Method and device for retrieving materials from body lumens

• US 5,192,286 A
• Filed: 07/26/1991
• Issued: 03/09/1993
• Est. Priority Date: 07/26/1991
• Status: Expired due to Term

• Current Assignee: Cystomedix, Inc.
• Original Assignee: Regents of the University of California (University of California)
• Inventors: Phan, Cu N., Stoller, Marshall L.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): DAWSON, GLENN K
• Application Number:
  US07/736,173
• Time in Patent Office: 592 Days
• Field of Search: 606/106, 606/110, 606/113, 606/114, 606/127, 606/128, 606/159, 606/194, 604/264, 604/265, 604/280, 604/281
• US Class Current: 606/127
• CPC Class Codes: A61B 17/02 for holding wounds open; Tractors specula A61B1/32 ; drainage appliances for wounds A61M27/00
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/22012 in direct contact with, or very close to, the obstruction or concrement for removing obstructions in blood vessels by laser A61B18/245
• 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 18/245 for removing obstructions in blood vessels or calculi
• CPC Class Codes: A61B 2017/00849 with respect to tissue, e.g. hollow organs
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61F 2/01 Filters implantable into blood vessels
• CPC Class Codes: A61F 2/0105 Open ended, i.e. legs gathered only at one side

Abstract

A retrieval catheter (10) for removing deleterious materials (S) from body lumens has an elongate catheter body (12) having a slack net (26) at its distal end (16). The slack net may be collapsed to facilitate introduction into the body lumen and opened in situ to permit capture and retrieval of the deleterious materials. A method for removing ureteral stones from the ureter is described.

Claims

1. A retrieval catheter comprising:

a hollow elongate body having proximal and distal ends;

a flexible loop member, having first and second securing ends, secured to the distal end of the body by the first securing end;

a slack net secured within the flexible loop; and

means for opening and collapsing the loop, whereby the slack net can be opened in order to capture material and closed in order to secure the captured material.

2. A retrieval catheter as in claim 1, wherein the means for opening and collapsing the loop comprises means attached to the second securing end of the loop member for drawing the first and second securing ends together to open the net.

3. A retrieval catheter as in claim 2, wherein the means for drawing the two ends of the loop together comprises a pull wire which is slidably mounted within the elongate body.

4. A retrieval catheter as in claim 1, wherein the slack net comprises a permeable fabric.

5. A retrieval catheter as in claim 4, wherein the slack net comprises an elastic nylon fabric.

6. A retrieval catheter as in claim 1 wherein the second securing end of the loop member is attached to the means for opening and collapsing the loop.

7. A retrieval catheter comprising:

an elongate body having proximal and distal ends;

a pull wire having proximal and distal ends and being slidably mounted within the elongate body, wherein the distal end of the pull wire extends distally of the distal end of the said body;

a flexible loop member, having first and second securing ends, wherein the first securing end is attached to the distal end of the elongate body and the second securing end is attached to the pull wire near the distal end of said pull wire; and

a slack net attached to the flexible loop, whereby the net can be shifted between an open and a closed configuration by axially shifting the pull wire relative to the elongate body.

8. A retrieval catheter as in claim 7, further comprising means at the proximal end of the elongate body for axially shifting the pull wire relative to the elongate body.

9. A retrieval catheter as in claim 8, wherein the axially shifting means is a three-ring actuator.

10. A retrieval catheter as in claim 7, wherein the elongate body is a flexible tube having a central lumen which receives the pull wire.

11. A retrieval catheter as in claim 7, wherein the pull wire is one of a hollow tube, a solid core wire, a twisted strand wire, or a braided wire.

12. A retrieval catheter as in claim 7, wherein the flexible loop member has a lubricous outer surface.

13. A retrieval catheter as in claim 12, wherein the flexible loop has a hydrophilic outer surface.

14. A retrieval catheter as in claim 7, wherein the slack net comprises a permeable material.

15. A retrieval catheter as in claim 14, wherein the slack net comprises an elastic nylon fabric.

16. A retrieval catheter as in claim 14, wherein the slack net comprises material coated with a hydrophilic material.

17. A retrieval catheter as in claim 16, where the slack net comprises an elastic nylon fabric.

18. A retrieval catheter as in claim 14, wherein the slack net comprises a material made from thin metallic threads.

19. A method for retrieving material in a body lumen, said method comprising:

introducing a hollow catheter body to the lumen, said catheter body having a collapsed slack net attached to a loop having two ends, one end being secured to a distal end of the catheter body;

moving the collapsed slack net past the material;

opening the slack net so that said net will extend across a portion of the cross section of the body lumen greater than a cross section of the catheter;

manipulating the slack net and optionally the catheter body;

capturing material within the opened slack net;

collapsing the slack net on the captured material; and

withdrawing the catheter body from the lumen.

20. A method as in claim 19, wherein the body lumen is the ureter and the material captured is ureteral stones or other deleterious material.

21. A method as in claim 19, wherein the body lumen is the biliary tract and the material captured is biliary stones or other deleterious material.

22. A method as in claim 19, wherein the body lumen is a blood vessel and the material removed is atheroma or blood clot or emboli.

23. A method as in claim 19, wherein the body lumen is a bronchus and the material is a foreign body or other deleterious material.

24. A method as in claim 19, wherein the body lumen is an esophagus and the material is a foreign body or other deleterious material.

25. A method as in claim 19, wherein the body lumen is a bladder and the material is a stone or other deleterious material.

26. A method as in claim 19, further comprising the step of using an additional endoscopic device to break up the captured material within the slack net before withdrawing the catheter body.