Transcarotid Neurovascular Catheter

Patent metadata

Field	Value
Publication number	US-2016166804-A1
Application number	US-201615050039-A
Country	US
Kind code	A1
Filing date	Feb 22, 2016
Priority date	Dec 23, 2013
Publication date	Jun 16, 2016
Grant date	—

Abstract

An interventional catheter for treating an artery includes an elongated body sized and shaped to be transcervically introduced into a common carotid artery at an access location in the neck. The elongated body has an overall length such that the distal most section can be positioned in an intracranial artery and at least a portion of the proximal most section is positioned in the common carotid artery during use.

First claim

1 . A method of treating an artery, comprising:
introducing an interventional catheter formed of elongated body into a common carotid artery via an access location in a neck, the elongated body sized and shaped to be introduced into the common carotid artery at the access location in the neck, wherein the elongated body includes an internal lumen forming a proximal opening in a proximal region of the elongated body and a distal opening in a distal region of the elongated body, and wherein the elongated body has a proximal most section and a distal most section wherein the proximal most section is a stiffest portion of the elongated body and wherein the elongated body has an overall length and a distal most section length such that the distal most section can be positioned in an intracranial artery and while simultaneously at least a portion of the proximal most section is positioned in the common carotid artery during use;: (a) wherein the distal most section of the catheter has an inner diameter of 0.035 to 0.062 inch; (b) wherein the catheter can navigate around a 180° bend with a radius of 0.100″ without kinking; (c) wherein the catheter does not collapse when connected to a vacuum up to 25 inHg while navigating around a 180° bend with a radius of 0.100″; navigating the elongated body distally to an intracranial artery through the common carotid artery.

2 . A method as in claim 1 , wherein the elongated body includes a first transition section between the proximal section and the distal most section, and wherein the transition section has a stiffness between a stiffness of the proximal most section and the distal most section.

3 . A method as in claim 1 , wherein the elongated body has a working length and wherein the distal most section is between 3% and 15% of the length of the working length of the elongated body.

4 . A method as in claim 1 , wherein the elongated body has a working length and wherein the distal most section is between 4% and 25% of the length of the working length of the elongated body.

5 . A method as in claim 2 , wherein the first transition section is between 7 and 35% of the length of the working length of the catheter.

6 . A method as in claim 2 , wherein the first transition section is between 6 and 20% of the length of the working length of the catheter.

7 . A method as in claim 3 , wherein the elongated body has an inner diameter of 0.068″ to 0.095″ and a working length of 40-60 cm.

8 . A method as in claim 3 , wherein the elongated body has an inner diameter of 0.035″ to 0.062″ and a working length of 50-70 cm.

9 . A method as in claim 1 , wherein the elongated body varies in stiffness moving along at least a portion of the length of catheter.

10 . A method as in claim 9 , wherein the variation in stiffness is represented by smooth change in flexibility without any sudden changes in flexibility.

11 . A method as in claim 9 , wherein the flexibility of the elongated body transitions gradually moving along its length without any discrete variations in flexibility from one section of the elongated body to an adjacent section of the elongated body.

12 . A method as in claim 1 , wherein the proximal most section has a stiffness in the range of 100 to 500 N-mm2.

13 . A method as in claim 1 , wherein the distal most section has a stiffness in the range of 3 to 10 N-mm2.

14 . A method as in claim 1 , wherein the distal most section is between 5 and 15 cm in length.

15 . A method as in claim 1 , wherein the distal most section is between 3 and 10 cm in length.

16 . A method as in claim 2 , wherein the first transition section is between 5 and 10 cm in length.

17 . A method as in claim 2 , wherein the first transition section is between 4 and 8 cm in length.

18 . A method as in claim 1 , wherein the elongated body has a working length of 40 cm and the proximal most section has a length of 10 to 30 cm.

19 . A method as in claim 1 , further comprising inserting an inner member inside the internal lumen of the elongated body, the inner member having a tapered leading edge.

Assignees

• Silk Road Medical Inc

Inventors

• Garrison Michi E
• Wilson Scott D

Classifications

• A61B2017/22038

  with a guide wire · CPC title

• A61B2017/22072

  with an instrument channel, e.g. for replacing one instrument by the other · CPC title

• A61B2017/22054

  with two balloons · CPC title

• A61B2017/22074

  the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel · CPC title

• A61B17/3417

  Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating (syringe needles A61M5/32; dilators A61M29/00) · CPC title