Device and method for emboli retrieval

• US 4,873,978 A
• Filed: 12/04/1987
• Issued: 10/17/1989
• Est. Priority Date: 12/04/1987
• Status: Expired due to Term

• Current Assignee: Microvention Incorporated (Terumo Corporation)
• Original Assignee: Robert Ginsburg
• Inventors: Ginsburg, Robert
• Primary Examiner(s): HINDENBURG, MAX F
• Application Number:
  US07/128,770
• Time in Patent Office: 683 Days
• Field of Search: 128/303 R, 128/325, 128/345, 128/749-759
• US Class Current: 606/198
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• 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 2017/2215 having an open distal end
• CPC Class Codes: A61F 2002/016 made from wire-like elements
• CPC Class Codes: A61F 2230/008 paraboloidal

Abstract

A vascular catheter includes a strainer device at its distal end. The strainer device is collapsible, capable of assuming both an open configuration where it is able to capture emboli when emplaced in a blood vessel, and a closed configuration where it is able to retain any captured emboli within its confines. The catheter of the present invention is normally utilized in conjunction with conventional angioplastic treatment techniques. By locating the strainer device downstream from the site of the angioplastic treatment, any emboli which are released during such treatment may be captured and removed from circulation.

Claims

1. A catheter device for capturing and retrieving emboli from a blood vessel, said catheter device comprising:

an elongate catheter body having a proximate end and a distal end;

a strainer mounted at the distal end of the catheter body, said strainer comprising a plurality of tines which are shiftable between an opened configuration where they are capable of capturing emboli and a closed configuration where they are capable of retaining captured emboli, said tines having inwardly curved tips; and

means actuable from the proximate end for selectively shifting the tines of the strainer between the opened configuration and the closed configuration.

2. A catheter device as in claim 1, wherein the catheter body includes a receptacle at its distal end and wherein the strainer is oriented in the opened configuration while outside of the receptacle and the closed configuration while inside the receptacle.

3. A catheter device as in claim 2, wherein the receptacle is defined by the distal end of an axial lumen extending between the proximate and distal ends of the catheter body.

4. A catheter device as in claim 3, wherein the means for selectively shifting the strainer is a wire fixedly attached at one end to the strainer and extending ending through the axial lumen to the proximate end of the catheter body.

5. A method for percutaneous transluminal angioplasty, said method comprising:

introducing a first vascular catheter to a stenosed region within a vascular system;

introducing a second vascular catheter to a location in the vascular system downstream from the stenosed region;

treating the stenosed region with the first vascular catheter, whereby emboli may be shed into circulation within the vascular system;

capturing the emboli with the second vascular catheter; and

withdrawing the second vascular catheter with the captured emboli.

6. A method as in claim 5, wherein the first vascular catheter is a balloon-tipped catheter and the stenosed region is treated by dilation.

7. A method as in claim 5, wherein the first vascular catheter is a laser catheter and the stenosed region is treated by ablation.

8. A method as in claim 5, wherein the first vascular catheter is a blade-tipped catheter and the stenosed region is treated by atherectomy.

9. A method as in claim 5, wherein the second vascular catheter includes a strainer mounted at its distal end for capturing the emboli.

10. A method as in claim 9, wherein the emboli are captured while the strainer is in an open configuration and the second vascular catheter is withdrawn while the strainer is in a closed configuration.

11. A catheter device for capturing and retrieving emboli from a blood vessel, said catheter device comprising:

an elongate catheter body having a proximate end, a distal end, and an axial lumen extending between said proximate and distal ends;

a wire extending through the lumen and having proximate and distal ends; and

a conical strainer having an apex secured to the distal end of the wire, said strainer being collapsible so that it assumes an opened configuration when extended out from the distal end of the catheter body and a closed configuration when retracted into the distal end of the catheter body, wherein the conical strainer comprises a plurality of generally axial members having inwardly curved tips at their distal ends and are secured together at the apex.

12. A catheter device as in claim 11, wherein the axial members are spring biased to spread apart when the conical strainer is extended out from the catheter and to collapse when the conical strainer is retracted into the catheter.

13. A catheter device as in claim 11, wherein the conical strainer includes transverse elements extending between the axial members.