Snare

• US 8,974,469 B2
• Filed: 04/22/2010
• Issued: 03/10/2015
• Est. Priority Date: 04/22/2010
• Status: Active Grant

• Current Assignee: Medical Device Technologies, Inc. (Angiotech Pharmaceuticals Incorporated)
• Original Assignee: Medical Device Technologies, Inc. (Angiotech Pharmaceuticals Incorporated)
• Inventors: Taube, Andris, Quest, Matthew M., Marcoux, Sophie
• Primary Examiner(s): Holwerda, Kathleen
• Assistant Examiner(s): ALEMAN, SARAH WEBB
• Application Number:
  US12/765,574
• Publication Number:
  US 20110264106A1
• Time in Patent Office: 1,783 Days
• Field of Search: 606/108, 606/110, 606/113, 606/114, 606/127, 606/159, 606/200
• US Class Current: 606/113
• CPC Class Codes: A61B 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes precedence
• CPC Class Codes: A61B 17/221 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 17/50 Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body locating otherwise A61B5/06; locating by radiation A61B6/00; removing calculi A61B17/22; from the eyes A61F9/00709
• CPC Class Codes: A61B 2017/22035 for retrieving or repositioning foreign objects
• 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 2090/3966 Radiopaque markers visible in an X-ray image
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2002/9528 for retrieval of stents

Abstract

A snare for snaring an article in a vessel of a vascular system or other body vessel. The snare includes a core cable having a proximal end portion and a distal end portion. The snare also includes first, second and third loops each having a proximal end portion and a distal end portion, and a mid-portion therebetween formed by spaced apart first and second sides connected together at the distal end portion of the loop. The mid-portions of each of the loops cross over mid portions of one of the other two loops, and the loops are only connected together at their proximal end portions, where they are gathered together and attached to the distal end portion of the core cable. The loops are movable between an open position and a closed position.

Claims

1. A snare for snaring an article, comprising:

a core cable having a proximal end portion and a circumference at a distal end portion; and

first, second and third loops, each of the first, second and third loops having a proximal end portion and a distal end portion, and a mid-portion therebetween, and being formed by spaced apart first and second sides connected together at the distal end portion of the loop, the distal end portions being positioned forward of the proximal end portions, the first side of the first loop and the second side of the second loop being arranged with one crossing over the other at a first crossover point and being disconnected, the first side of the second loop and the second side of the third loop being arranged with one crossing over the other at a second crossover point and being disconnected, and the first side of the third loop and the second side of the first loop being arranged with one crossing over the other at a third crossover point and being disconnected, wherein the second side of the second loop is positioned inward of the first side of the first loop at the first crossover point, and wherein the second side of the third loop is positioned inward of the first side of the second loop at the second crossover point, and wherein the second side of the first loop is positioned inward of the first side of the third loop at the third crossover point, the distal end portions of the first, second and third loops being disconnected from each other, the proximal end portions of the first, second and third loops each comprising two proximal ends, each proximal end being directly coupled to and positioned around the circumference of the distal end portion of the core cable such that the two proximal ends of the first loop are separated from one another by one proximal end of the second loop and one proximal end of the third loop, the two proximal ends of the second loop are separated from one another by a proximal end of the first loop and a proximal end of the third loop, and the two proximal ends of the third loop are separated from one another by a proximal end of the first loop and a proximal end of the second loop, the first, second and third loops being movable between an open position whereat the first, second and third loops extend laterally outwardly with their distal end portions in an open position and define a space therebetween for receiving at least a portion of the article therein, and a collapsed position whereat the first, second and third loops are positioned laterally inwardly from their open position with their distal end portions in a closed position closer together than when in the open position, and the mid-portions of the first, second and third loops being disconnected from each other to permit independent movement of each as the first, second and third loops are moved between the open and closed positions, wherein the distal end portion of each of the first, second and third loops has an arcuate shape, the first, second and third loops when in the open position extend laterally outwardly and forward with the mid-portions of the first, second and third loops at an angle ranging from 90 to approximately 120 degrees relative to the distal end portion of the core cable, and the distal end portion of each of the first, second and third loops curves in the direction of the core cable.

2. The snare of claim 1, wherein the first side of the first loop and the second side of the second loop cross over the other at a location away from the proximal end portion of each by about 40-60 percent of the length of the total distance between the proximal end portion and the distal end portion thereof, first side of the second loop and the second side of the third loop cross over the other at a location away from the proximal end portion of each by about 40-60 percent of the length of the total distance between the proximal end portion and the distal end portion thereof, and the first side of the third loop and the second side of the first loop cross over the other at a location away from the proximal end portion of each by about 40-60 percent of the length of the total distance between the proximal end portion and the distal end portion thereof.

3. The snare of claim 1, wherein the first, second and third loops each have substantially the same length from its proximal end portion to its distal end portion.

4. The snare of claim 1, wherein the first, second and third loops each has at least one of a shape memory and a superelastic characteristic.

5. The snare of claim 1, wherein each of the first, second and third loops is formed from multiple strands of material.

6. The snare of claim 1, further comprising:

an elongate sheath adapted to penetrate into a body vessel and sized to receive the core cable and the first, second and third loops, the elongate sheath including a distal end having an opening such that the first, second and third loops may be retracted within the sheath and protracted therefrom by selectively manipulating the proximal end portion of the core cable relative to the sheath.

7. The snare of claim 1, wherein each of the first, second and third loops includes a material that provides radiopacity.

8. The snare of claim 1, wherein each of the first, second and third loops is formed from multiple strands of nitinol wire.

9. The snare of claim 1, wherein each of the first, second and third loops is formed from multiple strands of wires including nitinol wire and wire comprising radiopaque material.

10. The snare of claim 1, wherein each of the first, second and third loops is attached to the core cable by solder.

11. The snare of claim 1, wherein each of the first, second and third loops is attached to the core cable by a crimped ferrule.

12. The snare of claim 1, wherein the core cable is formed from a nitinol wire that is tapered near the distal end portion of the core cable.

13. The snare of claim 1, wherein the first, second and third loops have substantially identical shapes.

14. The snare of claim 1, wherein the first, second and third loops when in the open position extend laterally outwardly and forward with the mid-portions of the first, second and third loops at an angle of about 120 degrees relative to the distal end portion of the core cable.

15. A snare for snaring an article, comprising:

first, second and third loops, each of the first, second and third loops having a proximal end portion and a distal end portion, and a mid-portion therebetween, and being formed by spaced apart first and second sides connected together at the distal end portion of the loop, the distal end portions being positioned forward of the proximal end portions, the first side of the first loop and the second side of the second loop being arranged with one crossing over the other and being disconnected, the first side of the second loop and the second side of the third loop being arranged with one crossing over the other and being disconnected, and the first side of the third loop and the second side of the first loop being arranged with one crossing over the other and being disconnected, wherein the second side of the second loop is positioned inward of the first side of the first loop, and wherein the second side of the third loop is positioned inward of the first side of the second loop, and wherein the second side of the first loop is positioned inward of the first side of the third loop, the distal end portions of the first, second and third loops being disconnected from each other, the proximal end portions of the first, second and third loops each comprising two proximal ends, each proximal end being directly coupled to and positioned around the circumference of the distal end portion of the core cable such that the two proximal ends of the first loop are separated from one another by one proximal end of the second loop and one proximal end of the third loop, the two proximal ends of the second loop are separated from one another by a proximal end of the first loop and a proximal end of the third loop, and the two proximal ends of the third loop are separated from one another by a proximal end of the first loop and a proximal end of the second loop, the first, second and third loops being movable between an open position whereat the first, second and third loops extend laterally outwardly with their distal end portions in an open position and define a space therebetween for receiving at least a portion of the article therein, and a collapsed position whereat the first, second and third loops are positioned laterally inwardly from their open position with their distal end portions in a closed position closer together than when in the open position, and the mid-portions of the first, second and third loops being disconnected from each other to permit independent movement of each as the first, second and third loops are moved between the open and closed positions, wherein the distal end portion of each of the first, second and third loops has an arcuate shape, the first, second and third loops when in the open position extend laterally outwardly and forward with the mid-portions of the first, second and third loops at an angle ranging from 90 to approximately 120 degrees relative to the distal end portion of the core cable, and the distal end portion of each of the first, second and third loops curves in the direction of the core cable.

16. The snare of claim 15, further comprising:

a core cable having a proximal end portion and a distal end portion, wherein the proximal end portions of the first, second and third loops are gathered together and attached to the distal end portion of the core cable.

17. A snare for snaring an article, comprising:

a core cable having a proximal end portion and a distal end portion; and

first, second and third loops formed from material including nitinol wire, each of the first, second and third loops having a proximal end portion and a distal end portion, and a mid-portion therebetween, and being formed by spaced apart first and second sides connected together at the distal end portion of the loop, the distal end portions being positioned forward of the proximal end portions and being curved forwardly away from the mid-portions thereof, the first side of the first loop and the second side of the second loop being arranged with one crossing over the other and being disconnected, the first side of the second loop and the second side of the third loop being arranged with one crossing over the other and being disconnected, and the first side of the third loop and the second side of the first loop being arranged with one crossing over the other and being disconnected, the distal end portions of the first, second and third loops being disconnected from each other, wherein the second side of the second loop is positioned inward of the first side of the first loop, and wherein the second side of the third loop is positioned inward of the first side of the second loop, and wherein the second side of the first loop is positioned inward of the first side of the third loop, the proximal end portions of the first, second and third loops each comprising two proximal ends, each proximal end being directly coupled to and positioned around the circumference of the distal end portion of the core cable such that the two proximal ends of the first loop are separated from one another by one proximal end of the second loop and one proximal end of the third loop, the two proximal ends of the second loop are separated from one another by a proximal end of the first loop and a proximal end of the third loop, and the two proximal ends of the third loop are separated from one another by a proximal end of the first loop and a proximal end of the second loop, the first, second and third loops being movable between an open position whereat the first, second and third loops extend laterally outwardly with their distal end portions in an open position and define a space therebetween for receiving at least a portion of the article therein, and a collapsed position whereat the first, second and third loops are positioned laterally inwardly from their open position with their distal end portions in a closed position closer together than when in the open position for grasping between at least one of the first, second and third loops the portion of the article in the space, and the mid-portions of the first, second and third loops being disconnected from each other to permit independent movement of each as the first, second and third loops are moved between the open and closed positions, wherein the distal end portion of each of the first, second and third loops has an arcuate shape, and the first, second and third loops when in the open position extend laterally outwardly and forward with the mid-portions of the first, second and third loops at an angle ranging from 90 to approximately 120 degrees relative to the distal end portion of the core cable.

18. A snare for snaring an article, comprising:

first, second and third cables, each of the first, second and third cables having a first portion, second portion and a loop portion spaced between the first portion and the second portion, each of the first, second, and third loop portions having a proximal end portion and a distal end portion, and a mid-portion therebetween, and being formed by spaced apart first and second sides connected together at the distal end portion of the loop portion, the distal end portions being positioned forward of the proximal end portions, the first side of the first loop portion and the second side of the second loop portion being arranged with one crossing over the other and being disconnected, the first side of the second loop portion and the second side of the third loop portion being arranged with one crossing over the other and being disconnected, and the first side of the third loop portion and the second side of the first loop portion being arranged with one crossing over the other and being disconnected, wherein the second side of the second loop is positioned inward of the first side of the first loop, and wherein the second side of the third loop is positioned inward of the first side of the second loop, and wherein the second side of the first loop is positioned inward of the first side of the third loop, the distal end portions of the first, second and third loop portions being disconnected from each other, the proximal end portions of the first, second and third loops each comprising two proximal ends, each proximal end being directly coupled to and positioned around the circumference of the distal end portion of the core cable such that the two proximal ends of the first loop are separated from one another by one proximal end of the second loop and one proximal end of the third loop, the two proximal ends of the second loop are separated from one another by a proximal end of the first loop and a proximal end of the third loop, and the two proximal ends of the third loop are separated from one another by a proximal end of the first loop and a proximal end of the second loop, the first, second and third loop portions being movable between an open position whereat the first, second and third loop portions extend laterally outwardly with their distal end portions in an open position and define a space therebetween for receiving at least a portion of the article therein, and a collapsed position whereat the first, second and third loop portions are positioned laterally inwardly from their open position with their distal end portions in a closed position closer together than when in the open position, and the mid-portions of the first, second and third loop portions being disconnected from each other to permit independent movement of each as the first, second and third loop portions are moved between the open and closed positions, wherein the distal end portion of each of the first, second and third loops has an arcuate shape, and the first, second and third loops when in the open position extend laterally outwardly and forward with the mid-portions of the first, second and third loops at an angle ranging from 90 to approximately 120 degrees relative to the distal end portion of the core cable.

19. A method for snaring an article inside a body vessel, comprising:

inserting a snare into the body vessel, the snare comprising;

a core cable having a proximal end portion and a distal end portion;

first, second and third loops, each of the first, second and third loops having a proximal end portion and a distal end portion, and a mid-portion therebetween, and being formed by spaced apart first and second sides connected together at the distal end portion of the loop, the distal end portions being positioned forward of the proximal end portions, the first side of the first loop and the second side of the second loop being arranged with one crossing over the other and being disconnected, the first side of the second loop and the second side of the third loop being arranged with one crossing over the other and being disconnected, and the first side of the third loop and the second side of the first loop being arranged with one crossing over the other and being disconnected, the distal end portions of the first, second and third loops being disconnected from each other, the proximal end portions of the first, second and third loops each comprising two proximal ends, each proximal end being directly coupled to and positioned around the circumference of the distal end portion of the core cable such that the two proximal ends of the first loop are separated from one another by one proximal end of the second loop and one proximal end of the third loop, the two proximal ends of the second loop are separated from one another by a proximal end of the first loop and a proximal end of the third loop, and the two proximal ends of the third loop are separated from one another by a proximal end of the first loop and a proximal end of the second loop, wherein the second side of the second loop is positioned inward of the first side of the first loop, and wherein the second side of the third loop is positioned inward of the first side of the second loop, and wherein the second side of the first loop is positioned inward of the first side of the third loop, the first, second and third loops being movable between an open position whereat the first, second and third loops extend laterally outwardly with their distal end portions in an open position and define a space therebetween for receiving at least a portion of the article therein, and a collapsed position whereat the first, second and third loops are positioned laterally inwardly from their open position with their distal end portions in a closed position closer together than when in the open position, and the mid-portions of the first, second and third loops being disconnected from each other to permit independent movement of each as the first, second and third loops are moved between the open and closed positions, wherein the distal end portion of each of the first, second and third loops has an arcuate shape, the first, second and third loops when in the open position extend laterally outwardly and forward with the mid-portions of the first, second and third loops at an angle ranging from 90 to approximately 120 degrees relative to the distal end portion of the core cable, and the distal end portion of each of the first, second and third loops curves in the direction of the core cable; and

an elongate sheath adapted to penetrate into a body vessel and sized to receive the first, second and third loops, the elongate sheath including a proximal end and a distal end having a distal end opening;

selectively manipulating at least one of the proximal end of the core cable and the proximal end of the elongate sheath to selectively retract the first, second and third loops within the distal end opening and to selectively protract the first, second and third loops from the distal end opening.

20. The method of claim 19, further comprising:

selectively rotating the proximal end of the core cable relative to the elongate sheath to effect a rotation of the first, second and third loops.

21. The method of claim 20, wherein selectively rotating the proximal end of the core cable relative to the elongate sheath includes rotating in one of clockwise and counterclockwise directions to move the first, second and third loops outward toward a wall of the body vessel, and rotating the other of clockwise and counterclockwise directions to move the first, second and third loops inward away from a wall of the body vessel.

22. The method of claim 19, further comprising:

advancing the snare in a forward direction through the body vessel such that the distal end portion of each of the first, second and third loops slide along walls of the body vessel.