Intraluminal extraction catheter

• US 5,827,304 A
• Filed: 11/16/1995
• Issued: 10/27/1998
• Est. Priority Date: 11/16/1995
• Status: Expired due to Term

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Hart, Charles C.
• Primary Examiner(s): STRIGHT, RONALD K
• Application Number:
  US08/559,076
• Time in Patent Office: 1,076 Days
• Field of Search: 604/22, 604/27, 604/35, 604/48, 604/96, 604/101, 604/104, 604/105-109, 604/266, 604/267, 604/264, 604/280, 606/191, 606/192, 606/194, 606/198, 606/200, 606/159, 606/167, 606/170, 606/127, 606/128, 128/767-769, 128/759, 128/758, 128/757, 600/580-582, 600/570-572
• 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 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61M 2025/1068 having means for varying the length or diameter of the deployed balloon, this variations could be caused by excess pressure
• CPC Class Codes: A61M 2025/1072 having balloons with two or more compartments
• CPC Class Codes: A61M 2025/109 having balloons for removing solid matters, e.g. by grasping or scraping plaque, thrombus or other matters that obstruct the flow
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters
• CPC Class Codes: A61M 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

The expandable intraluminal catheter is used for removing occlusive material from a body passage. The catheter includes a handle having both a proximal handle end and a distal handle end. Attached to the distal handle end is an elongate tubular body, which includes a proximal elongate tubular body end and a distal elongate tubular body end. The elongate tubular body further includes a lumen between the proximal elongate tubular body end and the distal elongate tubular body end. A number of radially-expandable segments are disposed on the elongate tubular body near the distal elongate tubular body end. These radially-expandable segments can be mechanically activated by a user when the distal elongate tubular body end is within a blood vessel, to thereby contact and partition occlusive material within the blood vessel. The partitioned occlusive material within the blood vessel can then be removed.

Claims

1. An expandable intraluminal catheter adapted to remove occlusive material from a body passage, comprising:

an elongate tubular body having a longitudinal axis and a proximal elongate tubular body end axially movable with respect to a distal elongate tubular body end;

a plurality of radially-expandable segments formed from a mesh material and disposed linearly along the longitudinal axis of the elongate tubular body between the proximal tubular body end and the distal elongate tubular body end; and

a fixed element connected to the distal elongate tubular body end and extending proximally through the elongate tubular body and proximal to said proximal elongate tubular body end; and

an actuator coupled to the proximal elongate tubular body end over said fixed element for actuating the plurality of radially-expandable segments by moving the proximal tubular body end relative to the fixed element and the distal tubular body end, to thereby cause each of the plurality of radially-expandable segments to radially expand into semi-rigid enlarged-diameter segments.

2. The expandable intraluminal catheter according to claim 1, wherein a width of each of the plurality of radially-expandable segments is smaller than a width of an adjacent, distally-located, radially-expandable segment,

wherein each radially-expandable segment in the plurality of radially-expandable segments is progressively expanded upon actuation by the actuator, the plurality of expandable segments progressively expanding from a first distally-located expandable segment to a subsequent proximally-located expandable segment.

3. The expandable intraluminal catheter according to claim 2, wherein the expandable intraluminal catheter further comprises:

a handle coupled to the proximal elongate tubular body end and supporting said actuator, said handle having a generally open interior extending between a proximal handle end and a distal handle end; and

wherein said fixed element is a wire disposed within the elongate tubular body and having a proximal end and a distal end, the proximal end of the wire being connected to the proximal handle end and the distal end of the wire being connected to the distal elongate tubular body end;

whereby

operation of the actuator on the handle moves the distal elongate tubular body end relative to the handle and the proximal elongate tubular body end to vary the radial size of the expandable segment.

4. The expandable intraluminal catheter according to claim 3, wherein;

the elongate tubular body has a lumen along the longitudinal axis of the elongate tubular body;

the wire is disposed in the lumen; and

the actuator moves the proximal elongated tubular body end proximally to radially expand the plurality of radially expandable segments by moving the proximal elongate tubular body end over said wire toward the distal elongate tubular body end, and moves the proximal elongated tubular body end distally to radially contract the plurality of radially expandable segments by moving the proximal elongate tubular end over said wire away from the distal elongate tubular body end.

5. The expandable intraluminal catheter according to claim 4, wherein apertures are formed on each of the plurality of radially expandable segments in response to expansion of the segments by the actuator, to thereby allow for application of one of a pressure and a suction to the apertures.

6. The expandable intraluminal catheter according to claim 5, wherein the proximal handle end comprises a port, which is connected to the lumen, and

wherein one of a pressure and a suction is applied to the apertures through the port.

7. The expandable intraluminal catheter according to claim 6, wherein the port in the proximal handle end comprises a luer type locking hub, which allows fluid to be inserted into the lumen to be excreted through the apertures, and which allows fluid to be drawn through the apertures and out of the lumen.

8. The expandable intraluminal catheter according to claim 1, wherein the plurality of radially-expandable segments are separated by a corresponding plurality of non-expandable segments, which are disposed between the plurality of radially-expandable segments on the elongate tubular body.

9. The expandable intraluminal catheter according to claim 8, wherein, when the radially-expandable segments are not radially expanded, the plurality of radially-expandable segments and the corresponding plurality of non-expandable segments form a relatively smooth surface on an exterior surface of the elongate tubular body to thereby allow the elongate tubular body to move within the body passage with relative ease.

10. The expandable intraluminal catheter according to claim 9, wherein a width, measured in a direction parallel to the longitudinal axis of the elongate tubular body, of each of the plurality of radially-expandable segments is greater than a width of a corresponding adjacent one of the plurality of non-expandable segments.

11. The expandable intraluminal catheter according to claim 10, wherein the actuator causes the plurality of radially-expandable segments to radially expand into semi-rigid enlarged-diameter segments, by moving the proximal elongate tubular body end and the distal elongate tubular body end toward one another, over said fixed element

wherein the larger widths, measured in a direction parallel to the longitudinal axis of the elongate tubular body, of the radially-expandable segments are attenuated as the radially expandable segments radially expand, and

wherein the smaller widths of the non-expandable segments do not attenuate as the non-expandable segments do not radially expand.

12. The expandable intraluminal catheter according to claim 11, wherein the plurality of radially-expandable segments and the corresponding plurality of non-expandable segments are integrally formed with the exterior surface of the elongate tubular body, each radially-expandable segment being joined to an adjacent non-expandable segment at a bendable joint.

13. The expandable intraluminal catheter according to claim 11, wherein each of the plurality of radially-expandable mesh segments comprises an expandable, plastic, tubular braid and each of the corresponding plurality of non-expandable segments comprises a semi-rigid plastic tubing.

14. An expandable intraluminal catheter adapted to remove occlusive material from a body passage, comprising:

a hollow handle having a proximal handle end and a distal handle end;

an elongate tubular body having a proximal elongate tubular body end disposed within the hollow handle and movable relative to a distal elongate tubular body end, and a lumen extending between the proximal elongate tubular body end and the distal elongate tubular end;

a plurality of radially-expandable segments disposed axially along the elongate tubular body between the proximal elongate tubular body end and the distal elongate tubular body end;

an expandable distal member, located on the elongate tubular body between the distal elongate tubular body end and the plurality of radially-expandable segments;

a non-expandable member disposed within the lumen of the elongate tubular body, the non-expandable member having a proximal non-expandable member end connected to said handle and a distal non-expandable member end connected to the distal elongate tubular body end; and

an actuator coupled to said proximal tubular body end through said hollow handle for actuating the plurality of radially expandable segments and the expandable distal member to radially expand in response to movement of the proximal elongate tubular body end over said non-expandable member toward the distal elongate tubular body end and to radially contract in response to movement of the proximal elongate tubular end over said non-expandable member away from the distal elongate tubular body end.

15. The expandable intraluminal catheter according to claim 14, wherein the actuator causes the plurality of radially-expandable segments to progressively radially expand, the plurality of radially-expandable segments progressively radially expanding from a first distally-located expandable segment to a proximally-located expandable segment.

16. The expandable intraluminal catheter according to claim 15, wherein the actuator moves the proximal elongate tubular body end relative to the distal elongate tubular body end to cause the plurality of radially-expandable segments to progressively radially expand, the plurality of radially-expandable segments progressively radially expanding from both a first distally-located expandable segment and a second proximally-located expandable segment toward a central region between said first and second radially expandable segments to thereby move the occlusive material toward the central region.

17. The expandable intraluminal catheter according to claim 14, wherein the expandable distal member comprises an inflatable balloon, which, when inflated, is deformable from an elongated shape into a generally spherical shape.

18. An expandable intraluminal catheter adapted to remove occlusive material from a body passage, comprising:

a hollow handle having a proximal handle end and a distal handle end;

an elongate tubular body having a proximal elongate tubular body end disposed within the hollow handle and movable relative to a distal elongate tubular body end, and a lumen extending between the proximal elongate tubular body end and the distal elongate tubular end;

a plurality of radially-expandable segments disposed axially along the elongate tubular body between the proximal elongate tubular body end and the distal elongate tubular body end;

an expandable distal member located on the elongate tubular body between the distal elongate tubular body end and the plurality of radially-expandable segments;

a non-expandable member disposed within the lumen of the elongate tubular body, the non-expandable member having a proximal non-expandable member end connected to said handle and a distal non-expandable member end connected to the distal elongate tubular body end;

an actuator coupled to said proximal tubular body end through said hollow handle for actuating the plurality of radially expandable segments and the expandable distal member to radially expand in response to movement of the proximal elongate tubular body end over said non-expandable member toward the distal elongate tubular body ends and to radially contract in response to movement of the proximal elongate tubular end over said non-expandable member away from the distal elongate tubular body end; and

the expandable distal member comprises a elastomeric foam, which, when expanded by the actuator, is deformable from an elongated shape into a generally spherical shape.