Intravascular obstruction removing wire and medical instrument

• US 7,041,116 B2
• Filed: 07/01/2002
• Issued: 05/09/2006
• Est. Priority Date: 07/02/2001
• Status: Expired due to Term

• Current Assignee: Maruho Hatsujyo Kogyo Co., Ltd., Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Maruho Hatsujyo Kogyo Co., Ltd., Terumo Kabushiki Kaisha (Terumo Corporation)
• Inventors: Kaneko, Takashi, Takeuchi, Masahiro, Okada, Keiji, Goto, Katsuya, Kanamaru, Takeshi
• Primary Examiner(s): Nguyen, Anhtuan T.
• Assistant Examiner(s): Houston, Elizabeth
• Application Number:
  US10/185,067
• Publication Number:
  US 20030018355A1
• Time in Patent Office: 1,408 Days
• Field of Search: 606/200, 606/194, 606/114, 606/113, 606/198, 606/159, 606/127, 606/191
• US Class Current: 606/200
• 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

An intravascular obstruction removing wire includes an elongate wire body, at least two non-branched wire portions having distal ends and proximal ends which are connected to a distal end of the wire main body, and a plurality of filament portions extending across the wire portions. The non-branched wire portions and the filament portions form a trapping portion. The trapping portion is deformable from a large-diameter state in which the non-branched portions branch to the distal end of the wire body forward in different directions and the filament portions are separated from each other, so that a space surrounded by the non-branched wire portions and the filament portions is formed to trap therein an obstruction in a blood vessel, to a small-diameter state in which the non-branched wire portions are positioned so that a distance between the wire portions is smaller than that of the wire portions in the large-diameter state.

Claims

1. An intravascular obstruction removing wire comprising:

an elongate wire body with a distal end;

at least two non-branched wire portions having distal ends and proximal ends, the proximal ends of the non-branched wire portions being connected to the distal end of said elongate wire body; and

a plurality of filament portions extending across said non-branched wire portions,

wherein each of said filament portions has a first end portion, a second end portion, and a loop section extending between the first and second end portions thereof,

wherein the first and second end portions of the filament portions are respectively gathered at the respective distal ends of the non-branched wire portions and respectively connected to the respective distal ends thereof, and the loop sections of the filament portions are separated from each other to form a trapping portion, and

wherein said trapping portion is deformable from a large-diameter state in which said non-branched wire portions branch from the distal end of said elongate wire body forward in different directions and said filament portions are separated from each other, so that a space surrounded by said non-branched wire portions and said filament portions is formed to trap therein an obstruction in a blood vessel, to a small-diameter state in which said non-branched wire portions are positioned so that a distance between the wire portions is smaller than that of the non-branched wire portions in the large-diameter state,

wherein the distal ends of said non-branched wire portions are separate from each other, and the loop sections of the filament portions define projecting portions separate from each other in directions perpendicular to a plane on which said non-branched wire portions extend,

wherein a distance between adjacent ones of the projecting portions of said plurality of filament portions increases toward their distal ends,

wherein the adjacent projecting portions are extended from the end portions at different angles with respect to the plane, and

wherein one filament portion with a projecting portion extends on the plane.

2. A wire according to claim 1, wherein said non-branched wire portions and said filament portions have an elastic property, and said trapping portion is deformable from the small-diameter state to the large-diameter state by an elastic restoring force thereof.

3. A wire according to claim 1, wherein the projecting portion of at least one of said plurality of filament portions which is the farthest from the plane has a curved portion which is turned such that a central portion thereof is further separate from the plane.

4. A wire according to claim 1, wherein the projecting portions of said filament portions are curved to project forward.

5. A wire according to claim 1, wherein said filament portions comprise a plurality loop wires, said first and second end portions define a pair of proximal end portions, and the proximal end portions of the plurality of loop wires being gathered integrally to form said non-branched wire portions.

6. A wire according to claim 5, wherein the proximal end portions of the loop wires are in tight contact with each other to form said non-branched wire portions.

7. A wire according to claim 6, wherein the plurality of loop wires have the same length.

8. A wire according to claim 6, wherein the proximal end portions of the loop wires are twisted integrally to form said non-branched wire portions.

9. A wire according to claim 8, in which

said non-branched wire portions have attaching portions integrally extending therefrom, and

which further comprises a first member for integrally fixing the attaching portions to each other, and a second member for connecting said first member to said wire body so as to form the distal end of said wire body.

10. A wire according to claim 9, wherein the first member has a first coil wound in common around the two attaching portions, and the second member has a second coil wound in common around the first coil and part of said wire body.

11. A wire according to claim 1, wherein said trapping portion has a radiopaque marker portion.

12. A medical instrument comprising:

a catheter having a lumen and a distal end face to be positioned in a blood vessel; and

an obstruction removing wire inserted in the lumen and inserted in the blood vessel from the distal end face, said obstruction removing wire comprising;

an elongate wire body with a distal end,

at least two non-branched wire portions with distal ends and proximal ends which are connected to the distal end of said elongate wire body, and

a plurality of filament portions extending across said non-branched wire portions,

wherein each of said filament portions has a first end portion, a second end portion, and a loop section extending between the first and second end portions thereof,

wherein the first and second end portions of the filament portions are respectively gathered at the respective distal ends of the non-branched wire portions and respectively connected to the respective distal ends thereof, and the loop sections of the filament portions are separated from each other to form a trapping portion, and

wherein said trapping portion is set in a large-diameter state, when projecting from a front end face of said catheter, in which said non-branched wire portions branch from the distal end of said elongate wire body forward in different directions and said filament portions are separated from each other, so a space surrounded by said non-branched wire portions and said filament portions is formed to trap therein an obstruction in a blood vessel, and is set in a small-diameter state, when positioned in the lumen of said catheter, in which said non-branched wire portions are regulated by an inner surface of the lumen and the space between the non-branched wire portions becomes narrow,

wherein the distal ends of said non-branched wire portions are separate from each other, and the loon sections of the filament portions define projecting portions separate from each other in directions perpendicular to a plane on which said non-branched wire portions extend,

wherein a distance between adjacent ones of the projecting portions of said plurality of filament portions increases toward their distal ends,

wherein the adjacent projecting portions are extended from the end portions at different angles with respect to the plane, and

wherein one filament portion with a projecting portion extends on the plane.

13. An instrument according to claim 12, wherein said filament portions are deformed to reduce the space as said trapping portions enters the lumen from the front end face of said catheter, thereby sandwiching the obstruction trapped in the space together with the front end face of said catheter.

14. An intravascular obstruction removing wire comprising:

an elongate wire body with a distal end;

at least two non-branched wire portions having distal ends and proximal ends, the proximal ends of the non-branched wire portions being connected to the distal end of said elongate wire body; and

a plurality of filament portions extending across said non-branched wire portions,

wherein each of said filament portions has a first end portion, a second end portion, and a loop section extending between the first and second end portions thereof,

wherein the first and second end portions of the filament portions are respectively gathered at the respective distal ends of the non-branched wire portions and respectively connected to the respective distal ends thereof, and the loop sections of the filament portions are separated from each other to form a trapping portion, and

wherein said trapping portion is deformable from a large-diameter state in which said non-branched wire portions branch from the distal end of said elongate wire body forward in different directions and said filament portions are separated from each other, so that a space surrounded by said non-branched wire portions and said filament portions is formed to trap therein an obstruction in a blood vessel, to a small-diameter state in which said non-branched wire portions are positioned so that a distance between the wire portions is smaller than that of the non-branched wire portions in the large-diameter state,

wherein one of the filament portions is located on approximately the same plane as a plane on which the non-branched wire portions are located, and is provided with a radiopaque marker.

15. A wire according to claim 14, wherein said wire comprises an odd number of filament portions, and said one of the filament portions which is provided with the radiopaque marker is positioned on a central part.