Minimally invasive medical device deployment and retrieval system

• US 7,578,830 B2
• Filed: 11/16/2004
• Issued: 08/25/2009
• Est. Priority Date: 03/08/1999
• Status: Expired due to Fees

• Current Assignee: Duy Nguyen, Kent D. Anderson, Richard S. Kusleika
• Original Assignee: Duy Nguyen, Kent D. Anderson, Richard S. Kusleika
• Inventors: Nguyen, Duy, Anderson, Kent D., Kusleika, Richard S.
• Primary Examiner(s): Bui; Vy Q
• Application Number:
  US10/989,787
• Publication Number:
  US 20050090857A1
• Time in Patent Office: 1,743 Days
• Field of Search: 606/194, 606/195, 606/198, 623/1.11
• US Class Current: 606/194
• 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: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2/013 Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
• CPC Class Codes: A61F 2002/018 made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2230/008 paraboloidal
• CPC Class Codes: A61F 2230/0093 Umbrella-shaped, e.g. mushroom-shaped

Abstract

The present invention provides a medical device retrieval system comprising a working element carried by a flexible, elongate shaft, the working element having a proximal profile and the shaft extending proximally from the working element and a retrieval cover slidable carried along the shaft of the medical device, the cover having a deployed configuration and being capable of being compressed into a compressed configuration for deployment, yet resiliently substantially return to the deployed configuration; the cover in its deployed configuration having a radially reduced proximal portion, a distally open distal end defining a distal opening having a maximum dimension at least as great as the maximum dimension of the proximal profile of the working element of the medical device, and an elongate internal recess defined between the proximal portion and the distal end.

Claims

1. A medical device retrieval system, comprising:

a) a medical device comprising a vascular filter carried by a flexible, elongate shaft, the vascular filter having a proximal profile, the shaft extending proximally from the vascular filter; and

b) a retrieval sheath slidably carried along the shaft of the medical device, the retrieval sheath having a body and a distal tip comprising a distal length of the retrieval sheath, the body having a first longitudinal axis, the distal tip having a second longitudinal axis, the distal length being no greater than 5 cm, the distal tip being bent at an angle of between about 5° and

about 30°

with respect to the body such that the second longitudinal axis is bent with respect to the first longitudinal axis at an angle of between about 5° and

about 30°

.

2. The system of claim 1 wherein the distal length is between about 1 cm and about 5 cm in length.

3. The system of claim 1 wherein the distal tip further comprises a radiopaque marker band.

4. A retractable medical device system, comprising:

a) a medical device comprising a vascular filter carried by a flexible, elongate shaft; and

b) a retrieval sheath, the retrieval sheath having a lumen and being slidable with respect to the medical device, at least a proximal length of the vascular filter of the medical device being retained within the lumen of the retrieval sheath when the medical device is retracted, the retrieval sheath having a body and a distal tip comprising a distal length of the retrieval sheath, the body having a first longitudinal axis, the distal tip having a second longitudinal axis, the distal length being no greater than 5 cm, the distal tip being bent at an angle of between about 5° and

about 30°

with respect to the body such that the second longitudinal axis is bent with respect to the first longitudinal axis at an angle of between about 5° and

about 30°

.

5. A system according to claim 4, wherein the distal tip is bent at an angle of about 5°

with respect to the body.

6. A system according to claim 4, wherein the distal tip is bent at an angle of about 30°

with respect to the body.

7. A method of retrieving particulate or other foreign material within a channel of a patient'"'"'s body, comprising:

a) providing a medical device having a vascular filter and a flexible, elongate shaft adapted to follow a path within the channel; and

a retrieval sheath moveable with respect to the shaft, the retrieval sheath having a body and a distal tip comprising a distal length of the retrieval sheath, the body having a first longitudinal axis, the distal tip having a second longitudinal axis, the distal length being no greater than 5 cm, the distal tip being bent at an angle of between about 5° and

about 30°

with respect to the body such that the second longitudinal axis is bent with respect to the first longitudinal axis at an angle of between about 5° and

about 30°

;

b) positioning the medical device within the channel;

c) expanding the vascular filter to engage a wall of the channel and trap the material within the channel, the retrieval sheath being spaced proximally of the vascular filter along the shaft of the medical device; and

d) withdrawing the medical device proximally so that at least a proximal length of the vascular filter of the medical device is retained within a lumen of the retrieval sheath.

8. A method according to claim 7, wherein the distal tip is bent at an angle of about 5°

with respect to the body.

9. A method according to claim 7, wherein the distal tip is bent at an angle of about 30°

with respect to the body.

10. A method according to claim 7, wherein the sheath has a lumen large enough to contain the vascular filter.

11. A method according to claim 8, wherein the sheath has a lumen large enough to contain the vascular filter.

12. A method according to claim 7, further comprising, when a vascular obstruction of particulate or other foreign material is encountered in the positioning step, reorienting the sheath, whereupon the sheath is further advanced.

13. A method according to claim 9, wherein the sheath has a lumen large enough to contain the vascular filter.