Rotational thrombectomy wire with blocking device

• US 9,017,294 B2
• Filed: 03/09/2013
• Issued: 04/28/2015
• Est. Priority Date: 10/22/1999
• Status: Expired due to Term

• Current Assignee: Argon Medical Devices
• Original Assignee: REX Medical LP
• Inventors: McGuckin, James F. Jr., Leedle, John D., Bressler, James Erich, Hinchliffe, Peter W. J.
• Primary Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US13/792,026
• Publication Number:
  US 20130190789A1
• Time in Patent Office: 780 Days
• Field of Search: 604/22, 604/247, 606/170
• US Class Current: 604/247
• 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 17/22032 having inflatable gripping elements balloon catheters A61M25/10
• 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 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters
• CPC Class Codes: B82Y 10/00 Nanotechnology for information processing, storage or transmission, e.g. quantum computing or single electron logic

Abstract

A thrombectomy apparatus for breaking up thrombus or other obstructive material in a lumen of a vascular graft or vessel. The apparatus includes a wire having a first configuration and a second deployed configuration, the wire having a straighter configuration in the first configuration. The wire is operatively connected to a motor for rotation of the wire to contact and break up the thrombus or other obstructive material. A blocking device at a distal portion of the apparatus is movable between a collapsed configuration and an expanded configuration, and is configured in the expanded configuration to block thrombus dislodged by rotation of the wire.

Claims

1. A thrombectomy apparatus for breaking up thrombus or other obstructive material in a lumen of a vascular graft or vessel, the apparatus comprising a rotatable thrombectomy wire, the wire being operatively connected to a motor for rotation of the wire to contact and break up the thrombus or other obstructive material, and a blocking device at a distal portion of the apparatus, the blocking device configured to block thrombus dislodged by rotation of the wire, wherein the wire spins independent of the blocking device such that the blocking device remains substantially stationary as the wire rotates to break up thrombus or other obstructive material.

2. The thrombectomy apparatus of claim 1, wherein the wire is sinuous in configuration and assumes its sinuous configuration when in a deployed configuration, and is insertable in a collapsed configuration.

3. The thrombectomy apparatus of claim 2, wherein the blocking device is movable between a collapsed configuration and an expanded configuration.

4. The thrombectomy apparatus of claim 1, wherein the blocking device includes a tubular portion connected to a distal end of the wire, the wire rotatable independent of the tubular portion.

5. The thrombectomy apparatus of claim 1, wherein the blocking device includes a plurality of wires and a covering over at least a portion of the wires.

6. The thrombectomy apparatus of claim 5, wherein the covering is a porous material.

7. The thrombectomy apparatus of claim 1, further comprising a flexible sheath, the flexible sheath movable from a first position to cover the blocking device and a second position to expose the blocking device.

8. The thrombectomy apparatus of claim 7, wherein in the first position the blocking device is in a substantially straight position.

9. The thrombectomy apparatus of claim 1, further comprising a connector tube connecting the blocking device to the wire, the wire spinning within a lumen of the tube.

10. The thrombectomy apparatus of claim 9, further comprising an O-ring positioned on the wire and received in a recess of the connector tube.

11. The thrombectomy apparatus of claim 1, wherein a central longitudinal axis of the wire is substantially aligned with a central longitudinal axis of the blocking device.

12. The thrombectomy apparatus of claim 1, wherein the wire terminates in a ball tip seated in a groove of a tubular potion extending proximally from the blocking device.

13. The thrombectomy apparatus of claim 1, wherein the blocking device includes first and second wires forming loops and a covering material positioned over the first and second wires.

14. The thrombectomy apparatus of claim 13, wherein the first and second wires expand on opposing sides of the apparatus.

15. The thrombectomy apparatus of claim 1, further comprising first and second balloons, and the flexible sheath has first and second lumens, the first lumen communicating with the first balloon and the second lumen communicating with the second balloon.

16. The thrombectomy apparatus of claim 1, wherein the blocking device includes an expandable material and a plurality of wires expandable to expand the material.

17. The thrombectomy apparatus of claim 1, wherein the wire has a first arcuate region extending in a first direction and a second arcuate region spaced longitudinally from the first arcuate region and extending in a second direction, the first and second arcuate regions configured to break up thrombotic material as the wire spins.

18. The apparatus of claim 1, wherein the wire has a non-linear configuration.