Retrieval of material from vessel lumens

• US 10,722,257 B2
• Filed: 05/12/2017
• Issued: 07/28/2020
• Est. Priority Date: 05/12/2017
• 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): Houston, Elizabeth
• Assistant Examiner(s): Mendoza, Michael G
• Application Number:
  US15/594,449
• Publication Number:
  US 20180325531A1
• Time in Patent Office: 1,173 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 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing
• CPC Class Codes: A61B 2017/320716 comprising means for preventing embolism by dislodged material
• CPC Class Codes: A61B 2017/3435 using everted sleeves
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts

Abstract

Devices for removing clot material from a blood vessel lumen and associated systems and methods are disclosed herein. A clot retrieving device may include, for example, an elongated shaft, a capture structure having a proximal region coupled to the distal zone of the elongated shaft, a cover, and a connector coupling the cover to the distal zone of the elongated shaft. The device may further include a jacket at least partially over the proximal terminus of the connector and a portion of the filaments protruding from the connector.

Claims

1. A device for retrieving clot material from a blood vessel lumen, the device comprising:

an elongated shaft having a distal zone;

a capture structure having a proximal region coupled to the distal zone of the elongated shaft;

a cover including a plurality of filaments, the cover having a first portion coupled to the distal zone of the elongated shaft and a free second portion, the cover having a first position in which the second portion extends proximally from the first portion, and a second position inverted relative to the first position in which the second portion extends distally from the first portion such that the cover at least partially surrounds the capture structure;

a connector coupling the first portion of the cover to the distal zone of the elongated shaft, wherein at least a portion of the filaments protrude proximally from a proximal terminus of the connector and is radially aligned with or inward of an outer surface of the connector; and

a jacket at least partially over the proximal terminus of the connector and the protruding portion of the filaments, wherein the jacket prevents direct contact between the cover and the protruding portions of the filaments as the cover moves from the first position to the second position.

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

3. The device of claim 1 wherein the jacket includes a polymer.

4. The device of claim 1 wherein the jacket includes a heat-shrinkable material.

5. The device of claim 1 wherein the jacket is at least partially over a portion of the elongated shaft proximal of the proximal terminus of the connector.

6. The device of claim 1 wherein the inner band at least partially surrounds the proximal region of the capture structure.

7. The device of claim 1 wherein the connector is a first connector, and the device further comprises a second connector distal of the first connector along the elongated shaft, wherein the second connector at least partially surrounds the proximal region of the capture structure and the distal zone of the elongated shaft.

8. The device of claim 7 wherein the first connector is configured to move with respect to the elongated shaft.

9. The device of claim 8, further comprising a stop fixed to the elongated shaft proximal of the first connector.

10. The device of claim 1 wherein the connector includes an inner band and an outer band, and wherein:

the inner band at least partially surrounds a portion of the distal zone of the elongated shaft,

the outer band at least partially surrounds the inner band, and

the first portion of the cover is secured between the inner band and the outer band.

11. The device of claim 10 wherein the portion of the elongated shaft is a first portion, and the device further comprises a buffer material positioned over a second portion of the elongated shaft proximal of the proximal terminus of the inner band.

12. The device of claim 1 wherein the connector is fixed relative to the elongated shaft via the jacket.

13. A device for retrieving clot material from a blood vessel lumen, the device comprising:

an interventional element;

a manipulation member having a distal zone;

a cover having a first portion coupled to the distal zone of the manipulation member and a free second portion, the cover having a first position in which the second portion extends proximally from the first portion, and a second position inverted relative to the first position in which the second portion extends distally from the first portion such that the cover surrounds at least a portion of the interventional element;

a connector coupling the first portion of the cover to the distal zone of the manipulation member, wherein at least a portion of the cover extends proximally from a proximal terminus of the connector and is radially aligned with or inward of an outer surface of the connector; and

a jacket extending from the proximal terminus of the connector and covering the extending portion of the cover, thereby preventing the extending portion of the cover from engaging the remaining portion of the cover as the cover moves from the first position to the second position.

14. The device of claim 13 wherein the interventional element includes a proximal region at least partially surrounded by the connector.

15. The device of claim 13 wherein the connector includes an inner band and an outer band, and wherein the jacket is an outer sleeve, the device further comprising an inner sleeve over a proximal terminus of the inner band and a portion of the manipulation member proximal of the proximal terminus of the inner band.

16. The device of claim 13 wherein the connector is a first connector, the device further comprising a second connector at least partially surrounding the proximal region of the interventional element and the portion of the distal zone of the manipulation member.

17. The device of claim 13 wherein the connector includes an inner band and an outer band, and wherein the inner band is proximal of the proximal region of the interventional element and at least partially surrounds a portion of the distal zone of the manipulation member, and the outer band at least partially surrounds the inner band.

18. The device of claim 17 wherein a proximal terminus of the inner band extends proximally beyond a proximal terminus of the outer band, and wherein the jacket is at least partially over the inner band proximal of the proximal terminus of the outer band.

19. The device of claim 17 wherein the inner band and the outer band are configured to move with respect to the manipulation member.

20. The device of claim 13, further comprising a stop fixed to the manipulation member proximal of the connector.

21. The device of claim 16 wherein:

the interventional element includes an elongated proximal region and an opening extending laterally through the proximal region, and

the manipulation member includes a coupling element at the distal zone of the manipulation member, wherein at least a portion of the coupling element extends through the opening of the interventional element.

22. A method for retrieving clot material from a treatment site within a blood vessel lumen, the method comprising:

providing a clot retrieving device including an elongated shaft having a distal zone and a retrieval assembly at the distal zone, the retrieval assembly having;

a capture structure with a proximal region coupled to the distal zone of the elongated shaft,

a cover having a plurality of filaments, a first portion coupled to the distal zone of the elongated shaft and a free second portion, the cover having a first position in which the second portion extends proximally from the first portion, and a second position inverted relative to the first position in which the second portion extends distally from the first portion such that the cover at least partially surrounds the capture structure,

a connector coupling the first portion of the cover to the distal zone of the elongated shaft, wherein at least a portion of the filaments protrudes proximally from a proximal terminus of the connector and is radially inward of or substantially even with an outer surface of the connector, and

a jacket at least partially over the proximal terminus of the connector and the protruding portion of the filaments;

intravascularly advancing the clot retrieving device within a delivery catheter to the treatment site such that the retrieval assembly is positioned proximate the clot material at the treatment site;

deploying the retrieval assembly within the blood vessel lumen such that the retrieval assembly expands to the first position; and

withdrawing the retrieval assembly proximally through the delivery catheter to remove clot material from the treatment site.

23. The method of claim 22 wherein the connector at least partially surrounds the proximal region of the capture structure.

24. The method of claim 22 wherein the connector is a first connector proximal of the proximal region of the capture structure, and the device further comprises a second connector at least partially surrounding the proximal region of the capture structure.

25. The method of claim 22 wherein the jacket is at least partially over a portion of the elongated shaft proximal of the proximal terminus of the connector.

26. The method of claim 22 wherein the connector includes an inner band and an outer band, wherein:

the inner band at least partially surrounds a portion of the distal zone of the elongated shaft,

the outer band at least partially surrounds the inner band, and

the first portion of the cover is secured between the inner band and the outer band.