Axial lengthening thrombus capture system

• US 10,070,879 B2
• Filed: 08/28/2017
• Issued: 09/11/2018
• Est. Priority Date: 08/06/2015
• Status: Active Grant

• Current Assignee: Vascular Medcure Incorporated (Medtronic Plc)
• Original Assignee: KP Medcure, Inc.
• Inventors: Nguyen, Thanh Van, Nguyen, Duy, Ngo, Tung Hoang
• Primary Examiner(s): Woo, Julian W
• Application Number:
  US15/687,789
• Publication Number:
  US 20180055619A1
• Time in Patent Office: 379 Days
• CPC Class Codes: 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
• CPC Class Codes: A61B 17/32075 Pullback cutting; combined forward and pullback cutting, e.g. with cutters at both sides of the plaque
• CPC Class Codes: A61B 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/00871 polymeric
• CPC Class Codes: A61B 2017/00938 hydrophobic
• CPC Class Codes: A61B 2017/00942 hydrophilic
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/22079 with suction of debris
• CPC Class Codes: A61B 2017/22081 Treatment of vulnerable plaque
• CPC Class Codes: A61B 2017/22084 stone- or thrombus-dissolving
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61B 2017/2217 single wire changing shape to a gripping configuration
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2017/320716 comprising means for preventing embolism by dislodged material
• CPC Class Codes: A61B 2017/320775 Morcellators, impeller or propeller like means
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2/013 Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
• CPC Class Codes: A61F 2002/016 : made from wire-like elements
• CPC Class Codes: A61M 1/79 : Filters for solid matter specially adapted for dental use A61C17/065

Abstract

Systems and methods can remove material of interest, including blood clots, from a body region, including but not limited to the circulatory system for the treatment of pulmonary embolism (PE), deep vein thrombosis (DVT), cerebrovascular embolism, and other vascular occlusions.

Claims

1. A clot capture system, comprising:

a plurality of axially spaced-apart anchors;

a shape memory tubular body comprising a first end, a second end, and an axial length therebetween, the first end having an opening, wherein the shape memory tubular body is compressed in a compressed configuration,

wherein the shape memory tubular body is transformable to a first expanded configuration in which the first end is expanded, wherein the second end and a portion of the shape memory tubular body is compressed in the first expanded configuration, wherein the shape memory tubular body has a first expanded axial length in the first expanded configuration extending from the first end to a fold, wherein the fold forms the distal end of the shape memory tubular body in the first expanded configuration, wherein the first end and the second end are proximal to the distal end in the first expanded configuration,

wherein the shape memory tubular body is transformable to a second expanded configuration in which the shape memory tubular body has a second expanded axial length greater than the first expanded axial length, wherein the shape memory tubular body circumscribes at least one anchor of the plurality of axially spaced-apart anchors in the second expanded configuration.

2. The clot capture system of claim 1, wherein the plurality of axially spaced-apart anchors comprise three or more anchors.

3. The clot capture system of claim 1, wherein the plurality of axially spaced-apart anchors are coaxial.

4. The clot capture system of claim 1, wherein the plurality of axially spaced-apart anchors comprise nitinol.

5. The clot capture system of claim 1, wherein an anchor of the plurality of axially spaced-apart anchors forms an angle with an anchor pusher when the anchor is expanded, wherein the angle is approximately 90 degrees.

6. The clot capture system of claim 1, wherein an anchor of the plurality of axially spaced-apart anchors forms an angle with an anchor pusher when the anchor is expanded, wherein the angle is approximately 45 degrees.

7. The clot capture system of claim 1, wherein a cross-section of each of the plurality of axially spaced-apart anchors is less than a cross-section of the first end of the shape memory tubular body when the plurality of axially spaced-apart anchors and the first end of the shape memory tubular body are expanded.

8. The clot capture system of claim 1, wherein the plurality of axially spaced-apart anchors are coupled to an anchor pusher.

9. The clot capture system of claim 1, wherein the second end of the shape memory tubular body is coupled to an inner pusher.

10. A clot capture system, comprising:

an anchor comprising a reduced configuration and an expanded configuration wherein the anchor extends outward in the expanded configuration;

a shape memory tubular body comprising a first end, a second end, and an axial length therebetween, the first end having an opening, wherein the shape memory tubular body is compressed in a compressed configuration,

wherein the shape memory tubular body is transformable to a first expanded configuration wherein the first end is expanded, wherein the second end and a portion of the shape memory tubular body is compressed in the first expanded configuration, wherein the shape memory tubular body comprises a distal end in the first expanded configuration, wherein the first end and the second end are proximal to the distal end in the first expanded configuration, wherein the shape memory tubular body has a first expanded axial length,

wherein the shape memory tubular body is transformable to a second expanded configuration in which the shape memory tubular body has a second expanded axial length, wherein the second expanded axial length is greater than the first expanded axial length.

11. The clot capture system of claim 10, wherein a cross-section of the shape memory tubular body is round when the shape memory tubular body is expanded.

12. The clot capture system of claim 10, wherein the anchor forms an angle with an anchor pusher when the anchor is expanded, wherein the angle is between 5 degrees and 135 degrees.

13. The clot capture system of claim 10, further comprising a second anchor.

14. The clot capture system of claim 13, wherein the first anchor and the second anchor are coaxial.

15. The clot capture system of claim 10, wherein the second end of the shape memory tubular body is coupled to an inner pusher.

16. A clot capture system, comprising:

an anchor configured to expand; and

a shape memory tubular body comprising a first end, a second end, and an axial length therebetween, the first end having an opening, wherein the shape memory tubular body is compressed in a compressed configuration,

wherein the shape memory tubular body is transformable to a first expanded configuration wherein the first end is expanded while the second end and a portion of the shape memory tubular body remains compressed, wherein the shape memory tubular body has a first expanded axial length in the first expanded configuration, wherein the shape memory tubular body comprises a dynamic fold point between the first end and the second end in the first expanded configuration, wherein the first end and the second end are proximal to the dynamic fold point in the first expanded configuration;

wherein the shape memory tubular body is transformable to a second expanded configuration wherein the shape memory tubular body has a second expanded axial length greater than the first expanded axial length, wherein the shape memory tubular body surrounds the anchor in the second expanded configuration.

17. The clot capture system of claim 16, further comprising a second anchor.

18. The clot capture system of claim 17, wherein the first anchor and the second anchor are spaced axially apart along the longitudinal axis of a shaft.

19. The clot capture system of claim 16, wherein the anchor is configured to entangle a clot.

20. The clot capture system of claim 16, wherein a cross-section of the anchor is less than a cross-section of the first end of the shape memory tubular body when the anchor and the first end are expanded.