Mechanical pump for removal of fragmented matter and methods of manufacture and use

• US 8,545,447 B2
• Filed: 08/20/2012
• Issued: 10/01/2013
• Est. Priority Date: 09/17/1999
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Demarais, Denise M., Leeflang, Stephen A., Evans, Michael A., Watanabe, Gwendolyn A., Tanner, John C. III, Eversull, Christian S.
• Primary Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US13/589,431
• Publication Number:
  US 20120316586A1
• Time in Patent Office: 407 Days
• Field of Search: 604/159, 604/113, 604/114, 604/127, 604/128, 604/115
• US Class Current: 604/159
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 2017/00685 Archimedes screw
• CPC Class Codes: A61B 2017/320775 Morcellators, impeller or propeller like means
• CPC Class Codes: A61M 25/0023 by the form of the lumen, e.g. cross-section, variable diameter
• CPC Class Codes: A61M 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

Material transport catheters and methods for their use rely on rotation of an impeller within a catheter body and a clearing element for preventing buildup of materials at the opening of the catheter body. The impeller preferably comprises an inner tube or shaft having a helical rotor fainted over an outer surface thereof. The clearing element may comprise a free end of a structure near the distal end of the catheter body for disrupting clot, wherein the free end of the structure extends into the distal opening of the catheter body to break up materials as the impeller is rotated. Alternatively, the clearing element may comprise a cutting member disposed at the distal opening of the catheter body.

Claims

1. Apparatus for transporting material between a target site in a lumen of a body and a location external to the body, the apparatus comprising:

an impeller including an elongate flexible tube defining a lumen, a coiled rotor element disposed over an outer surface of the tube, and a jacket securing the coiled rotor element to the outer surface of the tube;

means for introducing the impeller to the target site; and

means for rotating the coiled rotor element within the body lumen to advance the material proximally away from the target site.

2. The apparatus of claim 1, the impeller further comprising a macerator attached at a distal end of the coiled rotor element, wherein rotating the coiled rotor element further comprises rotating the macerator.

3. The apparatus of claim 1, the impeller further comprising a clearing element comprising a cutting disk attached to the coiled rotor element.

4. The apparatus of claim 1, wherein a distal portion of the coiled rotor element is unattached to the tube to provide a whip element as the coiled rotor element is rotated.

5. The apparatus of claim 1, wherein the tube has an outer diameter in the range from 0.5 mm to 5 mm, and the coiled rotor element has a pitch in the range from 1 to 50 turns/cm.

6. The apparatus of claim 1, further comprising a second coiled rotor element disposed within the lumen of the tube.

7. The apparatus of claim 6, wherein the first and second coiled rotor elements are counterwound.

8. The apparatus of claim 6, wherein the first and second coiled rotor elements are co-wound.

9. The apparatus of claim 1, wherein the tube comprises a braided tube, a mesh tube, a coil, a stacked coil, or a coil-reinforced polymer tube.

10. The apparatus of claim 9, wherein the coiled rotor element comprises a single filament, a multi-filar, stacked filaments, or multiple filament cable.

11. The apparatus of claim 10, wherein the filaments comprise a round wire, a ribbon wire, or a wire having an irregular cross-section.

12. A method for transporting material between a target site in a lumen of a body and a location external to the body, the method comprising:

introducing a distal end of an impeller to the target site, the impeller including an elongate, hollow, flexible tube, a coiled rotor element disposed over an outer surface of the tube, and a jacket securing the coiled rotor element to the outer surface of the tube; and

rotating the coiled rotor element within the body lumen to advance the material proximally away from the target site.

13. The method of claim 12, the impeller further comprising a macerator attached at a distal end of the coiled rotor element, wherein rotating the coiled rotor element further comprises rotating the macerator.

14. The method of claim 12, the impeller further comprising a clearing element comprising a cutting disk attached to the coiled rotor element.

15. The method of claim 12, wherein a distal portion of the coiled rotor element is unattached to the tube to provide a whip element as the coiled rotor element is rotated.

16. The method of claim 12, wherein the tube has an outer diameter in the range from 0.5 mm to 5 mm, and the coiled rotor element has a pitch in the range from 1 to 50 turns/cm.

17. The method of claim 12, further comprising a second coiled rotor element disposed within the lumen of the tube.

18. The method of claim 17, wherein the first and second coiled rotor elements are counterwound.

19. The method of claim 17, wherein the first and second coiled rotor elements are co-wound.

20. The method of claim 12, wherein the tube comprises a braided tube, a mesh tube, a coil, a stacked coil, or a coil-reinforced polymer tube.

21. The method of claim 20, wherein the coiled rotor element comprises a single filament, a multi-filar, stacked filaments, or multiple filament cable.

22. The method of claim 21, wherein the filaments comprise a round wire, a ribbon wire, or a wire having an irregular cross-section.