Loop thrombectomy device

• US 8,361,095 B2
• Filed: 02/17/2009
• Issued: 01/29/2013
• Est. Priority Date: 02/17/2009
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Osborne, Thomas A.
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): Eastwood, David
• Application Number:
  US12/372,352
• Publication Number:
  US 20100211087A1
• Time in Patent Office: 1,442 Days
• Field of Search: 606/108, 606/127, 606/159, 606/200, 600/569, 604/22
• US Class Current: 606/159
• 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 2017/320716 comprising means for preventing embolism by dislodged material
• CPC Class Codes: A61B 2017/320733 with a flexible cutting or scraping element, e.g. with a whip-like distal filament member

Abstract

A thrombectomy device may include an elongate torsion member having a proximal end and a distal end, and a plurality of helically arranged engagement members disposed at a distal portion of the elongate torsion member. Preferably, at least a portion of the engagement members has a rounded, atraumatic shape. The engagement members have a collapsed state where the engagement members are compressed toward the elongate torsion member, and an expanded state where the engagement members are expanded radially outward. Preferably, the engagement members are attached to and extends radially outward from the elongate torsion member at a different longitudinal point such that the engagement members are spaced longitudinally and circumferentially from each other when in the expanded state. When the thrombectomy device is deployed in a body lumen or cavity, the engagement members expands out to contact a wall of the body lumen or cavity.

Claims

1. A medical device for removing a thrombus, the device comprising:

an elongate torsion member having a proximal end and a distal end; and

a plurality of helically arranged engagement members disposed at a distal portion of said elongate torsion member, said engagement members having a collapsed state within a sheath for delivery to a treatment site within a patient wherein said engagement members are compressed toward said elongate torsion member, and an expanded state wherein said engagement members are expanded radially outward, said helically arranged engagement members being configured to twistingly engage a thrombus and guide said thrombus along a helical path defined by said plurality of helically arranged engagement members;

wherein said engagement members are attached to and extend radially outward from said elongate torsion member at different longitudinal points along said elongate torsion member such that adjacent engagement members are spaced longitudinally and circumferentially from each other when in said expanded state, and wherein, in said expanded state at least a radially outermost portion of each of said engagement members has a rounded atraumatic shape that arcs between two sides of a loop.

2. The medical device of claim 1, wherein when deployed in a body lumen or cavity, said engagement members expand out such that said rounded atraumatic shape of said engagement members contacts a wall of said body lumen or cavity.

3. The medical device of claim 1, wherein an entirety of each of said engagement members consists of loop of wire that extends from said longitudinal point on said torsion member in a continuous manner, said loop of wire being made of a material having super-elastic characteristics.

4. The medical device of claim 3, wherein said elongate torsion member is a metallic shaft made from a flexible metallic material and said wire of each of said engagement members is permanently attached to said different longitudinal points.

5. The medical device of claim 3, wherein said elongate torsion member is a torque cable that is woven from a plurality of metallic wire strands, and wherein said wire forming said engagement members is a single continuous wire woven into said torque cable.

6. The medical device of claim 5, wherein said wire strands and said wire forming said engagement members are made of nitinol.

7. The medical device of claim 5, further comprising a torque shaft fixedly attached to said proximal end of said elongate torsion member.

8. The medical device of claim 7, further comprising a handle that engages said torque shaft such that when said handle is rotated said engagement members are also rotated.

9. The medical device of claim 1, wherein a distal tip of said torsion member has a blunt atraumatic shape.

10. The medical device of claim 7, wherein said sheath comprises a spring member disposed at a distal end thereof, said spring member having a compressed configuration in which said spring member has a diameter substantially equal to a diameter of said sheath, and an expanded configuration in which at least a portion of said spring member has a diameter that is larger than said diameter of said sheath.

11. The medical device of claim 10, wherein said spring member has a proximal end that is restrained and a distal end that is unrestrained in said expanded state, such that said spring member has a cone like shape when expanded.

12. The medical device of claim 11, wherein a distal end of said sheath comprises pleats that are folded when said spring member is in said compressed configuration, and that are unfolded when said spring member is in said expanded configuration.

13. The medical device of claim 11, wherein at least a distal portion of said sheath is made of an elastic polymer that is coupled to said spring member such that said elastic polymer stretches when said spring member moves from said compressed to said expanded configuration.

14. The medical device of claim 13, further comprising a substantially inelastic outer sheath disposed on an outer surface of said sheath and slidably movable thereupon, said outer sheath restraining said spring member in said compressed configuration.

16. The medical device of claim 1, wherein said engagement members are formed from a continuous length of wire.

17. The medical device of claim 16, wherein said wire is made of nitinol.

15. A medical device for removing a thrombus, the device comprising:

1) a torque cable that is woven from a plurality of metallic wire strands, said torque cable having a proximal end and a distal end, said distal end having a blunt atraumatic shape;

2) a plurality of helically arranged engagement members disposed at a distal portion of said torque cable, said members having a collapsed state within a sheath for delivery to a treatment site within a patient wherein said engagement members are compressed radially inward, and an expanded state wherein said engagement members are expanded radially outward, wherein in said expanded state at least a radially outermost portion of each of said engagement members has a rounded atraumatic shape that arcs between two sides of a loop, said helically arranged engagement members being configured to twistingly engage a thrombus and guide said thrombus along a helical path defined by said plurality of helically arranged engagement members,

wherein each of said engagement members is a loop of wire extending from said torsion member in a continuous manner that is woven into said torque cable such that each engagement member extends radially outward from said torque cable at a different longitudinal point along said torque cable and adjacent engagement members are spaced longitudinally and circumferentially from each other when in said expanded state; and

3) said sheath being disposed around said torque cable and having a diameter that is less than a diameter of said helical arrangement of said engagement members in said expanded state, said sheath comprising a spring member disposed at a distal end thereof, said spring member having a compressed configuration in which said spring member has a diameter substantially equal to an inner diameter of said sheath, and an expanded configuration in which at least a portion of said spring member has a diameter that is larger than said diameter of said sheath,

wherein said spring member has a proximal end that is restrained and a distal end that is unrestrained in said expanded state, such that said spring member has a cone like shape when expanded.