DEVICE FOR CAPTURING DEBRIS IN BLOOD VESSELS

• US 20140236220A1
• Filed: 09/26/2012
• Published: 08/21/2014
• Est. Priority Date: 09/27/2011
• Status: Active Grant

• Current Assignee: Kanji Inoue
• Original Assignee: Kanji Inoue
• Inventors: Inoue, Kanji
• Granted Patent: US 9,492,262 B2
• 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: A61F 2/0105 Open ended, i.e. legs gathered only at one side
• CPC Class Codes: A61F 2002/016 made from wire-like elements
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/001 Figure-8-shaped, e.g. hourglass-shaped
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/0093 Umbrella-shaped, e.g. mushroom-shaped

Abstract

Provided is a device for capturing debris in blood vessels, which enables a filter member to be smoothly recovered, and has a simple structure leading to an easy operation. For this purpose, provided is an elastic steel wire that, in a folded state, extends in a direction toward a base of a slide tube from a fore end part of a holding part in a ringlike elastic wire rod along an outer side of the slide tube.

Claims

1. A device for capturing debris in blood vessels, the device comprising:

a core wire that is arranged in a blood vessel;

a filter member that includes a baglike filter arranged in the blood vessel such that an opening faces an upstream side of blood flow, and a ringlike elastic wire rod that is attached around an opening edge part of the filter to be, in a spread state, formed in an annular shape spread by an elastic restoring force thereof, can be brought into two states, the two states comprising a folded state and the spread state of being spread in the blood vessel, and is attached to the core wire;

a plurality of linear bodies of which one end parts are respectively attached to a plurality of positions of the ringlike elastic wire rod and the other end parts are attached on a base side of the core wire with respect to the one end parts, the plurality of linear bodies connecting the filter member to the core wire; and

a slide tube inside which the core wire passes,

the device configured such that, in a case of moving the slide tube toward a fore end side of the core wire from the spread state to thereby pull the linear bodies into the slide tube from the other end parts, the one end parts of the respective linear bodies and the plurality of positions of the ringlike elastic wire rod come close to each other, the plurality of positions being respectively attached to the one end parts, and the ringlike elastic wire rod is bent so as to hold a fore end part outer circumferential surface of the slide tube from radially outside, and brought into the folded state,

further comprising a guide member having a guide surface that is, in the folded state, substantially formed between a fore end part of a holding part in the ringlike elastic wire rod and an outer circumferential surface of the slide tube on a base side with respect to the fore end part.

2. The device for capturing debris in blood vessels according to claim 1, configured to move an operation tube toward the fore end side of the core wire and thereby make a fore end of the operation tube press the slide tube to move the slide tube toward the fore end side of the core wire, the operation tube being arranged on a base side of the slide tube and guided by the core wire to move forward and backward.

3. The device for capturing debris in blood vessels according to claim 1, wherein

the guide member is an elastic steel wire having a predetermined flexural rigidity.

4. The device for capturing debris in blood vessels according to claim 3, wherein

the elastic steel wire is, at a base end part thereof, attached to the core wire, extends in a direction toward a fore end of the core wire while passing through an outer side of the slide tube from a base end attachment site thereof, or extends in the direction toward the fore end of the core wire while passing through an inner side of the slide tube from the base end attachment site and extending toward the outer side of the slide tube from a steel wire through-hole provided in a lateral circumferential wall of the slide tube, and is slidably attached to the fore end part of the holding part along an extending direction of the core wire.

5. The device for capturing debris in blood vessels according to claim 4, wherein

the elastic steel wire is attached to a radially outer side of the fore end part of the holding part.

6. The device for capturing debris in blood vessels according to claim 3, wherein

the ringlike elastic wire rod forms a pair of opposite holding parts in the folded state, wherein

a pair of elastic steel wires provided correspondingly to the respective holding parts is configured to extend inside the filter from fore end parts of the respective holding parts, and integrally connect to each other to form a loop shape.

7. The device for capturing debris in blood vessels according to claim 1, further comprising

a plurality of second linear bodies of which one end parts are respectively attached to a plurality of positions of the ringlike elastic wire rod and the other end parts are attached on the fore end side of the core wire with respect to the one end parts, the plurality of second linear bodies connecting the ringlike elastic wire rod to the core wire.

8. The device for capturing debris in blood vessels according to claim 1, wherein

the ringlike elastic wire rod is configured by winding a thin steel wire, and both end excess parts of the thin steel wire extend inside the filter and are attached to the core wire.

9. The device for capturing debris in blood vessels according to claim 1, wherein

the core wire is configured to be able to bring or separate a fore end core wire that is attached to the filter member and passes through the slide tube into contact with or from a base core wire on a base side with respect to the fore end core wire, wherein

as the base core wire, two types are provided, the two types comprising a conveyance core wire used at a time of placing the filter member in the blood vessel and a recovery core wire used at a time of recovering the filter member from the blood vessel,

a fore end part of the conveyance core wire is provided with a pressing surface that presses an engaged part provided in a base end part of the fore end core wire without engaging with the engaged part, and

a fore end part of the recovery core wire is provided with an engaging part that engages with the engaged part.

10. The device for capturing debris in blood vessels according to claim 9, wherein

the engaged part is a hook part that is formed by bending the base end part of the fore end core wire toward the fore end side, and the hook part is configured to, at a time of placing the filter member in the blood vessel, spread an angle formed with the fore end core wire by an elastic restoring force thereof.

11. A device for capturing debris in blood vessels comprising:

a core wire that is arranged in a blood vessel;

a filter member that includes a baglike filter arranged in the blood vessel such that an opening faces an upstream side of blood flow, and a ringlike elastic wire rod attached around an opening edge part of the filter to be, in a spread state, formed in an annular shape spread by an elastic restoring force thereof, can be brought into two states, the two states comprising a folded state and the spread state of being spread in the blood vessel, and is attached to the core wire; and

an elastic steel wire that is, in a natural state, formed in an annular shape spread by an elastic restoring force thereof, wherein one position thereof is attached to the core wire and arranged on a base end side, and opposite positions on a fore end side with respect to the position of the attachment to the core wire are respectively attached to opposite positions of the ringlike elastic wire rod, wherein

the elastic steel wire is configured to;

be able to converge along the core wire to thereby deform the filter member from the spread state to the folded state;

in the spread state, annularly spread so as to intersect with the ringlike elastic wire rod; and

position a fore end side with respect to the opposite positions inside the filter.

12. The device for capturing debris in blood vessels according to claim 11, using a tube member that is provided so as to be movable forward and backward along the core wire by passage of the core wire through an inside of the tube member, the device being configured such that

in a case where from the spread state, the core wire is relatively moved toward the inside of the tube member to pull the elastic steel wire into the tube member until the opposite positions of the elastic steel wire are positioned at a fore end of the tube member, as the opposite positions of the elastic steel wire are brought close to each other, the opposite positions of the ringlike elastic wire rod are brought into a state of being close to each other, and then they are relatively moved such that the core wire is pulled into the tube member, the ringlike elastic wire rod is brought into the folded state of being bent at the respective opposite positions so as to lie along the core wire, and part or all of the ringlike elastic wire rod is stored in the tube member.

13. The device for capturing debris in blood vessels according to claim 12, wherein

the tube member includes an inner operation tube element and an outer operation tube element, and is configured such that the core wire passes through an inside of the inner operation tube element, the device being configured such that

in a case where from the spread state, the core wire is relatively moved toward the inside of the inner operation tube element to pull the elastic steel wire into the inner operation tube element until the opposite positions of the elastic steel wire are positioned at a fore end of the inner operation tube element, as the opposite positions of the elastic steel wire are brought close to each other, the opposite positions of the ringlike elastic wire rod are brought into a state of being close to each other, and in a case where further from the state, the outer operation tube element is sent out relatively to the inner operation tube element and the core wire, the ringlike elastic wire rod is brought into the folded state of being bent at the respective opposite positions so as to lie along the core wire, and part or all of the ringlike elastic wire rod is stored in the outer operation tube element.

14. The device for capturing debris in blood vessels according to claim 11, wherein

the ringlike elastic wire rod is configured by winding a thin steel wire, and both end excess parts of the thin steel wire are extended inside the filter and attached to the core wire.

15. The device for capturing debris in blood vessels according to claim 11, wherein

the core wire is configured to be able to bring or separate a fore end core wire attached to the filter member and the elastic steel wire and a base core wire on a base side with respect to the fore end core wire into contact with or from each other, wherein

as the base core wire, two types are provided, the two types comprising a conveyance core wire used at a time of placing the filter member in the blood vessel and a recovery core wire used at a time of recovering the filter member from the blood vessel,

a fore end part of the conveyance core wire is provided with a pressing surface that presses an engaged part provided in a base end part of the fore end core wire without engaging the engaged part;

and

a fore end part of the recovery core wire is provided with an engaging part that engages with the engaged part.

16. The device for capturing debris in blood vessels according to claim 15, wherein

the engaged part is a hook part that is formed by bending the base end part of the fore end core wire toward the fore end side, and the hook part is configured to, at a time of placing the filter member in the blood vessel, spread an angle formed with the fore end core wire by an elastic restoring force thereof.