Stent and other object removal from a body

• US 8,470,016 B2
• Filed: 09/22/2011
• Issued: 06/25/2013
• Est. Priority Date: 07/27/2005
• Status: Active Grant

• Current Assignee: AngioDynamics, Inc.
• Original Assignee: Paul Sherburne
• Inventors: Sherburne, Paul Stevenson
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US13/200,301
• Publication Number:
  US 20120016455A1
• Time in Patent Office: 642 Days
• Field of Search: 606/108, 606/191, 606/192, 606/194, 606/200, 604/103.07, 604/916, 623/1.11, 623/1.12, 623/1.23
• US Class Current: 623/1.11
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes precedence
• CPC Class Codes: A61B 17/22032 having inflatable gripping elements balloon catheters A61M25/10
• CPC Class Codes: A61B 2017/22035 for retrieving or repositioning foreign objects
• CPC Class Codes: A61B 2017/22051 with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation A61B2017/22048, A61B2017/3486 take precedence
• CPC Class Codes: A61B 2017/22079 with suction of debris
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/9528 for retrieval of stents
• CPC Class Codes: A61F 2002/9534 for repositioning of stents
• CPC Class Codes: A61M 2025/1031 Surface processing of balloon members, e.g. coating or deposition; Mounting additional parts onto the balloon member's surface
• CPC Class Codes: A61M 2025/1081 having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
• CPC Class Codes: A61M 2025/1084 having features for increasing the shape stability, the reproducibility or for limiting expansion, e.g. containments, wrapped around fibres, yarns or strands
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence
• CPC Class Codes: A61M 25/1027 Making of balloon catheters
• CPC Class Codes: A61M 25/1034 Joining of shaft and balloon

Abstract

This disclosure contains methods, devices, and systems for object removal from a body, including removal of a stent from a body. Some methods of the present disclosure include inflating a balloon on a catheter, engaging a stent with a socket defined by a surface of the balloon, the surface inwardly sloped toward a lumen of the catheter, and retracting a portion of the stent through the socket and into the lumen. The present disclosure also includes methods for making a catheter, including forming a balloon, inverting a portion of the balloon, and attaching the balloon to a catheter such that a surface of the balloon defines a socket that is inwardly sloped toward a lumen of the catheter.

Claims

1. A method for removal of an object located within an anatomical pathway of a blood circulatory system of a body with a catheter, the method comprising:

introducing a distal end of the catheter into the blood circulatory system in which the object is located, the catheter having a lumen with a distal opening;

navigating the distal end of the catheter within the anatomical pathway to a location that is proximal of the location of the object;

deploying a receiving socket on the distal end of the catheter, the receiving socket deployed by inflation of a balloon mounted on the catheter, the deployed receiving socket having a surface that is inwardly sloped toward the lumen, the deployed receiving socket comprising;

a plurality of polymer arms, each polymer arm having a proximal end and a distal end, the proximal end of each polymer arm attached to the catheter, each polymer arm hinging at the proximal end while the distal end of each polymer arm projects outward upon deployment of the receiving socket; and

flexible polymer material connecting the plurality of polymer arms, the flexible polymer material including a polymer sheet;

engaging the object with the surface of the deployed receiving socket distally of the distal opening of the lumen, the object having an outer profile;

moving the object through the deployed receiving socket and into the lumen such that the object is moved wholly into the lumen, the outer profile of the object being reduced distally of the distal opening as the object engages the surface of the deployed receiving socket and moves through the deployed receiving socket; and

removing the object from the body within the lumen.

2. The method of claim 1, wherein moving the object through the deployed receiving socket and into the lumen further comprises moving the object with a tool, the tool extending within the lumen.

3. The method of claim 1, wherein the outer profile is larger than the inner diameter of the lumen before the object is moved through the deployed receiving socket and into the lumen.

4. The method of claim 1, wherein the object compacts as the object is moved through the deployed receiving socket.

5. The method of claim 1, wherein the flexible polymer material is attached to the balloon.

6. The method of claim 5, wherein the flexible polymer material is attached to the balloon as a layer on the balloon.

7. The method of claim 1, wherein the lumen defines a passageway that is continuous with the surface of the deployed receiving socket.

8. The method of claim 1, further comprising deflating the balloon to reduce an outer profile of the catheter to facilitate withdrawal of the catheter from the anatomical pathway.

9. The method of claim 1, wherein navigating the distal end of the catheter comprises running the catheter over a guide wire.

10. The method of claim 1, wherein the object is a stent.

11. The method of claim 1, wherein the object is an artificial object.

12. The method of claim 1, wherein the object is a natural object.

13. A method for removal of an object located within an anatomical pathway of a blood circulatory system of a body with a catheter, the method comprising:

introducing a distal end of the catheter into the blood circulatory system in which the object is located, the catheter comprising a catheter shaft having a central lumen with a distal opening, the central lumen extending the entire length of the catheter shaft;

navigating the distal end of the catheter within the anatomical pathway to a location that is proximal of the location of the object;

inflating a balloon, the inflation of the balloon deploying a receiving socket on the distal end of the catheter, the deployed receiving socket having a surface that is inwardly sloped toward the central lumen, the balloon having a first tail mounted around the catheter shaft and attached to an outer surface of the catheter shaft and a second tail mounted around the catheter shaft distally of the first tail and attached to the outer surface of the catheter shaft, the balloon inflated through an inflation lumen;

engaging the object with the surface of the deployed receiving socket distally of the distal opening of the central lumen of the catheter shaft;

moving the object through the deployed receiving socket and into the central lumen, wherein the object is moved wholly into the central lumen and an outer profile of the object is reduced distally of the distal opening as the object engages the surface of the deployed receiving socket and moves through the deployed receiving socket; and

removing the object from the body.

14. The method of claim 13, wherein the receiving socket comprises a plurality of polymer arms and flexible polymer material connecting the plurality of polymer arms, each polymer arm having a proximal end and a distal end, the proximal end of each polymer arm attached to the catheter shaft and the distal end of each polymer arm projecting outwardly as the receiving socket is deployed.

15. The method of claim 13, wherein moving the object through the deployed receiving socket and into the central lumen further comprises moving the object with a tool.

16. The method of claim 13, wherein the outer profile is larger than the inner diameter of the central lumen before the object is moved through the deployed receiving socket and into the central lumen.

17. The method of claim 13, wherein the object compacts as the object is moved through the deployed receiving socket.

18. The method of claim 14, wherein the flexible polymer material is attached to the balloon.

19. A method for removal of an object located within an anatomical pathway of a blood circulatory system of a body with a catheter, the method comprising:

introducing a distal end of the catheter into the blood circulatory system in which the object is located, the catheter having a central lumen with a distal opening;

navigating the distal end of the catheter within the anatomical pathway to a location that is proximal of the location of the object;

deploying a receiving socket on the distal end of the catheter, the receiving socket deployed by inflation of a balloon mounted on the catheter, the deployed receiving socket having a surface that is inwardly sloped toward the central lumen, the deployed receiving socket comprising;

a plurality of polymer arms, each polymer arm having a proximal end and a distal end, the proximal end of each polymer arm attached to the catheter, each polymer arm hinging at the proximal end while the distal end of each polymer arm projects outward upon deployment of the receiving socket; and

flexible polymer material connecting the plurality of polymer arms, the flexible polymer material including a polymer sheet;

engaging the object with the surface of the deployed receiving socket distally of the distal opening of the central lumen;

moving the object through the deployed receiving socket and into the central lumen such that the object is moved wholly into the central lumen, the object moving along the surface of the deployed receiving socket distally of the distal opening as the object moves through the deployed receiving socket; and

removing the object from the body.

20. The method of claim 19, wherein the flexible polymer material is attached to the balloon.