Apparatus and method for aspirating intravascular, pulmonary and cardiac obstructions

• US 5,476,450 A
• Filed: 01/05/1994
• Issued: 12/19/1995
• Est. Priority Date: 11/04/1993
• Status: Expired due to Term

• Current Assignee: Spectranetics Corporation (Koninklijke Philips N.V.)
• Original Assignee: Joseph M. Ruggio
• Inventors: Ruggio, Joseph M.
• Primary Examiner(s): LUCCHESI, NICHOLAS D
• Assistant Examiner(s): LUCCHESI, NICHOLAS D
• Application Number:
  US08/177,852
• Time in Patent Office: 713 Days
• Field of Search: 604/35, 604/43, 604/118, 604/119, 604/96, 604/22, 604/53, 604/93, 604/104, 604/164, 604/171, 606/170, 606/180, 606/159, 606/171, 606/128, 606/194, 128/768, 128/772, 128/662.06, 128/DIG. 3
• US Class Current: 604/28
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/22084 stone- or thrombus-dissolving
• CPC Class Codes: A61M 1/85 with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208

Abstract

Disclosed is an apparatus and technique for aspirating substances partially or completely occluding blood vessels or chambers of the heart. The aspirator assembly comprises a catheter assembly and a suction member for aspirating substances through the catheter. The catheter assembly comprises a catheter which travels over a guidewire. Exemplary suction members used for aspirating include a syringe or a vacuum reservoir. The method of treating the intravascular site comprises the steps of advancing a catheter assembly through a patient'"'"'s vasculature until a distal end of the catheter assembly reaches an area close to the site, and aspirating occluding substances in the vicinity of the site through the distal end of the catheter assembly. The method may also include the additional steps of introducing medication through the catheter, and pulverizing the occlusion or any of its residue, prior to aspirating the occluding substances.

Claims

1. A method of removing free emboli from an intravascular site, comprising:

advancing a catheter having a distal end and a proximal end through a patient'"'"'s vasculature until said distal end of said catheter extends into an area adjacent said site while said proximal end remains outside of said patient;

introducing a medication through said proximal end of said catheter to discharge said medication through said distal end of said catheter; and

aspirating said free emboli through said distal end of said catheter and out said proximal end of said catheter without breaking up said free emboli.

2. A method as in claim 1, further including the steps of advancing a guidewire into said patient'"'"'s vasculature to said site, such that a portion of said guidewire remains outside said patient;

and advancing said catheter over said portion of said guidewire remaining outside said patient prior to advancing said catheter through said patient'"'"'s vasculature.

3. A method as in claim 1, wherein said medication is a thrombolytic agent or an anticoagulant.

4. A method of removing occlusions from an intravascular site, comprising:

advancing a catheter assembly through a patient'"'"'s vasculature until a distal end of said catheter assembly is adjacent said site, said catheter assembly comprising;

a guidewire having a predetermined diameter, and a distal tip, and

a catheter having an elongated tubular body, said catheter being

positioned over said guidewire;

pulverizing said occlusions using said distal tip of said guidewire to contact said occlusions; and

aspirating said occlusions through said catheter.

5. An apparatus for removing intravascular occlusions, comprising:

a catheter having an elongated tubular body, said tubular body having at least a first lumen extending therethrough, a proximal end and a distal end;

an infusion guide wire for insertion through said first lumen comprising;

an elongated tubular body;

a proximal end and a distal end adapted to pulverize said occlusions by contacting said occlusions; and

a suction member coupled to said proximal and of said catheter for aspirating said occlusions through said elongated tubular body of said catheter.

6. The apparatus of claim 5, further comprising a second guidewire positioned within said infusion wire and having a distal tip extending through an opening located in said distal end of said infusion wire and shaped to pulverize said occlusions.

7. A method of removing intravascular occlusions, comprising:

advancing a catheter assembly through a patient'"'"'s vasculature until a distal end of said catheter assembly extends into an area adjacent said occlusions, said catheter assembly comprising;

a catheter having an elongated tubular body, and a first lumen and a second lumen extending therethrough, a proximal end and a distal end; and

a guidewire inserted within said first lumen or said second lumen, for directing said catheter to said area adjacent said occlusions; and

aspirating said occlusions through said first lumen or said second lumen and out said distal end of said catheter.

8. The method of claim 7, further comprising the step of discharging a thrombolytic agent or anti-coagulant through said first lumen or said second lumen of said catheter, prior to aspirating said occlusions.

9. A method of removing occlusions from an intravascular site, comprising:

advancing a guidewire through a patient'"'"'s vasculature until a distal end of said guidewire is adjacent said occlusions;

advancing a hollow catheter over said guidewire until a distal end of said catheter is adjacent said site,

removing said guidewire from said catheter;

advancing an infusion wire comprising an elongated tubular body, a proximal end, and a distal tip into said hollow catheter until the distal tip of said infusion wire is adjacent said site;

introducing a medication through said proximal end of said infusion wire to discharge said medication through said distal tip of said infusion wire; and

aspirating said occlusions through said distal end of said catheter, said first lumen or said second lumen of said catheter, and out said proximal end of said catheter without breaking up said occlusions.

10. An apparatus for removing intravascular occlusions, comprising:

a catheter having an elongate tubular body, a proximal end and a distal end, said tubular body having at least a first lumen extending therethrough; and

a guidewire insertable through said lumen having a distal end shaped to pulverize said occlusions by contact with said occlusions.

11. The apparatus of claim 10, further comprising a suction member connected to said proximal end of said catheter for aspirating said occlusions through said catheter.

12. The apparatus of claim 11, wherein said suction member is a syringe.

13. The apparatus of claim 11, wherein said suction member is a vacuum reservoir.