Retrieval snare for extracting foreign objects from body cavities and method for manufacturing thereof

• US 9,271,746 B2
• Filed: 10/02/2007
• Issued: 03/01/2016
• Est. Priority Date: 10/06/2006
• Status: Active Grant

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated), Nordson Corporation
• Original Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated), Lithotech Medical Ltd. (Nordson Corporation)
• Inventors: Diamant, Valery, Delaney, Kevin L., Yasko, Nadezka
• Primary Examiner(s): Nguyen, Tuan V
• Assistant Examiner(s): NGUYEN, TIN DUC
• Application Number:
  US11/866,253
• Publication Number:
  US 20080086149A1
• Time in Patent Office: 3,073 Days
• Field of Search: 606/113, 606/114, 606/127, 606/200, 606/128, 606/159, 606/191, 606/194, 606/110
• 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 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/22035 for retrieving or repositioning foreign objects
• 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: B21F 45/008 of medical instruments, e.g. stents, corneal rings medical science A61
• CPC Class Codes: Y10T 29/49874 Prestressing rod, filament or strand

Abstract

A retrieval snare for entrapping and retaining a foreign object located in a body and a method for manufacturing of the snare are provided. The snare comprises a structure having a proximal portion and a distal portion and includes a plurality of filaments. The filaments extend from an end of the proximal portion towards the distal portion and return to the end of the proximal portion to form a plurality of loops. The loops are not interconnected at the distal portion, but each side of each loop are connected to a side of an adjacent loop in the proximal portion at more than one point, thereby providing structural rigidity and dilatation ability to the snare.

Claims

1. A retrieval snare for entrapping and retaining a foreign object located in a body for its extraction therefrom, the snare comprising:

a structure having a proximal portion and a distal portion and including a plurality of filaments extending from a proximal end of the proximal portion to a distal end of the distal portion and returning to the proximal end to form a plurality of loops, each of the loops being formed by a single filament and being free and unattached to any adjacent loops at the distal portion including the distal end in a fully expanded condition, the proximal portion of each loop consisting of two proximal sides that are unattached to each other in the fully expanded condition, each of the proximal sides directly connected along the proximal portion to a proximal side of an adjacent loop at more than one connection point for structural rigidity and dilatation ability to the snare, the plurality of loops being configured to deploy radially outward in both the proximal portion and the distal portion and away from each other in the distal portion including the distal end during a movement from a compressed condition to the fully expanded condition.

2. The retrieval snare of claim 1 wherein the connected proximal sides of the adjacent loops along the proximal portion form a pair of the filaments connected by twisting each pair of the filaments, thereby creating twisted parts of the loops between the proximal end and distal connection points.

3. The retrieval snare of claim 1 wherein the filaments are bound together at the proximal end of the proximal portion to form a manipulation member.

4. The retrieval snare of claim 1 wherein the loops are selected from:

planar, bent into C-shaped configuration, and bent into S-shaped configuration.

5. The basket of claim 1 wherein the filaments are made of metallic material.

6. The retrieval snare of claim 5 wherein the metallic material has at least one of thermo-mechanical shape memory and superelastic characteristics.

7. The retrieval snare of claim 1 wherein the filaments are made of non-metallic material.

8. The retrieval snare of claim 5 wherein the metallic material includes a radiopaque material.

9. The retrieval snare of claim 1 wherein the filaments are made of a core tube containing an axially disposed radiopaque wire.

10. The retrieval snare of claim 1 wherein the filaments are covered by a coating layer made of a radiopaque material.

11. The retrieval snare of claim 1 wherein parts of the filaments are covered by radiopaque coils.

12. The retrieval snare of claim 1 wherein the filaments are multiwire strands.

13. A retrieval snare for entrapping and retaining a foreign object located in a body for its extraction therefrom, the snare comprising:

a structure having a proximal portion and a distal portion and including a plurality of filaments, the plurality of filaments extending from a proximal end of the proximal portion to a distal end of the distal portion and returning to the proximal end to form a plurality of loops, each of the loops being formed by a single filament and being free and unattached to any adjacent loops at the distal portion including the distal end in a fully expanded condition, the proximal portion of each loop consisting of two proximal sides that are unattached to each other in the fully expanded condition, each of the proximal sides directly connected along the proximal portion to a proximal side of an adjacent loop at more than one connection point for structural rigidity and dilatation ability to the snare, the plurality of loops being configured to deploy radially outward in both the proximal portion and the distal portion and away from each other in the distal portion including the distal end during a movement from a compressed condition to the fully expanded condition;

wherein the connected proximal sides of the adjacent loops along the proximal portion form a pair of the filaments connected by twisting each pair of the filaments, thereby creating twisted parts of the loops between the proximal end and distal connection points, and

wherein the distal connection points of the adjacent loops are movable from the twisted parts of the loops toward the distal portion of the snare when the snare is retracted in a sheath thereby forming an intermediate portion between the proximal portion and the distal portion of the snare, the intermediate portion including convex cells bounded by an overlap of adjacent loops between the distal connection points and the twisted parts of the loops where the corresponding pair of the filaments separate from each other.

14. A retrieval snare apparatus for entrapping and retaining a foreign object located in a body for its extraction therefrom, the snare apparatus comprising:

a retrieval snare for entrapping and retaining a foreign object located in a body for its extraction therefrom, the snare comprising a structure having a proximal portion and a distal portion and including a plurality of filaments extending from a proximal end of the proximal portion to a distal end of the distal portion and returning to the proximal end to form a plurality of loops, each of the loops being formed by a single filament and being free and unattached to any adjacent loops at the distal portion including the distal end in a fully expanded condition, the proximal portion of each loop consisting of two proximal sides that are unattached to each other in the fully expanded condition, each of the proximal sides directly connected along the proximal portion to a proximal side of an adjacent loop at more than one connection point for structural rigidity and dilatation ability to the snare, wherein the loops are not interconnected in the distal portion including the distal end and are configured to deploy radially outward in both the proximal portion and the distal portion and away from each other in the distal portion including the distal end during a movement from a compressed condition to the fully expanded condition; and

a snare control assembly coupled to the snare structure, said snare control assembly comprising a sheath adapted to penetrate into the body for reaching the object, a manipulator for manipulating the snare for extraction of the object from the body, and a manipulation member arranged within the sheath for connecting the snare to the manipulator, the snare control assembly being configured for retracting the snare within the sheath and protracting the snare therefrom for its opening.

15. The retrieval snare apparatus of claim 14 wherein the manipulation member includes at least a part of the plurality of filaments extending from the proximal end towards the manipulator.

16. The retrieval snare apparatus of claim 14 wherein the manipulation member includes a tube containing the part of the plurality of filaments axially disposed within a lumen of the tube along at least a portion of the length of the tube.

17. The retrieval snare apparatus of claim 14 wherein the part of the plurality of filaments extended from the proximal end of the proximal portion towards the manipulator are cut off at a predetermined distance from the proximal end, forming free ends of the plurality of filaments.

18. The retrieval snare apparatus of claim 17 wherein the manipulation member is made of a material including at least one of NiTi based alloy, stainless steel, and polymer.

19. A retrieval snare for entrapping and retaining a foreign object located in a body for its extraction therefrom, the snare comprising:

a structure having a proximal portion and a distal portion and including a plurality of filaments extending from a proximal end of the proximal portion to a distal end of the distal portion and returning to the proximal end to form a plurality of loops, each of the loops being formed by a single filament and being free and unattached to any adjacent loops at the distal portion including the distal end in a fully expanded condition, the proximal portion of each loop consisting of two proximal sides that are unattached to each other in the fully expanded condition, each one of the proximal sides directly connected along the proximal portion to one adjacent proximal side of an adjacent loop at more than one connection point, including one most distal connection point and one next-to-distal connection point, the most distal connection point being located at a shorter distance from the proximal end and closer to the next-to-distal connection point in the fully expanded condition than in a collapsed condition.