Medical retrieval basket

• US 6,096,053 A
• Filed: 05/22/1998
• Issued: 08/01/2000
• Est. Priority Date: 05/03/1996
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Bates, James S.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US09/084,135
• Time in Patent Office: 802 Days
• Field of Search: 606/1, 606/127, 606/128, 606/198, 606/200, 604/104, 604/105
• US Class Current: 606/159
• 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 2017/22042 Details of the tip of the guide wire
• CPC Class Codes: A61B 2017/22047 Means for immobilising the guide wire in the patient
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop

Abstract

Immobilization and/or retrieval of material from a body can be accomplished, in accordance with the invention, with a device that includes a sheath and a basket. The basket is movable relative to the sheath from a retracted position in which the basket is withdrawn within the sheath and an expanded position in which the basket is extended beyond the distal end of the sheath and open. The basket has a first portion and a second portion with two or more legs extending from the first portion to the second portion. The basket further includes an intermediate portion between the first and second portions in which the legs are spirally arranged, substantially parallel, and non-intersecting. The intermediate portion of the basket is displaced radially outward relative to the first and second portions when the basket is in the expanded position. The basket in the expanded position may be used to immobilize and/or capture material within a body.

Claims

1. A device for retrieving material from a body, comprising:

a sheath including a lumen extending therethrough and a distal end; and

a basket comprising at least two legs, said basket having a collapsed position in which the basket is collapsed within the lumen of the sheath and another position in which the basket is located beyond the distal end of the sheath and expanded, the basket comprising a first portion and a second portion with said at least two legs extending from the first portion to the second portion, the basket further comprising an intermediate portion positioned between the first and second portions in which said at least two legs are spirally arranged, substantially parallel, and non-intersecting, the intermediate portion of the basket being displaced radially outward relative to the first and second portions when the basket is in the other position; and

,

an elongated member extending within the lumen of the sheath and operably attached to the basket such that relative movements between the elongated member and sheath results in the basket transitioning between the collapsed position and another position in which the basket is extended beyond the distal end of the sheath.

2. The device of claim 1

whereby the basket in the expanded position provides a surface for the material when it is being fragmented and allows the fragmented material to enter into and be captured by the basket.

3. The device of claim 1 or 2 wherein each of the legs in the intermediate portion is spaced about 0.0787 inches to 0.394 inches away from the next leg.

4. A device for treating material in a body, comprising:

a sheath including a lumen extending therethrough, a sheath wall and a distal end; and

a basket extending from the sheath wall at the distal end of the sheath, said basket comprising a first basket portion and a second basket portion with at least two legs extending from the first basket portion to the second basket portion, the basket further comprising an intermediate portion between the first and second portions in which the legs of the intermediate portion are spirally arranged, substantially parallel, and non-intersecting, said basket moveable between a retracted and an expanded position; and

,

an elongated member axially disposed in the lumen of the sheath and operably attached to said second basket portion such that axial movements of said elongated member results in said basket transitioning between the retracted position and the expanded position in which said intermediate portion is radially displaced outward relative to said first and second basket portions.

5. A catheter for treating an object in a body tract, comprising:

a sheath having a wall, the sheath defining a lumen therethrough and having a first end and a second end;

a mesh embedded in the wall of the sheath, the mesh having a first mesh portion moveable between a retracted position and an expanded position; and

,

an elongated member disposed in the lumen and operably attached to one of the first mesh portion and the sheath such that axial movement of the elongated member within the lumen causes movement of the first mesh portion between the expanded position and the retracted position.

6. The catheter of claim 5 wherein the sheath is removed from a portion of the mesh.

7. A guidewire, comprising:

an outer sheath;

an inner core moveable within the outer sheath; and

,

an expandable element disposed in a distal region of the guidewire, the expandable element being moveable between a retracted position and a radially expanded position based on axial movement of the inner core relative to the outer sheath, the expandable element, when in the expanded position, forming an object supporting surface for supporting an object in a body.

8. The guidewire of claim 7 wherein the outer sheath comprises an elongated wire helix and further comprising:

a distal tip portion connected to the inner core; and

wherein the expandable element comprises a plurality of substantially linear wires extending axially along the elongate member between a distal end of the outer sheath and the distal tip portion.

9. The guidewire of claim 8 wherein the axial movement of the inner core bringing the distal tip axially closer to the outer sheath causes the linear wire to expand radially.

10. A method for retrieving material from a body comprising:

inserting into a body tract a device comprising a sheath including a lumen extending therethrough, and a basket comprising at least two legs, said basket having a collapsed position in which the basket is collapsed within the lumen of the sheath and another position in which the basket is located beyond a distal end of the sheath and expanded, the basket comprising a first portion and a second portion with said at least two legs extending from the first portion to the second portion, the basket further comprising an intermediate portion positioned between the first and second portions in which said at least two legs are spirally arranged, substantially parallel, and non-intersecting, the intermediate portion of the basket being displaced radially outward relative to the first and second portions when the basket is in the other position, and,

an elongated member extending within the lumen of the sheath and operably attached to the basket such that relative movements between the elongated member and sheath results in the basket transitioning between the collapsed position and another position in which the basket is extended beyond the distal end of the sheath;

immobilizing the material in the body tract by moving the basket from the retracted position to the expanded position whereby the material is blocked;

fragmenting the material in the body tract and using the expanded basket to limit movement of the material during fragmentation;

capturing at least some of the fragmented material within the basket; and

,

recovering at least some of the fragmented material within the basket by withdrawing the device with the captured fragmented material from the body tract.

11. A method for removing material from a body comprising:

inserting into a body tract a device comprising a sheath having a lumen extending therethrough, a sheath wall and having a distal end; and

a basket extending from the sheath wall at the distal end of the sheath, said basket comprising a first basket portion and a second basket portion with at least two legs extending from the first basket portion to the second basket portion, the basket further comprising an intermediate portion between the first and second portions in which the legs of the intermediate portion are spirally arranged, substantially parallel, and non-intersecting, said basket moveable between a retracted and an expanded position, and,

an elongated member axially disposed in the lumen of the sheath and operably attached to said second basket portion such that axial movements of said elongated member results in said basket transitioning between the retracted position and the expanded position in which said intermediate portion is radially displaced outward relative to said first and second basket portions;

immobilizing material in the body tract by moving the basket from the retracted position to the expanded position whereby the material is blocked;

fragmenting the material in the body tract and using the expanded basket to limit movement of the material during fragmentation;

capturing at least some of the fragmented material within the basket; and

,

recovering at least some of the fragmented material within the basket by withdrawing the device with the captured fragmented material from the body tract.