Clot retrieval device for removing clot from a blood vessel

• US 9,445,829 B2
• Filed: 02/23/2015
• Issued: 09/20/2016
• Est. Priority Date: 03/14/2013
• Status: Active Grant

• Current Assignee: Neuravi Limited (Johnson & Johnson)
• Original Assignee: Neuravi Limited (Johnson & Johnson)
• Inventors: Gilvarry, Michael, Hardiman, David, McArdle, Kevin, Brady, Eamon, Casey, Brendan, Razavi, Mahmood, Vale, David
• Primary Examiner(s): Dornbusch, Dianne
• Application Number:
  US14/629,217
• Publication Number:
  US 20150164523A1
• Time in Patent Office: 575 Days
• 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 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 2017/00358 Snares for grasping
• 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: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61F 2/013 Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
• CPC Class Codes: A61M 29/00 Dilators with or without means for introducing media, e.g. remedies instruments for performing visual medical inspections of cavities or tubes of the body A61B1/00

Abstract

A clot retrieval device 1 for removing occlusive clot from a blood vessel, the device comprises an inner elongate body 3 having a collapsed delivery configuration and an expanded deployed configuration and an outer elongate body 2 at least partially overlying the inner elongate body 2. The outer elongate body 2 is expandable to a radial extent which is greater than the radial extent of the inner body 3 in the deployed configuration to define a clot reception space 11. The outer elongate body 2 comprises a distal end portion 24,49 and the inner elongate body 3 comprises a main body portion 10 and a distal portion which extends in the deployed configuration towards the outer elongate body 2 to a greater extent than the main body portion. The distal portion 10 of the inner elongate member 3 and the distal end portion 24,49 of the outer elongate body 2 together define a three dimensional protective structure to substantially prevent distal egress of clot or clot fragments from the device.

Claims

1. A clot retrieval device for removing clot from a blood vessel, the device having a collapsed delivery configuration and an expanded deployed configuration and comprising:

a framework of struts forming a porous inner body flow channel and having a tubular main body portion and a closed distal portion; and

a framework of struts forming an outer tubular body radially surrounding the tubular main body portion of the inner body during both the collapsed delivery configuration and the expanded deployed configuration;

the outer tubular body being expandable to a radial extent to define a clot reception space;

the outer tubular body comprising a closed distal end portion; and

the closed distal portion of the inner body being located within the outer tubular body and adjacent the closed distal end portion of the outer tubular body, and extending in the deployed configuration towards the outer tubular body to a greater extent than the tubular main body portion.

2. The clot retrieval device of claim 1, wherein the closed distal portion of the inner body includes a plurality of distal struts each having a first end coupled to the tubular main body portion of the inner body and a second end coupled to each other so as to form a connection point.

3. The clot retrieval device of claim 2, wherein the plurality of distal struts of the closed distal portion are spiraled.

4. The clot retrieval device of claim 2, wherein the plurality of distal struts of the closed distal portion extend normal to a longitudinal axis of the tubular main body portion.

5. The clot retrieval device of claim 2, wherein the plurality of distal struts of the closed distal portion are configured in a bulged or flared pattern.

6. The clot retrieval device of claim 1, wherein the closed distal end portion of the outer tubular body comprises distal struts.

7. The clot retrieval device of claim 6, wherein the distal struts of the closed distal end portion of the outer tubular body are configured in a conical shape.

8. The clot retrieval device of claim 2, wherein at least some of the distal struts comprise an attachment point for attachment of a fiber.

9. The clot retrieval device of claim 8, wherein each attachment point comprises an eyelet.

10. The clot retrieval device of claim 1, wherein the closed distal portion of the inner body and the closed distal end portion of the outer tubular body together define a protective strut structure configured to prevent distal egress of clot or clot fragments from the device, wherein the protective strut structure includes a plurality of fibres forming a distal net.

11. The clot retrieval device of claim 1, wherein the outer tubular body comprises a first monolithic structure and the inner body comprises a second monolithic structure.

12. The clot retrieval device of claim 1, wherein the outer tubular body comprises at least two longitudinally spaced-apart segments.

13. The clot retrieval device of claim 12, wherein a plurality of struts of the framework of struts of the outer tubular body form a longitudinal hinge between the segments.

14. A clot retrieval device for removing clot from a blood vessel, the device having a collapsed delivery configuration and an expanded deployed configuration comprising:

a framework of struts forming an inner body having a tubular main body portion in an expanded configuration and a closed distal portion;

a framework of struts forming an outer tubular body radially surrounding the main body portion of the inner body during both the collapsed delivery configuration and the expanded deployed configuration and including a closed distal end portion, a diameter of the tubular main body portion in the expanded deployed configuration being less than 50% of a diameter of the outer tubular body in the expanded deployed configuration along a longitudinally-extending clot reception space between the main body portion of the inner body and the outer tubular body; and

the closed distal portion of the inner body extending in the deployed configuration towards the outer tubular body to a greater extent than the main body portion.

15. The clot retrieval device of claim 14, wherein the outer tubular body comprises at least two longitudinally spaced-apart segments.

16. The clot retrieval device of claim 15, wherein a plurality of struts form a longitudinally extending hinge between the segments.

17. The clot retrieval device of claim 14, wherein the plurality of struts of the closed distal portion are spiraled.

18. The clot retrieval device of claim 14, wherein the plurality of struts of the closed distal portion extend normal to a longitudinal axis of the tubular main body portion.

19. The clot retrieval device of claim 14, wherein the closed distal portion of the inner body and the closed distal end portion of the outer tubular body collectively define a protective structure including a plurality of fibers comprising a distal net.

20. A clot retrieval device for removing a clot from a blood vessel, the device having a collapsed delivery configuration and an expanded deployed configuration and comprising:

a framework of struts forming an inner body having a tubular main body portion and a closed distal portion; and

a discontinuous framework of struts forming an outer body having a tapering proximal section, a tapering distal section, and a tubular main body portion located between the proximal and distal sections, the main body portion being longer than the proximal and distal sections, wherein at least some of the struts of the discontinuous framework of struts of the outer body are spaced from adjacent struts of the discontinuous framework of struts of the outer body so as to form a plurality of clot inlet mouths extending through the main body portion of the outer body and forming portions of increased flexibility along the main body portion, and

the main body portion of the outer body radially surrounding the tubular main body portion of inner body during both the collapsed delivery configuration and the expanded deployed configuration; and

the closed distal portion of the inner body being located adjacent the tapering distal section of the outer body and extending in the deployed configuration towards the outer body to a greater extent than the tubular main body portion of the inner body.