Securing element for resheathing an intravascular device and associated systems and methods

• US 10,575,864 B2
• Filed: 06/22/2017
• Issued: 03/03/2020
• Est. Priority Date: 06/22/2017
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Skillrud, Erik, Deen, Daniel, Epstein, Evan
• Primary Examiner(s): Nguyen, Tuan V
• Application Number:
  US15/629,786
• Publication Number:
  US 20180368863A1
• Time in Patent Office: 985 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 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00862 elastic or resilient
• 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 2017/22044 with a pointed tip
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61B 2017/3435 using everted sleeves
• CPC Class Codes: A61B 2090/3966 Radiopaque markers visible in an X-ray image

Abstract

Devices and methods for securing a cover of a retrieval device while the retrieval device is resheathed to a more proximal position within a delivery sheath are disclosed herein. A retrieval device may include, for example, a securing element configured to grip the cover when the retrieval device is pulled proximally, to thereby secure the cover. A method of positioning the retrieval device may include, for example: (a) advancing the retrieval device distally through a delivery sheath to a partially deployed state while the securing element is in a first state, and (b) retracting the clot retrieval proximally from the partially deployed state while the securing element is in a second state that grips the cover to secure the cover.

Claims

1. A retrieval device deployable through a delivery sheath, the device comprising:

an elongated shaft;

a retrieval structure coupled to a distal zone of the elongated shaft, the retrieval structure including a capture structure and a cover having (a) a first portion coupled to the distal zone of the elongated shaft at a location proximal of the capture structure and (b) a free second portion, wherein, in a delivery state, the second portion of the cover extends proximally from the first portion; and

a securing element coupled to the elongated shaft proximal to the first portion of the cover,

wherein, when the cover is in the delivery state and at least a portion of the cover and at least a portion of the securing element are positioned within the delivery sheath, moving the retrieval device proximally increases an outward force exerted by the securing element against at least a portion of the cover and an inner surface of the delivery sheath, thereby inhibiting movement of the second portion of the cover relative to the elongated shaft.

2. The retrieval device of claim 1 wherein the cover extends continuously between the first portion and the second portion, and wherein the securing element exerts the outward force against the cover nearer to the second portion than the first portion.

3. The retrieval device of claim 1 wherein:

the securing element is in a first state when positioned at least partially within the delivery sheath and the retrieval device is moved proximally with respect to the delivery sheath,

the securing element is in a second state when positioned at least partially within the delivery sheath and the retrieval device is moved distally with respect to the delivery sheath, and

the securing element exerts an outward force against the cover that is less in the second state than in the first state.

4. The retrieval device of claim 1 wherein:

the securing element is in a first state when positioned at least partially within the delivery sheath and the retrieval device is moved proximally with respect to the delivery sheath,

the securing element is in a second state when positioned at least partially within the delivery sheath and the retrieval device is moved distally with respect to the delivery sheath, and

the securing element has a cross-sectional area that is greater in the first state than in the second state.

5. The retrieval device of claim 1 wherein the securing element is a braid or stent coupled to the elongated shaft at a first connector and a second connector, and wherein the first connector is proximal to the second connector along the shaft.

6. The retrieval device of claim 5 wherein at least one of the first and second connectors is fixed to the elongated shaft.

7. The retrieval device of claim 5 wherein at least one of the first and second connectors is slidably coupled to the elongated shaft and the other of the first and second connectors is fixed to the elongated shaft.

8. The retrieval device of claim 5 wherein the securing element includes a plurality of struts extending from the first connector to the second connector.

9. The retrieval device of claim 1 wherein the securing element is at least one of a laser cut sphere, a compressible foam or polymer pad, and a braided structure.

10. The retrieval device of claim 1 wherein at least one of the capture structure and the cover is a mesh.

11. The retrieval device of claim 1 wherein the capture structure is a stent and the cover is a braid.

12. The retrieval device of claim 1 wherein, when the retrieval structure is in the delivery state and the securing element is outside of the delivery sheath and within a vessel lumen, the securing element is configured to expand outward against the cover within the vessel lumen.

13. The retrieval device of claim 1 wherein the securing element is an expandable component.

14. The retrieval device of claim 13 wherein the expandable component is a laser cut component.

15. The retrieval device of claim 13 wherein the expandable component is a sphere.

16. The retrieval device of claim 1 wherein the securing element is a braid.

17. The retrieval device of claim 1 wherein the securing element is a stent.

18. The retrieval device of claim 1 wherein the securing element is a compressible foam rubber.

19. The retrieval device of claim 18 wherein a shape of the compressible foam rubber is a cylinder, sleeve, or sphere.

20. The retrieval device of claim 1 wherein the securing element is a pad.

21. The retrieval device of claim 20 wherein the pad is a polymer pad.

22. The retrieval device of claim 20 wherein a shape of the pad is a cylinder, a sleeve, or a sphere.

23. The retrieval device of claim 1 wherein the securing element is a heat-set array of wires.

24. The retrieval device of claim 1 wherein the securing element has a generally spherical shape.

25. The retrieval device of claim 1 wherein the securing element has an outer surface with a generally curved shape.

26. The retrieval device of claim 1 wherein the securing element has an outer surface with an angular shape.

27. A system for retrieving vascular material, the system comprising:

a delivery sheath having a distal portion;

a retrieval device including an elongated shaft, a retrieval structure, and a securing element, wherein;

the retrieval structure is coupled to a distal zone of the elongated shaft and includes a capture structure and a cover,

the cover has a first portion coupled to the distal zone of the elongated shaft and a free second portion,

in a partially deployed state, at least a distal portion of the capture structure extends past the distal portion of the delivery sheath, at least the second portion of the cover is within the delivery sheath, and the second portion of the cover extends proximally from the first portion, and

the securing element is coupled to the elongated shaft proximal to the first portion of the cover, and the securing element is configured to expand when the device is retracted proximally from the partially deployed state such that the securing element grips at least a portion of the cover between the securing element and an inner surface of the delivery sheath, thereby preventing substantial movement of the second portion of the cover relative to the first portion of the cover while the retrieval device is retracted proximally.

28. The system of claim 27 wherein the capture structure is a stent and the cover is a braid.

29. The system of claim 27 wherein the securing element is coupled to the elongated shaft at a first connector and a second connector, wherein the first connector is proximal to the second connector along the shaft, and wherein the first connector is slidably coupled to the elongated shaft.

30. The system of claim 27 wherein the cover extends continuously between the first portion and the second portion, and wherein the securing element grips the cover nearer to the second portion than the first portion.

31. The system of claim 27 wherein the securing element is an expandable component.

32. The system of claim 31 wherein the expandable component is a laser cut component.

33. The system of claim 31 wherein the expandable component is a sphere.

34. The system of claim 27 wherein the securing element is a braid.

35. The system of claim 27 wherein the securing element is a stent.

36. The system of claim 27 wherein the securing element is a compressible foam rubber.

37. The system of claim 36 wherein a shape of the compressible foam rubber is a cylinder, a sleeve, or a sphere.

38. The system of claim 27 wherein the securing element is a pad.

39. The system of claim 38 wherein the pad is a polymer pad.

40. The system of claim 38 wherein a shape of the pad is a cylinder, sleeve, or sphere.

41. The system of claim 27 wherein the securing element is a heat-set array of wires.

42. The system of claim 27 wherein the securing element has a generally spherical shape.

43. The system of claim 27 wherein the securing element has an outer surface with a generally curved shape.

44. The system of claim 27 wherein the securing element has an outer surface with an angular shape.