Apparatus for pulling out an object, having an elongated inner lumen, from its anchorage in a body

• US 6,358,256 B1
• Filed: 06/20/2000
• Issued: 03/19/2002
• Est. Priority Date: 06/24/1999
• Status: Expired due to Term

• Current Assignee: WAKO Pure Chemical Industries Limited (Fujifilm Holdings Corporation), Vascomed Institut FUER Kathetertechnologie GmbH
• Original Assignee: Vascomed Institut FUER Kathetertechnologie GmbH
• Inventors: Reinhardt, Joerg
• Primary Examiner(s): Philogene, Pedro
• Application Number:
  US09/598,851
• Time in Patent Office: 637 Days
• Field of Search: 606/108-129, 606/32, 623/1.11, 623/11.11, 623/12.11, 604/96, 604/264, 607/122, 607/127, 607/128, 607/126
• US Class Current: 606/108
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart

Abstract

An extraction apparatus for heart pacemaker electrodes or defibrillator electrodes has an anchoring part which can be deformed using an actuating device from a displacement configuration into an expanded locking configuration. The anchoring part has a tube section with several wall cut-outs, which are offset in the axial direction and between which guide rings remain, which are connected by trough-shaped cross members. By exerting a tensile force on a control wire using the actuating device, the tube section is compressed and the trough-shaped cross members are deformed radially, so that they attain engagement with the inner lumen of the spiral helix of a heart pacemaker electrode cable or defibrillator electrode cable and, as a result of a spiral offset, bring about a positive locking, which permits high pull-out forces.

Claims

1. An apparatus for pulling out an object, having an elongated inner lumen from its anchorage in a body, the apparatus comprising:

an anchoring part for introduction into the inner lumen of the object having radially expandable sections offset from one another and discrete in an axial direction of the anchoring part;

a tube having a control wire extending therethrough and through the anchoring part, an end of the tube engaging a base of the anchoring part and the control wire having a distal end engaging a distal end of the anchoring part; and

an actuating device for effecting relative axial movement between the tube and the control wire to apply an axially acting force on the anchoring part to effect deformation of the anchoring part between a displacement configuration and an expanded locking configuration, wherein the anchoring part has in the locking configuration the radially expandable section expanded in the radial direction and offset from one another.

2. The apparatus of claim 1, wherein the anchoring part is a tube section having axially extending wall incisions which are disposed at an axial distance from one another and define the radially expandable sections.

3. The apparatus of claim 2, wherein the wall incisions are formed alternately on radially opposite sides of a tube wall of the tube section.

4. The apparatus of claim 2, wherein adjacent ones of the wall incisions are offset in a circumferential direction of a circumference of the tube from one another.

5. The apparatus of one of the claims 2 to 4, wherein the radially expandable sections are deformable cross members defined in the radial direction between opposing sides of the wall incisions.

6. The apparatus of one of the claims 2 to 4, wherein the length of the wall incisions in a multiple about three times a diameter of the tube section.

7. The apparatus of one of the claims 2 to 4, wherein the wall incisions are formed as wall cut-outs.

8. The apparatus of claim 7, wherein, in a central region of the wall cut-outs, the wall of the tube section is removed to form the radially expandable sections in a trough shape.

9. The apparatus of claim 8, wherein the wall cut-outs form at axial ends thereof an angle of about 30 degrees to 90 degrees with respect to a longitudinal axis of the tube section.

10. The apparatus of one of the claims 2 to 4, wherein the distal end of the control wire is firmly connected to the distal end of the tube section which is the distal end of the anchoring part.

11. The apparatus of one of the claims 2 to 4, wherein the distal end of the control wire has a top head contacts against the distal end of the tube section which is the distal end of the anchoring part to effect engagement thereof.

12. The apparatus of one of the claims 2 to 4, wherein the distal end of the tube section is constructed as a deformable tube section.

13. The apparatus of one of the claims 1 to 4, wherein anchoring part is separable from the tube.

14. The apparatus of one of the claims 1 to 4, wherein the anchoring part has a lenght which is shorter than a length of the object having the elongated inner lumen.

15. The apparatus of one of the claims 1 to 4, wherein the anchoring part has a lenght which corresponds approximately to the length of the object having the inner lumen.

16. The apparatus of one of the claims 1 to 4, wherein the anchoring part has a lenght which is longer than the length of the object having the elongated inner lumen.

17. An apparatus for engaging an inner lumen of an object, the apparatus comprising:

an anchoring part for introduction into the inner lumen of the object, said anchoring part defining an axis and having a base end and a distal end, said anchoring part including;

ring sections disposed along said axis and displaced axially from each other, ones of said ring sections being respective disposed at said base end and said distal end; and

interconnecting sections, single ones of said interconnecting sections being disposed between and interconnecting adjacent ones of said ring sections, said interconnecting sections thereby being separated from one another by said ring sections in an axial direction of said anchoring part, said interconnecting sections being deformable away from said axis in a radial direction by compressive force applied said ring sections in said axial direction;

a tube having a control wire extending therethrough and through said anchoring part, an end of said tube engaging said base end of said anchoring part and said control wire having a distal end engaging said distal end of said anchoring part; and

an actuating device for effecting relative axial movement between said tube and said control wire to apply an axially acting compressive force on said anchoring part to effect said deformation of said interconnecting sections by compressive force applied by said ring sections in said axial direction.

18. The apparatus of claim 17 wherein said base end is integral with said tube.

19. The apparatus of claim 18, wherein said interconnecting sections are successively axially disposed alternately on radially opposite sides of said axis of said anchoring part.

20. The apparatus of claim 18, wherein said interconnecting sections are successively axially disposed radially offset from adjacent ones thereof.

21. The apparatus of claim 17, wherein said interconnecting sections are successively axially disposed alternately on radially opposite sides of said axis of said anchoring part.

22. The apparatus of claim 17, wherein said interconnecting sections are successively axially disposed radially offset from adjacent ones thereof.

23. The apparatus of one of the claims 17, 21 or 22, wherein a length of said interconnecting section is a multiple about three times a diameter of said ring sections.

24. The apparatus of claim 17, wherein said interconnecting sections have a trough shape with a concave surface directed to said axis.

25. The apparatus s of claim 17, wherein said ring section have edges joining said interconnecting sections and disposed at an angle in a range of about 30 degrees to about 90 degrees with respect to said axis of said anchoring part.

26. The apparatus of claim 17, wherein said ring section have edges joining said interconnecting sections and disposed at an angle of about 30 degrees with respect to said axis of said anchoring part.

27. The apparatus of claim 17, wherein said ring section have edges joining said interconnecting sections and disposed at an angle of about 90 degrees with respect to said axis of said anchoring part.

28. The apparatus of the claim 17, wherein said distal end of said control wire is fixed to said distal end of said anchoring part.

29. The apparatus of claim 17, wherein said distal end of said control wire has a stop head contacting against said distal end said anchoring part to effect engagement thereof.

30. The apparatus of the claim 17, wherein said anchoring part is separable from said tube.