Retrieval basket for a surgical device

• US 6,187,017 B1
• Filed: 02/17/1998
• Issued: 02/13/2001
• Est. Priority Date: 02/17/1998
• Status: Expired due to Term

• Current Assignee: Gyrus ACMI, Inc. (Olympus Corporation)
• Original Assignee: Circon Corp. (Olympus Corporation)
• Inventors: Gregory, Franklin P. Jr.
• Primary Examiner(s): Smith, Jeffrey A.
• Application Number:
  US09/025,099
• Time in Patent Office: 1,092 Days
• Field of Search: 606/127, 606/114
• 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 2017/2212 having a closed distal end, e.g. a loop

Abstract

A retrieval basket is provided for use with a surgical device adapted to capture calculi. The retrieval basket includes wires extending from a proximal end to a distal end of the basket wherein the wires converge at the proximal and distal ends. The wires in a proximal portion of the retrieval basket incline radially at an angle away from the basket'"'"'s axis along relatively straight paths. The wires in a distal portion of the retrieval basket converge radially toward the axis along relatively curvilinear paths.

Claims

1. A retrieval basket adapted to capture calculi as it is moved along an axis of said retrieval basket in a proximal direction, said retrieval basket comprising:

a plurality of wires extending from a proximal end of said retrieval basket to a distal end of said retrieval basket wherein said wires converge toward one another at said proximal and distal ends, at least two of the wires forming a pair, each wire in the pair having relative to one another a first maximum in a proximal portion of the basket and a second maximum in a distal portion of the basket, the wires in the pair having at least two crossing points between the proximal and distal ends of the basket;

said wires in a proximal portion of said retrieval basket having a radius of curvature, and said wires in a distal portion of said retrieval basket having a radius of curvature, and wherein the radius of curvature of said wires in the proximal portion is smaller than that of said wires in the distal portion.

2. The retrieval basket defined in claim 1, wherein adjacent wires in said proximal portion extend from said proximal end closely adjacent one another and diverge from one another at a location that is spaced from said proximal end.

3. The retrieval basket defined in claim 2, wherein said adjacent wires cross one another adjacent to said proximal portion before diverging away from one another.

4. The retrieval basket defined in claim 3, wherein said adjacent wires cross one another at least two times adjacent to said proximal portion.

5. The retrieval basket defined in claim 2, wherein said adjacent wires extend substantially parallel to one another adjacent to said proximal portion before diverging away from one another.

6. The retrieval basket defined in claim 1, wherein said wires in the distal portion of said retrieval basket converge radially toward each other along relatively curvilinear paths, wherein said relatively curvilinear paths comprise substantially helical paths.

7. The retrieval basket defined in claim 6, wherein said helical path of at least one of said wires is oriented in a substantially opposite direction as compared to that of an adjacent wire.

8. The retrieval basket defined in claim 1, wherein adjacent wires in said distal portion cross one another adjacent to said distal portion.

9. The retrieval basket defined in claim 1, wherein said retrieval basket is positionable within a sheath to retain said retrieval basket in a collapsed position and is releasable from said sheath to expand said retrieval basket into an expanded position.

10. The retrieval basket defined in claim 9, wherein relative positions of said sheath and said retrieval basket are moveable with respect to one another along said axis of said retrieval basket.

11. The retrieval basket defined in claim 1, wherein at least one of said wires comprises a plurality of strands.

12. A surgical device adapted to capture calculi as it is moved along an axis in a proximal direction, said surgical device comprising:

a retrieval basket comprising a plurality of wires extending from a proximal end of said retrieval basket to a distal end of said retrieval basket wherein said wires converge toward one another at said proximal and distal ends, said wires in a proximal portion of said retrieval basket being inclined radially away from said axis of said surgical device along relatively straight paths, said wires in a distal portion of said retrieval basket converging radially toward said axis along relatively curvilinear paths, and wherein the radius of curvature of said relatively curvilinear paths is smaller than that of said relatively straight paths, at least two of the wires forming a pair, each wire in the pair having relative to one another a first maximum in a proximal portion of the basket and a second maximum in a distal portion of the basket, the wires in the pair having at least two crossing points between the proximal and distal ends of the basket;

a sheath positionable over at least a portion of said retrieval basket to maintain said retrieval basket in a collapsed position; and

means for moving said retrieval basket and said sheath with respect to one another and for causing said retrieval basket to alternate between an expanded position and said collapsed position.

13. The surgical device defined in claim 12, wherein adjacent wires in said proximal portion extend from said proximal end closely adjacent one another and diverge from one another at a location that is spaced from said proximal end.

14. The surgical device defined in claim 13, wherein said adjacent wires cross one another adjacent to said proximal portion before diverging away from one another.

15. The surgical device defined in claim 13, wherein said adjacent wires extend substantially parallel to one another adjacent to said proximal portion before diverging from one another.

16. The surgical device defined in claim 12, wherein said wires in the distal portion of said retrieval basket converge radially toward each other along relatively curvilinear paths, wherein said relatively curvilinear paths comprise substantially helical paths.

17. The surgical device defined in claim 16, wherein said substantially helical paths of adjacent wires are oriented in a substantially opposite direction.

18. The surgical device defined in claim 12, wherein adjacent wires in said distal portion cross one another adjacent to said distal portion.

19. The surgical device defined in claim 12, wherein said moving means comprises a shaft connected to said retrieval basket and extending proximally from said retrieval basket.

20. The surgical device defined in claim 19, wherein at least a portion of said shaft is flexible.

21. The surgical device defined in claim 12, wherein at least one of said wires comprises a plurality of strands.

22. A retrieval basket for use with a surgical device, said retrieval basket being adapted to capture calculi as it is moved along an axis in a proximal direction, said retrieval basket comprising:

a plurality of wires extending from a proximal end of said retrieval basket to a distal end of said retrieval basket wherein said wires converge toward one another at said proximal and distal ends, at least two wires forming a pair having at least two crossing points between the proximal and distal ends of the basket;

wherein said wires extend along substantially helical paths between said proximal end and said distal end of said retrieval basket, wherein said wires in a proximal portion of said retrieval basket extend along a proximal helical path and said wires in a distal portion of said retrieval basket extend along a distal helical path, wherein said distal helical path has a smaller radius of curvature as compared to said proximal helical path.

23. The retrieval basket defined in claim 22, wherein adjacent ones of said wires extend from said proximal end closely adjacent one another and diverge from one another at a location that is spaced from said proximal end.

24. The retrieval basket defined in claim 23, wherein said adjacent wires in said proximal portion cross one another adjacent to said proximal portion before diverging away from one another.

25. The retrieval basket defined in claim 22, wherein said helical paths of adjacent wires are oriented in a substantially opposite direction.

26. The retrieval basket defined in claim 22, wherein adjacent ones of said wires in said distal portion cross one another adjacent to said distal portion.

27. The retrieval basket defined in claim 22, wherein said retrieval basket is positionable within a sheath to retain said retrieval basket in a collapsed position and is releasable from said sheath to expand said retrieval basket into an expanded position.

28. The retrieval basket defined in claim 27, wherein relative positions of said sheath and said retrieval basket are moveable with respect to one another along said axis of said retrieval basket.

29. The retrieval basket defined in claim 22, wherein at least one of said wires comprises a plurality of strands.

30. In a surgical extractor for removing an object from a surgical patient, said surgical extractor including a plurality of wires surrounded by a sheath in a retracted position and forming a basket for retrieving said object in an expanded position, said basket including a proximal end portion and a distal end portion, the improvement wherein said basket comprises pairs of wires, wherein said wires in each of said pairs extend adjacent to one another in said proximal end portion of said basket to define a space between adjacent pairs, and wherein said wires in each of said pairs diverge from one another toward said distal end portion of said basket and toward a wire of the adjacent pair, at least two of the wires forming a pair, each wire in the pair having relative to one another a first maximum in a proximal portion of the basket and a second maximum in a distal portion of the basket, and each wire in the pair having at least two crossing points between the proximal and distal ends of the basket.

31. A retrieval basket adapted to capture calculi as it is moved along an axis of said retrieval basket in a proximal direction, said retrieval basket comprising:

a plurality of wires extending from a proximal end of said retrieval basket to a distal end of said retrieval basket wherein said wires converge toward one another at said proximal and distal ends;

said wires in a proximal portion of said retrieval basket being inclined radially away from said axis of said retrieval basket along relatively straight paths, said wires in a distal portion of said retrieval basket converging radially toward said axis along relatively curvilinear paths, and wherein the radius of curvature of said relatively curvilinear paths is smaller than that of said relatively straight paths; and

wherein adjacent wires in said proximal portion extend from said proximal end closely adjacent one another and diverge from one another at a location that is spaced from said proximal end; and

wherein the adjacent wires form a pair having two crossing points between the proximal and distal ends of the basket.

32. The retrieval basket defined in claim 31, wherein said adjacent wires cross one another adjacent to said proximal portion before diverging away from one another.

33. The retrieval basket defined in claim 32, wherein said adjacent wires cross one another at least two times adjacent to said proximal portion.

34. A retrieval basket adapted to capture calculi as it is moved along an axis of said retrieval basket in a proximal direction, said retrieval basket comprising:

a plurality of wires extending from a proximal end of said retrieval basket to a distal end of said retrieval basket wherein said wires converge toward one another at said proximal and distal ends;

said wires in a proximal portion of said retrieval basket being inclined radially away from said axis of said retrieval basket along relatively straight paths, said wires in a distal portion of said retrieval basket converging radially toward said axis along relatively curvilinear paths, and wherein the radius of curvature of said relatively curvilinear paths is smaller than that of said relatively straight paths; and

wherein two of said wires form a pair having at least two crossing points between the proximal and distal ends of the basket;

wherein said relatively curvilinear paths comprise substantially helical paths.

35. The retrieval basket defined in claim 34, wherein said helical path of at least one of said wires is oriented in a substantially opposite direction as compared to that of an adjacent wire.

36. A retrieval basket adapted to capture calculi as it is moved along an axis of said retrieval basket in a proximal direction, said retrieval basket comprising:

a plurality of wires extending from a proximal end of said retrieval basket to a distal end of said retrieval basket wherein said wires converge toward one another at said proximal and distal ends;

said wires in a proximal portion of said retrieval basket being inclined radially away from said axis of said retrieval basket along relatively straight paths, said wires in a distal portion of said retrieval basket converging radially toward said axis along relatively curvilinear paths, and wherein the radius of curvature of said relatively curvilinear paths is smaller than that of said relatively straight paths;

wherein adjacent wires in said distal portion cross one another adjacent to said distal portion; and

wherein the adjacent wires form a pair having two crossing points between the proximal and distal ends of the basket.

37. A surgical device adapted to capture calculi as it is moved along an axis in a proximal direction, said surgical device comprising:

a retrieval basket comprising a plurality of wires extending from a proximal end of said retrieval basket to a distal end of said retrieval basket wherein said wires converge toward one another at said proximal and distal ends, said wires in a proximal portion of said retrieval basket being inclined radially away from said axis of said surgical device along relatively straight paths, said wires in a distal portion of said retrieval basket converging radially toward said axis along relatively curvilinear paths, and wherein the radius of curvature of said relatively curvilinear paths is smaller than that of said relatively straight paths;

a sheath positionable over at least a portion of said retrieval basket to maintain said retrieval basket in a collapsed position;

means for moving said retrieval basket and said sheath with respect to one another and for causing said retrieval basket to alternate between an expanded position and said collapsed position;

wherein adjacent wires in said proximal portion extend from said proximal end closely adjacent one another and diverge from one another at a location that is spaced from said proximal end; and

wherein the adjacent wires form a pair having two crossing points between the proximal and distal ends of the basket.

38. The surgical device defined in claim 37, wherein said adjacent wires cross one another adjacent to said proximal portion before diverging away from one another.

39. The surgical device defined in claim 37, wherein said adjacent wires extend substantially parallel to one another adjacent to said proximal portion before diverging from one another.

40. A surgical device adapted to capture calculi as it is moved along an axis in a proximal direction, said surgical device comprising:

a retrieval basket comprising a plurality of wires extending from a proximal end of said retrieval basket to a distal end of said retrieval basket wherein said wires converge toward one another at said proximal and distal ends, said wires in a proximal portion of said retrieval basket being inclined radially away from said axis of said surgical device along relatively straight paths, said wires in a distal portion of said retrieval basket converging radially toward said axis along relatively curvilinear paths, and wherein the radius of curvature of said relatively curvilinear paths is smaller than that of said relatively straight paths;

a sheath positionable over at least a portion of said retrieval basket to maintain said retrieval basket in a collapsed position;

means for moving said retrieval basket and said sheath with respect to one another and for causing said retrieval basket to alternate between an expanded position and said collapsed position;

wherein said relatively curvilinear paths comprise substantially helical paths; and

wherein two wires form a pair having at least two crossing points between the proximal and distal ends of the basket.

41. The surgical device defined in claim 40, wherein said substantially helical paths of adjacent wires are oriented in a substantially opposite direction.

42. A surgical device adapted to capture calculi as it is moved along an axis in a proximal direction, said surgical device comprising:

a retrieval basket comprising a plurality of wires extending from a proximal end of said retrieval basket to a distal end of said retrieval basket wherein said wires converge toward one another at said proximal and distal ends, said wires in a proximal portion of said retrieval basket being inclined radially away from said axis of said surgical device along relatively straight paths, said wires in a distal portion of said retrieval basket converging radially toward said axis along relatively curvilinear paths, and wherein the radius of curvature of said relatively curvilinear paths is smaller than that of said relatively straight paths;

a sheath positionable over at least a portion of said retrieval basket to maintain said retrieval basket in a collapsed position;

means for moving said retrieval basket and said sheath with respect to one another and for causing said retrieval basket to alternate between an expanded position and said collapsed position;

wherein adjacent wires in said distal portion cross one another adjacent to said distal portion; and

wherein the adjacent wires form a pair having two crossing points between the proximal and distal ends of the basket.

43. A retrieval basket having a plurality of wires adapted to capture cacluli as it is moved along an axis of said retrieval basket in a proximal direction, said retrieval basket comprising:

at least one pair of adjacent wires each having a distal portion and a proximal portion, the distal portion including a section extending along a proximal path in a first radius of curvature;

said wires having a proximal portion including a section extending along a second radius of curvature, and wherein said first radius of curvature is different from the second radius of curvature, each radius of curvature lying in a separate plane; and

wherein two wires form a pair having at least two crossing points between the proximal and distal ends of the basket.

44. The retrieval basket of claim 43, wherein adjacent wires in said proximal portion extend from said proximal end closely adjacent one another and diverge from one another at a location that is spaced from said proximal end.

45. The retrieval basket of claim 43, wherein said adjacent wires cross one another adjacent to said proximal portion for diverging away from one another.

46. The retrieval basket of claim 45, wherein said adjacent wires cross one another at least two times adjacent to said proximal portion.

47. The retrieval basket of claim 43, wherein the wires follow a helical path.

48. The retrieval basket of claim 47, wherein the first radius of curvature is larger than the second radius of curvature.

49. The retrieval basket of claim 48, wherein said helical path of at least one of said wires is oriented in a substantially opposite direction as compared to that of an adjacent wire.

50. The surgical device of claim 48, wherein said wires are closely adjacent and cross one another adjacent to said proximal portion before diverging away from one another.

51. The surgical device of claim 50, wherein said adjacent wires extend substantially parallel to one another adjacent to said proximal portion before diverging from one another.

52. The surgical device of claim 47, wherein said substantially helical path of adjacent wires are oriented in a substantially opposite direction.

53. The retrieval basket of claim 43, wherein the first radius of curvature is larger than the second radius of curvature.

54. A retrieval basket adapted to capture calculi as it is moved along an axis of said retrieval basket in a proximal direction, said retrieval basket comprising:

a plurality of wires extending from a proximal end of said retrieval basket to a distal end of said retrieval basket wherein said wires converge toward one another at said proximal and distal ends, at least two of the wires each having relative to one another a first maximum in a proximal portion of the basket and a second maximum in a distal portion of the basket;

said wires in a proximal portion of said retrieval basket having a radius of curvature, and said wires in a distal portion of said retrieval basket having a radius of curvature, and wherein the radius of curvature of said wires in the proximal portion is smaller than that of said wires in the distal portion;

wherein adjacent wires in said proximal portion extend from said proximal end closely adjacent one another and diverge from one another at a location that is spaced from said proximal end;

wherein said adjacent wires cross one another adjacent to said proximal portion before diverging away from one another; and

wherein said adjacent wires cross one another at least two times adjacent to said proximal portion.

55. A retrieval basket adapted to capture calculi as it is moved along an axis of said retrieval basket in a proximal direction, said retrieval basket comprising:

a plurality of wires extending from a proximal end of said retrieval basket to a distal end of said retrieval basket wherein said wires converge toward one another at said proximal and distal ends;

said wires in a proximal portion of said retrieval basket being inclined radially away from said axis of said retrieval basket along relatively straight paths, said wires in a distal portion of said retrieval basket converging radially toward said axis along relatively curvilinear paths, and wherein the radius of curvature of said relatively curvilinear paths is smaller than that of said relatively straight paths;

wherein adjacent wires in said proximal portion extend from said proximal end closely adjacent one another and diverge from one another at a location that is spaced from said proximal end;

wherein said adjacent wires cross one another adjacent to said proximal portion before diverging away from one another; and

wherein said adjacent wires cross one another at least two times adjacent to said proximal portion.

56. A retrieval basket having a plurality of wires adapted to capture cacluli as it is moved along an axis of said retrieval basket in a proximal direction, said retrieval basket comprising:

at least one pair of adjacent wires each having a distal portion and a proximal portion, the distal portion including a section extending along a proximal path in a first radius of curvature;

said wires having a proximal portion including a section extending along a second radius of curvature, and wherein said first radius of curvature is different from the second radius of curvature, each radius of curvature lying in a separate plane;

wherein adjacent wires in said proximal portion extend from said proximal end closely adjacent one another and diverge from one another at a location that is spaced from said proximal end;

wherein said adjacent wires cross one another adjacent to said proximal portion for diverging away from one another; and

wherein said adjacent wires cross one another at least two times adjacent to said proximal portion.