CLOT RETRIEVAL METHOD AND DEVICE

• US 20100023034A1
• Filed: 06/19/2009
• Published: 01/28/2010
• Est. Priority Date: 06/19/2008
• Status: Abandoned Application

• Current Assignee: Coherex Medical, Inc. (Johnson & Johnson)
• Original Assignee: Coherex Medical, Inc. (Johnson & Johnson)
• Inventors: Edmiston, Daryl R., Linder, Richard J.
• Application Number:
  US12/488,440
• Publication Number:
  US 20100023034A1
• Time in Patent Office: Days
• US Class Current: 606/159
• CPC Class Codes: A61B 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes precedence
• CPC Class Codes: A61B 17/22032 having inflatable gripping elements balloon catheters A61M25/10
• 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 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing

Abstract

Devices, systems and methods for retrieving clot material from a vasculature lumen are provided. In one embodiment, a medical device includes a handle, a catheter, a tether member and a clot retrieval element. The catheter extends from the handle and the clot retrieval element is configured to be positioned within a distal portion of the catheter with the tether member extending between the handle and the clot retrieval element. The clot retrieval element is configured to be deployed from within the catheter so that the catheter moves proximally relative to and separate from the clot retrieval element while maintaining attachment to the clot retrieval element via the tether member. Further, the clot retrieval element is configured to be pulled by the tether member to abut against a distal side of a clot with proximal movement of the tether member to pull the clot from the vasculature lumen.

Claims

1. A medical device configured to retrieve clot material from a vasculature lumen, comprising:

a handle having a catheter extending therefrom;

at least one clot retrieval element configured to be positioned within a distal portion of a lumen defined through the catheter, the at least one clot retrieval element operably attached to the handle with a tether member extending through the lumen of the catheter;

wherein the at least one clot retrieval element is configured to be deployed from within the catheter from a contracted state to an expanded state such that, when in the expanded state, the at least one clot retrieval element conforms to the geometry of the vasculature lumen and applies pressure to the vasculature lumen.

2. The medical device of claim 1, wherein the at least one clot retrieval element comprises a foam material.

3. The medical device of claim 1, wherein the at least one clot retrieval element includes at least a portion that is substantially cylindrical when in the expanded state.

4. The medical device of claim 3, wherein the at least one clot retrieval element includes a proximal end, a radial wall and a distal end, and wherein at least a portion of the proximal end exhibits a concave surface.

5. The medical device of claim 4, wherein a volume of material at the proximal end is exhibits a higher density than a volume of material at the distal end.

6. The medical device of claim 4, wherein at least one clot retrieval method further comprises at least one cross member extending across a portion of the proximal end.

7. The medical device of claim 4, wherein at least one clot retrieval element further comprises a reinforcing layer disposed on the proximal end.

8. The medical device of claim 1, wherein the tether member includes a plurality of lines, wherein ends of the plurality of lines are disposed within an interior portion of the at least one clot retrieval element.

9. The medical device of claim 8, wherein the ends of the plurality of lines are each positioned at different locations within the interior portion of the at least one clot retrieval element.

10. The medical device of claim 1, wherein the at least one clot retrieval element includes a body having a substantially hollow area defined therein.

11. The medical device of claim 1, wherein at least one clot retrieval element includes a plurality of discrete clot retrieval elements coupled with the tether member and spaced apart from one another.

12. The medical device of claim 11, wherein at least one of the plurality of clot retrieval elements includes a plurality of protrusions on a radial surface thereof.

13. The medical device of claim 11, wherein each of the plurality of clot retrieval elements are configured substantially identical to one another.

14. The medical device of claim 1, wherein the catheter is configured as a micro-catheter.

15. A method of retrieving a clot from a vasculature lumen, the method comprising:

extending a catheter within a vasculature lumen through a clot;

positioning a distal portion of the catheter distally of the clot;

deploying at least one clot retrieval element from the distal portion of the catheter while maintaining attachment to the at least one clot retrieval element via a tethering member extending through the catheter;

conforming the at least one clot retrieval element to a geometry of the vasculature lumen and applying pressure to a wall of the vasculature lumen with the at least one clot retrieval element;

displacing the distal portion of the catheter proximally with respect to the clot;

abutting the at least one clot retrieval element against a distal side of the clot; and

pulling the clot proximally through the vasculature lumen with the clot retrieval element abutted against a distal side of the clot.

16. The method according to claim 15, further comprising maintaining pressure on the vasculature lumen while moving the distal portion of the catheter proximally with respect to the clot.

17. The method according to claim 15, further comprising maintaining pressure on the vasculature lumen while pulling the clot proximally through the vasculature lumen.

18. The method according to claim 15, wherein deploying at least one clot retrieval element from the distal portion of the catheter further comprising deploying a body comprising a foam material from the distal portion of the catheter.

19. The method according to claim 15, wherein deploying at least one clot retrieval element from the distal portion of the catheter includes deploying a plurality of discrete, spaced apart clot retrieval elements coupled together by the tethering member.

20. The method according to claim 19, wherein deploying a plurality of discrete, spaced apart clot retrieval elements includes deploying a plurality of substantially identical clot retrieval elements.

21. The method according to claim 19, wherein deploying a plurality of discrete, spaced apart clot retrieval elements includes deploying at least one clot retrieval element having a plurality of protrusions on a radial surface thereof.

22. The method according to claim 15, wherein deploying at least one clot retrieval element from the distal portion of the catheter includes deploying a clot retrieval element having a substantially convex surface in at least a portion of a proximal end of the clot retrieval element.

23. The method according to claim 15, wherein deploying at least one clot retrieval element from the distal portion of the catheter includes deploying a clot retrieval element having a volume of material at a proximal end thereof exhibiting a first density and a volume of material at a distal end thereof exhibiting a second density, the first density being greater than the second density.