Intravascular guidewire filter system for pulmonary embolism protection and embolism removal or maceration
An intravascular emboli capture and retrieval system for intravascular embolism protection and embolism removal or maceration. Guidewire mounted proximally and distally located multiple opening filters are deployed within the vasculature and used to part, divide and macerate embolic debris and to capture such embolic debris within the confines thereof. A deployable flexible preformed memory shaped capture sleeve is alternatively used to collapse one or more filters and embolic debris therein for subsequent proximal withdrawal from the vasculature.
1. An intravascular guidewire filter system comprising:
a manifold having a central elongated tubular body, said central elongated tubular body having a proximal end and a distal end;
an elongated flexible delivery tube having a proximal end and a distal end, said proximal end of said elongated flexible delivery tube being fixed within said distal end of said central elongated tubular body;
an apertured seal within said proximal end of said central elongated tubular body;
a guidewire having a proximal end and a distal end, said guidewire extending through said apertured seal, through said elongated tubular body, and through said elongated flexible delivery tube;
a flexible preformed memory shaped distal filter configured to capture debris between deployed distal filter strands spaced from the guidewire;
a flexible preformed memory shaped proximal filter configured to capture debris between deployed proximal filter strands spaced from the guidewire;
wherein each of said proximal and distal filters has a proximal tube surrounding and attached to said guidewire and to said proximal end of each of said filters and a distal tube attached to said distal end of each of said filters and surrounding and slideable along said guidewire; and
a capture sleeve slidably coupled along the guidewire and coupled with the distal end of the elongated flexible delivery tube, the capture sleeve includes a capture configuration and a compressing configuration:
in the capture configuration the capture sleeve tapers from an annular open edge toward the proximal end of the guide wire, the capture sleeve is configured to receive the proximal and distal filters having the respective deployed distal and proximal filter strands; and
in the compressing configuration the capture sleeve is compressed relative to the capture configuration, and the compressed capture sleeve collapses the respective distal and proximal filter strands of the distal and proximal filters and the captured debris to the guidewire.
2. The intravascular guidewire filter system of claim 1 , wherein said proximal filter has a concave basket shaped configuration having a concave shaped side, said proximal filter has said concave shaped side facing in a proximal direction and said distal filter has an angulated circumferential configuration.
3. The intravascular guidewire filter system of claim 1 , wherein said flexible preformed memory shaped proximal filter has a concave basket shaped configuration having a concave shaped side, said proximal filter has said concave shaped side facing in a proximal direction and said flexible preformed memory shaped distal filter has an angulated circumferential configuration.
4. The intravascular guidewire filter system of claim 1 , wherein each of said flexible preformed memory shaped proximal and distal filters is made from multiple strands of nitinol.
5. The intravascular guidewire filter system of claim 1 , wherein the capture sleeve includes a woven mesh.
6. The intravascular guidewire filter system of claim 1 , wherein the taper of the capture sleeve includes a flared distal section proximate the annular open edge, and the flared distal section includes a relatively greater taper than the remainder of the capture sleeve.
7. The intravascular guidewire filter system of claim 1 comprising a capture sheath slidably coupled along the capture sleeve, and the capture sheath is configured to surround the capture sleeve and transition the capture sleeve from the capture configuration to the compressing configuration.
8. The intravascular guidewire filter system of claim 1 , wherein in the compressing configuration the respective distal and proximal filter strands are positioned along the guidewire.
9. The intravascular guidewire filter system of claim 1 , wherein in the compressing configuration the respective distal and proximal filter strands are aligned with the guidewire.
10. The intravascular guidewire filter system of claim 1 , wherein in the compressing configuration the proximal filter is entirely received within the capture sleeve as the compressed capture sleeve collapses the proximal filter, and
the distal filter is entirely received within the capture sleeve as the compressed capture sleeve collapses the distal filter.
11. An intravascular guidewire filter system comprising:
a manifold having a central elongated tubular body, said central elongated tubular body having a proximal end and a distal end;
an elongated flexible delivery tube having a proximal end and distal end, said proximal end of said elongated flexible delivery tube being fixed within said distal end of said central elongated tubular body;
an apertured seal within said proximal end of said central elongated tubular body;
a guidewire having a proximal end and a distal end, said guidewire extending through said apertured seal, through said elongated tubular body, and through said elongated flexible delivery tube;
two or more flexible preformed memory shaped filters configured to capture debris between deployed filter strands of the respective filters spaced from the guidewire;
wherein each of said two or more preformed memory shaped filters has a proximal tube surrounding and attached to said guidewire and to said proximal end of each of said filters and distal tube attached to said distal end of each of said filters and surrounding and slideable along said guidewire; and
a capture sleeve slidably coupled along guide wire and coupled with the distal end of the elongated flexible delivery tube, the capture sleeve includes a capture configuration and a compressing configuration:
in the capture configuration the capture sleeve is configured to receive the preformed memory shaped filters having the respective deployed filter strands with debris therein; and
in the compressing configuration the capture sleeve is compressed relative to the capture configuration and collapses the respective filter strands to the guidewire, and one or more of the compressed capture sleeve or the collapsed filter strands compresses the captured debris to the guidewire.
12. The intravascular guidewire filter system of claim 11 , wherein the capture sleeve includes a woven mesh.
13. The intravascular guidewire filter system of claim 11 , wherein the capture sleeve includes a flared distal section proximate the annular open edge, and the flared distal section includes a relatively greater taper than the remainder of the capture sleeve.
14. The intravascular guidewire filter system of claim 11 comprising a capture sheath slidably coupled along the capture sleeve, and the capture sheath is configured to surround the capture sleeve and transition the capture sleeve from the capture configuration to the compressing configuration.
15. The intravascular guidewire filter system of claim 11 , wherein in the compressing configuration the respective filter strands are collapsed to a position along the guidewire.
16. The intravascular guidewire filter system of claim 11 , wherein in the compressing configuration the respective filter strands are collapsed into alignment with the guidewire.
17. The intravascular guidewire filter system of claim 11 , wherein the two or more flexible preformed memory shaped filters include at least first and second filters, and in the compressing configuration the first filter is entirely received within the capture sleeve as the compressed capture sleeve collapses the proximal filter, and
the second filter is entirely received within the capture sleeve as the compressed capture sleeve collapses the second filter.
18. The intravascular guidewire filter system of claim 11 , wherein the capture sleeve is tapered from an annular open edge toward the proximal end of the guidewire.