Embolus blood clot filter removal system and method

• US 9,730,781 B2
• Filed: 12/29/2006
• Issued: 08/15/2017
• Est. Priority Date: 12/30/2005
• Status: Active Grant

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Volobuyev, Dmitry Mikhailovich, Kashkarov, Alexander Germanovich, Chanduszko, Andrzej J.
• Primary Examiner(s): LOUIS, RICHARD G
• Application Number:
  US12/096,367
• Publication Number:
  US 20090182370A1
• Time in Patent Office: 3,882 Days
• Field of Search: 606200
• 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 2017/2215 having an open distal end
• CPC Class Codes: A61F 2/01 Filters implantable into blood vessels
• CPC Class Codes: A61F 2/0105 Open ended, i.e. legs gathered only at one side
• 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 2230/005 Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61F 2230/0067 conical
• CPC Class Codes: A61F 2230/008 paraboloidal
• CPC Class Codes: A61F 2250/0059 temporary

Abstract

A blood filter extraction system for extracting a blood filter from within a blood vessel. The system includes an extraction wire, or plurality of such wires, positioned within an elongated tubular member. A plurality of extraction wires coupled to the distal end of the extraction member each include a hook for engaging filter members. Alternatively, the extraction wires may be one or more wires configured in a helical shape which engage filter members when the extraction member is rotated. The system may also include an elongated tubular member with the distal end having a conical shape. To extract a filter, the extraction wires are then pushed out of the tubular member and into the filter members. The extraction member is then withdrawn or rotated so the wires engage and draw in the filter members, after which the catheter is pushed over the conical portion of the tubular member.

Claims

1. A blood filter and removal apparatus for removing a blood filter from a vessel wall comprising:

a) a blood filter adapted to be secured to a blood vessel wall, having a central, longitudinal axis the filter having a hub proximally positioned and a plurality of distally positioned circumferentially spaced legs extending distally from the hub, each leg having a leg distal end with a vessel wall engaging anchor that is configured to anchor the filter to the vessel wall in a filter deployed position;

b) a catheter having a diameter and a catheter lumen defining a longitudinal axis;

c) an elongate extraction device configured to be positioned within the catheter lumen and to move longitudinally and rotationally with respect to the catheter, said extraction device having a tubular member with a collapsible distal conical portion and a rod with a distal end;

d) the extraction device including at least one helical wire coupled to the distal end of the rod, wherein the helical wire has a longitudinal axis and the rod has a longitudinal axis, and the longitudinal axis of the helical wire is coincident with the longitudinal axis of the rod;

e) wherein in an initial leg removal position the helical extraction wire engages the filter legs and the legs have a first diameter that is configured to place each anchor in the vessel wall, wherein in a final leg removal position the helical wire collapses the filter legs to a second diameter that is smaller than the said first diameter, wherein movement of the filter legs from the initial leg removal position to the final leg removal position is effected by rotation of the extraction device rod and helical wire connected to the filter legs at a position distally of the hub;

f) wherein in the initial leg removal position, the helical wire has an overall diameter that is greater than the diameter of the catheter and less than the diameter of the vessel; and

g) wherein the said final leg removal position disengages the anchors from the vessel wall by collapsing the filter legs toward said filter longitudinal axis.

2. The apparatus of claim 1, wherein said helical wire includes a second extraction wire coupled to the distal end of the elongated extraction device.

3. The apparatus of claim 2, wherein the first and second extraction wires are coaxial with respect to the filter longitudinal axis and rotationally displaced one from the other around the filter longitudinal axis.

4. The apparatus of claim 1, further comprising an elongated tubular member having a lumen throughout and a distal end comprising a conical member, wherein the extraction member is positioned within the lumen of the elongated tubular member so that the at least one helical extraction wire is positioned within the conical member.

5. The apparatus of claim 1, further comprising the conical portion being a conical member coupled to the distal end of the extraction member, the conical member configured to surround at least a portion of the one helical extraction wire.

12. The apparatus of claim 1, wherein the helical wire is configured as a helix having a narrow end and a wider end, and the helical wire is coupled to the distal end of the rod at the narrow end.

6. A blood filter and removal apparatus for removing a blood filter from a vessel wall comprising:

a) a blood filter adapted to be secured to a blood vessel wall, having a central, longitudinal axis the filter having a hub proximally positioned and a plurality of distally positioned circumferentially spaced legs extending distally from the hub, each leg having a leg distal end with a vessel wall engaging anchor that is configured to anchor the filter to the vessel wall in a filter deployed position;

b) a catheter having a diameter and a catheter lumen defining a longitudinal axis;

c) an elongate extraction device configured to be positioned within the catheter lumen and to move longitudinally and rotationally with respect to the catheter, said extraction device having a tubular member with a collapsible distal conical portion and a rod with a distal end;

d) the extraction device including at least one helical extraction wire coupled to the distal end of the rod, the at least one helical extraction wire configured as a conical helix having a narrow end and a wider end, the at least one helical extraction wire coupled to the distal end of the rod at the narrow end;

e) wherein in an initial leg removal position the wider end of the helical extraction wire engages the filter legs and the legs have a first diameter that is configured to place each anchor in the vessel wall, wherein in a final leg removal position the helical wire collapses the filter legs to a second diameter that is smaller than the said first diameter, wherein movement of the filter legs from the initial leg removal position to the final leg removal position is effected by rotation of the extraction device rod and helical wire connected to the filter legs at a position distally of the hub;

f) wherein in the initial leg removal position, the helical wire has an overall diameter that is greater than the diameter of the catheter and less than the diameter of the vessel; and

g) wherein the said final leg removal position disengages the anchors from the vessel wall by collapsing the filter legs toward said filter longitudinal axis.

7. The apparatus of claim 6, wherein said helical extraction wire includes a second extraction wire coupled to the distal end of the elongated extraction device.

8. The apparatus of claim 7, wherein the first and second extraction wires are coaxial with respect to the filter longitudinal axis and rotationally displaced one from the other around the filter longitudinal axis.

9. The apparatus of claim 6, further comprising an elongated tubular member having a lumen throughout and a distal end comprising a conical member, wherein the extraction member is positioned within the lumen of the elongated tubular member so that the at least one helical extraction wire is positioned within the conical member.

10. The apparatus of claim 6, further comprising the conical portion being a conical member coupled to the distal end of the extraction member, the conical member configured to surround at least a portion of the one helical extraction wire.

11. The apparatus of claim 6, wherein the conical helix has a longitudinal axis and the rod has a longitudinal axis, and the longitudinal axis of the conical helix is coincident with the longitudinal axis of the rod.