Looped clot retriever wire

• US 10,111,676 B2
• Filed: 05/01/2014
• Issued: 10/30/2018
• Est. Priority Date: 05/01/2013
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Tekulve, Kurt, Turk, Tyler, Wu, Yunjuan
• Primary Examiner(s): Stransky, Katrina
• Assistant Examiner(s): Rwego, Kankindi
• Application Number:
  US14/267,497
• Publication Number:
  US 20140330302A1
• Time in Patent Office: 1,643 Days
• Field of Search: 606200
• 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 2017/2212 having a closed distal end, e.g. a loop

Abstract

A clot retrieval system for removing clots from a body lumen. The clot retrieval system includes an elongated sheath and a wire assembly. The wire assembly is comprised of four wire segments, each biased to have a distally extending circumferential curve. Two wire segments are connected together at a proximal end and a distal end to form a first loop, and are connected to a shaft. Two other wire segments are connected together at a proximal end and a distal end to form a second loop and are connected to the first two wire segments. The second loop is covered with a membrane to catch clots. The wire assembly may be compacted by retracting it within the elongated sheath, or expanded by extending it from the elongated sheath.

Claims

1. A clot retrieval system comprising:

an elongated sheath having a lumen disposed therein, the lumen having an inner diameter;

a wire assembly disposed within the elongated sheath, the wire assembly comprising a straight section and a curved section, a distal end of the straight section connected to a proximal end of the curved section, the curved section being comprised of a first wire segment extending distally from the proximal end of the curved section and biased to curve in a first circumferential direction, a second wire segment extending distally from the proximal end of the curved section and biased to curve in a second circumferential direction opposite the first circumferential direction, the first wire segment and second wire segment forming a first loop having a first loop proximal end and a first loop distal end, the first wire segment being connected to the second wire segment at the first loop proximal end and the first loop distal end to prevent the first wire segment from moving relative to the second wire segment, a third wire segment extending distally from the first loop distal end and biased to curve in the first circumferential direction, a fourth wire segment extending distally from the first loop distal end and biased to curve in the second circumferential direction, the third wire segment and fourth wire segment forming a second loop having a second loop proximal end and a second loop distal end, the third wire segment being connected to the fourth wire segment at the second loop proximal end and the second loop distal end to prevent the third wire segment from moving relative to the fourth wire segment, wherein the second loop proximal end is connected to and extends from the first loop distal end, and a side view of the first loop and the second loop is arc-shaped;

an elastic membrane secured to the third wire segment and the fourth wire segment and not secured to the first wire segment or second wire segment, the membrane bridging the second loop and configured to collect clot material; and

a mesh comprised of a plurality of woven filaments secured to the first wire segment and the second wire segment and not secured to the third wire segment or the fourth wire segment, the mesh bridging the first loop and configured to break up a clot into smaller pieces;

wherein the curved section of the wire assembly is disposed on only one side of an axis defined by the straight section of the wire assembly.

2. The clot retrieval system of claim 1 wherein the elastic membrane comprises a polymer film.

3. The clot retrieval system of claim 1 wherein the mesh comprises a plurality of woven nickel titanium strands.

4. The clot retrieval system of claim 1 further wherein the wire assembly further comprises a distal section connected to the distal end of the second loop, the distal section comprising a helical wire.

5. The clot retrieval system of claim 1 wherein the first wire segment, the second wire segment, the third wire segment, and the fourth wire segment comprise a single wire.

6. The clot retrieval system of claim 1 wherein the curved section has only two loops.

7. The clot retrieval system of claim 1, further comprising a first fastener connecting the first wire segment and the second wire segment at the first loop proximal end, a second fastener connecting the first wire segment and the second wire segment as the first loop distal end and the third wire segment and the fourth wire segment at the second loop proximal end, and a third fastener connecting the third wire segment and the fourth wire segment at the second loop distal end.

8. The clot retrieval system of claim 7, wherein the first fastener, second fastener, and third fastener are selected from the group consisting of a solder joint, a weld, a band, and a coil.

9. A looped wire assembly comprising:

a straight section comprising a shaft having a shaft distal end and a shaft proximal end;

a first wire segment connected to the shaft distal end and extending distally and biased to curve in a first circumferential direction;

a second wire segment connected to the shaft distal end and extending distally and biased to curve in a second circumferential direction opposite the first circumferential direction, the first wire segment and second wire segment forming a first loop having a first loop proximal end and a first loop distal end, the first wire segment being connected to the second wire segment at the first loop proximal end and the first loop distal end to prevent the first wire segment from moving relative to the second wire segment;

a third wire segment connected to the first loop distal end and extending distally and biased to curve in the first circumferential direction;

a fourth wire segment connected to the first loop distal end and extending distally and biased to curve in the second circumferential direction, the third wire segment and the fourth wire segment forming a second loop having a second loop proximal end and a second loop distal end, the third wire segment being connected to the fourth wire segment at the second loop proximal end and the second loop distal end to prevent the third wire segment from moving relative to the fourth wire segment;

a flexible membrane secured to the third wire segment and the fourth wire segment and not secured to the first wire segment or second wire segment, the membrane bridging the second loop and configured to collect clot material; and

a mesh comprised of a plurality of woven filaments secured to the first wire segment and the second wire segment and not secured to the third wire segment or the fourth wire segment, the mesh bridging the first loop and configured to break up a clot into smaller pieces;

wherein the first loop and the second loop are disposed on only one side of an axis defined by the straight section, the second loop proximal end is connected to and extends from the first loop distal end, and a side view of the first loop and the second loop is arc-shaped.

10. The looped wire assembly of claim 9 wherein the first wire segment, the second wire segment, the third wire segment, and the fourth wire segment are segments of a single looped wire.

11. The looped wire assembly of claim 9 wherein the first wire segment and the third wire segment comprise a first wire, and the second wire segment and the fourth wire segment comprise a second wire.

12. The looped wire assembly of claim 9 wherein the mesh comprises a plurality of interwoven strands of a nickel titanium alloy.

13. The looped wire assembly of claim 9 further comprising a distal section comprising a distally extending shaft connected to the second loop distal end.

14. The looped wire assembly of claim 13 further wherein the distal section is encapsulated in a soft material.

15. The looped wire assembly of claim 14 wherein the distal section comprises a helical wire.

16. The looped wire assembly of claim 9 further comprising a first fastener connecting the shaft to the first and second wire segment.

17. The looped wire assembly of claim 16 further comprising a second fastener connecting the first wire segment to the second wire segment and the third wire segment to the fourth wire segment.

18. The looped wire assembly of claim 16 wherein the first fastener is selected from the group consisting of a solder joint, a weld, a band, and a coil.