Embolic filtering method and apparatus
View Patent ↗The present invention relates generally to a device and method for preventing the undesired passage of emboli from a venous blood pool to an arterial blood pool. The invention relates especially to a device and method for treating certain cardiac defects, especially patent foramen ovales and other septal defects, through the use of an embolic filtering device capable of instantaneously deterring the passage of emboli from the moment of implantation. The device consists of a frame, and a braided mesh of sufficient dimensions to prevent passage of emboli through the mesh. The device is preferably composed of shape memory allow, such as nitinol, which conforms to the shape and dimension of the defect to be treated.
1. A method for occluding a lumen of a septal defect of a heart comprising:
delivering a treatment device into the defect lumen in a collapsed configuration, wherein the device comprises a frame disposed in a frame plane, occlusion promoting material supported by the frame, a first anchor extending from a first end of the device, and a second anchor extending from a second end of the device;
moving the first anchor to engage first side of a tissue wall defining the defect;
expanding the frame in the frame plane within the defect lumen, distending septal defect lumen tissue outward in the frame plane and pressing septal defect lumen tissue in contact with occlusion promoting material; and
moving the second anchor to engage a second side of the tissue wall defining the defect.
2. The method of claim 1 wherein the septal defect is a patent foramen ovale.
3. The method of claim 1 wherein the occlusion promoting material extends out of the frame plane.
4. The method of claim 1 wherein the occlusion promoting material comprises foam.
5. The method of claim 1 wherein the occlusion promoting material comprises mesh.
6. The method of claim 5 wherein the mesh comprises a plurality of Nitinol wires.
7. The method of claim 1 wherein the occlusion promoting material comprises collagen, fabric, adhesive or polymer.
8. The method of claim 1 wherein no portion of the frame supporting the occlusion promoting material extends out of the frame plane.
9. The method of claim 1 wherein the treatment device further comprises a third anchor extending from the first end of the device, the step of moving the first anchor comprising expanding the first and third anchors away from each other to engage the first outer side of the tissue wall defining the defect.
10. The method of claim 9 wherein the step of expanding the first and third anchors comprises moving the first and third anchors in the frame plane.
11. The method of claim 1 wherein the treatment device further comprises a third anchor extending from the second end of the device, the step of moving the second anchor comprising expanding the second and third anchors away from each other to engage the second side of the tissue wall defining the defect.
12. The method of claim 11 wherein the step of expanding the second and third anchors comprises moving the second and third anchors in the frame plane.