Intraluminal Mass Collector

• US 20090222035A1
• Filed: 03/26/2007
• Published: 09/03/2009
• Est. Priority Date: 03/27/2006
• Status: Abandoned Application

• Current Assignee: Jacob Schneiderman
• Original Assignee: TEL Hashomer Medical Research Infrastructure and Services Limited
• Inventors: Schneiderman, Jacob
• Application Number:
  US12/225,662
• Publication Number:
  US 20090222035A1
• Time in Patent Office: Days
• US Class Current: 606/200
• 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 2017/2215 having an open distal end

Abstract

Disclosed is a catheter for disconnecting, collecting and removing an intraluminal mass from a luminal aspect of a blood vessel, comprising an elongate catheter body, an elongate tubular element extending proximally from an end of the proximal catheter body portion and an intraluminal mass collector configured for collecting an intraluminal mass from a blood vessel. An exemplary collector has a body portion connected to the proximal portion of the catheter body and a radially expandable portion extending in a proximal direction from the body portion, the expandable portion having a reduced diameter configuration with a reduced cross sectional size and at least one expanded diameter configuration. The exemplary catheter additionally includes a disconnector configured for disconnecting an intraluminal mass from a luminal aspect of a blood vessel located proximally from the collector.

Claims

1. A catheter for disconnecting, collecting and removing an intraluminal mass from a luminal aspect of a blood vessel, comprising:

a) an elongate catheter body having a proximal portion and a distal portion;

b) an elongate tubular element extending proximally from an end of said proximal catheter body portion;

c) an intraluminal mass collector configured for collecting an intraluminal mass from a blood vessel, said collector having;

i) a body portion connected to said proximal portion of said catheter body; and

ii) a radially expandable portion extending in a proximal direction from said body portion and surrounding at least a portion of said elongate tubular element, said expandable portion having a reduced diameter configuration with a reduced cross sectional size and at least one expanded diameter configuration, each expanded diameter configuration having a respective expanded cross sectional size;

d) a disconnector configured for disconnecting an intraluminal mass from a luminal aspect of a blood vessel, said disconnector connected to a proximal portion of said elongate tubular element at a distance from said collector.

2. The apparatus according to claim 1, wherein said collector is configured to strain an intraluminal mass from the blood when in said expanded diameter configuration.

3. The apparatus according to claim 1, including a catheter sleeve slidably associated with at least a portion of said catheter body and configured to surround at least a portion of said collector in said reduced diameter configuration.

4. The apparatus according to claim 3, wherein said collector includes at least two substantially resilient rays extending from said collector body portion in a proximal direction towards an end of said radially expandable portion.

5. The apparatus according to claim 4 wherein said at least two rays comprise at least about 6 rays.

6. The apparatus according to claim 4, wherein said body portion of said intraluminal mass collector comprises a ring shaped component connected to said catheter body.

7. The apparatus according to claim 4, wherein proximal portions of each of said at least two rays are configured to resiliently flex outward to form at least one expanded cross sectional diameter.

8. The apparatus according to claim 7, wherein said expanded cross sectional diameter is at least about 3 centimeters.

9. The apparatus according to claim 7, wherein the extent of said outwards flexing is configured to be limited by the walls of a vessel in which said collector is deployed.

10. The apparatus according to claim 7, wherein each of said at least two rays is configured to resiliently flex outward to form said at least one expanded cross sectional diameter.

11. The apparatus according to claim 4, including a sheet material operatively associated with said at least two rays, said material forming a substantially conical shape pointing in a distal direction when said at least two rays are in a said expanded diameter configuration.

12. The apparatus according to claim 11, wherein said sheet material is selected from the group consisting of meshes and nets.

13. The apparatus according to claim 11, wherein said material includes openings having an area of at least about 0.25 mm².

14. The apparatus according to claim 11, wherein said material includes openings having an area of no more than about 4.0 mm².

15. The apparatus according to claim 11, wherein said material extends proximally beyond at least one of said at least two rays by at least about 1.0 millimeters.

16. The apparatus according to claim 11, wherein said material extends proximally beyond at least one of said at least two rays by no more than about 5.0 millimeters.

17. The apparatus according to claim 4, including at least one elongate flexible biasing element, having:

i) a first end attached to a first portion of said catheter sleeve;

ii) a second end attached to a second portion of said catheter sleeve; and

iii) a body between said first and second ends, said body being operatively associated with a proximal portion of each of said at least two rays.

18. The apparatus according to claim 17, wherein said at least one flexible biasing element is configured to bias at least one of said at least two rays from an expanded diameter configuration to a smaller diameter configuration.

19. The apparatus according to claim 17, wherein said at least one flexible biasing element has a diameter of at least 0.2 millimeters.

20. The apparatus according to claim 17, wherein said at least one flexible biasing element has a diameter of no more than about 0.8 millimeters.

21. The apparatus according to claim 17, further comprising a passage at a proximal portion of each of said at least two rays, through which said body of said at least one elongate flexible biasing element passes.

22. The apparatus according to claim 21, wherein said passage is formed from at least one of:

a bending of said proximal portion of said ray; and

a shaped component attached to said proximal portion of said ray.

23. The apparatus according to claim 1, wherein said catheter body includes a continuous aspiration channel from said distal portion and emerging into said collector body portion.

24. The apparatus according to claim 4, including a collector ray converger comprising a curved wall that slidingly substantially encircles a portion of said distal portion of said catheter body.

25. The apparatus according to claim 24, wherein said collector ray converger is additionally configured to encircle at least a portion of at least one of:

said collector; and

said catheter sleeve.

26. The apparatus according to claim 24, wherein said collector ray converger is configured to provide a radially inward force on at least one of said at least two rays.

27. The apparatus according to claim 24, wherein said collector ray converger is configured to reduce an intraluminal mass diameter, when said mass has been collected in said collector.

28. The apparatus according to claim 24, wherein said collector ray converger has a length of at least about 3 centimeters.

29. The apparatus according to claim 24, wherein said collector ray converger has a length of no more than about 7 centimeters.

30. The apparatus according to claim 24, wherein said collector ray converger wall has a thickness of at least about 0.3 millimeters.

31. The apparatus according to claim 24, wherein said collector ray converger wall has a thickness of no more than about 0.6 millimeters.

32. The apparatus according to claim 1, wherein said disconnector comprises a balloon configured to inflate by introduction of a fluid through an inflation channel running through said catheter body and said elongate tubular element.

33. The apparatus according to claim 32, wherein said balloon has a maximum inflation radius of at least about 2 centimeters.

34. The apparatus according to claim 1 wherein said distance from said disconnector to the proximal end of said collector in said reduced diameter configuration is at least about 5 centimeters.

35. The apparatus according to claim 1 wherein said distance from said disconnector to the proximal end of said collector in said reduced diameter configuration is no more than about 12 centimeters.

36. The apparatus according to claim 32, wherein said catheter body includes a substantially coaxial guide wire channel.

37. The apparatus according to claim 1, wherein said catheter body has an outside diameter of at least about 3.0 millimeters.

38. The apparatus according to claim 1, wherein said catheter body has an outside diameter of no more than about 5.5 millimeters.

39. The apparatus according to claim 3, wherein said catheter sleeve has a wall thickness of at least about 0.2 millimeters.

40. The apparatus according to claim 3, wherein said catheter sleeve has a wall thickness of no more than about 0.5 millimeters.

41. A method for collecting embolic debris within the vascular system, the method comprising:

opening a collector within a vascular system on a first side of embolic debris;

expanding an expandable lumen blocker on a second side of said embolic debris;

collecting said embolic debris within said collector;

closing said collector;

containing said embolic debris within said collector; and

removing said embolic debris from said vascular system.

42. The method according to claim 41, wherein said first side is proximal and said second side is distal to said embolic debris.

43. The method according to claim 41, wherein said first side is distal and said second side is proximal to said embolic debris.

44. The method according to claim 41, including treating a portion of a stenosed region using dilation.

45. The method according to claim 41, including treating a portion of a stenosed region using laser ablation.

46. The method according to claim 41, including treating a portion of a stenosed region by atherectomy.

47. The method according to claim 41, including aspirating said embolic debris from said collector.