Medical retrieval basket

• US 5,057,114 A
• Filed: 09/18/1990
• Issued: 10/15/1991
• Est. Priority Date: 09/18/1990
• Status: Expired due to Term

• Current Assignee: Cook Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Incorporated (Cook Group Incorporated)
• Inventors: Roberts, Joseph W., Wittich, Gerhard R., Boatman, Scott E.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): AKERS, SCOTT
• Application Number:
  US07/584,473
• Time in Patent Office: 392 Days
• Field of Search: 606/127, 128/772, 128/657, 604/164, 604/282
• US Class Current: 606/127
• 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: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation

Abstract

A medical retrieval basket having superelastic metallic alloy wires attached to the distal end of an inner elongated member tube for percutaneously capturing and removing calculi from a cavity or duct of a patient. The basket comprises kink-resistant superelastic metallic alloy wires such as nitinol which forms a bulbous shape for capturing calculi therein. The ends of the superelastic wires of the basket extend through the passageway of the inner elongated member tube and are attached to the proximal end of the tube. An outer elongated member tube is percutaneously inserted into the biliary or urinary system. The inner member tube is inserted through the outer member tube into a duct, cavity or organ of the patient. The distal ends of both the inner and outer member tubes have a predetermined longitudinal curvature for controlling the positioning of the basket and the tubes within the patient. A sleeve is provided at the proximal end of the inner member tube for limiting the insertion thereof in the outer member tube.

Claims

1. A medical retrieval basket comprising:

a first elongated member having a proximal end, a distal end, and a first hollow passageway longitudinally positioned therebetween;

a first superelastic metallic alloy wire having first and second ends extending through said first hollow passageway and fixedly positioned about said proximal end of said first member, said first wire forming a first loop extending longitudinally and distally from said distal end of said first member; and

a second superelastic metallic alloy wire having first and second ends extending through said first hollow passageway and fixedly positioned about said proximal end of said first member, said second wire forming a second loop extending longitudinally and distally from said distal end of said first member and interconnected distally to said first loop, whereby said said first and second loops interconnected distally form a bulbous shape for atraumatically capturing calculi with a heat-on approach.

2. The basket of claim 1 further comprising a second elongated member having a second distal end, a second proximal end, and a second hollow passageway longitudinally positioned therebetween, said first elongated member and said wires being removably inserted in said second passageway.

3. The basket of claim 1 further comprising a third superelastic metallic alloy wire having first and second ends extending through said first hollow passageway and fixedly positioned about said second proximal end of said first member, said third wire forming a third loop extending longitudinally and distally from said distal end of said first member and interconnected distally to said first and second loops.

4. The basket of claim 3 further comprising a fastener interconnecting distally said first, second, and third loops.

5. The basket of claim 4 wherein said fastener includes a suture interconnecting said first, second, and a third loops.

6. The basket of claim 5 wherein said fastener includes a coating material about said suture and said wires.

7. The basket of claim 1 wherein each of said first and second wires comprises a nickel-titanium alloy.

8. The basket of claim 1 wherein each of said first and second wires comprises nitinol.

9. The basket of claim 2 wherein each of said first and second members has a predetermined longitudinal curve about said distal ends thereof.

10. The basket of claim 8 wherein said second member comprises a TEFLON material.

11. The basket of claim 8 wherein said first member comprises a polyethylene material.

12. The basket of claim 11 wherein said distal end of said first member has a predetermined taper.

13. The basket of claim 2 wherein said first member includes a sleeve attached about said first proximal end and sized larger than said second hollow passageway.

14. The basket of claim 13 wherein said sleeve comprises a double wall shrink tube.

15. A medical retrieval basket comprising:

a first tube having a first proximal end, a first distal end, and a first passageway longitudinally positioned therebetween;

a second tube having a second proximal end, a second distal end, and a second passageway longitudinally positioned therebetween and removably inserted in said first tube passageway, said first and second tubes each having a predetermined longitudinal curvature about said distal ends thereof;

first, second, and third superelastic metallic alloy wires each having a pair of ends extending longitudinally through said second passageway and fixedly positioned therein about said second proximal end, said first, second, and third wires forming respective first, second, and third loops extending longitudinally and distally from said second distal end; and

a fastener interconnecting said loops distally, whereby said said first and second loops interconnected distally form a bulbous shape for atraumatically capturing calculi with a head-on approach.

16. The basket of claim 15 wherein said tubes are comprised of a polymer material.

17. The basket of claim 15 wherein each of said wires comprises a nickel-titanium alloy.

18. The basket of claim 15 wherein said second tube includes a sleeve positioned about said second proximal end and, sized larger than said first passageway.

19. The basket of claim 15 wherein said sleeve comprises a double wall shrink tube.

20. A medical retrieval basket comprising:

a TEFLON tube having a first distal end, a first proximal end, and a first passageway extending longitudinally therebetween;

a polyethylene tube having a tapered distal end, a second proximal end, and a second passageway extending longitudinally therebetween and removably inserted in said first passageway, said second tube having a double wall sleeve attached about said second proximal end and sized larger than first said passageway, said tubes each having a predetermined longitudinal curvature about said distal end thereof;

first, second, and third nitinol wires each having a superelastic state and a pair of ends extending longitudinally through said second passageway and fixedly positioned therein about said second proximal end, said first, second and third wires forming respective first, second and third loops extending longitudinally and distally from said second distal end; and

a suture and a urethane coating fixedly interconnecting said loops at a farmost distal position thereof, said first tube passageway being sized for withdrawing said loops in a collapsed state therethrough.