Vessel occluding material extractor

• US 8,070,761 B2
• Filed: 04/10/2003
• Issued: 12/06/2011
• Est. Priority Date: 04/10/2003
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Weber, Jan, Spencer, Steven M.
• Primary Examiner(s): Houston, Elizabeth
• Application Number:
  US10/411,558
• Publication Number:
  US 20040204738A1
• Time in Patent Office: 3,162 Days
• Field of Search: 606/159, 606194-200, 606/110, 606/113, 606/114, 606/127, 623/1.15, 623/1.11, 623/1.12
• US Class Current: 606/159
• CPC Class Codes: A61B 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes precedence
• CPC Class Codes: A61B 17/221 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 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• 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

Abstract

Methods, devices, and systems for extracting vessel occluding material are provided. An embodiment of a vessel occluding material extractor includes a host structure, a plurality of expandable members, a slide mechanism, and a circumferential member. The host structure has an elongate axis. The expandable members are connected to the host structure arrayed radially around the elongate axis. The slide mechanism is connected to the expandable members and adjacent the host structure, and is slidable in the direction of the elongate axis. The circumferential member is connected to the expandable members between the connection of the slide mechanism and the host structure to the expandable members.

Claims

1. An extractor comprising;

a host structure having an elongate axis;

a plurality of expandable members connected to the host structure arrayed radially around the elongate axis;

a slide mechanism, including;

a first collar connected to the host structure and to a first end of the expandable members and slidable in the direction of the elongate axis; and

a second collar located inside the host structure and connected to a second end of the expandable members; and

a circumferential member having a first peripheral edge and a second peripheral edge that are both of approximately equal circumference encircling a middle portion of the expandable members, where the circumferential member with its first and second peripheral edges is coupled to the middle portion of the expandable members such that the circumferential member maintains a generally uniform lateral spacing between the plurality of expandable members.

2. The extractor of claim 1, wherein the plurality of expandable members includes filtering material spanning between at least two adjacent expandable members.

3. The extractor of claim 1, wherein the plurality of expandable members includes one or more elongate metal members.

4. The extractor of claim 1, wherein the plurality of expandable members includes one or more elongate polymer members.

5. The extractor of claim 1, wherein the circumferential member is operable to provide generally uniform radial spacing of the plurality of expandable members.

6. An extractor comprising;

a host structure having an elongate axis;

a plurality of expandable members, connected to the host structure, having an unexpanded state and an expanded state, and when in their expanded state, are operable to filter vessel occluding material;

a slide mechanism, including;

a first collar connected to the host structure and to a first end of the expandable members and slidable in the direction of the elongate axis; and

a second collar located inside the host structure and connected to a second end of the expandable members such that the ends of the expandable members connected to the second collar bend around an end of the host structure; and

a circumferential member having a first peripheral edge and a second peripheral edge that are both of approximately equal circumference and approximately equal distance from a middle portion of the expandable members, where the circumferential member with its first and second peripheral edges coupled to the middle portion of the expandable members such that the circumferential member maintains a generally uniform lateral spacing between the plurality of expandable members.

7. The extractor of claim 6, wherein the extractor includes a stop structure operable to stop the slidable movement of the slide mechanism in one direction.

8. The extractor of claim 7, wherein the stop structure includes a slop structure formed on the host structure.

9. The extractor of claim 7, wherein the stop structure includes a first stop structure connected to the host structure.

10. The extractor of claim 7, wherein the stop structure includes a first stop structure operable to stop the slidable movement of the slide mechanism in a first direction.

11. The extractor of claim 10, wherein the stop structure includes a second stop structure operable to stop the slidable movement of the slide mechanism in a second direction.

12. The extractor of claim 11, including a recessed section formed in an exterior surface of the host structure that defines a first end acting as the first stop structure and a second end acting as the second stop structure.

13. A vessel occluding material extractor, comprising;

a host structure having an elongate axis;

a plurality of expandable members connected to the host structure;

means for expanding the plurality of expandable members, including;

a first collar connected to the host structure and to a first end of the expandable members and slidable in the direction of the elongate axis; and

a second collar fixedly attached inside the host structure and connected to a second end of the expandable members such that the ends of the expandable members connected to the second collar bend around an end of the host structure; and

a circumferential member having a first peripheral edge and a second peripheral edge that are both of approximately equal circumference encircling a middle portion of the expandable members, where the circumferential member with its first and second peripheral edges is coupled to the middle portion of the expandable members such that the circumferential member maintains a generally uniform lateral spacing between the plurality of expandable members.

14. The extractor of claim 13, wherein the plurality of expandable members includes at least one expandable member having a hollow lumen for communication of drugs to a treatment site.

15. The extractor of claim 13, wherein means for expanding the expandable members includes a slide mechanism slidable in the direction of the elongate axis.

16. The extractor of claim 15, wherein the extractor includes means for arresting directional movement of the slide mechanism.

17. The extractor of claim 15, wherein the host structure includes an recessed section in which the slide mechanism slides.

18. The extractor of claim 17, wherein the recessed section includes a predetermined length that serves as a member for arresting the directional movement of the slide mechanism.

19. A positioning device, comprising;

a host structure having an elongate axis;

a plurality of expandable members connected to the host structure arrayed radially around the elongate axis, the expandable members having a unexpanded state and an expanded state, when in the expanded state the expandable members are operable to position the elongate axis of the positioning device within a lumen;

a slide mechanism, including;

a first collar connected to the host structure and to a first end of the expandable members and slidable in the direction of the elongate axis; and

a second collar fixedly attached inside the host structure and connected to a second end of the expandable members such that the ends of the expandable members connected to the second collar bend around an end of the host structure; and

a circumferential member having a first peripheral edge and a second peripheral edge that are both of approximate equal circumference encircling a middle portion of the expandable members and where the circumferential member with its first and second peripheral edges is coupled to the middle portion of the expandable members such that the circumferential member maintains a generally uniform lateral spacing between the plurality of expandable members.

20. A vessel occluding extractor, comprising;

a host structure having an elongate axis;

a plurality of expandable members connected to the host structure arrayed radially around the elongate axis;

a filtering material spanning between each adjacent expandable member to form a filter;

a slide mechanism, including;

a first collar connected to the host structure and to a first end of the expandable members and slidable in the direction of the elongate axis; and

a second collar fixedly attached inside the host structure and connected to a second end of the expandable members such that the ends of the expandable members connected to the second collar bend around an end of the host structure; and

a circumferential member having a first peripheral edge and a second peripheral edge that are both of approximately equal circumference encircling a middle portion of the expandable members, where the circumferential member with its first and second peripheral edges is coupled to the middle portion of the expandable members such that the circumferential member maintains a generally uniform lateral spacing between the plurality of expandable members.

21. The device of claim 20, wherein a plurality of expandable members connected to the host structure arrayed radially around the elongate axis includes expandable members having a unexpanded state and an expanded state.

22. The device of claim 21, wherein filtering material spanning between each adjacent expandable member includes filtering material spanning between all adjacent expandable members and has a diameter when in an expanded state that is greater than a lumen diameter within which the device is to be placed.