Medical retrieval basket

• US 5,064,428 A
• Filed: 09/18/1990
• Issued: 11/12/1991
• 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: Boatman, Scott E., Roberts, Joseph W., Cope, Constantin
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): AKERS, SCOTT
• Application Number:
  US07/584,474
• Time in Patent Office: 420 Days
• Field of Search: 606/127, 128/772, 128/657, 604/282, 604/164
• 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 stone retrieval basket having superelastic metallic alloy wires attached to the distal end of an inner elongaged member tube for retrieving calculi and crushing them against an outer introducer tube percutaneously inserted into a patient. The basket comprises kink-resistant superelastic metallic alloy wires such as nitinol forming a bulbous shape for capturing calculi therein. The ends of the superelastic wires of the basket are attached to the distal end of a inner elongated member tube with the aid of sleeves crimped thereon, which are soldered or spot welded in recesses about the distal end of the inner tube. The outer tube is percutaneously inserted into the biliary or urinary system in which the basket is then inserted to capture large-sized stones. A peel-away sheath is also included to introduce the basket and inner elongatged member tube into the outer introducer tube. A dilator member, which is extendable through the passageway of the inner tube, removes any residual debris from the tube that may be left during the stone removal procedure.

Claims

1. A medical retrieval basket comprising:

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

a first superelastic metallic alloy wire having first and second ends attached to said distal end of said first elongated member and forming a first loop extending longitudinally and distally from said distal end of said member; and

a second superelastic metallic alloy wire having first and second ends attached to said distal end of said member, forming a second loop extending longitudinally and distally from said distal end of said member, and interconnected distally to said first loop.

2. The basket of claim 1 further comprising a second elongated member having a hollow passageway longitudinally positioned therein, in which the first elongated member and said wires are removably inserted.

3. The basket of claim 1 further comprising a third superelastic metallic alloy wire having first and second ends attached to said distal end of said first elongated member, forming a distal end of said member, and being 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 suture material interconnecting said first, second, and third loops.

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

7. The basket of claim 1 wherein said distal end of said first elongated member has a plurality of recesses in an outer surface thereof, each recess having an individual one of said ends of said first and second wires attached therein.

8. The basket of claim 7 wherein each of said superelastic wire ends includes a metallic sleeve crimped thereon, each of said sleeves being attached to said distal end in an individual one of said plurality of recesses.

9. The basket of claim 1 further -comprising a peel-away sheath having a hollow passageway with said first and second loops positioned therein in a collapsed state.

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

12. The basket of claim 1 wherein said first elongated member comprises a stainless steel tube.

13. The basket of claim 1 wherein each of said first and second loops has a length and a width, said length being approximately twice as long as said width.

11. The basket of claim further comprising a second elongated member having a bullet shaped distal end and removably inserted in said passageway.

14. 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 passageway;

a first superelastic metallic alloy wire having first and second ends attached to said second distal tube end and forming a first loop extending longitudinally and distally from said second distal tube end;

a second superelastic metallic alloy wire having first and second ends attached to said second distal tube end and forming a second loop extending longitudinally and distally from said second distal tube end;

a third superelastic metallic alloy wire having first and second ends attached to said second distal tube end and forming a third loop extending longitudinally and distally from said second distal tube end; and

a fastener interconnecting distally said first, second, and third loops.

15. The basket of claim 14 wherein said first tube passageway is sized for retracting said first, second, and third loops therein.

16. The basket of claim 14 wherein each of said first, second, and third wires comprises a nickel-titanium alloy.

17. The basket of claim 14 further comprising a peel-away sheath having a hollow passageway with said first, second, and third loops positioned therein in a collapsed state.

18. The basket of claim 14 wherein said second distal tube end has a plurality of recesses equally spaced from one another in an outer surface thereof.

19. The basket of claim 18 wherein each of said wire ends includes a sleeve crimped thereon, each of said sleeves being attached to said second distal tube end in an individual one of said recesses.

20. The basket of claim 14 further comprising an elongated member having a bullet-shaped distal end and removably inserted in said second tube passageway.

21. A medical retrieval basket comprising:

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

a second metal tube having a second proximal end, a second distal end, and a second hollow passageway longitudinally positioned therebetween and removably inserted in said first tube passageway, said second distal tube end having first, second, and third pairs of oppositely facing recesses formed in an outer surface thereof and equally spaced from one another;

first, second, and third nitinol wires each having a superelastic state and a pair of ends attached to one of said pairs of oppositely facing recesses, each of said ends having a metal sleeve crimped thereto, each of said sleeves being attached to said second distal tube end in an individual one of said recesses, said first, second, and third wires forming respective first, second, and third loops extending longitudinally and distally from said second distal tube end and having a width and a length approximately twice as along as said width;

suture and a urethane coating fixedly interconnecting said first, second and third loops at a farmost distal position thereof, said first tube passageway being sized for retracting said wires therethrough;

a peel-away sheath having a hollow passageway with said first, second, and third loops positioning therein in a collapsed state; and

an elongated member having an elliptically shaped distal end and removably inserted in said second tube passageway.