Abstract:
The present invention provides a mechanical medical device useful for macerating thrombi or the like. In one embodiment of the invention, the device includes a rotor (50) retained in a distal housing (70) having at least one port (74, 75) for ejecting fluid therethrough. The port or ports in this embodiment are sized and positioned so that the surface area of the ports is not evenly distributed about the circumference of the housing. For example, the housing may include a single port, two or more equiangularly spaced ports of different sizes, or two or more ports of the same size spaced unevenly about the circumference of the housing. When a fluid is ejected through the ports, the housing will tend to deflect toward one side of the vascular channel. In accordance with another embodiment, the device includes a plurality of rotors (50A, 50B, 50C) spaced along a common shaft (10) for rotation therewith. In a third embodiment of the device, fluid directing means (e.g. 240) are provided for directing fluid discharged through a port in the housing back toward the rotor.
Abstract:
The present invention provides a method of forming a medical device and medical devices which can be formed in accordance with the method. In one embodiment, the method includes the steps of: a) providing a metal fabric formed of a plurality of strands formed of a metal which can be heat treated to substantially set a desired shape; b) deforming the metal fabric to generally conform to a surface of a molding element; c) heat treating the metal fabric in contact with the surface of the molding element to substantially set the shape of the fabric in its deformed state; and d) removing the metal fabric from contact with the molding element. The resulting metal fabric will define a medical device which can be collapsed for passage through a catheter or the like for deployment in a channel of a patient's body. Medical devices made in accordance with this method can have varying structures. In one embodiment, the medical device (250) is carried by a guidewire (260) and has a metal fabric (270) extending between first and second ends (272, 274), one end (274) of the device (250) being adapted to slide along the guidewire (260). The metal fabric (270) has a collapsed configuration in which the ends (272, 274) of the metal fabric (270) are spaced from one another along the guidewire (260) and a preset expanded configuration in which the ends (272, 274) of the metal fabric (270) are positioned closer to one another. The metal fabric (270) will cause the device (250) to elastically substantially resume its preset expanded configuration when released from confinement within a channel in a patient's body.
Abstract:
The present invention provides aneurysm occlusion device (60, 160) formed from a resilient metal fabric, and a method for reliably and effectively occluding aneurysms. In accordance with one aspect of the invention, the aneurysm devices include a body portion (80) which is sized to be received within an aneurysm and an anchor (70) which is sized, and may also be preformed into a specific shape to engage the lumen of a vessel having the aneurysm thereon. The aneurysm occlusion device (60) may also include a generally tubular central portion (62) extending between the body portion and the anchor, the central portion being sized and shaped to be received within the neck of the aneurysm. The present invention has particular advantages over prior minimally invasive techniques for occluding aneurysms in that it can both fill the aneurysm and occlude or "stent" the neck of the aneurysm in one step. It also minimizes damage to healthy vessel tissue by localizing contact with the interior of the vessel.
Abstract:
An embodiment of the invention provides a guidewire having a coil which comprises at least a distal coil segment (24) and a proximal coil segment (22), one of the coil segments being more radiopaque than at least one of the other coil segments. An elongate wire (14) may extend within the lumen of the coil. In a two segment coil, the distal end of the distal coil segment is attached to the wire (14) and the proximal end of the distal coil segment is attached to the distal end of the proximal coil segment while the proximal end of the proximal coil segment is attached to the wire (14).
Abstract:
A medical device to break down thrombus or the like includes an elongated, flexible shaft (10) which may be guided along a vascular path. A rotor (50), or "impeller" is attached to the shaft (10) and is retained in a rotor housing (70). The housing (70) has ports (74) to eject fluid drawn by the rotor (50). A driving source (100) is provided to rapidly rotate the shaft (10) and the rotor.