Filter device for embolic protection systems

Information

  • Patent Grant
  • 7959646
  • Patent Number
    7,959,646
  • Date Filed
    Tuesday, June 26, 2007
    17 years ago
  • Date Issued
    Tuesday, June 14, 2011
    13 years ago
Abstract
A system for enabling the insertion and removal of an embolic protection device, for capturing and retaining embolic debris which may be created during the performance of a therapeutic interventional procedure in a stenosed or occluded region of a blood vessel. The system, in an embodiment thereof, enables the device to be snap-fitted so as to engage the distal end of a guide wire, to provide a reference for positioning the device at a location distal to the interventional procedure site, and to enable an end of the device to be in tension, enabling a portion of the device to be in tension and another portion to be in compression, so as to assist in bending thereof in tortuous vasculature.
Description
BACKGROUND OF THE INVENTION

The present invention relates generally to improvements in embolic protection systems and methods. In particular, it relates to an improved system and method for enabling an embolic protection device to be efficiently and conveniently engaged with the distal end of a guide wire. The system also enables the device to effectively expand against the inner surface of a blood vessel wall, and to seal off the inner surface thereof upon deployment thereof at a location distal to an interventional procedure site. Such deployment enables the efficient capture of embolic material, which may be created and released into the bloodstream during the performance of the interventional procedure in a stenosed or occluded region of a blood vessel, and prevents embolic material from bypassing the embolic protection device. The system further enables the embolic protection device to provide a reference for the effective positioning thereof at the location distal to the interventional procedure site. It also is formed of expandable material for enabling efficient expansion thereof, and includes an end thereof formed so as to be in tension, such that another portion thereof is in compression, to effectively assist in enabling the system to bend in tortuous vasculature.


The systems and methods of the present invention are particularly useful when performing balloon angioplasty, stenting procedures, laser angioplasty or atherectomy in critical vessels, such as the carotid, renal, and saphenous vein graft arteries, where the release of embolic debris into the bloodstream could possibly occlude the flow of oxygenated blood to the brain or other vital organs which can cause devastating consequences to the patient.


A variety of non-surgical interventional procedures have been developed over the years for opening stenosed or occluded blood vessels in a patient caused by the build up of plaque or other substances on the walls of the blood vessel. Such procedures usually involve the percutaneous introduction of the interventional device into the lumen of the artery, usually through a catheter. One widely known and medically accepted procedure is balloon angioplasty in which an inflatable balloon is introduced within the stenosed region of the blood vessel to dilate the occluded vessel. The balloon catheter is initially inserted into the patient's arterial system and is advanced and manipulated into the area of stenosis in the artery. The balloon is inflated to compress the plaque and press the vessel wall radially outward to increase the diameter of the blood vessel.


Another procedure is laser angioplasty which utilizes a laser to ablate the stenosis by super heating and vaporizing the deposited plaque. Atherectomy is yet another method of treating a stenosed blood vessel in which a cutting blade is rotated to shave the deposited plaque from the arterial wall. A vacuum catheter may be used to capture the shaved plaque or thrombus from the blood stream during this procedure.


In another widely practiced procedure, the stenosis can be treated by placing a device known as a stent into the stenosed region to hold open and sometimes expand the segment of the blood vessel or other arterial lumen. Stents are particularly useful in the treatment or repair of blood vessels after a stenosis has been compressed by percutaneous transluminal coronary angioplasty (PTCA), percutaneous transluminal angioplasty (PTA) or removal by atherectomy or other means. Stents are usually delivered in a compressed condition to the target site, and then are deployed at the target location into an expanded condition to support the vessel and help maintain it in an open position.


In the past, stents typically have fallen into two general categories of construction. The first type of stent is expandable upon application of a controlled force, often through the inflation of the balloon portion of a dilatation catheter which, upon inflation of the balloon or other expansion means, expands the compressed stent to a larger diameter to be left in place within the artery at the target site. The second type of stent is a self-expanding stent formed from, for example, shape memory metals or super-elastic nickel-titanium (NiTi) alloys, which will automatically expand from a compressed state when the stent is advanced out of the distal end of the delivery catheter into the body lumen. Such stents manufactured from self-expandable materials allow for phase transformations of the material to occur, contributing to the expansion and contraction of the stent.


The above non-surgical interventional procedures, when successful, avoid the necessity of major surgical operations. However, there is one common problem associated with all of these non-surgical procedures, namely, the potential release of embolic debris into the bloodstream which can occlude distal vasculature and cause significant health problems to the patient. For example, during deployment of a stent, it is possible that the metal struts of the stent can cut into the stenosis and shear off pieces of plaque which become embolic debris that can travel downstream and lodge somewhere in the patient's vascular system. Pieces of plaque material can sometimes dislodge from the stenosis during a balloon angioplasty procedure and become released into the bloodstream. Additionally, while complete vaporization of plaque is the intended goal during a laser angioplasty procedure, particles are not always fully vaporized and may enter the bloodstream.


When any of the above-described procedures are performed for example in the carotid arteries, the release of emboli into the circulatory system can be extremely dangerous to the patient. Debris that is carried by the bloodstream to distal vessels of the brain may cause these cerebral vessels to occlude, resulting in a stroke, and in some cases, death. Therefore, although carotid percutaneous transluminal angioplasty has been performed in the past, the number of procedures performed has been limited due to the justifiable fear of causing an embolic stroke should embolic debris enter the bloodstream and block vital downstream blood passages.


Medical devices have been developed to attempt to deal with the problem created when debris or fragments enter the circulatory system following treatment utilizing any one of the above-identified procedures. One approach which has been attempted is the cutting of any debris into minute sizes which pose little chance of becoming occluded in major vessels within the patient's vasculature. However, it is often difficult to control the size of the fragments which are formed, and the potential risk of vessel occlusion still exists, making such procedures in the carotid arteries a high-risk proposition.


Other techniques which have been developed to address the problem of removing embolic debris include the use of catheters with a vacuum source which provides temporary suction to remove embolic debris from the bloodstream. However, as mentioned above, there have been complications with such systems since the vacuum catheter may not always remove all of the embolic material from the bloodstream, and a powerful suction could cause problems to the patient's vasculature.


Further techniques which have had some limited success include the placement of an embolic protection device such as a filter or trap downstream from the treatment site to capture embolic debris before it reaches the smaller blood vessels downstream. Such embolic protection devices enable the filtering of embolic debris which may be released into the bloodstream during the treatment to the vessel, and yet allow a sufficient amount of oxygenated blood to flow past the device to supply vital organs downstream from the treatment site.


However, there have been problems associated with embolic protection devices, particularly during the assembly, insertion, and deployment thereof. The device may be mounted on the guide wire in an inconvenient manner so as to be fixedly secured thereto. Also, the mounting of the device on the guide wire, such that the device is affixed to and rotatable with the guide wire, may result in the entangling of the device in a delivery sheath, upon the device being directed in the delivery sheath through the patient's anatomy to the position distal to the interventional procedure site. Further, the expansion and deployment of the embolic protection device may not result in full and complete expansion thereof, and consequently may not seal off the inner wall of the blood vessel about the entire circumference thereof, which can result in embolic material bypassing the device. The guiding, tracking, positioning and deployment of the embolic protection device in the patient's vasculature and at the location distal to the interventional procedure site for embolic protection can be difficult and formidable.


Therefore, the present invention provides improved systems and methods for treating stenosis in blood vessels which enable an embolic protection device to be efficiently assembled and to effectively navigate through a patient's vasculature for deployment at a location distal to an interventional procedure site. It also enables the device to expand so as to effectively seal off the inner surface of the blood vessel wall, to capture embolic material, and to prevent embolic material from bypassing the embolic protection device. The improved systems and methods of the present invention further enable the efficient positioning of the embolic protection device at the location distal to the interventional procedure site, to enable the effective capture of embolic material. Also, the invention is formed of expandable material in such a manner as to accommodate the effective bending, tracking, and deploying thereof. Moreover, the systems and methods are relatively easy for a physician to use, while enabling the effective delivery and recovery of a filtering system capable of removing embolic debris released into the bloodstream. The inventions disclosed herein satisfy these and other needs.


SUMMARY OF THE INVENTION

The present invention, in general, provides a system and method for enabling the insertion and removal of a filtering system for capturing and retaining embolic debris from a blood vessel. The embolic debris may be created during the performance of a therapeutic interventional procedure, such as a balloon angioplasty or stenting procedure. The filtering system prevents the embolic debris from lodging and blocking blood vessels downstream from the interventional site. The present invention is particularly useful for enabling an interventional procedure to be performed in vital arteries, such as the carotid arteries, in which critical downstream blood vessels can become blocked with embolic debris, including the main blood vessels leading to the brain or other vital organs. As a result, the present invention provides the physician with a higher degree of confidence in the efficient operation of a filtering system for the collection and removal of embolic debris from the blood vessel when performing high-risk interventional procedures.


The present invention enables a filtering system to be deployed in the blood vessel at a location distal to the area of treatment in the interventional procedure site. It also enables the blood to pass therethrough to enable blood to flow past the filter. It further enables the blood to be filtered to capture and retain any embolic debris which may be created during the interventional procedure.


More particularly, for example, in an embodiment of the present invention, a system is provided for enabling the effective assembly thereof for engagement with a guide wire. The present invention also enables the system to expand against the inner surface of a wall of a blood vessel so as to efficiently seal off the inner surface thereof, for enabling the capture of embolic material which may be released into the blood vessel during the therapeutic interventional procedure. Further, the system enables navigation thereof through a patient's blood vessel, including tortuous vasculature, to a position distal to an interventional procedure site, for deployment of the embolic protection device.


The system includes a guide wire, including a distal end, which is positionable within the blood vessel so as to extend to a position distal to an interventional procedure site. The system also includes a filter device, which is snap-fittable so as to engage the distal end of the guide wire, for effective and convenient engagement therewith. Elements of the filter device which enable the filter device to be snap-fitted to the guide wire are comprised of radiopaque material, for providing a reference for positioning the filter device in the patient's vasculature. The filter device is comprised of expandable material, and is formed so that an end thereof is in tension, and another portion is in compression, to aid in the bending of the filter device in tortuous vasculature.


The above objects and advantages of the present invention, as well as others, are described in greater detail in the following description, when taken in conjunction with the accompanying drawings of illustrative embodiments.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1 is an elevational fragmentary partly-sectional view of an embodiment of the present invention, disposed within the internal carotid artery of a patient, including a delivery sheath and an unexpanded filter device.



FIG. 2 is a similar view of the embodiment shown in FIG. 1, wherein the delivery sheath has been removed and the filter device has expanded.



FIG. 3 is a partly cross-sectional view taken along the line 3-3 of FIG. 1.



FIG. 4 is a plan view of a flattened rolled out form of a tube of material for forming the filter device, in the embodiment of the invention.





DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

The present invention is directed to an improved system and method for enabling the capture of embolic material which may be released into the blood vessel during the therapeutic interventional procedure, in an efficient and effective manner. The invention enables a filter device to be snap-fitted to a guide wire for effective and convenient engagement therewith, enables rotational movement of the filter device independent of rotational movement of the guide wire, and inhibits translational movement of the filter device along the guide wire. The present invention is further directed to efficiently providing a reference for positioning the filter device in the patient's anatomy. The filter device is also formed of expandable material, and includes an end thereof which is formed so as to be in tension, enabling a portion of the filter device to be in tension and another portion to be in compression, to aid the filter device in the bending thereof in tortuous vasculature.


The embodiments of the improved system and method are illustrated and described herein by way of example only and not by way of limitation. While the present invention is described as applied to the carotid arteries of the patient, those skilled in the art will appreciate that it can also be used in other body lumens as well, such as the coronary arteries, renal arteries, saphenous vein grafts and other peripheral arteries. Additionally, the present invention can be utilized when performing any one of a number of interventional procedures, such as stenting, balloon angioplasty, laser angioplasty or atherectomy.


In the drawings, wherein like reference numerals denote like or corresponding parts throughout the drawing figures, and particularly in the embodiments in accordance with the invention as shown in FIGS. 1-4, for example, a system 10 is provided for enabling an interventional procedure to be performed in a blood vessel 12 at an area of treatment 14. The system 10 is atraumatic, to inhibit injury to the patient. It includes a guide wire 16 which enables the system 10 to be positioned distal to the area of treatment 14. The system 10 is placed within the carotid artery 18 or other blood vessel of the patient, and is guided into position by the guide wire 16. The guide wire 16 includes a tip coil 20 at a distal end 22 thereof. The tip coil includes a proximal end 24. The carotid artery 18 has the area of treatment 14 therein, which comprises the interventional procedure site, wherein atherosclerotic plaque 26 has built up against the inside wall 28, which decreases the diameter of the carotid artery 18. As a result, blood flow is diminished through this area.


The therapeutic interventional procedure comprises implanting an expandable interventional instrument at the interventional procedure site 14, to press the build-up of plaque 26 of the stenosis against the inside wall 28, to increase the diameter of the occluded area 14 of the artery 18, and to help restore sufficient flow of blood to the downstream vessels leading to the brain. The expandable interventional instrument not only helps increase the diameter of the occluded area, but helps prevent restenosis in the area of treatment 14. The interventional instrument is expandable upon deployment thereof at the interventional procedure site 14.


The system 10 of the present invention enables the delivery of a filter device 30 to a location distal to the area of treatment 14, to enable deployment of the filter device 30 at the location distal to the area of treatment 14, and to enable the removal of the filter device 30 from the delivered and deployed position thereof. The filter device 30 filters the blood in the blood vessel 12, so as to pass blood therethrough and capture embolic material 32 which may be released in the blood vessel 12 during the interventional procedure. It engages the distal end 22 of the guide wire 16, so as to enable the filter device 30 to be placed within the carotid artery 18 or other blood vessel of the patient and guided into position distal to the area of treatment 14. The filter device 30 includes a proximal portion 34 and a distal portion 36.


Referring to FIGS. 1-4, in an embodiment pursuant to the present invention, for example, the system 10 enables movement thereof through the patient's blood vessel 12 to a position distal to the area of treatment 14 for deployment of the filter device 30. The system 10 further enables expansion of the filter device 30 against the inside wall 28 of the blood vessel 12 and the sealing off of the inside wall 28, to enable the capture of embolic material 32 which may be released into the blood vessel 12 during the therapeutic interventional procedure.


As illustrated in FIGS. 1-3, the system 10 in accordance with the embodiment of the invention includes the guide wire 16, positionable within the blood vessel 12, and extendable to a position distal to the interventional procedure site 14. The system 10 further includes the filter device 30, which is snap-fitted for engagement with the distal end 22 of the guide wire 16. The filter device 30 extends within a delivery sheath 38 for delivery to the interventional procedure site 14. The delivery sheath 38 includes a distal portion 40. The system 10 further includes an obturator 42, which includes a proximal end 44 and a distal end 46. The obturator 42 extends between the delivery sheath 38 and the tip coil 20, such that the distal end 46 of the obturator 42 extends along the proximal end 24 of the tip coil 20, and the proximal end 44 of the obturator 42 is substantially abutted by the distal portion 40 of the delivery sheath 38 when the delivery sheath 38 is extended over the filter device 30. The obturator 42 provides a smooth transition between the delivery sheath 38 and the tip coil 20, so as to slide smoothly around tortuous anatomy in the blood vessel 12, and to inhibit digging into, scraping, or damaging the inside wall 28 of the blood vessel 12 thereby.


The filter device 30 is deployed at the location in the patient's blood vessel 12 distal to the area of treatment 14, upon withdrawal of the delivery sheath 38. It captures embolic material 32 which may be released into the blood in the blood vessel 12 during the interventional procedure. Upon being snap-fitted onto the distal end 22 of the guide wire 16, the filter device 30 engages the guide wire 16, and enables rotation of the filter device 30 independent of rotation of the guide wire 16, while inhibiting translation thereof along the guide wire 16.


A cage 48 is included in the filter device 30. The cage 48 is snap-fitted onto the distal end 22 of the guide wire 16 for engagement therewith, and filter material 50, for filtering embolic material 32, is secured to the cage 48. The cage 48 includes a proximal portion 56 and a distal portion 58, and the filter material 50 includes a proximal end 52, a distal end 54, and a plurality of holes 60 therein for filtering embolic material 32. The proximal end 56 of the filter material 50 is secured to the cage 48, and the proximal end 44 of the obturator 42 extends over the distal portion 58 of the filter material 50.


The cage 48 further includes an engaging element 62, located at the proximal portion 52 thereof, as shown in enlarged view in FIG. 3, for enabling the cage 48 to snap-fit so as to engage the distal end 22 of the guide wire 16. The engaging element 62 enables the cage 48 to be snap-fitted onto the distal end 22 of the guide wire 16. The cage 48, upon being snap-fitted onto the distal end 22 of the guide wire 16, enables rotational movement of the cage 48 independent of rotational movement of the guide wire 16, and inhibits translational movement of the cage 48 along the guide wire 16. The cage 48 further includes a plurality of struts 64.


In the filter device 30, as shown in FIG. 4, the plurality of struts 64 of the cage 48 comprise a plurality of proximal ribs 66, a plurality of distal ribs 68, and a ring 70, which extends intermediate the plurality of proximal ribs 66 and the plurality of distal ribs 68. The ring 70, for example, includes a plurality of segments 72 and 74, and each adjacent pair of the plurality of segments 72 and 74 is expandable to form a generally v-shaped section of the ring 70, to seal off the inside all 28 of the blood vessel 12, so as to inhibit the formation of a gap between the cage 48 and the blood vessel inside wall 18 through which embolic material 32 may otherwise flow.


As seen in FIGS. 1-3, the system 10 further includes a proximal stop 76 and a distal stop 78, to be secured to the distal end 22 of the guide wire 16, and having a space 80 between the proximal stop 76 and the distal stop 78. The proximal stop 76 and the distal stop 78 comprise a pair of bushings, which are comprised of radiopaque material, to provide a reference for the operator of the system 10 to position the filter device 30 in the patient's blood vessel 12. The engaging element 62 of the cage 48 enables the cage 48 to be snap-fitted to the proximal stop 76 and the distal stop 78 in the space 80 therebetween. The engaging element 62 includes at least one tab 82, which is pre-bent inwardly, for example, flexing and for engaging the proximal stop 76 and the distal stop 78 in the space 80 between the proximal stop 76 and the distal stop 78. The inner diameter of the filter device 30 is at least slightly larger than the outer diameter of the tip coil 20, enabling the filter device 30 to be snap-fitted from the distal end 22 of the guide wire 16. The inner diameter of the tabs 82, for example, are at least slightly larger than the outer diameter of the distal stop 78, for enabling the filter device 30 to slide thereover, and the tabs 82 to snap-fit into position in the space 80 so as to bear against the distal stop 78. Alternatively, for example, the locations of the proximal stop 76 and the distal stop 78 could be reversed, whereby the cage 48 may be snap-fitted from a proximal end of the guide wire 16. The snap-fitted engaging element 62 inhibits translational movement of the filter device 30 relative to the guide wire 16, while enabling rotational movement of the filter device 30 independent of rotational movement of the guide wire 16.


The cage 48 of the filter device 30, as depicted in FIG. 4, may be formed from a hypotube 84 of expandable material. The hypotube 84 includes a pair of ends 86 and 88. The system 10 further includes a spring 90, connected to the end 86 of the hypotube 84, such that a portion of the cage 48 formed by the hypotube 84 is in tension, and another portion is in compression, to aid the cage 48 in the bending thereof in tortuous vasculature. The tabs 82 are formed at the end 86 of the hypotube 84 to which the spring 90 is connected.


Referring to FIGS. 1-4, in a method for the use of the embodiment in accordance with the present invention, for example, the system 10 enables movement thereof through the patient's blood vessel 12 to the location distal to the area of treatment 14 for deployment of the filter device 30, and seals off the inside wall 28 of the blood vessel 12 to enable the capture of embolic material 32. The filter device 30 and the obturator 42 are assembled, and the proximal stop 76 and the distal stop 78, which comprise a pair of bushings, are mounted on the guide wire with the space 80 therebetween. The inner diameter of the filter device 30, for example, is at least slightly larger than the outer diameter of the tip coil 20, and the at least one tab 82 is pivotable, so as to enable the filter device 30 to be inserted over the tip coil 20. The assembly of the filter device 30 and the obturator 42, for example, is inserted over the tip coil 20 to the position where the tabs 82 snap-fit into the space 80 between the pair of bushings comprising the proximal stop 76 and the distal stop 78 mounted on the guide wire 16, so as to snap-fit the filter device 30 to the distal end 22 of the guide wire 16, for efficient engagement therewith. The delivery sheath 38 is extended over the guide wire 16 so as to enclose the filter device 30 therein, and such that the distal portion 40 of the delivery sheath 38 substantially abuts the proximal end 44 of the obturator 42.


The system 10 is positioned in the patient's vasculature 12 utilizing any one of a number of different methods. In one preferred method of positioning the system 10, the delivery sheath 38, with the filter device 30 therein, is inserted into and extended through the patient's vasculature 12, to cross the stenosis in the blood vessel 12, so as to extend to a position distal to the interventional procedure site 14. The radiopaque proximal stop 76 and distal stop 78 of the engaging element 62 provide a reference for enabling the operator to accurately position the filter device 30 in the patient's vasculature 12. As seen in FIG. 4, the spring 90, connected to the end 86 of the hypotube 84 of expandable material at which the tabs 82 are formed, causes such portion of the cage 48 formed by the hypotube 84 to be in tension, and another portion to be in compression, aiding the cage 48 in the bending thereof in tortuous vasculature.


The guide wire 16 is rotatable during insertion thereof through the patient's vasculature 12, to enable guiding and directing thereof. The snap-fitted filter device 30 is rotatable on the guide wire 16 independent of rotation of the guide wire 16, during insertion of the filter device 30 through the patient's anatomy 12, to inhibit entanglement thereof, while the filter device 30 is also inhibited from translational movement thereof. The delivery sheath 38 is then withdrawn, enabling the filter device 30 to deploy so as to capture embolic material 32 which may be released in the blood vessel 12 during the interventional procedure.


After the delivery sheath 38 is withdrawn, the filter device 30, snap-fitted to the guide wire 16 at the proximal portion 52 of the cage 48 such that the tabs 82 extend between the proximal stop 76 and the distal stop 78, is released from being enclosed in the delivery sheath 38. The filter device 30 then expands and bears against the inside wall 28 of the blood vessel 12. The expansion of the filter device 30 so as to press against the inside wall 28 of the blood vessel 12 seals off the inside wall 28 of the blood vessel 12, and inhibits the formation of a gap between the filter device 30 and the blood vessel wall 28, through which embolic material 32 may otherwise flow. The filter material 50 expands with the flow of blood in the blood vessel 12 therethrough, to capture embolic material 32 which may be released during the interventional procedure.


In accordance with the present invention, the particular embodiments set forth above of the system 10 for filtering embolic material are capable of being positioned in a blood vessel. However, other forms of the system 10 may be utilized with the present invention without departing from the spirit and scope of the invention. For example, the system 10 may be comprised of other forms of material. Additionally, while the system 10 is shown as in various shapes in the embodiments herein, it can be formed in any one of a number of different shapes depending upon the construction desired.


Further, the various components may be joined by suitable adhesives such as acrylonitrile based adhesives or cyanoacrylate based adhesives. Heat shrinking or heat bonding may also be employed where appropriate. Plastic-to-plastic or plastic-to-metal joints can be effected by a suitable acrylonitrile or cyanoacrylate adhesive. Variations can be made in the composition of the materials to vary properties as needed. Based on the present disclosure, other adhesives and applications are known to one skilled in the art.


In view of the above, it is apparent that the system and method of the embodiment of the present invention enhances substantially the effectiveness of performing interventional procedures by providing a filter device for filtering embolic material, to be snap-fitted for engagement with a guide wire, and independently rotatable relative to the guide wire, for efficient assembly, insertion and removal thereof. The system and method further enable the filter device to expand against the inner wall of a blood vessel so as to seal off the inner surface thereof, to inhibit gap formation and the passing of embolic material therethrough. The system and method also include a pair of radiopaque bushings for enabling snap-fitting engagement of the filter device with the guide wire, which provide references for the positioning of the filter device in the patient's vasculature. The filter device of the system and method is formed of expandable material including a portion thereof in tension, and another portion in compression, for aiding the filter device in bending thereof in tortuous vasculature.


While the present invention has been described in connection with the specific embodiments identified herein, it will be apparent to those skilled in the art that many alternatives, modifications and variations are possible in light of the above description. Accordingly, the invention is intended to embrace all such alternatives, modifications and variations as may fall within the spirit and scope of the invention disclosed herein.

Claims
  • 1. A system for enabling the capture of embolic material which may be released into a body vessel during a therapeutic interventional procedure, comprising: a guide wire; anda filter device associated with the guide wire, the filter device adapted to capture embolic material which may be released into the fluid in the body vessel during the interventional procedure and including an engaging element for enabling the filter device to be snap fitted so as to engage the guide wire;wherein the guide wire further includes engageable elements attached thereto to enable the engaging element of the filter device to be snap fitted thereto, the engageable elements being made from a radiopaque material for providing a reference for positioning the filter device in the patient's body vessel, the engageable elements including a proximal stop and a distal stop secured to the guide wire and forming a space between the proximal stop and the distal stop, the engaging element of the filter device including at least one tab adapted to be snap fitted in the space between the proximal stop and the distal stop, the portion of the tab being pivotable to allow the portion of the tab to fit within the space formed between the proximal stop and the distal stop.
  • 2. The system of claim 1, wherein the filter device, upon being snap-fitted to the guide wire, is adapted to enable rotational movement of the filter device independent of rotational movement of the guide wire.
  • 3. The system of claim 2, wherein the filter device, upon being snap-fitted to the guide wire, is adapted to inhibit translational movement of the filter device relative to the guide wire.
  • 4. The system of claim 1, wherein the filter device, upon being snap-fitted to the guide wire, is adapted to inhibit translational movement of the filter device relative to the guide wire.
  • 5. The system of claim 1, wherein the filter device includes a cage, adapted to be engaged with the guide wire, and filter material, for filtering embolic material, secured to the cage.
  • 6. The system of claim 1, wherein the guide wire includes a tip coil, at the distal end of the guide wire, the tip coil includes a proximal portion, and the system further comprises an obturator attached to the filter device and including a distal portion, the distal portion of the obturator being adapted to extend over the proximal portion of the tip coil.
  • 7. The system of claim 1, wherein the filter device is formed from a hypotube of expandable material.
  • 8. The system of claim 7, further including a spring connected to an end of the hypotube, to enable a portion of the filter device to be in tension so as to aid in the tracking and deploying of the filter device in tortuous vasculature.
  • 9. The system of claim 8, wherein the hypotube includes at least one tab, formed at the end thereof at which the spring is adapted to be connected and which is adapted to be in tension.
  • 10. The system of claim 1, wherein the portion of the tab is bent inwards towards the guide wire to allow that portion of the tab to fit within the space formed between the proximal stop and the distal stop.
  • 11. A system for enabling the capture of embolic material which may be released into a body vessel during a therapeutic interventional procedure, comprising: a guide wire; anda filter device associated with the guide wire, the filter device adapted to capture embolic material which may be released into the fluid in the body vessel during the interventional procedure and including an engaging element for enabling the filter device to be snap fitted so as to engage the guide wire;wherein the guide wire includes engageable elements attached thereto to enable the engaging element of the filter device to be snap fitted thereto, the engageable elements being made from a radiopaque material for providing a reference for positioning the filter device in the patient's body vessel, the engageable elements including a proximal stop and a distal stop secured to the guide wire and forming a space between the proximal stop and the distal stop, the engaging element of the filter device including a plurality of tabs adapted to be fitted in the space between the proximal stop and the distal stop, a portion of each tab being disposed circumferentially to cooperatively define a tubular portion having an inner diameter, one of the proximal or distal stops having a diameter which is smaller than the diameter of the tubular portion defined by the plurality of tabs, the portion of each tab being pivotable to allow the portion of the tab to fit within the space formed between the proximal stop and the distal stop.
  • 12. The system of claim 11, wherein the portion of the tab is bent inwards towards the guide wire to allow that portion of the tab to fit within the space formed between the proximal stop and the distal stop.
CROSS-REFERENCE TO RELATED APPLICATIONS

This is a continuation of Ser. No. 10/465,332 filed Jun. 19, 2005 2003, now U.S. Pat. No. 7,244,267, which is a continuation of application Ser. No. 09/919,503 filed Jul. 31, 2001, now U.S. Pat. No. 6,599,307, which is a continuation-in-part of application Ser. No. 09/896,142 filed on Jun. 29, 2001 the contents of which are hereby incorporated by reference, now U.S. Pat. No. 6,656,202.

US Referenced Citations (745)
Number Name Date Kind
3952747 Kimmell, Jr. Apr 1976 A
4425908 Simon Jan 1984 A
4494531 Gianturco Jan 1985 A
4612931 Dormia Sep 1986 A
4619246 Molgaard-Nielsen et al. Oct 1986 A
4643184 Mobin-Uddin Feb 1987 A
4650466 Luther Mar 1987 A
4662885 DiPisa, Jr. May 1987 A
4688553 Metals Aug 1987 A
4706671 Weinrib Nov 1987 A
4723549 Wholey et al. Feb 1988 A
4727873 Mobin-Uddin Mar 1988 A
4781177 Lebigot Nov 1988 A
4790812 Hawkins, Jr. et al. Dec 1988 A
4790813 Kensey Dec 1988 A
4794928 Kletschka Jan 1989 A
4832055 Palestrant May 1989 A
4873978 Ginsburg Oct 1989 A
4921478 Solano et al. May 1990 A
4921484 Hillstead May 1990 A
4969891 Gewertz Nov 1990 A
4990156 Lefebvre Feb 1991 A
4997435 Demeter Mar 1991 A
4998539 Delsanti Mar 1991 A
5053008 Bajaj Oct 1991 A
5064428 Cope et al. Nov 1991 A
5071407 Termin et al. Dec 1991 A
5092839 Kipperman Mar 1992 A
5100423 Fearnot Mar 1992 A
5100425 Fischell et al. Mar 1992 A
5102415 Guenther et al. Apr 1992 A
5108419 Reger et al. Apr 1992 A
5152777 Goldberg et al. Oct 1992 A
5158548 Lau et al. Oct 1992 A
5160342 Reger et al. Nov 1992 A
5192286 Phan et al. Mar 1993 A
5324304 Rasmussen Jun 1994 A
5329942 Gunther et al. Jul 1994 A
5330482 Gibbs et al. Jul 1994 A
5350398 Pavcnik et al. Sep 1994 A
5370657 Irie Dec 1994 A
5375612 Cottenceau et al. Dec 1994 A
5383887 Nadal Jan 1995 A
5421832 Lefebvre Jun 1995 A
5490859 Mische et al. Feb 1996 A
5496277 Termin et al. Mar 1996 A
5496330 Bates et al. Mar 1996 A
5501694 Ressemann et al. Mar 1996 A
5549626 Miller et al. Aug 1996 A
5601595 Smith Feb 1997 A
5626605 Irie et al. May 1997 A
5634942 Chevillon et al. Jun 1997 A
5649953 Lefebvre Jul 1997 A
5658296 Bates et al. Aug 1997 A
5662671 Barbut et al. Sep 1997 A
5669933 Simon et al. Sep 1997 A
5681347 Cathcart et al. Oct 1997 A
5695518 Laerum Dec 1997 A
5695519 Summers et al. Dec 1997 A
5720764 Naderlinger Feb 1998 A
5725550 Nadal Mar 1998 A
5746767 Smith May 1998 A
5755790 Chevillon et al. May 1998 A
5769816 Barbut et al. Jun 1998 A
5772674 Nakhjavan Jun 1998 A
5776162 Kleshinski Jul 1998 A
5779716 Cano et al. Jul 1998 A
5792145 Bates et al. Aug 1998 A
5792156 Perouse Aug 1998 A
5792157 Mische et al. Aug 1998 A
5795322 Boudewijn Aug 1998 A
5800457 Gelbfish Sep 1998 A
5800525 Bachinski et al. Sep 1998 A
5810874 Lefebvre Sep 1998 A
5814064 Daniel et al. Sep 1998 A
5827324 Cassell et al. Oct 1998 A
5833650 Imran Nov 1998 A
5836868 Ressemann et al. Nov 1998 A
5846251 Hart Dec 1998 A
5846260 Maas Dec 1998 A
5848964 Samuels Dec 1998 A
5868708 Hart et al. Feb 1999 A
5876367 Kaganov et al. Mar 1999 A
5897567 Ressemann et al. Apr 1999 A
5910154 Tsugita et al. Jun 1999 A
5911734 Tsugita et al. Jun 1999 A
5935139 Bates Aug 1999 A
5941869 Patterson et al. Aug 1999 A
5941896 Kerr Aug 1999 A
5944728 Bates Aug 1999 A
5954745 Gertler et al. Sep 1999 A
5968071 Chevillon et al. Oct 1999 A
5976172 Homsma et al. Nov 1999 A
5980555 Barbut et al. Nov 1999 A
5989281 Barbut et al. Nov 1999 A
6001118 Daniel et al. Dec 1999 A
6007557 Ambrisco et al. Dec 1999 A
6013093 Nott et al. Jan 2000 A
6022336 Zadno-Azizi et al. Feb 2000 A
6027520 Tsugita et al. Feb 2000 A
6042598 Tsugita et al. Mar 2000 A
6051015 Maahs Apr 2000 A
6053932 Daniel et al. Apr 2000 A
6059814 Ladd May 2000 A
6066158 Engelson et al. May 2000 A
6074357 Kaganov et al. Jun 2000 A
6086605 Barbut et al. Jul 2000 A
6090097 Barbut et al. Jul 2000 A
6096053 Bates Aug 2000 A
6099534 Bates et al. Aug 2000 A
6099549 Bosma et al. Aug 2000 A
6117154 Barbut et al. Sep 2000 A
6129739 Khosravi Oct 2000 A
6136015 Kurz et al. Oct 2000 A
6136016 Barbut et al. Oct 2000 A
6142987 Tsugita Nov 2000 A
6152946 Broome et al. Nov 2000 A
6152947 Ambrisco et al. Nov 2000 A
6165198 McGurk et al. Dec 2000 A
6165200 Tsugita et al. Dec 2000 A
6168579 Tsugita et al. Jan 2001 B1
6168604 Cano Jan 2001 B1
6171327 Daniel et al. Jan 2001 B1
6171328 Addis Jan 2001 B1
6174318 Bates et al. Jan 2001 B1
6176849 Yang et al. Jan 2001 B1
6179859 Bates et al. Jan 2001 B1
6179860 Fulton, III et al. Jan 2001 B1
6179861 Khosravi et al. Jan 2001 B1
6187025 Machek Feb 2001 B1
6203561 Ramee et al. Mar 2001 B1
6206868 Parodi Mar 2001 B1
6214026 Lepak et al. Apr 2001 B1
6224620 Maahs May 2001 B1
6235044 Root et al. May 2001 B1
6235045 Barbut et al. May 2001 B1
6238412 Dubrul et al. May 2001 B1
6241746 Bosma et al. Jun 2001 B1
6245012 Kleshinski Jun 2001 B1
6245087 Addis Jun 2001 B1
6245088 Lowery Jun 2001 B1
6245089 Daniel et al. Jun 2001 B1
6251122 Tsukernik Jun 2001 B1
6254633 Pinchuk et al. Jul 2001 B1
6258115 Dubrul Jul 2001 B1
6258120 McKenzie et al. Jul 2001 B1
6264663 Cano Jul 2001 B1
6264672 Fisher Jul 2001 B1
6267776 O'Connell Jul 2001 B1
6267777 Bosma et al. Jul 2001 B1
6270477 Bagaoisan et al. Aug 2001 B1
6270513 Tsugita et al. Aug 2001 B1
6273901 Whitcher et al. Aug 2001 B1
6277138 Levinson et al. Aug 2001 B1
6277139 Levinson et al. Aug 2001 B1
6280451 Bates et al. Aug 2001 B1
6287321 Jang Sep 2001 B1
6290656 Boyle et al. Sep 2001 B1
6290710 Cryer et al. Sep 2001 B1
6295989 Connors, III Oct 2001 B1
6306163 Fitz Oct 2001 B1
6319242 Patterson et al. Nov 2001 B1
6319268 Ambrisco et al. Nov 2001 B1
6325815 Kusleika et al. Dec 2001 B1
6336934 Gilson et al. Jan 2002 B1
6340364 Kanesaka Jan 2002 B2
6340465 Hsu et al. Jan 2002 B1
6346116 Brooks et al. Feb 2002 B1
6348056 Bates et al. Feb 2002 B1
6355051 Sisskind et al. Mar 2002 B1
6361545 Macoviak et al. Mar 2002 B1
6361546 Khosravi Mar 2002 B1
6364895 Greenhalgh Apr 2002 B1
6364896 Addis Apr 2002 B1
6371969 Tsugita et al. Apr 2002 B1
6371970 Khosravi et al. Apr 2002 B1
6371971 Tsugita et al. Apr 2002 B1
6375670 Greenhalgh Apr 2002 B1
6383206 Gillick et al. May 2002 B1
6384062 Ikeda et al. May 2002 B1
6391044 Yadav et al. May 2002 B1
6394978 Boyle et al. May 2002 B1
6395014 Macoviak et al. May 2002 B1
6398756 Peterson et al. Jun 2002 B2
6402771 Palmer et al. Jun 2002 B1
6406471 Jang et al. Jun 2002 B1
6423032 Parodi Jul 2002 B2
6423086 Barbut et al. Jul 2002 B1
6425909 Dieck et al. Jul 2002 B1
6428559 Johnson Aug 2002 B1
6432122 Gilson et al. Aug 2002 B1
6436121 Blom Aug 2002 B1
6443926 Kletschka Sep 2002 B1
6443971 Boylan et al. Sep 2002 B1
6443972 Bosma et al. Sep 2002 B1
6443979 Stalker et al. Sep 2002 B1
6447530 Ostrovsky et al. Sep 2002 B1
6447531 Amplatz Sep 2002 B1
6450989 Dubrul et al. Sep 2002 B2
6458139 Palmer et al. Oct 2002 B1
6461370 Gray et al. Oct 2002 B1
6468291 Bates et al. Oct 2002 B2
6482222 Bruckheimer et al. Nov 2002 B1
6485456 Kletschka Nov 2002 B1
6485497 Wensel et al. Nov 2002 B2
6485500 Kokish et al. Nov 2002 B1
6485501 Green Nov 2002 B1
6485502 Don Michael et al. Nov 2002 B2
6485507 Walak et al. Nov 2002 B1
6494895 Addis Dec 2002 B2
6499487 McKenzie et al. Dec 2002 B1
6500166 Zadno Azizi et al. Dec 2002 B1
6506203 Boyle et al. Jan 2003 B1
6506205 Goldberg et al. Jan 2003 B2
6511492 Rosenbluth Jan 2003 B1
6511496 Huter et al. Jan 2003 B1
6511497 Braun et al. Jan 2003 B1
6511503 Burkett et al. Jan 2003 B1
6514273 Voss et al. Feb 2003 B1
6517550 Konya et al. Feb 2003 B1
6517559 O'Connell Feb 2003 B1
6520978 Blackledge et al. Feb 2003 B1
6527746 Oslund et al. Mar 2003 B1
6527791 Fisher Mar 2003 B2
6530939 Hopkins et al. Mar 2003 B1
6530940 Fisher Mar 2003 B2
6533800 Barbut Mar 2003 B1
6537294 Boyle et al. Mar 2003 B1
6537295 Petersen Mar 2003 B2
6537296 Levinson et al. Mar 2003 B2
6537297 Tsugita et al. Mar 2003 B2
6540722 Boyle et al. Apr 2003 B1
6540767 Walak et al. Apr 2003 B1
6540786 Chibrac et al. Apr 2003 B2
6544276 Azizi Apr 2003 B1
6544279 Hopkins et al. Apr 2003 B1
6544280 Daniel et al. Apr 2003 B1
6547759 Fisher Apr 2003 B1
6551268 Kaganov et al. Apr 2003 B1
6551341 Boylan et al. Apr 2003 B2
6551342 Shen et al. Apr 2003 B1
6558401 Azizi May 2003 B1
6558405 McInnes May 2003 B1
6562058 Seguin May 2003 B2
6565591 Kelly et al. May 2003 B2
6569184 Huter May 2003 B2
6575995 Denison et al. Jun 2003 B1
6575996 Denison et al. Jun 2003 B1
6575997 Palmer et al. Jun 2003 B1
6582447 Patel et al. Jun 2003 B1
6582448 Boyle et al. Jun 2003 B1
6585756 Strecker Jul 2003 B1
6589263 Hopkins et al. Jul 2003 B1
6589265 Palmer et al. Jul 2003 B1
6592546 Barbut et al. Jul 2003 B1
6592606 Huter et al. Jul 2003 B2
6592607 Palmer et al. Jul 2003 B1
6592616 Stack et al. Jul 2003 B1
6596011 Johnson et al. Jul 2003 B2
6599307 Huter et al. Jul 2003 B1
6599308 Amplatz Jul 2003 B2
6602269 Wallace et al. Aug 2003 B2
6602271 Adams et al. Aug 2003 B2
6602272 Boylan et al. Aug 2003 B2
6602273 Marshall Aug 2003 B2
6605102 Mazzocchi et al. Aug 2003 B1
6605111 Bose et al. Aug 2003 B2
6607506 Kletschka Aug 2003 B2
6610077 Hancock et al. Aug 2003 B1
6616679 Khosravi et al. Sep 2003 B1
6616680 Thielen Sep 2003 B1
6616681 Hanson et al. Sep 2003 B2
6616682 Joergensen et al. Sep 2003 B2
6620148 Tsugita Sep 2003 B1
6620182 Khosravi Sep 2003 B1
6623450 Dutta Sep 2003 B1
6629953 Boyd Oct 2003 B1
6632236 Hogendijk Oct 2003 B2
6632241 Hancock et al. Oct 2003 B1
6635068 Dubrul et al. Oct 2003 B1
6635070 Evans et al. Oct 2003 B2
6638293 Makower et al. Oct 2003 B1
6638294 Palmer Oct 2003 B1
6645220 Huter et al. Nov 2003 B1
6645221 Richter Nov 2003 B1
6645223 Boyle et al. Nov 2003 B2
6645224 Gilson et al. Nov 2003 B2
6652480 Imran et al. Nov 2003 B1
6652505 Tsugita Nov 2003 B1
6652554 Wholey et al. Nov 2003 B1
6652557 MacDonald Nov 2003 B1
6656202 Papp et al. Dec 2003 B2
6656203 Roth et al. Dec 2003 B2
6656204 Ambrisco et al. Dec 2003 B2
6656351 Boyle Dec 2003 B2
6660021 Palmer et al. Dec 2003 B1
6663650 Sepetka et al. Dec 2003 B2
6663651 Krolik et al. Dec 2003 B2
6663652 Daniel et al. Dec 2003 B2
6673090 Root et al. Jan 2004 B2
6676666 Vrba et al. Jan 2004 B2
6676682 Tsugita et al. Jan 2004 B1
6676683 Addis Jan 2004 B1
6679902 Boyle et al. Jan 2004 B1
6679903 Kurz Jan 2004 B2
6682546 Amplatz Jan 2004 B2
6685722 Rosenbluth et al. Feb 2004 B1
6689151 Becker et al. Feb 2004 B2
6692513 Streeter et al. Feb 2004 B2
6695813 Boyle et al. Feb 2004 B1
6695858 Dubrul et al. Feb 2004 B1
6695864 Macoviak et al. Feb 2004 B2
6696666 Weber et al. Feb 2004 B2
6699260 Dubrul et al. Mar 2004 B2
6702834 Boylan et al. Mar 2004 B1
6706055 Douk et al. Mar 2004 B2
6712834 Yassour et al. Mar 2004 B2
6712835 Mazzocchi et al. Mar 2004 B2
6716231 Rafiee et al. Apr 2004 B1
6723085 Jang et al. Apr 2004 B2
6726701 Gilson Apr 2004 B2
6726702 Khosravi Apr 2004 B2
6726703 Broome et al. Apr 2004 B2
6740061 Oslund et al. May 2004 B1
6743247 Levinson et al. Jun 2004 B1
6746469 Mouw Jun 2004 B2
6752819 Brady et al. Jun 2004 B1
6755846 Yadav Jun 2004 B1
6758855 Fulton, III et al. Jul 2004 B2
6761727 Ladd Jul 2004 B1
6773448 Kusleika et al. Aug 2004 B2
6790219 Murphy Sep 2004 B1
6793666 Hansen et al. Sep 2004 B2
6793668 Fisher Sep 2004 B1
6800080 Bates Oct 2004 B1
6814739 Secrest et al. Nov 2004 B2
6818006 Douk et al. Nov 2004 B2
6837898 Boyle et al. Jan 2005 B2
6840950 Stanford et al. Jan 2005 B2
6843798 Kusleika Jan 2005 B2
6846316 Abrams Jan 2005 B2
6846317 Nigon Jan 2005 B1
6863696 Kantsevitcha et al. Mar 2005 B2
6866677 Douk et al. Mar 2005 B2
6872216 Daniel et al. Mar 2005 B2
6878151 Carrison et al. Apr 2005 B2
6878153 Linder et al. Apr 2005 B2
6887256 Gilson et al. May 2005 B2
6887257 Salahieh et al. May 2005 B2
6887258 Denison May 2005 B2
6888098 Merdan et al. May 2005 B1
6890340 Duane May 2005 B2
6890341 Dieck et al. May 2005 B2
6893450 Foster May 2005 B2
6893451 Cano et al. May 2005 B2
6896690 Lambrecht et al. May 2005 B1
6896691 Boylan et al. May 2005 B2
6902540 Dorros et al. Jun 2005 B2
6908474 Hogendijk et al. Jun 2005 B2
6911036 Douk et al. Jun 2005 B2
6913612 Palmer et al. Jul 2005 B2
6918921 Brady et al. Jul 2005 B2
6929652 Andrews Aug 2005 B1
6932830 Ungs Aug 2005 B2
6932831 Forber Aug 2005 B2
6936058 Forde et al. Aug 2005 B2
6936059 Belef Aug 2005 B2
6939361 Kleshinski Sep 2005 B1
6939362 Boyle et al. Sep 2005 B2
6942673 Bates et al. Sep 2005 B2
6949103 Mazzocchi et al. Sep 2005 B2
6951570 Linder et al. Oct 2005 B2
6953471 Lilly et al. Oct 2005 B1
6953472 Palmer et al. Oct 2005 B2
6958074 Russell Oct 2005 B2
6960370 Monni et al. Nov 2005 B2
6962598 Linder et al. Nov 2005 B2
6964670 Shah Nov 2005 B1
6964672 Brady Nov 2005 B2
6964673 Tsugita et al. Nov 2005 B2
6969395 Eskuri Nov 2005 B2
6969396 Krolik et al. Nov 2005 B2
6969402 Bales et al. Nov 2005 B2
6970730 Fuimaono et al. Nov 2005 B2
6972025 WasDyke Dec 2005 B2
6973340 Fuimaono et al. Dec 2005 B2
6974468 DoBrava et al. Dec 2005 B2
6974469 Broome et al. Dec 2005 B2
6979343 Russo Dec 2005 B2
6979344 Jones et al. Dec 2005 B2
6986778 Zadno-Azizi Jan 2006 B2
6989019 Mazzocchi et al. Jan 2006 B2
6989021 Bosma et al. Jan 2006 B2
6989027 Allen et al. Jan 2006 B2
6991641 Diaz et al. Jan 2006 B2
6991642 Petersen Jan 2006 B2
RE38972 Purdy Feb 2006 E
6994718 Groothuis et al. Feb 2006 B2
6997938 Wang et al. Feb 2006 B2
6997939 Linder et al. Feb 2006 B2
7001406 Eskuri et al. Feb 2006 B2
7001407 Hansen et al. Feb 2006 B2
7004954 Voss et al. Feb 2006 B1
7004955 Shen et al. Feb 2006 B2
7004956 Palmer et al. Feb 2006 B2
7004964 Thompson et al. Feb 2006 B2
7011671 Welch Mar 2006 B2
7011672 Barbut et al. Mar 2006 B2
7014647 Brady et al. Mar 2006 B2
7018372 Casey Mar 2006 B2
7018385 Bates et al. Mar 2006 B2
7018393 Boyle et al. Mar 2006 B1
7029440 Broome et al. Apr 2006 B2
7033375 Mazzocchi et al. Apr 2006 B2
7037320 Brady et al. May 2006 B2
7041116 Goto et al. May 2006 B2
7044958 Douk et al. May 2006 B2
7048752 Mazzocchi et al. May 2006 B2
7048758 Boyle et al. May 2006 B2
7056328 Arnott Jun 2006 B2
7060082 Goll et al. Jun 2006 B2
7077854 Khosravi Jul 2006 B2
7094243 Mulholland Aug 2006 B2
7094249 Broome et al. Aug 2006 B1
7097440 Papp et al. Aug 2006 B2
7097651 Harrison et al. Aug 2006 B2
7101379 Gregory, Jr et al. Sep 2006 B2
7101380 Khachin et al. Sep 2006 B2
7108707 Huter et al. Sep 2006 B2
7244267 Huter et al. Jul 2007 B2
20020091408 Sutton et al. Jul 2002 A1
20020091409 Sutton et al. Jul 2002 A1
20020095141 Belef et al. Jul 2002 A1
20020099407 Becker et al. Jul 2002 A1
20020103501 Diaz et al. Aug 2002 A1
20020107541 Vale et al. Aug 2002 A1
20020111648 Kusleika et al. Aug 2002 A1
20020111659 Davis et al. Aug 2002 A1
20020115942 Stanford et al. Aug 2002 A1
20020120286 DoBrava et al. Aug 2002 A1
20020120287 Huter Aug 2002 A1
20020121472 Garner et al. Sep 2002 A1
20020123720 Kusleika et al. Sep 2002 A1
20020123755 Lowe et al. Sep 2002 A1
20020128679 Turovskiy et al. Sep 2002 A1
20020128680 Pavlovic Sep 2002 A1
20020128681 Broome et al. Sep 2002 A1
20020133092 Oslund et al. Sep 2002 A1
20020138094 Borillo et al. Sep 2002 A1
20020138095 Mazzocchi et al. Sep 2002 A1
20020143360 Douk et al. Oct 2002 A1
20020143361 Douk et al. Oct 2002 A1
20020151927 Douk et al. Oct 2002 A1
20020156456 Fisher Oct 2002 A1
20020156457 Fisher Oct 2002 A1
20020161390 Mouw Oct 2002 A1
20020161392 Dubrul Oct 2002 A1
20020161393 Demond et al. Oct 2002 A1
20020161395 Douk et al. Oct 2002 A1
20020165576 Boyle et al. Nov 2002 A1
20020169414 Kletschka Nov 2002 A1
20020169458 Connors, III Nov 2002 A1
20020169472 Douk et al. Nov 2002 A1
20020169474 Kusleika et al. Nov 2002 A1
20020173815 Hogendijk et al. Nov 2002 A1
20020173817 Kletschka et al. Nov 2002 A1
20020188313 Johnson et al. Dec 2002 A1
20020188314 Anderson et al. Dec 2002 A1
20020193825 McGuckin et al. Dec 2002 A1
20020193826 McGuckin et al. Dec 2002 A1
20020193827 McGuckin et al. Dec 2002 A1
20020193828 Griffin et al. Dec 2002 A1
20030004536 Boylan et al. Jan 2003 A1
20030004537 Boyle et al. Jan 2003 A1
20030004539 Linder et al. Jan 2003 A1
20030004540 Linder et al. Jan 2003 A1
20030004541 Linder et al. Jan 2003 A1
20030009188 Linder et al. Jan 2003 A1
20030009189 Gilson et al. Jan 2003 A1
20030015206 Roth et al. Jan 2003 A1
20030018354 Roth et al. Jan 2003 A1
20030023265 Forber Jan 2003 A1
20030028238 Burkett et al. Feb 2003 A1
20030032941 Boyle et al. Feb 2003 A1
20030032977 Brady Feb 2003 A1
20030040772 Hyodoh et al. Feb 2003 A1
20030042186 Boyle Mar 2003 A1
20030045898 Harrison et al. Mar 2003 A1
20030057156 Peterson et al. Mar 2003 A1
20030060782 Bose et al. Mar 2003 A1
20030060843 Boucher Mar 2003 A1
20030060844 Borillo et al. Mar 2003 A1
20030065354 Boyle et al. Apr 2003 A1
20030069596 Eskuri Apr 2003 A1
20030069597 Petersen Apr 2003 A1
20030078519 Salahieh et al. Apr 2003 A1
20030078614 Satahieh et al. Apr 2003 A1
20030083692 Vrba et al. May 2003 A1
20030083693 Daniel et al. May 2003 A1
20030100917 Boyle et al. May 2003 A1
20030100918 Duane May 2003 A1
20030105484 Boyle et al. Jun 2003 A1
20030109824 Anderson et al. Jun 2003 A1
20030114879 Euteneuer et al. Jun 2003 A1
20030114880 Hansen et al. Jun 2003 A1
20030120303 Boyle et al. Jun 2003 A1
20030130680 Russell Jul 2003 A1
20030130681 Ungs Jul 2003 A1
20030130682 Broome et al. Jul 2003 A1
20030130684 Brady et al. Jul 2003 A1
20030130685 Daniel et al. Jul 2003 A1
20030130686 Daniel et al. Jul 2003 A1
20030130687 Daniel et al. Jul 2003 A1
20030130688 Daniel et al. Jul 2003 A1
20030135162 Deyette, Jr. et al. Jul 2003 A1
20030135232 Douk et al. Jul 2003 A1
20030139764 Levinson et al. Jul 2003 A1
20030144685 Boyle et al. Jul 2003 A1
20030150821 Bates et al. Aug 2003 A1
20030153935 Mialhe Aug 2003 A1
20030153942 Wang et al. Aug 2003 A1
20030153943 Michael et al. Aug 2003 A1
20030158574 Esch et al. Aug 2003 A1
20030163064 Vrba et al. Aug 2003 A1
20030171770 Anderson et al. Sep 2003 A1
20030171771 Shimon Sep 2003 A1
20030171803 Berrada et al. Sep 2003 A1
20030176884 Broome et al. Sep 2003 A1
20030176885 Wholey et al. Sep 2003 A1
20030176886 Sutton et al. Sep 2003 A1
20030176889 Boyle et al. Sep 2003 A1
20030181942 Daniel et al. Sep 2003 A1
20030181943 Keegan et al. Sep 2003 A1
20030187474 Keegan et al. Oct 2003 A1
20030187475 Tsugita et al. Oct 2003 A1
20030187495 Cully et al. Oct 2003 A1
20030191493 Epstein et al. Oct 2003 A1
20030195554 Shen et al. Oct 2003 A1
20030195555 Khairkhahan et al. Oct 2003 A1
20030195556 Stack et al. Oct 2003 A1
20030199819 Beck Oct 2003 A1
20030199921 Palmer et al. Oct 2003 A1
20030204168 Bosma et al. Oct 2003 A1
20030204202 Palmer et al. Oct 2003 A1
20030208222 Zadno-Azizi Nov 2003 A1
20030208224 Broome Nov 2003 A1
20030208225 Goll et al. Nov 2003 A1
20030208226 Bruckheimer et al. Nov 2003 A1
20030208227 Thomas Nov 2003 A1
20030208228 Gilson et al. Nov 2003 A1
20030208229 Kletschka Nov 2003 A1
20030212361 Boyle et al. Nov 2003 A1
20030212429 Keegan et al. Nov 2003 A1
20030212431 Brady et al. Nov 2003 A1
20030212434 Thielen Nov 2003 A1
20030216774 Larson Nov 2003 A1
20030220665 Eskuri et al. Nov 2003 A1
20030225418 Esksuri et al. Dec 2003 A1
20030225435 Huter et al. Dec 2003 A1
20030229295 Houde et al. Dec 2003 A1
20030229374 Brady et al. Dec 2003 A1
20030233117 Adams et al. Dec 2003 A1
20030236545 Gilson Dec 2003 A1
20040002730 Denison et al. Jan 2004 A1
20040006361 Boyle et al. Jan 2004 A1
20040006364 Ladd Jan 2004 A1
20040006365 Brady et al. Jan 2004 A1
20040006366 Huter et al. Jan 2004 A1
20040006367 Johnson et al. Jan 2004 A1
20040006368 Mazzocchi et al. Jan 2004 A1
20040015184 Boyle et al. Jan 2004 A1
20040019363 Hanson et al. Jan 2004 A1
20040034385 Gilson et al. Feb 2004 A1
20040039411 Gilson et al. Feb 2004 A1
20040044359 Renati et al. Mar 2004 A1
20040044360 Lowe Mar 2004 A1
20040049226 Keegan et al. Mar 2004 A1
20040059372 Tsugita Mar 2004 A1
20040059373 Shapiro et al. Mar 2004 A1
20040082967 Broome et al. Apr 2004 A1
20040082968 Krolik et al. Apr 2004 A1
20040088000 Muller May 2004 A1
20040088002 Boyle et al. May 2004 A1
20040093009 Denison et al. May 2004 A1
20040093010 Gesswein et al. May 2004 A1
20040093011 Vrba May 2004 A1
20040093012 Cully et al. May 2004 A1
20040093013 Brady et al. May 2004 A1
20040098022 Barone May 2004 A1
20040098026 Joergensen et al. May 2004 A1
20040098032 Papp et al. May 2004 A1
20040098033 Leeflang et al. May 2004 A1
20040102807 Kusleika et al. May 2004 A1
20040106944 Daniel et al. Jun 2004 A1
20040111111 Lin Jun 2004 A1
20040116960 Demond et al. Jun 2004 A1
20040122466 Bales Jun 2004 A1
20040127933 Demond et al. Jul 2004 A1
20040127934 Gilson et al. Jul 2004 A1
20040127936 Salahieh et al. Jul 2004 A1
20040138693 Eskuri et al. Jul 2004 A1
20040138694 Tran et al. Jul 2004 A1
20040138696 Drasler et al. Jul 2004 A1
20040144689 Berlowitz et al. Jul 2004 A1
20040147955 Beulke et al. Jul 2004 A1
20040153118 Clubb et al. Aug 2004 A1
20040153119 Kusleika et al. Aug 2004 A1
20040158275 Crank et al. Aug 2004 A1
20040158277 Lowe et al. Aug 2004 A1
20040158278 Becker et al. Aug 2004 A1
20040158279 Petersen Aug 2004 A1
20040158280 Morris et al. Aug 2004 A1
20040158281 Boylan et al. Aug 2004 A1
20040167564 Fedie Aug 2004 A1
20040167565 Beulke et al. Aug 2004 A1
20040167566 Beulke et al. Aug 2004 A1
20040167567 Cano et al. Aug 2004 A1
20040167568 Boyle et al. Aug 2004 A1
20040172055 Huter et al. Sep 2004 A1
20040176794 Khosravi Sep 2004 A1
20040193208 Talpade et al. Sep 2004 A1
20040199198 Beulke et al. Oct 2004 A1
20040199199 Krolik et al. Oct 2004 A1
20040199203 Oslund et al. Oct 2004 A1
20040204737 Boismier et al. Oct 2004 A1
20040210250 Eskuri Oct 2004 A1
20040220608 D'Aquanni et al. Nov 2004 A1
20040220609 Douk et al. Nov 2004 A1
20040220611 Ogle Nov 2004 A1
20040225322 Garrison et al. Nov 2004 A1
20040236368 McGuckin, Jr. et al. Nov 2004 A1
20040236369 Dubrul Nov 2004 A1
20040249409 Krolik et al. Dec 2004 A1
20040254601 Eskuri Dec 2004 A1
20040254602 Lehe et al. Dec 2004 A1
20040260308 Gilson et al. Dec 2004 A1
20040260333 Dubrul et al. Dec 2004 A1
20040267301 Boylan et al. Dec 2004 A1
20040267302 Gilson et al. Dec 2004 A1
20050004594 Nool et al. Jan 2005 A1
20050004595 Boyle et al. Jan 2005 A1
20050004597 McGuckin et al. Jan 2005 A1
20050010245 Wasicek Jan 2005 A1
20050010246 Streeter et al. Jan 2005 A1
20050010247 Kusleika et al. Jan 2005 A1
20050021075 Bonnette et al. Jan 2005 A1
20050021076 Mazzocchi et al. Jan 2005 A1
20050055048 Dieck et al. Mar 2005 A1
20050070953 Riley Mar 2005 A1
20050075663 Boyle et al. Apr 2005 A1
20050080446 Gilson et al. Apr 2005 A1
20050085842 Eversull et al. Apr 2005 A1
20050090845 Boyd Apr 2005 A1
20050090857 Kusleika et al. Apr 2005 A1
20050090858 Pavlovic Apr 2005 A1
20050096691 Groothuis et al. May 2005 A1
20050096692 Linder et al. May 2005 A1
20050101986 Daniel et al. May 2005 A1
20050101987 Salahieh May 2005 A1
20050101988 Stanford et al. May 2005 A1
20050101989 Cully et al. May 2005 A1
20050113865 Daniel et al. May 2005 A1
20050119688 Bergheim Jun 2005 A1
20050119689 Mazzocchi et al. Jun 2005 A1
20050119690 Mazzocchi et al. Jun 2005 A1
20050119691 Daniel et al. Jun 2005 A1
20050124931 Fulton et al. Jun 2005 A1
20050125023 Bates et al. Jun 2005 A1
20050131450 Nicholson et al. Jun 2005 A1
20050131453 Parodi Jun 2005 A1
20050149110 Wholey et al. Jul 2005 A1
20050149112 Barbut Jul 2005 A1
20050149113 Douk et al. Jul 2005 A1
20050159772 Lowe et al. Jul 2005 A1
20050159773 Broome et al. Jul 2005 A1
20050159774 Belef Jul 2005 A1
20050171573 Salahieh et al. Aug 2005 A1
20050177187 Gray et al. Aug 2005 A1
20050182440 Bates et al. Aug 2005 A1
20050182441 Denison et al. Aug 2005 A1
20050192623 Mazzocchi et al. Sep 2005 A1
20050192624 Mazzocchi et al. Sep 2005 A1
20050203567 Linder et al. Sep 2005 A1
20050203568 Burg et al. Sep 2005 A1
20050203569 Kusleika et al. Sep 2005 A1
20050203570 Mazzocchi et al. Sep 2005 A1
20050203571 Mazzocchi et al. Sep 2005 A1
20050209634 Brady et al. Sep 2005 A1
20050209635 Gilson et al. Sep 2005 A1
20050216051 Mazzocchi et al. Sep 2005 A1
20050216052 Mazzocchi et al. Sep 2005 A1
20050216053 Douk et al. Sep 2005 A1
20050222583 Cano et al. Oct 2005 A1
20050222604 Schaeffer Oct 2005 A1
20050222607 Palmer et al. Oct 2005 A1
20050228437 Gilson et al. Oct 2005 A1
20050228438 Sachar et al. Oct 2005 A1
20050228439 Andrews et al. Oct 2005 A1
20050234502 Gilson et al. Oct 2005 A1
20050240215 Ellis Oct 2005 A1
20050245866 Azizi Nov 2005 A1
20050267517 Ungs Dec 2005 A1
20050283184 Gilson et al. Dec 2005 A1
20050283185 Linder et al. Dec 2005 A1
20050283186 Berrada et al. Dec 2005 A1
20050288705 Gilson et al. Dec 2005 A1
20060004403 Gilson et al. Jan 2006 A1
20060004405 Salahieh et al. Jan 2006 A1
20060015138 Gertner et al. Jan 2006 A1
20060015139 Tsugita et al. Jan 2006 A1
20060015141 Linder et al. Jan 2006 A1
20060020285 Niermann Jan 2006 A1
20060020286 Niermann Jan 2006 A1
20060025803 Mitelberg et al. Feb 2006 A1
20060025804 Krolik et al. Feb 2006 A1
20060025805 DoBrava et al. Feb 2006 A1
20060030876 Peacock et al. Feb 2006 A1
20060030877 Martinez et al. Feb 2006 A1
20060030878 Anderson et al. Feb 2006 A1
20060052817 Russo et al. Mar 2006 A1
20060074446 Gilson et al. Apr 2006 A1
20060095069 Shah et al. May 2006 A1
20060100659 Dinh et al. May 2006 A1
20060100662 Daniel et al. May 2006 A1
20060100663 Palmer et al. May 2006 A1
20060116715 Khosravi et al. Jun 2006 A1
20060122643 Wasicek Jun 2006 A1
20060122644 Brady et al. Jun 2006 A1
20060122645 Brady et al. Jun 2006 A1
20060129181 Callol et al. Jun 2006 A1
20060129182 Gilson et al. Jun 2006 A1
20060129183 Boyle et al. Jun 2006 A1
20060149312 Arguello et al. Jul 2006 A1
20060149313 Arguello et al. Jul 2006 A1
20060149314 Borillo et al. Jul 2006 A1
20060155322 Sater et al. Jul 2006 A1
20060161198 Sakai et al. Jul 2006 A1
20060167491 Wholey et al. Jul 2006 A1
20060184194 Pal et al. Aug 2006 A1
20060190025 Lehe et al. Aug 2006 A1
20060195137 Sepetka et al. Aug 2006 A1
20060195138 Goll et al. Aug 2006 A1
20060200047 Galdonik et al. Sep 2006 A1
20060200191 Zadno-Azizi Sep 2006 A1
20060206139 Tekulve Sep 2006 A1
Foreign Referenced Citations (20)
Number Date Country
0427429 Sep 1991 EP
0472334 Feb 1992 EP
0533511 Mar 1993 EP
1 127 556 Aug 2001 EP
1 127 556 Aug 2001 EP
2580504 Oct 1986 FR
2020557 Nov 1979 GB
WO9203097 Mar 1992 WO
WO9601591 Jan 1996 WO
WO9717100 May 1997 WO
WO9802084 Jan 1998 WO
WO9833443 Aug 1998 WO
WO9916382 Apr 1999 WO
WO9922673 May 1999 WO
WO9923976 May 1999 WO
WO9944510 Sep 1999 WO
WO0067667 Nov 2000 WO
WO0110346 Feb 2001 WO
WO0145592 Jun 2001 WO
WO0187183 Nov 2001 WO
Related Publications (1)
Number Date Country
20070276429 A1 Nov 2007 US
Continuations (2)
Number Date Country
Parent 10465332 Jun 2003 US
Child 11768685 US
Parent 09919503 Jul 2001 US
Child 10465332 US
Continuation in Parts (1)
Number Date Country
Parent 09896142 Jun 2001 US
Child 09919503 US