Clot removal device

• US 10,080,575 B2
• Filed: 03/12/2014
• Issued: 09/25/2018
• Est. Priority Date: 03/13/2013
• Status: Active Grant

• Current Assignee: Neuravi Limited (Johnson & Johnson)
• Original Assignee: Neuravi Limited (Johnson & Johnson)
• Inventors: Brady, Eamon, Casey, Brendan, Gilvarry, Michael, Vale, David
• Primary Examiner(s): Nguyen, Victor
• Application Number:
  US14/774,078
• Publication Number:
  US 20160022296A1
• Time in Patent Office: 1,658 Days
• CPC Class Codes: A61B 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes precedence
• 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 2017/00309 Cut-outs or slits
• CPC Class Codes: A61B 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/00853 low friction, hydrophobic and corrosion-resistant fluorocarbon resin coating (ptf, ptfe, polytetrafluoroethylene)
• CPC Class Codes: A61B 2017/00858 high friction or non-slip
• CPC Class Codes: A61B 2017/22001 Angioplasty, e.g. PCTA
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61B 2090/08021 of the patient or his organs

Abstract

A clot retrieval system comprises a clot retrieval device, a catheter 51, and a tubular shield element 61. The clot retrieval device comprises an elongate member 53 having a proximal end and a distal end, and a clot engaging element 54 at the distal end of the elongate member 53 the clot engaging element 54 having a collapsed delivery configuration and an expanded deployed configuration. The catheter is adapted for placement at a location at which a distal end of the catheter is proximal of the clot engaging element and the tubular shield element 61 extends over the elongate member 53 and is adapted for location between the distal end of the catheter and the proximal end of the clot engaging element 54. The tubular shield element 61 is movable relative to the elongate member 54 when the clot engaging element is in the expanded configuration in that the force that is applied on retraction of the elongate member is spread over the outer surface of the tubular shield element. The force that would usually be exerted on vessels on retrieval of the clot engaging element is spread by the shield element thus reducing the effects of abrasion.

Claims

1. A clot retrieval system comprising:

a clot retrieval device;

a catheter; and

a tubular shield element comprising an outer diameter ranging between 0.010 inch to 0.026 inch;

the clot retrieval device comprising an elongate member having a proximal end and a distal end, and a clot engaging element at the distal end of the elongate member the clot engaging element having a collapsed delivery configuration and an expanded deployed configuration,

the catheter being adapted for placement at a location at which a distal end of the catheter is proximal of the clot engaging element,

the tubular shield element extending over the elongate member and being adapted for location between the distal end of the catheter and the proximal end of the clot engaging element and being movable relative to the elongate member when the clot engaging element is in the expanded configuration so that a retraction force applied to the elongate member is spread over an outer surface of the tubular shield element.

2. A clot retrieval system as claimed in claim 1 wherein the tubular shield element is slidable relative to the elongate member.

3. A clot retrieval system as claimed in claim 2 wherein the elongate member comprises a distal stop and a proximal stop to limit the sliding movement of the tubular element.

4. The clot retrieval system as claimed in claim 2 wherein the tubular shield element comprises a distal abutment surface and a proximal abutment surface.

5. The clot retrieval system as claimed in claim 1 wherein the tubular shield element comprises an inner lumen and an outer surface, the inner lumen being sized to slide freely over at least a distal portion of the elongate member.

6. The clot retrieval system as claimed in claim 1 wherein the tubular shield element inner lumen comprises a first material and the tubular element outer surface comprises a second material.

7. The clot retrieval system as claimed in claim 6 wherein the tubular shield element first material comprises a lower coefficient of friction than the tubular element second material.

8. The clot retrieval system as claimed in claim 1 further comprising a microcatheter for delivery of the clot engaging element in the collapsed configuration.

9. The clot retrieval system as claimed in claim 8 wherein the lumen of the microcatheter is configured to receive the tubular shield element.

10. The clot retrieval system as claimed in claim 9 wherein the outer diameter of the tubular element is at least as small as the diameter of the clot engagement element in its collapsed configuration.

11. The clot retrieval system as claimed in claim 1 wherein the outer diameter is at least 0.012 inch.

12. The clot retrieval system as claimed in claim 1 wherein the outer diameter is not more than 0.020 inch.

13. The clot retrieval system as claimed in claim 1 wherein the outer diameter ranges between 0.014″

to 0.019 inch.