Medical retrieval basket with legs shaped to enhance capture and reduce trauma

• US 6,491,698 B1
• Filed: 10/05/2000
• Issued: 12/10/2002
• Est. Priority Date: 10/01/1997
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Riley, James W., Bates, James S.
• Primary Examiner(s): Robert, Eduardo C.
• Application Number:
  US09/679,956
• Time in Patent Office: 796 Days
• Field of Search: 606/113, 606/114, 606/127, 606/128
• 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 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop

Abstract

A medical retrieval device, and related method, uses a basket formed by one or more legs to retrieve material such as calculi. At least one of the legs has at least an inner and an outer surface. The outer surface is an atraumatic surface such as a curved surface. The atraumatic surface can include one or more radii. The inner surface can be flat such that the leg has a D-shaped cross section. Other shapes are possible for the inner surface including a pointed shape that enhances the basket'"'"'s stone crushing or breaking ability. The inner surface, whatever its shape, can have a rough surface (e.g., serrated, etched, toothed, etc.) for further enhancing the basket'"'"'s ability to capture stones and other calculi.

Claims

1. A medical retrieval device, comprising:

a proximal handle;

a sheath including a proximal portion, a distal end, and a lumen, the sheath extending distally from the handle; and

a basket, the basket and the sheath moveable relative to each other to achieve a retracted position in which the basket is collapsed within the lumen of the sheath, and an extended position in which the basket extends from the distal end of the sheath, the basket comprising at least three wires, the wires joined at a distal end of the basket for capturing material when in the extended position, and for holding material when the basket is at least partially collapsed in the sheath, at least one of the wires comprising an inner surface and an outer surface, and wherein a cross-section of said at least one wire comprises a V-shape.

2. The medical retrieval device of claim 1 wherein said basket comprises three wires.

3. The medical retrieval device of claim 1 wherein said inner surface of said at least one wire comprises a roughened surface.

4. The medical retrieval device of claim 3 wherein said roughened surface comprises an etched surface.

5. The medical retrieval device of claim 3 wherein said roughened surface comprises a serrated surface.

6. The medical retrieval device of claim 3 wherein said roughened surface comprises a toothed surface.

7. The medical retrieval device of claim 1 wherein said proximal handle comprises a slider connected to said sheath, said sheath axially moveable by said slider relative to said basket.

8. The medical retrieval device of claim 1 wherein said inner surface of said at least one wire comprises four flat surfaces.

9. The medical retrieval device of claim 8 wherein said four flat surfaces comprise roughened surface.

10. The medical retrieval device of claim 9 wherein said roughened surface comprises an etched surface.

11. The medical retrieval device of claim 9 wherein said roughened surface comprises a serrated surface.

12. The medical retrieval device of claim 9 wherein said roughened surface comprises a toothed surface.

13. The medical retrieval device of claim 1 wherein at least a portion of said outer surface of said at least one wire comprises is curved.

14. A method for retrieving material from a body, comprising:

inserting a retrieval device into a body, the retrieval device comprising a proximal handle, a sheath including a proximal portion, a distal end, and a lumen, the sheath extending distally from the handle, and a basket, the basket and sheath moveable relative to each other to achieve a retracted position in which the basket is collapsed within the lumen of the sheath, and an extended position in which the basket extends from the distal end of the sheath, the basket comprising at least three wires, the wires joined at a distal end of the basket for capturing material when the basket is in the extended position, and for holding material when the basket is at least partially collapsed in the sheath, at least one of the wires comprising an inner surface and an outer surface, and wherein a cross-section of said at least one wire comprises a V-shape;

capturing the material with the basket; and

,

withdrawing the retrieval device from the body to remove the captured material from the body.

15. The method of claim 14 wherein the step of capturing comprises capturing a calculus.

16. The method of claim 14 wherein the capturing step further comprises crushing the material into two or more pieces.

17. The method of claim 14 wherein said proximal handle comprises a slider connected to said sheath, said sheath axially moveable by said slider relative to said basket.

18. The method of claim 17 wherein said capturing further comprises moving said slider to extend said basket out of the distal end of the sheath, manipulating said basket over said material, and moving said slider to advance said sheath over said basket with said captured material.