Catheter with coiled tip

• US 4,706,671 A
• Filed: 05/02/1985
• Issued: 11/17/1987
• Est. Priority Date: 05/02/1985
• Status: Expired due to Fees

• Current Assignee: Harry P. Weinrib
• Original Assignee: Harry P. Weinrib
• Inventors: Weinrib, Harry P.
• Primary Examiner(s): Mancene, Gene
• Assistant Examiner(s): Stone, Cary E.
• Application Number:
  US06/730,322
• Time in Patent Office: 929 Days
• Field of Search: 128/341, 128/343, 128/348.1, 128/345, 604/104, 604/264, 604/272, 604/8, 604/281
• US Class Current: 606/159
• 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 2017/2212 having a closed distal end, e.g. a loop
• 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 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/0069 Tip not integral with tube

Abstract

A catheter is provided with a coil section at the distal end which is stretched initially into a generally linear insertion position for moving inwardly a vessel, such as a blood vessel, to an operative location at which the coil section is re-formed with a larger diameter, preferably in the form of a hollow conical scoop to scoop clot material from the blood vessel. The coil section is stretched into the general linear insertion configuration by an internal wire which may be removed leaving a hollow passageway in the tube which can be stiffened by the application of fluid pressure such as a liquid to stiffen the coils. This assists in pulling the clot material from the vessel as the elastomeric material of the coils slides across the blood vessel walls without damaging the same. The preferred embodiment has two separate wire members associated with the flexible elastomeric tube of the catheter.

Claims

1. A catheter for insertion into a living vessel comprising:

an elongated tube formed of a flexible elastomeric material and having a proximal end and a distal end, an elongated wire member extending longitudinally within the tube from the proximal end of the tube to the distal end and providing rigidity to the catheter to aid in guiding insertion of the catheter into and through the living vessel,

a coil section on said catheter movable between a first insertion position and a second operative position, said coil section being extended to the insertion position by extension of the wire member to decrease the diameter of the coil portion for insertion into and through the living vessel;

said coil section being expanded in diameter and into the coiled operative position upon relaxation of the straightening force applied to the coil section by the wire member, and

an elongated hollow passage way in said tube to receive fluid pressure to stiffen the coil section.

2. A catheter in accordance with claim 1 in which the coil section is preformed with a memory to assume a coiled condition and in which said wire member stretches the coils out longitudinally into a substantially straight uncoiled condition.

3. A catheter in accordance with claim 1 in which said coil section is formed with a conical shape with the smallest coils adjacent the distal end of the catheter to form a hollow scoop to collect and hold blood clot material for removal.

4. A catheter in accordance with claim 1 in which the coil section has a substantially constant diameter for each of its coils.

5. A catheter in accordance with claim 1 including an operating means to expand or contract the diameter of the coils of the coiled section.

6. A catheter in accordance with claim 5 in which the operating means includes a wire member extending to a distal end of the coil section and being pushed or pulled to shift the distal ends of the coil section to cause the coils to expand or to contract in diameter.

7. A catheter in accordance with claim 1 in which a syringe receptor is connected to the catheter body and to a passageway formed in the coils upon removal of the wire member from the coils.

8. A catheter for insertion into a living vessel comprising an elongated tube formed of a flexible elastomeric material and having a proximal end and a distal end, an elongated wire member extending longitudinally within the tube from the proximal end of the tube to the distal end and providing rigidity to the catheter to aid in guiding insertion of the catheter into and through the living vessel, a coiled distal end section on said catheter movable between a first insertion position and a second operative position, said coiled section being extended to the insertion position by extension of the wire member to decrease the diameter of the coiled section for insertion into and through the living vessel, the coil expanding in diameter and into the coiled operative position and a second wire member connected to the distal end of the elongated tube to be pushed or pulled to change the diameter of the coils in the coiled section.

9. A catheter in accordance with claim 8 in which said coiled section is formed with a conical shape with the smallest coils adjacent the distal end of the catheter.

10. A catheter in accordance with claim 8 in which the coiled section has coils of substantially constant diameter.

11. A catheter for insertion into a living vessel comprising a needle having a sharpened end for incision into the vessel, a catheter body of tubular shape within the needle and having first and second bores therein, an elongated tubular member formed of a flexible elastomeric material and having a proximal end extending through a first bore in the catheter body and having a remote distal end, an elongated wire member extending longitudinally within the tubular body from the proximal end to the distal end and providing rigidity to the tubular member to aid in guiding insertion of the latter into and through the living vessel, a coiled distal end portion on said tubular member movable between a first insertion position and a second operative position, said coiled portion being extended to the insertion position by extension of the wire member to decrease the diameter of the coiled portion for insertion into and through the living vessel, the coiled expanding in diameter and into the coiled operative position upon relaxation of the straightening force applied to the coiled portion by the wire member.

12. A catheter in accordance with claim 11 in which said coiled portion is formed with a conical shape with the smallest coils adjacent the distal end of the catheter.

13. A catheter in accordance with claim 11 in which the coiled section has coils of substantially constant diameter.

14. A catheter in accordance with claim 11 in which a second wire extends parallel to and along side of the tubular member, said second wire member extending the distal end from the tubular body to the catheter body through which the second wire member slides, pushing or pulling on the second wire changing the diameters of the coils in the coiled portion.

15. A catheter for insertion into a living vessel comprising:

an elongated tube formed of a flexible elastomeric material and having a proximal end and a distal end, an elongated wire member extending longitudinally within the tube from the proximal end of the tube to the distal end and providing rigidity to the catheter to aid in guiding insertion of the catheter into and through the living vessel,

a coil section on said catheter movable between a first insertion position and a second operative position, said coil section being extended to the insertion position by extension of the wire member to decrease the diameter of the coil portion for insertion into and through the living vessel;

said coil section being expanded in diameter and into the coiled operative position upon relaxation of the straightening force applied to the coil section by the wire member,

said wire member being pulled from the elongated tube leaving a passageway; and

means connected to the passageway to apply fluid pressure to the coils to stiffen the same.

16. A catheter for removal of blood clot material from a blood vessel comprising:

an elongated tube formed of elastomeric material,

said tube being wound at its internal end to define a conical coiled section,

said conical coiled section being hollow to form an internal hollow scoop to collect and carry blood clot material when the conical coiled section is pulled in a removal direction,

coils of said conical coiled section having a memory to open to an expanded position to form the scoop with coils of elastomeric material expanding to engage and slide along the interior wall of the blood vessel during clot removal and,

an elongated wire member extending longitudinally with tube from a proximal to a distal end of the tube, said wire being connected to said coiled section and being movable in a first direction to decrease the diameter of the coiled section for insertion into the blood vessel and to provide rigidity to the catheter for facilitating insertion,

said elongated wire member being movable to a second position to allow the coiled section to expand to define the hollow scoop at a location to be cleared of blood clot material.