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US6206868B1 Expired / Lapsed US ⏱️ 0.0 years remaining

Protective device and method against embolization during treatment of carotid artery disease

Assignee: W.L. Gore and Associates Inc
•
Filing: 1999-06-14
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Granted: 2001-03-27
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Expires: 2019-06-14
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Abstract

Abstract Methods and apparatus are provided for removing emboli during an angioplasty, stenting or surgical procedure using a catheter having an occlusion element disposed on its distal end, a suction device, and an aspiration lumen communicating therebetween. The occlusion element is configured to be placed proximal of a stenosis and deployed to occlude antegrade flow, so that flow is reversed in the vessel when the suction device is selectively activated. The aspiration lumen is sized so that an interventional device, such as an angioplasty catheter, may be readily advanced therethrough to the site of a stenosis. The suction device may be activated intermittently at key stages of the procedure to provide reverse flow through the vessel, and the catheter may include bypass holes for limiting suction levels and/or providing intermittent antegrade flow.

Inventors

  • 👤 Juan Carlos Parodi

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 04:22
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/12; A61B17/12022; A61B17/12027; A61B17/1204; A61B17/12045; A61B17/12099; A61B17/12109; A61B17/12131; A61B17/12136; A61B17/12168; A61B17/12172; A61B17/22; A61F; A61F2/00; A61F2/01; A61F2/011; A61F2/013; A61M; A61M25/00; A61M25/10; A61M25/1002; A61M25/104; A61B17/221; A61B17/00234; A61B2017/00238; A61B2017/00243; A61B2017/22051; A61B2017/22065; A61B2017/22067; A61B2017/2215; A61B17/32; A61B17/3205; A61B17/3207; A61B2017/320716; A61B2217/00; A61B2217/002; A61B2217/005; A61B8/00; A61B8/06; A61M2025/0001; A61M2025/0002; A61M25/01; A61M25/06; A61M25/0662; A61M2025/0681; A61M2025/1043; A61M2025/1052; A61M2025/1093; A61M2025/1095; A61M25/0043; A61M25/005

Claims Analysis

Total Claims: 11
Claim 1
Independent Claim 151 words
A method for removing emboli from a vessel during treatment of a stenosis, the method comprising: providing an emboli removal catheter having proximal and distal ends, a lumen extending therethrough, an occlusion element disposed on the distal end, and a suction device coupled to the lumen; providing an angioplasty catheter having a balloon; inserting the distal end of the emboli removal catheter transluminally to a position proximal to the stenosis; deploying the occlusion element to occlude antegrade flow through the vessel; actuating the suction device to induce reverse flow in the vessel; while flow is reversed in the vessel, advancing the balloon of the angioplasty catheter across the stenosis; actuating the balloon of the angioplasty catheter to dilate the stenosis; and when the balloon of the angioplasty catheter is deflated, actuating the suction device to induce regional reversal of flow in the vessel to remove emboli generated by actuating the balloon.
Claim 2
Independent Claim 151 words
A method for removing emboli from a vessel during treatment of a stenosis, the method comprising: providing an emboli removal catheter having proximal and distal ends, a lumen extending therethrough, an occlusion element disposed on the distal end, and a suction device coupled to the lumen; providing an angioplasty catheter having a balloon; inserting the distal end of the emboli removal catheter transluminally to a position proximal to the stenosis; deploying the occlusion element to occlude antegrade flow through the vessel; actuating the suction device to induce reverse flow in the vessel; while flow is reversed in the vessel, advancing the balloon of the angioplasty catheter across the stenosis; actuating the balloon of the angioplasty catheter to dilate the stenosis; and when the balloon of the angioplasty catheter is deflated, actuating the suction device to induce regional reversal of flow in the vessel to remove emboli generated by actuating the balloon.
Claim 3
Dependent Claim 21 words
The method of claim 1 wherein the occlusion element comprises a balloon, and deploying the occlusion element comprises inflating the balloon.
Claim 4
Dependent Claim 32 words
The method of claim 1 wherein the occlusion element comprises a self-expanding basket, and deploying the occlusion element comprises retracting a sheath relative to the distal end of the emboli removal catheter.
Claim 5
Dependent Claim 30 words
The method of claim 1 wherein advancing the balloon of the angioplasty catheter across the stenosis further comprises advancing the angioplasty catheter through the lumen of the emboli removal catheter.
Claim 6
Dependent Claim 41 words
The method of claim 1 further comprising: providing a pressure sensor; coupling the pressure sensor to the angioplasty catheter; detecting an inflation pressure in the balloon of the angioplasty catheter; and actuating the suction device responsive to the detected inflation pressure.
Claim 7
Dependent Claim 41 words
The method of claim 1 further comprising: providing a flow sensor; coupling the flow sensor to the lumen of the emboli removal catheter; detecting a flow rate in the lumen; and actuating the suction device responsive to the detected flow rate.
Claim 8
Dependent Claim 49 words
The method of claim 1 wherein the emboli removal catheter further comprises at least one through-wall bypass hole disposed in the emboli removal catheter proximal of the occlusion element, the method further comprising suctioning blood through the bypass hole when the balloon of the angioplasty catheter is fully inflated.
Claim 9
Dependent Claim 29 words
The method of claim 7 further comprising passing blood through the bypass hole to provide antegrade flow in the vessel when the balloon of the angioplasty catheter is deflated.
Claim 10
Dependent Claim 68 words
The method of claim 1 wherein the angioplasty catheter further comprises a guide wire lumen and at least one through-wall bypass hole that communicates with the guide wire lumen, the method further comprising suctioning blood through the guide wire lumen and bypass hole to induce reverse flow in the vessel distal to the balloon of the angioplasty catheter when the balloon of the angioplasty catheter is fully inflated.
Claim 11
Dependent Claim 38 words
The method of claim 9 further comprising passing blood through the bypass hole and guide wire lumen to provide antegrade flow in the vessel, distal to the balloon of the angioplasty catheter, when the suction device not actuated.

References Cited (Backward Citations)

US4794928A Cited
US4921478A Cited
EP0427429A2 Cited
US5549626A Cited
US5833650A Cited
US6013085A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2004-03-26 2004-09-25 2005-03-27 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2008-03-26 2008-09-25 2009-03-27 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2012-03-26 2012-09-25 2013-03-27 $7700.00 Window Closed / Lapsed

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