Endovascular device configured for selective narrowing
Inventors
KAUFMAN, EYAL • Gedulter, Matan • Eckhouse, Ronen
Assignees
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Abstract
An endovascular device, including an elongated flexible sheath defining a lumen with an inner opening sized for enabling selective advancement of an endovascular instrument therethrough, the sheath having at least a first region and a second region; an electrode within the first region of the sheath; and a constrictor associated with the first region of the sheath, the constrictor being configured, while at least the first region and the second region of the sheath are positioned within a body and in response to an input received from outside the body, to reversibly narrow the lumen of the sheath in an area adjacent the electrode to thereby bring the electrode into contact with an adjacent portion of the endovascular instrument.
Core Innovation
An endovascular device includes an elongated flexible sheath defining a lumen with an inner opening sized for enabling selective advancement of an endovascular instrument therethrough. The sheath has at least a first region and a second region, and an electrode is positioned within the first region of the sheath.
A constrictor associated with the first region is configured to reversibly narrow the lumen of the sheath in an area adjacent the electrode, in response to an input received from outside the body, while the first region and the second region are positioned within a body. This reversible lumen narrowing brings the electrode into contact with an adjacent portion of the endovascular instrument.
The constrictor selectively narrows to a non-circular lumen cross-section in the constrictor area and narrows in response to at least one of a change in temperature, delivery of electric current, application of electromagnetic force, or application of mechanical force. Additional embodiments include obstructers such as a selectively inflatable balloon that expands into the lumen of the sheath when inflated, and configurations in which constriction increases friction force exerted on the endovascular instrument.
In certain embodiments, the electrode delivers electrical energy to the endovascular instrument and the constrictor presses the electrode and instrument together to reduce electrical impedance during energy delivery.
Claims Coverage
The independent claim covers the combination of an electrode located in a first region of an elongated flexible sheath and a constrictor that, based on an outside-body input, reversibly narrows the sheath lumen adjacent the electrode so the electrode contacts an adjacent portion of an endovascular instrument, with the sheath also including a second region positioned in a body. The claim set refines this concept through multiple dependent claim features, including lumen cross-section change, selectable constrictor stimulus mechanisms, obstructer embodiments, friction-force effects, and impedance reduction during electrode energy delivery.
Electrode-in-sheath with externally input-driven reversible lumen constriction
An elongated flexible sheath defining a lumen and having at least a first region and a second region; an electrode within the first region; and a constrictor associated with the first region configured, while the first region and the second region are positioned within a body and in response to an input received from outside the body, to reversibly narrow the lumen in an area adjacent the electrode to thereby bring the electrode into contact with an adjacent portion of the endovascular instrument.
Localized circular-to-non-circular lumen cross-section change in constricted area
The cross-section of the lumen in the first region is circular during a non-constriction and becomes non-circular in the constrictor area.
Constrictor narrowing in response to selectable stimulus mechanisms
A constrictor that selectively narrows a lumen in response to at least one of a change in temperature, delivery of electric current, application of electromagnetic force, or application of mechanical force to the constrictor.
Selectively inflatable balloon obstructer expansion into the sheath lumen
An obstructer that includes a selectively inflatable balloon configured for expansion into the lumen of the sheath when inflated.
Increased friction force when constricted versus unconstricted
The constrictor is configured to exert a stronger friction force on the endovascular instrument when constricted than when unconstricted.
Impedance reduction by pressing electrode and instrument together during energy delivery
The electrode delivers electrical energy to the endovascular instrument, and the constrictor presses the electrode and instrument together to reduce electrical impedance during energy delivery.
Across the independent and dependent claim set, the inventive concept is anchored on externally input-driven reversible constriction of a sheath lumen adjacent an electrode so the electrode contacts an adjacent portion of an endovascular instrument, with refinements that specify lumen geometry changes, constrictor stimulus modalities, obstructer embodiments, friction-force strengthening during constriction, and impedance reduction during electrode energy delivery.
Stated Advantages
Reversibly narrow the lumen adjacent the electrode in response to an input received from outside the body to thereby bring the electrode into contact with an adjacent portion of the endovascular instrument.
Reduce electrical impedance during energy delivery by pressing the electrode and the endovascular instrument together with the constrictor.
Provide selective constriction localized to an area adjacent the electrode while a second region remains positioned within the body.
Increase friction force on the endovascular instrument when constricted compared with when unconstricted.
Documented Applications
Endovascular coil treatment context, including severing or partitioning of an endovascular coil, with monitoring of coil severing outcome based on contact and electrical, current, or impedance-related sensing concepts.
Automated feedback concepts for coil severing outcome, including success notification and repositioning instructions, supported by coil tracking via a coil movement sensor and partitioning mechanism activation and monitoring.
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