Snare retrievable embolic protection filter with guidewire stopper

• US 20040138693A1
• Filed: 01/14/2003
• Published: 07/15/2004
• Est. Priority Date: 01/14/2003
• Status: Abandoned Application

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Eskuri, Alan D., Vrba, Anthony C.
• Application Number:
  US10/341,667
• Publication Number:
  US 20040138693A1
• Time in Patent Office: Days
• US Class Current: 606/200
• CPC Class Codes: A61B 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2002/015 Stop means therefor
• CPC Class Codes: A61F 2002/018 made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/008 paraboloidal

Abstract

Devices, systems and methods for retrieving an intravascular filter from a body lumen are disclosed. A snare retrieval catheter in accordance with an exemplary embodiment of the present invention may include an elongated tubular member having a lumen configured to receive an elongated member. The elongated member extends axially through the lumen of the elongated tubular member, out the distal end of the catheter, and is looped-back such that both ends of the elongated member are located proximal the proximal end of the catheter. The portion of the wire extending distally from the distal end of the catheter forms an adjustable loop that can be used to ensnare a radial notch formed on the intravascular filter.

Claims

1. A system for retrieving an intravascular filter within a blood vessel, comprising:

a guidewire;

an embolic protection filter slidably disposed along the guidewire; and

a snare retrieval catheter adapted to ensnare the embolic protection filter.

2. The system of claim 1, wherein the snare retrieval catheter further comprises:

an elongated tubular member having a proximal end, a distal end, a first lumen configured to slidably receive the guidewire, and a second lumen configured to receive an elongated member, said elongated member having a first end, a second end, and a loop portion extending distally of the distal end of said elongated tubular member, said loop portion forming an adjustable snare that can be sized within the blood vessel to retrieve the embolic protection filter.

3. The system of claim 1, wherein said embolic protection filter comprises a filter frame, a plurality of expandable struts, and a filter mesh or membrane operatively coupled to said plurality of expandable struts.

4. The medical retrieval device of claim 3, wherein said filter frame includes a radial notch.

5. The medical retrieval device of claim 2, wherein said elongated member is a wire.

6. The medical retrieval device of claim 2, wherein said elongated member is a cord.

7. The medical retrieval device of claim 2, wherein the loop portion is bent at an angle relative to the longitudinal axis formed by the elongated tubular member.

8. The medical retrieval device of claim 2, wherein the loop portion encircles the guidewire.

9. The medical retrieval device of claim 2, wherein the adjustable snare is centrally disposed about a central axis defined by the guidewire.

10. The medical retrieval device of claim 1, further comprising a distal stop disposed about the guidewire.

11. A system for retrieving an intravascular filter within a blood vessel, comprising:

a guidewire;

an embolic protection filter comprising a filter frame slidably disposed along the guidewire, said filter frame including a radial notch; and

a snare retrieval catheter adapted to ensnare the radial notch on the embolic protection filter, said snare retrieval catheter comprising;

an elongated tubular member having a proximal end, a distal end, a first lumen configured to slidably receive the guidewire, and a second lumen configured to receive an elongated member, said elongated member having a first end, a second end, and a loop portion extending distally of the distal end of said elongated tubular member, said loop portion forming an adjustable snare that can be sized within the blood vessel to retrieve the embolic protection filter.

12. A method of retrieving an embolic protection filter disposed along a guidewire in a body lumen, comprising the steps of:

providing a snare retrieval catheter along the guidewire proximal the embolic protection filter, said snare retrieval catheter including an elongated member having a loop portion forming an adjustable snare;

advancing the loop portion of said snare retrieval catheter about the embolic protection filter; and

adjusting the size of the loop portion to ensnare the embolic protection filter.

13. A method of retrieving an embolic protection filter disposed along a guidewire in a body lumen, comprising the steps of:

providing an embolic protection filter having a filter frame, a plurality of expandable struts, and a filter mesh or membrane operatively coupled to the expandable struts, said filter frame including a radial notch;

providing a snare retrieval catheter along the guidewire proximal the embolic protection filter, said snare retrieval catheter including an elongated member having a loop portion forming an adjustable snare;

advancing the loop portion of said snare retrieval catheter about the radial notch formed on the embolic protection filter;

engaging the loop portion about the radial notch to ensnare the embolic protection filter; and

removing the snare retrieval catheter and ensnared embolic protection filter from the body lumen.

14. A medical retrieval device for retrieving an intravascular filter within a blood vessel, said device comprising:

an elongated tubular member having a proximal end, a distal end, a first lumen, and a second lumen; and

an elongated member disposed within the second lumen having a first end, a second end, and a loop portion extending distally of the distal end of said elongated tubular member, said loop portion forming an adjustable snare that can be sized within the blood vessel to retrieve the intravascular filter.

15. The medical retrieval device of claim 14, wherein said intravascular filter is an embolic protection filter.

16. The medical retrieval device of claim 15, wherein said embolic protection filter comprises a filter frame, a plurality of expandable struts, and a filter mesh or membrane operatively coupled to said plurality of expandable struts.

17. The medical retrieval device of claim 16, wherein said filter frame includes a radial notch.

18. The medical retrieval device of claim 14, wherein said elongated tubular member is formed of hypodermic tubing.

19. The medical retrieval device of claim 14, wherein said elongated member is a wire.

20. The medical retrieval device of claim 14, wherein said elongated member is a cord.

21. The medical retrieval device of claim 14, wherein said elongated member is formed of a metal.

22. The medical retrieval device of claim 21, wherein said metal is stainless steel.

23. The medical retrieval device of claim 14, wherein said elongated member is formed of a fibrous polymer.

24. The medical retrieval device of claim 14, wherein said elongated member is radiopaque.

25. The medical retrieval device of claim 14, wherein the first lumen of said elongated tubular member is configured to slidably receive a guidewire.

26. The medical retrieval device of claim 25, wherein the loop portion of said elongated member is bent at an angle relative to the longitudinal axis formed by the elongated tubular member.

27. The medical retrieval device of claim 25, wherein the loop portion encircles the guidewire.

28. The medical retrieval device of claim 25, wherein the loop portion is centrally disposed about a central axis defined by the guidewire.

29. The medical retrieval device of claim 25, further comprising a distal stop disposed about the guidewire.

30. A medical retrieval device for retrieving an intravascular filter within a blood vessel, said device comprising:

an elongated tubular member having a proximal end, a distal end, a first lumen configured to slidably receive a guidewire, and a second lumen configured to receive an elongated member;

said elongated member having a first end, a second end, and a loop portion extending distally of the distal end of said elongated tubular member, said loop portion forming an adjustable snare that can be sized within the blood vessel to retrieve the intravascular filter.

31. The medical retrieval device of claim 30, wherein said intravascular filter is an embolic protection filter.

32. The medical retrieval device of claim 31, wherein said embolic protection filter comprises a filter frame, a plurality of expandable struts, and a filter mesh or membrane operatively coupled to said plurality of expandable struts.

33. The medical retrieval device of claim 32, wherein said filter frame includes a radial notch.

34. The medical retrieval device of claim 30, wherein said elongated tubular member is formed of hypodermic tubing.

35. The medical retrieval device of claim 30, wherein said elongated member is a wire.

36. The medical retrieval device of claim 30, wherein said elongated member is a cord.

37. The medical retrieval device of claim 30, wherein said elongated member is formed of a metal.

38. The medical retrieval device of claim 37, wherein said metal is stainless steel.

39. The medical retrieval device of claim 30, wherein said elongated member is formed of a fibrous polymer.

40. The medical retrieval device of claim 30, wherein said elongated member is radiopaque.

41. The medical retrieval device of claim 30, wherein the loop portion is bent at an angle relative to the longitudinal axis formed by the elongated tubular member.

42. The medical retrieval device of claim 30, wherein the loop portion encircles the guidewire.

43. The medical retrieval device of claim 30, wherein the loop portion is centrally disposed about a central axis defined by the guidewire.

44. The medical retrieval device of claim 30, further comprising a distal stop disposed about the guidewire.