US20040102789A1 - Selectively locking device - Google Patents

Abstract

A locking element comprising a frame defining a central lumen through which a portion of the elongate member fits; one or more levers extending in the second direction from the frame able to be moved between a locking position and a releasing position; and one or more tabs extending in the first direction from the frame able to be moved by the one or more levers between a locked position and a released position; wherein when the locking element is disposed on an enabling elongate member in a second direction from a second cross section, the one or more tabs prevent the locking element from moving in a first direction beyond a first cross section when disposed in the locked position and do not prevent the locking element from moving in the first direction when disposed in the released position.

Description

FIELD OF THE INVENTION
• The present invention generally pertains to apparatus and methods for deploying and retrieving a medical device from an elongate member. More particularly, the present invention generally pertains to apparatus and methods useful for locking a medical device on an elongate member and subsequently releasing the medical device.[0001]
SUMMARY OF THE INVENTION
• Embodiments of the invention pertain to a selectively locking element that may be attached to a medical device such as a filter or therapeutic deliver device and may be disposed on an elongate member such as a guidewire. The selectively locking element enables the medical device to be disposed on the elongate member such that it will stay on the elongate member past a transition region. The elongate member should be configured to enable the selectively locking element to lock. This may be done by providing a first region of the elongate member that has a distance to the central longitudinal axis that is less than the distance to the central longitudinal axis of a proximal region in a direction along the central longitudinal axis. A guidewire having a raised region on it would be an example of an elongate member that enables the selectively locking element. The selectively locking element may comprise one or more tabs and corresponding levers, where the tabs have a locked position and a released position and the levers have a corresponding locking position and releasing position. The tabs may be biased to the locked position. When the selectively locking element is moved in a first longitudinal direction over the first region, the tabs may move into the locked position, preventing moving of the selectively locking element back in the second longitudinal direction. A catheter or other object may be used to move the levers to the releasing position, thereby moving the tabs to the released position and allowing movement of the selectively locking element in the second direction. Various centering elements may be used. For example, centering arms may be attached to the levers, such that when the levers are moved to the releasing position, the centering arms position the selectively locking element centrally about the elongate member. A centering frame may extend from the selectively locking element in the second direction over a region of the guidewire in a second direction from the first region and thereby keep the locking element centered with respect to the elongate member. The elongate member may also include an anti-rotation features, which may be used to orient the selectively locking element remotely. These anti-rotation features may include one or more flat regions on the elongate member, or one or more longitudinal grooves or ridges. Radial or longitudinal radiopaque markings may be used. These embodiments, variations thereon, and other embodiments, together with advantages thereof, will be discussed at length below.[0002]
BRIEF DESCRIPTION OF THE DRAWINGS
• FIG. 1 is an orthographic view of an embodiment in accordance with the invention;[0003]
• FIG. 2 is an orthographic view of the embodiment of FIG. 1 on an elongate member in accordance with the invention;[0004]
• FIG. 3 is an orthographic view of the embodiment of FIG. 1 on a different portion of the elongate member of FIG. 2 in accordance with the invention;[0005]
• FIG. 4 is an orthographic view of the embodiment of FIG. 1 on the portion of the elongate member of FIG. 3 partially disposed in a catheter in accordance with the invention;[0006]
• FIG. 5 is an orthographic view of the embodiment of FIG. 1 attached to a filter in accordance with the invention;[0007]
• FIG. 6 is an orthographic view of an embodiment disposed on an elongate member in accordance with the invention;[0008]
• FIG. 7 is an orthographic view of an embodiment of the invention disposed on an elongate member in accordance with the invention;[0009]
• FIG. 8 is an orthographic view of an embodiment of the invention disposed on an elongate member in accordance with the invention; and[0010]
• FIG. 9 is an orthographic view of an embodiment of the invention disposed on an elongate member in accordance with the invention.[0011]
DETAILED DESCRIPTION OF THE INVENTION
• The following detailed description should be read with reference to the drawings in which like elements in different drawings are number in like fashion. The drawings, which are not necessarily to scale, depict selected embodiments and are not intended to limit the scope of the invention. Those skilled in the art will recognize that many of the examples provided have suitable alternatives that may be utilized.[0012]
• FIG. 1 is an orthographic view of a[0013]locking element100 attached to amedical device108 in accordance with the present invention. As will be readily appreciated from further description,medical device108 may be any suitable medical device such as a filter or therapeutic delivery device.Locking element100 includestabs102, which move between a locked position and a released position. In this figure,tabs102 are shown in a locked position and in this embodiment,tabs102 are biased to be in a locked position.Locking element100 also includeslevers104, which move between a locking position and a released position. In this figure,levers104 are shown in a locking position and in this embodiment,levers104 are biased to be in a locking position.Tabs102 andlevers104 are disposed onframe106, through which alumen110 is disposed. The free ends oftabs102 are in a first direction from the fixed ends oftabs102. Likewise, the fixed ends oftabs102 are in a second direction from the free ends oftabs102. These reference directions will remain constant throughout the several embodiments described. Centeringarms112 may be attached to the second direction ends oflevers104. Whilemedical device108 is attached to lockingelement100 throughstruts114 extending in a second direction fromframe106, it may be readily appreciated thatmedical device108 may be attached through other means such as to levers104 or centeringarms112.
• The number and configuration of[0014]tabs102 andlevers104 is, of course, not limited to that depicted in FIG. 1. While threetabs102 and threelevers104 are depicted, embodiments employing as few as onetab102 or onelever104 have been contemplated. Likewise, embodiments employingmore tabs102 orlevers104 have been contemplated and the number of tabs or levers used is limited only by the engineering considerations of the particular embodiment. Similarly, althoughtabs102 andlevers104 are shown in FIG. 1 to be in longitudinal alignment, embodiments have been contemplated wheretabs102 andlevers104 are not in alignment. Alignment oftabs102 andlevers104 is not essential to the invention. As an example, the tabs and levers will, of course, not be in longitudinal alignment when the number of tabs and levers differs. The tabs and levers will be connected to each other such that moving one or more levers from the locking to the releasing position moves one or more tabs from the locked to the released position. In the embodiment shown,tabs102, levers104 andframe106 form a monolith unit. Whenlevers104 are moved from the locking position to the releasing position, a force is transmitted through the frame totabs102 to move the tabs to the released position. Other means of connecting the levers and the tabs are contemplated, however. One such means is connecting the levers to the rods using gears or hinges. Another means is making a lever and a tab monolithic and pivotably attaching it to the frame using a spring to provide bias towards the locking position.
• [0015]Locking element100 may include elements such as radiopaque bands or longitudinal strips to ease radial and longitudinal position of the device.
• Turning to FIG. 2, one can see[0016]locking element100 disposed onelongate member216. Elongatemember216 hasportion218 in the first direction andportion220 in the second direction. The transition betweenportion218 andportion220 is shown as a smooth transition with no sharp edges. The transition need not have this characteristic. Among other examples of suitable transitions, the transition may be a stepwise transition or be a simple frustoconical section, for example. Elongatemember216 is shown as having a circular cross section of uniform shape, butlocking element100 is not limited to being used with elongate members having this characteristic.Elongate member216 may have any cross sectional shape where a portion of the elongate member in the first direction fits through frame10. The cross sectional shape may, for example, be rectangular, triangular, or even irregular. Nor does a cross section atportion220 need to be smaller than a cross section at portion210.Portion220 may have a longer perimeter or a larger cross sectional area thanportion218. What is important is that there is a surface region onportion220 where the distance from the region to the central longitudinal axis ofelongate member216 is less than the distance from a surface region ofportion218 to the longitudinal axis. Thus, for example, an elongate member of generally uniform and circular cross section would suffice if there were a channel in the elongate member inportion220. Likewise, an elongate member whoseportion220 was flattened and thereby had a reduced cross sectional thickness but an increased cross sectional width would also suffice. An elongate member of generally constant cross section that has a small region of increased or decreased cross sectional area may work as well.
• Locking[0017]element100 is disposed onportion218 ofelongate member216. At this portion,tabs102 are displaced outward byelongate member216, allowing locking element move freely in the first and second directions.
• Turning now to FIG. 3, locking[0018]element100 is disposed onportion220 ofelongate member216.Tabs102 are in a locked position, preventing lockingelement100 from being moved in the first direction ontoportion218.
• Turning now to FIG. 4, locking[0019]element100 is disposed onportion220 ofelongate member216. Acatheter222 is moved on lockingelement100 in a second direction.Catheter222 is sized to movelevers104 from a locking position to a releasing position. When levers104 are in the releasing position,tabs102 are moved to the released position and lockingelement100 may be moved freely in the first or second direction. Of course, lockingelement100 need not be operated using a catheter and other means of movinglevers104 are contemplated. For example, levers104 could be operated manually or they could be wrapped in a band which shrinks after a period of time or a change of temperature. When levers104 are in the releasing position, the free ends of centeringarms112 abut againstelongate member216 and generally center lockingelement100 with respect to elongatemember216. This may ease the removal of lockingelement100.
• FIG. 5 is an orthographic view illustrating one use for a[0020]locking element500, substantially similar to lockingelement100. Lockingelement500 is attached withstruts514 to filter524, allowing the filter to be selectively locked on a guidewire, for example.
• FIG. 6 is an orthographic view illustrating a[0021]locking element600 according to the invention. Lockingelement600 has twolimbs624, each of which has a tab602 and a lever604. Levers604 move between a locking and a releasing position and thereby move tabs602 between a locked position and a released position. Tabs602 may be biased to the locked position.Limbs624 are connected to frame606 from which may extend in a first and a second direction struts614.Tubes608 or medical devices may be attached to the struts. Lockingelement600 may be disposed onelongate member616 which has a portion in thefirst direction618 and a portion in thesecond direction620.Portion620 has a surface region which is closer to the longitudinal axis than a surface region ofportion618. When lockingelement600 is onportion620 ofelongate member616 and tabs602 are in the locked position, the locking element will be prevented from moving in the first direction ontoportion618. Thetube608 in the first direction from lockingelement600 may have a centering function. When lockingelement600 is on theportion620 and tabs602 are in the locked position, the tube may stay onportion618 and thereby keep the locking element centered with respect to the elongate member.
• FIG. 7 is an orthographic view illustrating a locking element[0022]700 in accordance with the invention. Locking element700 has atab702 attached to alever704. It is of course contemplated that the embodiment of FIG. 7 may have more than one set of tabs and levers.Lever704 moves between a locking and a releasing position and thereby movestab702 between a locked position and a released position.Lever704 is attached to frame706. Extending in a second direction fromframe706 arestruts714, which may be connected to a medical device such as a filter or therapeutic deliver system. Locking element700 is disposed on anelongate member716. Elongate member hasportion718 andportion720.Portion720 contains a surface region where the distance from that surface region to a central longitudinal axis is less than the distance from a surface region ofportion718 to the central longitudinal axis.Portion720 also hasridges726 disposed on either side of this surface region.Tab702 is adapted to fit within these ridges when it is in the locked position, thereby preventing rotation of the locking element with respect to the elongate member. This feature may be useful to orient the locking member and attached medical device remotely. Locking element700 also includes a longitudinalradiopaque stripe730. This radiopaque stripe may be used to determine the position of the locking element.
• FIG. 8 is an orthographic view illustrating a[0023]locking element800 disposed on anelongate member816 in accordance with the invention. Lockingelement800 includestabs802, which may move between a locked position and a released position, and levers804, which may move between a locking position and a releasing position.Tabs802 andlevers804 are attached to aframe806. Struts may extend in both directions from this frame, attached to medical or other devices. Centeringelements812 may be attached to thelevers804. When levers804 are moved to the releasing position,tabs802 are moved to the released position, thereby allowinglocking device800 to move overportion818 ofelongate member816.
• FIG. 9 is an orthographic view illustrating a locking element[0024]900 disposed on anelongate member916 in accordance with the invention. Locking element900 has atab902 attached to alever904. It is of course contemplated that the embodiment of FIG. 9 may have more than one set of tabs and levers.Lever904 moves between a locking and a releasing position and thereby movestab902 between a locked position and a released position.Tab902 andlever904 are attached to aframe906. Struts may extend in a second direction fromframe906, which may be connected to a medical device such as a filter or therapeutic deliver system. Locking element900 is disposed on anelongate member916. Elongate member hasportion918 andportion920.Portion920 contains a surface region where the distance from that surface region to a central longitudinal axis is less than the distance from a surface region ofportion918 to the central longitudinal axis.Portion920 also hasgroove928 disposed onportion920.Tab902 is adapted to fit ingroove928 when it is in the locked position, thereby preventing rotation of the locking element with respect to the elongate member. This feature may be useful to orient the locking member and attached medical device remotely.
• In use, the locking element may be attached to a filter, therapeutic delivery device, or other medical device. The locking element may be slid in a distal direction over an elongate member. The elongate member will have a second portion in the second direction with a surface region that is closer to the central longitudinal axis of the elongate member than a surface region of a first portion of the elongate member. When the locking element is over the second portion, one or more tabs will move into the locked position, preventing movement in the first direction. To then allow the locking device to move in the first direction, the levers may be moved from the locking position to the releasing position thereby moving the tabs from the locked position to the released position. When the tabs are in the released position, the locking element may then be moved in the first direction.[0025]
• As an illustrative example, suppose the selectively locking filter apparatus of FIG. 5 is put on a guidewire having a stepwise-reduced diameter, where the smaller diameter is distal the larger diameter, inserted percutaneously into a patient. The filter apparatus may be put into a catheter to reduce the diameter of the filter and advanced distally into the patient. When the filter apparatus is on the larger diameter portion of the guidewire, the tabs will be forced to a released position by the guidewire. When the filter apparatus passes the stepwise transition, the tabs will fall into the locked position and the catheter may be withdrawn. A catheter may then be introduced over the filter apparatus again, moving the levers to the releasing position and allowing the filter to be moved proximally off the guidewire.[0026]
• The locking element may be made from any number of biocompatible materials. If the locking element is unitary, a combination of flexibility where the material bends at the frame and rigidity in the tabs and levers may be desirable. Merely as examples and not as an exhaustive list, such material may include metals such as stainless steel or Nitinol or may include plastics like nylon or polyvinylchloride. The material may be formed into the locking element or parts of the locking element by laser cutting, molding, welding, brazing or other process well known in the art.[0027]
• It will be understood that this disclosure, in many respects, is only illustrative. Changes may be made in details, particularly in matters of shape, size, material, and arrangement of parts without exceeding the scope of the invention. Those skilled in the art will recognize that the present invention may be manifested in a variety of forms other than the specific embodiments described and contemplated herein. Accordingly, departures in form and detail may be made without departing from the scope and spirit of the present invention as described in the appended claims.[0028]

Claims (44)

What is claimed is:

1. A locking element for locking a medical device to an elongate member having a central longitudinal axis and a first cross section having a first perimeter and a second cross section having a second perimeter where a portion of the second perimeter is closer to the central longitudinal axis than a portion of the first perimeter, the locking element comprising:

a frame defining a central lumen through which a portion of the elongate member fits;

one or more levers extending in the second direction from the frame able to be moved between a locking position and a releasing position; and

one or more tabs extending in the first direction from the frame able to be moved by the one or more levers between a locked position and a released position;

wherein when the locking element is disposed on the elongate member in the second direction from the second cross section, the one or more tabs prevent the locking element from moving in the first direction beyond the first cross section when disposed in the locked position and do not prevent the locking element from moving in the first direction when disposed in the released position.

2. The element ofclaim 1, wherein the locking element is monolithic.

3. The element ofclaim 2, wherein when the one or more levers is in the second direction from the second cross section, there is a gap between the one or more levers and a portion of the elongate member in a second direction from the second cross section.

4. The element ofclaim 3, wherein the gap between the one or more levers and the elongate member increases in the second direction when the one or more levers are in the locked position.

5. The element ofclaim 1, wherein when the tabs are in the locked position, a portion of the one or more tabs cannot fit outside the first perimeter.

6. The element ofclaim 1, wherein when the locking element is disposed on the elongate member in the second direction from the second cross section, the levers are closer to the elongate member in the releasing position than in the locking position and the tabs are closer to the elongate member in the locked position than in the released position.

7. The element ofclaim 6, wherein moving the levers from the locking position to the releasing position causes the tabs to be moved from the locked position to the released position.

8. The element ofclaim 1, wherein the one or more levers and the one or more tabs are equal in number.

9. The element ofclaim 8, wherein each of the one or more tabs extend from the frame at a position opposite one of the tabs.

10. The element ofclaim 1, wherein the locking element further comprises struts to connect the locking element to a medical device.

11. The element ofclaim 10, wherein the struts are attached to the central element.

12. The element ofclaim 10, wherein struts extend in a second direction from the locking element.

13. The element ofclaim 12, wherein the struts are attached to the levers.

14. The element ofclaim 1, wherein the locking element comprises a flexible material.

15. The element ofclaim 14, wherein the locking element comprises a super-elastic material.

16. The element ofclaim 15, wherein the locking element comprises a nickel-titanium alloy.

17. The element ofclaim 1, wherein the one or more levers and the one or more tabs are uniformly distributed around the frame.

18. The element ofclaim 1, wherein the one or more tabs comprise two opposing tabs and the one or more levers comprise two opposing levers.

19. The element ofclaim 1, wherein the one or more tabs comprise three equally spaced tabs and the one or more levers comprise three equally spaced levers.

20. The element ofclaim 1, wherein the one or more levers can be actuated by an object moving in the second direction.

21. The element ofclaim 1, wherein the one or more tabs are biased to the locked position.

22. The element ofclaim 1, wherein the one or more levers are biased to the locking position.

23. The element ofclaim 1, wherein the medical device is a filter.

24. The element ofclaim 1, wherein the element further comprises one or more radiopaque bands.

25. The element ofclaim 1, wherein the element further comprises one or more radiopaque longitudinal stripes.

26. The element ofclaim 1, wherein the one or more levers comprise two or more levers, further comprising

two or more centering arms attached to the two or more levers such that when the levers are moved to the releasing position, the two or more centering arms position the elongate member centrally with respect to the element.

27. An apparatus for selectively locking a medical device, comprising

an elongate member having a central longitudinal axis and a first cross section having a first perimeter and a second cross section having a second perimeter where a portion of the second perimeter is closer to the central longitudinal axis than a portion of the first perimeter and having one or more surfaces in the second direction from the first cross section adapted for receiving one or more tabs; and

a locking element having a frame defining a central lumen through which a portion of the elongate member fits, one or more levers extending in the second direction from the frame able to be moved between a locking position and a releasing position, and one or more tabs extending in the first direction from the frame able to be moved by the one or more levers between a locked position and a released position;

wherein a portion of the elongate member in the second direction from the first cross section is adapted for receiving one or more of the tabs and when the locking element is disposed on the elongate member in the second direction from the second cross section, the one or more tabs prevent the locking element from moving in the first direction beyond the first cross section and prevent the locking device from rotating about the elongate member when disposed in the locked position and do not prevent the locking element from moving in the first direction when disposed in the released position.

28. The apparatus of27, wherein the elongate member further comprises one or more longitudinal radiopaque stripes.

29. The apparatus of27, wherein the one or more surfaces are flat.

30. The apparatus of27, wherein the one or more surfaces have a central portion and one or more longitudinal ridges adjacent thereto.

31. The apparatus of30, wherein each central region of the one or more surfaces have two longitudinal ridges adjacent thereto.

32. The apparatus of27, wherein the one or more surfaces conform to the tabs.

33. The apparatus of27, wherein the one or more surfaces have a central region and one or more longitudinal grooves adjacent thereto.

34. The apparatus of27, wherein each central region of the one or more surfaces have two longitudinal grooves adjacent thereto.

35. The apparatus of27, wherein the elongate member has a stop near the end in the second direction.

36. A process for releasably locking a medical device on an elongate member, comprising:

providing an elongate member having a central longitudinal axis and a first cross section having a first perimeter and a second cross section having a second perimeter where a portion of the second perimeter is closer to the central longitudinal axis than a portion of the first perimeter;

providing a locking element having a frame defining a lumen through which a portion of the elongate member may fit, one or more levers extending from the frame in the second direction able to be actuated between a locking position and a releasing position, and one or more tabs extending in the first direction from the frame able to be actuated by the one or more levers between a locked position and a released position; and

advancing the locking element on the first end of the elongate member in the second direction beyond the first cross section.

37. The process ofclaim 36, wherein when the locking element is advanced beyond the first cross section, the one or more tabs move to the locked position.

38. The process ofclaim 36, further comprising the steps of:

actuating the levels to the releasing position; and

advancing the locking element in the first direction past the first cross section.

39. The process ofclaim 36, wherein the step of providing an elongate member further includes providing one or more surfaces on the elongate member in the second direction from the first cross section adapted to receive one or more tabs and wherein the step of advancing the locking element further includes the step of rotating the locking element so that one of the tabs aligns with one of the surfaces such that when the tabs are in the locked position, the locking device is prevented from rotating with respect to the elongate member.

40. The process ofclaim 39, wherein the step of providing one or more surfaces further includes the step of providing one or more flat surfaces.

41. The process ofclaim 39, wherein the step of providing one or more surfaces further includes the step of providing one or more surfaces having a center portion and one or more longitudinal ridges adjacent the center portion.

42. The process ofclaim 41, wherein the step of providing one or more surfaces further includes the step of providing center surfaces which are flat.

43. The process ofclaim 41, wherein the step of providing one or more surfaces further includes the step of providing center surfaces which conform to the tabs.

44. The process ofclaim 41, wherein the step of providing one or more surfaces further includes the step of providing two adjacent longitudinal ridges.

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