Method of using a clot capture coil

• US 5,895,398 A
• Filed: 10/02/1996
• Issued: 04/20/1999
• Est. Priority Date: 02/02/1996
• Status: Expired due to Term

• Current Assignee: Regents of the University of California (University of California)
• Original Assignee: Regents of the University of California (University of California)
• Inventors: Wensel, Jeffrey P., Gobin, Y. Pierre
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US08/723,619
• Time in Patent Office: 930 Days
• Field of Search: 606/151, 606/198, 606/191, 606/200, 606/159, 606/127, 606/128
• US Class Current: 606/159
• 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 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 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61B 2017/2217 single wire changing shape to a gripping configuration
• CPC Class Codes: A61F 2002/016 made from wire-like elements
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2210/0033 electrically, e.g. heated by resistor
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/0091 helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section

Abstract

A clot and foreign body removal device is described which comprises a catheter with at least one lumen. Located within the catheter is a clot capture coil that is connected to an insertion mandrel. In one embodiment, the clot capture coil is made out of a solid elastic or superelastic material which has shape memory, preferably nitinol. The elasticity or superelasticity of the coil allows it to be deformed within the catheter and to then reform its original coil configuration when the coil is moved outside of the catheter lumen. In another embodiment the coil is a biphasic coil which changes shape upon heating or passing an electric current. Once the coil configuration has been established, the coil can be used to ensnare and corkscrew a clot in a vessel. A clot is extracted from the vessel by moving the clot capture coil and catheter proximally until the clot can be removed or released into a different vessel that does not perfuse a critical organ. Foreign bodies are similarly captured by deploying the coil distal to the foreign body and moving the clot capture coil proximally until the foreign body is trapped within the coil. By removing the device from the body, the foreign material is also removed.

Claims

1. A method of removing a clot or foreign body from a vessel of a patient, comprising the steps of:

(a) inserting a catheter with at least one lumen past the clot or foreign body;

(b) inserting a solid, non-hollow, shape memory coil having varying diameters and connected at one of its ends to an insertion mandril into the lumen of the catheter, whereby the coil deforms to an essentially straight configuration;

(c) advancing the coil to the distal end of the catheter by translating the insertion member distally;

(d) advancing the coil distally out of the catheter to allow the shape memory coil to reform its natural coil configuration;

(e) translating the coil across the clot or foreign body by translating the insertion mandril proximally relative to the catheter to thereby ensnare the clot or foreign body; and

(f) moving the clot or foreign body out of the vessel by moving the catheter, coil and insertion mandril out of the vessel.

2. The method of claim 1 wherein the coil is elastic.

3. The method of claim 1 wherein the coil is superelastic.

4. The method of claim 1 wherein the coil comprises a solid nitinol wire.

5. The method of claim 1 wherein a clot is removed and wherein the viscoelastic properties of the clot are utilized to ensnare the clot and corkscrew the clot with the coil.

6. The method of claim 1 further comprising the step of:

removing the clot or foreign body entirely from the patient'"'"'s body.

7. The method of claim 6 wherein the clot removed was a clot within the cerebral vasculature.

8. The method of claim 6 wherein the clot removed was a clot within the coronary vasculature.

9. The method of claim 6 wherein the clot removed was a clot within the peripheral vasculature.

10. The method of claim 6 wherein the clot removed was a clot within a surgically created arteriovenous fistula.

11. The method of claim 6 wherein the clot removed was a clot within a the venous system.

12. The method of claim 6 wherein the clot removed was a clot within a by-pass graft.