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US5221261A Expired / Lapsed US ⏱️ 0.0 years remaining

Radially expandable fixation member

Assignee: Boston Scientific Scimed Inc
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Filing: 1992-08-10
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Granted: 1993-06-22
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Expires: 2012-08-10
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Abstract

Abstract An open weave fixation device is secured to a distal end region of a catheter or other diagnostic or treatment device, for either temporarily or permanently fixing the device within a body cavity. In one approach, the fixation element is constructed of braided, helically wound filaments of resilient stainless steel. A sheath surrounds the catheter and fixation element to elastically deform the element into a reduced radius configuration to facilitate insertion and deployment. With the fixation element positioned as desired, the sheath is withdrawn to permit the fixation element to self-expand against body tissue, thus to secure the fixation element and catheter. In an alternative arrangement, a dilation balloon surrounds a catheter near its distal end, and in turn is surrounded by a plastically deformable fixation element. Following desired positioning, the balloon is dilated to permanently deform the fixation element into contact with body tissue. In either case, the fixation element can be mounted at its distal end, its proximal end or medially, dependeing upon the particular treatment and the expected duration of fixation. Another approach employs a recovery metal in the fixation element.

Inventors

  • 👤 Paul L. Termin
  • 👤 Christopher H. Porter

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 12:25
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/82; A61F2/86; A61F2/90; A61F2/95; A61M; A61M25/00; A61M25/01; A61M25/02; A61M25/04; A61F2230/00; A61F2230/0063; A61F2230/0091; A61M2025/0293

Claims Analysis

Total Claims: 24
Claim 1
Independent Claim 219 words
An apparatus for fixation in a body cavity, including: an elongate bodily insertable device having a proximal end region and a distal end region; a plastically deformable tubular open weave fixation element constructed of a biocompatible material and a fastening means for permanently securing the fixation element to a selected region of said device, said fixation element being formable into a delivery configuration in which the fixation element has a delivery diameter and radially expandable to a fixation configuration in which the fixation element diameter is substantially greater than the delivery diameter; and a deployment means operatively associated with said device for delivering said fixation element in said delivery configuration as said device is bodily inserted to selectively position said fixation element at a predetermined location within a body cavity, and for causing radial expansion of said fixation element into a surface engagement of the fixation element over substantially its entire length with a tissue wall segment defining said cavity at said predetermined location, to secure the fixation element to said wall segment and thus substantially fix said selected region within said body cavity and thereby secure the device with respect to the body cavity, said deployment means including an expansion means secured to said device, surrounded by said fixation element, and expandable to plastically deform said fixation element.
Claim 2
Independent Claim 219 words
An apparatus for fixation in a body cavity, including: an elongate bodily insertable device having a proximal end region and a distal end region; a plastically deformable tubular open weave fixation element constructed of a biocompatible material and a fastening means for permanently securing the fixation element to a selected region of said device, said fixation element being formable into a delivery configuration in which the fixation element has a delivery diameter and radially expandable to a fixation configuration in which the fixation element diameter is substantially greater than the delivery diameter; and a deployment means operatively associated with said device for delivering said fixation element in said delivery configuration as said device is bodily inserted to selectively position said fixation element at a predetermined location within a body cavity, and for causing radial expansion of said fixation element into a surface engagement of the fixation element over substantially its entire length with a tissue wall segment defining said cavity at said predetermined location, to secure the fixation element to said wall segment and thus substantially fix said selected region within said body cavity and thereby secure the device with respect to the body cavity, said deployment means including an expansion means secured to said device, surrounded by said fixation element, and expandable to plastically deform said fixation element.
Claim 3
Dependent Claim 17 words
The apparatus of claim 1 wherein: said selected region of said device is said distal end region.
Claim 4
Dependent Claim 21 words
The apparatus of claim 2 wherein: said tubular fixation element is fastened concentrically on the distal end region of the device.
Claim 5
Dependent Claim 19 words
The apparatus of claim 3 wherein: said fixation element is constructed of helical, braided strands of a biocompatible material.
Claim 6
Dependent Claim 12 words
The apparatus of claim 4 wherein: said biocompatible material is stainless steel.
Claim 7
Dependent Claim 12 words
The apparatus of claim 4 wherein said biocompatible material is a plastic.
Claim 8
Dependent Claim 12 words
The apparatus of claim 2 wherein: said expansion means surrounds said device.
Claim 9
Dependent Claim 55 words
The apparatus of claim 7 wherein: said device is a pliable catheter, and said expansion means comprises a pliable balloon surrounding said catheter, and a balloon inflation lumen formed along said catheter and open to the interior of said balloon, for dilatation of said balloon responsive to supplying a fluid under pressure to the balloon.
Claim 10
Dependent Claim 26 words
The apparatus of claim 8 wherein: said fastening means integrally secures a distal end of said fixation element to the distal end region of the catheter.
Claim 11
Dependent Claim 21 words
The apparatus of claim 1 wherein: said fixation element includes a plurality of helically wound strands forming an open weave cylinder.
Claim 12
Dependent Claim 25 words
The apparatus of claim 10 wherein: said fastening means comprises a ring integrally securing said fixation element to said distal end region of the device.
Claim 13
Dependent Claim 19 words
The apparatus of claim 11 wherein: said ring secures the distal end of said fixation element to said device.
Claim 14
Independent Claim 224 words
An apparatus for fixation in a body cavity, including: an elongate bodily insertable device having a proximal end region and a distal end region; a plastically deformable tubular fixation element and a fastening means for permanently securing the fixation element to a selected region of said device, said fixation element being formable into a delivery configuration in which the fixation element has a delivery diameter and further being radially expandable to a fixation configuration in which the fixation element diameter is substantially greater than the delivery diameter; and a deployment means operatively associated with said device for delivering said fixation element in said delivery configuration as said device is bodily inserted to selectively position said fixation element at a predetermined location within a body cavity, and for causing radial expansion of said fixation element into a surface engagement of the fixation element over substantially its entire length with a tissue wall segment defining said cavity at said predetermined location, to at least slightly elastically deform the tissue wall segment to secure the fixation element to said wall segment and thus substantially fix said selected region within said body cavity and thereby secure the device with respect to the body cavity, said deployment means including an expansion means secured to said device, surrounded by said fixation element, and expandable to plastically deform said fixation element.
Claim 15
Independent Claim 224 words
An apparatus for fixation in a body cavity, including: an elongate bodily insertable device having a proximal end region and a distal end region; a plastically deformable tubular fixation element and a fastening means for permanently securing the fixation element to a selected region of said device, said fixation element being formable into a delivery configuration in which the fixation element has a delivery diameter and further being radially expandable to a fixation configuration in which the fixation element diameter is substantially greater than the delivery diameter; and a deployment means operatively associated with said device for delivering said fixation element in said delivery configuration as said device is bodily inserted to selectively position said fixation element at a predetermined location within a body cavity, and for causing radial expansion of said fixation element into a surface engagement of the fixation element over substantially its entire length with a tissue wall segment defining said cavity at said predetermined location, to at least slightly elastically deform the tissue wall segment to secure the fixation element to said wall segment and thus substantially fix said selected region within said body cavity and thereby secure the device with respect to the body cavity, said deployment means including an expansion means secured to said device, surrounded by said fixation element, and expandable to plastically deform said fixation element.
Claim 16
Dependent Claim 24 words
The apparatus of claim 13 wherein: said fixation element is an open weave tubular member constructed of helical braided strands of a biocompatible material.
Claim 17
Dependent Claim 21 words
The apparatus of claim 13 wherein: said tubular fixation element is fastened concentrically on the distal end region of the device.
Claim 18
Dependent Claim 12 words
The apparatus of claim 15 wherein: said fastening means comprises a ring.
Claim 19
Dependent Claim 19 words
The apparatus of claim 16 wherein: said ring secures the distal end of the fixation element to said device.
Claim 20
Dependent Claim 12 words
The apparatus of claim 13 wherein: said expansion means surrounds the device.
Claim 21
Dependent Claim 55 words
The apparatus of claim 18 wherein: said device is a pliable catheter, and said expansion means comprises a pliable balloon surrounding the catheter, and a balloon inflation lumen formed along the catheter and open to the interior of the balloon, for dilatation of the balloon responsive to supplying a fluid under pressure to the balloon.
Claim 22
Dependent Claim 145 words
A process for deploying and fixing a body implantable device, including the steps of: permanently securing a plastically deformable tubular fixation element to a distal end region of an elongate body insertable device; bodily inserting the device and the fixation element and delivering the device and fixation element to a predetermined location within a selected body cavity, with the tubular fixation element in a delivery configuration in which the fixation element has a delivery diameter; with said fixation element at the predetermined location, enlarging an expansion means surrounded by the fixation element to radially expand the fixation element into a surface engagement with a tissue wall segment defining the cavity at the predetermined location, to secure the fixation element to the wall segment and substantially fix the distal end region within the body cavity, thereby to secure the device with respect to the body cavity.
Claim 23
Dependent Claim 145 words
A process for deploying and fixing a body implantable device, including the steps of: permanently securing a plastically deformable tubular fixation element to a distal end region of an elongate body insertable device; bodily inserting the device and the fixation element and delivering the device and fixation element to a predetermined location within a selected body cavity, with the tubular fixation element in a delivery configuration in which the fixation element has a delivery diameter; with said fixation element at the predetermined location, enlarging an expansion means surrounded by the fixation element to radially expand the fixation element into a surface engagement with a tissue wall segment defining the cavity at the predetermined location, to secure the fixation element to the wall segment and substantially fix the distal end region within the body cavity, thereby to secure the device with respect to the body cavity.
Claim 24
Dependent Claim 36 words
The process of claim 20 wherein: said step of enlarging an expansion means surrounded by the fixation element includes expanding the fixation element sufficiently to cause at least slight elastic deformation of the tissue wall segment.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1996-06-21 1996-12-21 1997-06-22 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2000-06-21 2000-12-21 2001-06-22 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2004-06-21 2004-12-21 2005-06-22 $7700.00 Window Closed / Lapsed

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