Retrieval apparatus and methods for use

• US 10,321,924 B2
• Filed: 11/13/2016
• Issued: 06/18/2019
• Est. Priority Date: 12/10/2007
• Status: Active Grant

• Current Assignee: Incept LLC
• Original Assignee: Incept LLC
• Inventors: Krolik, Jeffrey A., Watanabe, Gwendolyn, Dreher, James H.
• Primary Examiner(s): Weisberg, Amy R
• Application Number:
  US15/350,057
• Publication Number:
  US 20170056034A1
• Time in Patent Office: 947 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 2017/00862 elastic or resilient
• CPC Class Codes: A61B 2017/22035 for retrieving or repositioning foreign objects
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• 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 2230/0069 cylindrical
• CPC Class Codes: A61M 1/3655 Arterio-venous shunts or fistulae

Abstract

An apparatus and method for capturing material within a body lumen are disclosed. The apparatus includes a core wire extending from a proximal end to a distal tip, an actuator member defining a lumen for receiving at least a portion of the core wire, and a distal basket having a distal enclosed end fixed relative to the core wire and one or more elements extending from a proximal open end to a collar slidable on the core wire. The collar is slidable on the core wire within an interior of the distal basket such that, when the collar contacts the actuator member, the collar applies an inward force to direct the proximal open end of the distal basket radially inwardly.

Claims

1. An apparatus for retrieving material within a body lumen, the apparatus comprising:

a core wire extending from a proximal end to a distal tip;

an actuator member defining a lumen configured to receive at least a portion of the core wire, the actuator member being proximal to the distal tip of the core wire; and

a distal basket having a distal enclosed end fixed relative to the core wire and one or more elements extending from a proximal open end to a collar slidable on the core wire,

the collar being slidable on the core wire within an interior of the distal basket such that, when the collar contacts the actuator member, the collar applies an inward force to direct the proximal open end of the distal basket radially inwardly.

2. The apparatus of claim 1, further comprising:

a proximal basket comprising a distal open end and a proximal enclosed end fixed to the actuator member, the proximal basket movable relative to the distal basket for substantially enclosing and capturing material within interiors of the proximal and distal baskets.

3. The apparatus of claim 2, wherein the proximal basket comprises a circumferential wall comprising a plurality of openings therein.

4. The apparatus of claim 2, wherein the actuator member comprises a distal end being distal to the distal open end of the proximal basket, the distal end of the actuator member contacting the collar to apply the inward force to direct the proximal open end of the distal basket radially inwardly.

5. The apparatus of claim 2, wherein the actuator member is slid distally along the core wire to move the proximal basket distally toward the distal basket.

6. The apparatus of claim 2, further comprising:

a tubular member comprising a proximal end, a distal end sized for introduction into body lumen, and a lumen extending between the proximal and distal ends of the tubular member,

the proximal and distal baskets being disposed within the lumen of the tubular member in a contracted condition such that the actuator member and the core wire extend proximally within the lumen, the tubular member being movable relative to the proximal and distal baskets for deploying the proximal and distal baskets from the distal end of the tubular member.

7. The apparatus of claim 1, wherein the distal basket comprises a circumferential wall comprising a plurality of openings therein.

8. The apparatus of claim 1, wherein the one or more elements are one or more struts extending from the proximal open end of the distal basket to the collar.

9. The apparatus of claim 8, wherein the one or more struts comprise a plurality of struts spaced apart about a circumference of the proximal open end of the distal basket.

10. The apparatus of claim 1, wherein the distal basket comprises at least one bend feature, such that the distal basket bends radially inwardly at the at least one bend feature when the collar applies the inward force to direct the proximal open end of the distal basket.

11. The apparatus of claim 10, wherein the at least one bend feature is a thinned or weakened region on each of the one or more elements.

12. The apparatus of claim 1, wherein the distal tip of the core wire is atraumatic.

13. The apparatus of claim 1, wherein the body lumen comprises a blood vessel or is within the urinary tract of the patient.

14. The apparatus of claim 1, wherein the material comprises a stone, thrombus, or foreign body within the body lumen.

15. A method for removing a material within a body lumen, the method comprising:

introducing a basket device into the body lumen in a contracted condition, the basket device comprising;

a core wire extending from a proximal end to a distal tip;

an actuator member defining a lumen configured to receive at least a portion of the core wire, the actuator member being proximal to the distal tip of the core wire;

a distal basket having a distal enclosed end fixed relative to the core wire and one or more elements extending from a proximal open end to a collar slidable on the core wire; and

a proximal basket comprising a distal open end and a proximal enclosed end fixed to the actuator member;

deploying the distal basket such that the distal basket expands within the body lumen and the proximal open end is disposed distal to the material to be removed;

deploying the proximal basket such that the proximal basket expands within the body lumen and the distal open end is disposed proximal to the material to be removed;

directing at least one of the proximal and distal baskets towards the other to capture the material through the open ends into interiors of the proximal and distal baskets;

advancing the actuator member distally until the actuator member contacts and pushes the collar distally to apply an inward force to direct the proximal open end of the distal basket radially inwardly; and

removing the basket device capturing the material from the body lumen.

16. The method of claim 15, wherein advancing the actuator member distally until the actuator member contacts and pushes the collar distally to apply the inward force to direct the proximal open end of the distal basket radially inwardly comprises advancing the actuator member distally until the proximal open end of the distal basket and the distal open end of the proximal basket overlap.