Surgical extractor

• US 6,168,603 B1
• Filed: 11/06/1997
• Issued: 01/02/2001
• Est. Priority Date: 02/02/1995
• Status: Expired due to Term

• Current Assignee: Boston Scientific Corporation
• Original Assignee: Boston Scientific Corporation
• Inventors: Bates, James S., Leslie, Stephen W.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US08/968,906
• Time in Patent Office: 1,153 Days
• Field of Search: 606/110, 606/113, 606/114, 606/127, 606/106, 606/200
• US Class Current: 606/114
• 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 2017/2212 having a closed distal end, e.g. a loop

Abstract

A surgical extractor for removing objects from a body including, for example, calculi, such as kidney stones and gall stones. The extractor includes a handle at a proximal end with a slider for operation by a physician. At the distal end the extractor includes a plurality of wires with each wire comprising a first portion having an individual strand and a second portion comprising a plurality of filaments. When a retaining sheath is retracted, the wires, formed of a shape memory material such as stainless steel, expand such that each of strands assume a spaced relationship to define a first section of a basket and the plurality of the filaments assume a spaced relationship to define a second section of the basket. The use of a basket formed by wires having a first section having an individual strand and a second section having the plurality of filaments promotes capture of objects within the body by having widely spaced wires in the first section, retention of such objects in the second section by multiplying the number of contacts with entrapped object, and improved selective release of such objects without any deleterious effect on the reliability or size of the extractor. Additionally, use of the basket enables improved dislodgment and capture of embedded or impacted objects.

Claims

1. A surgical extractor for removing an object from a body comprising a retrieval basket with distal and proximal ends and a plurality of at least two wires having first and second serial portions between said distal and proximal ends, each said first portion comprising an individual strand and each said second portion comprising a plurality of at least two spaced filaments, each of said strands and filaments being formed in an enlarged shape of said retrieval basket when said strands and filaments are relaxed, and an elongated sheath for moving between a first position in which said sheath is axially coextensive with all of said strands and filaments for constraining said strands and filaments in a compact condition wherein said strands and filaments are individually stressed and a second position for freeing said wires for expansion due to the action of the internal stresses to form an enlarged basket for retrieving the object.

2. A surgical extractor as recited in claim 1, wherein said wires are composed of stainless steel.

3. A surgical extractor as recited in claim 2, wherein said plurality of spaced filaments is in the range of two to six.

4. A surgical extractor as recited in claim 2, wherein said plurality of wires is in the range of two to four.

5. A surgical extractor as recited in claim 4, wherein said plurality of spaced filaments is in the range of two to six.

6. A surgical extractor as recited in claim 1, wherein at least one of said strands of said wires comprises extensions of said spaced filaments secured together.

7. A surgical extractor as recited in claim 1, wherein at least one of said strands is a solid wire secured to said plurality of filaments.

8. A surgical extractor as recited in claim 1, wherein said plurality of spaced filament of each of said wires is in the range of two to six.

9. A surgical extractor as recited in claim 8 wherein said plurality of wires is in the range of two to four wires.

10. A surgical extractor as recited in claim 8 wherein at least one of said strands of said wires comprises extensions of said plurality of spaced filaments secured together.

11. A surgical extractor as recited in claim 1, wherein said filaments form a web-like structure.

12. A surgical extractor as recited in claim 11, wherein at least one of said strands of said wires comprises extensions of said spaced filaments secured together.

13. A surgical extractor as recited in claim 11, wherein each of said filaments is helically wound as a turn in a helix.

14. A surgical extractor for removing an object from a body comprising:

A) handle means extending along an axis at a proximal portion of said extractor for operating said extractor, said handle means having base means for being grasped by a physician and slider means for reciprocating along the axis with respect to said base means,

B) basket forming means connected to said base means for forming a basket distally of said handle means, said basket forming means having a distal portion including a set of a plurality of at least two spaced, spring formed prestressed wires with each of the wires including a first section comprising an individual strand and a second section comprising a plurality of at least two spaced filaments and said strands and filaments being prestressed to define collectively in a relaxed state an enlarged retrieval basket,

C) sheath means connected to said slider means and axially displaceable between first and second positions with respect to said basket forming means whereby said sheath means in the first position is axially coextensive with said wires and retains said wires in a compact, stressed form within said sheath means and exposes the distal portion of said basket forming means in the second position thereby to enable said stressed wires to relax and expand thereby forming the enlarged retrieval basket including said first and second sections.

15. A surgical extractor as recited in claim 14, wherein each of said filaments is helically wound as a turn in a helix.

16. A surgical extractor as recited in claim 14, wherein said plurality of wires in a set is in the range of two to four.

17. A surgical extractor as recited in claim 16, wherein said plurality of filaments is in the range of four to sixteen.

18. A surgical extractor as recited in claim 16, wherein each of the prestressed wires is composed of stainless steel.

19. A surgical extractor as recited in claim 16, wherein at least one strand of one of said wires comprises extensions of said filaments of said one wire secured together.

20. A surgical extractor as recited in claim 16, wherein in at least one of said wires said strand is secured to said filaments.

21. A surgical extractor as recited in claim 16, wherein each of said filaments is helically wound as a turn in a helix and each of said strands extend in substantially a planar fashion.

22. A surgical extractor as recited in claim 14, additionally comprising radially flexible, axially stiff support means attached intermediate said handle base means and said basket forming means and lying within said sheath means wherein said first sections of said wires additionally have proximal portions that attach to the distal end of said support means and means at opposite ends of said basket forming means for binding said filaments and strands, respectively, together thereby to limit the axial extent of said enlarged basket.

23. A surgical extractor as recited in claim 22, wherein said binding means at the distal end of said basket forming means includes a filiform.

24. A surgical extractor as recited in claim 14, wherein said filaments and support means are formed of stainless steel.

25. A surgical extractor as recited in claim 24, wherein said sheath comprises a polyimide tube that overlies said support means and said wires.

26. A surgical extractor as recited in claim 14, wherein said handle means and said slider means are formed of molded plastic.

27. A surgical extractor as recited in claim 26, wherein said support means and said wires are formed of stainless steel and said sheath is formed of polyimide.

28. A surgical extractor for removing objects from a body comprising:

A) a molded plastic, partially hollowed axially extending base,

B) support means including a solid stainless steel radially flexible, axially stiff rod attached to said base and extending distally therefrom, a stainless steel cable extending distally from said rod and means for connecting said rod and said cable together axially,

C) a plurality of at least two wires of stainless steel attached to the distal end of said cable, each of said wires having a proximal portion comprising an individual strand and a distal portion comprising a plurality of at least two filaments, said wires being formed to define collectively an enlarged retrieval basket in a relaxed state,

D) a plastic slider captured in said base for limited axial movement relative thereto between distal and proximal positions, and

E) a polyimide sheath of a given internal diameter having a proximal end attached to said slider for overlying said support means and said wires, said slider, in its distal position, locating said sheath coextensively with said distal portion of said wires thereby to compact and retain said wires at substantially the given diameter in a stressed condition and, in its proximal position, releasing said wires to relax and expanding thereby forming the enlarged retrieval basket for entrapping the object, said basket including said first and second sections of said wires such that each of said filaments is spaced from said other filaments and each of said strands are spaced from said other strands.

29. A surgical extractor as recited in claim 28, wherein said surgical extractor additionally includes a filiform extending distally of said wires for facilitating the steering of said extractor.

30. A surgical extractor as recited in claim 28, wherein said plurality stainless steel wires is in the range of two to four.

31. A surgical extractor as recited in claim 28, wherein said plurality of filaments is in the range of four to sixteen.

32. A surgical extractor as recited in claim 28, wherein said slider, in a position intermediate its distal and proximal positions, locates said sheath coextensively with said first section of said wires thereby to compact and retain said first section at substantially the given diameter and to release said second section to define a second retrieval basket of reduced length and diameter relative to said first retrieval basket.