to a certain location within an artery, the embolic device is engaged with the catheter by engaging the coupler with the retaining mechanism. The embolic device is further secured to the delivery catheter by securing the coupler with a securing mechanism formed on the catheter. When the delivery catheter reaches the desired location in the artery, the embolic device is released from the delivery catheter by simply pulling the coupler proximally such that the loop portion of the coupler first becomes disengaged from the locking window and then from the retaining mechanism.
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
Funnel-trap type devices are described that are made of shape-set (e.g., heatset) braid for delivery and/or retrieval of Inferior Vena Cava (IVC) filters or other medical devices. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated. Additional forming tooling, methods and device embodiment shapes are described herein.
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
A61F 2/95 - Instruments specially adapted for placement or removal of stents or stent-grafts
23.
IVC filter retrieval systems with interposed support members
Funnel-trap type delivery and/or retrieval devices for Inferior Vena Cava (IVC) filters or other medical implants are described in which the devices comprise two layers of braid with an axially support member. The support member may be interposed between braid layers or set inside the braid layers but interposed between heatset features. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated herein.
The embodiments described relate to retrieving temporary Inferior Vena Cava (IVC) filters and other endovascular implants or foreign bodies. Features are provided for effective actuation in closing an inner aperture of the embodiments.
A61F 2/01 - Filters implantable into blood vessels
A61B 17/50 - Instruments for removing foreign bodies from the human body
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
25.
SYSTEMS, DEVICES, AND METHODS FOR RETRIEVAL SYSTEMS HAVING A TETHER
The embodiments described relate to retrieving temporary Inferior Vena Cava (IVC) filters and other endovascular implants or foreign bodies. Features are provided for effective actuation in closing an inner aperture of the embodiments.
Funnel-trap type delivery and/or retrieval devices for temporary Inferior Vena Cava (IVC) filters or other medical implants or foreign bodies are described. These may employ a locking sheath or a proximal-aperture capture feature or features for IVC filter (or other device) retrieval.
Funnel-trap type delivery and/or retrieval devices for Inferior Vena Cava (IVC) filters or other medical implants are described with associated sheaths. The sheaths are used in progressive recapture and/or embolic protection methods or in association with such features.
Funnel-trap type devices or systems made of braid are described for capture and retrieval or, instead, capture and subsequent release of Inferior Vena Cava (IVC) filters or other medical devices. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated.
Funnel-trap type delivery and/or retrieval devices for Inferior Vena Cava (IVC) filters or other medical implants are described in which the devices comprise two layers of braid with an axially support member. The support member may be interposed between braid layers or set inside the braid layers but interposed between heatset features. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated herein.
Funnel-trap type devices or systems made of braid are described for capture and retrieval or, instead, capture and subsequent release of Inferior Vena Cava (IVC) filters or other medical devices. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated.
Funnel-trap type devices are described that are made of shape-set (e.g., heatset) braid for delivery and/or retrieval of Inferior Vena Cava (IVC) filters or other medical devices. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated. Additional forming tooling, methods and device embodiment shapes are described herein.
A61F 2/00 - Filters implantable into blood vesselsProstheses, i.e. artificial substitutes or replacements for parts of the bodyAppliances for connecting them with the bodyDevices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
32.
CATHETER DEVICE WITH LONGITUDINALLY EXPANDING INTERIOR COMPONENTS FOR COMPRESSING CANCELLOUS BONE
Systems, devices, and methods are provided for a catheter device for use in a medical procedure wherein the interior of the catheter device expands to accommodate longitudinal expansion of the expandable member to compress cancellous bone.
Systems, devices, and methods are provided for a catheter device for use in a medical procedure wherein the interior of the catheter device expands to accommodate longitudinal expansion of the expandable member to compress cancellous bone.
Funnel-trap type delivery and/or retrieval devices for temporary Inferior Vena Cava (IVC) filters or other medical implants or foreign bodies are described. These may employ a locking sheath or a proximal-aperture capture feature or features for IVC filter (or other device) retrieval.
A61F 2/01 - Filters implantable into blood vessels
A61B 17/221 - Calculus gripping devices in the form of loops or baskets
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
Funnel-trap type devices made of shape-set (e.g., heatset) braid for delivery and/or retrieval of Inferior Vena Cava (IVC) filters or other medical devices are described. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated herein.
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
36.
Shaping improvements for Inferior Vena Cava filter and retrieval systems
Funnel-trap type devices are described that are made of shape-set (e.g., heatset) braid for delivery and/or retrieval of Inferior Vena Cava (IVC) filters or other medical devices. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated. Additional forming tooling, methods and device embodiment shapes are described herein.
A61F 2/01 - Filters implantable into blood vessels
A61B 17/221 - Calculus gripping devices in the form of loops or baskets
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
Funnel-trap type devices made of shape-set (e.g., heatset) braid for delivery and/or retrieval of Inferior Vena Cava (IVC) filters or other medical devices are described. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated herein.
Funnel-trap type devices made of shape-set (e.g., heatset) braid for delivery and/or retrieval of Inferior Vena Cava (IVC) filters or other medical devices are described. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated herein.
The teachings are directed to a medical device having a drug-retaining coating that at least substantially delays the initial elution of a drug for a time effective at forming a functional endothelium over a surface of the medical device.
A61F 2/00 - Filters implantable into blood vesselsProstheses, i.e. artificial substitutes or replacements for parts of the bodyAppliances for connecting them with the bodyDevices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
A61F 2/04 - Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
patents
