Expandable lumen device and method of use

• US 6,159,230 A
• Filed: 05/28/1999
• Issued: 12/12/2000
• Est. Priority Date: 10/23/1997
• Status: Expired due to Term

• Current Assignee: Endovention Incorporated
• Original Assignee: Shaun Samuels
• Inventors: Samuels, Shaun L. W.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US09/322,829
• Time in Patent Office: 564 Days
• Field of Search: 606/200, 606/194, 606/198, 606/127, 606/128, 128/898
• US Class Current: 606/200
• 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 17/221 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 2017/2215 having an open distal end
• CPC Class Codes: A61M 2025/0024 Expandable catheters or sheaths
• 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 25/00 Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 25/0023 by the form of the lumen, e.g. cross-section, variable diameter
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable

Abstract

A device for removing undesirable material from a tubular structure within the human body features a cylindrical body with a lumen therethrough. The distal portion of the body is divided into a number of flexible members. An inflatable cuff is attached to the flexible members. When the cuff is inflated, the members flex radially outwardly so that the distal opening of the lumen is expanded. An inflation tube is used to inflate and deflate the cuff by means of a syringe. An elastomeric membrane sleeve surrounds the flexible members so that the latter are contracted towards their original position when the cuff is deflated. The sleeve also prevents material from escaping between the flexible members when the cuff is inflated.

Claims

1. A method for retrieving material from tubular structures within the human body comprising the steps of:

a) inserting a guide wire into the tubular structure;

b) guiding a catheter featuring an expandable lumen opening along the guide wire proximate to the material;

c) expanding the lumen opening to a size sufficient to permit the material to be received in the lumen; and

d) moving the material into the lumen opening.

2. The method of claim 1 further comprising the steps of:

e) contracting the lumen opening; and

f) removing the catheter from the tubular structure.

3. The method of claim 2 further comprising the step of attaching an inflatable cuff to the catheter in a position proximate to the expandable lumen opening and wherein the lumen opening is expanded in step c) by inflating the cuff and the lumen opening is contracted in step e) by deflating the cuff.

4. The method of claim 1 further comprising the steps of placing a central dilator through the catheter prior to step b) and removing the central dilator prior to step d).

5. The method of claim 1 wherein step d) includes the substeps of:

i) deploying a balloon catheter through the lumen opening and past the material;

ii) inflating the balloon catheter; and

iii) drawing the material into the lumen opening by withdrawing the balloon catheter.

6. The method of claim 1 further comprising the step of attaching an inflatable cuff to the catheter in a position proximate to the expandable lumen opening and wherein the lumen opening is expanded in step c) by inflating the cuff.

7. The method of claim 1 further comprising the step of pulling the material out of the catheter through an exit port external to the tubular structure.

8. The method of claim 1 wherein step d) includes the substeps of:

i) puncturing the tubular structure distal to the material to create a supplemental puncture site;

ii) inserting an elongated tool through the supplemental puncture site; and

iii) pushing the material towards lumen opening.

9. The method of claim 1 further comprising the step of fragmenting the material prior to step d).

10. The method of claim 9 wherein the material is fragmented by inserting a clot fragmentation device through the lumen opening of the catheter and moving it to the material.

11. The method of claim 9 wherein the step of fragmenting the material includes the substeps of:

i) puncturing the tubular structure distal to the material to create a supplemental puncture site;

ii) inserting a clot fragmentation device through the supplemental puncture site; and

iii) moving the clot fragmentation device to the material.

12. The method of claim 1 further comprising the steps of removing the guide wire from the tubular structure after step b) and injecting a fluid through the lumen opening into the tubular structure.

13. A method for retrieving material from tubular structures within the human body comprising the steps of:

a) inserting a guide wire into the tubular structure;

b) guiding a catheter featuring a tip with an expandable lumen opening along the guide wire to a position proximate to the material;

c) expanding the lumen opening so that a circumferential occlusive seal is formed between the catheter tip and an inner surface of the tubular structure; and

d) receiving the material in the lumen opening due at least in part to a reversed flow in the tubular structure proximate to the catheter tip as a result of step c).

14. The method of claim 13 further comprising the steps'"'"' of:

e) contracting the lumen opening; and

f) removing the catheter from the tubular structure.

15. The method of claim 14 further comprising the step of attaching an inflatable cuff to the catheter in a position proximate to the expandable lumen opening and wherein the lumen opening is expanded in step c) by inflating the cuff and the lumen opening is contracted in step e) by deflating the cuff.

16. The method of claim 13 further comprising the step of applying suction to a catheter port external to the tubular structure after step c) to enhance the reversed flow of step d).

17. The method of claim 13 further comprising the steps of placing a central dilator through the catheter prior to step b) and removing the central dilator prior to step d).

18. The method of claim 13 further comprising the step of attaching an inflatable cuff to the catheter in a position proximate to the expandable lumen opening and wherein the lumen opening is expanded in step c) by inflating the cuff.

19. The method of claim 13 further comprising the step of pulling the material out of the catheter through an exit port external to the tubular structure.

20. The method of claim 13 wherein step d) includes the substeps of:

i) puncturing the tubular structure distal to the material to create a supplemental puncture site;

ii) inserting an elongated tool through the supplemental puncture site; and

iii) pushing the material towards lumen opening.

21. The method of claim 13 further comprising the step of fragmenting the material prior to step d).

22. The method of claim 21 wherein the material is fragmented by inserting a clot fragmentation device through the lumen opening of the catheter and moving it to the material.

23. The method of claim 21 wherein the step of fragmenting the material includes the substeps of:

i) puncturing the tubular structure distal to the material to create a supplemental puncture site;

ii) inserting a clot fragmentation device through the supplemental puncture site; and

iii) moving the clot fragmentation device to the material.

24. The method of claim 13 further comprising the steps of removing the guide wire from the tubular structure after step b) and injecting a fluid through the lumen opening into the tubular structure.