# US 2014/0194919 A1 · Connection of an endovascular intervention device to a manipulation member

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- Number: US 2014/0194919 A1
- Document ID: US20140194919A1
- Status: Published application
- Kind: A1
- Application number: 13/834,945
- Filed: 2013-03-15
- Published: 2014-07-10
- Earliest claimed: 2013-01-09
- Assignees: Covidien LP
- Inventors: Michael Louis LOSORDO; Masoud MOLAEI; John WAINWRIGHT; Evan David EPSTEIN
- Web page: https://patentgrep.com/patent/US20140194919A1

## CPC

- A61B 17/32056: {Surgical snare instruments (for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26)}
- A61B 17/22: Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B 17/221: Gripping devices in the form of loops or baskets {for gripping calculi or similar types of obstructions (surgical snare instruments A61B17/32056)}
- A61F 2/95: Instruments specially adapted for placement or removal of stents or stent-grafts
- A61M 25/0021: {characterised by the form of the tubing (A61M25/0054 takes precedence)}
- A61M 25/0108: {using radio-opaque or ultrasound markers}
- A61M 25/104: {used for angioplasty}
- A61B 2017/00526: {Methods of manufacturing}
- A61B 2017/00623: {Introducing or retrieving devices therefor}
- A61B 2017/12054: {Details concerning the detachment of the occluding device from the introduction device}
- A61M 2025/0042: {Microcatheters, cannula or the like having outside diameters around 1 mm or less}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

A device for intravascular intervention can comprise an intervention element, an elongate manipulation member, and a joining element. The elongate member can comprise a hooked portion extending about a proximal portion of the intervention element. The joining element can substantially permanently attach the hooked portion to the intervention element.

## Claims

### Claim 1

A device for intravascular intervention, the device comprising:
an intervention element;
an elongate manipulation member comprising a hooked portion extending about a proximal portion of the intervention element; and
a joining element substantially permanently attaching the hooked portion to the intervention element.

### Claim 2 (depends on 1)

The device of claim 1, wherein the joining element comprises a band that substantially surrounds at least a section of the elongate member and a segment of the intervention element.

### Claim 3 (depends on 1)

The device of claim 1, further comprising a binding agent engaging each of the intervention element, the elongate member, and the joining element.

### Claim 4 (depends on 3)

The device of claim 3, wherein the binding agent is a UV curable adhesive.

### Claim 5

A device for intravascular intervention, the device comprising:
an elongate manipulation member comprising a distally-located attachment portion, the attachment portion comprising a first segment, a second segment, and a bend between the first and second segments;
an intervention element comprising a proximal end portion and a hole through the proximal end portion, the attachment portion of the elongate member extending through the hole at the bend such that the first segment and the second segment are located on different sides of the proximal end portion, the intervention element being substantially permanently attached to the elongate delivery member.

### Claim 6 (depends on 5)

The device of claim 5, further comprising a band, wherein the band substantially surrounds at least a section of the attachment portion of the elongate member and a segment of the proximal portion of the intervention element.

### Claim 7 (depends on 6)

The device of claim 6, wherein the band has an inner diameter that is less than a width of the proximal end portion of the intervention element.

### Claim 8 (depends on 6)

The device of claim 6, wherein the band does not extend over the tab.

### Claim 9 (depends on 6)

The device of claim 6, wherein the band is crimped onto each of the elongate member and the intervention element.

### Claim 10 (depends on 9)

The device of claim 9, wherein the band is crimped onto a retention portion of the intervention element, the retention portion being positioned between the hole and a terminal proximal end of the intervention element.

### Claim 11 (depends on 9)

The device of claim 9, wherein the proximal end portion of the intervention element comprises a shoulder positioned laterally of the retention portion, the shoulder extending laterally to an extent, measured from the retention portion, that is greater than or equal to a wall thickness the band.

### Claim 12 (depends on 9)

The device of claim 9, wherein the retention portion comprises a proximal part and a middle part, the middle part being located between the hole and the proximal part, and the proximal part having a width greater than a width of the middle part.

### Claim 13 (depends on 9)

The device of claim 9, wherein the proximal end portion of the interventional element has a top side and a bottom side, the hole extends through the proximal end portion between the top side and the bottom side, and the retention portion extends laterally beyond the attachment portion of the elongate member as viewed from the top.

### Claim 14 (depends on 13)

The device of claim 13, wherein, as viewed from the top of the proximal end portion of the intervention element, the retention portion is laterally offset from the attachment portion of elongate member.

### Claim 15 (depends on 14)

The device of claim 14, wherein, as viewed from the top of the proximal end portion of the intervention element, the proximal part of the retention portion underlies the attachment portion of elongate member and the middle part of the retention portion does not underlie the attachment portion.

### Claim 16 (depends on 15)

The device of claim 15, wherein at least one of the first segment or the second segment of the elongate member has an extending portion that extends into a region that is (i) between the top side and the bottom side of the proximal end portion, and (ii) between the proximal part of the retention portion and the hole, the extending portion and the proximal part being aligned such that a line extending in a proximal-distal direction intersects the extending portion and the proximal part.

### Claim 17 (depends on 6)

The device of claim 6, wherein the band is circumferentially continuous.

### Claim 18 (depends on 6)

The device of claim 6, wherein the band is radiopaque.

### Claim 19 (depends on 6)

The device of claim 6, wherein the band is circumferentially discontinuous and comprises first and second lateral edges, the band having first and second portions adjacent the first and second edges, respectively, that overlap each other.

### Claim 20 (depends on 5)

The device of claim 5, further comprising a binding agent attached to the elongate member and the intervention element.

### Claim 21 (depends on 20)

The device of claim 20, further comprising a band, wherein the band substantially surrounds the distal portion of the elongate member and a portion of the proximal end of the intervention element.

### Claim 22 (depends on 20)

The device of claim 20, wherein the binding agent comprises an adhesive.

### Claim 23 (depends on 22)

The device of claim 22, wherein the adhesive is UV curable.

### Claim 24 (depends on 5)

The device of claim 5, wherein the first segment and the second segment extend generally parallel to each other.

### Claim 25 (depends on 24)

The device of claim 24, wherein the elongate manipulation member further comprises a proximal terminal end and a distal terminal end, and the distal terminal end is proximal of the bend of the attachment portion.

### Claim 26

A method of using a device, the device comprising an intervention element, an elongate manipulation member comprising a distally-located hooked attachment portion extending about a proximal portion of the intervention element, and a joining element substantially permanently attaching the attachment portion to the intervention element, the method comprising:
inserting the intervention element into a cerebral blood vessel using the elongate member;
manipulating the device to perform a therapy;
removing the intervention element from the cerebral blood vessel using the elongate member.

### Claim 27 (depends on 26)

The method of claim 26, wherein:
the hooked attachment portion comprises a first segment, a second segment, and a bend between the first and second segments;
the intervention element comprises a hole through the proximal portion; and
the attachment portion extending through the hole at the bend such that the first segment and the second segment are located on different sides of the proximal portion.

### Claim 28 (depends on 26)

The method of claim 26, wherein the device is inserted through a microcatheter.

### Claim 29 (depends on 26)

The method of claim 26, wherein the removing is performed by proximally pulling the elongate member such that the intervention element is retracted into a microcatheter.

### Claim 30 (depends on 26)

The method of claim 26, wherein the manipulating comprises deploying the intervention element to an expanded position.

### Claim 31 (depends on 30)

The method of claim 30, wherein the deploying comprises substantially maintaining a location of the intervention element while retracting a microcatheter from over the intervention element.

### Claim 32 (depends on 30)

The method of claim 30, wherein the manipulating further comprises restoring blood flow through an obstructed portion of the cerebral blood vessel.

### Claim 33 (depends on 30)

The method of claim 30, wherein the manipulating further comprises capturing a thrombus.

### Claim 34 (depends on 33)

The method of claim 33, wherein the removing the intervention element comprises removing the captured thrombus from the cerebral blood vessel.
