Obstruction removal system

• US 8,021,380 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: Perkins, D. H., Johnson, Jeremy, Mauch, Kevin, Silver, Michele, Thompson, Dustin, Macaulay, Patrick
• Primary Examiner(s): Houston; Elizabeth
• Assistant Examiner(s): EASTWOOD, DAVID C
• Application Number:
  US11/972,744
• Publication Number:
  US 20090182362A1
• Time in Patent Office: 1,348 Days
• Field of Search: 604/266, 604/267, 606/113, 606/159, 606/161, 606/162, 606/167, 606/168, 606/170, 606/171, 606/176, 606/177, 606/178, 606/180, 606/128
• US Class Current: 606/159
• CPC Class Codes: A61B 10/0266 means for severing sample
• 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 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00867 shape memory effect
• 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 attached to or integral with a drive belt. The circulating capture or interference devices affect removal of the clot or obstruction bit-by-bit through a series of passes. The obstruction removal system may include one or more drive mechanisms, such as a pulley system and/or a vacuum source and/or a pressurization source, on its proximal end for driving the drive belt and capture devices through the catheter in a circulating manner. The obstruction removal system may also include one or more cleaning mechanisms, such as a vacuum chamber and/or a fluid rinse chamber, for removing the captured clot pieces from the capture devices.

Claims

1. A system for removing an obstruction within a body lumen, the system comprising:

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 for receiving a guidewire extending along at least a distal portion of the catheter shaft, wherein the first and second lumens extend side-by-side from the proximal end to the distal end of the catheter shaft; and

a drive belt, wherein the drive belt is disposed within the catheter shaft in a circulating manner through the first lumen, the distal exit port, the distal reentry port and the second lumen to form a loop that extends from the proximal and distal ends of the catheter shaft;

a plurality of capture devices positioned along at least a portion of the drive belt that extend distal of the distal end of the catheter shaft for removing the obstruction from the body lumen when the drive belt is circulated through the catheter shaft, such that each capture device is capable of removing at least a portion of the obstruction as the capture device travels between the distal exit port and the distal reentry port of the catheter shaft; and

a drive mechanism located within a housing attached to the proximal end of the catheter shaft, wherein the drive mechanism is operably coupled to the drive belt for driving the drive belt and the plurality of capture devices through the catheter shaft and the housing in a circulating manner such that the plurality of capture devices exit the catheter shaft through the distal exit port and re-enter the catheter shaft through the distal reentry port; and

a cleaning mechanism located within the housing for removing captured clot particles from the plurality of capture devices as the drive belt is circulated through the housing;

wherein the cleaning mechanism includes a brush having bristles that remove captured clot particles from the plurality of capture devices as they pass through the housing.

2. The system of claim 1, wherein the drive mechanism includes a vacuum source for pulling the plurality of capture devices through the second lumen of the device.

3. The system of claim 1, wherein the drive mechanism includes a pressurization source for pushing the plurality of capture devices through the first lumen of the device.

4. The system of claim 3, wherein the pressurization source includes a fluid to aid in the breakdown of the obstruction.

5. The system of claim 1, wherein the drive mechanism includes a mechanical pulley system including at least a first pulley located within the housing.

6. The system of claim 5, wherein the mechanical pulley system includes a second oblong pulley located within the housing having an elongated diameter in one direction in order to create slack in the drive belt.

7. The system of claim 1, wherein the cleaning mechanism includes a vacuum chamber.

8. The system of claim 1, wherein the cleaning mechanism includes a rinse chamber for circulating a rinsing fluid.

9. The system of claim 1, further comprising:

a gear located within the distal end of the catheter shaft having a first set of teeth or protrusions that mate with a second set of teeth or protrusions on the drive belt in order to regulate the amount of slack in the drive belt.

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

11. The system of claim 10, 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, wherein the second expanded configuration is selected from a group consisting of coiled and protuberant sections of the wire.

12. The system of claim 1, wherein the plurality of capture devices are a plurality of basket-like devices attached to the drive belt, each of the plurality of basket-like devices having a shape selected from a group consisting of a cylinder, a sphere, a bowl, an elongated oval, a crescent, and a spool with flared end portions.

13. The system 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 consisting of a hairbrush-like device having radially extending bristles.