Occluder and method for repair of cardiac and vascular defects

Claim 1

A device for percutaneous transluminal repair of septal defects comprising: a) a first occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the detect; b) a second occluder having an initial cross sectional configuration smaller than that of the detect to be repaired and a second expanded configuration larger than that of the defect; and c) said first occluder and said second occluder being connected by a connector means for fastening the first occluder to the second occluder said connector means comprising a pivot means for allowing rotation of the first occluder relative to the second occluder when said occluders are in the expanded configuration.

Claim 2

A device for percutaneous transluminal repair of septal defects comprising: a) a first occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the detect; b) a second occluder having an initial cross sectional configuration smaller than that of the detect to be repaired and a second expanded configuration larger than that of the defect; and c) said first occluder and said second occluder being connected by a connector means for fastening the first occluder to the second occluder said connector means comprising a pivot means for allowing rotation of the first occluder relative to the second occluder when said occluders are in the expanded configuration.

Claim 12

A device for percutaneous transluminal repair of septal defects comprising: a) first occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect; b) a second occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect; and c) said first occluder and said second occluder being connected by a connector means for fastening the first occluder to the second occluder said connector means comprising a linked loop assembly for allowing relative movement between the first occluder and the second occluder when said occluders are in the expanded configuration, wherein a loop connected to the first occluder is linked to a loop connected to the second occluder.

Claim 13

A device for percutaneous transluminal repair of septal defects comprising: a) first occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect; b) a second occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect; and c) said first occluder and said second occluder being connected by a connector means for fastening the first occluder to the second occluder said connector means comprising a linked loop assembly for allowing relative movement between the first occluder and the second occluder when said occluders are in the expanded configuration, wherein a loop connected to the first occluder is linked to a loop connected to the second occluder.

Claim 14

A device for percutaneous transluminal repair of septal defects comprising: a) a first occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect; b) a second occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect; and c) said first occluder and said second occluder being connected by a connector means for fastening the first occluder to the second occluder said connector means comprising a ball and collar assembly for allowing relative movement between the first occluder and the second occluder when said occluders are in the expanded configuration, said assembly comprising a collar connected to one of the first and second occluders with an aperture and a pin with a ball fitting connected to the other of the first and second occluders on at least one end thereof wherein a diameter of said ball fitting is larger than a diameter of the aperture in the collar.

Claim 15

A device for percutaneous transluminal repair of septal defects comprising: a) a first occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect; b) a second occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect; and c) said first occluder and said second occluder being connected by a connector means for fastening the first occluder to the second occluder said connector means comprising a ball and collar assembly for allowing relative movement between the first occluder and the second occluder when said occluders are in the expanded configuration, said assembly comprising a collar connected to one of the first and second occluders with an aperture and a pin with a ball fitting connected to the other of the first and second occluders on at least one end thereof wherein a diameter of said ball fitting is larger than a diameter of the aperture in the collar.

Claim 16

A method for percutaneous transluminal repair of septal defects in a patient comprising the steps of: a) providing an occlusion device comprising a first occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect, a second occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect, and a connector means for connecting the first occluder to the second occluder the connector means comprising a linked loop assembly which allows relative movement between the first occluder and the second occluder when said occluders are in the expanded configuration, wherein a loop connected to the first occluder is linked to a loop connected to the second occluder; b) inserting the occlusion device with the first and second occluders in their initial configurations into a distal portion of a catheter sheath; c) transluminally guiding the distal portion of the catheter sheath to a first position on a first side of the defect; d) advancing the occlusion device relative to the sheath to release the first occluder and allow it to expand to its second configuration on said first side of the defect; e) moving said distal portion of the catheter sheath to a second position on a second side of the detect; f) retracting the catheter sheath to thereby release the second occluder and allow it to expand to its second configuration on said second side of the defect; and g) withdrawing the sheath while leaving the occlusion device in position across the defect.

Claim 17

A method for percutaneous transluminal repair of septal defects in a patient comprising the steps of: a) providing an occlusion device comprising a first occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect, a second occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect, and a connector means for connecting the first occluder to the second occluder the connector means comprising a linked loop assembly which allows relative movement between the first occluder and the second occluder when said occluders are in the expanded configuration, wherein a loop connected to the first occluder is linked to a loop connected to the second occluder; b) inserting the occlusion device with the first and second occluders in their initial configurations into a distal portion of a catheter sheath; c) transluminally guiding the distal portion of the catheter sheath to a first position on a first side of the defect; d) advancing the occlusion device relative to the sheath to release the first occluder and allow it to expand to its second configuration on said first side of the defect; e) moving said distal portion of the catheter sheath to a second position on a second side of the detect; f) retracting the catheter sheath to thereby release the second occluder and allow it to expand to its second configuration on said second side of the defect; and g) withdrawing the sheath while leaving the occlusion device in position across the defect.

Claim 23

A method for percutaneous transluminal repair of septal defects in a patient comprising the steps of: a) providing an occlusion device comprising a first occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect; the first occluder fastened to a second occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect, the first occluder fastened to the second occluder by a linked loop assembly in which a loop connected to the first occluder is linked to a loop connected to the second occluder, wherein at least one of the first occluder or the second occluder includes a radiopaque gold coating on at least one surface thereof that allows such occluder to be fluoroscopically distinguished from the other occluder; b) inserting the occlusion device with the first and second occluders in their initial configurations into a distal portion of a catheter sheath; c) transluminally guiding the distal portion of the catheter sheath to a first position on a first side of the defect; d) advancing the occlusion device relative to the sheath to release the first occluder and allow it to expand to its second configuration on said first side of the defect; e) moving said distal portion of the catheter sheath to a second position on a second side of the defect; f) retracting the catheter sheath to thereby release the second occluder and allow it to expand to its second configuration on said second side of the defect; and g) withdrawing the sheath while leaving the occlusion device in position across the defect.

Claim 24

A method for percutaneous transluminal repair of septal defects in a patient comprising the steps of: a) providing an occlusion device comprising a first occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect; the first occluder fastened to a second occluder having an initial cross sectional configuration smaller than that of the defect to be repaired and a second expanded configuration larger than that of the defect, the first occluder fastened to the second occluder by a linked loop assembly in which a loop connected to the first occluder is linked to a loop connected to the second occluder, wherein at least one of the first occluder or the second occluder includes a radiopaque gold coating on at least one surface thereof that allows such occluder to be fluoroscopically distinguished from the other occluder; b) inserting the occlusion device with the first and second occluders in their initial configurations into a distal portion of a catheter sheath; c) transluminally guiding the distal portion of the catheter sheath to a first position on a first side of the defect; d) advancing the occlusion device relative to the sheath to release the first occluder and allow it to expand to its second configuration on said first side of the defect; e) moving said distal portion of the catheter sheath to a second position on a second side of the defect; f) retracting the catheter sheath to thereby release the second occluder and allow it to expand to its second configuration on said second side of the defect; and g) withdrawing the sheath while leaving the occlusion device in position across the defect.