WO2005046783A1 - Medical device anchor and delivery system - Google Patents
Medical device anchor and delivery system Download PDFInfo
- Publication number
- WO2005046783A1 WO2005046783A1 PCT/US2004/037738 US2004037738W WO2005046783A1 WO 2005046783 A1 WO2005046783 A1 WO 2005046783A1 US 2004037738 W US2004037738 W US 2004037738W WO 2005046783 A1 WO2005046783 A1 WO 2005046783A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- anchor
- shaft
- elongate
- delivery system
- expandable
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/01—Filters implantable into blood vessels
- A61F2/011—Instruments for their placement or removal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/01—Filters implantable into blood vessels
- A61F2/0105—Open ended, i.e. legs gathered only at one side
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/01—Filters implantable into blood vessels
- A61F2002/016—Filters implantable into blood vessels made from wire-like elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0028—Shapes in the form of latin or greek characters
- A61F2230/005—Rosette-shaped, e.g. star-shaped
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0067—Three-dimensional shapes conical
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0073—Quadric-shaped
- A61F2230/0078—Quadric-shaped hyperboloidal
Definitions
- a number of medical implant devices are designed to collapse for insertion within a catheter or other delivery unit and to expand to a predetermined shape when ejected after delivery. Many of these self expanding devices rely primarily upon the contact between the device and the wall of a body vessel or passageway to maintain the device in position after the delivery unit is removed. Unfortunately, changes in the dimensions of the body vessel or passageway or variations in the flow of blood or other fluids there through can cause the medical implant to migrate and change position.
- Anchoring hooks although effective in many instances, are subject to a number of disadvantages which can make it difficult to properly position and maintain the position of a medical implant device.
- the anchoring hooks are engaged due to the expansion of the device into contact with the wall of a body vessel or passageway, and if the device moves from a desired position during expansion and contact with the wall occurs, the device cannot be easily repositioned.
- the anchoring function of the hooks is not separable from the expansion of the device.
- the configuration of a hook which curves in a single direction from a shaft to a pointed end can prove to be a disadvantage.
- hooks When hooks are used to anchor a medical implant device within a blood vessel, it is important that the hook be oriented to curve in the direction of normal blood flow through the vessel as it engages the vessel wall.
- the hook When engaged, the hook will extend from the shaft toward the point substantially in the direction of the longitudinal axis of the blood vessel, and will effectively resist migration of the medical implant device in response to pressure thereon from blood flow in the normal direction through the blood vessel.
- Another object of the present invention is to provide a novel and improved medical device anchor and delivery system wherein one or more anchors are positively propelled through a body wall. Once an anchor has passed through the wall, it expands outwardly from at least two opposed sides of an anchor shaft.
- An additional object of the present invention is to provide a novel and improved medical device anchor designed to penetrate a body wall from a first side to a second side and to expand outwardly from at least two opposed sides of an anchor shaft after penetration.
- Another object of the present invention is to provide a novel and improved medical device anchor designed to penetrate the wall of a body vessel from a first side to a second side and to expand outwardly from an anchor shaft in a unique manner after penetration.
- the expanded anchor is designed to be loaded in compression against the second wall of the vessel and to change in configuration to increase the anchoring function provided thereby in response to forces applied thereto at an angle to the longitudinal axis of the vessel.
- Yet another object of the present invention is to provide a novel and improved medical device anchor designed to penetrate the wall of a body vessel from a first side to a second side and to expand outwardly from an anchor shaft in a unique manner after penetration.
- the anchor expands outwardly from the anchor shaft into one or more loops with each loop curving back to cross the anchor shaft.
- the section of the loop which crosses the anchor shaft is formed to engage the second wall of the vessel and to load the anchor in compression against the second wall of the vessel in response to forces which are applied to a medical device attached to the anchor or which result from expansion of the vessel wall.
- a further object of the present invention is to provide a novel and improved medical device anchor and delivery system wherein one or more anchors are positively propelled through a body wall subsequent to a medical implant device connected to the anchors reaching a desired position and coming to rest.
- the anchor delivery system facilitates removal and reinsertion of the anchors without requiring that the medical implant device connected thereto be compressed and/or removed.
- Yet another object of the present invention is to provide a novel and improved anchor and anchor delivery system for a medical implant device to anchor the device in position within a blood vessel or other body passageway.
- the anchor delivery system then positively propels one or more anchors through the vessel or passageway wall where the anchors expand outwardly on opposite sides of an anchor shaft.
- the anchor delivery system permits the anchors to be withdrawn and then reinserted through the wall without the necessity to collapse the medical implant device.
- a further object of the present invention is to provide a novel and improved anchor and anchor delivery system for a medical implant device to anchor the device in position within a blood vessel or other body passageway while facilitating the subsequent withdrawal of the device.
- the anchor delivery system positively propels one or more anchors through the wall of a blood vessel or body passageway once the medical implant device has expanded into contact with the wall, and the anchors then expand outwardly from opposite sides of an anchor shaft.
- the anchors are formed to contract back toward the longitudinal axis of the anchor shaft in response to a predetermined force to permit withdrawal through the wall.
- a still further object of the present invention is to provide a novel and improved anchor and anchor delivery system for a blood clot filter
- the delivery system includes elongate, tubular filter legs which house the anchors. Once the filter legs are ejected from a catheter or delivery tube and expand into contact with the blood vessel wall, the anchor delivery system positively propels the anchors outwardly from the filter legs and through the blood vessel wall from a first side to a second side where the anchors expand outwardly from an anchor shaft against the second side of the wall.
- Each anchor is formed to contract back toward the longitudinal axis of its anchor shaft in response to a predetermined force to permit withdrawal through the wall, and this permits the anchors to be withdrawn back into the filter legs and then again propelled through the blood vessel wall without collapsing the filter legs.
- Yet a further object of the present invention is to provide a novel and improved anchor delivery system for a blood clot filter
- the delivery system includes elongate, tubular filter legs which house the anchors and which expand into contact with a blood vessel wall.
- a side opening is formed in the portion of the filter leg which will contact the blood vessel wall, and the filter leg is designed to facilitate ejection of the anchor through the side opening transverse to the filter leg.
- an anchor delivery system which houses one or more uniquely configured anchors which are connected to a medical implant device.
- the anchors remain housed until after the medical implant device has come to rest in a desired position within a body, and then the anchors are positively propelled through a body wall from a first side to a second side where each anchor expands from a single shaft configuration.
- a drive shaft extends from an anchor support sleeve back to a triggering unit which, when activated, causes the drive shaft to move the anchor support sleeve in a direction to propel the anchors through the body wall.
- the triggering unit may be spring powered or solenoid powered.
- Figure 1 is a sectional view showing a blood clot filter with anchors formed in accordance with the present invention mounted within a catheter;
- Figure 2 is a perspective view showing the anchor support hub and leg retention sleeve of Figure 1;
- Figure 3 is a perspective view showing the locking sleeve for the leg retention sleeve of Figure 2;
- Figure 4 is a sectional view showing the operating mechanism for the locking sleeve and anchor support hub of Figure 1;
- Figure 5 is a perspective view showing a spring powered triggering unit at the proximal end of the catheter of Figure 1 for propelling the anchor support hub;
- Figure 6 is a perspective view of the deployed blood clot filter of Figure 1;
- Figure 7 is a perspective view of a deployed anchor for the blood clot filter of Figure 6;
- Figure 8 is a perspective view of a second embodiment of a deployed anchor of the present invention.
- Figure 9 is a perspective view of a third embodiment of a deployed anchor of the present invention.
- Figure 10 is a sectional view of a single anchor and anchor delivery system of the present invention.
- Figure 11 is a perspective view of a fourth embodiment of a deployed anchor of the present invention which deploys to form a closed loop having a wall engaging section which crosses over and extends beyond the anchor shaft;
- Figure 12 is a perspective view of a fifth embodiment of a deployed anchor of the present invention which deploys to form a closed loop having a wall engaging section which crosses under and extends beyond the anchor shaft;
- Figure 13 is a view in side elevation of an anchor guide boot which is secured to the end of an anchor containing blood clot filter leg,
- Figure 14 is a sectional view of the anchor guide boot of Figure 13,
- Figure 15 is a sectional view of a modification of the anchor guide boot of Figure 14.
- Figure 16 is a perspective view of a deployed blood clot modified to eject anchors from the side of the filter legs above the distal ends of the legs with the anchors deployed,
- Figure 17 is a view in front elevation of an end section of a filter leg of the filter of Figure 16 with an anchor partially deployed, and
- Figure 18 is a view in front elevation of an end section of a filter leg of the filter of Figure 16 with an anchor fully deployed.
- a blood clot filter which includes anchors in accordance with the present invention is illustrated generally at 10.
- This filter shown for illustration as a vena cava filter, is formed with a plurality of elongate legs 12 which are secured to, and extend outwardly from a leg retention sleeve 14.
- the elongate legs are fonned by small, open ended tubes each having a first open end 16 which opens at the leg retention sleeve.
- a plurality of long anchor shafts 18 are attached at a distal end to an anchor support hub 20 which is spaced from the leg retention sleeve when the vena cava filter is collapsed within a catheter or delivery tube 22.
- Each shaft 18 extends from the anchor support hub 20 into the first open end 16 of a tubular leg 12 and through the leg to a distal end 24 at a point adjacent to a second open end 26 of the tubular leg.
- An anchor 28 is formed at the distal end of each shaft 18 in a manner to be described.
- the elongate legs 12 and the long anchor shafts 18 are formed of a material which will permit them to be compressed toward the longitudinal axis of the filter 10 for delivery by a catheter 22. Once the filter is ejected from the catheter, the legs 12 and the shafts 18 are designed to expand outwardly from the filter longitudinal axis as shown in Figure 6 to bring the legs into contact with the wall of a blood vessel. Although spring metal and suitable plastics can be used to form the legs 12 and/or the shafts 18, it is preferable to form the anchor shafts 18 and in most cases the legs 12 of a suitable shape memory material.
- transition between the martensitic and austenitic states of the material can be achieved by temperature transitions relative to a transition temperature.
- the material softens, thereby permitting a filter formed thereof to be compressed and loaded into a catheter.
- the transition temperature of the material is set at, or near to normal body temperature, then the filter legs will pass to the austenitic state when the filter is ejected from the catheter and expand to regain a memorized shape.
- the leg retention sleeve 14 is locked to the anchor support hub 20 by a locking sleeve 30 which surrounds both the anchor support hub and the leg retention sleeve when in the locking position as shown in Figure 1.
- the locking sleeve is moved longitudinally back away from the leg retention sleeve as shown in Figure 3.
- Two spring arms 32 are connected at one end to a housing 34 behind the anchor support hub and extend outwardly over opposite sides of the leg retention sleeve.
- the free end of each of the spring arms is curved to form an arcuate latch member 36 which overlies and, in the locking position of Figure 1, engages a locking projection 38 formed on the leg retention sleeve.
- the locking sleeve 30 is mounted for movement toward and away from a centering shaft 42 which extends from a distal end 44 adjacent to the vena cava filter 10 back to the entry end of the catheter 22.
- the distal end of the centering shaft is formed with a plurality of spaced lumens 46, each of which mounts one of a plurality of centering arms 48.
- the centering shaft moves these centering arms out of the catheter 22 behind the vena cava filter, and these centering arms then expand outwardly to engage the vessel wall and center the leading end of the filter.
- These centering arms can be formed of spring metal or plastic, but are preferably formed of shape memory material such as nitinol.
- an elongate drive shaft 50 extends from the entry or proximal end 52 of the catheter 22 through the catheter to a releasable connection 54 with the anchor support hub 20.
- This releasable connection can be any suitable connection which facilitates release of the drive shaft from the anchor support hub by manipulation of the drive shaft at the proximal end of the catheter such as a threaded connector as shown, a hook and eye connector, engaging hook connectors, and known twist engagement and release connectors.
- This drive shaft passes through the centering shaft 42 and is both rotationally and longitudinally movable relative thereto.
- the drive shaft passes through and is both rotationally and longitudinally movable relative to a locking sleeve operator 56 which passes through slots 58 and 60 in the housing 34.
- the locking sleeve operator is secured at 62 and 64 to the locking sleeve 30 and operates to move the locking sleeve away from the leg retention sleeve 14 as the locking sleeve operator moves away from the leg retention sleeve in the slots 58 and 60.
- the drive shaft operates to move the locking sleeve from the locked position by means of a stop 66 secured to the drive shaft and positioned to engage the locking sleeve operator.
- the vena cava filter 10 and centering arms 48 are exposed by either ejecting them from the catheter or drawing the catheter back from around them. Now the elongate legs 12 and centering arms 48 will expand outwardly into engagement with the vessel wall. However, the anchors 28 will remain enclosed within the elongate legs, and this permits the vena cava filter to be moved relative to the blood vessel after expansion of the elongate legs until an exact position is attained. If a substantial position change is required, the centering arms and vena cava filter can be drawn back into the catheter and subsequently redeployed in a new position.
- the anchors 28 are now positively ejected out from the second open ends 26 of the elongate legs so as to penetrate through the vessel wall.
- the drive shaft 50 is connected to a triggering unit 68 at the proximal or entry end 70 of the catheter 22.
- This triggering unit can be formed by a number of known units capable of imparting a longitudinal force to the drive shaft.
- An electrically powered solenoid unit can be used for this purpose as well as a number of spring powered units.
- the triggering unit is formed by a conventional ballistic-type lancer of the type commonly used to cause a needle to puncture a patient's skin to provide a blood sample.
- Such lancers include a hollow body 72 which contains a plunger 74 capable of moving axially back and forth within the body.
- the plunger is surrounded by a coil spring 76 which becomes compressed when the plunger is pulled back and armed by an end knob 78.
- the armed plunger is held in place by a trigger 80 which is activated to release the plunger by a button 82.
- the coil spring 76 propels the plunger toward an opening 84 in a nose cap 86 attached to the hollow body.
- a needle is secured to the end 88 of the plunger and is propelled by the released plunger out through the opening 84 and into the skin of a patient.
- the drive shaft 50 is secured to the end 88 of the plunger, and when the armed plunger is released, the drive shaft is propelled longitudinally to drive the anchor support hub 20 toward the leg retention sleeve 14. This causes the long shafts 18 to move longitudinally through the elongate legs 12 to propel the anchors out and through the vessel wall.
- Figure 6 illustrates an expanded vena cava filter 10 with the anchors 28 in the configuration that they would assume after passing through the vessel wall. The structure and operation of these anchors will be subsequently described.
- a significant advantage of the vena cava filter 10 is that it can be repositioned even after the anchors are in place without the necessity to withdraw the complete filter back into the catheter 22. So long as the elongate legs are in contact with the vessel wall, the anchors 28 can be withdrawn from the vessel wall and back into the elongate legs by causing the drive shaft 50 to move the anchor support hub 20 away from the leg retention sleeve 14. Now the vena cava filter can be repositioned, the plunger 74 of the triggering unit 68 can be rearmed, and the anchors can again be ejected to pierce the vessel wall.
- the drive shaft 50 is disconnected from the anchor support hub 20 and is pulled away from the anchor support hub causing the stop 66 to engage and move the locking sleeve operator 56 away from the anchor support hub.
- the centering shaft 42, locking sleeve 30, drive shaft 50 and housing 34 may be drawn back through the catheter 22 leaving the vena cava filter in place within the blood vessel.
- a hook to be engaged by a retrieval device can be attached to the anchor support hub 20.
- the anchors 28 are formed at the proximal ends of the long anchor shafts 18, and within the elongate legs 12 the anchors assume the same configuration as the shafts with which they are integrally formed.
- the shafts conform in configuration to the internal configuration of the elongate legs so as to easily move longitudinally within the elongate legs, and usually the shafts will be cylindrical with a pointed end which forms the leading end of the anchor.
- An enlarged view of the anchor of Figure 6 is shown in Figure 7.
- the tubular anchor shaft 18 is split down the center at 90 to form the opposed arms 92 and 94 of the anchor.
- the inner surfaces 96 and 98 of each of the arms is flat while the remaining surface 100 of each arm is arcuate, so that when the inner surfaces of the arms are contacting, a straight tubular end section is formed on the end of each long shaft 18.
- the pointed end of each long shaft forms the pointed ends 102 and 104 on the arms 92 and 94 of the anchor.
- each anchor with the inner surfaces 96 and 98 in contact is ejected from an elongate leg 12 in a straight configuration when the anchor support hub 20 is driven toward the leg retention sleeve 14.
- the pointed lead end of each anchor will pierce the wall of a blood vessel so that the entire anchor passes through the vessel wall, at which point the anchor expands to its shape memory configuration shown in Figure 7.
- the end 26 of the elongate leg engages the inner surface of the blood vessel wall while the pointed ends 102 and 104 of the arms 92 and 94 engage the outer surface of the blood vessel wall.
- portions of the expanded anchor in this case the arms 92 and 94, extend outwardly on opposite sides of the shaft 18 so that forces in either direction in the plane of the anchor arms will not dislodge the anchor in the manner which can occur with a single hook which extends outwardly in only one direction from a support shaft.
- the anchors 28 are oriented as shown in Figure 7 so that the opposed arms 92 and 94 of the anchor expand transversely to the longitudinal direction 106 of blood flow through the filter 10.
- anchor arms 92 and 94 curve outwardly and back toward the shaft 18 to engage the outside surface of the vessel wall. This causes the anchor to be loaded in compression against the vessel wall when forces normal to the longitudinal axis of the vessel are applied to a medical device attached to the anchor. This compression aspect greatly enhances the anchoring function provided by the anchor and facilitates the effective use of very small, fine anchor components.
- the anchors 28 may take a number of forms so long as the anchor expands from a straight configuration from within an elongate leg 12 to a shape memory configuration where the anchor extends outwardly on at least two opposite sides of the shaft 18.
- the anchor 28 expands to a spiral configuration so as to extend completely around the shaft 18.
- the shaft is not split as shown in Figure 7, but instead the intact end of the shaft is used to form the spiral 108.
- first end of the anchor to emerge from an elongate leg 12 is a straight section 110 bearing the anchor point, and this section passes through a blood vessel wall before following sections which will form curves emerge. Both the anchors of Figures 7 and 8 tend to flatten by spring action against the vessel wall after expanding.
- the shaft 18 is flattened at the end and split at 90 to form two opposed , flat arms 112 and 114 which expand outwardly on opposite sides of the shaft. These arms emerge from the elongate leg 12 as a straight section which passes through the vessel wall and then splits and bends outwardly at 116 and 118 to form the arms. These arms lie against the outer surface of the vessel wall and in a vena cava filter, are oriented transverse to the longitudinal direction of blood flow through the filter. [0056] For some medical applications, a need has arisen for a single anchor to tether a device within a body vessel or to a body wall.
- the single anchor 120 is formed at the distal end of an anchor shaft 122 mounted in an elongate tube 124, Both the shaft 122 and the tube 124 are formed of shape memory material as described relative to the elongate legs 12 and long shafts 18, but are normally much shorter in length than the elongate legs and shafts 18.
- a tube retention sleeve 126 retains the single tube 124 in the same manner that the leg retention sleeve 14 operates to retain the elongate legs 12, and this tube retention sleeve is engaged by a locking sleeve (not shown) and spring arms 32 operative in the manner previously described.
- a drive shaft 50 is connected at the entry end of the catheter 22 to a triggering unit 68, and is also connected to a releasable connection 128 similar to the releasable connection 54.
- This releasable connection is firmed in a shaft support hub 130 normally spaced from the tube retention sleeve 126 which is connected to the proximal end of the anchor shaft.
- the drive shaft 50 is movable in a control shaft 132 similar to the centering shaft 42 which operates to move the shaft support hub and tube retention sleeve longitudinally to expel the tube 124 containing the anchor 120 from the catheter 22.
- the tube 124 will now assume a predetermined shape to position the anchor relative to a body wall which will receive the anchor.
- the triggering unit 68 can be operated to cause the drive shaft 50 to move the shaft support hub 130 toward the tube retention sleeve 126 to drive the anchor 120 through the body wall.
- the anchor 120 is formed of shape memory material and can take the form and operate in the manner of any of the anchors previously described.
- the spring arms 32 can be operated to release the tube retention sleeve 126, and the drive shaft can be released from the releasable connection 128 so that the drive and control shafts, and in some cases the catheter, can be withdrawn. If the purpose of the anchor is to anchor the catheter in position, then a tether 134 is provided between the catheter and the anchor, and the catheter will not be withdrawn with the drive and control shafts.
- the catheter 22 may be a dual lumen catheter having a first lumen 136 containing the described anchor mechanism and a second lumen 138 containing an in implantable medical device 140 to be anchored by the anchor 120.
- a tether 142 is connected between the anchor and the implant able medical device, and once the anchor is in place, the implantable medical device is ejected from the catheter.
- the tube 124 and tube retention sleeve 126 can be eliminated and replaced by the catheter lumen. Now the drive shaft 50 will drive the shaft support hub 130 longitudinally to drive the anchor from the catheter lumen and through the body wall.
- FIGS 11 and 12 show anchors 144 and 146 respectively which each form a single, closed loop in the expanded shape memory configuration.
- Each of the anchors 144 or 146 is ejected from an elongate leg 12 in a straight configuration coextensive with the long anchor shaft 18 when the anchor support hub 20 is driven toward the leg retention sleeve 14.
- the end of each anchor which may be pointed as indicated at 148, will pierce the wall 150 of the vessel containing the vena cava filter 10 or other medical implant device to be anchored, so that the entire anchor passes through and expands against the outer surface of the vessel.
- the anchor 144 In its shape memory expanded configuration, the anchor 144 extends arcuately outwardly from the anchor shaft and loops back to cross over and extend beyond the anchor shaft to form a single closed loop 152.
- the loop 152 engages the outer surface of the vessel wall 150 at 154 and is loaded in compression against the vessel wall; a compression which increases in response to forces applied in any direction which tend to force the loop 152 further against the vessel wall. As these forces increase, the loop 152 changes configuration and decreases in size becoming more rigid as a greater portion of the loop is forced across the anchor shaft 18, thereby increasing the anchoring force of the anchor.
- the anchor 146 is oriented to be outside this angular space.
- This anchor in its shape memory expanded configuration extends arcuately outwardly from the anchor shaft and loops back to cross under and extend beyond the anchor shaft to form a single closed loop 156 which is loaded in compression against the vessel wall.
- the loop straightens rather than decreasing in size and may be withdrawn with less force than that required to withdraw the anchor 144.
- Both the anchors 144 and 146 can be configured to provide a double looped anchor by splitting the shaft 18 and forming double, opposed closed loops similar to the open loops formed by the arms 92 and 94 of figure 7. However both the double closed loops of the modified anchors 144 and 146 would extend arcuately back over or under the anchor shaft in the manner shown by figures 11 or 12.
- the anchor guiding boot has an open end 160 which opens into an internal seat 162 for the distal end of the filter leg.
- the end of the filter leg may be secured within the seat 162 by any known means such as by a friction fit, welding, heat expansion or bonding.
- An internal passage 164 connects the seat 162 to a side opening 166 formed in the anchor guiding boot, and this side opening is spaced from the closed end 168 of the anchor guiding boot.
- the internal passage is closed by a curved, guidewall 170 which curves upwardly from the lower end of the opening 166 to the opposite side of the internal passage.
- each of the long anchor shafts 18 move an anchor 28 toward the closed end 168 of an anchor guiding boot 158 and into engagement with the curved, guidewall 170 which closes the internal passage 164.
- the anchor is then guided along the curved, guidewall. causing the shaft 18 to bend as the anchor is ejected out through the side opening 166 and laterally through the wall of the blood vessel.
- the anchor guiding boot 158 may be formed of tantalum to provide high feasibility under fluoroscopy.
- barbs 172 may be formed on either the anchor guiding boot 158, the filter leg 12 or both. These barbs engage the blood vessel wall when the filter leg contacts the vessel wall, and are inclined to penetrate and prevent longitudinal movement of the filter leg toward the closed end 168 of the anchor guiding boot.
- a side opening 174 to facilitate lateral anchor ejection when the triggering unit 68 is activated can be formed directly in a filter leg 12 and spaced above the distal end 24 thereof as shown in Figures 16-18.
- the tubular filter leg is closed between the lower end of the side opening 174 and the distal end of the filter leg so that the anchor will be ejected laterally of the filter leg through the side opening.
- This closure may be formed by a curved wall 176 which curves upwardly from the lower end of the side opening across the tubular interior of the filter leg.
- the filter 10 of Figure 16 is shown in the expanded configuration with the anchors 144 deployed laterally through the side openings 174.
- Figure 17 shows this anchor partially deployed, while Figure 18 shows this anchor fully deployed.
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- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Prostheses (AREA)
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP04810795.7A EP1706168B1 (en) | 2003-11-12 | 2004-11-12 | Medical device anchor and delivery system |
JP2006539882A JP5007124B2 (en) | 2003-11-12 | 2004-11-12 | Medical equipment fixation and transfer system |
CA002526920A CA2526920C (en) | 2003-11-12 | 2004-11-12 | Medical device anchor and delivery system |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/705,226 | 2003-11-12 | ||
US10/705,226 US7056286B2 (en) | 2003-11-12 | 2003-11-12 | Medical device anchor and delivery system |
US10/980,828 US20050131451A1 (en) | 2003-11-12 | 2004-11-04 | Medical device anchor and delivery system |
US10/980,828 | 2004-11-04 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2005046783A1 true WO2005046783A1 (en) | 2005-05-26 |
WO2005046783B1 WO2005046783B1 (en) | 2005-08-04 |
Family
ID=34595363
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2004/037738 WO2005046783A1 (en) | 2003-11-12 | 2004-11-12 | Medical device anchor and delivery system |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP1706168B1 (en) |
JP (1) | JP5007124B2 (en) |
CA (1) | CA2526920C (en) |
WO (1) | WO2005046783A1 (en) |
Cited By (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8152845B2 (en) | 2009-12-30 | 2012-04-10 | Thoratec Corporation | Blood pump system with mounting cuff |
US9144637B2 (en) | 2011-03-02 | 2015-09-29 | Thoratec Corporation | Ventricular cuff |
US9199019B2 (en) | 2012-08-31 | 2015-12-01 | Thoratec Corporation | Ventricular cuff |
EP2997933A1 (en) * | 2014-09-19 | 2016-03-23 | Cook Medical Technologies LLC | Spring lock implantable vascular device |
US9295393B2 (en) | 2012-11-09 | 2016-03-29 | Elwha Llc | Embolism deflector |
US9950146B2 (en) | 2007-04-24 | 2018-04-24 | Emory Univeristy | Conduit device and system for implanting a conduit device in a tissue wall |
US9981076B2 (en) | 2012-03-02 | 2018-05-29 | Tc1 Llc | Ventricular cuff |
US10028741B2 (en) | 2013-01-25 | 2018-07-24 | Apica Cardiovascular Limited | Systems and methods for percutaneous access, stabilization and closure of organs |
US10357232B2 (en) | 2011-01-28 | 2019-07-23 | Apica Cardiovascular Limited | Systems for sealing a tissue wall puncture |
US10485909B2 (en) | 2014-10-31 | 2019-11-26 | Thoratec Corporation | Apical connectors and instruments for use in a heart wall |
US10499949B2 (en) | 2011-02-01 | 2019-12-10 | Emory University | Systems for implanting and using a conduit within a tissue wall |
US10518012B2 (en) | 2013-03-15 | 2019-12-31 | Apk Advanced Medical Technologies, Inc. | Devices, systems, and methods for implanting and using a connector in a tissue wall |
US10894116B2 (en) | 2016-08-22 | 2021-01-19 | Tc1 Llc | Heart pump cuff |
US11235137B2 (en) | 2017-02-24 | 2022-02-01 | Tc1 Llc | Minimally invasive methods and devices for ventricular assist device implantation |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9138228B2 (en) | 2004-08-11 | 2015-09-22 | Emory University | Vascular conduit device and system for implanting |
US8343029B2 (en) * | 2007-10-24 | 2013-01-01 | Circulite, Inc. | Transseptal cannula, tip, delivery system, and method |
US8821366B2 (en) | 2007-10-24 | 2014-09-02 | Circulite, Inc. | Transseptal cannula, tip, delivery system, and method |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6231589B1 (en) * | 1999-03-22 | 2001-05-15 | Microvena Corporation | Body vessel filter |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5634942A (en) * | 1994-04-21 | 1997-06-03 | B. Braun Celsa | Assembly comprising a blood filter for temporary or definitive use and a device for implanting it |
US5499991A (en) * | 1994-12-19 | 1996-03-19 | Linvatec Corporation | Endoscopic needle with suture retriever |
JPH08257031A (en) * | 1995-03-24 | 1996-10-08 | Toshio Saeki | Filter |
IL124038A (en) * | 1995-10-13 | 2004-02-19 | Transvascular Inc | Apparatus for bypassing arterial obstructions and/or performing other transvascular procedures |
US6007558A (en) * | 1998-09-25 | 1999-12-28 | Nitinol Medical Technologies, Inc. | Removable embolus blood clot filter |
US6217600B1 (en) * | 2000-01-26 | 2001-04-17 | Scimed Life Systems, Inc. | Thrombus filter with break-away anchor members |
US6540767B1 (en) * | 2000-02-08 | 2003-04-01 | Scimed Life Systems, Inc. | Recoilable thrombosis filtering device and method |
GB2359024A (en) * | 2000-02-09 | 2001-08-15 | Anson Medical Ltd | Fixator for arteries |
-
2004
- 2004-11-12 WO PCT/US2004/037738 patent/WO2005046783A1/en active Application Filing
- 2004-11-12 JP JP2006539882A patent/JP5007124B2/en active Active
- 2004-11-12 CA CA002526920A patent/CA2526920C/en not_active Expired - Fee Related
- 2004-11-12 EP EP04810795.7A patent/EP1706168B1/en not_active Not-in-force
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6231589B1 (en) * | 1999-03-22 | 2001-05-15 | Microvena Corporation | Body vessel filter |
Cited By (27)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9950146B2 (en) | 2007-04-24 | 2018-04-24 | Emory Univeristy | Conduit device and system for implanting a conduit device in a tissue wall |
US11027103B2 (en) | 2007-04-24 | 2021-06-08 | Emory University | Conduit device and system for implanting a conduit device in a tissue wall |
US8679177B2 (en) | 2009-12-30 | 2014-03-25 | Thoratec Corporation | Method of implanting a blood pump system |
US8152845B2 (en) | 2009-12-30 | 2012-04-10 | Thoratec Corporation | Blood pump system with mounting cuff |
US10357232B2 (en) | 2011-01-28 | 2019-07-23 | Apica Cardiovascular Limited | Systems for sealing a tissue wall puncture |
US10499949B2 (en) | 2011-02-01 | 2019-12-10 | Emory University | Systems for implanting and using a conduit within a tissue wall |
US9144637B2 (en) | 2011-03-02 | 2015-09-29 | Thoratec Corporation | Ventricular cuff |
US11185683B2 (en) | 2011-03-02 | 2021-11-30 | Tc1 Llc | Ventricular cuff |
US10525177B2 (en) | 2011-03-02 | 2020-01-07 | Tc1 Llc | Ventricular cuff |
US10111993B2 (en) | 2011-03-02 | 2018-10-30 | Tc1 Llc | Ventricular cuff |
US9750858B2 (en) | 2011-03-02 | 2017-09-05 | Tc1 Llc | Ventricular cuff |
US9981076B2 (en) | 2012-03-02 | 2018-05-29 | Tc1 Llc | Ventricular cuff |
US9981077B2 (en) | 2012-08-31 | 2018-05-29 | Tc1 Llc | Ventricular cuff |
US9199019B2 (en) | 2012-08-31 | 2015-12-01 | Thoratec Corporation | Ventricular cuff |
US9414752B2 (en) | 2012-11-09 | 2016-08-16 | Elwha Llc | Embolism deflector |
US9295393B2 (en) | 2012-11-09 | 2016-03-29 | Elwha Llc | Embolism deflector |
US10028741B2 (en) | 2013-01-25 | 2018-07-24 | Apica Cardiovascular Limited | Systems and methods for percutaneous access, stabilization and closure of organs |
US11116542B2 (en) | 2013-01-25 | 2021-09-14 | Apica Cardiovascular Limited | Systems and methods for percutaneous access, stabilization and closure of organs |
US10518012B2 (en) | 2013-03-15 | 2019-12-31 | Apk Advanced Medical Technologies, Inc. | Devices, systems, and methods for implanting and using a connector in a tissue wall |
US20160081785A1 (en) * | 2014-09-19 | 2016-03-24 | Cook Medical Technologies Llc | Spring lock implantable vascular device |
GB2530313A (en) * | 2014-09-19 | 2016-03-23 | Cook Medical Technologies Llc | Spring lock implantable vascular device |
EP2997933A1 (en) * | 2014-09-19 | 2016-03-23 | Cook Medical Technologies LLC | Spring lock implantable vascular device |
GB2530313B (en) * | 2014-09-19 | 2016-09-14 | Cook Medical Technologies Llc | Spring lock implantable vascular device |
US10485909B2 (en) | 2014-10-31 | 2019-11-26 | Thoratec Corporation | Apical connectors and instruments for use in a heart wall |
US10894116B2 (en) | 2016-08-22 | 2021-01-19 | Tc1 Llc | Heart pump cuff |
US11583671B2 (en) | 2016-08-22 | 2023-02-21 | Tc1 Llc | Heart pump cuff |
US11235137B2 (en) | 2017-02-24 | 2022-02-01 | Tc1 Llc | Minimally invasive methods and devices for ventricular assist device implantation |
Also Published As
Publication number | Publication date |
---|---|
JP5007124B2 (en) | 2012-08-22 |
EP1706168A4 (en) | 2011-09-28 |
WO2005046783B1 (en) | 2005-08-04 |
EP1706168B1 (en) | 2013-11-06 |
EP1706168A1 (en) | 2006-10-04 |
CA2526920A1 (en) | 2005-05-26 |
JP2007510522A (en) | 2007-04-26 |
CA2526920C (en) | 2009-02-17 |
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