Intravascular obstruction removing wire and medical instrument

• US 7,575,585 B2
• Filed: 11/18/2005
• Issued: 08/18/2009
• Est. Priority Date: 07/02/2001
• Status: Expired due to Term

• Current Assignee: Maruho Hatsujyo Kogyo Co., Ltd., Terumo Kabushiki Kaisha
• Original Assignee: Maruho Hatsujyo Kogyo Co., Ltd., Terumo Kabushiki Kaisha
• Inventors: Kaneko, Takashi, Takeuchi, Masahiro, Okada, Keiji, Goto, Katsuya, Kanamaru, Takeshi
• Primary Examiner(s): Nguyen; Anhtuan T.
• Assistant Examiner(s): Houston; Elizabeth
• Application Number:
  US11/281,358
• Publication Number:
  US 20060116702A1
• Time in Patent Office: 1,369 Days
• Field of Search: 606/200, 606/191, 606/127, 606/159, 606/113, 606/114, 606/194, 606/198, 606/110, 606/108, 604105-109, 623/1.11
• 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, the two non-branched wire portions lying in a plane;

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

each of said non-branched filament portions having a first end portion, a second end portion, and a loop section extending between the first and second end portions;

the first end portions of all of the non-branched filament portions are gathered at the distal end of one of the non-branched wire portions and connected thereto and the second end portions of all of the non-branched filament portions are gathered at the distal end of another one of the non-branched wire portions and connected thereto so that the intravascular obstruction removing wire has no filament portion which is not gathered at the respective distal ends of the non-branched wire portions, and the loop sections of the non-branched filament portions are separated from each other to form a trapping portion;

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 non-branched filament portions are separated from each other, so that a space surrounded by said non-branched wire portions and said non-branched 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 non-branched wire portions is smaller than that of the non-branched wire portions in the large-diameter state; and

the plurality of non-branched filament portions comprising a first filament portion, a second filament portion and a third filament portion, the loop section of the first filament portion being positioned entirely on one side of the plane, the loop section of the second filament portion being positioned entirely on the opposite side of the plane, the loop section of the third filament portion lying approximately in the plane.

2. A wire according to claim 1, wherein said non-branched wire portions and said non-branched 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 said trapping portion has a radiopaque marker portion.

4. The intravascular obstruction removing wire of claim 1, wherein the loop section of each non-branched filament portion is formed only of a wire.

5. A wire according to claim 2, wherein the distal ends of said non-branched wire portions are separate from each other, and the loop sections of the non-branched filament portions define projecting portions separate from each other in directions away from the plane on which said non-branched wire portions extend.

6. A wire according to claim 5, wherein a distance between adjacent ones of the projecting portions of said plurality of non-branched filament portions increases toward their distal ends.

7. A wire according to claim 6, wherein the adjacent projecting portions are extended from the end portions at different angles with respect to the plane.

8. A wire according to claim 6, wherein the projecting portion of at least one of said plurality of non-branched 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.

9. A wire according to claim 6, wherein the projecting portions of said non-branched filament portions are curved to project forward.

10. A wire according to claim 6, wherein said non-branched filament portions comprise loop wires, said first and second end portions define a pair of proximal end portions and said loop section defines a loop portion extending from the proximal end portions, and the proximal end portions of the plurality of loop wires being gathered integrally to form said non-branched wire portions.

11. A wire according to claim 10, wherein the proximal end portions of the loop wires are in tight contact with each other to form said non-branched wire portions.

12. A wire according to claim 11, wherein the plurality of loop wires have the same length.

13. A wire according to claim 11, wherein the proximal end portions of the loop wires are twisted integrally to form said non-branched wire portions.

14. A wire according to claim 13, wherein said non-branched wire portions have attaching portions integrally extending therefrom, and

further comprising 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.

15. A wire according to claim 14, 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.

16. 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 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, the two non-branched wire portions lying in a plane;

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

each of said non-branched filament portions having a first end portion, a second end portion, and a loop section extending between the first and second end portions;

the first end portions of all of the non-branched filament portions are gathered at the distal end of one of the non-branched wire portions and connected thereto and the second end portions of all of the non-branched filament portions are gathered at the distal end of another one of the non-branched wire portions and connected thereto so that the intravascular obstruction removing wire has no filament portion which is not gathered at the respective distal ends of the non-branched wire portions, and the loop sections of the non-branched filament portions are separated from each other to form a trapping portion;

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 non-branched filament portions are separated from each other, so that a space surrounded by said non-branched wire portions and said non-branched 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 non-branched wire portions is smaller than that of the non-branched wire portions in the large-diameter state; and

the plurality of non-branched filament portions comprising a first filament portion, a second filament portion and a third filament portion, the loop section of the first filament portion being positioned entirely on one side of the plane, the loop section of the second filament portion being positioned entirely on the opposite side of the plane, the loop section of the third filament portion lying approximately in the plane.

17. An instrument according to claim 16, wherein said non-branched 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.

18. The medical instrument of claim 16, wherein the loop section of each non-branched filament portion is formed only of a wire.

19. 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, the two non-branched wire portions lying in a plane;

a plurality of filament portions extending across said non-branched wire portions, each of the filament portions being formed of a non-branched wire so that a continuous space is formed between the adjacent filament portions;

each of said filament portions having a first end portion, a second end portion, and a loop section extending between the first and second end portion;

the first end portions of the plurality of filament portions are gathered at the distal end of one of the non-branched wire portions and connected thereto and the second end portions of the plurality of filament portions are gathered at the distal end of another one of the non-branched wire portions and connected thereto, and the loop sections of the filament portions are separated from each other to form a trapping portion;

said trapping portion is deformable from a large-diameter state in which said non-branched portions branch from the distal end of said 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 non-branched wire portions is smaller than that of the non-branched wire portions in the large-diameter state; and

the plurality of non-branched filament portions comprising a first filament portion, a second filament portion and a third filament portion, the loop section of the first filament portion being positioned entirely on one side of the plane, the loop section of the second filament portion being positioned entirely on the opposite side of the plane, the loop section of the third filament portion lying approximately in the plane.

20. The intravascular obstruction removing wire of claim 19, wherein each filament portion is formed only of a wire.

21. 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, the two non-branched wire portions lying in a plane;

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

each of said non-branched filament portions has a first end portion, a second end portion, and a loop section extending between the first and second end portions thereof;

the first end portions of the plurality of non-branched filament portions are gathered at the distal end of one of the non-branched wire portions and connected thereto and the second end portions of the plurality of non-branched filament portions are gathered at the distal end of another one of the non-branched wire portions and connected thereto, and the loop sections of the filament portions are separated from each other to form a trapping portion;

said non-branched filament portions comprising loop wires, said first and second end portions defining a pair of proximal end portions and said loop section defining a loop portion extending from the proximal end portions, and the proximal end portions of the plurality of loop wires being gathered integrally to form said non-branched wire portions;

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 non-branched filament portions are separated from each other, so that a space surrounded by said non-branched wire portions and said non-branched 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 non-branched wire portions is smaller than that of the non-branched wire portions in the large-diameter state; and

the plurality of non-branched filament portions comprising a first filament portion, a second filament portion and a third filament portion, the loop section of the first filament portion being positioned entirely on one side of the plane, the loop section of the second filament portion being positioned entirely on the opposite side of the plane, the loop section of the third filament portion lying approximately in the plane.

22. A wire according to claim 21, wherein the proximal end portions gathered in each of the non-branched wire portions are arranged substantially in a linear line normal to the plane on which said non-branched wire portions extend.

23. The intravascular obstruction removing wire of claim 21, wherein the loop sections of each non-branched filament portion is formed only of a wire.

24. 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 which are connected to the distal end of said elongate wire main body, the two non-branched wire portions lying in a plane;

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

each of said plurality of non-branched filament portions has a first end portion and a second end portion, the first end portions of the plurality of non-branched filament portions are gathered at the distal end of one of the non-branched wire portions and connected thereto, and the second end portions of the plurality of non-branched filament portions are gathered at the distal end of another one of the non-branched wire portions and connected thereto;

wherein said non-branched wire portions and said non-branched filament portions form a trapping portion;

said trapping portion is deformable from a large-diameter state in which said non-branched portions branch from the distal end of said elongate wire body forward in different directions and said non-branched filament portions are separated from each other, so that a space surrounded by said non-branched wire portions and said non-branched 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 non-branched wire portions is smaller than that of the non-branched wire portions in the large-diameter state;

the plurality of non-branched filament portions comprising a first filament portion, a second filament portion and a third filament portion, the loop section of the first filament portion being positioned entirely on one side of the plane, the loop section of the second filament portion being positioned entirely on the opposite side of the plane; and

the third filament portion being located on approximately the same plane as the plane on which the non-branched wire portions are located, and being provided with a radiopaque marker.

25. A wire according to claim 24, wherein said wire comprises, in total, an odd number of non-branched filament portions.

26. The intravascular obstruction removing wire of claim 24, wherein an elongate wire is not present on a distal end side of the trapping portion.