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US20060122647A1 Expired / Lapsed US ⏱️ 0.0 years remaining

Occluder device double securement system for delivery/recovery of such occluder device

Assignee: W.L. Gore and Associates Inc
•
Filing: 2005-09-26
•
Granted: —
•
Expires: 2025-09-26
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Abstract

Abstract Devices, delivery systems and delivery techniques for an occlusion device for the closure of physical anomalies, such as an atrial septal defect, a patent foramen ovale (PFO), and other septal and vascular defects are described. The devices, delivery systems and delivery techniques relate particularly to, but are not limited to, a patent foramen ovale (PFO) occluder made from a polymer tube. Specifically, a petal-shaped occluder with a catch system is provided within a delivery sheath. In certain embodiments, the delivery system includes a first securement system for securing a first end of the occluder and a second securement system for securing a second end of the occluder to a delivery catheter and a delivery wire contained in the delivery system. The securement enable the deployment (and retrieval) of the device. The securement systems enable pushing and pulling of respective ends of the occluder to expand and contract the device by varying its axial length. In one aspect, the first securement system employs a threaded connection and the second securement system employs a suture connection. In another aspect, the first securement system employs a threaded connection and the second securement system employs a collet finger connection. The securement systems are detached when the device has been properly positioned. The securement systems can be manipulated by control systems provided in the control portion of the delivery system.

Inventors

  • 👤 David Callaghan
  • 👤 Noel McLellan

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 13:55
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/0057; A61B17/00234; A61B2017/00238; A61B2017/00243; A61B2017/00575; A61B2017/00592; A61B2017/00606; A61B2017/00619; A61B2017/00623; A61B2017/00831; A61B2017/00867; A61B17/12; A61B17/12022; A61B2017/1205; A61B2017/12054; A61B2017/12095

Claims Analysis

Total Claims: 74
Claim 1
Independent Claim 147 words
1 . A collapsible medical device for occluding an aperture in a body and a delivery system, the medical device having a first configuration as a reduced profile and a second configuration as an expanded profile, the medical device being adapted to be delivered through the delivery system into a desired delivery location, the medical device comprising: a proximal side and a distal side, a first attachment for securing the distal side of the device to the delivery system, and a second attachment for securing the proximal side of the device to the delivery system, wherein the relative movement of the second attachment and the first attachment changes the configuration of the device from the reduced profile configuration to the expanded profile configuration and release of at least one of the second attachment and the first attachment does not involve a twisting motion of the delivery system.
Claim 2
Dependent Claim 147 words
1 . A collapsible medical device for occluding an aperture in a body and a delivery system, the medical device having a first configuration as a reduced profile and a second configuration as an expanded profile, the medical device being adapted to be delivered through the delivery system into a desired delivery location, the medical device comprising: a proximal side and a distal side, a first attachment for securing the distal side of the device to the delivery system, and a second attachment for securing the proximal side of the device to the delivery system, wherein the relative movement of the second attachment and the first attachment changes the configuration of the device from the reduced profile configuration to the expanded profile configuration and release of at least one of the second attachment and the first attachment does not involve a twisting motion of the delivery system.
Claim 3
Dependent Claim 36 words
2 . The medical device recited in claim 1 , wherein the second attachment further includes a recess in the device that is adapted to cooperate with projection on the delivery system that fits the recess.
Claim 4
Dependent Claim 35 words
3 . The medical device recited in claim 2 , wherein the first attachment is a threaded connection disposed at a central axis of the device and is released from the delivery device by twisting.
Claim 5
Dependent Claim 34 words
4 . The medical device recited in claim 2 , wherein the first attachment is a threaded connection disposed on a surface of the device and is released from the delivery device by twisting.
Claim 6
Dependent Claim 20 words
5 . The medical device recited in claim 2 , wherein the recess in the device is an annular groove.
Claim 7
Dependent Claim 26 words
6 . The medical device recited in claim 5 , wherein the device includes an outer surface and an annular groove located on the outer surface.
Claim 8
Dependent Claim 26 words
7 . The medical device recited in claim 2 , wherein the device includes an outer surface and the recess is located on the outer surface.
Claim 9
Dependent Claim 25 words
8 . The medical device recited in claim 6 , wherein the annular groove is adapted to receive a plurality of radially inwardly facing projections.
Claim 10
Dependent Claim 39 words
9 . The medical device recited in claim 1 , wherein the device includes an aperture adapted to contain a recovery string attached to the device so that the device, once deployed can be retrieved by the recovery string.
Claim 11
Dependent Claim 24 words
10 . The medical device recited in claim 1 , wherein the first attachment includes a threaded connection and the device includes male threads.
Claim 12
Dependent Claim 26 words
11 . The medical device recited in claim 1 , wherein the first attachment is a string looped at an axially central location on the device.
Claim 13
Dependent Claim 74 words
12 . The medical device recited in claim 1 , wherein the first attachment at the one of the proximal or distal sides of the device includes a generally rounded element that is configured to cooperate with the delivery system such that when the generally rounded element is secured by the delivery system, the distal side of the medical device is secured to the delivery system and movable with respect to the second attachment.
Claim 14
Dependent Claim 58 words
13 . The medical device recited in claim 1 , wherein the first attachment includes an element with an aperture configured to accept pins in a radial direction such that when pins in the delivery system are disposed in the aperture, the medical device is secured to the delivery system and moveable with respect to the second attachment.
Claim 15
Dependent Claim 65 words
14 . The medical device recited in claim 1 , wherein the first attachment includes a C-shaped element that is configured to cooperate with the delivery system, such that when the C-shaped element is attached to a corresponding C-shaped element from the delivery system, the medical device is secured to the delivery system and the distal side is movable with respect to the second attachment.
Claim 16
Dependent Claim 126 words
15 . A collapsible medical device for occluding an aperture in a body, the medical device having a first configuration as a reduced profile and a second configuration as an expanded profile, the medical device being adapted to be delivered through a delivery system into a desired delivery location, the medical device comprising: a proximal side and a distal side, a first attachment for securing the device to the delivery system, and a second attachment for securing the device to the delivery system including a string, wherein the relative movement of the first attachment and the second attachment changes the configuration of the device from the reduced profile configuration to the expanded profile and at least one of the first attachment and second attachment is threaded.
Claim 17
Dependent Claim 126 words
15 . A collapsible medical device for occluding an aperture in a body, the medical device having a first configuration as a reduced profile and a second configuration as an expanded profile, the medical device being adapted to be delivered through a delivery system into a desired delivery location, the medical device comprising: a proximal side and a distal side, a first attachment for securing the device to the delivery system, and a second attachment for securing the device to the delivery system including a string, wherein the relative movement of the first attachment and the second attachment changes the configuration of the device from the reduced profile configuration to the expanded profile and at least one of the first attachment and second attachment is threaded.
Claim 18
Dependent Claim 18 words
16 . The medical device recited in claim 15 , wherein both second and first attachments are threaded.
Claim 19
Dependent Claim 144 words
17 . A collapsible medical device for occluding an aperture in a body, the medical device having a first configuration as a reduced profile and a second configuration as an expanded profile, the medical device being adapted to be delivered through the delivery system into a desired delivery location, the medical device comprising: a proximal side and a distal side, a first attachment at the distal side of the device for securing the device to the delivery system, and a second attachment for securing the device to the delivery system including a recess on an outer surface of the device adapted to receive a part of the delivery system to secure the device in the delivery system, wherein the relative movement of the first attachment and the second attachment changes the configuration of the device from the reduced profile configuration to the expanded profile.
Claim 20
Dependent Claim 144 words
17 . A collapsible medical device for occluding an aperture in a body, the medical device having a first configuration as a reduced profile and a second configuration as an expanded profile, the medical device being adapted to be delivered through the delivery system into a desired delivery location, the medical device comprising: a proximal side and a distal side, a first attachment at the distal side of the device for securing the device to the delivery system, and a second attachment for securing the device to the delivery system including a recess on an outer surface of the device adapted to receive a part of the delivery system to secure the device in the delivery system, wherein the relative movement of the first attachment and the second attachment changes the configuration of the device from the reduced profile configuration to the expanded profile.
Claim 21
Dependent Claim 182 words
18 . An apparatus to occlude an aperture within a body, the apparatus including a medical device having a first configuration as a reduced profile and a second configuration as an expanded profile and a delivery system adapted to deliver the medical device to a desired delivery location, the medical device comprises: a proximal side and a distal side, a second attachment for securing the device to the delivery system, a first attachment for securing the device to the delivery system, and the delivery system comprises: proximal and distal attachment locations adapted to secure the device to the delivery system, the proximal attachment location cooperating with one of the first and second attachments, and the distal attachment location cooperating with the other of the one of the first and second attachments, wherein the relative movement of the second attachment and the first attachment changes the configuration of the device from the reduced profile to the expanded profile and releasing at least one of the first and second attachments from the delivery device does not involve a twisting motion of the delivery device.
Claim 22
Dependent Claim 182 words
18 . An apparatus to occlude an aperture within a body, the apparatus including a medical device having a first configuration as a reduced profile and a second configuration as an expanded profile and a delivery system adapted to deliver the medical device to a desired delivery location, the medical device comprises: a proximal side and a distal side, a second attachment for securing the device to the delivery system, a first attachment for securing the device to the delivery system, and the delivery system comprises: proximal and distal attachment locations adapted to secure the device to the delivery system, the proximal attachment location cooperating with one of the first and second attachments, and the distal attachment location cooperating with the other of the one of the first and second attachments, wherein the relative movement of the second attachment and the first attachment changes the configuration of the device from the reduced profile to the expanded profile and releasing at least one of the first and second attachments from the delivery device does not involve a twisting motion of the delivery device.
Claim 23
Dependent Claim 32 words
19 . The apparatus recited in claim 18 , wherein the second attachment further includes a recess in the device and a cooperating projection on the delivery system that fits the recess.
Claim 24
Dependent Claim 34 words
20 . The apparatus recited in claim 19 , further comprising a delivery system that includes a tube from which a projection extends and a sheath that moves axially with respect to the tube.
Claim 25
Dependent Claim 16 words
21 . The apparatus recited in claim 20 , wherein the tube includes axially projecting fingers.
Claim 26
Dependent Claim 15 words
22 . The apparatus recited in claim 21 , wherein the tube includes 4 fingers.
Claim 27
Dependent Claim 16 words
23 . The apparatus recited in claim 19 , wherein the recess is an axial groove.
Claim 28
Dependent Claim 19 words
24 . The apparatus recited in claim 21 , wherein the fingers are biased in the radially outward direction.
Claim 29
Dependent Claim 42 words
25 . The apparatus recited in claim 24 , wherein the fingers include a first bend to extend the device in the radially outward direction and a second bend such that the distal end of the finger is in the axial direction.
Claim 30
Dependent Claim 19 words
26 . The apparatus of claim 18 , wherein the device includes a recovery string attached to the device.
Claim 31
Dependent Claim 17 words
27 . The apparatus recited in claim 18 , wherein the first attachment is a threaded fastener.
Claim 32
Dependent Claim 25 words
28 . The apparatus recited in claim 18 , wherein the first attachment is a string looped at an axially central location on the device.
Claim 33
Dependent Claim 61 words
29 . The apparatus recited in claim 18 , wherein the first attachment includes a generally rounded element that is configured to cooperate with a delivery system, such that when the generally rounded element is secured by the delivery system, the distal end of the medical device is secured to the delivery system and movable with respect to the second attachment.
Claim 34
Dependent Claim 64 words
30 . The apparatus recited in claim 18 , wherein the first attachment includes an element with an aperture configured to accept one or more pins in a radial direction such that when the one or more pins in the delivery system are disposed in the aperture the medical device is secured to the delivery system and moveable with respect to the second attachment.
Claim 35
Dependent Claim 64 words
31 . The apparatus recited in claim 18 , wherein the first attachment includes a C-shaped element that is configured to cooperate with the delivery system such that when the C-shaped element is attached to a corresponding C-shaped element from the delivery system, the medical device is secured to the delivery system and the distal side is movable with respect to the second attachment.
Claim 36
Dependent Claim 123 words
32 . A medical apparatus for occluding an aperture in a body, the apparatus including a medical device having a first configuration as a reduced profile and a second configuration as an expanded profile, the medical device being adapted to be delivered through the delivery system into a desired delivery location, the apparatus comprising: a proximal side and a distal side, a first means for attaching the device to the delivery system, and a second means for attaching the device to the delivery system, wherein the relative movement of the first means and the second means changes the configuration of the device from the reduced profile to the expanded profile, wherein at least one of the means for attaching is released without twisting.
Claim 37
Dependent Claim 123 words
32 . A medical apparatus for occluding an aperture in a body, the apparatus including a medical device having a first configuration as a reduced profile and a second configuration as an expanded profile, the medical device being adapted to be delivered through the delivery system into a desired delivery location, the apparatus comprising: a proximal side and a distal side, a first means for attaching the device to the delivery system, and a second means for attaching the device to the delivery system, wherein the relative movement of the first means and the second means changes the configuration of the device from the reduced profile to the expanded profile, wherein at least one of the means for attaching is released without twisting.
Claim 38
Dependent Claim 41 words
33 . The medical apparatus as recited in claim 32 , wherein the one of the first and second means for attaching includes a sheath and the one of the first and second means is released by moving the sheath axially.
Claim 39
Dependent Claim 44 words
34 . The medical apparatus recited in claim 33 , wherein apparatus includes a wire and the wire includes a threaded connection to the device and at least one of the first and second means for attaching is releasable by unscrewing the threaded connection.
Claim 40
Dependent Claim 32 words
35 . The medical apparatus recited in claim 32 , wherein at least one of the first and second means for attaching the device to the delivery system includes a threaded connection.
Claim 41
Dependent Claim 20 words
36 . The medical apparatus recited in claim 35 , wherein the threaded connection includes male threads on the device.
Claim 42
Dependent Claim 30 words
37 . The medical apparatus recited in claim 32 , wherein one of the first and second means for attaching the device to the delivery system includes a threaded connection.
Claim 43
Dependent Claim 20 words
38 . The medical apparatus recited in claim 37 , wherein the threaded connector includes male threads on the device.
Claim 44
Dependent Claim 117 words
39 . A method for delivering a medical device to a desired delivery location, the device being attached to a delivery system by a first attachment at a proximal side of the device and a second attachment at a distal side of the device, the method including: locating the delivery system at the desired delivery location, deploying the distal side of the device by causing relative movement between the first and second attachments, deploying the proximal side of the device by causing relative motion between the first and second attachments, releasing one of the proximal and distal attachments by withdrawing a sheath, and releasing the other of the proximal and distal attachments by twisting a threaded connector.
Claim 45
Dependent Claim 117 words
39 . A method for delivering a medical device to a desired delivery location, the device being attached to a delivery system by a first attachment at a proximal side of the device and a second attachment at a distal side of the device, the method including: locating the delivery system at the desired delivery location, deploying the distal side of the device by causing relative movement between the first and second attachments, deploying the proximal side of the device by causing relative motion between the first and second attachments, releasing one of the proximal and distal attachments by withdrawing a sheath, and releasing the other of the proximal and distal attachments by twisting a threaded connector.
Claim 46
Dependent Claim 32 words
40 . The method of claim 39 , wherein the delivery system includes fingers to attach the device to the delivery system, and the fingers are released when the sheath is withdrawn.
Claim 47
Dependent Claim 105 words
41 . A medical device comprising: a proximal side and a distal side, a first means for attaching the device to the delivery system at a distal location of a delivery system, and a second means for attaching the device to the delivery system at a more proximal location on the delivery system than the first means for attaching, wherein the relative movement of the first means for attaching and the second means for attaching changes the configuration of the device from the expanded profile configuration to the reduced profile, wherein at least one of first and second means for attaching is a threaded connection.
Claim 48
Dependent Claim 105 words
41 . A medical device comprising: a proximal side and a distal side, a first means for attaching the device to the delivery system at a distal location of a delivery system, and a second means for attaching the device to the delivery system at a more proximal location on the delivery system than the first means for attaching, wherein the relative movement of the first means for attaching and the second means for attaching changes the configuration of the device from the expanded profile configuration to the reduced profile, wherein at least one of first and second means for attaching is a threaded connection.
Claim 49
Dependent Claim 184 words
42 . An apparatus to occlude an aperture within a body, the apparatus including a medical device having a first configuration as a reduced profile and a second configuration as an expanded profile, a delivery system adapted to deliver to a desired delivery location, the apparatus comprising: a proximal side and a distal side, a first attachment on one of the proximal and distal sides of the device for securing the device to the delivery system, and a second attachment on the other of the proximal and distal sides of the device for securing the device to the delivery system, wherein the relative movement of the second attachment and the first attachment changes the configuration of the device from the reduced profile to the expanded profile, and at least one of the first attachment and second attachment includes interlocking members, one attached to each of the delivery apparatus and the device, to secure the device to the delivery apparatus and a sheath surrounding the interlocking members that is adapted to release the interlocking members when moved in the axial direction relative to the device.
Claim 50
Dependent Claim 184 words
42 . An apparatus to occlude an aperture within a body, the apparatus including a medical device having a first configuration as a reduced profile and a second configuration as an expanded profile, a delivery system adapted to deliver to a desired delivery location, the apparatus comprising: a proximal side and a distal side, a first attachment on one of the proximal and distal sides of the device for securing the device to the delivery system, and a second attachment on the other of the proximal and distal sides of the device for securing the device to the delivery system, wherein the relative movement of the second attachment and the first attachment changes the configuration of the device from the reduced profile to the expanded profile, and at least one of the first attachment and second attachment includes interlocking members, one attached to each of the delivery apparatus and the device, to secure the device to the delivery apparatus and a sheath surrounding the interlocking members that is adapted to release the interlocking members when moved in the axial direction relative to the device.
Claim 51
Dependent Claim 38 words
43 . The apparatus recited in claim 42 , wherein the interlocking members are on the second attachment and further includes a recess in the device and a cooperating projection on the delivery system that fits the recess.
Claim 52
Dependent Claim 31 words
44 . The apparatus recited in claim 43 , wherein the apparatus further comprises a tube from which the pins extend and the sheath moves axially with respect to the tube.
Claim 53
Dependent Claim 16 words
45 . The apparatus recited in claim 43 , wherein the tube includes axially projecting fingers.
Claim 54
Dependent Claim 15 words
46 . The apparatus recited in claim 44 , wherein the tube includes 4 fingers.
Claim 55
Dependent Claim 16 words
47 . The apparatus recited in claim 43 , wherein the recess is an annular groove.
Claim 56
Dependent Claim 19 words
48 . The apparatus recited in claim 45 , wherein the fingers are biased in the radially outward direction.
Claim 57
Dependent Claim 42 words
49 . The apparatus recited in claim 48 , wherein the fingers include a first bend to extend the device in the radially outward direction and a second bend such that the distal end of the finger is in the axial direction.
Claim 58
Dependent Claim 17 words
50 . The apparatus recited in claim 42 , wherein the first attachment is a threaded fastener.
Claim 59
Dependent Claim 103 words
51 . A method for retrieving a medical device from a desired retrieval location in a body, the method including: locating the retrieval system at the desired retrieval location, attaching one of the proximal or distal sides of the device to the retrieval system, attaching the other of the proximal or distal sides of the device to the retrieval system, and causing relative movement of the proximal and distal sides of the device thereby changing the configuration of the device from the expanded profile configuration to the reduced profile configuration, wherein at least one of the means for attaching does not include twisting.
Claim 60
Dependent Claim 103 words
51 . A method for retrieving a medical device from a desired retrieval location in a body, the method including: locating the retrieval system at the desired retrieval location, attaching one of the proximal or distal sides of the device to the retrieval system, attaching the other of the proximal or distal sides of the device to the retrieval system, and causing relative movement of the proximal and distal sides of the device thereby changing the configuration of the device from the expanded profile configuration to the reduced profile configuration, wherein at least one of the means for attaching does not include twisting.
Claim 61
Dependent Claim 155 words
52 . A medical apparatus including a medical device for occluding an aperture in a body and a delivery system, the medical device having a first configuration as a reduced profile and a second configuration as an expanded profile, the medical device being adapted to be delivered through the delivery system into a desired delivery location, the medical device comprising: a proximal side and a distal side, a first attachment for securing device to the delivery system that includes a threaded connection between the device and the delivery system, and a second attachment for securing device to the delivery system that includes a threaded connection between the device and the delivery system, wherein the relative movement of the second attachment and the first attachment changes the configuration of the device from the reduced profile configuration to the expanded profile configuration and both the first attachment and second attachments are releasable by unscrewing the threaded connection.
Claim 62
Dependent Claim 155 words
52 . A medical apparatus including a medical device for occluding an aperture in a body and a delivery system, the medical device having a first configuration as a reduced profile and a second configuration as an expanded profile, the medical device being adapted to be delivered through the delivery system into a desired delivery location, the medical device comprising: a proximal side and a distal side, a first attachment for securing device to the delivery system that includes a threaded connection between the device and the delivery system, and a second attachment for securing device to the delivery system that includes a threaded connection between the device and the delivery system, wherein the relative movement of the second attachment and the first attachment changes the configuration of the device from the reduced profile configuration to the expanded profile configuration and both the first attachment and second attachments are releasable by unscrewing the threaded connection.
Claim 63
Dependent Claim 32 words
53 . The medical apparatus recited in claim 52 , wherein the first attachment is disposed at a central axis of the device and is released from the delivery device by unscrewing.
Claim 64
Dependent Claim 36 words
54 . The medical apparatus recited in claim 52 , wherein the second attachment is a threaded connection with threads disposed on the surface of the device and is releasable from the delivery device by unscrewing.
Claim 65
Dependent Claim 33 words
55 . The medical apparatus recited in claim 52 , wherein the threads associated with the first attachment are unscrewed with a different rotational direction than the threads associated with the second attachment.
Claim 66
Dependent Claim 33 words
56 . The medical apparatus recited in claim 52 , wherein the threads associated with the first attachment are unscrewed with the same rotational direction as the threads associated with the second attachment.
Claim 67
Dependent Claim 21 words
57 . The medical device recited in claim 1 , wherein one of the first and second attachments uses a suture.
Claim 68
Dependent Claim 20 words
58 . The apparatus recited in claim 18 , wherein one of the first and second attachments includes a suture.
Claim 69
Dependent Claim 34 words
59 . The apparatus recited in claim 42 , wherein the first attachment is a threaded connection disposed at a central axis of the device and is released from the delivery device by twisting.
Claim 70
Dependent Claim 34 words
60 . The medical device recited in claim 42 , wherein the first attachment is a threaded connection disposed on a surface of the device and is released from the delivery device by twisting.
Claim 71
Dependent Claim 20 words
61 . The medical device recited in claim 42 , wherein the recess in the device is an annular groove.
Claim 72
Dependent Claim 26 words
62 . The medical device recited in claim 42 , wherein the device includes an outer surface and an annular groove located on the outer surface.
Claim 73
Dependent Claim 26 words
63 . The medical device recited in claim 42 , wherein the device includes an outer surface and the recess is located on the outer surface.
Claim 74
Dependent Claim 25 words
64 . The medical device recited in claim 42 , wherein the annular groove is adapted to receive a plurality of radially inwardly facing projections.

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