SYSTEM AND METHOD FOR TREATING ISCHEMIC STROKE

• US 20100204672A1
• Filed: 02/12/2009
• Published: 08/12/2010
• Est. Priority Date: 02/12/2009
• Status: Abandoned Application

• Current Assignee: Penumbra, Inc.
• Original Assignee: Penumra Incorporated
• Inventors: Barry, David, Bose, Arani, Lockhart, Arthur John
• Application Number:
  US12/370,288
• Publication Number:
  US 20100204672A1
• Time in Patent Office: Days
• US Class Current: 604/500
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 2017/22042 Details of the tip of the guide wire
• CPC Class Codes: A61B 2017/22044 with a pointed tip
• CPC Class Codes: A61B 2017/22079 with suction of debris
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing
• CPC Class Codes: A61B 2217/005 with suction drainage system

Abstract

A thromboembolic removal system for treating ischemic stroke, including a guide and occlusion catheter, an aspiration catheter, an aspiration pump, and a thromboembolic separator. During aspiration of thromboembolic material through the aspiration catheter, the separator element is advanced from and retracted into the catheter lumen to break up or prevent clogs or flow restrictions formed by the thromboembolic material. Longitudinal channels in the separator allow aspiration through the aspiration catheter to continue even when the separator is disposed in the aspiration catheter lumen.

Claims

1. A method for removing thromboembolic material from a blood vessel in a patient, the method comprising the steps of:

providing a catheter having a lumen, the lumen including a distal opening with a fixed inner diameter, and further providing an elongate member extendable through the lumen and having a separator element thereon, the separator element comprising a solid geometric member having a plurality of longitudinal channels;

inserting the catheter into a blood vessel and positioning the catheter proximally of a body of thromboembolic material;

applying vacuum pressure through the lumen to draw thromboembolic material towards and into the lumen;

while applying the vacuum, reciprocating the separator element a plurality of times between a first position within the distal opening and a second position distal to the distal opening, wherein the longitudinal channels fluidly couple the lumen to the blood vessel when the separator element is in the first position.

2. The method of claim 1, wherein the reciprocating step prevents thromboembolic material entering the lumen from obstructing aspiration of additional material into the lumen.

3. The method of claim 1, wherein the reciprocating step plunges thromboembolic material into the lumen.

4. The method of claim 1, wherein the reciprocating step breaks up thromboembolic material accumulating in the lumen.

5. A system for removing thromboembolic material from a cerebral blood vessel, the system comprising:

an elongate catheter proportioned for insertion into a cerebral blood vessel, the catheter having a lumen extending therethrough, the lumen including a distal end having a fixed inner diameter;

an aspiration source fluidly coupled to the lumen; and

an elongate member extendable through the lumen and having a separator element thereon, the separator element comprising a solid geometric member having a plurality of longitudinal channels.

6. The system of claim 5, where the separator element is moveable between a first position within the lumen and a second position distal to the lumen, wherein the longitudinal channels provide a fluid path between the lumen and a region distal to the lumen when the separator element is in the first position.

7. The system of claim 5, wherein the elongate member is a coil member.

8. The system of claim 5, wherein the longitudinal channels extend parallel to the longitudinal axis of the elongate member.

9. The system of claim 5, wherein the separator includes only two longitudinal channels.

10. The system of claim 5, wherein the separator includes only three longitudinal channels.

11. A system for removing thromboembolic material from a cerebral blood vessel comprising;

a catheter having proximal and distal ends and a central lumen running the length thereof;

a vacuum pump fluidly coupled to the lumen at the proximal end of the catheter to apply suction thereto; and

a elongated member slidably received within the lumen, said member including a region having an increased diameter defining a separator element, said separator element being located near to but spaced from the distal end of the member, with the maximum dimension of the outer diameter of the separator element being close to the inner diameter of the lumen, and wherein said separator element includes at least one longitudinal trough extending along an axis parallel to the member, said trough cooperating with the inner wall of the lumen to define an aspiration channel when the member is positioned so that the separator element is within the catheter.

12. A system as recited in claim 11, wherein the distal and proximal ends of the separator element are tapered.

13. A system as recited in claim 11, wherein the separator element includes a pair of opposed troughs.

14. A system as recited in claim 11, wherein the separator element includes three troughs disposed equally about the circumference thereof.

15. A system as recited in claim 11, wherein the inner surface of the trough is rounded.

16. A system as recited in claim 11, wherein the difference between the maximum outer diameter of the trough and the inner diameter of the lumen is 0.003 to 0.008 inches.