Embolic filter system
Various aspects of the present disclosure are directed toward an embolic filter system. The embolic filter system generally includes a filter and an elongated element. In some examples, the elongate element extends to a position distal to a proximal end of the filter and operates to protect against medical devices entangling with the filter. In some examples, the elongate element is soft and compliant and operates with a hemostatic seal to provide for a hemostatic seal within a lumen of the elongate element while maintaining the lumen as a working lumen through which medical devices can be passed.
1 . An embolic filter comprising:
an elongate element having a proximal end and a distal end, the elongate element including a first structural element and a first covering material, the elongate element having sufficient structural integrity to support being advanced within a delivery sheath;
a filter portion positioned at the distal end of the elongate element, the filter portion including a second structural element and a second covering material, wherein a portion of the second covering material includes a plurality of perforations configured to filter embolic debris from blood flowing into the filter portion; and
a constraining fiber routed about an interior or an exterior of the second structural element of the filter portion and configured to control expansion or collapse of the filter portion.
2 . The embolic filter of claim 1 , wherein the filter portion is blood permeable and wherein the plurality of perforations have an average size of one hundred microns.
3 . The embolic filter of claim 1 , wherein the second covering material of the filter portion is blood impermeable, and wherein plurality of perforations are formed in the second covering material such that blood is operable to flow through the second covering material of the filter portion.
4 . The embolic filter of claim 1 , wherein the elongate element is blood impermeable.
5 . The embolic filter of claim 1 , wherein one of the first and second covering materials include ePTFE.
6 . The embolic filter of claim 1 , wherein the first covering material of the elongate element defines one or more routing conduits that extend along an interior or an exterior of the first covering material to slidably receive therein at least a portion of the constraining fiber.
7 . The embolic filter of claim 6 , wherein the first covering material includes an aperture, and the portion of the constraining fiber extends through the aperture and along the exterior of the filter portion.
8 . The embolic filter of claim 1 , wherein the elongate element includes an interior lumen extending between the proximal end and the distal end, and the constraining fiber at least partially extends through the interior lumen of the elongate element.
9 . The embolic filter of claim 1 , wherein a distal end of the constraining fiber includes an eyelet that facilitates hitching of the constraining fiber upon itself such that a change in tension applied to the constraining fiber causes a change in a diameter of a loop formed by the constraining fiber to control the expansion or collapse of the filter portion.
10 . An embolic filter comprising:
a filter assembly having two ends and an elongated intermediate portion;
a structural element; and
a constraining fiber;
wherein at a first end the filter assembly comprises an expandable filter element having an expandable frame and a filter material, the constraining fiber is routed about an interior or an exterior of the expandable frame of the expandable filter element and configured to control expansion or collapse of the expandable filter element, and the structural element is configured to advance the first end of the filter assembly from an end of the catheter for deployment at the treatment site.
11 . The embolic filter of claim 10 , wherein the intermediate portion is configured to be advanced through a valve that operates to control a flow of blood through a lumen of the intermediate portion during a clinical procedure.
12 . The embolic filter of claim 11 , wherein the lumen of the intermediate portion is configured to accommodate the advancement of one or more medical devices through the lumen of the intermediate portion during a clinical procedure.
13 . The embolic filter of claim 10 , wherein the filter material is blood permeable and includes a plurality of perforations having an average size of one hundred microns.
14 . The embolic filter of claim 10 , wherein a polymer material of the intermediate portion is blood impermeable.
15 . The embolic filter of claim 10 , wherein one of the filter material and a polymer material include ePTFE.
16 . An endoprosthesis delivery device comprising:
an expandable filter element mounted on a catheter shaft, having a capture area within the expandable filter element when the expandable filter element is deployed;
an elongated conduit configured to extend through and beyond the expandable filter element when the expandable filter element is deployed at a treatment site, the conduit configured to allow for delivery of an endoprosthesis beyond the expandable filter element; and
a constraining fiber routed about an interior or an exterior of the expandable filter element and configured to control expansion or collapse of the expandable filter element:
wherein the elongated conduit includes at least one aperture through a side wall providing fluid communication between the capture area and an interior of the elongated conduit, wherein the at least one aperture is configured to facilitate a transfer of embolic debris captured within the filter to the elongated conduit.
17 . The device of claim 16 , wherein the elongated conduit extends from the catheter shaft.
18 . The device of claim 16 , wherein the elongated conduit and the catheter shaft form a single monolithic unit.