Mechanical clot encasing and removal wire

• US 6,066,158 A
• Filed: 07/25/1996
• Issued: 05/23/2000
• Est. Priority Date: 07/25/1996
• Status: Expired due to Term

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation), W. L. Gore & Associates (W.L. Gore & Associates)
• Original Assignee: Target Therapeutics, Inc. (Boston Scientific Corporation)
• Inventors: Engelson, Erik T., Samson, Gene
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): PHAM, THUY D
• Application Number:
  US08/686,304
• Time in Patent Office: 1,398 Days
• Field of Search: 606/159, 606/200, 606/191, 606/192, 606/194, 606/195, 606/198
• US Class Current: 606/200
• 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 17/3207 Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions A61B17/32037 takes precedence; endoscopic cutting instruments A61B17/320016
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 17/32075 Pullback cutting; combined forward and pullback cutting, e.g. with cutters at both sides of the plaque
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/22061 for spreading elements apart
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61M 2025/1095 with perfusion means for enabling blood circulation while the balloon is in an inflated state or in a deflated state, e.g. permanent by-pass within catheter shaft
• 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 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

This is a surgical device usually delivered through an intravascular catheter. It is designed to pierce and remove emboli often found in tortuous vasculature. The device includes several sections. The device has a core element. Placed around the distal end of the core wire is a collapsible but self expanding embolism collection assembly. That collector assembly is typically joined to the core wire at its distal end. The collector assembly may have a generally conical distal portion when expanded and may have a proximal section having varied purposes, e.g. for centering the collector assembly in the vascular lumen. The assembly further may have an actuator which permits the collector assembly to expand after deployment.

Claims

1. An embolectomy device comprising:

a core wire element having a distal end and a proximal end and a longitudinal axis, and

an embolism collector element comprising at least one spirally wound, superelastic alloy ribbon, and

an actuator comprising a cylindrical member fixedly attached to the embolism collector element,

wherein said collector element has a first deployment shape adjacent said core wire element when said actuator is in a first deployment position and a second expanded shape when said actuator is in a second deployment position,

said second expanded shape comprising a trailing conical collector section having a distal end that is fixedly attached to said core wire element.

2. The embolectomy device of claim 1 wherein the embolism collector element further comprises a cylindrical section proximally of said conical section.

3. The embolectomy device of claim 1 wherein the embolism collector element comprises at least two spirally wound superelastic alloy ribbons wound respectively clockwise and counter-clockwise about the axis of the core element.

4. The embolectomy device of claim 1 wherein the embolism collector element comprises a plurality of ribbons woven into a braid.

5. The embolectomy device of claim 4 wherein the braid is more tightly woven distally.

6. The embolectomy device of claim 5 wherein the braid is less tightly wound proximally.

7. The embolectomy device of claim 5 wherein the embolism collection element is braided proximally of the conical section.

8. The embolectomy device of claim 4 wherein the embolism collector element is not braided proximally of the conical section.

9. The embolectomy device of claim 1 wherein the embolectomy collector element has a decreasing radius distally.

10. The embolectomy device of claim 1 wherein the core element farther comprises a helically wound coil located distally of the embolism collector element.

11. The embolectomy device of claim 4 wherein the core element further comprises a helically wound coil located distally of the embolism collector element.

12. The embolectomy device of claim 1 wherein the embolism collector element comprises a nickel-titanium alloy.

13. The embolectomy device of claim 4 wherein the embolism collector element comprises a nickel-titanium alloy.

14. The embolectomy device of claim 4 wherein the embolism collector element comprises a minor number of ribbons comprising stainless steel.

15. The embolectomy device of claim 4 wherein the embolism collector element comprises a minor number of ribbons comprised of radioopaque alloys.

16. The embolectomy device of claim 1 wherein the embolism collector element is contained in a first deployment shape by an electrolitically severable band.

17. The embolectomy device of claim 4 wherein the embolism collector element is contained in a first deployment shape by an electrolitically severable band.

18. The embolectomy device of claim 4 wherein the embolism collector element further comprises a cylindrical section proximally of said conical section.

19. The embolectomy device of claim 5 wherein the embolism collector element further comprises a cylindrical section proximally of said conical section.

20. The embolectomy device of claim 6 wherein the embolism collector element further comprises a cylindrical section proximally of said conical section.

21. The embolectomy device of claim 1 wherein the core wire element comprises a core wire having an external and fixedly attached braid.

22. The embolectomy device of claim 4 wherein the core wire element comprises a core wire having an external and fixedly attached braid.

23. The embolectomy device of claim 5 wherein the core wire element comprises a core wire having an external and fixedly attached braid.

24. The embolectomy device of claim 6 wherein the core wire element comprises a core wire having an external and fixedly attached braid.

25. The embolectomy device of claim 22 wherein said braid is a nickel-titanium alloy.

26. The embolectomy device of claim 23 wherein said braid is a nickel-titanium alloy.

27. The embolectomy device of claim 24 wherein said braid is a nickel-titanium alloy.

28. The embolectomy device of claim 4 wherein the core wire element comprises a tubular member fixedly attached to the embolism collector element and a removable core wire interior to the tubular member.

29. The embolectomy device of claim 5 wherein the core wire element comprises a tubular member fixedly attached to the embolism collector element and a removable core wire interior to the tubular member.

30. The embolectomy device of claim 6 wherein the core wire element comprises a tubular member fixedly attached to the embolism collector element and a removable core wire interior to the tubular member.

31. The embolectomy device of claim 2 wherein the actuator comprises a tubular member fixedly attached to the embolism collector element.

32. The embolectomy device of claim 31 wherein said tubular element comprises a braid.

33. The embolectomy device of claim 32 wherein the braid comprises a superelastic alloy.

34. The embolectomy device of claim 4 wherein the embolism collector element further comprises an interior and distal supplemental embolism collector element.

35. The embolectomy device of claim 34 wherein the supplemental embolism collector element comprises a braid.

36. The embolectomy device of claim 1 wherein the core wire element further comprises a spring element adapted to deploy said embolism collector element to said second shape.

37. The embolectomy device of claim 1 wherein the embolism collector element is self-deploying.