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US5989263A Expired / Lapsed US ⏱️ 0.0 years remaining

Hydraulically actuated dilatation mechanism for vessel dilatation and vascular prosthesis delivery and methods of use

Assignee: W.L. Gore and Associates Inc
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Filing: 1998-03-11
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Granted: 1999-11-23
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Expires: 2018-03-11
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Abstract

Abstract Apparatus having a dilatation mechanism is provided wherein a plurality of radially expanding members are coupled to a plunger. The radially expanding members deflect outwardly in response to application of an hydraulic load to the plunger. The apparatus may be used in dilating vessels to treat obstructive vascular disease, or used in delivery systems to deploy vascular prostheses such as stents and grafts. Methods of using the apparatus are also provided.

Inventors

  • 👤 Ascher Shmulewitz

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 16:31
CPC Classifications
A; A61; A61M; A61M29/00; A61M29/02

Claims Analysis

Total Claims: 34
Claim 1
Independent Claim 99 words
A dilatation system comprising: a catheter having a bore and a distal end; a plunger disposed within the bore of the catheter; and a dilatation mechanism comprising a plurality of radially expandable members, each one of the plurality of radially expandable members having a first end fixed relative to the distal end of the catheter and a second end coupled to the plunger, wherein the radially expandable members move between a transit state having an undeflected position, and a deployed state, wherein the radially expandable members are deflected outwards, responsive to application of an hydraulic load to the plunger.
Claim 2
Dependent Claim 99 words
A dilatation system comprising: a catheter having a bore and a distal end; a plunger disposed within the bore of the catheter; and a dilatation mechanism comprising a plurality of radially expandable members, each one of the plurality of radially expandable members having a first end fixed relative to the distal end of the catheter and a second end coupled to the plunger, wherein the radially expandable members move between a transit state having an undeflected position, and a deployed state, wherein the radially expandable members are deflected outwards, responsive to application of an hydraulic load to the plunger.
Claim 3
Dependent Claim 54 words
The dilatation system as defined in claim 1 wherein the dilatation mechanism further comprises: a core member disposed within the bore of the catheter, the core member having a distal end; an endcap affixed to the core member, wherein the distal ends of the plurality of radially expandable members are affixed to the endcap.
Claim 4
Dependent Claim 47 words
The dilatation system as defined in claim 2 wherein the dilatation mechanism further comprises: a push block disposed for sliding translation on the core member distal of the plunger, the proximal end of each one of the plurality of radially expandable members affixed to the push block.
Claim 5
Dependent Claim 18 words
The dilatation system as defined in claim 3 wherein the push block is integrally formed with the plunger.
Claim 6
Dependent Claim 45 words
The dilatation system as defined in claim 2 wherein a proximal end of the core member has a groove in an exterior surface, and the dilatation system further comprises a locking element that retains the core member in a fixed position relative to the catheter.
Claim 7
Dependent Claim 26 words
The dilatation system as defined in claim 5 wherein the locking element is selectively removable to return the radially expandable members to the undeflected transit state.
Claim 8
Dependent Claim 20 words
The dilatation system as defined in claim 2 wherein the core member includes a portion defining a guide wire lumen.
Claim 9
Dependent Claim 21 words
The dilatation system as defined in claim 7 wherein the core member is configured for over-the-wire use with a guide wire.
Claim 10
Dependent Claim 35 words
The dilatation system as defined in claim 1 wherein the catheter further comprises an opening disposed adjacent to the plunger, the opening alleviating the hydraulic load when the radially expandable members attain the deployed state.
Claim 11
Dependent Claim 22 words
The dilatation system as defined in claim 1 wherein the plurality of radially expandable members are configured to treat obstructive vascular disease.
Claim 12
Dependent Claim 24 words
The dilatation system as defined in claim 1 wherein the plurality of radially expandable members are configured to deploy a vascular prosthesis or graft.
Claim 13
Dependent Claim 33 words
The dilatation system as defined in claim 1 wherein radially expandable members comprise an element having a cross-section selected from the group consisting of a rectangle, an oval, and ellipse and a circle.
Claim 14
Dependent Claim 25 words
The dilatation system as defined in claim 1 wherein the hydraulic load is imposed by a pressurizing medium introduced into the bore of the catheter.
Claim 15
Dependent Claim 136 words
A dilatation system comprising: a catheter having a bore and proximal and distal ends; a core member having a distal end and a proximal end, the core member disposed within the catheter; an endcap disposed on the distal end of the core member; a plunger disposed for sliding translation on the core member, the plunger having a proximal end; a plurality of radially expandable members, each one of the plurality of radially expandable members having a distal end affixed to the endcap and a proximal end coupled to the plunger, wherein the radially expandable members move between a transit state, wherein the radially expandable members are in an undeflected position, and a deployed state, wherein the radially expandable members are deflected outwards, responsive to application of an hydraulic load to the proximal end of the plunger.
Claim 16
Dependent Claim 136 words
A dilatation system comprising: a catheter having a bore and proximal and distal ends; a core member having a distal end and a proximal end, the core member disposed within the catheter; an endcap disposed on the distal end of the core member; a plunger disposed for sliding translation on the core member, the plunger having a proximal end; a plurality of radially expandable members, each one of the plurality of radially expandable members having a distal end affixed to the endcap and a proximal end coupled to the plunger, wherein the radially expandable members move between a transit state, wherein the radially expandable members are in an undeflected position, and a deployed state, wherein the radially expandable members are deflected outwards, responsive to application of an hydraulic load to the proximal end of the plunger.
Claim 17
Dependent Claim 43 words
The dilatation system as defined in claim 14 further comprising a push block disposed for sliding translation on the core member distal of the plunger, the proximal end of each one of the plurality of radially expandable members affixed to the push block.
Claim 18
Dependent Claim 18 words
The dilatation system as defined in claim 15 wherein the push block is integrally formed with the plunger.
Claim 19
Dependent Claim 35 words
The dilatation system as defined in claim 14 wherein the catheter further comprises an opening disposed adjacent to the plunger, the opening alleviating the hydraulic load when the radially expandable members attain the deployed state.
Claim 20
Dependent Claim 45 words
The dilatation system as defined in claim 14 wherein the proximal end of the core member has a groove in an exterior surface, and the dilatation system further comprises a locking element that retains the core member in a fixed position relative to the catheter.
Claim 21
Dependent Claim 26 words
The dilatation system as defined in claim 18 wherein the locking element is selectively removable to return the radially expandable members to the undeflected transit state.
Claim 22
Dependent Claim 22 words
The dilatation system as defined in claim 14 wherein the plurality of radially expandable members are configured to treat obstructive vascular disease.
Claim 23
Dependent Claim 24 words
The dilatation system as defined in claim 14 wherein the plurality of radially expandable members are configured to deploy a vascular prosthesis or graft.
Claim 24
Dependent Claim 20 words
The dilatation system as defined in claim 14 wherein the core member includes a portion defining a guide wire lumen.
Claim 25
Dependent Claim 33 words
The dilatation system as defined in claim 14 wherein radially expandable members comprise an element having a cross-section selected from the group consisting of a rectangle, an oval, and ellipse and a circle.
Claim 26
Dependent Claim 25 words
The dilatation system as defined in claim 14 wherein the hydraulic load is imposed by a pressurizing medium introduced into the bore of the catheter.
Claim 27
Independent Claim 127 words
A method of dilating a vessel to treat obstructive vascular disease, the method comprising: providing a dilatation system comprising a catheter, a plunger disposed within the catheter, and a dilatation mechanism comprising a plurality of radially expandable members coupled to the plunger, the radially expandable members movable between a transit state having an undeflected position, and a deployed state, wherein the radially expandable members are deflected outwards, responsive to application of an hydraulic load to the plunger; inserting the dilatation system percutaneously and transluminally in a vessel to dispose the plurality of radially expandable members within a stenosis; and introducing a pressurizing medium into the catheter to apply an hydraulic load to the plunger that urges the radially expandable members to deflect outwardly to the deployed state.
Claim 28
Independent Claim 127 words
A method of dilating a vessel to treat obstructive vascular disease, the method comprising: providing a dilatation system comprising a catheter, a plunger disposed within the catheter, and a dilatation mechanism comprising a plurality of radially expandable members coupled to the plunger, the radially expandable members movable between a transit state having an undeflected position, and a deployed state, wherein the radially expandable members are deflected outwards, responsive to application of an hydraulic load to the plunger; inserting the dilatation system percutaneously and transluminally in a vessel to dispose the plurality of radially expandable members within a stenosis; and introducing a pressurizing medium into the catheter to apply an hydraulic load to the plunger that urges the radially expandable members to deflect outwardly to the deployed state.
Claim 29
Dependent Claim 42 words
The method as described in claim 25 further comprising: after maintaining the radially expandable members in the deployed state for a predetermined interval of time, returning the radially expandable members to the transit state; and withdrawing the dilatation system from the vessel.
Claim 30
Dependent Claim 40 words
The method as defined in claim 25 wherein providing a dilatation system further comprises: selecting a dilatation system including a dilatation mechanism having a length and a diameter, in the deployed state, suitable for treating a stenosis of predetermined size.
Claim 31
Independent Claim 148 words
A method of deploying a vascular prosthesis, the method comprising: providing a dilatation system comprising a catheter, a plunger disposed within the catheter, and a dilatation mechanism comprising a plurality of radially expandable members coupled to the plunger, the radially expandable members movable between a transit state having an undeflected position, and a deployed state, wherein the radially expandable members are deflected outwards, responsive to application of an hydraulic load to the plunger; disposing a vascular prosthesis on the dilatation mechanism; inserting the dilatation system and vascular prosthesis percutaneously and transluminally in a vessel to dispose the vascular prosthesis at a desired location within the vessel; and introducing a pressurizing medium into the catheter to apply an hydraulic load to the plunger that urges the radially expandable members to deflect outwardly to the deployed state to expand the prosthesis into engagement with an interior surface of the vessel.
Claim 32
Independent Claim 148 words
A method of deploying a vascular prosthesis, the method comprising: providing a dilatation system comprising a catheter, a plunger disposed within the catheter, and a dilatation mechanism comprising a plurality of radially expandable members coupled to the plunger, the radially expandable members movable between a transit state having an undeflected position, and a deployed state, wherein the radially expandable members are deflected outwards, responsive to application of an hydraulic load to the plunger; disposing a vascular prosthesis on the dilatation mechanism; inserting the dilatation system and vascular prosthesis percutaneously and transluminally in a vessel to dispose the vascular prosthesis at a desired location within the vessel; and introducing a pressurizing medium into the catheter to apply an hydraulic load to the plunger that urges the radially expandable members to deflect outwardly to the deployed state to expand the prosthesis into engagement with an interior surface of the vessel.
Claim 33
Dependent Claim 42 words
The method as described in claim 28 further comprising: after maintaining the radially expandable members in the deployed state for a predetermined interval of time, returning the radially expandable members to the transit state; and withdrawing the dilatation system from the vessel.
Claim 34
Dependent Claim 41 words
The method as defined in claim 28 wherein providing a dilatation system further comprises: selecting a dilatation system including a dilatation mechanism having a length and a diameter, in the deployed state, suitable for expanding a vascular prosthesis of predetermined size.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2002-11-22 2003-05-24 2003-11-23 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2006-11-22 2007-05-24 2007-11-23 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2010-11-22 2011-05-24 2011-11-23 $7700.00 Window Closed / Lapsed

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