Stent and other objects removal from a body

• US 8,038,704 B2
• Filed: 07/27/2005
• Issued: 10/18/2011
• Est. Priority Date: 07/27/2005
• Status: Active Grant

• Current Assignee: AngioDynamics, Inc.
• Original Assignee: Paul S. Sherburne
• Inventors: Sherburne, Paul S.
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US11/190,797
• Publication Number:
  US 20070027520A1
• Time in Patent Office: 2,274 Days
• Field of Search: 606/108, 606/194, 606/200, 623/1.11, 623/1.12, 623/1.23, 604/103.07, 604/916
• US Class Current: 623/1.11
• 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 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes precedence
• CPC Class Codes: A61B 17/22032 having inflatable gripping elements balloon catheters A61M25/10
• CPC Class Codes: A61B 2017/22035 for retrieving or repositioning foreign objects
• CPC Class Codes: A61B 2017/22051 with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation A61B2017/22048, A61B2017/3486 take precedence
• CPC Class Codes: A61B 2017/22079 with suction of debris
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2002/9534 for repositioning of stents
• CPC Class Codes: A61M 2025/1031 Surface processing of balloon members, e.g. coating or deposition; Mounting additional parts onto the balloon member's surface
• CPC Class Codes: A61M 2025/1081 having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
• CPC Class Codes: A61M 2025/1084 having features for increasing the shape stability, the reproducibility or for limiting expansion, e.g. containments, wrapped around fibres, yarns or strands
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence
• CPC Class Codes: A61M 25/1027 Making of balloon catheters
• CPC Class Codes: A61M 25/1034 Joining of shaft and balloon

Abstract

This disclosure contains methods, devices, and systems for object removal from a body, including removal of a stent from a body. Methods of the present disclosure include inflating a balloon on a catheter, engaging a stent with a socket defined by a surface of the balloon, the surface inwardly sloped toward a lumen of the catheter, and retracting a portion of the stent through the socket and into the lumen. The present disclosure also includes methods for making a catheter, including forming a balloon, inverting a portion of the balloon, and attaching the balloon to a catheter such that a surface of the balloon defines a socket that is inwardly sloped toward a lumen of the catheter.

Claims

1. A method for capturing a stent, comprising:

deploying an inwardly sloped socket by inflating a balloon coupled to a catheter shaft, a portion of the inwardly sloped socket distal of the catheter shaft when the inwardly sloped socket is deployed, the catheter shaft having a lumen open on a distal end of the catheter shaft;

engaging at least a portion of the stent with the portion of the inwardly sloped socket; and

retracting at least the portion of the stent through the portion of the inwardly sloped socket and into the lumen, an outer profile of the portion of the stent being reduced as the portion of the stent is retracted through the portion of the inwardly sloped socket with which the portion of the stent is engaged.

2. The method of claim 1, wherein retracting further comprises:

providing an attachment tool movable within the lumen;

extending at least a portion of the attachment tool distal of the catheter shaft;

attaching the attachment tool to the stent; and

pulling the portion of the stent through the inwardly sloped socket and then into the lumen using the attachment tool.

3. The method of claim 1, wherein inflating further comprises expanding an outer diameter of the balloon such that a circumferential and longitudinal exterior surface of the balloon contacts a vessel containing the stent along a circumferential and longitudinal interior surface of the vessel.

4. The method of claim 1, wherein inflating further comprises expanding an inner diameter of an anatomical pathway proximate the stent with an outer surface of the balloon.

5. The method of claim 1, wherein reduction of the profile of the portion of the stent by the retracting allows the portion of the stent to be withdrawn into the lumen without further reduction in the outer profile of the portion of the stent.

6. The method of claim 1, further comprising:

deflating the balloon; and

withdrawing the catheter shaft from an anatomical passageway, at least the portion of the stent contained within the lumen as the catheter shaft is withdrawn, wherein the inwardly sloped socket is curved and the entire inwardly sloped socket is distal of the catheter shaft when the inwardly sloped socket is deployed.

7. The method of claim 1, wherein the outer profile is an outer diameter.

8. The method of claim 1, wherein retracting the portion of the stent through the inwardly sloped socket and into the lumen further comprises retracting the entire stent through the inwardly sloped socket and into the lumen.

9. A method for removal of an object from within a body, comprising:

deploying an inwardly sloped socket by inflation of a balloon connected to a catheter shaft, the catheter shaft having a distal end and a lumen with a distal end opening on the distal end of the catheter shaft, the lumen having an inner diameter profile at the distal end opening;

engaging at least a portion of the inwardly sloped socket that is distal of the catheter shaft with a portion of the object in the body, the portion of the object having an outer profile that is larger than the inner diameter profile of the distal end opening of the lumen; and

funneling at least the portion of the object into the lumen by reducing the outer profile of the portion of the object by relative movement between the engaged portions of the inwardly sloped socket and the object.

10. The method of claim 9, wherein the object is a stent in a human and the outer profile is an outer diameter of the portion of the stent.

11. The method of claim 9, wherein the method further comprises:

extending an attachment tool distal of the catheter shaft;

attaching the attachment tool to the object; and

retracting the portion of the object through the portion of the inwardly sloped socket to cause relative axial movement between the inwardly sloped socket and the portion of the object and reduce the outer profile of the portion of the object as the portion of the object moves along a surface of the portion of the inwardly sloped socket.

12. The method of claim 9, wherein reduction of the profile of the portion of the object by relative movement with the portion of the inwardly sloped socket allows the portion of the object to be withdrawn into the lumen without further reduction in the outer profile of the portion of the object.

13. The method of claim 9, wherein the relative movement between the engaged portions of the object and the inwardly sloped socket is caused by pulling the portion of the object through the inwardly sloped socket as the portion of the object circumferentially runs along a portion of a surface of the balloon that defined the portion of the inwardly sloped socket.

14. The method of claim 9, wherein the inwardly sloped socket is a deployable funneling socket that is a curved inwardly sloping surface of the balloon in a deployed configuration, the socket relatively smaller in inner diameter proximally and larger in inner diameter distally, the socket inwardly sloped and curved from an annular distal end of the balloon to the lumen of the catheter shaft on which the balloon is mounted, the socket distal of the catheter shaft and transitioning into the lumen.

15. The method of claim 9, wherein the inwardly sloped socket comprises multiple layers of polymeric material, including a reinforcement layer.

16. The method of claim 9, wherein the balloon comprises a distal tail and a proximal tail, the proximal tail bonded to an exterior surface of the catheter shaft and the distal tail bonded to an inner diameter surface of the lumen of the catheter shaft, the distal tail bonded distally to the catheter shaft with respect to the proximal tail.

17. A retrieval system for removal of an object within a body, comprising:

a catheter shaft comprising a distal end, a proximal end, and a lumen open on the distal end of the catheter shaft;

an attachment tool movable within the lumen of the catheter shaft; and

means for reducing an outer profile of a portion of the object distally of the catheter shaft by axial movement of the portion of the object and funneling the portion of the object into the lumen, the axial movement of the portion of the object facilitated by the attachment tool.

18. The system of claim 17, wherein the means for reducing the outer profile of the portion of the object and funneling the portion of the object into the lumen comprises means for applying inward circumferential pressure to the portion of the object by axial movement of the portion of the object to reduce the outer profile of the portion of the object.

19. The system of claim 17, wherein the means for reducing the outer profile of the portion of the object and funneling the portion of the object into the lumen comprises means for reducing the outer profile of the entire object and funneling the entire object into the main-lumen by axial movement.

20. The system of claim 17, wherein the attachment tool comprises threading or at least one hook.

21. The system of claim 17, wherein the object is a stent and the outer profile is an outer diameter of the stent.

22. A method for capturing an object within a body with a catheter, the catheter having a shaft, a proximal end, a distal end having a deployable inwardly sloped socket, and a lumen having an inner diameter, the catheter having a control connected to the proximal end that controls deployment of the inwardly sloped socket, wherein a tool is moveable within the lumen, the method comprising:

deploying the inwardly sloped socket within the body by the control, the inwardly sloped socket distal of the lumen;

engaging the inwardly sloped socket and the object, an outer profile of the object larger than the inner diameter of the lumen;

retracting at least a portion of the object through the inwardly sloped socket and into the lumen by reducing the outer profile of the object as the portion of the object moves along a surface of the inwardly sloped socket, wherein the object is attached to the tool during retraction and the portion of the object is retracted through the inwardly sloped socket by movement of the tool within the lumen; and

decreasing an outer profile of the distal end of the catheter after the at least the portion of the object has been retracted into the lumen.

23. The method of claim 22, wherein the object is a stent in a human and the outer profile of the object is an outer diameter of the stent.

24. The method of claim 22, wherein the method further comprises attaching the tool to the object.

25. The method of claim 22, wherein the control deploys the inwardly sloped socket through pressurization and the outer profile of the distal end of the catheter is decreased through depressurization by the control.

26. The method of claim 22, wherein moving at least the portion of the object into the lumen comprises moving all of the object into the lumen.

27. The method of claim 22, wherein the inwardly sloped socket is sloped into the lumen and transitions into the lumen proximally.

28. The method of claim 22, wherein the tool comprises a hook or a thread attachable to the object.