Retrieval systems and methods for use thereof

• US 9,254,371 B2
• Filed: 09/06/2011
• Issued: 02/09/2016
• Est. Priority Date: 03/06/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Lazarus Effect, Inc. (Medtronic Plc)
• Inventors: Martin, Brian B., Levy, David I.
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US13/226,222
• Publication Number:
  US 20120197285A1
• Time in Patent Office: 1,617 Days
• Field of Search: 606/127, 606/128, 606/159, 606/191, 606/192, 606/194, 606/195, 606/198, 606/200
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take 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 2017/00778 Operations on blood vessels A61B2017/22097, A61B2017/320741 take precedence
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/22084 stone- or thrombus-dissolving
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing
• 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 2017/2217 single wire changing shape to a gripping configuration
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• 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 2230/0006 circular
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2230/0093 Umbrella-shaped, e.g. mushroom-shaped
• CPC Class Codes: A61F 2230/0097 Harpoon-shaped
• CPC Class Codes: A61M 2025/0042 Microcatheters, cannula or the like having outside diameters around 1 mm or less
• CPC Class Codes: A61M 2025/0063 having means, e.g. stylets, mandrils, rods or wires to reinforce or adjust temporarily the stiffness, column strength or pushability of catheters which are already inserted into the human body
• CPC Class Codes: A61M 2025/0681 Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
• CPC Class Codes: A61M 25/00 : Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 25/01 : Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• 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

Abstract

The devices and methods described herein relate to improved structures for removing obstructions from body lumens. Such devices have applicability in through-out the body, including clearing of blockages within the vasculature, by recanalizing or removing the obstruction within the body lumen.

Claims

1. A method of recanalizing a blood vessel having an obstruction, the method comprising:

inserting an expandable structure within the obstruction, where the expandable structure comprises at least one fluid delivery port on an exterior surface of the expandable structure;

expanding the expandable structure within the obstruction; and

delivering a substance through the fluid delivery port such that the substance begins to dissolve the obstruction.

2. A method of recanalizing a blood vessel having an obstruction, the method comprising:

advancing a microcathter distal to the obstruction;

deploying a distal capturing portion distally of the obstruction;

positioning a proximal capturing portion within the obstruction, such that the proximal capturing portion extends beyond a first end and a second end of the obstruction and where the proximal capturing portion expands to compress a portion of the obstruction against the vessel;

withdrawing the proximal capturing portion proximally to the obstruction;

securing the obstruction by moving the distal capturing portion and the proximal capturing portion together; and

removing the obstruction from the blood vessel.

3. The method of claim 2, where withdrawing the proximal capturing portion comprises resheathing at least a section of the proximal capturing portion within a microcatheter during withdrawal of the proximal capturing portion.

4. The method of claim 3, further comprising partially deploying a segment of the proximal capturing portion from the microcatheter proximal to the obstruction such that the partially deployed segment functions as a proximal basket.

5. The method of claim 2, where the proximal capturing portion structure comprises a stent portion having a fluid permeable proximal end.

6. The method of claim 2, further comprising delivering a substance to the obstruction where the substance is configured to dissolve the obstruction.

7. The method of claim 6, where delivering the substance to the obstruction comprises delivering the substance through the microcatheter.

8. The method of claim 6, where delivering the substance to the obstruction comprises delivering the substance through a surface of the proximal capturing portion.

9. The method of claim 2, further comprising withdrawing the distal capturing portion against the proximal capturing portion while the proximal capturing portion is located in the obstruction to cause the proximal capturing portion to increase a radial force to the obstruction.

10. The method of claim 2, where positioning the proximal portion within the obstruction comprises positioning the proximal capturing portion distally to the obstruction and then withdrawing the proximal capturing portion into the obstruction.

11. The method of claim 10, where withdrawing the second capturing portion comprises resheathing at least a section of the second capturing portion within a microcatheter during withdrawal of the second capturing portion.

12. The method of claim 11, further comprising partially deploying a segment of the second capturing portion from the microcatheter proximal to the obstruction such that the partially deployed segment functions as a proximal basket.

13. The method of claim 10, where pulling on the leading wire to apply the force to the capturing portion comprises applying the force to the permeable distal end.

14. The method of claim 10, where pulling on the leading wire to apply the force to the capturing portion comprises applying the force to the capture surface.

15. The method of claim 10, where the proximal end of the second capturing portion is permeable and permits flow during removal of the obstruction.

16. The method of claim 10, further comprising continuing to move the first capturing portion towards the second capturing portion such that the open proximal end and the open distal end can removably engage each other.

17. The method of claim 10, further comprising compressing the second capturing portion about the obstruction to further secure the obstruction.

18. A method of recanalizing a blood vessel having an obstruction, the method comprising:

advancing a catheter distal to the obstruction;

deploying a first capturing portion distally of the obstruction, where the first capturing portion comprises a permeable distal end, an open proximal end, a capture surface extending therebetween, and at least one leading wire extending through the capturing portion and through the catheter;

positioning a second capturing portion within the obstruction, the second capturing portion having an open distal end, a fluid permeable proximal end, and a medial surface extending therebetween, such that the second capturing portion compresses a portion of the obstruction against the blood vessel;

withdrawing the second capturing portion proximal to the obstruction;

capturing the obstruction between the first and second capturing portions by moving the first capturing portion and the second capturing portion together towards the obstruction by pulling on the leading wire to apply a force to the capturing portion at a location distal to the open proximal end of the first capturing portion; and

removing the obstruction from the blood vessel.