Laser extractor for an implanted object

• US 5,423,806 A
• Filed: 10/01/1993
• Issued: 06/13/1995
• Est. Priority Date: 10/01/1993
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Dale, A. Wahlstrom, Terrell M. Williams
• Primary Examiner(s): ASCHENBRENNER, PETER
• Application Number:
  US08/131,055
• Time in Patent Office: 620 Days
• Field of Search: 607/122, 607/126, 607/127, 607/128, 607/131, 606/7, 606/15, 606/108, 606/16, 606/1, 606/14
• US Class Current: 606/15
• 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 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00703 correcting for movement of heart, e.g. ECG-triggered
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/22072 with an instrument channel, e.g. for replacing one instrument by the other in cannulas A61B17/3417
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

A lead extraction device which utilizes laser light to separate an implanted object, such as a pacemaker lead, from fibrous scar tissue and thereby permit the implanted object to be extracted from a body. The extraction device features a catheter having a central lumen. The lumen is preferably dimensioned so a pacemaker lead will fit within. The catheter is thereby guided by the lead. The catheter has at least one optical fiber to emit laser light from the distal end and thereby separate the lead from fibrous scar tissue. Disclosed embodiments include catheters which emit light parallel as well as inwardly perpendicular to the catheter and the lead. Through such catheters the lead may be separated along its length, as well as separated at its distal end from fibrous scar tissue, thereby permitting the lead to be readily extracted from the body.

Claims

1. A device for removing an object from the venous system comprising:

an elongated catheter having a distal end and a proximal end, said catheter having a tubular portion;

a lumen in said catheter so that said object may be introduced into said lumen;

at least one optical fiber supported by said tubular portion, said optical fiber extending to a region proximate said distal end of said catheter, said distal end having a guard assembly, said guard assembly comprising a guard band positioned about an exterior surface of said elongated catheter and a guard ring positioned about an interior surface of said elongated catheter, said optical fiber extending between said guard band and said guard ring, said optical fiber having a distal end, said guard assembly having a distal end, said optical fiber distal end is spaced proximally from said guard assembly distal end; and

a source of laser energy communicating with said optical fiber so that said light energy will be transmitted to said region proximate said distal end of said catheter.

2. The device of claim 1 further comprising a stylet port in said catheter to permit a stylet to be mated with said catheter.

3. The device of claim 1 further comprising said optical fiber extending to said region proximate said distal end in a direction parallel with said catheter.

4. The device of claim 1 further comprising said optical fiber extending to said region proximate said distal end in a first direction relative to said catheter.

5. The device of claim 4 wherein said first direction being towards said lumen of said catheter.

6. The device of claim 4 further comprising a guard band at said distal end of said catheter, said guard band positioned in the path of laser energy emitted in said first direction.

7. The device of claim 1 further comprising said catheter is rotatable about said object.

8. The device of claim 1 further comprising said distal end of said catheter is rotatable about said object.

9. The device of claim 1 further comprising said distal end of said catheter being radiopaque.

25. The device of claim 1 wherein said guard ring has a distal end, said distal end has a taper.

10. A method for removing an implanted object affixed to a body by fibrous scar tissue comprising the steps of:

introducing a catheter having a lumen and at least one optical fiber into said venous system, said catheter further having a distal end having a guard assembly, said guard assembly comprising a guard band positioned about an exterior surface of said catheter and a guard ring positioned about an interior surface of said catheter, said optical fiber having a distal end, said guard assembly having a distal end, said optical fiber distal end is spaced proximally from said guard assembly distal end;

positioning said implanted object within said lumen of said catheter;

positioning said distal end of said catheter proximate said fibrous scar tissue;

transmitting laser energy through said optical fiber to said fibrous scar tissue immediately adjacent said distal end; and

removing said object from said venous system.

11. A method for removing an implanted object affixed by fibrous scar tissue in a body comprising the steps of:

providing a catheter body having a tubular portion supporting at least one optical fiber, said optical fiber having a distal end, said catheter body having a lumen therethrough, said catheter further having a distal end having a guard assembly, said guard assembly comprising a guard band positioned about an exterior surface of said catheter and a guard ring positioned about an interior surface of said catheter, said guard band having a distal end, said optical fiber distal end is spaced proximally from said guard band distal end;

placing the catheter body around said implanted object;

moving said catheter body along said implanted object until a distal end of said catheter body is positioned adjacent fibrous scar tissue which affixes said implanted object;

energizing a laser connected to said optical fiber to cause laser energy to be emitted into said fibrous scar tissue immediately adjacent said distal end;

moving the catheter body along said implanted object as the fibrous scar tissue releases said implanted object; and

removing said implanted object from said venous system.

12. The method of claim 11 wherein said lumen is centrally located with respect to said catheter body.

13. The method of claim 11 further comprising the step of centering said implanted object within said lumen.

14. The method of claim 12 wherein said centering step comprises providing a series of springs along an interior surface along said lumen.

15. The method of claim 13 wherein said centering step comprises providing a series of centering tabs along an interior surface along said lumen.

16. The method of claim 11 further comprising the step of providing a stylet lumen in said catheter body.

17. The method of claim 16 further comprising the step of providing a steerable stylet within said stylet lumen.

18. The method of claim 11 further comprising the step of steering said catheter body along said implanted object.

19. The method of claim 11 further comprising the step of providing an optical fiber which emits laser energy parallel to said catheter body.

20. The method of claim 11 further comprising the step of providing an optical fiber which emits laser energy away from said implanted object.

21. The method of claim 11 further comprising the step of rotating said catheter body.

22. The method of claim 11 further comprising the step of rotating said optical fiber.

23. The method of claim 11 further comprising the step of providing an optical fiber which emits laser energy towards said implanted object.

24. The method of claim 11 wherein said implanted object is a pacemaker lead.

26. The device of claim I wherein said guard band has a distal end, said distal end has a taper.