Device for retrieving a foreign object located in a body vessel

• US 8,167,903 B2
• Filed: 06/04/2008
• Issued: 05/01/2012
• Est. Priority Date: 06/04/2008
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Hardert, Michael W., Deckard, Michael D.
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): NGUYEN, TIN DUC
• Application Number:
  US12/132,836
• Publication Number:
  US 20090306678A1
• Time in Patent Office: 1,427 Days
• Field of Search: 606/127, 606/200, 606/208, 606/113, 606/114, 606/198, 606/110, 623/1.22, 623/1.11, 623/1.49, 604/96.01
• US Class Current: 606/200
• 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 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/22035 for retrieving or repositioning foreign objects
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means

Abstract

In at least one embodiment of the present invention, a retrieval device for entrapping and retaining a foreign object located in a body vessel for its extraction therefrom is provided. The device comprises a cage having a proximal end and a distal end and a longitudinal axis extending between the proximal and distal ends. The cage is radially expandable about the longitudinal axis to define an expanded state and to form an opening at the distal end for receiving the foreign object. The cage is collapsible to define a collapsed state and to retain the foreign object therein such that the foreign object is substantially aligned with the longitudinal axis. Extending proximally from the proximal end of the cage is a cable for retrieval of the device in the collapsed state.

Claims

1. A retrieval device for entrapping and retaining a foreign object located in a body vessel for its extraction therefrom, the device comprising:

a cage having a proximal end and a distal end and a longitudinal axis extending between the proximal and distal ends, the cage including;

a plurality of longitudinal bars extending an entire length of the cage and between the proximal and distal ends, the longitudinal bars forming a cylindrical portion in an expanded state, the cylindrical portion defining a cylinder volume; and

a plurality of struts connecting adjacent longitudinal bars, each strut having two ends adjoining the adjacent longitudinal bars and a pivotal joint disposed between the two ends, each strut extending proximally from the two ends to the pivotal joint to define a “

V”

shape in the expanded state, each strut being biased inwardly toward the longitudinal axis such that the pivotal joint is disposed within the cylinder volume in the expanded state to facilitate retaining the foreign object within the cage, the pivotal joints unfolding to move the longitudinal bars radially outward from the longitudinal axis, radially expanding the cage about the longitudinal axis to define the expanded state and forming an opening at the distal end for receiving the foreign object, and the pivotal joints folding to collapse the longitudinal bars along the longitudinal axis, collapsing the cage to define a collapsed state and to retain the foreign object therein such that the foreign object is substantially aligned with the longitudinal axis, the plurality of struts comprising a distal plurality of struts and a proximal plurality of struts, the distal plurality of struts forming a distal ring connected to each of the longitudinal bars and forming the distal end of the cage, the proximal plurality of struts forming a proximal ring connected to each of the longitudinal bars along the cylindrical portion and spaced apart from the distal ring, the longitudinal axis extending through a central point of the proximal ring and through a central point of the distal ring; and

a cable extending proximally from the proximal end of the cage for retrieval of the device in the collapsed state, wherein the pivotal joints of the distal plurality of struts point toward the cable.

2. The retrieval device according to claim 1 wherein the cage is configured to be disposed within a sheath to restrain the cage in the collapsed state and to self-expand to the expanded state upon being advanced out of the sheath.

3. The retrieval device according to claim 1 wherein the cable has a lumen formed therethrough providing fluid communication between the cage and one of an aspirating source and an injection source.

4. The retrieval device according to claim 1 wherein the cage includes at least one of Nitinol, Nickel-Titanium alloy, shape memory alloy and stainless steel.

5. The retrieval device according to claim 1 wherein the cage in the expanded state has a maximum diameter less than a diameter of a lumen of the body vessel allowing the cage in the expanded state to be moved distally and proximally within the body vessel.

6. The retrieval device according to claim 1 wherein the struts in the expanded state are positioned at an angle to the longitudinal axis of less than about 45 degrees.

7. The retrieval device according to claim 1 wherein the struts are self-expanding and circumferentially aligned about at least one location along the longitudinal axis forming at least one ring that is connected to each of the longitudinal bars, providing radial force to expand the cage.

8. The retrieval device according to claim 7 wherein one of the at least one ring is formed at the distal end of the cage.

9. The retrieval device according to claim 1 wherein the cage further includes a connecting joint at the proximal end of the cage, each of the longitudinal bars being connected to the connecting joint which is connected to the cable.

10. The retrieval device according to claim 9 wherein the connecting joint has a diameter defined by the connection of the longitudinal bars with the connection joint, the diameter being less than a maximum diameter of the cage in the expanded state.

11. The retrieval device of claim 1, wherein the proximal ring is located at a proximal side of the cylindrical portion.

12. The retrieval device of claim 11, the plurality of struts further comprising a middle plurality of struts, the middle plurality of struts forming a middle ring connected to each of the longitudinal bars, the middle ring located about half way between the proximal ring and the distal ring.

13. A retrieval device for entrapping and retaining a foreign object located in a body vessel for its extraction therefrom, the device comprising:

a cage having a proximal end and a distal end, a longitudinal axis extending between the proximal and distal ends and a plurality of longitudinal bars extending an entire length of the cage and between the proximal end and the distal end, the longitudinal bars forming a cylindrical portion in an expanded state, the cylindrical portion defining a cylinder volume, the longitudinal axis extending through a center of the cylinder volume and being parallel to portions of each of the longitudinal bars that form the cylindrical portion, the cage being radially expandable about the longitudinal axis to define an expanded state and to form an opening at the distal end for receiving the foreign object, and being collapsible to define a collapsed state and to retain the foreign object therein such that the foreign object is substantially aligned with the longitudinal axis;

a plurality of struts each having a “

V”

shape with a pivotal joint disposed between two ends that connect adjacent longitudinal bars together, the pivotal joints unfolding to move the longitudinal bars radially outward from the longitudinal axis, each strut biased inwardly toward the longitudinal axis such that the pivotal joint is disposed within the cylinder volume in the expanded state to facilitate retaining the foreign object within the cage, the plurality of struts comprising a distal plurality of struts that form a distal ring connected to each of the longitudinal bars and forming the distal end of the cage; and

a cable extending proximally from the proximal end of the cage for retrieval of the device in the collapsed state, wherein the pivotal joints of the distal plurality of struts point toward the cable.

14. The retrieval device according to claim 13 wherein the cage is configured to be disposed within a sheath to restrain the cage in the collapsed state and to self-expand to the expanded state upon being advanced out of the sheath.

15. The retrieval device according to claim 13 wherein the cable has a lumen formed therethrough providing fluid communication between the cage and one of an aspirating source and an injection source.

16. The retrieval device according to claim 13 wherein the cage in the expanded state has a maximum diameter less than a diameter of a lumen of the body vessel allowing the cage in the expanded state to be moved distally and proximally within the body vessel.

17. A retrieval kit for entrapping and retaining a foreign object located in a body vessel for its extraction therefrom, the kit comprising:

a sheath for positioning in the body vessel; and

a retrieval device including;

a cage having a proximal end and a distal end, a longitudinal axis extending between the proximal and distal ends and a plurality of longitudinal bars extending an entire length of the cage and between the proximal and distal ends, the longitudinal bars forming a cylindrical portion in an expanded state, the cylindrical portion defining a cylinder volume, the longitudinal axis extending through a center of the cylinder volume and being parallel to portions of each of the longitudinal bars that form the cylindrical portion, the cage being radially expandable about the longitudinal axis to define an expanded state and to form an opening at the distal end for receiving the foreign object, and being collapsible to define a collapsed state and to retain the foreign object therein such that the foreign object is substantially aligned with the longitudinal axis, the cage configured to be disposed within the sheath in the collapsed state and to be advanced out of the sheath for expanding into the expanded state; and

a plurality of struts each having a “

V”

shape with a pivotal joint disposed between two ends that connect adjacent longitudinal bars together, the pivotal joints unfolding to move the longitudinal bars radially outward from the longitudinal axis, each strut biased inwardly toward the longitudinal axis such that the pivotal joint is disposed within the cylinder volume in the expanded state to facilitate retaining the foreign object within the cage, the plurality of struts comprising a distal plurality of struts that form a distal ring connected to each of the longitudinal bars and forming the distal end of the cage; and

a cable extending proximally from the proximal end of the cage for recovering the cage into the sheath to retrieve the device in the collapsed state, wherein the pivotal joints of the distal plurality of struts point toward the cable.

18. The kit according to claim 17 further comprising a guide catheter for percutaneous insertion into the body vessel and through which the sheath is inserted to position the sheath within the body vessel.

19. The kit according to claim 18 further comprising a guidewire for guiding the guide catheter in the body vessel.

20. The kit according to claim 17 wherein the cage includes:

a plurality of struts each having a pivotal joint and connecting the longitudinal bars together, the pivotal joints folding to collapse the longitudinal bars along the longitudinal axis defining the collapsed state of the cage and unfolding to move the longitudinal bars radially outward from the longitudinal axis defining the expanded state of the cage;

a connecting joint at the proximal end of the cage, each of the longitudinal bars being connected to the connecting joint which is connected to the cable; and

wherein the plurality of longitudinal bars extending an entire length of the cage and between the proximal and distal ends of the cage;

wherein the struts are self-expanding and circumferentially aligned about at least one location along the longitudinal axis forming at least one ring that is connected to each of the longitudinal bars, providing radial force to expand the cage.