Multi-pivot thrombectomy device

• US 9,314,248 B2
• Filed: 11/06/2012
• Issued: 04/19/2016
• Est. Priority Date: 11/06/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Molaei, Masoud
• Primary Examiner(s): HOLWERDA, KATHLEEN SONNETT
• Application Number:
  US13/669,652
• Publication Number:
  US 20140128905A1
• Time in Patent Office: 1,260 Days
• Field of Search: 606/127, 606/159, 606/200
• US Class Current: 1/1
• CPC Class Codes: A61B 17/12109 in a blood vessel
• 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 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/00778 Operations on blood vessels A61B2017/22097, A61B2017/320741 take precedence
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61F 2/0108 Both ends closed, i.e. legs gathered at both ends
• CPC Class Codes: A61F 2/012 Multiple filtering units

Abstract

A device may be used for capturing and retrieving vascular debris. The device may comprise: at least two segments radially expandable from a collapsed state to an expanded state, each of the at least two segments having (a) a waist comprising a radially largest region of the segment and (b) two longitudinal ends; at least one intermediate portion, each of the at least one intermediate portion comprising a pivot that connects adjacent segments, each pivot having a diameter less than a diameter of the waist; a tether attached to a proximalmost of the at least two segments and configured to position the at least two segments; wherein each of the at least two segments comprises at least two struts that extend longitudinally from a proximal end to a distal end of the segment, the at least two struts tapering from the waist radially inward toward a longitudinal axis of the device as the at least two struts approach an adjacent intermediate portion.

Claims

1. A device for retrieving vascular debris in a vasculature comprising:

at least three segments radially expandable from a collapsed state to an expanded state, each of the at least three segments having a waist comprising a radially largest region of the segment;

at least one intermediate portion, each of the at least one intermediate portion comprising a pivot that connects adjacent segments, each pivot having a diameter less than a diameter of the waist;

a tether attached to a proximalmost of the at least three segments and configured to position the at least three segments;

wherein each of the at least three segments comprises a proximal end and a distal end that are connected by only struts and sub-struts, the struts and sub-struts extending radially outside the diameter of the pivot, wherein, in each of the at least three segments, at least one strut extends proximally from the distal end and along a first longitudinal region of the segment and divides into at least two sub-struts, the at least two sub-struts being entirely within a second longitudinal region of the segment that is outside the radially largest region of the segment, the struts tapering from the waist radially inwardly toward a longitudinal axis of the device as the struts approach an adjacent intermediate portion;

wherein the at least three segments and the at least one intermediate portion form a single monolithic structure;

wherein a longitudinal length of each intermediate portion is less than a longitudinal length of each of the segments;

wherein each intermediate portion forms a circumferentially continuous hollow cylinder.

2. The device of claim 1, wherein each of the at least three segments have substantially similar waist dimensions in the expanded state.

3. The device of claim 1, wherein each of the at least three segments have substantially similar waist dimensions in the collapsed state.

4. The device of claim 1, wherein each of the at least three segments have the same number of struts.

5. The device of claim 1, wherein a total number of the sub-struts is double a total number of struts that are connected to proximal sides of the sub-struts and double a total number of the struts that are connected to distal sides of the sub-struts.

6. The device of claim 1, wherein the diameter of the waist in the expanded state is at least five times larger than the diameter of the pivot.

7. The device of claim 1, wherein at least one strut is configured to flex along its length, allowing the at least three segments to pivot multiaxially about their respective intermediate portion.

8. A system for retrieving vascular debris in a vasculature comprising:

at least three segments expandable from a collapsed state to an expanded state, each of the at least three segments having a waist comprising a radially largest region of the segment;

at least two intermediate portions, each of the at least two intermediate portions comprising a pivot that connects adjacent segments, each pivot having a diameter less than a diameter of the waist;

a sheath configured to encase the at least three segments in the collapsed state; and

a tether attached to a proximalmost of the at least three segments and configured to position the at least three segments relative to the sheath;

wherein each of the at least three segments comprises, between a proximal end and a distal end thereof, only struts and sub-struts, the struts and sub-struts extending radially outside the diameter of the pivot, wherein, in each of the at least three segments, at least one strut extends proximally from the distal end and along a first longitudinal region of the segment and divides into at least two sub-struts, the at least two sub-struts being entirely within a second longitudinal region of the segment that is outside the radially largest region of the segment;

wherein the at least three segments and the at least two intermediate portions form a single monolithic structure;

wherein a longitudinal length of each intermediate portion is less than a longitudinal length of each of the segments;

wherein each intermediate portion forms a circumferentially continuous hollow cylinder.

9. The system of claim 8, wherein each of the at least three segments have substantially similar waist dimensions in the expanded state.

10. The system of claim 8, wherein each of the at least three segments have substantially similar waist dimensions in the collapsed state.

11. The system of claim 8, wherein each of the at least three segments comprises at least two struts that extend from a proximal end to a distal end of the segment.

12. The system of claim 11, wherein each of the at least two struts tapers from the waist toward a longitudinal axis as it approaches an adjacent intermediate portion.

13. The system of claim 11, wherein a total number of the sub-struts is double a total number of struts that are connected to proximal sides of the sub-struts and double a total number of the struts that are connected to distal sides of the sub-struts.

14. The system of claim 8, wherein the at least three segments comprises at least four segments.

15. A method of retrieving vascular debris from a vasculature comprising:

inserting into the vasculature of a patient at least a portion of a sheath comprising a distal opening and encasing at least two segments expandable from a collapsed state to an expanded state, each of the at least two segments having a waist comprising a radially largest region of the segment and at least one intermediate portion comprising a pivot connecting the segment to an axially adjacent segment, wherein the at least two segments and the at least one intermediate portion form a single monolithic structure, wherein each of the at least two segments comprises, between a proximal end and a distal end thereof, only struts and sub-struts, the struts and sub-struts extending radially outside a diameter of the at least one intermediate portion, wherein, in each of the at least two segments, at least one strut extends proximally from the distal end and along a first longitudinal region of the segment and divides into at least two sub-struts, the at least two sub-struts being entirely within a second longitudinal region of the segment that is outside the radially largest region of the segment, wherein a longitudinal length of each intermediate portion is less than a longitudinal length of each of the segments, wherein each intermediate portion forms a circumferentially continuous hollow cylinder;

expanding at least a portion of the at least two segments into vascular debris; and

retrieving the at least two segments and the vascular debris to within the sheath.

16. The method of claim 15, wherein the vascular debris is engaged with a proximalmost segment of the at least two segments.

17. The method of claim 15, further comprising:

capturing, within a distal segment, vascular debris dislodged from a proximal segment.

18. The method of claim 15, wherein the at least a portion of the at least two segments becomes engaged throughout the vascular debris.

19. The method of claim 15, wherein each of the at least two segments expands to substantially similar outer diameters.

20. The method of claim 15, wherein each of the at least two segments comprises at least two struts that extend from a proximal end to a distal end of the segment.

21. The method of claim 20, wherein expanding at least a portion of the at least two segments is performed by retracting the sheath relative to the at least two segments.

22. The method of claim 20, wherein a total number of the sub-struts is double a total number of struts that are connected to proximal sides of the sub-struts and double a total number of the struts that are connected to distal sides of the sub-struts.

23. The method of claim 20, wherein at least one strut is configured to flex along its length, allowing the at least two segments to pivot multiaxially about their respective intermediate portion.

24. The method of claim 15, wherein the sheath encases at least three expandable segments.