Beaded basket retrieval device

• US 7,559,934 B2
• Filed: 04/07/2003
• Issued: 07/14/2009
• Est. Priority Date: 04/07/2003
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Reppert, Justin A., Teague, James A., Kear, Jason
• Primary Examiner(s): Nguyen; Anhtuan T.
• Assistant Examiner(s): NGUYEN, TUAN VAN
• Application Number:
  US10/408,397
• Publication Number:
  US 20040199200A1
• Time in Patent Office: 2,290 Days
• Field of Search: 606/110, 606/113, 606/114, 606/108, 606/127, 606/200, 606/47, 606/49, 128/657, 128/772, 119/801, 119/802
• US Class Current: 606/113
• 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

A medical retrieval device, and related method, for removing material (such as calculi and stones) from the body of a patient has the ability to capture and readily release material. The retrieval device includes a basket having at least one loop with first and second ends including a plurality of bead elements. The first end of the loop is immovable and the second end of the loop is slideably movable.

Claims

1. A medical retrieval device for capturing material in the body of a patient, comprising:

at least two loops, each of the at least two loops comprising a plurality of beads, a first end, and a second end,

the first end of at least one loop being fixed and the second end of the at least one loop being slideably moveable relative to the first end, slideable movement of the second end of the at least one loop moving the at least one loop for capturing material in the body of the patient;

a tapered distal tip linking the at least two loops, the at least one loop being slideably moveable relative to the tip,

the tip having a proximal-most end and a side surface extending distally therefrom, the side surface defining a plurality of apertures;

a sheath having a distal portion, a proximal portion, and defining a lumen; and

wherein the at least two loops comprise two positions, a retracted position wherein the loops are constrained within the lumen of the sheath, and a deployed position wherein the loops are extended beyond the distal portion of the sheath, and the deployed position comprises a deployed expanded position wherein the loops are expanded, and a deployed collapsed position wherein the loops are collapsed.

2. The medical retrieval device of claim 1 wherein the plurality of beads comprise a material substantially resistant to laser energy.

3. The medical retrieval device of claim 1 wherein the plurality of beads comprise at least one of nitinol, stainless steel, a polymer, and a ceramic.

4. The medical retrieval device of claim 1 wherein the plurality of beads are sized and configured to be self-aligning when the loop is pulled taut.

5. The medical retrieval device of claim 1 wherein each bead comprises a lumen.

6. The medical retrieval device of claim 5 wherein the at least two loops further comprise a wire wherein the wire is slideably moveable within the lumen of each bead.

7. The medical retrieval device of claim 1 further comprising an elongated member connected to the fixed first end of the at least one loop.

8. The medical retrieval device of claim 1, wherein the first end of each loop of the at least two loops is fixed.

9. The medical retrieval device of claim 1, wherein the second end of each loop of the at least two loops is slideably moveable relative to the first end.

10. The medical retrieval device of claim 9, wherein the second end of each loop is independently moveable.

11. The medical retrieval device of claim 1, wherein the first end of the at least one loop is fixed relative to a base of the device disposed proximal the tip.

12. The medical retrieval device of claim 1, wherein each loop of the at least two loops is independently slideably moveable relative to the tip.

13. The medical retrieval device of claim 1, wherein the tip defines at least one lumen.

14. The medical retrieval device of claim 13, wherein a portion of the at least one loop is disposed within the at least one lumen of the tip.

15. The medical retrieval device of claim 1, wherein the tip has a different shape than at least one bead of the plurality of beads.

16. The medical retrieval device of claim 1, wherein a distal end of the tip defines a diameter greater than a diameter of the proximal-most end of the tip.

17. The medical retrieval device of claim 1, wherein the side surface is shaped to mate with a surface of an adjacent bead of the plurality of beads.

18. The medical retrieval device of claim 1, wherein the tip further includes a first surface extending distally from the side surface and angled from the side surface.

19. The medical retrieval device of claim 1, wherein the plurality of apertures share a central axis, the central axis being transverse to a longitudinal axis of the device.

20. The medical retrieval device of claim 1, the tip further including a rounded distal end.

21. The medical retrieval device of claim 1, the tip further including a distal portion extending beyond a distal-most portion of the at least two loops.

22. A system for retrieving material from a body, the system comprising:

an elongated member comprising a distal end, and a proximal end;

a basket disposed at the distal end of the elongated member, the basket comprising a plurality of legs formed by at least two loops, each of the at least two loops comprising a first end and a second end, the first end of at least one loop being fixed and the second end of the at least one loop being slideably moveable relative to the first end;

a tapered distal tip linking the at least two loops, the at least one loop being slideably moveable relative to the tip,

the tip having a proximal-most end and a side surface extending distally therefrom, the side surface defining a plurality of apertures;

a plurality of beads having a lumen with a portion of one of the plurality of legs extending therethrough;

a sheath having a lumen, wherein the basket has a retracted position in which the basket is positioned in the lumen of the sheath, a deployed position in which the basket is positioned beyond the distal portion of the sheath and open, and a collapsed position in which the basket is extended beyond the distal portion of the sheath and the plurality of legs are collapsed;

a proximal handle including a first actuator and a second actuator,

the first actuator moveable relative to the second actuator to move the basket and sheath relative to one another between the retracted position and deployed position; and

the second actuator moveable relative to the first actuator to move the basket between the deployed position and the collapsed position.

23. The system according to claim 22 wherein the plurality of beads are sized and configured to form a basket of predetermined size when the basket is in the deployed position.

24. The system according to claim 22 wherein the first end of the at least one loop is fixed to the distal end of the elongated member.

25. The system of claim 22 further comprising a means for selectively setting tension to the at least one loop.

26. The system of claim 22, wherein the first end of each loop of the at least two loops is fixed.

27. The system of claim 22, wherein the second end of each loop of the at least two loops is slideably moveable relative to the first end.

28. The system of claim 27, wherein the second end of each loop is independently moveable.

29. The system of claim 22, wherein the first end of the at least one loop is fixed relative to a base of the basket.

30. The system of claim 22, wherein each loop of the at least two loops is independently slideably moveable relative to the tip.

31. The system of claim 22, wherein the tip defines at least one lumen.

32. The system of claim 31, wherein a portion of the at least one loop is disposed within the at least one lumen of the tip.

33. The system of claim 22, wherein the tip has a different shape than at least one bead of the plurality of beads.

34. The system of claim 22, wherein the plurality of apertures share a central axis, the central axis being transverse to a longitudinal axis of the device.