Mechanical Embolectomy Device and Method

• US 20100087850A1
• Filed: 10/03/2008
• Published: 04/08/2010
• Est. Priority Date: 10/03/2008
• Status: Abandoned Application

• Current Assignee: Nasser Razack
• Original Assignee: Nasser Razack
• Inventors: Razack, Nasser
• Application Number:
  US12/244,791
• Publication Number:
  US 20100087850A1
• 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 17/32075 Pullback cutting; combined forward and pullback cutting, e.g. with cutters at both sides of the plaque
• CPC Class Codes: A61B 2017/22001 Angioplasty, e.g. PCTA
• CPC Class Codes: A61B 2017/320741 for stripping the intima or the internal plaque from a blood vessel, e.g. for endarterectomy
• 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: A61M 25/104 used for angioplasty

Abstract

An embolectomy device includes an elongated shaft positionable in and movable within a catheter. The elongated shaft having a distal end portion. An expander portion having proximal and distal ends. The expander portion having a first plurality of legs connecting the proximal end of the expander portion to the distal end portion of the elongated shaft and a second plurality of legs connecting the distal end of the expander portion to the proximal end of the intermediate elongated shaft. The expander portion being biased to expand laterally outward from the long axis of the embolectomy device when the expander portion has been moved out of the catheter to engage a clot. A retrieval portion can be provided proximally of the expander portion. A retrieval net can be fixed to the retrieval portion. The expander portion can be at least partially covered by a net. A method for removing clots and other occlusions for body canals is also provided.

Claims

1. An embolectomy device, comprising:

an elongated shaft positionable in and movable within a catheter, said elongated shaft having a distal end portion;

an intermediate elongated shaft positionable in an movable with the catheter;

said intermediate elongated shaft having proximal and distal ends;

an expander portion having proximal and distal ends, said expander portion having a first plurality of legs connecting said proximal end of said expander portion to said distal end portion of said elongated shaft and a second plurality of legs connecting said distal end of said expander portion to said proximal end of said intermediate elongated shaft; and

a retrieval portion having a plurality of legs having proximal and distal portions, said proximal portion being attached to said distal end of said intermediate elongated shaft at said proximal portion of said of plurality of legs of said retrieval portion;

wherein said plurality of legs of said retrieval portion being movable laterally outward from a long axis of the embolectomy device when said retrieval portion has been moved out of the catheter; and

wherein said expander portion being biased to expand laterally outward from said long axis of the embolectomy device when said expander portion has been moved out of the catheter to engage a clot.

2. The embolectomy device of claim 1, further comprising:

an atraumatic distal portion extending distally from said distal end portion of said plurality of legs of said of retrieval portion.

3. The embolectomy device of claim 1, further comprising a retrieval net fixed to said retrieval portion.

4. The embolectomy device of claim 3, wherein said net is constructed from a polymeric material.

5. The embolectomy device of claim 1, wherein said expander portion is at least partially covered by a net.

6. The embolectomy device of claim 5, wherein said net comprises a biocompatible or non-thrombegenic material.

7. The embolectomy device of claim 1, further comprising the catheter.

8. An embolectomy device, comprising:

an elongated shaft positionable in and movable within a catheter, said elongated shaft having a distal end portion;

an intermediate elongated shaft positionable in an movable with the catheter;

said intermediate elongated shaft having proximal and distal ends;

an expander portion having proximal and distal ends, said expander portion having a first plurality of legs connecting said proximal end of said expander portion to said distal end portion of said elongated shaft and a second plurality of legs connecting said distal end of said expander portion to said proximal end of said intermediate elongated shaft;

retrieval portion having a plurality of legs having proximal and distal ends and a mid-portion between said proximal and distal ends, said proximal end being attached to said distal end of said intermediate elongated shaft at said proximal end of said of plurality of legs of said retrieval portion;

wherein said mid-portion of said legs being movable laterally outward from a long axis of the embolectomy device when said retrieval portion has been moved out of the catheter; and

wherein said expander portion being biased to expand laterally outward from said long axis of the embolectomy device when said expander portion has been moved out of the catheter to engage a clot.

9. The embolectomy device of claim 8, further comprising a retrieval net fixed to said plurality of legs of said retrieval portion between said mid-portion and said distal end thereof.

12. The embolectomy device of claim 8, further comprising:

a atraumatic distal portion extending distally from said distal end portion of said plurality of legs of said of retrieval portion.

13. The embolectomy device of claim 8, wherein said expander portion is at least partially covered by a net.

14. The embolectomy device of claim 13, wherein said net comprises a biocompatible or non-thrombegenic material.

15. The embolectomy device of claim 8, further comprising the catheter.

10. The embolectomy device of 8, wherein said plurality of legs of said retrieval portion are spring arms.

11. The embolectomy device of claim 10, 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.

16. The embolectomy device of claim 11, wherein said spring arms are integral with said intermediate elongated shaft.

17. The embolectomy device of claim 11, wherein said spring arms are attached to said intermediate elongated shaft.

18. An embolectomy device, comprising:

an elongated shaft positionable in and movable within a catheter, said elongated shaft having a distal end portion;

an expander portion having proximal and distal ends, said expander portion having a first plurality of legs connecting said proximal end of said expander portion to said distal end portion of said elongated shaft and a second plurality of legs connecting said distal end of said expander portion to said proximal end of said intermediate elongated shaft; and

wherein said expander portion being biased to expand laterally outward from said long axis of the embolectomy device when said expander portion has been moved out of the catheter to engage a clot.

19. The embolectomy device of claim 18, further comprising:

a atraumatic distal portion extending distally from said distal end of said expander portion.

20. The embolectomy device of claim 18, wherein said expander portion is at least partially covered by a net.

21. The embolectomy device of claim 20, wherein said net comprises a biocompatible or non-thrombegenic material.

22. The embolectomy device of claim 18, further comprising the catheter.

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

providing an embolectomy device comprising an elongated shaft positionable in and movable within a catheter, said elongated shaft having a distal end portion, an intermediate elongated shaft positionable in an movable with the catheter, said intermediate elongated shaft having proximal and distal ends, an expander portion having proximal and distal ends, said expander portion having a first plurality of legs connecting said proximal end of said expander portion to said distal end portion of said elongated shaft and a second plurality of legs connecting said distal end of said expander portion to said proximal end of said intermediate elongated shaft, a retrieval portion having a plurality of legs having proximal and distal portions, said proximal portion being attached to said distal end of said intermediate elongated shaft at said proximal portion of said of plurality of legs of said retrieval portion, said plurality of legs of said retrieval portion being movable laterally outward from a long axis of said elongated shaft when said retrieval portion has been moved out of the catheter, said expander portion being biased to expand laterally outward from said long axis of the embolectomy device when said expander portion has been moved out of the catheter to engage an occlusion, and a retrieval net fixed to said retrieval portion;

manipulating the embolectomy device within a catheter to position the expander portion across an occlusion in a body canal;

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

retracting the expander portion;

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

removing the catheter and embolectomy device as one from the body canal with portions of the occlusion contained by the catheter and the retrieval portion of the embolectomy device.

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

providing an embolectomy device comprising an elongated shaft positionable in and movable within a catheter, said elongated shaft having a distal end portion, an expander portion having proximal and distal ends, said expander portion having a first plurality of legs connecting said proximal end of said expander portion to said distal end portion of said elongated shaft and a second plurality of legs connecting said distal end of said expander portion to said proximal end of said intermediate elongated shaft, said expander portion being biased to expand laterally outward from said long axis of the embolectomy device when said expander portion has been moved out of the catheter to engage an occlusion;

manipulating the embolectomy device within a catheter to position the expander portion across an occlusion in a body canal;

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

retracting the expander portion; and

removing the catheter and expander portion from the body canal leaving the lumen open.