RETRIEVAL CATHETER AND METHODS OF RETRIEVING DEPLOYED MEDICAL DEVICES

• US 20090254116A1
• Filed: 04/02/2009
• Published: 10/08/2009
• Est. Priority Date: 04/03/2008
• Status: Abandoned Application

• Current Assignee: Gardia Medical Ltd. (Allmed Solutions Ltd.)
• Original Assignee: Gardia Medical Ltd. (Allmed Solutions Ltd.)
• Inventors: Spenser, Benjamin, Rosenschein, Uri
• Application Number:
  US12/417,216
• Publication Number:
  US 20090254116A1
• Time in Patent Office: Days
• US Class Current: 606/200
• CPC Class Codes: A61B 2017/22039 eccentric
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2002/018 made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/008 paraboloidal

Abstract

A retrieval catheter for retrieving deployed medical devices includes a first guidewire lumen and a second guidewire lumen spaced radially from the first guidewire lumen. The first guidewire lumen has a distal end portion configured to recapture a medical device, such as a collapsed embolic protection device, deployed in a body lumen and secured to a guidewire extending through the first guidewire lumen. The second guidewire lumen receives a second guidewire which may be advanced past a first interventional site to perform a second procedure. The retrieval catheter may be provided with a soft tip to reduce trauma to the body tissue.

Claims

1. A retrieval catheter for retrieving a medical device deployed in a body lumen, comprising:

a first guidewire lumen extending through a distal shaft portion of the retrieval catheter from a first proximal guidewire port to a first distal guidewire port, the first guidewire lumen having a distal end portion dimensioned to recapture the medical device secured on a first guidewire distal of the distal end portion, said first guidewire extending through the first guidewire lumen; and

a second guidewire lumen extending through the distal shaft portion of the retrieval catheter from a second proximal guidewire port to a second distal guidewire port, said second guidewire lumen radially offset from the first guidewire lumen and receiving a second guidewire operable separately from the first guidewire for advancing past the distal end portion following recapture of the medical device.

2. The retrieval catheter of claim 1, further comprising:

a tipped member having a conical shape with a greatest outside diameter sized to be slidably received in the distal end portion of the first guidewire lumen and a center opening through which the first guidewire passes, wherein a tip of the tipped member protrudes distally from the distal end portion when the retrieval catheter is advanced distally in the body lumen towards the medical device.

3. The retrieval catheter of claim 2, further comprising:

a pulling wire secured to the tipped member for defining a longitudinal position of the tipped member inside the first guidewire lumen.

4. The retrieval catheter of claim 1, wherein the medical device comprises an embolic protection device.

5. The retrieval catheter of claim 3, further comprising:

a proximal actuator having a distal section attached to a proximal shaft portion of the retrieval catheter, and a proximal section movable longitudinally with respect to the distal section and secured to the pulling wire, wherein the tipped member is longitudinally displaced inside the distal end portion of the first guidewire lumen by moving the proximal section relative to the distal section.

6. The retrieval catheter of claim 1, wherein the retrieval catheter is configured for rapid exchange.

7. The retrieval catheter of claim 2, wherein the tipped member frictionally engages with the distal end portion of the first guidewire lumen.

8. A method of retrieving an embolic protection device deployed in a body lumen at a location distal to a first interventional procedure site and secured to a first guidewire, the method comprising the steps of:

advancing a retrieval catheter along the first guidewire to a location proximal of the embolic protection device, the retrieval catheter having a first guidewire lumen extending through a distal shaft portion of the retrieval catheter from a first proximal guidewire port to a first distal guidewire port, the first guidewire lumen having a distal end portion dimensioned to recapture the embolic protection in a collapsed state, said first guidewire extending through the first guidewire lumen, the retrieval catheter further having a second guidewire lumen extending through the distal shaft portion of the retrieval catheter from a second proximal guidewire port to a second distal guidewire port, said second guidewire lumen radially offset from the first guidewire lumen and receiving a second guidewire operable separately from the first guidewire;

recapturing the collapsed embolic protection device into the first guidewire lumen of the retrieval catheter;

advancing the second guidewire through the second guidewire lumen of the retrieval catheter to a second interventional procedure site; and

withdrawing the retrieval catheter with the embolic protection device and the first guidewire, while leaving the second guidewire in place.

9. The method of claim 8, further comprising the step of:

providing in the distal end portion of the first guidewire lumen a tipped member having a conical shape, with a pointed end of the tipped member protruding distally from the distal end portion.

10. The method of claim 9, wherein the tipped member frictionally engages with the distal end portion of the first guidewire lumen.

11. The method of claim 9, further comprising the step of:

withdrawing the tipped member into the distal end portion of the first guidewire lumen by proximally pulling with a pulling wire attached to the tipped member, while simultaneously recapturing the collapsed embolic protection device into the first guidewire lumen of the retrieval catheter.

12. A retrieval catheter for retrieving a medical device deployed in a body lumen, comprising:

a guidewire lumen extending through a distal shaft portion of the retrieval catheter from a first proximal guidewire port to a first distal guidewire port, the guidewire lumen having a distal end portion dimensioned to recapture the medical device secured on a guidewire distal of the distal end portion, said guidewire extending through the guidewire lumen; and

a tipped member having a conical shape with a greatest outside diameter sized to be slidably received in the distal end portion of the guidewire lumen and a center opening through which the guidewire passes, wherein a tip of the tipped member protrudes distally from the distal end portion when the retrieval catheter is advanced distally in the body lumen towards the medical device.

13. The retrieval catheter of claim 12, further comprising:

a pulling wire secured to the tipped member for defining a longitudinal position of the tipped member inside the guidewire lumen.

14. The retrieval catheter of claim 12, wherein the medical device comprises an embolic protection device.

15. The retrieval catheter of claim 12, wherein the tipped member frictionally engages with the distal end portion of the guidewire lumen.

16. The retrieval catheter of claim 12, wherein the pulling wire is secured to the tipped member by a material connection or a force-transmitting connection.

17. The retrieval catheter of claim 12, wherein the retrieval catheter is configured for rapid exchange.

18. A method of retrieving an embolic protection device deployed in a body lumen and secured to a guidewire, the method comprising the steps of:

advancing a retrieval catheter along the guidewire to a location proximal of the embolic protection device, the retrieval catheter having a guidewire lumen extending through a distal shaft portion of the retrieval catheter from a proximal guidewire port to a distal guidewire port, the guidewire lumen having a distal end portion dimensioned to recapture the embolic protection device in a collapsed state, and a tipped member having a conical shape slidably received in a distal end portion of the guidewire lumen and a pointed end protruding distally from the distal end portion, with the guidewire passing longitudinally through the tipped member,

collapsing the embolic protection device, and

pulling the collapsed embolic protection device proximally into the guidewire lumen of the retrieval catheter.

19. The method of claim 18, further comprising the steps of:

proximally pulling the tipped member into the guidewire lumen of the retrieval catheter with a pulling wire attached to the tipped member, and

simultaneously proximally pulling the collapsed embolic protection device into the guidewire lumen of the retrieval catheter with the guidewire so as to substantially retain the shape of the tipped member.