Obstruction removal system

• US 8,021,379 B2
• Filed: 01/11/2008
• Issued: 09/20/2011
• Est. Priority Date: 01/11/2008
• Status: Expired due to Fees

• Current Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Original Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Inventors: Johnson, Jeeremy, Mauch, Kevin, Silver, Michele, Perkins, D.H., Thompson, Dustin
• Primary Examiner(s): Hughes; S. Thomas
• Assistant Examiner(s): EASTWOOD, DAVID C
• Application Number:
  US11/972,743
• Publication Number:
  US 20090182361A1
• Time in Patent Office: 1,348 Days
• Field of Search: 606110-115, 606127-128, 606/159, 606/161, 606/167, 606/170, 606/168, 606/171, 606/176, 606/177, 606/178, 606/180, 606/200, 604/266, 604/267
• US Class Current: 606/159
• CPC Class Codes: A61B 10/0266 means for severing sample
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/320708 Curettes, e.g. hollow scraping instruments
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61B 2010/0225 for taking multiple samples
• CPC Class Codes: A61B 2017/00345 Micromachines, nanomachines, microsystems
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/320008 Scrapers
• CPC Class Codes: A61B 2017/320012 Brushes
• CPC Class Codes: A61B 2017/32006 with a cutting strip, band or chain, e.g. like a chainsaw
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2017/320741 for stripping the intima or the internal plaque from a blood vessel, e.g. for endarterectomy

Abstract

An obstruction removal system for percutaneous removal of clots or obstructions within the vascular system is disclosed. The obstruction removal system includes a multi-lumen catheter with a plurality of circulating capture devices occurring along a drive belt. The plurality of capture devices may be basket-like devices attached to the drive belt, or may be formed by integral coiled or protuberant sections of the drive belt. The circulating capture or interference devices affect removal of the clot or obstruction bit-by-bit through a series of passes.

Claims

1. A method for removing an obstruction within a body lumen, the method comprising the steps of:

tracking an obstruction removal system through the body lumen to the obstruction over an indwelling guidewire, wherein the obstruction removal system includes a catheter shaft having a proximal end and a distal end, the catheter shaft defining a first lumen having a distal exit port and a second lumen having a distal reentry port and a third lumen extending along at least a distal portion of the catheter shaft, wherein the first lumen and the second lumen extend side-by-side from the proximal end to the distal end of the catheter shaft, and a drive belt having a plurality of capture devices occurring along at least a portion thereof, wherein the drive belt extends through each of the first and second lumens to form a loop that extends from the proximal and distal ends of the catheter shaft and wherein the guidewire extends through the third lumen while the obstruction removal system is being tracked through the body lumen to the obstruction;

positioning the obstruction removal system such that the distal end of the catheter shaft is near the obstruction within the body lumen;

circulating the drive belt through the catheter shaft such that the plurality of capture devices advance through the first lumen, exit the catheter shaft through the distal exit port, travel through the obstruction distal of the catheter shaft, reenter the catheter shaft through the distal reentry port and advance through the second lumen;

removing at least a portion of the obstruction from the body lumen in a bit-by-bit fashion as each capture device travels distal of the catheter shaft between the distal exit port and the distal reentry port of the catheter shaft; and

removing substantially the entire obstruction from the body lumen after the plurality of capture devices are circulated through the catheter shaft in a series of passes.

2. The method of claim 1, wherein the plurality of capture devices are formed by integral sections of the drive belt.

3. The method of claim 2, wherein the drive belt is a wire constructed out of an elastic or shape memory material such that the drive belt has a first straightened configuration and a second expanded configuration forming the plurality of capture devices.

4. The method of claim 1, wherein the plurality of capture devices are a plurality of basket-like devices attached to the drive belt.

5. The method of claim 4, wherein each of the plurality of basket-like devices has a shape selected from a group consisting of a cylinder, a sphere, a bowl, an elongated oval, a crescent, and a spool having flared end portions.

6. The method of claim 1, wherein the plurality of capture devices are a plurality of interference devices attached to the drive belt, each of the plurality of interference devices selected from a group consisting of a bead-like device, a balloon-like device, and a burr-like device.

7. The method of claim 1, wherein the plurality of capture devices are a plurality of interference devices attached to the drive belt, each of the plurality of interference devices selected from a group consisting of a hairbrush-like device having radially extending bristles and a wire-brush device having looping strands.

8. The method of claim 1, wherein the step of positioning includes contacting the obstruction with the distal end of the catheter shaft.

9. The method of claim 1, wherein the step of circulating includes passing the capture devices on the drive belt through a vacuum chamber and a rinse chamber of a housing, wherein the housing is attached to the proximal end of the catheter shaft and remains external of the patient.

10. The method of claim 9, wherein the housing includes a drive mechanism that includes a pulley over which the drive belt is looped such that the step of circulating includes manually rotating the pulley.

11. A method for removing an obstruction within a body lumen, the method comprising the steps of:

tracking an obstruction removal system through the body lumen to the obstruction over a previously placed guidewire, wherein the obstruction removal system includes

a catheter shaft defining a first lumen having a distal exit port, a second lumen having a distal reentry port and a third lumen, wherein the first, second and third lumens extend from a proximal end to a distal end of the catheter shaft and wherein the guidewire extends through the third lumen at least while the obstruction removal system is being tracked through the body lumen to the obstruction, and

a drive belt having a plurality of capture devices positioned along at least a portion thereof, wherein the drive belt extends through the full length of the first and second catheter shaft lumens to form an endless loop;

positioning the obstruction removal system such that the catheter shaft distal exit port and distal entry port are positioned proximate to the obstruction within the body lumen;

circulating the drive belt through the catheter shaft such that the plurality of capture devices advance through the first lumen, exit the catheter shaft through the distal exit port, travel through the obstruction distal of the catheter shaft, reenter the catheter shaft through the distal reentry port and advance through the second lumen;

removing at least a portion of the obstruction from the body lumen in a bit-by-bit fashion as each capture device travels distal of the catheter shaft between the distal exit port and the distal reentry port of the catheter shaft; and

removing substantially the entire obstruction from the body lumen after the plurality of capture devices are circulated through the catheter shaft in a series of passes.

12. The method of claim 11, wherein the step of positioning includes advancing the obstruction removal system such that the catheter shaft distal end touches the obstruction.

13. The method of claim 11, wherein the looped drive belt is coupled to a drive mechanism located within a housing attached to the catheter shaft proximal end.

14. The method of claim 13, further comprising:

cleaning obstruction particulate from the capture devices as the capture devices circulate through the housing.

15. The method of claim 14, wherein the step of cleaning includes passing the capture devices on the drive belt through a vacuum chamber and a rinse chamber of the housing.

16. The method of claim 11, wherein the plurality of capture devices are a plurality of interference devices attached to the drive belt, each of the plurality of interference devices selected from a group consisting of a hairbrush-like device having radially extending bristles and a wire-brush device having looping strands.