Vascular device for emboli, thrombus and foreign body removal and methods of use

Abstract

Apparatus and methods are provided for use in filtering emboli from a vessel and/or performing thrombectomy and embolectomy, wherein a vascular device comprises one or more support hoops connected near a distal end of a guide wire, each support hoop having an articulation region, and a blood permeable sac affixed to the support hoop or hoops to form a mouth of the blood permeable sac. The mouth of the sac closes when the apparatus is collapsed for removal to prevent material from escaping from the sac.

1. An embolic protection filtering device, comprising:
 a solid elongate shaft having a proximal region and a distal region;   a filter affixed to the shaft adjacent the distal region;   a nose assembly affixed to the solid shaft adjacent the filter, the nose assembly having a lumen extending therethrough; and   a guidewire slidably disposed within the lumen of the nose assembly.   
     
     
       2. The filtering device of claim  1  4, wherein the nose assembly is affixed to the shaft at a position that is distal of the filter. 
     
     
       3. The filtering device of claim  1  4, wherein the shaft extends distally from the nose assembly. 
     
     
       4. The filtering device of  claim 1 , further comprising An embolic protection filtering device, comprising:
 a solid elongate shaft having a proximal region and a distal region; 
 a filter affixed to the shaft adjacent the distal region; 
 a nose assembly affixed to the shaft adjacent the filter, the nose assembly having a lumen extending therethrough; 
 a guidewire slidably disposed within the lumen of the nose assembly; and 
 a sheath disposed adjacent the shaft, the sheath having a lumen configured for having the filter disposed therein. 
 
     
     
       5. The filtering device of  claim 4 , wherein the sheath is slidable relative to the nose assembly. 
     
     
       6. A medical device, comprising:
 an elongate solid filter wire having a proximal region and a distal region;   a filter coupled to the filter wire adjacent the distal region;   a nose assembly coupled to the filter wire adjacent the distal region and distally of the filter; and   a guidewire slidably disposed within a lumen of the nose assembly.   
     
     
       7. A medical device, comprising:
 an elongate filter wire having a proximal region and a distal region; 
 a filter coupled to the filter wire adjacent the distal region; 
 a nose assembly coupled to the filter wire adjacent the distal region and distally of the filter; 
 a guidewire slidably disposed within a lumen of the nose assembly, 
 
       The filtering device of claim 4, wherein the guidewire extends adjacent to and generally parallel with the filter wireshaft and wherein the guidewire and the filter wireshaft are not concentrically arranged. 
     
     
       8. The filtering device of claim 4, wherein the sheath further includes a guidewire lumen. 
     
     
       9. The filtering device of claim 8, wherein the guidewire lumen opens through a skive in a lateral wall of the sheath. 
     
     
       10. The filtering device of claim 4, wherein the lumen of the sheath opens through a skive in a lateral wall of the sheath. 
     
     
       11. The filtering device of claim 8, wherein the lumen of the sheath opens through a first skive in a wall of the sheath and the guidewire lumen opens through a second skive in the wall of the sheath.