Medical retrieval snare with coil wrapped loop

• US 5,387,219 A
• Filed: 12/30/1993
• Issued: 02/07/1995
• Est. Priority Date: 09/23/1992
• Status: Expired due to Term

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation)
• Original Assignee: Target Therapeutics, Inc. (Boston Scientific Corporation)
• Inventors: Rappe, Alan H.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Dawson, Glenn K.
• Application Number:
  US08/175,500
• Time in Patent Office: 404 Days
• Field of Search: 128/657, 128/772, 604/264, 604/280-282, 606/1, 606/106, 606/108, 606/110, 606/113, 606/114, 606/127, 606/128, 606/190, 606/192-194, 606/205-210
• US Class Current: 606/108
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/1214 Coils or wires
• 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 17/50 Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body locating otherwise A61B5/06; locating by radiation A61B6/00; removing calculi A61B17/22; from the eyes A61F9/00709
• CPC Class Codes: A61B 2017/22035 for retrieving or repositioning foreign objects
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00

Abstract

A device for retrieving foreign bodies, such as a vasoocclusive coil or elements, from within vessels such as those of the cardiovascular system includes a tubular member and a flexible wire that extends axially through the tubular member with its distal end extending out the distal end of the tubular member and looped back and affixed to the distal end of the tubular member to form a loop whose size may be adjusted by axial movement of the wire relative to the tubular member and which may be used to ensnare the foreign bodies and remove them from the vessel.

Claims

1. A medical retrieval device for capturing and removing a body from a site within a vessel comprising:

(a) a first elongated member having a proximal end, a distal end, and a lumen extending therebetween, said first elongated member being capable of being advanced through the vessel to the site of the body; and

(b) a second elongated member having a proximal end and a distal end that is received through the lumen of the first elongated member with the distal end of the second elongated member extending distally of the distal end of the first elongated member and being looped back and affixed to the distal end of the first elongated member to form a loop whose size may be adjusted by longitudinal movement of the second elongated member relative to the first member;

said second elongated member having (i) a flexible proximal section between about 50-250 cm in length and having an outer diameter of between about 10-40 mils, (ii) a more flexible intermediate section having a length between about 20-60 cm and having a diameter of between about 4-20 mils, and (iii) a most flexible distal end section having a length between about 1-10 cm and having a diameter of between about 2-6 mils;

at least a portion of said distal end section being wrapped with coil.

2. The device of claim 1 including (c) a radiopaque marker member carried on the distal end of the first elongated member.

3. The device of claim 2 wherein the radiopaque marker member is made of metal.

4. The medical retrieval device of claim 2 wherein the distal end of the second elongated member is affixed to the exterior of the distal end of the first elongated member.

5. The medical retrieval device of claim 1 including means on said proximal end of the first elongated member for passing a physiologically acceptable fluid in a distal direction through said lumen to provide lubrication between the first elongated member and second elongated member.

6. The medical retrieval device of claim 5 wherein said means for passing includes a proximal end fitting to which the proximal end of the first elongated member is attached, said proximal end fitting having an axial lumen that communicates with the lumen of the first elongated member and through which the second elongated member extends and through which said physiologically acceptable fluid is adapted to flow.

7. A medical retrieval device for capturing and removing a body from a site within a vessel comprising:

(a) a catheter body having a proximal end, a distal end, and a lumen extending therebetween, said catheter body being capable of being advanced through the vessel to the site of the body; and

(b) an elongated member having a proximal end and a distal end that is received through the lumen of the catheter body with the distal end of the elongated member extending distally of the distal end of the catheter body and being looped back and directly affixed to the distal end of the catheter body to form a loop whose size may be adjusted by longitudinal movement of the elongated member relative to the catheter body;

said elongated member having (i) a flexible proximal section between about 50-250 cm in length and having an outer diameter of between about 10-40 mils, (ii) a more flexible intermediate section having a length between about 20-60 cm and having a diameter of between about 4-20 mils, and (iii) a most flexible distal end section having a length between about 1-10 cm and having a diameter of between about 2-6 mils;

at least a portion of said distal end section being wrapped with coil.

8. The device of claim 7 further including (c) a radiopaque marker member carried on the distal end of the catheter body.

9. The device of claim 8 where the radiopaque marker member is made of metal.

10. The device of claim 7 where the distal end of the elongated member is affixed to the exterior of the distal end of the catheter body.

11. The device of claim 7 including means on the proximal end of the catheter body for passing a physiologically acceptable fluid in a distal direction through the catheter body lumen to provide lubrication between the catheter body and the elongated member.

12. The device of claim 11 where said means includes a proximal end fitting to which the proximal end of the catheter body is attached, said end fitting having an axial lumen that communicates with the catheter body lumen and through which the elongated member extends and the said physiologically acceptable fluid is adapted to flow.