Clot retrieval device

• US 6,692,504 B2
• Filed: 12/17/2001
• Issued: 02/17/2004
• Est. Priority Date: 05/17/1999
• Status: Expired due to Term

• Current Assignee: Micrus Corporation (Johnson & Johnson)
• Original Assignee: Micrus Corporation (Johnson & Johnson)
• Inventors: Ferrera, David A., Kurz, Daniel R.
• Primary Examiner(s): Dawson, Glenn K.
• Application Number:
  US10/023,028
• Publication Number:
  US 20020049452A1
• Time in Patent Office: 792 Days
• Field of Search: 606/1, 606/108, 606/119, 606/78, 606/110-114, 606/127, 606/128, 606/151, 606/157, 606/213, 606/167, 606/191-200, 606/96-1-1, 600/201, 600/204, 600/206-210
• US Class Current: 606/127
• CPC Class Codes: A61B 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes 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 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/00871 polymeric
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/2217 single wire changing shape to a gripping configuration

Abstract

A shape memory clot retrieval device which can be placed in the vasculature of a patient for retrieving and removing distal clots. The clot retrieval device has an elongated catheter member that can be inserted in the vasculature, with one or more clot retrieval members on the elongated catheter member that are movable between an initial compressed configuration in which the clot retrieval device is inserted into the vasculature and an expanded configuration extending outwardly from the elongated catheter member to trap and hold clots within the vessel. The clot retrieval device typically can be introduced to the desired treatment site in the vasculature through a guiding catheter.

Claims

1. An apparatus for removing clots from the vasculature of a patient, comprising:

an elongated, catheter member with a tubular wall having a surface defining a plurality of clot retrieval tab members, said plurality of clot retrieval tab members being formed from a shape memory material having a glass transition temperature (Tg) above body temperature, the plurality of clot retrieval tab members being connected to said elongated catheter member, said clot retrieval tab members being movable from an initial compressed configuration to an expanded configuration extending outwardly from the elongated catheter member to trap and hold clots within the vessel, wherein said clot retrieval tab members are initially compressed axially to extend substantially contiguously with the surface of the tubular wall, the elongated catheter member being adapted to be placed within a vessel of the patient when the clot retrieval tab members are in the compressed configuration and removed from the vessel when the clot retrieval tab members are in the expanded configuration, whereby clots trapped by the clot retrieval tab members can be withdrawn from the vessel.

2. An apparatus for removing clots from the vasculature of a patient, comprising

an elongated catheter member;

and

at least one clot retrieval member connected to said elongated catheter member, said at least one clot retrieval member being movable from an initial compressed configuration to an expanded configuration extending outwardly from the elongated catheter member to trap and hold clots within the vessel, the elongated catheter member being adapted to be placed within a vessel of the patient when the at least one clot retrieval member is in the compressed configuration and removed from the vessel when the clot retrieval member is in the expanded configuration, whereby clots trapped by the at least one clot retrieval member can be withdrawn from the vessel, said at least one clot retrieval member including an annular ring formed from a shape memory material and having a glass transition temperature (Tg) above body temperature, said annular ring being connected to the elongated catheter member, with the annular ring having an initial compressed configuration in which the annular ring is compressed radially against the surface of the elongated catheter member and an expanded configuration in which the annular ring projects outwardly from the surface of the elongated catheter member, whereby the extended annular ring can trap and hold a blood clot.

3. The apparatus of claim 2, wherein said shape memory material has a desired compressed configuration at a temperature appropriate for introduction into the body via a catheter, and upon heat activation, will take on an expanded configuration for trapping and holding clots.

4. The apparatus of claim 2, wherein said shape memory material is selected from the group consisting of polyurethane, polyethylene, polyethylene terephthalate, and high density polyethylene.

5. The apparatus of claim 2, wherein said shape memory material comprises a nickel titanium alloy that can be heat treated to have shape memory behavior.

6. An apparatus for removing clots from the vasculature of a patient, comprising

an elongated catheter member;

and

at least one clot retrieval member connected to said elongated catheter member, said at least one clot retrieval member being movable from an initial compressed configuration to an expanded configuration extending outwardly from the elongated catheter member to trap and hold clots within the vessel, the elongated catheter member being adapted to be placed within a vessel of the patient when the at least one clot retrieval member is in the compressed configuration and removed from the vessel when the clot retrieval member is in the expanded configuration, whereby clots trapped by the at least one clot retrieval member can be withdrawn from the vessel, said at least one clot retrieval member including a plurality of tab members formed from a shape memory material having a glass transition temperature (Tg) above body temperature, with each of the tab members being connected at one end to the elongated catheter member and having a free end, with the tab members having an initial compressed configuration in which the tab members are compressed radially against the surface of the elongated catheter member and an expanded configuration in which the tab members project outward radially from the surface of the elongated catheter member, whereby the extended tab members can trap and hold a blood clot.

7. The apparatus of claim 6, wherein said shape memory material has a desired compressed configuration at a temperature appropriate for introduction into the body via a catheter, and can be activated by heat to take on an expanded configuration for trapping and holding clots.

8. The apparatus of claim 6, wherein said shape memory material is selected from the group consisting of polyurethane, polyethylene, polyethylene terephthalate, and high density polyethylene.

9. The apparatus of claim 6, wherein said shape memory material comprises a nickel titanium alloy that can be heat treated to have shape memory behavior.

10. An apparatus for removing clots from the vasculature of a patient, comprising

an elongated catheter member;

and

at least one clot retrieval member connected to said elongated catheter member, said at least one clot retrieval member being movable from an initial compressed configuration to an expanded configuration extending outwardly from the elongated catheter member to trap and hold clots within the vessel, the elongated catheter member being adapted to be placed within a vessel of the patient when the at least one clot retrieval member is in the compressed configuration and removed from the vessel when the clot retrieval member is in the expanded configuration, whereby clots trapped by the at least one clot retrieval member can be withdrawn from the vessel, said at least one clot retrieval member including an elongated sheet of shape memory material having a glass transition temperature (Tg) above body temperature and having first and second ends connected to the elongated catheter member, said elongated sheet of shape memory material being wound in a helical configuration about the elongated catheter member, and the elongated sheet of shape memory material having an initial compressed configuration in which the elongated sheet of shape memory material is compressed radially against the surface of the elongated catheter member and an expanded configuration in which the elongated sheet of shape memory material projects outward radially from the surface of the elongated catheter member, whereby the extended elongated sheet of shape memory material can trap and hold a blood clot.

11. The apparatus of claim 10, wherein said shape memory material has a desired compressed configuration at a temperature appropriate for introduction into the body via a catheter, and can be activated by heat to take on an expanded configuration for trapping and holding clots.

12. The apparatus of claim 10, wherein said shape memory material is selected from the group consisting of polyurethane, polyethylene, polyethylene terephthalate, and high density polyethylene.

13. The apparatus of claim 10, wherein said shape memory material comprises a nickel titanium alloy that can be heat treated to have shape memory behavior.