Thrombectomy system and method

• US 8,343,167 B2
• Filed: 08/06/2008
• Issued: 01/01/2013
• Est. Priority Date: 08/06/2007
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Reverse Medical Corporation (Medtronic Plc)
• Inventors: Henson, Michael R.
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): Papeika, Rachel S
• Application Number:
  US12/187,227
• Publication Number:
  US 20090054918A1
• Time in Patent Office: 1,609 Days
• Field of Search: 606/159, 606/1, 606/108, 606/110, 606113-114, 606/127, 606/200, 606/216, 148/402, 604/22, 604/508, 604/93.01
• US Class Current: 606/108
• 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 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/2217 single wire changing shape to a gripping configuration

Abstract

Disclosed is a clot and foreign body removal system, including a catheter with at least one lumen. Located within the catheter is a clot capture wire that is connected to a hub at the proximal end. In one embodiment, the clot capture wire includes a coil made out of an elastic or superelastic material, preferably nitinol. The elasticity or superelasticity of the coil allows it to be deformed within the catheter and to then reform its original coil configuration when the coil is moved outside of the catheter lumen. In another embodiment the coil is a biphasic, shape memory coil, which changes shape upon heating, energy application, or passing an electric current. Once the coil configuration has been established, the coil can be used to ensnare and corkscrew a clot or blockage in a vessel. A clot is extracted from the vessel by moving the clot capture coil and catheter proximally until the clot can be removed completely or released into a different vessel that does not perfuse a critical organ. Foreign bodies are similarly captured by deploying the coil distal to the foreign body and moving the clot capture coil proximally until the foreign body is trapped within the coil. By removing the device from the body, the foreign material is also removed.

Claims

1. A system for removing thrombus or other obstructive material from body lumen in a human or non-human animal subject, said system comprising:

a flexible catheter having a lumen and a distal opening in communication with said lumen;

an elongate member having a distal end, said elongate member being advanceable through the lumen of the catheter and out of the distal opening;

an obstructive material engaging structure located at or near the distal end of the elongate member, said obstructive material engaging structure comprising a shape memory wire, said shape memory wire comprising a proximal coil segment and a distal coil segment, each of said proximal and distal coil segments being transitionable, in response to energy delivered thereto, from a collapsed, straight configuration to an expanded, coiled configuration; and

and a source of energy connected to the proximal and distal coil segments and a control operable to i) selectively cause one of the proximal and distal coil segments to expand while the other does not or ii) cause the proximal and distal coil segments to expand at different expansion rates.

2. A system according to claim 1 wherein:

the source of energy comprises at least one heating element positioned so as to selectively heat said segment of the elongate member, thereby causing only said segment of the elongate member to transition from the collapsed configuration to the expanded configuration.

3. A system according to claim 1 wherein the obstructive material engaging structure forms a generally complex coil shape when in its expanded configuration.

4. A system according to claim 1 wherein at least the distal opening of the catheter is capable of diametric expansion.

5. A system according to claim 4 wherein a distal region of the catheter including the distal opening is capable of selective diametric expansion.

6. A system according to claim 4 wherein said distal region of the catheter undergoes diametric expansion in response to delivery of energy to said distal region and wherein the system further comprises:

a source of energy connected to the catheter for delivering energy to energy to said distal region to cause diametric expansion of said distal region.