Vascular and bodily duct treatment devices and methods

• US 9,072,537 B2
• Filed: 02/03/2012
• Issued: 07/07/2015
• Est. Priority Date: 07/08/2009
• Status: Active Grant

• Current Assignee: Stryker Corporation
• Original Assignee: Concentric Medical, Inc. (Stryker Corporation)
• Inventors: Grandfield, Ryan M., Wilson, Scott D., Sanders, Elliot H.
• Primary Examiner(s): HOLWERDA, KATHLEEN SONNETT
• Application Number:
  US13/365,884
• Publication Number:
  US 20120209311A1
• Time in Patent Office: 1,250 Days
• Field of Search: 606/127, 606/159, 606/200, 623/1.15, 623/1.16
• US Class Current: 1/1
• 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 17/3207 Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions A61B17/32037 takes precedence; endoscopic cutting instruments A61B17/320016
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 17/32075 Pullback cutting; combined forward and pullback cutting, e.g. with cutters at both sides of the plaque
• CPC Class Codes: A61B 2017/00778 Operations on blood vessels A61B2017/22097, A61B2017/320741 take precedence
• CPC Class Codes: A61B 2017/22045 fixed to the catheter; guiding tip
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61F 2/915 with bands having a meander structure, adjacent bands being connected to each other
• CPC Class Codes: A61F 2002/016 made from wire-like elements
• CPC Class Codes: A61F 2002/018 made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2002/825 having longitudinal struts
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2230/0097 Harpoon-shaped

Abstract

Devices including, but not limited to, a self-expandable member having a proximal end portion and a main body portion. The self-expandable member is movable from a first delivery position to a second placement position, in the first delivery position the expandable member being in an unexpanded position and having a nominal first diameter and in the second position the expandable member being in a radially expanded position and having a second nominal diameter greater than the first nominal diameter for deployment within a vessel or duct of a patient. The expandable member includes a plurality of cell structures with the cell structures in the main body portion extending circumferentially around a longitudinal axis of the expandable member and the cell structures in the proximal end portion extending less than circumferentially around the longitudinal axis of the expandable member.

Claims

1. An embolic obstruction retrieval device comprising;

an elongate self-expandable member having a radially expanded configuration and a radially unexpanded configuration, the self-expandable member comprising a plurality of generally longitudinal undulating elements with adjacent undulating elements being interconnected in a manner to form a plurality of diagonally disposed cell structures, the self-expandable member having a proximal end portion and an elongate cylindrical main body portion comprising a proximal section and a distal section, the cell structures in the elongate cylindrical main body portion extending circumferentially around a longitudinal axis of the self-expandable member, the cell structures in the proximal end portion extending less than circumferentially around the longitudinal axis of the self-expandable member, in the expanded configuration the distal section of the elongate cylindrical main body portion having an average diameter greater than the average diameter of the proximal section of the elongate cylindrical main body portion, the retrieval device having a proximal antenna extending proximally from a proximal-most end of the proximal end portion of the self-expandable member;

wherein the cell structures in the distal section of the elongate cylindrical main body portion comprise a proximal-most apex and a distal-most apex, at least some of the cell structures in the distal section of the elongate cylindrical main body portion comprising an intermediate strut that extends between the proximal-most and distal-most apices, the at least some of the cell structures in the distal section of the elongate cylindrical main body portion comprise a first strut that extends between the proximal-most and distal-most apices to form a bottom side of the cell structure and a second strut circumferentially spaced-apart from the first strut that extends between the proximal-most and distal-most apices to form a top side of the cell structure, the width of the intermediate strut being less than the width of each of the first and second struts.

2. The embolic obstruction retrieval device of claim 1, wherein the average length of the cell structures in the distal section of the elongate cylindrical main body portion is greater than the average length of the cell structures in the proximal section of the elongate cylindrical main body portion, the average length of the cell structures in the proximal section of the elongate cylindrical main body portion being greater than the average length of the cell structures in the proximal end portion, the average length to width ratio of the cell structures in the proximal end portion and elongate cylindrical main body portion being greater than one when the self-expandable member is in the radially unexpanded and radially expanded configuration.

3. The embolic obstruction retrieval device of claim 1, wherein the cell structures in the proximal end portion and the elongate cylindrical main body portion comprise strut elements, at least some of the struts of the cell structures in the distal section of the elongate cylindrical main body portion having one or more radiopaque wires or ribbons wound thereabout.

4. The embolic obstruction retrieval device of claim 1, wherein the elongate cylindrical main body portion comprises a first circumferential row of cell structures and a second distal-most circumferential row of cell structures, each of the second distal-most circumferential row of cell structures comprising a proximal side, a distal side, a top side and a bottom side, each of the proximal sides being coupled with an adjoining cell structure in the first circumferential row of cell structures and each of the distal, top and bottom sides being unattached to any adjoining cell structures.

5. The embolic obstruction retrieval device of claim 1, wherein the overall length of the intermediate strut is approximately equal to the overall length of at least one of the top and bottom sides.

6. The embolic obstruction retrieval device of claim 1, wherein the elongate cylindrical main body portion has a distal-most circumferential row of cell structures and comprises a plurality of circumferentially spaced-apart antennas extending distally therefrom and being joined together to form a partially closed end to the retrieval device at or near the distal end of the elongate cylindrical main body portion.

7. The embolic obstruction retrieval device of claim 1, further comprising a first proximally extending elongate flexible wire connected to the proximal antenna.

8. An embolic obstruction retrieval device comprising;

an elongate self-expandable member having a radially expanded configuration and a radially unexpanded configuration, the self-expandable member comprising a plurality of generally longitudinal undulating elements with adjacent undulating elements being interconnected in a manner to form a plurality of diagonally disposed cell structures, the self-expandable member having a proximal end portion and an elongate cylindrical main body portion comprising a proximal section and a distal section, the cell structures in the elongate cylindrical main body portion extending circumferentially around a longitudinal axis of the self-expandable member, the cell structures in the proximal end portion extending less than circumferentially around the longitudinal axis of the self-expandable member, the average length to width ratio of the cell structures in the distal section of the elongate cylindrical main body portion being greater than the average length to width ratio of the cell structures in the proximal section of the elongate cylindrical main body portion, the average length to width ratio of the cell structures in the proximal section of the elongate cylindrical main body portion being greater than the average length to width ratio of the cell structures in the proximal end portion, the average length to width ratio of the cell structures in the proximal end portion being greater than one when the self-expandable member is in the unexpanded and expanded configuration, the retrieval device having a proximal antenna extending proximally from a proximal-most end of the proximal end portion of the self-expandable member, wherein each of the cell structures in the distal section of the elongate cylindrical main body portion comprises a proximal-most apex and a distal-most apex, at least some of the cell structures in the distal section of the elongate cylindrical main body portion comprising an intermediate strut that extends between the proximal-most and distal-most apices the at least some of the cell structures in the distal section of the elongate cylindrical main body portion comprise a first strut that extends between the proximal-most and distal-most apices to form a bottom side of the cell structure and a second strut circumferentially spaced-apart from the first strut that extends between the proximal-most and distal-most apices to form a top side of the cell structure, the width of the intermediate strut being less than the width of each of the first and second struts.

9. The embolic obstruction retrieval device of claim 8, wherein in the expanded configuration, the average diameter of the distal section of the elongate cylindrical main body portion is greater than the average diameter of the proximal section of the elongate cylindrical main body portion.

10. The embolic obstruction retrieval device of claim 8, wherein the cell structures in the proximal end portion and the elongate cylindrical main body portion comprise strut elements, at least some of the struts of the cell structures in the distal section of the elongate cylindrical main body portion having a radiopaque wire or ribbon wound thereabout.

11. The embolic obstruction retrieval device of claim 8, wherein the elongate cylindrical main body portion comprises a first circumferential row of cell structures and a second distal-most circumferential row of cell structures, each of the second distal-most circumferential row of cell structures comprising a proximal side, a distal side, a top side and a bottom side, the proximal side being coupled with an adjoining cell structure in the first circumferential row of cell structures and the distal, top and bottom sides being unattached to any adjoining cell structure.

12. The embolic obstruction retrieval device of claim 8, wherein the overall length of the intermediate strut is approximately equal to the overall length of at least one of the top and bottom sides.

13. The embolic obstruction retrieval device of claim 8, wherein the elongate cylindrical main body portion has a distal-most circumferential row of cell structures and comprises a plurality of circumferentially spaced-apart antennas extending distally therefrom and being joined together to form a partially closed end at or near the distal end of the elongate cylindrical main body portion.

14. The embolic obstruction retrieval device of claim 8, further comprising a first proximally extending elongate flexible wire connected to the proximal antenna.

15. An embolic obstruction retrieval device comprising;

an elongate self-expandable member having a radially expanded configuration and a radially unexpanded configuration, the self-expandable member comprising a plurality of generally longitudinal undulating elements with adjacent undulating elements being interconnected in a manner to form a plurality of diagonally disposed cell structures, the self-expandable member having a proximal end portion and an elongate cylindrical main body portion, the cell structures in the elongate cylindrical main body portion extending circumferentially around a longitudinal axis of the self-expandable member, the cell structures in the proximal end portion extending less than circumferentially around the longitudinal axis of the self-expandable member, the cell structures in the elongate cylindrical main body portion comprising proximal and distal facing V-like structures that are interconnected by a pair of diagonally extending and circumferentially spaced-apart struts, the proximal and distal V-like structures having a first average width dimension and the pair of diagonally extending and circumferentially spaced-apart struts having a second average width dimension that is greater than the first average width dimension, the retrieval device having a proximal antenna extending proximally from a proximal-most end of the proximal end portion of the self-expandable member, wherein the second average width dimension is in the range of 1.2 to 1.5 times greater than the first average width dimension.

16. The embolic obstruction retrieval device of claim 15, wherein the diagonally extending and circumferentially spaced-apart struts are substantially straight.

17. The embolic obstruction retrieval device of claim 15, wherein the diagonally extending and circumferentially spaced-apart struts are curvilinear.

18. An embolic obstruction retrieval device comprising;

an elongate self-expandable member having a radially expanded configuration and a radially unexpanded configuration, the self-expandable member comprising a plurality of generally longitudinal undulating elements with adjacent undulating elements being interconnected in a manner to form a plurality of diagonally disposed cell structures, the self-expandable member having a proximal end portion and an elongate cylindrical main body portion comprising a proximal section and a distal section, the cell structures in the elongate cylindrical main body portion extending circumferentially around a longitudinal axis of the self-expandable member, the cell structures in the proximal end portion extending less than circumferentially around the longitudinal axis of the self-expandable member, the cell structures in the elongate cylindrical main body portion comprising proximal and distal facing V-like structures that are interconnected by a pair of diagonally extending and circumferentially spaced-apart struts, the diagonally extending and circumferentially spaced-apart struts comprising first end segments, second end segments, and a middle segment disposed between the first and second end segments, the first end segments being coupled to the proximal V-like structure and the second end segments being coupled to the distal V-like structure, the proximal and distal V-like structures having a first average width dimension, the middle segments of the diagonally extending and circumferentially spaced-apart struts having a second average width dimension that is greater than the first average width dimension, the first and second end segments of the diagonally extending and circumferentially spaced-apart struts having a third average width dimension that is greater than the first average width dimension and less than the second average width dimension, the retrieval device having a proximal antenna extending proximally from a proximal-most end of the proximal end portion of the self-expandable member.

19. The embolic obstruction retrieval device of claim 18, wherein the first and second end segments of the diagonally extending and circumferentially spaced-apart struts comprise tapers.

20. The embolic obstruction retrieval device of claim 18, wherein the diagonally extending and circumferentially spaced-apart struts are substantially straight.

21. The embolic obstruction retrieval device of claim 18, wherein the diagonally extending and circumferentially spaced-apart struts are curvilinear.

22. The embolic obstruction retrieval device of claim 18, wherein the second average width dimension is in the range of 1.1 to 2.0 times greater than the first average width dimension.

23. The embolic obstruction retrieval device of claim 18, wherein the second average width dimension is in the range of 1.2 to 1.5 times greater than the first average width dimension.