Axial lengthening thrombus capture system

• US 10,238,482 B2
• Filed: 06/18/2018
• Issued: 03/26/2019
• 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:
  US16/011,251
• Publication Number:
  US 20180296315A1
• Time in Patent Office: 281 Days
• Field of Search: 623 153
• CPC Class Codes: A61B 17/22032 having inflatable gripping elements balloon catheters A61M25/10
• 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 17/320758 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
• 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 2017/22069 Immobilising; Stabilising
• 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 2017/2215 having an open distal end
• CPC Class Codes: A61B 2017/2217 single wire changing shape to a gripping configuration
• CPC Class Codes: A61B 2017/320024 Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments
• 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: A61F 2002/018 : made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2230/0091 : helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section
• CPC Class Codes: A61F 2250/0003 : having an inflatable pocket filled with fluid, e.g. liquid or gas
• CPC Class Codes: A61F 2250/0039 : differing in diameter
• CPC Class Codes: A61M 25/1006 : Balloons formed between concentric tubes

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:

an expandable guide catheter;

a tubular body comprising a first end, a second end, and an axial length therebetween, the first end having an opening,

wherein the tubular body is compressed in a first configuration,

wherein the tubular body is transformable to a second configuration in which at least the first end of the tubular body is expanded but the second end of the tubular body and a portion of the tubular body remains compressed, and wherein the tubular body has a first expanded axial length, wherein the tubular body is inverted such that a portion of the compressed tubular body is within a portion of the expanded tubular body,

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

wherein the tubular body in the third configuration is configured to be retracted through the expandable guide catheter.

2. The clot capture system of claim 1, wherein the tubular body is configured to slide relative to an inner layer of the expandable guide catheter.

3. The clot capture system of claim 1, wherein the expandable guide catheter is configured to reduce sliding contact between the expandable guide catheter and any components pass therethrough.

4. The clot capture system of claim 1, wherein the expandable guide catheter is configured to function as a variably sized cannula.

5. The clot capture system of claim 1, wherein the expandable guide catheter is self-expanding.

6. The clot capture system of claim 1, wherein the expandable guide catheter comprises a dual layer structure.

7. The clot capture system of claim 1, wherein the expandable guide catheter comprises an inner braid layer and an outer braid layer.

8. The clot capture system of claim 1, wherein the expandable guide catheter comprises at least one coated layer.

9. The clot capture system of claim 1, further comprising an anchor.

10. The clot capture system of claim 1, further comprising two or more anchors, wherein the two or more anchors are spaced axially apart along a longitudinal axis.

11. The clot capture system of claim 1, further comprising an anchor configured to entangle a clot.

12. The clot capture system of claim 1, further comprising an anchor coupled to the tubular body.

13. A method of using a clot capture system, comprising:

positioning a clot capture system near an obstruction, the clot capture system comprising;

an expandable guide catheter;

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

transforming the tubular body to a second configuration in which at least the first end of the tubular body is expanded but the second end of the tubular body and a portion of the tubular body remains compressed, and wherein the tubular body has a first expanded axial length, wherein the tubular body is inverted such that a portion of the compressed tubular body is within a portion of the expanded tubular body;

transforming the tubular body to a third configuration in which the tubular body has a second expanded axial length greater than the first expanded axial length to encapsulate the obstruction; and

retracting the tubular body through the expandable guide catheter.

14. A clot capture system, comprising:

a guide catheter;

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 configured to be compressed during delivery,

wherein the shape memory tubular body is transformable to a configuration in which the opening is expanded and a first segment of the shape memory tubular body extending axially from the opening is expanded to a fold point, the first segment having a first expanded axial length, and a second segment of the shape memory tubular body extending axially from the fold point to the second end of the shape memory tubular body such that the second segment of the shape memory tubular body extends at least partially within the first segment of the shape memory tubular body, wherein the second segment is relatively compressed with respect to the first segment,

wherein the shape memory tubular body is configured to be axially lengthened,

wherein shape memory tubular body is configured to be retracted through the guide catheter.

15. The clot capture system of claim 14, wherein the guide catheter comprises an expandable distal end.

16. The clot capture system of claim 14, wherein the guide catheter comprises a dual braid layer.

17. The clot capture system of claim 14, wherein at least a portion of the guide catheter comprises a polymeric coating.

18. The clot capture system of claim 14, wherein at least an outer portion of the guide catheter comprises a coating.

19. The clot capture system of claim 14, wherein at least a portion of the guide catheter comprises a mesh.

20. The clot capture system of claim 14, wherein at least an inner portion of the guide catheter provides decreased surface area, decreased surface contact, and/or decreased friction relative to an object within a lumen of the guide catheter.