Method and apparatus for capturing objects beyond an operative site in medical procedures

• US 20040167567A1
• Filed: 12/23/2003
• Published: 08/26/2004
• Est. Priority Date: 03/23/2001
• Status: Abandoned Application

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Advanced Cardiovascular Systems Incorporated
• Inventors: Loebig, Thomas G., Cano, Gerald G.
• Application Number:
  US10/415,683
• Publication Number:
  US 20040167567A1
• Time in Patent Office: Days
• US Class Current: 606/200
• CPC Class Codes: A61B 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes precedence
• 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 2017/00287 Bags for minimally invasive surgery
• 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: 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 2230/0067 conical
• CPC Class Codes: A61F 2230/008 paraboloidal
• CPC Class Codes: A61M 2025/09183 having tools at the distal tip
• CPC Class Codes: A61M 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

A device (2) for capturing and removing one or more particles (58) from a body canal or vessel includes a sack (12) having a mouth (14) and a closed bottom (16) opposite mouth (14). A guide wire (4) is received through mouth (14) of sack (12) and is connected to closed bottom (16) of sack (12). A collapsible frame (8) is connected between guide wire (4) and mouth (14) of sack (12), with collapsible frame (8) biasing mouth (14) of sack (12) opened around guide wire (4). A containment collar (32) slidably receives guide wire (4), collapsible frame (8), and at least part of sack (12) therein. A pull wire (34) is connected to containment collar (32). In response to relative movement between guide wire (4) and pull wire (34), collapsible frame (8) moves from inside containment collar (32) where mouth (14) of sack (12) is closed and outside containment collar (32) where mouth (14) of sack (12) is biased open by collapsible flame (8). Containment collar (32) has an axial length configured to be positioned entirely in a body and pull wire (34) has an axial length configured to extend from outside the body to containment collar (32) when it is positioned entirely in the body. Containment collar (32) can be removed from guide wire (4) by pulling pull wire (34) relative to guide wire (4) sufficiently that containment collar (32) is withdrawn from the body and from the end of guide wire (4) opposite collapsible frame (8).

Claims

1. An apparatus for removing a solid object from a body canal or vessel, the apparatus comprising:

a containment collar;

a pull wire connected to the containment collar;

a sack having a mouth and a closed bottom opposite the mouth;

a guide wire received in the containment collar, the guide wire projecting through the mouth of the sack and connected to the closed bottom of the sack; and

a resilient frame connected between the guide wire and the mouth of the sack for biasing the mouth of the sack open around the guide wire, wherein, in response to relative movement between the guide wire and the pull wire, the resilient frame is positionable between a collapsed state inside the containment collar where the mouth of the sack is closed against the bias of the resilient frame by interaction of the resilient frame with the inside of the containment collar and a deployed state outside the containment collar where the mouth of the sack is biased open by the resilient frame.

2. The apparatus as set forth in claim 1, further including a tubular component connected between the pull wire and the containment collar, the tubular component configured to receive the guide wire therein.

3. The apparatus as set forth in claim 2, wherein the tubular component includes a coil of wire that is one of (i) attached to the pull wire and (ii) formed from the pull wire.

4. The apparatus as set forth in claim 2, wherein the containment collar includes a first lumen configured to receive therein the guide wire and the resilient frame in its collapsed state and a second lumen in communication with the first lumen and configured to receive the tubular component therein.

5. The apparatus as set forth in claim 2, wherein the containment collar frictionally engages the tubular component.

6. The apparatus as set forth in claim 1, wherein:

the containment collar is configured to be positioned entirely in the body canal or vessel with the resilient frame in its collapsed state inside the containment collar; and

the pull wire is configured so that an end of the pull wire opposite the containment collar is positioned outside the body when the containment collar is positioned entirely in the body canal or vessel.

7. The apparatus as set forth in claim 6, wherein relative longitudinal movement between the pull wire and the guide wire causes the resilient frame to transition from its collapsed state to its deployed state.

8. The apparatus as set forth in claim 7, wherein pulling the pull wire relative to the guide wire causes the containment collar to move longitudinally on the guide wire in a direction opposite the resilient frame.

9. The apparatus as set forth in claim 8, wherein sufficiently pulling the pull wire relative to the guide wire causes the containment collar to be withdrawn from the guide wire.

10. The apparatus as set forth in claim 9, further including a recovery sheath for advancement on the guide wire from outside the body toward and into contact with the resilient frame with further advancement of the recovery sheath on the guide wire causing the resilient frame to transition from its deployed state outside the recovery sheath to its collapsed state inside the recovery sheath whereby the mouth of the sack closes.

11. A device for capturing and removing one or more particles, the device comprising:

a sack;

a guide wire;

a collapsible frame connected between the guide wire and the sack, the collapsible frame biasing the sack open around the guide wire;

a containment collar which slidably receives the guide wire therein; and

a pull wire connected to the containment collar, wherein, in response to relative movement between the guide wire and the pull wire, the collapsible frame moves from inside the containment collar where the sack is closed and outside the containment collar where the sack is biased open by the collapsible frame.

12. The device as set forth in claim 11, further including a coupler for connecting the pull wire and the containment collar.

13. The device as set forth in claim 12, wherein the coupler is one of (i) formed from the pull wire and (ii) attached to the pull wire.

14. The device as set forth in claim 12, wherein the coupler is comprised of one or more coils of the pull wire adjacent one end thereof.

15. The device as set forth in claim 12, wherein the pull wire is connected to the containment collar by heat shrinking the containment collar to the coupler.

16. The device as set forth in claim 11, wherein the containment collar has an axial length configured to be positioned entirely in a body and the pull wire has an axial length configured to extend from outside the body to the containment collar when it is positioned entirely in the body.

17. The device as set forth in claim 16, wherein relative axial movement between the guide wire and the pull wire causes the collapsible frame to move from inside the containment collar where the sack is closed and outside the containment collar where the sack is biased open by the collapsible frame.

18. The device as set forth in claim 16, wherein the axial length of the containment collar is generally equal to the length of the collapsible frame and the filter when the collapsible frame and the filter are positioned inside the containment collar.

19. The device as set forth in claim 16, wherein the containment collar is removable from the guide wire by pulling the pull wire relative to the guide wire sufficiently that the containment collar is withdrawn from the end of the guide wire opposite the collapsible frame.

20. The device as set forth in claim 19, further including a recovery sheath configured to be received on the end of the guide wire outside the body, to be advanced on the guide wire into the body and into interaction with the collapsible frame, whereby the collapsible frame moves from outside the containment collar where the sack is biased open by the collapsible frame to inside the containment collar where the sack is closed against the bias of the collapsible frame.

21. A method for capturing and removing particles from a vessel, the method comprising the steps of:

(a) providing a guide wire having connected at or adjacent its distal end a collapsible filter, a containment collar received on the guide wire with at least a part of the collapsible filter received inside the containment collar in a collapsed state, and a pull wire connected at or adjacent its distal end to the containment collar;

(b) introducing the containment collar with at least the part of the collapsible filter received therein into a body canal or vessel via an access opening;

(c) positioning the containment collar at a desired location in the body canal or vessel, with the guide wire and the pull wire extending from at or adjacent the desired location through the access opening; and

(d) moving the pull wire relative to the guide wire whereby the containment collar moves relative to the guide wire in a direction opposite the distal end of the guide wire and the part of the collapsible filter expands to a deployed state.

22. The method as set forth in claim 21, further including the step of:

(e) withdrawing the containment collar from the guide wire via the access opening.

23. The method as set forth in claim 22, further including the steps of:

(f) introducing a recovery sheath over the guide wire;

(g) advancing the recovery sheath on the guide wire until the recovery sheath interacts with the collapsible filter whereby at least the part of the collapsible filter is received in the recovery sheath where the part of the collapsible filter returns to its collapsed state; and

(h) withdrawing the guide wire and the recovery sheath with the at least part of the collapsible filter received therein from the body canal or vessel and through the access opening.

24. The method as set forth in claim 23, further including, between steps (e) and (f), the steps of:

introducing an over-the-wire or monorail device over the guide wire;

advancing the over-the-wire or monorail device on the guide wire to a desired position in the body canal or vessel proximal of the collapsible filter;

performing a procedure with the over-the-wire or monorail device at the position in the body canal or vessel; and

withdrawing the over-the-wire or monorail device from the guide wire.

25. The method as set forth in claim 24, wherein the over-the-wire or monorail device includes at least one of a dilation balloon system, a stent deployment system, a mechanical thrombectomy device and a laser thrombectomy device.

26. The method as set forth in claim 21, wherein the collapsible filter has the form of a bag and the part of the collapsible filter is a mouth of the bag.