Medical device including basket

• US 5,989,266 A
• Filed: 02/24/1998
• Issued: 11/23/1999
• Est. Priority Date: 02/24/1997
• Status: Expired due to Term

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Cook Urological, Inc. (Cook Group Incorporated)
• Inventors: Foster, Thomas L.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Goldberg, Jonathan D.
• Application Number:
  US09/028,538
• Time in Patent Office: 637 Days
• Field of Search: 606/113, 606/114, 606/127, 606/200
• US Class Current: 606/127
• 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
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation

Abstract

A minimally invasive, medical device 10 for removing stones, calculus or the like from the renal or biliary systems includes a reversibly collapsible basket 12 and an elongated member 14 for delivering the basket 12 to the location of the stones, calculus or the like. The basket 12 is tipless and atraumatic in use, and includes at least one superelastic wire loop 20 and at least one superelastic wire leg 26, the wire leg 26 preferably being incorporated into a second superelastic wire loop 24. The basket 12 is preferably formed from a shape memory material such as a suitably annealed nitinol alloy. The basket 12 includes means 28 for restricting relative movement of the first wire loop 20 and the wire leg 26 or the second wire loop 24, continuously formed with the first loop 20 and the leg 26 or the second loop 24. The movement restricting means 28 is preferably formed as a first smaller loop 30 in the first loop 20 interlocked with a second smaller loop 32 in the leg 26 or in the second loop 24. The elongated member 14 is preferably a flexible sheath or the like 34 of a length suitable for introduction of the basket 12 into the major and minor renal calyxes. The first loop 20 and the leg 26 or the second loop 24 have longitudinally extending portions 40 and 46 slidably received in the flexible sheath or the like 34. In this way the basket 12 can be retracted into or extended from the elongated member 14. The device 10 is particularly advantageous in being kink-free during use and in possessing a useful diameter significantly smaller than other eggwhip-type retrieval devices.

Claims

1. A minimally invasive, medical device (10) for grasping, capturing, retrieving, extracting or removing an object from a location within a body, the device (10) comprising a reversibly collapsible basket (12) engageable with the object and an elongated member (14) for delivering the basket (12) to the location of the object;

wherein the basket (12) is tipless and atraumatic, and the basket (12) comprises;

at least one superelastic wire loop (20);

at least one superelastic wire leg (26); and

means (28) restricting relative movement of the at least one wire loop (20) and the at least one wire leg (26), the movement restricting means (28) being continuously and kinklessly formed with at least one of (a) the at least one wire loop (20), and (b) the at least one wire leg (26).

2. The device (10) according to claim 1, wherein the movement restricting means (28) comprises a first smaller loop (30) formed in the at least one wire loop (20).

3. The device (10) according to claim 2, wherein the first smaller loop (30) depends inwardly of the wire loop (20).

4. The device (10) according to claim 2, wherein the movement restricting means (28) further comprises a second smaller loop (32) formed in the at least one wire leg (26).

5. The device (10) according to claim 4, wherein the second smaller loop (32) depends inwardly of the wire leg (26).

6. The device (10) according to claim 2, wherein the basket (12) further comprises at least a second superelastic wire loop (24) incorporating the at least one wire leg (26).

7. The device (10) according to claim 6, wherein the movement restricting means (28) further comprises a second smaller loop (32) formed in the second wire loop (24).

8. The device (10) according to claim 7, wherein the second smaller loop (32) depends inwardly of the second wire loop (24).

9. The device (10) according to claim 7, wherein the first smaller loop (30) and the second smaller loop (32) are interlocked with one another.

10. The device (10) according to claim 1, wherein the basket (12) includes a nitinol alloy.

11. The device (10) according to claim 1, wherein the elongated member (14) comprises at least one flexible sheath, cannula, tube or catheter (34).

12. The device (10) according to claim 11, wherein the elongated member (14) further comprises at least a second flexible sheath, cannula, tube or catheter (36) surrounding the at least one flexible sheath, cannula, tube or catheter (34).

13. The device (10) according to claim 11, wherein the device (10) further comprises a handle (38) connected to at least the basket (12) for withdrawing the basket (12) into the at least one flexible sheath, cannula, tube or catheter (34).

14. The device (10) according to claim 1, wherein the device (10) further comprises a handle (38) connected to at least the basket (12) for reversibly collapsing the basket (12).

15. The device (10) according to claim 1, wherein the elongated member (14) is about 1.7 Fr to 7 Fr (0.57 mm to 2.3 mm) in diameter.

16. The device (10) according to claim 1, wherein the at least one wire loop (20) and the at least one wire leg (26) are formed from round, flat or triangular wire.

17. The device (10) according to claim 1, wherein the at least one loop (20) and the at least one leg (26) further comprise longitudinally extending portions (40 and 46) slidably received in the elongated member (14).

18. The device (10) according to claim 17, wherein the device (10) further comprises at least one collar (52) securing the longitudinally extending portions (40 and 46) of the at least one loop (20) and the at least one leg (26) to one another.

19. A minimally invasive, medical device (10) for grasping, capturing, retrieving, extracting or removing stones, calculus or the like from the renal system, the device (10) comprising a reversibly collapsible basket (12) engageable with the object and an elongated member (14) for delivering the basket (12) to the location of the stones, calculus or the like;

wherein the basket (12) is tipless and atraumatic, and the basket (12) comprises;

a first superelastic wire loop (20);

a second superelastic wire loop (24); and

means (28) restricting relative movement of the first wire loop (20) and the second wire loop (24), the movement restricting means (28) being continuously and kinklessly formed with the first wire loop (20) and the second wire loop (24), and being positioned opposite the elongated member (14);

wherein the movement restricting means (28) comprises a first inwardly depending smaller loop (30) formed in the first wire loop (20) and a second inwardly depending smaller loop (32) formed in the second wire loop (24), interlocked with one another;

wherein the elongated member (14) comprises a flexible sheath, cannula, tube or catheter (34) of a length suitable for introduction of the basket (12) into the major and minor renal calyxes;

wherein the first wire loop (20) and the second wire loop (24) comprise longitudinally extending portions (40 and

     46) slidably received in the flexible sheath, cannula, tube or catheter (34) and secured to one another; and

wherein the device (10) further comprises a handle (38) connected to the flexible sheath, cannula, tube or catheter (34) and to the longitudinally extending portions (40 and

     46) of the first wire loop (20) and the second wire loop (24) for withdrawing the basket (12) into the flexible sheath, cannula, tube or catheter (34) and collapsing the basket (12).

20. The device (10) according to claim 19, wherein the elongated member has an outside diameter of about 3 Fr (1 mm), and wherein the first wire loop (20) and the second wire loop (26) are composed of 0.006 in. (0.15 mm) nitinol wire.