MECHANICAL EMBOLECTOMY DEVICE AND METHOD

• US 20090292307A1
• Filed: 05/22/2008
• Published: 11/26/2009
• Est. Priority Date: 05/22/2008
• Status: Abandoned Application

• Current Assignee: Nasser Razack
• Original Assignee: Nasser Razack
• Inventors: RAZACK, NASSER
• Application Number:
  US12/125,591
• Publication Number:
  US 20090292307A1
• Time in Patent Office: Days
• US Class Current: 606/200
• CPC Class Codes: A61B 17/22004 using mechanical vibrations, e.g. ultrasonic shock waves A61B17/225 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 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• 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 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61M 2025/0004 having two or more concentrically arranged tubes for forming a concentric catheter system
• CPC Class Codes: A61M 2025/0042 Microcatheters, cannula or the like having outside diameters around 1 mm or less
• CPC Class Codes: A61M 2025/0096 being laterally outward extensions or tools, e.g. hooks or fibres
• CPC Class Codes: A61M 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

An embolectomy device includes a catheter and an elongated shaft positioned in and moveable within the catheter. The shaft has proximal and distal end portions, and a retrieval portion between the proximal and distal end portions. The retrieval portion has a plurality of legs having proximal and distal end portions. Portions of the legs are movable laterally outward from a long axis of the elongated shaft when the retrieval portion is at least partially moved out of the catheter. A retrieval net can be fixed to portions of the legs for engaging a clot or other occlusion within a body canal. An expander can be provided for moving portions of an occlusion toward canal walls to open a lumen. A method for removing clots and other occlusions from body canals is also disclosed.

Claims

1. An embolectomy device, comprising:

a catheter; and

an elongated shaft positioned in and moveable within the catheter, said shaft having proximal and distal end portions, said shaft having a retrieval portion at or near said distal end portion, said retrieval portion having a plurality of legs having proximal and distal ends and a mid-portion between said proximal and distal ends, said mid-portion of said legs being movable laterally outward from a long axis of said elongated shaft when said retrieval portion has been moved out of said catheter.

2. The embolectomy device of claim 1, further comprising a retrieval net fixed to said legs between said mid-portion and said distal end of said legs.

3. The embolectomy device of claim 1, wherein said elongated shaft is a guide wire.

4. The embolectomy device of claim 2, wherein said legs are spring arms.

5. The embolectomy device of claim 4, wherein said spring arms comprise a bend at said mid portion defining proximal and distal portions, said bend biasing said spring arms to a lateral outward position.

6. The embolectomy device of claim 2, wherein said net is constructed from a polymeric material.

7. The embolectomy device of claim 1, wherein said legs are integral with said elongated shaft.

8. The embolectomy device of claim 1, wherein said legs are affixed to said elongated shaft.

9. The embolectomy device of claim 1, wherein said elongated shaft comprises a distal penetrating portion.

10. An embolectomy device, comprising:

a catheter;

an elongated shaft positioned in and moveable within the catheter, said shaft having proximal and distal end portions, said shaft having a retrieval portion at or near said distal end portion, said retrieval portion having a plurality of legs having proximal and distal portions, distal portions of said legs being movable laterally outward from a long axis of said elongated shaft when said retrieval portion has been at least partially moved out of said catheter; and

a retrieval net fixed to said distal portions of said plurality of legs.

11. An embolectomy device, comprising:

an outer catheter; and

an elongated shaft positioned in and moveable within said outer catheter, said elongated shaft having connected thereto an expander, whereby when said expander is moved from within said outer catheter said expander can expand to engage a clot.

12. The embolectomy device of claim 11, wherein said elongated shaft comprises an inner catheter, said expander being connected to said inner catheter.

13. The embolectomy device of claim 12, wherein within said inner catheter is an elongated retrieval shaft, said retrieval shaft having proximal and distal end portions, said retrieval shaft having a retrieval portion at or near said distal end portion, said retrieval portion having a plurality of legs having proximal and distal ends and a mid-portion between said proximal and distal ends, said mid-portion of said legs being movable laterally outward from a long axis of said elongated shaft when said retrieval portion has been moved out of said inner catheter.

14. The embolectomy device of claim 12, wherein within said inner catheter is an elongated retrieval shaft positioned in and moveable within the catheter, said retrieval shaft having proximal and distal end portions and a retrieval portion at or near said distal end portion, said retrieval portion having a plurality of legs having proximal and distal portions, distal portions of said legs being movable laterally outward from a long axis of said elongated retrieval shaft when said retrieval portion has been at least partially moved out of said inner catheter;

and a retrieval net fixed to said distal portions of said plurality of legs.

15. The embolectomy device of claim 11, wherein said expander is at least partially covered by a net.

16. The embolectomey device of claim 15, wherein said net comprises a biocompatible or non-thrombogenic material.

17. A method of performing an embolectomy, comprising the steps of:

providing an embolectomy device comprising an outer catheter;

an elongated shaft positioned in and moveable within said outer catheter, said elongated shaft having connected thereto an expandable expander, whereby when said expander is moved from within said outer catheter said expander will expand to engage an occlusion;

manipulating a distal portion of said outer catheter to a location adjacent to an occlusion in a body canal;

moving at least the expander into the occlusion; and

expanding the expander to move the occlusion toward said body canal, thereby creating a lumen.

18. The method of claim 17, wherein said elongated shaft comprises an inner catheter, said expander being connected to said inner catheter.

19. The method of claim 18, wherein within said inner catheter is an elongated retrieval shaft, said retrieval shaft having proximal and distal end portions, said retrieval shaft having a retrieval portion at or near said distal end portion, said retrieval portion having a plurality of legs having proximal and distal ends, a portion of said legs being movable laterally outward from a long axis of said elongated shaft when said retrieval portion has been at least partially moved out of said catheter, and a retrieval net fixed to said movable portions of said plurality of legs;

said method further comprising the step of, after said occlusion has been moved by said expander, moving said retrieval portion out of said inner catheter and moving laterally outward said legs and said net, and then moving said net proximally to remove at least portions of said occlusion from said body canal.

20. The method of claim 18, wherein within said inner catheter is an elongated retrieval shaft, said retrieval shaft having proximal and distal end portions, said method further comprising the step of moving said retrieval portion at least partially out of the catheter, and moving at least a portion of the retrieval portion laterally outward;

moving the retrieval portion proximally so as to engage said occlusion with the retrieval portion; and

removing said microcatheter, elongated shaft, retrieval portion, and portions of said occlusion from said body canal.

21. The embolectomy device of claim 17, wherein said expander is at least partially covered by a net.

22. The embolectomey device of claim 21, wherein said net comprises a biocompatible or non-thrombogenic material.

23. A method of performing an embolectomy, comprising the steps of:

providing an embolectomy device comprising a catheter;

an elongated shaft positioned in and moveable within the catheter, said shaft having proximal and distal end portions, said shaft having a retrieval portion at or near said distal end portion, said retrieval portion having a plurality of legs having proximal and distal end portions, distal portions of said legs being movable laterally outward from a long axis of said elongated shaft when said retrieval portion has been moved at least partially out of said catheter, and a retrieval net fixed to said distal portions of said plurality of legs;

manipulating the embolectomy device to a location adjacent to an occlusion in a body canal;

moving at least the retrieval portion through the occlusion;

moving the retrieval portion at least partially out of the catheter, and moving at least a portion of the legs laterally outward;

moving the retrieval portion proximally so as to engage said occlusion with the retrieval net; and

removing said microcatheter, elongated shaft, retrieval portion, and portions of siad occlusion from said body canal.

24. The method of claim 23, wherein said retrieval portion has a plurality of legs having proximal and distal ends and a mid-portion between said proximal and distal ends, said mid-portion of said legs being movable laterally outward from a long axis of said elongated shaft when said retrieval portion has been moved out of said catheter, said method further comprising the step of moving said mid-portion laterally outward when said retrieval portion has been moved out of said catheter.