WO1999044510A1 - Guidewire filter device - Google Patents
Guidewire filter device Download PDFInfo
- Publication number
- WO1999044510A1 WO1999044510A1 PCT/US1999/005163 US9905163W WO9944510A1 WO 1999044510 A1 WO1999044510 A1 WO 1999044510A1 US 9905163 W US9905163 W US 9905163W WO 9944510 A1 WO9944510 A1 WO 9944510A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- filter
- guidewire
- filter device
- rib portions
- hollow tube
- Prior art date
Links
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
- A61F2/0108—Both ends closed, i.e. legs gathered at both ends
-
- 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
- A61F2/013—Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
- A61B2017/22042—Details of the tip of the guide wire
-
- 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
- A61F2002/018—Filters implantable into blood vessels made from tubes or sheets of material, e.g. by etching or laser-cutting
-
- 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
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0006—Rounded shapes, e.g. with rounded corners circular
-
- 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
- A61F2230/008—Quadric-shaped paraboloidal
Definitions
- the present invention relates to the field of guidewires, and more particularly to a blood filter guidewire device to be used in percutaneous carotid angioplasty procedures for treatment of carotid artery stenosis and any other hollow conduit disorders.
- Background of the Invention (Description of the Related Art)
- Carotid artery stenosis is a narrowing of the carotid artery due to build-up of atheromatous plaque. Carotid artery stenosis is the most common cause of stroke and stroke is the third leading cause of death and the number one cause of long-term disability in the United States.
- the standard treatment for patients with carotid artery stenosis is carotid endarterectomy (CEA).
- CEA is a surgical procedure that involves open exposure and incision of the carotid artery followed by removal of the atheromatous plaque.
- physicians perform 120,000 CEA procedures annually in the United States.
- PTA percutaneous transluminal angioplasty
- the catheter also has a dilating balloon set back proximally from the filter balloon for compressing the stenosis.
- the collapsible filter device comprises a plurality of resilient ribs secured to the catheter at the distal end of the catheter and extending generally longitudinally toward the dilating balloon. Inflation of a filter balloon pushes the ribs outwardly against the vessel wall to stretch filter material secured to the ribs across the vessel to form a cup shaped trap. This filter is supposed to capture fragments of a stenosis loosened by the dilating balloon. Upon deflation of the filter balloon, the resilient ribs retract against the catheter to retain the trapped fragments during withdrawal of the catheter. In the preferred embodiment of the Wholey et al.
- the promixal ends of the ribs projecting generally toward the dilating balloon are moveably secured to a ring that slides along the outside surface of the catheter.
- the cup-shaped trap filter is extended and then the dilating balloon is inflated. Blood flow established by deflation of the dilating balloon carries stenosis fragments into the filter.
- a slideable ring moveably retains proximal ends of the ribs. This second ring is slideably positioned on the outside surface of the catheter.
- all the filter components are located to the exterior or on the outside of a rather large catheter.
- U.S. Patent No. 5,695,519 to Summers et al. discloses a distal intravascular filter for filtering blood and entrapping and retaining embolic debris.
- the intravascular filter includes a small diameter hollow guide wire or tube capable of percutaneous placement beyond a carotid stenosis.
- the distal portion of the tube includes a filter mounted thereon.
- the filter is deployable from a tightly closed configuration to an open circumference for filtering embolic material from the bloodstream.
- the filter is deployable between open and closed positions by manipulation of an actuating wire extending from the filter and out the proximal end of the tube. An examination of the design would indicate that at least one major problem with the Summers et al. device is that the actuating wires are too thin.
- Deployment of the filter mechanism requires pushing the actuating wires along a column of about 175-cm in length.
- the wires cannot support the force necessary to properly deploy the filter because they cannot be made thick enough to perform their function and constrain to the necessary dimensions of the hollow tube or wire.
- a second problem is that once the filter is deployed, there is no way to assure that the filter will stay open and be secured against the arterial wall. The system relies on the blood flow to keep it open, which may not be sufficient to maintain an open filter, particularly in a stenotic carotid artery.
- One object of the invention is to provide a guidewire filter device that is compatible with current carotid angioplasty balloon catheter systems, viz., can be used in place of conventional guidewires.
- Another object of the invention is to provide a guidewire filter device in which filter or mesh material is located inside of the guidewire filter rather than outside the guidewire or catheter shaft to provide a relatively smooth exterior surface. This enables smoother passage of the device within the artery and may decrease the risk of possible fragmentation and subsequent emboli of plaque particles of the stenotic lesion and/or damage to the arterial wall.
- Yet another object of the invention is to provide a guidewire filter device including a ribbed cage/basket design that expands to seat against the arterial wall, forming a self-supporting and non-collapsing seal for the filter mesh against the arterial wall. Blood and particles will accordingly be required to travel through the filter mesh rather than around it. While the blood and its components will be able to freely travel through the filter mesh, those particles that are larger than the pore size of the filter mesh, e.g. intra-arterial embolic material, will be prevented from traveling further and will be effectively captured.
- a further object of the invention is to provide a guidewire filter device in which the filter is deployed by pulling (rather than by pushing) on an actuating wire allowing use of a thinner wire.
- a final object of the invention is to provide a guidewire filter device that is simple in design, involves relatively few parts, is economical to manufacture, and that is reliable and safe in its operation.
- a guidewire filter device that comprises a distal filter element contained within a hollow tube/wire housing.
- the outer diameter of the device will preferably not exceed 0.13 cm (0.050 inches) and even more preferably will not exceed 0.0889 cm (0.035 inches) so as to be compatible with current carotid angioplasty balloon catheter systems. For other uses involving larger hollow conduit disorders, a larger size can be utilized.
- the length of the guidewire will preferably be approximately 150 to 190 cm to allow for catheter exchange during the PTA procedure, but can be of different lengths as required.
- the filter element or portion is located at the distal end of the device. There are longitudinal slots or "ribs" located circumferentially around the filter housing.
- the slots are ideally oriented longitudinally, but can be oriented spirally or in other orientations.
- Filter mesh material is located inside the filter element and is attached to the inner distal section of the ribs.
- the filter material can be affixed to outer surfaces of the ribs, or can even be sandwiched between the outer ribs and outer rib overlay portions to help secure the filter material in place.
- the ribs themselves can be sandwiched by a section of an inner filter material and a section of outer filter material, with the inner and out filter materials being affixed to inner and outer surfaces, respectively, of the ribs.
- These inner and outer filters can also optionally affixed at least partly together.
- the inner and outer filter materials could be made of thinner filter material so that the inner filter material can be made to better fit into the interior surface of the guidewire.
- An actuating wire attaches to the distal most end of the filter housing and passes through the entire length of the guidewire and out the proximal end.
- a handle/remote activation device attached to the proximal end attaches to and operates the actuating guidewire.
- a physician will use fluoroscopy to steer the guidewire filter device of the invention into place in the carotid artery distal to the stenotic lesion.
- the physician will then place the balloon angioplasty catheter over the guidewire filter device of the invention.
- the physician will then use a handle/remote activation device at the proximal end of the device to deploy the filter element or portion at the distal end of the device.
- the ribs of the filter element will expand into a cage/basket formation. As the cage opens, the folded filter mesh material will open along with the ribs, forming an inverted cup-shaped trap for any embolic material broken loose during the balloon angioplasty procedure.
- the ribs push against the inner arterial wall, forming a tight seal with the inner arterial wall and the expanded filter mesh covers the opening of the artery.
- the physician then performs the PTA procedure. After the procedure, the physician will collapse the filter assembly either by withdrawing the guidewire filter housing into the distal balloon catheter tip, and/or by using the handle/remote activation device to release tension on the actuating wire to allow the ribs to reflex back down. Any embolic material resting against the inside of the filter mesh will thus be captured. When the filter element is retracted and closed, any embolic material will be withdrawn from the arteries along with the guidewire filter device of the invention.
- the new design of the invention thus has a unique features that render it significantly different .and markedly better than other devices used to perform similar functions.
- the innovations and improvements intrinsic to the current guidewire filter design include the following: 1.
- the design allows for an accurate and reliable means to activate and deactivate the guidewire filter device.
- the filter material is preferably stored and operated inside the guidewire filter rather than outside the guidewire or catheter shaft. This allows for maintenance of a smooth exterior, enabling easier movement of the device within the artery and decreases the risk of possible damage to the arterial wall.
- the ribbed cage/basket design expands to seat on the inner arterial wall, forming a self-supporting and non-collapsing seal for the filter against the inner arterial wall. Accordingly, blood and loose particles will be forced to travel through the filter mesh rather than around it. Those particles that are larger than the filter mesh will be captured and prevented from traveling further by the filter mesh.
- the filter deploys by pulling the actuating wire rather than pushing on it, allowing use of a narrow gauge wire that is compatible with the inner lumen of the guidewire. 5.
- the design is simple, reliable, involves relatively few parts, and enables an efficient and low cost process to be used to manufacture the device.
- Figure 1 is a partial perspective view of a first embodiment the invention showing the guidewire filter portion of the device in the open position.
- Figure 2a is a partial side view of the invention of Figure 1 showing the guidewire filter portion in the closed position with radipaque markers.
- Figure 2b is a partial side view of the invention of Figure 1 showing the guidewire filter portion in the closed position with radipaque rib portions.
- Figure 3 is a cross-sectional view through view lines 3-3 of Figure 2.
- Figure 4 is a partial side view of the proximal end of the guidewire filter device showing the guidewire remote activation handle.
- Figure 5 is a partial side view showing a portion of a second embodiment of the invention wherein the guidewire filter portion of the device has spirally formed slots and rib portions.
- Figure 6 is a cross-sectional view of a third embodiment of a guide filter device in a closed position wherein the filter material is affixed to the outside surface of the rib portions.
- Figure 7 is a cross-sectional view of a third embodiment of a guide filter device in a closed position wherein the filter material is sandwiched between an outside surface of the rib portions and rib cover portions to secure the filter material in place on the rib portions.
- Figure 8 is a cross-sectional view of a forth embodiment of a guide filter device in a closed position that includes an inner and an outer section of filter material, wherein the rib portions are sandwiched between inner and outer sections of filter material.
- Figure 9 is a partial perspective view of a first embodiment the invention protruding from the distal end of a guide tube or catheter with which the device is adapted to be utilized and with the guidewire partially retracted into the guide tube or catheter to assist in returning the rib portions and the filter material (filter basket) to the closed position.
- Guidewire filter 10 on the invention is shown in its open position, forming a filter basket 11.
- Guidewire filter 10 consists of an outer hollow tube 12 with a plurality of elongate slots 14 formed circumferentially around and in a longitudinal orientation to define rib portions 16 (see also Figure 2a).
- Outer hollow tube 12 is composed of a shape memory alloy, or other metal or composite material (or any other known materials) that has the appropriate strength and shape characteristics to conform to the filter basket requirements.
- Outer hollow tube 12 protects the guidewire filter 10 while the filter 10 is manipulated into position in the arteries.
- FIG. 2a shows slots 14 formed in a longitudinal orientation to form longitudinal rib portions 16.
- radiopaque markers 19a and 19b can be positioned on the device adjacent to distal and proximal ends, respectively, of the slots 14 and 16. By measuring the spacing of these radiopaque markers 19a and 19b during a procedure, the physician can determine (e.g. by fluoroscopy) to what extent the filter basket 11 is expanded or contracted.
- radiopaque markers 19c can also be formed near the center points of the rib portions 16 so that the physician can determine the greatest point of expansion of the filter basket 11 against the inside wall of the vessels when expanded (not shown.)
- all or portions of the rib portions 16 themselves can be painted, plated, and/or imbued with radiopaque material (e.g. gold, platinum, etc.) as best shown in Figure 2b.
- filter material 20 is attached to the inside of at least some of and preferably all of ribs 16 and filter material 20 expands out with filter basket 11 when the mechanism is deployed.
- filter material 20 is stored in the space 22 between outer tube 12 and the inner actuating core wire 24.
- the space 22 is a lumen in the hollow tube 12.
- the filter material 20 is affixed to about the distal most one half of the rib portions 16 in the form of an inverted cup-shaped net when expanded.
- the edge 20a of the filter material 20 can preferably be in line with the most expanded region or points 16a of the rib portions so that when the filter basket 11 is expanded in an artery, a good seal will be formed against the arterial wall so that any fragments that might have broken free and are floating in the blood are captured by the filter basket 11.
- the filter material 20 is affixed to the inside walls 32 of ribs 16, e.g. by adhesives 34 or other means. Filter material 20 is shown as being folded to remain within space 22 between the inner surface 32 of hollow tube 12 and actuating wire 24. However, as noted above, by use of flexible, stretchable, elastic, and resilient filter material, folding of the filter material can be reduced or eliminated. While an arrangement with eight rib portions 16 is shown, the device 10 can be made with a greater or lesser number of rib portions 16.
- the filter material 20 is selected to pass vital elements in the blood stream (such as red blood cells, white blood cells and platelets) while trapping dislodged embolic material from the carotid angioplasty procedure.
- the filter 10 configuration will be designed to minimize interruption of blood flow to the brain.
- the filter material 20 is composed of an elastic mesh material that expands and contracts with the cage/basket 11.
- the filter material 20 is composed of a non-elastic mesh material that is folded inside the filter housing and unfolds as the basket 11 opens (as is best shown in Figure 3.)
- Another option is to design a drop in filter cartridge to reduce the complexity of the filter design and manufacturing costs (not shown.)
- the actuating wire 24 is shown passing through passageway 22 inside the outer hollow tube 12.
- the actuating wire 24 provides the leverage point for activating the filter basket 11.
- the actuating wire 24 comprises stainless steel or other metal or composite materials with the appropriate strength and shape characteristics to conform to the actuating wire specifications.
- the actuating wire 24 is permanently attached (e.g.
- the actuating wire 14 preferably should be only thick enough to carry the force required to activate the filter assembly 10.
- a flexible atraumatic guidewire tip 30 consistent with current guidewire technology.
- the proximal end 36 of the guidewire filter 10 is shown with a guidewire remote activation handle 38.
- the activation handle 38 may be removed so that the angioplasty balloon catheter may be placed over the guidewire filter 10 and positioned in the carotid artery.
- the activation handle 38 provides a means for pulling of the actuating wire 24 relative to the hollow tube 12 so that the filter basket 11 can be opened (and also closed) in an incremental fashion.
- the motion can be conveniently controlled by a ratcheting/locking mechanism 40 so that the physician has total control when opening and closing the filter basket 11.
- radiopaque markers 19a, 19b, and 19c can be positioned on or adjacent to the ribs portions to help the physician determine the relative state of expansion or contraction of the filter basket. Since the ratcheting/locking mechanism 40 is for pulling and pushing on the activation wire 24, its position relative to the casing 4 lean also provide the physician with information. Increment or calibration markers 43 can be formed on the casing 41 for this purpose as well. Since there may be cases wherein the physician would not want to completely collapse the filter basket 11 (e.g. if it is too full of collected embolic particles does not want to compress them too much), the ability to fairly well know the degree of expansion or contraction can be important.
- slots 52 are formed in a spiral orientation to create spirally oriented rib portions 54.
- filter material (not shown) is attached to the inside of the rib portion.
- FIG. 6 a cross-sectional view of a third embodiment of a guide filter device 60 is shown in a closed position.
- the filter material 62 is affixed (e.g. with adhesives, welding, sutures, mechanically, or by other known means) to an outside surface 64 of the rib portions 66.
- the rib portions 66 are separated by slots 68.
- the filter material 62 can preferably comprise stretchable and resilient material to reduce or eliminate the need for folding of the filter material 62 into the space 70 between the inside surfaces 72 of the rib portions 66, and the actuating wire 74.
- Figure 7 is a cross-sectional view of a third embodiment of a guide filter device
- rib cover portions 88 can be secured with adhesives, welding, sutures, mechanical means (such as a snap fitting rib cover portions 88) to secure the filter material in place.
- Figure 8 is a cross-sectional view of a forth embodiment of a guide filter device 90 in a closed position that includes an inner section of filter material 92 and an outer section of filter material 94.
- the inner section of filter material 92 is affixed to inner surfaces 96 of rib portions 98 (e.g. with adhesives, by welding, or other known means), and the outer section of filter material 94 is likewise affixed to outer surfaces 100 of rib portions 98 to thereby sandwich the rib portions 98 between the inner and outer sections of filter material 92 and 94.
- Use of two sections of filter material 92 and 94 permits thinner filter material to be used and disposed within the lumen 102 of the guidewire 90.
- an actuating wire 104 is disposed in the lumen 102.
- the outer section of filter material 94 (as well as inner section of filter material 92) are preferably constructed of flexible, stretchable, elastic, and resilient material so that after tension is released on the
- FIG. 9 a partial perspective view is shown of the first embodiment the guidewire of the invention 10 and a guide tube 110.
- the guidewire 10 is shown protruding from the distal end 112 of the guide tube or catheter 110.
- Moving the guide tube (or a catheter) 110 distally forward and/or retracting the guidewire 10 into the guide tube or catheter 110 will cause the distal end 112 of the guide tube 110 to impinge on the proximal most confines of the rib portions 16 and will assist in returning the rib portions 16 and the filter material (filter basket 11 ) to the closed position and thereby either partially or completely closing up of the filter basket 11.
- the distal end 112 of the guide tube or catheter 110 can optionally have a radiopaque marker 114, and when used in combination with optional radiopaque markers 19a, 19b, and/or 19c as shown in Figure 2a (or radiopaque marked rib portions as shown in Figure 2b) can be used to determine the relative position of the distal end 90 of the guide tube or catheter 92 to the filter basket 11.
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP99911257A EP1061856A1 (en) | 1998-03-04 | 1999-03-04 | Guidewire filter device |
US09/601,673 US6355051B1 (en) | 1999-03-04 | 1999-03-04 | Guidewire filter device |
AU29944/99A AU2994499A (en) | 1998-03-04 | 1999-03-04 | Guidewire filter device |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US7697198P | 1998-03-04 | 1998-03-04 | |
US60/076,971 | 1998-03-04 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1999044510A1 true WO1999044510A1 (en) | 1999-09-10 |
Family
ID=22135339
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1999/005163 WO1999044510A1 (en) | 1998-03-04 | 1999-03-04 | Guidewire filter device |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP1061856A1 (en) |
AU (1) | AU2994499A (en) |
WO (1) | WO1999044510A1 (en) |
Cited By (90)
Publication number | Priority date | Publication date | Assignee | Title |
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US6165200A (en) * | 1997-05-08 | 2000-12-26 | Scimed Life Systems, Inc. | Percutaneous catheter and guidewire having filter and medical device deployment capabilities |
WO2001010346A1 (en) * | 1999-08-10 | 2001-02-15 | B. Braun Medical | Expandable intraluminal device |
EP1084685A1 (en) * | 1999-09-14 | 2001-03-21 | Cormedics GmbH | Filter system for a body vessel |
WO2001039673A1 (en) | 1999-12-06 | 2001-06-07 | Bacchus Vascular, Inc. | Systems and methods for clot disruption and retrieval |
WO2001045590A2 (en) * | 1999-12-23 | 2001-06-28 | Percusurge, Inc. | Strut design for an occlusion device |
WO2001045592A1 (en) * | 1999-12-23 | 2001-06-28 | Percusurge, Inc. | Vascular filters with radiopaque markings |
WO2001049208A1 (en) * | 1999-12-30 | 2001-07-12 | Advanced Cardiovascular Systems, Inc. | Embolic protection system |
WO2001050982A1 (en) * | 2000-01-13 | 2001-07-19 | Endotex Interventional Systems, Inc. | Deployable recoverable vascular filter and methods for use |
US6346116B1 (en) | 1999-08-03 | 2002-02-12 | Medtronic Ave, Inc. | Distal protection device |
WO2002030271A2 (en) * | 2000-10-12 | 2002-04-18 | Medtronic Ave, Inc. | Methods and apparatus for protecting the proximal end of a medical device |
WO2002071979A2 (en) | 2001-03-02 | 2002-09-19 | Jacques Seguin | Intravascular filter system |
EP1247501A1 (en) * | 2001-04-03 | 2002-10-09 | Cordis Corporation | Removable, variable-diameter vascular filter system |
US6527791B2 (en) * | 1999-10-25 | 2003-03-04 | John S. Fisher | Emboli capturing device |
WO2003030750A1 (en) * | 2001-10-05 | 2003-04-17 | Boston Scientific Limited | Emboli capturing device and method of manufacture therefor |
WO2003059202A2 (en) * | 2001-12-21 | 2003-07-24 | Advanced Cardiovascular Systems, Inc. | Flexible and conformable embolic filtering devices |
EP1277447A3 (en) * | 2001-07-18 | 2003-11-26 | Cordis Corporation | Integral vascular filter system |
US6702830B1 (en) | 1999-09-17 | 2004-03-09 | Bacchus Vascular, Inc. | Mechanical pump for removal of fragmented matter and methods of manufacture and use |
WO2004026175A1 (en) * | 2002-09-19 | 2004-04-01 | Petrus Besselink | Vascular filter with improved strength and flexibility |
US6818006B2 (en) | 2001-04-03 | 2004-11-16 | Medtronic Vascular, Inc. | Temporary intraluminal filter guidewire |
WO2005000163A2 (en) * | 2003-06-09 | 2005-01-06 | Boston Scientific Limited | Reinforced filter membrane |
US6866677B2 (en) | 2001-04-03 | 2005-03-15 | Medtronic Ave, Inc. | Temporary intraluminal filter guidewire and methods of use |
US7044958B2 (en) | 2001-04-03 | 2006-05-16 | Medtronic Vascular, Inc. | Temporary device for capturing embolic material |
US7618434B2 (en) | 2003-05-12 | 2009-11-17 | University Of Florida Research Foundation, Inc. | Devices and methods for disruption and removal of luminal occlusions |
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Also Published As
Publication number | Publication date |
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AU2994499A (en) | 1999-09-20 |
EP1061856A1 (en) | 2000-12-27 |
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