Percutaneous catheter with encapsulating receptacle

• US 4,997,435 A
• Filed: 09/25/1989
• Issued: 03/05/1991
• Est. Priority Date: 09/25/1989
• Status: Expired due to Fees

• Current Assignee: Methodist Hospitals of Dallas
• Original Assignee: Methodist Hospital of Indiana, Inc.
• Inventors: Demeter, Robert J.
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): Lewis, William W.
• Application Number:
  US07/411,836
• Time in Patent Office: 526 Days
• Field of Search: 606/127, 606/128, 606/198, 606/200, 604/107, 604/96, 604/104, 128/898, 128/756, 128/759, 128/757, 128/758
• US Class Current: 606/127
• 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 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 2017/22084 stone- or thrombus-dissolving
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61B 2017/303 with four or more legs

Abstract

A percutaneous catheter with encapsulating receptacle comprises a first catheter having a proximal and distal end, several struts attached to the distal end of the first catheter and extending distally therefrom in a cup-shaped form, a second, inner catheter received within the first, and a pocket-shaped sheath received between the several struts and opening in the distal direction, the sheath having a proximal portion secured to the distal end of the second, inner catheter, and a distal portion secured to the distal ends of the several struts, whereby rotation of the first catheter, relative the second catheter, twists and closes the distal end of the sheath. A third, outer catheter is also disclosed within which the first and second catheters, and associated struts and sheath, are receivable. Also disclosed is a method for positioning the catheter adjacent an object, or receiving the object within the sheath and enclosing the sheath about the object to facilitate treatment of the object.

Claims

1. A percutaneous catheter with encapsulating receptacle which comprises:

a first catheter having a proximal end and a distal end;

several struts having proximal and distal ends, the proximal ends of said struts being secured to the distal end of said first catheter, said struts extending axially beyond the distal end of said first catheter, said struts in a normal, substantially untensioned condition defining a cup-shaped form opening in the distal direction;

a second, inner catheter received within said first catheter, said second catheter having a proximal end and a distal end; and

a pocket-shaped sheath received between said several struts and opening in the distal direction, said sheath having a proximal portion secured about the distal end of said second cathether, said sheath having a distal portion secured to the distal ends of said several struts,

said sheath having a first condition in which said first catheter is non-rotated relative said second catheter, said struts are in a normal, substantially untensioned condition and said sheath defines a pocket-shaped opening, and said sheath having a second condition in which said first catheter is rotated relative said second catheter and the distal end of said sheath is twisted closed.

2. The invention of claim 1 in which each of said struts consists of a flat strip having a rectangular cross-section with the shorter dimension oriented in a direction radial to said first catheter.

3. The invention of claim 1 and which includes at least four struts.

4. The invention of claim 3 and which includes eight struts.

5. The invention of claim 1 in which each of said struts in a normal, substantially untensioned condition has an arcuate, concave shape facing inward toward said first catheter.

6. The invention of claim 5 in which each of said struts consists of a flat strip having a rectangular cross-section with the shorter dimension oriented in a direction radial to said first catheter.

7. The invention of claim 5 and which includes at least four struts.

8. The invention of claim 7 and which includes eight struts.

9. The invention of claim 8 in which each of said struts consists of a flat strip having a rectangular cross-section with the shorter dimension oriented in a direction radial to said first catheter.

10. The invention of claim 1 in which said sheath defines an interior and in which said second catheter defines a central lumen communicating with the interior of said sheath.

11. The invention of claim 1 and which further includes a third, outer catheter within which said first and second catheters are received, said third catheter including a proximal end and a distal end, the distal ends of said first and second catheters being received within said third catheter when in the second, rotated position with said struts and sheath twisted and closed, the distal ends of said first and second catheters extending outwardly of the distal end of said third catheter when in the first position with said struts and sheath being opened in the distal direction.

12. The invention of claim 11 in which each of said struts in a normal, substantially untensioned condition has an arcuate, concave shape facing inward toward said first catheter.

13. The invention of claim 12 in which each of said struts consists of a flat strip having a rectangular cross-section with the shorter dimension oriented in a direction radial to said first catheter.

14. The invention of claim 13 and which includes at least four struts.

15. The invention of claim 14 and which includes eight struts.

16. The invention of claim 15 in which each of said struts consists of a flat strip having a rectangular cross-section with the shorter dimension oriented in a direction radial to said first catheter.

17. A method for encapsulating an object which comprises the steps of:

a. providing an encapsulating receptacle which includes a first catheter having a proximal end and a distal end, several struts having proximal ends secured to the distal end of the first catheter and also having distal ends, the struts extending axially beyond the distal end of the first catheter, the struts in a normal, substantially untensioned condition defining a cup-shaped form opening in the distal direction, a second, inner catheter received within the first catheter, the second catheter having a proximal end and a distal end, and a pocket-shaped sheath received between the several struts and opening in the distal direction, the sheath having a proximal portion secured about the distal end of the second catheter, the sheath having a distal portion secured to the distal ends of the several struts;

b. positioning the encapsulating receptacle adjacent to the object;

c. receiving the object within the sheath of said receptacle; and

d. rotating the first catheter relative the second catheter to close the distal end of the sheath.

18. The method of claim 17 in which the second catheter defines a central lumen communicating with the interior of the sheath, said receiving of step c. comprising extending an object-grasping device through the central lumen of the second catheter, grasping the object, and pulling the object into the sheath.

19. The method of claim 18 in which said positioning of step b. comprises inserting the first and second catheters through a third, outer catheter, the distal ends of said first and second catheters being received within the third catheter when in the first, rotated position with the struts and sheath twisted and closed and received within the third catheter, the distal ends of the first and second catheters extending outwardly of the distal end of the third catheter when in the second position with the struts and sheath being opened in the distal direction.

20. The method of claim 19 in which the second catheter defines a central lumen communicating with the interior of the sheath, said receiving of step c. comprising extending an object-grasping device through the central lumen of the second catheter, grasping the object, and pulling the object into the sheath.

21. The method of claim 20 in which the second catheter defines a central lumen communicating with the interior of the sheath, and which further includes the step e. of passing material through the central lumen.

22. The method of claim 21 in which step e. comprises passing material through the central lumen and into the sheath to act upon the object.

23. The method of claim 22 in which step e. comprises passing the object from the sheath through the central lumen.