Retrieval device for insertion into a body lumen

• US 6,241,738 B1
• Filed: 05/05/1998
• Issued: 06/05/2001
• Est. Priority Date: 11/07/1995
• Status: Expired due to Term

• Current Assignee: Jean-Pierre G.E. Dereume
• Original Assignee: Jean-Pierre G.E. Dereume
• Inventors: Dereume, Jean-Pierre Georges Emile
• Primary Examiner(s): Dawson, Glenn K.
• Application Number:
  US09/068,262
• Time in Patent Office: 1,127 Days
• Field of Search: 606/1, 606/108, 606/127, 606/113, 606/114, 606/125, 606/110, 606/159, 606/191-200, 623/1.11, 623/1.23
• US Class Current: 606/108
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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: A61B 2017/301 with three legs
• CPC Class Codes: A61B 2017/303 with four or more legs
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

Capturing device to be introduced into a tubular biological conduit of the human or animal body, includes a support sheath (1) having a first axial cavity (2), a pusher (3) capable of sliding in the said axial cavity, a first control permitting a relative displacement between the pusher and the support sheath, and flexible grippers including fastening elements (7) which are disposed peripherally on the pusher. The fastening elements extend forwards, inside the support sheath, and spread apart radially from one another outside the support sheath. The fastening elements (7) are each provided at their distal end with a hook capable of entering into engagement with an inner surface of a tubular article to be captured in the conduit and of compressing it radially by traction.

Claims

1. A capturing device to be introduced into a tubular biological conduit of a human or animal body, in order to capture a tubular article situated in this conduit, comprising a support sheath having a first axial cavity, pushing means accommodated inside the support sheath and capable of sliding in the said first axial cavity, first control means permitting a relative displacement between the pushing means and the support sheath, flexible gripping means which are borne by the pushing means and are displaceable between a position outside the support sheath, in which position said gripping means are spread apart from one another, and a position inside the support sheath, in which position said gripping means are drawn together, said gripping means comprising fastening elements which are disposed peripherally on a pusher of said pushing means so as to extend forwardly, inside the support sheath, and to spread apart radially from one another outside the support sheath, and which fastening elements are each provided at their distal end with a hook which is curved radially outwardly, said hooks, when the fastening elements are situated inside the tubular article and are brought into said position of fastening to an inner surface of the tubular article, and which, when the fastening elements are situated in the fastening position and are brought towards said position inside the support sheath, radially compress the tubular article and elongate said tubular article longitudinally, an external sheath having a second axial cavity in which the support sheath is slideably accommodated, second control means permitting a relative displacement between the external sheath and the support sheath, and means for recovering the article captured by the fastening elements, said means being displaceable between a position outside the external sheath and a position inside the external sheath.

2. The device according to claim 1, wherein the fastening elements are thin flexible wires which, at one end, are fixed to a distal end of the pusher and are elastically compressed by the support sheath when they are inside said support sheath.

3. The device according to claim 1, comprising at least 3 said fastening elements.

4. Device according to claim 3, comprising at least 6 fastening elements.

5. Device according to claim 3, comprising at least 8 fastening elements.

6. The device according to claim 1, wherein the recovery means are borne at one end of the support sheath.

7. The device according to claim 1, further comprising

a recovery sheath which has a third axial cavity in which the support sheath is accommodated in such a way as to be able to slide, and which is itself accommodated in the said second axial cavity of the external sheath in such a way as to be able to slide in said external sheath,

the second control means comprising means for relative displacement between the external sheath and the recovery sheath, and means for relative displacement between the recovery sheath and the support sheath

the recovery means being borne at one end of the recovery sheath.

8. Device according to claim 7, wherein the pusher comprises a fourth axial cavity, and the device further comprises

a sliding rod accommodated inside the fourth axial cavity and capable of sliding in the fourth axial cavity,

third control means permitting a relative displacement between the sliding rod and the pusher, and

an introducer element borne by the sliding rod, in order to facilitate the introduction of the capturing device into the tubular biological conduit of the human or animal body.

9. Device according to claim 8, wherein the support sheath includes, at a distal end, a seat in which the introducer element can at least partially be accommodated.

10. Device according to claim 8, wherein the sliding rod has a fifth axial cavity, and the device further comprises a guide wire provided with a thickened portion at a distal end, which is accommodated inside the fifth axial cavity in such a way as to be able to slide in the fifth axial cavity, and to facilitate the passage of the introducer element in the tubular biological conduit of the human or animal body.

11. The device according to claim 1, wherein said means for recovering are made up of a flexible tube which is compressed inside the second axial cavity of the external sheath and which, outside the external sheath, widens out, being open towards the tubular biological conduit of the human or animal body.

12. Device according to claim 11, wherein the flexible tube forming said means for recovering is a self-expandable stent which is radially expandable and axially retractable and which comprises first flexible, rigid wires which are fixed at one end of the support sheath and are wound in a first direction about a longitudinal axis thereof, and second flexible, rigid wires which are fixed at the end of the support sheath and are wound in a second direction, counter to the first direction, about the longitudinal axis, each wire wound in one of the said directions crossing wires wound in the other direction to give a braided arrangement.

13. Device according to claim 11, wherein the flexible tube forming said means for recovering is made up of flexible branches which extend axially at the end of the support sheath, and which spread apart radially from each other outside the external sheath.

14. Device according to claim 11, wherein the flexible tube has an at least partial internal and/or external covering made of a suitable material.

15. Device according to claim 11, wherein the flexible tube forming said means for recovering is a self-expandable stent which is radially expandable and axially retractable and which comprises first flexible, rigid wires which are fixed at one end of the recovery sheath and are wound in a first direction about a longitudinal axis thereof, and second flexible, rigid wires which are fixed at the said end of the recovery sheath and are wound in a second direction, counter to the first direction, about the longitudinal axis, each wire wound in one of the said directions crossing wires wound in the other direction to give a braided arrangement.

16. Device according to claim 11, wherein the flexible tube forming said means for recovering is made up of flexible branches which extend axially at the end of the recovery sheath, and which spread apart radially from each other outside the external sheath.