Infusion filter and method for performing thrombolysis

Abstract

An infusion filter design combines a fluid infusion device and a blood filtration device that filter blood during a thrombolysis procedure while allowing for complete filter removal on procedure completion. In one embodiment, a wire comprises a proximal, non-infusible length that extends partially outside of the patient and within the vein. The wire further comprises an infusible length distally from the non-infusible length that is extends within the vein so as to be placed at the section of the vein requiring medication. The wire also comprises a distal filter component at a distal end of the wire that is employed to filter the blood in the event that during the period that clot is dissolved it migrates toward the central circulation.

What is claimed is: 
     
         1 . An infusion filter comprising:
 a non-infusible length wire extending from a proximal end of the infusion filter, the non-infusible length comprising a lumen extending therethrough;   an infusible length wire extending distally from the non-infusible length wire, the infusible length wire comprising a lumen extending therethrough and a permeable wall; and   a filter portion extending from the infusible length wire, the filter portion comprising residual stresses, surface tensions, or both that cause the filter portion to form a predetermined shape when deployed in a blood vessel.   
     
     
         2 . The infusion filter of  claim 1 , wherein the permeable wall comprises a plurality of holes. 
     
     
         3 . The infusion filter of  claim 1 , wherein the predetermined shape comprises one of a helix shape, a vortex shape, a nested shape, and a tangled web shape. 
     
     
         4 . The infusion filter of  claim 1 , further comprising an outer cover that is disposed over the filter portion and is removable from the filter portion when the filter portion is deployed. 
     
     
         5 . The infusion filter of  claim 1 , further comprising a luer lock on a proximal end thereof to convey a fluid to the lumen of the non-infusible length wire. 
     
     
         6 . The infusion filter of  claim 1 , wherein the filter portion comprises a lumen and a permeable wall. 
     
     
         7 . An infusion filter system comprising:
 a filter wire comprising:
 a wire extension portion configured to extend through an access point of a patient and into a blood vessel; 
 a filter portion disposed at a distal end of the wire access portion, the filter portion comprising residual stresses, surface tensions, or both that cause the filter portion to form a predetermined shape when deployed in the blood vessel; and 
 a stopper disposed proximally from the filter portion; and 
   a catheter comprising:
 a non-infusible length extending from a proximal end of the catheter, the non-infusible length comprising a lumen extending therethrough; 
 an infusible length extending distally from the non-infusible length wire, the infusible length comprising a lumen extending therethrough and a permeable wall; 
   the catheter covering at least a portion of the wire extension portion and a distal end of the catheter abutting against the stopper to prevent flow from the distal end of the catheter when deployed.   
     
     
         8 . The infusion filter system of  claim 7 , wherein the permeable wall comprises a plurality of holes. 
     
     
         9 . The infusion filter system of  claim 7 , wherein the predetermined shape comprises one of a helix shape, a vortex shape, a nested shape, and a tangled web shape. 
     
     
         10 . The infusion filter system of  claim 7 , further comprising a luer lock on a proximal end thereof to convey a fluid to the lumen of the non-infusible length wire. 
     
     
         11 . A method for performing venous thrombolysis comprising:
 deploying a guidewire within a blood vessel from an upstream side of a blood clot so that a distal end of the guidewire reaches a downstream side of the blood clot;   inserting a catheter over the guidewire;   removing the guidewire while the catheter is in place;   deploying an infusion filter through the catheter, the infusion filter comprising:
 a non-infusible length wire extending from a proximal end of the infusion filter, the non-infusible length comprising a lumen extending therethrough; 
 an infusible length wire extending distally from the non-infusible length wire, the infusible length wire comprising a lumen extending therethrough and a permeable wall; and 
 a filter portion extending from the infusible length wire, the filter portion comprising residual stresses, surface tensions, or both that cause the filter portion to form a predetermined shape when deployed in a blood vessel; 
   positioning the infusion filter such that the infusible length wire is adjacent to the blood clot and the filter portion is disposed downstream from the blood clot;   removing the catheter with infusion filter in place;   dispensing medication into the blood vessel through the permeable wall for a predetermined treatment period; and   removing the infusion filter from the patient.   
     
     
         12 . The method of  claim 11 , wherein the permeable wall comprises a plurality of holes. 
     
     
         13 . The method of  claim 11 , wherein the predetermined shape comprises one of a helix shape, a vortex shape, a nested shape, and a tangled web shape. 
     
     
         14 . The method of  claim 11 , wherein the infusion filter further comprises an outer cover that is disposed over the filter portion and is removable from the filter portion when the filter portion is deployed. 
     
     
         15 . The method of  claim 11 , wherein the infusion filter further comprises a luer lock on a proximal end thereof to convey the medication to the lumen of the non-infusible length wire. 
     
     
         16 . The method of  claim 11 , wherein the filter portion comprises a lumen and a permeable wall.