Medical retrieval devices and methods

• US 8,388,630 B2
• Filed: 09/16/2004
• Issued: 03/05/2013
• Est. Priority Date: 09/18/2003
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Teague, James A., Desmond, Joseph, Ward, Timothy, Riley, James, Ludwig, Ryan
• Primary Examiner(s): Houston, Elizabeth
• Application Number:
  US10/942,105
• Publication Number:
  US 20050119668A1
• Time in Patent Office: 3,092 Days
• Field of Search: 606/108, 606/110, 606/113, 606/114, 606/127, 606/190, 606/209, 606/106, 606/194, 606/198, 606/200, 606/159, 606/12, 604523-527, 604104-107
• US Class Current: 606/127
• 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 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61B 18/26 for producing a shock wave, e.g. laser lithotripsy
• CPC Class Codes: A61B 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/22069 Immobilising; Stabilising
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61B 2017/2217 single wire changing shape to a gripping configuration
• CPC Class Codes: A61B 2017/2901 Details of shaft
• CPC Class Codes: A61B 2017/2902 characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2090/306 using optical fibres

Abstract

In an exemplary embodiment of the present disclosure, a medical device includes an elongate member and a retrieval assembly. The retrieval assembly extends distally from the elongate member and is formed from a same piece of material as the elongate member. The retrieval assembly is formed by removing at least a portion of the same piece of material.

Claims

1. A medical device, comprising:

an elongate member including a longitudinal axis; and

a retrieval assembly extending distally from the elongate member, wherein the retrieval assembly and the elongate member are a continuous piece of a single material,

the retrieval assembly further comprising a distalmost end and a leg including a free distal end, the leg configured to transition from a substantially straight configuration when the retrieval assembly is in a collapsed state to a substantially curled configuration when the retrieval assembly is in an expanded state,

wherein, in the substantially straight configuration, the free distal end terminates at the distalmost end of the retrieval assembly,

wherein, in the substantially curled configuration, the free distal end is proximal the distalmost end of the retrieval assembly, and the leg defines a substantially enclosed area, and

wherein, in the substantially curled configuration, the leg intersects the longitudinal axis of the elongate member and defines a bend having a point directed towards the substantially enclosed area.

2. The device of claim 1, wherein the same piece of material is a hollow tube.

3. The device of claim 2, further comprising an optical fiber extending through a lumen defined by the tube.

4. The device of claim 3, wherein the bend is configured to assist in positioning the optical fiber towards the substantially enclosed area.

5. The device of claim 1, further comprising a sheath configured to receive the retrieval assembly and including a plurality of separate cutouts formed therein to alter the flexibility of the sheath, wherein the sheath further defines a lumen, the retrieval assembly having the collapsed state in which the retrieval assembly is substantially disposed within the lumen of the sheath, and the expanded state in which the retrieval assembly is substantially outside of the lumen of the sheath.

6. The device of claim 5, wherein the at least one cutout defines a shape to interlock neighboring portions of the sheath.

7. The device of claim 1, wherein the leg is configured to contact a biologic or foreign material in the substantially curled configuration to assist in removing the biologic or foreign material.

8. The device of claim 1, wherein the elongate member defines at least one lumen.

9. The device of claim 8, further including an optical fiber disposed within the at least one lumen of the elongate member.

10. The device of claim 1, wherein at least a portion of a proximal portion of the elongate member is removed to define corresponding interlocking portions.

11. The device of claim 1, wherein a portion of the leg distal to the bend is substantially parallel to the longitudinal axis of the elongate member.

12. The device of claim 1, wherein the leg extends across the longitudinal axis of the elongate member to a ramp portion defining the point.

13. The device of claim 1, wherein, in the substantially curled configuration, a portion of the leg distal to the bend is substantially parallel to the longitudinal axis of the elongate member.

14. The device of claim 1, wherein the leg defines a single path from the elongate member to the free distal end, and wherein the free distal end is unconnected to another leg.

15. A medical device, comprising:

an elongate member including a longitudinal axis; and

a retrieval assembly extending distally from the elongate member,

the retrieval assembly comprising a distalmost end and a leg including a free distal end, the leg configured to transition from a substantially straight configuration when the retrieval assembly is in a collapsed state to a substantially curled configuration when the retrieval assembly is in an expanded state,

wherein, in the substantially straight configuration, the free distal end terminates at the distalmost end of the retrieval assembly,

wherein, in the substantially curled configuration, the free distal end is proximal the distalmost end of the retrieval assembly, and the leg defines a substantially enclosed area, and

wherein, in the substantially curled configuration, the leg intersects the longitudinal axis of the elongate member and defines a bend greater than 90 degrees and having a point directed towards the substantially enclosed area.

16. The device of claim 15, wherein the leg is curled back and extends towards a proximal end of the device when in the substantially curled configuration.

17. The device of claim 15, wherein the leg is at least partially formed by one of cold working and hot working.

18. The device of claim 15, further including a sheath defining a lumen, the elongate member being at least partially disposed within the lumen, and the sheath being configured to assist in transitioning the retrieval assembly between the collapsed state and the expanded state.

19. The device of claim 15, wherein, in the substantially curled configuration, the distalmost end of the retrieval assembly is an intermediate portion of the leg.

20. The device of claim 15, wherein a portion of the leg distal to the bend is substantially parallel to the longitudinal axis of the elongate member.

21. The device of claim 15, wherein the elongate member includes a lumen, and wherein the bend is configured to position a medical device exiting the lumen towards the substantially enclosed area.

22. A medical device, comprising:

an elongate member including a longitudinal axis; and

a retrieval assembly extending distally from the elongate member, wherein the retrieval assembly and the elongate member are a continuous piece of a single material,

the retrieval assembly further comprising a distalmost end and a leg including a free distal end and a proximal end at the distal end of the elongate member, the leg configured to transition from a substantially straight configuration when the retrieval assembly is in a collapsed state to a substantially curled configuration when the retrieval assembly is in an expanded state,

wherein, in the substantially straight configuration, the free distal end terminates at the distalmost end of the retrieval assembly,

wherein, in the substantially curled configuration, the free distal end is proximal the distalmost end of the retrieval assembly, and the leg defines a substantially enclosed area, and

wherein, in sequential order along the leg from the a proximal end to the free distal end in the substantially curled configuration, the leg intersects the longitudinal axis of the elongate member, defines a bend having a point directed towards the substantially enclosed area, and reaches the distalmost end of the retrieval assembly.

23. The device of claim 22, wherein the retrieval assembly defines a width perpendicular to a longitudinal axis of the device and the retrieval assembly is configured to expand along its width when transitioning from the collapsed state to the expanded state.

24. The device of claim 22, wherein a portion of the leg distal to the bend is substantially parallel to the longitudinal axis of the elongate member.

25. The device of claim 22, wherein the elongate member includes a lumen, and wherein the bend is configured to position a medical device exiting the lumen towards the substantially enclosed area.