Clot retrieval device for removing clot from a blood vessel

• US 10,675,045 B2
• Filed: 12/31/2015
• Issued: 06/09/2020
• Est. Priority Date: 03/14/2013
• Status: Active Grant

• Current Assignee: Neuravi Limited (Johnson & Johnson)
• Original Assignee: Neuravi Limited (Johnson & Johnson)
• Inventors: Brady, Eamon, Casey, Brendan, Gilvarry, Michael, Hardiman, David, McArdle, Kevin, Razavi, Mahmood, Vale, David
• Primary Examiner(s): Dornbusch, Dianne
• Application Number:
  US14/985,823
• Publication Number:
  US 20160113665A1
• Time in Patent Office: 1,622 Days
• CPC Class Codes: A61B 17/12109 in a blood vessel
• 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 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 2017/00358 Snares for grasping
• CPC Class Codes: A61B 2017/00778 Operations on blood vessels A61B2017/22097, A61B2017/320741 take precedence
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• 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: 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: A61M 29/00 Dilators with or without means for introducing media, e.g. remedies instruments for performing visual medical inspections of cavities or tubes of the body A61B1/00

Abstract

A clot retrieval device 1 for removing occlusive clot from a blood vessel, the device comprises an inner elongate body 3 having a collapsed delivery configuration and an expanded deployed configuration and an outer elongate body 2 at least partially overlying the inner elongate body 2. The outer elongate body 2 is expandable to a radial extent which is greater than the radial extent of the inner body 3 in the deployed configuration to define a clot reception space 11. The outer elongate body 2 comprises a distal end portion 24,49 and the inner elongate body 3 comprises a main body portion 10 and a distal portion which extends in the deployed configuration towards the outer elongate body 2 to a greater extent than the main body portion. The distal portion 10 of the inner elongate member 3 and the distal end portion 24,49 of the outer elongate body 2 together define a three dimensional protective structure to substantially prevent distal egress of clot or clot fragments from the device.

Claims

1. A clot retrieval device for removing clot from a blood vessel, the device having a collapsed delivery configuration and an expanded deployed configuration and comprising:

an elongate member extending between a proximal end and a distal end comprising a step-up feature;

a first body comprising a proximal end and a distal end, the first body being configured for positioning within the blood vessel, wherein in the expanded deployed configuration the first body is configured to expand to form a tubular section, the first body having a proximally extending partial circumferential member disposed on the proximal end of the first body and about the distal end of the elongate member; and

a second body comprising a proximal end and a distal end, the second body being configured for positioning within the blood vessel, wherein in the expanded deployed configuration the second body is configured to expand about the first body, the second body including a collar being eccentric to the distal end of the elongate member and disposed proximal of the step-up feature,

wherein the collar is assembled over the partial circumferential member and elongate member to form a mechanical lock that prevents disassembly of the first body, the second body, and the elongate member under tension.

2. The device of claim 1, wherein the partial circumferential member and the collar are eccentric relative to a central longitudinal axis of the step-up feature.

3. The device of claim 1, wherein the mechanical lock further comprises one or more of adhesive, solder, a weld, and a braze.

4. The device of claim 1, wherein each of the first and second body is self-expandable.

5. A clot retrieval device for removing clot from a blood vessel, the device having a collapsed delivery configuration and an expanded deployed configuration and comprising:

an elongate member extending between a proximal end and a distal end;

a first body comprising a proximal end and a distal end, the first body being configured for positioning within the blood vessel, wherein in the expanded deployed configuration the first body is configured to expand to form a tubular section, the first body having a proximally extending partial circumferential member disposed on the proximal end of the first body and about the distal end of the elongate member; and

a second body comprising a proximal end and a distal end, the second body being configured for positioning within the blood vessel, wherein in the expanded deployed configuration the second body is configured to expand about the first body, the second body including a full circumferential member being eccentric and proximal to the distal end of the elongate member,

wherein the full circumferential member is assembled over the partial circumferential member and elongate member to form a mechanical lock that prevents disassembly of the first body, the second body, and the elongate member under tension.

6. The device of claim 5, wherein the distal end of the elongate member includes a step-up feature distal of the proximal ends of the first and second bodies.

7. The device of claim 6, wherein the partial circumferential member and the full circumferential member are eccentric relative to a central longitudinal axis of the step-up feature.

8. The device of claim 6, wherein the partial circumferential member, the full circumferential member, the elongate member, and the step-up feature collectively form the mechanical lock when the step-up feature and the partial circumferential member proximally slide towards the full circumferential member.

9. The device of claim 8, wherein the mechanical lock further comprises one or more of adhesive, solder, a weld, and a braze.

10. The device of claim 5, wherein the full circumferential member includes at least one of a tube, a collar, and a ring.

11. The device of claim 5, wherein each of the first and second body are self-expandable.

12. The device of claim 5, wherein the partial circumferential member includes a strut extending proximally of a proximal end of the partial circumferential member, the strut configured to be received radially between the elongate member and a coil.

13. A clot retrieval device for removing clot from a blood vessel, the device having a collapsed delivery configuration and an expanded deployed configuration and comprising:

an elongate member extending between a proximal end and a distal end;

a first self-expandable body comprising a proximal end and a distal end, the first body being configured for positioning within the blood vessel, wherein in the expanded deployed configuration the first body is configured to expand to form a tubular section, the first body having a proximally extending tab member on the proximal end of the first body and disposed adjacent the distal end of the elongate member; and

a second self-expandable body configured for positioning within the blood vessel, wherein in the expanded deployed configuration the second body is configured to expand and form an outer body about the first body, the second body including a full circumferential member on being eccentric to the distal end of the elongate member and disposed proximal of the step-up feature,

wherein the full circumferential is assembled over the tab member and elongate member to form a mechanical lock that prevents disassembly of the first body, the second body, and the elongate member under tension.

14. The device of claim 13, wherein the distal end of the elongate member includes a step-up feature.

15. The device of claim 14, wherein the tab member and the full circumferential member are eccentric relative to a central longitudinal axis of the step-up feature.

16. The device of claim 14, wherein the tab member, the full circumferential member, the elongate member, and the step feature form the mechanical lock.

17. The device of claim 16, wherein the mechanical lock further comprises one or more of adhesive, solder, a weld, and a braze.

18. The device of claim 13, wherein the full circumferential member includes at least one of a tube, a collar, and a ring.