Embolectomy catheter

• US 5,411,509 A
• Filed: 09/30/1992
• Issued: 05/02/1995
• Est. Priority Date: 08/29/1990
• Status: Expired due to Term

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Hilal, Said
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): MULCARE, NANCY C
• Application Number:
  US07/954,302
• Time in Patent Office: 944 Days
• Field of Search: 604/1, 604/2, 604/11, 604/267, 604/268, 604/96, 604/104, 604/275, 604/280, 606/159, 606/192, 606/194, 606/198, 128/756, 128/757, 128/759
• US Class Current: 606/159
• CPC Class Codes: A61B 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes precedence
• CPC Class Codes: A61B 17/22032 having inflatable gripping elements balloon catheters A61M25/10
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/2918 flexible handles
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/0069 Tip not integral with tube
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 25/0082 Catheter tip comprising a tool

Abstract

An improved embolectomy catheter, includes a catheter body, an elastomeric foam catheter tip attached at one end of the catheter body, and actuator means for elastically deforming the catheter tip. The catheter tip deforms longitudinally and radially in response to activation of the actuation means. The catheter tip may be formed of any type of sterile elastomeric foam, which may be easily compressed and restored to its original shape upon decompression.

Claims

1. A clot removal system for removing plaque, thrombi, emboli, and other clots from a blood vessel, comprising:

a catheter having an outer surface and a distal end, the catheter being configured for insertion into the vessel with the distal end extending beyond the clot;

an elastomeric non-woven foam tip attached to the outer surface of the catheter at the distal end, the foam tip having generally elastic deformation characteristics for minimizing abrasive shear forces against the inner lining of said vessel, and being moveable between a contracted state and an expanded state;

catheter tip actuation means for moving the foam tip between the contracted state and the expanded state;

whereby

the catheter can be inserted with the foam tip in the contracted state, the foam tip can be moved to the expanded state to engage the clot, and the catheter can be removed from the vessel with the foam tip in the expanded state to withdraw the clot from the vessel.

2. The system recited in claim 1 wherein the pressure of the foam tip on the vessel is dependent upon the elastic deformation characteristics of the foam tip.

3. The system recited in claim 2 wherein the elastic deformation characteristics are generally linear.

4. The clot removal system recited in claim 1 wherein the actuating means includes:

a compression member disposed within the catheter and fixed to the foam tip at the distal end of the catheter, the compression member being operable to enlarge the catheter tip to the expanded state.

5. The clot removal system recited in claim 4 wherein the catheter comprises an outer tube and the compression member includes an inner tube disposed to extend inwardly of the catheter.

6. A clot removal system for removing plaque thrombi, emboli, and other clots from a blood vessel, comprising:

a catheter having an elongate configuration and extending between a proximal end and an opposing distal end, the catheter being configured for insertion into the vessel with the distal end extending beyond the clot;

a tube forming a wall of the catheter and defining a lumen of the catheter;

a compression member disposed coaxially of the tube;

an elastomeric, non-woven foam tip disposed at the distal end of the catheter and being fabricated to minimize abrasive shear forces against the inner lining of said vessel, said tip being fixed to one of the tube and the compression member;

means for moving one of the tube and the compression member relative to the other of the tube and the compression member to expand the foam tip outwardly against the vessel;

whereby

the catheter can be removed from the vessel with the tip in the expanded state to withdraw the clot from the vessel.

7. The clot removal system recited in claim 6 wherein the foam tip is attached to the compression member within the lumen of the tube and the tube is movable relative to the compression member to expand the foam tip outwardly against the vessel.

8. The clot removal system recited in claim 6 wherein the foam tip is attached to the tube and the compression member is movable relative to the tube to expand the foam tip outwardly against the vessel.

9. The clot removal system recited in claim 8 wherein the tube is an outer tube and the compression member comprises an inner tube.

10. The clot removal system recited in claim 7 wherein:

the foam tip has a compressed state and an expanded state;

the tube is movable relative to the compression member to change the tip from the compressed state to the expanded state.

11. The clot removal system recited in claim 6 wherein:

the tube is an inner tube;

the foam tip is attached to the inner tube;

the compression member comprises an outer tube forming a sheath over the inner tube and the foam tip, the outer tube being movable relative to the inner tube to expose the foam tip and permit the foam tip to expand outwardly against the vessel.

12. An occlusion catheter adapted to at least partially occlude a blood vessel, comprising:

a catheter having an elongate configuration and extending between a proximal end and an opposing distal end of the catheter;

a tube having an axis and forming a wall of the catheter;

a compression member disposed generally coaxially of the tube;

an elastomeric, non-woven foam tip disposed at the distal end of the catheter and being fabricated to minimize abrasive shear forces against the inner lining of said vessel, said tip being fixed to one of the tube and compression member at the distal end of the catheter; and

means for moving the tube relative to the compression member to expand the foam tip radially outwardly to at least partially occlude the vessel.

13. The occlusion catheter recited in claim 12 wherein the foam tip is attached to the tube and the compression member forms an outer sheath which is movable relative to the tube to permit the expansion of the foam tip.

14. The occlusion catheter recited in claim 12 wherein the tube forms an outer wall of the catheter and defines an inner lumen, the foam tip is attached to the outer wall of the tube and the compression member is disposed within the lumen of the tube and is movable relative to the tube to expand the foam tip.

15. The occlusion catheter recited in claim 14 wherein the tube is an outer tube and the compression member forms an inner tube of the catheter.

16. A clot removal system for removing plaque, thrombi, emboli and other clots from a blood vessel, comprising:

a catheter body having at least one lumen extending between a first end and second end of the catheter body;

a stylet disposed in the lumen of the catheter body and having a distal end disposed at the first end of the catheter body and a proximal end disposed at the second end of the catheter body;

an elastomeric non-woven foam tip disposed at the first end of the catheter body distally of the stylet and being fabricated to minimize abrasive shear forces against the inner lining of said vessel, the foam tip having a low profile state and a high profile state;

the foam tip in the low profile state being disposed in the lumen of the catheter body; and

the stylet being operable at the proximal end to move the foam tip to the high profile state.

17. The system recited in claim 16 wherein the stylet is attached to the foam tip interiorly of the foam tip.

18. The system recited in claim 16 wherein the catheter body is enlarged at the first end of the catheter body to receive the foam tip in the low profile state.

19. The system recited in claim 18 wherein the stylet is movable distally of the catheter body to expel the foam tip from the catheter body and permit the foam tip to move to the high profile state.