Wire for removing intravascular foreign body and medical instrument

• US 7,753,919 B2
• Filed: 09/07/2005
• Issued: 07/13/2010
• Est. Priority Date: 09/07/2004
• Status: Expired due to Fees

• Current Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Inventors: Kanamaru, Takeshi
• Primary Examiner(s): Manahan; Todd E
• Assistant Examiner(s): BACHMAN, LINDSEY MICHELE
• Application Number:
  US11/219,876
• Publication Number:
  US 20060052797A1
• Time in Patent Office: 1,770 Days
• Field of Search: 606/200, 606113-114, 606/127, 606/106, 606/108, 606/110, 606/128, 606/159, 606/191, 606/194, 606/198, 623/1.1
• US Class Current: 606/114
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• 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
• CPC Class Codes: A61B 2017/2215 having an open distal end

Abstract

A wire for removing an intravascular foreign body comprises a flexible wire body, a branch part branching out from the forward end of the wire body, and a plurality of filaments extending across the branch part. The branch part and the filaments form a space for capturing a foreign body therein. At least one of the filaments is changeable in length so that the loop formed by the filament and the branch part changes in size. The wire is capable of relatively reliably capturing and removing a foreign body in the vessel.

Claims

1. A wire for removing an intravascular foreign body comprising:

a flexible wire body possessing a central axis and a forward end;

a branch part branching out from the forward end of the wire body;

a plurality of filaments, each of the plurality of filaments extending across said branch part;

the branch part and the filaments together forming a capturing space in which is to be captured a foreign body;

the plurality of filaments comprising at least one first filament having opposite ends which are both axially movable relative to the branch part so that a loop formed by the at least one first filament and the branch part changes in size, the first filament lying entirely in a plane when the first filament is in a forward position for capturing the foreign body;

the plurality of filaments also comprising at least one second filament having opposite ends which are both axially non-movable relative to the branch part;

a movable body to which the ends of the at least one filament are connected so that with the foreign body positioned in the capturing space the movable body is movable to axially move the ends of the at least one first filament in a proximal direction relative to the branch part and relative to the at least one second filament to tighten the foreign body in the capturing space by engagement with the at least one first filament; and

a continuation of the central axis of the wire body lying in said plane of the first filament.

2. The wire for removing an intravascular foreign body according to claim 1, wherein at least a part of the branch part is constructed of a hollow wire through which passes a part of the at least one first filament.

3. The wire for removing an intravascular foreign body according to claim 1, wherein the branch part comprises two branch wires each possessing a distal end, the two branch wires extend outwardly away from one another in a direction toward the distal ends of the branch wires, each of the ends of the at least one second filament being fixed to one of the branch wires.

4. The wire for removing an intravascular foreign body according to claim 1, wherein the plurality of filaments comprises a pair of second filaments which each have opposite ends which are both axially non-movable relative to the branch part.

5. The wire for removing an intravascular foreign body according to claim 1, further comprising means for controlling a minimum size of the loop.

6. The wire for removing an intravascular foreign body according to claim 1, wherein the at least one first filament is provided with a plurality of projections projecting into the capturing space.

7. The wire for removing an intravascular foreign body according to claim 1, wherein the at least one first filament is provided with a plurality of flexible fibers projecting into the capturing space.

8. The wire for removing an intravascular foreign body according to claim 1, wherein the at least one first filament is provided with a plurality of flexible fibers projecting into the capturing space and a plurality of projections projecting into the capturing space, the flexible fibers being more flexible than the projections.

9. A medical instrument comprising:

the wire for removing an intravascular foreign body according to claim 1; and

a catheter having a lumen adapted to receive the wire for removing an intravascular foreign body.

10. The wire for removing an intravascular foreign body according to claim 1 further comprising:

a second branch part wherein the opposite ends of the at least one first filament are both movable relative to the branch parts and the opposite ends of the at least one second filament are both axially non-movable relative to the branch parts.

11. The wire for removing an intravascular foreign body according to claim 1, wherein the plurality of filaments comprises a third filament, the second and third filaments being inclined so that a distance from each of the second and third filaments to the central axis of the wire body increases in a direction away from the wire body.

12. The wire for removing an intravascular foreign body according to claim 1, wherein the plurality of filaments comprises a third filament having opposite ends, each of the ends of the third filament being fixed to the branch part in an axially non-movable manner so that each end of the third filament is axially non-movable relative to the respective branch wire.

13. The wire for removing an intravascular foreign body according to claim 12, wherein the second filament is positioned on one side of said plane while the third filament is positioned on an opposite side of said plane, the second and third filaments being inclined so that a distance from each of the second and third filaments to the plane increases in a direction away from the branch part.

14. The wire for removing an intravascular foreign body according to claim 1, wherein the branch part comprises two branch wires each possessing a distal end, the two branch wires extend away from one another in a direction toward the distal ends of the two branch wires, each of the ends of the at least one second filament being fixed to one of the branch wires, each branch wire comprising a hollow portion, a portion of the first filament being movably positioned in the hollow portion of each of the two branch wires.

15. The wire for removing an intravascular foreign body according to claim 14, wherein the plurality of filaments also comprises a third filament, the second filament being positioned on one side of the plane and the third filament being positioned on a side of the plane opposite the second filament.

16. A wire for removing an intravascular foreign body comprising:

a flexible wire body possessing a forward end, the wire body having an outer dimension permitting the flexible wire to be positioned in a blood vessel of a living body;

two branch wires connected to the forward end of the wire body and extending in a forward direction from the forward end of the flexible wire body;

the two branch wires branching outwardly away from one another so that a distance between the two branch wires is greater farther away from the forward end of the wire body than nearer to the wire body;

each of the two branch wires having a forward end;

a plurality of filaments each of the plurality of filaments extending between the forward ends of the two branch wires;

the two branch wires and the filaments together forming a capturing space in which is to be captured a foreign body in the blood vessel, the two branch wires and filaments having outer dimensions permitting placement in the blood vessel of the living body;

the two branch wires and at least one of the filaments together forming a loop wire;

the at least one filament having opposite ends that are both axially movable relative to the two branch wires to change a peripheral length of the loop wire;

the two branch wires both being hollow, one of the ends of the at least one filament being movably positioned within one of the two hollow branch wires and the other end of the at least one filament being movably positioned within the other hollow branch wire; and

the plurality of filaments comprises a second filament having opposite ends that are both fixed to and axially non-movable relative to the two branch wires.

17. The wire for removing an intravascular foreign body according to claim 16, wherein the at least one filament is a first filament, and the plurality of filaments comprises a third filament, the first filament lying in a plane when the first filament is in a forward position for capturing the foreign body, the second filament being positioned on one side of the plane and the third filament being positioned on a side of the plane opposite the second filament.

18. The wire for removing an intravascular foreign body according to claim 17, wherein the flexible wire body possesses a central axis lying in the plane.

19. The wire for removing an intravascular foreign body according to claim 16, wherein the opposite ends of said at least one filament are connected to an elongated body movably positioned within the wire body and connected to a manipulating member which is operable to change the peripheral length of the loop wire.

20. The wire for removing an intravascular foreign body according to claim 16, wherein the plurality of filaments comprises a third filament, the second and third filaments being inclined so that a distance from each of the second and third filaments to a central axis of the wire body increases in a direction away from the wire body.

21. The wire for removing an intravascular foreign body according to claim 16, wherein the two branch wires are the only branch wires that are connected to the forward end of the flexible wire body and that extend in the forward direction from the forward end of the flexible wire body.

22. A wire for removing an intravascular foreign body comprising:

a flexible wire body possessing a central axis and a forward end, the wire body having an outer dimension permitting the flexible wire to be positioned in a blood vessel of a living body;

a plurality of loop wires connected to the flexible wire body, the loop wires possessing an outer dimension permitting the loop wires to be positioned in the blood vessel of the living body;

the loop wires together defining a capturing space in which is to be captured a foreign body in the blood vessel;

the first loop wire comprising a branch part connected to the forward end of the wire body and a first filament, the branch part comprising two branch wires branching away from one another, each branch wire having a forward end, the first filament extending between the forward ends of the two branch wires, the second loop wire comprising a second filament extending between the forward ends of the two branch wires;

the loop wires comprising at least a first loop wire having opposite ends which are both axially movable relative to the flexible wire body, the first loop wire lying entirely in a plane when the first loop wire is positioned in a forward position for capturing the foreign body;

the loop wires also comprising at least a second loop wire having opposite ends which are both axially non-movable relative to the flexible wire body;

means connected to the first loop wire for reducing an area enclosed by the first loop wire by moving the first loop wire in a proximal direction relative to the second loop wire so that the foreign body positioned in the capturing space is engaged by the first loop wire and held by the first loop wire; and

a continuation of the central axis of the wire body lying in said plane of the first loop wire.

23. The wire for removing an intravascular foreign body according to claim 22, wherein the second filament has two ends each fixed to one of the forward ends of the branch wires.

24. The wire for removing an intravascular foreign body according to claim 22, wherein the the first filament has opposite ends, the ends of the first filament being movably positioned within respective hollow portions of the branch part to move relative to the branch part, the means for reducing the area enclosed by the at least one loop wire comprising an elongated body movably positioned within the flexible wire body and a manipulating member connected to the elongated body and operable to move the elongated body, the first filament being connected to the elongated body to move together with the elongated body.

25. The wire for removing an intravascular foreign body according to claim 22, wherein the branch wires comprise first and second branch wires, each of the first and second branch wires having a hollow interior and extending in a forward direction from the forward end of the flexible wire body, the flexible wire body having a hollow interior communicating with the hollow interior of the first and second branch wires, the first and second branch wires diverging away from one another in the forward direction, one of the ends of the first filament being movably positioned in the hollow interior of the first branch wire, the other end of the first filament being movably positioned in the hollow interior of the second branch wire.

26. The wire for removing an intravascular foreign body according to claim 25, wherein the loop wires also comprise a third filament having opposite ends, one end of the second filament and one end of the third filament being fixed to the first branch wire in an axially non-movable manner, the other end of the second filament and the other end of the third filament being fixed to the second branch wire in an axially non-movable manner.

27. The wire for removing an intravascular foreign body according to claim 26, wherein the second filament is positioned on one side of the plane and the third filament is positioned on a side of the plane opposite the second filament.

28. A wire for removing an intravascular foreign body comprising:

a flexible wire body possessing a forward end, the flexible wire body possessing a hollow interior in which is movably positioned a movable body which is movable relative to the flexible wire body;

a branch part branching out from the forward end of the wire body;

a plurality of filaments each of the plurality of filaments extending across said branch part;

the branch part and the filaments together forming a capturing space in which is to be captured a foreign body;

the plurality of filaments comprising at least one first filament having opposite ends and at least one second filament having opposite ends;

the branch part comprises two hollow branch wires each possessing a distal end, the two branch wires extending outwardly away from one another in a direction toward the distal ends of the branch wires;

both of the hollow branch wires communicating with the hollow interior of the flexible wire body;

each of the ends of the first filament being movably positioned in a respective one of the two hollow branch wires so that a loop formed by the first filament and the two branch wires changes in size;

each of the ends of the second filament being fixed to a respective one of the two branch wires in an axially non-movable manner so that each end of the second filament is axially non-movable relative to the respective branch wire;

each end of the first filament comprising a connecting part that is connected to the movable body so that with the foreign body positioned in the capture space, the movable body is movable relative to the flexible wire body in a proximal direction away from the distal end of each branch wire to cause the ends of the first filament to move in the respective hollow branch wires relative to the ends of the second filament to reduce the size of the loop so that the first filament engages and tightens a hold on the foreign body in the capture space.

29. The wire for removing an intravascular foreign body according to claim 28, wherein the plurality of filaments comprises a third filament having opposite ends, each of the ends of the third filament being fixed to a respective one of the two branch wires in an axially non-movable manner so that each end of the third filament is axially non-movable relative to the respective branch wire.

30. The wire for removing an intravascular foreign body according to claim 29, wherein the first filament lies in a plane, and the second filament is positioned on one side of the plane while the third filament is positioned on an opposite side of the plane, the second and third filaments being inclined so that a distance from each of the second and third filaments to the plane increases in a direction away from the respective branch wire.

31. The wire for removing an intravascular foreign body according to claim 28, wherein the first filament lies entirely in a plane when the first filament is in a forward position for capturing the foreign body, and a continuation of a central axis of the wire body lies in the plane.