Systems and methods for removing undesirable material within a circulatory system during a surgical procedure

• US 8,734,374 B2
• Filed: 04/12/2011
• Issued: 05/27/2014
• Est. Priority Date: 12/20/2007
• Status: Active Grant

• Current Assignee: AngioDynamics, Inc.
• Original Assignee: AngioDynamics, Inc.
• Inventors: Aklog, Lishan, Glennon, Michael
• Primary Examiner(s): DEAK, LESLIE R
• Application Number:
  US13/084,675
• Publication Number:
  US 20110213297A1
• Time in Patent Office: 1,141 Days
• Field of Search: 604/4.01, 604/5.01, 604/6.09, 604/6.11, 604/6.16, 604/96.01, 604/103.07, 604/319, 606/200
• US Class Current: 604/6.11
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 17/22032 having inflatable gripping elements balloon catheters A61M25/10
• CPC Class Codes: A61B 17/3203 Fluid jet cutting instruments
• CPC Class Codes: A61B 17/3207 Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions A61B17/32037 takes precedence; endoscopic cutting instruments A61B17/320016
• CPC Class Codes: A61B 2017/22079 with suction of debris
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61M 1/3621 Extra-corporeal blood circuits single-needle circuits A61M1/30
• CPC Class Codes: A61M 1/76 Handpieces specially for suction-irrigation A61M1/774, aspiration tips A61M1/84
• CPC Class Codes: A61M 1/77 Suction-irrigation systems aspiration tips supplying fluids A61M1/85; specific for negative pressure wound therapy A61M1/92; combined with tracheal tubes A61M16/0463
• CPC Class Codes: A61M 1/79 Filters for solid matter specially adapted for dental use A61C17/065
• CPC Class Codes: A61M 1/80 Suction pumps A61M1/64, A61M1/71, A61M60/00 take precedence
• CPC Class Codes: A61M 1/84 Drainage tubes; Aspiration tips for negative pressure wound therapy A61M1/90; for surgical cutting instruments A61B17/32
• CPC Class Codes: A61M 2202/0014 removed from the body
• CPC Class Codes: A61M 2202/09 Body tissue
• CPC Class Codes: A61M 2202/20 Pathogenic agents
• CPC Class Codes: A61M 2205/7545 for solid matter, e.g. microaggregates
• CPC Class Codes: A61M 2210/12 Blood circulatory system

Abstract

A method for capturing dislodged vegetative growth during a surgical procedure is provided. The method includes maneuvering, into a circulatory system, a first cannula having a distal end and an opposing proximal end, such that the first cannula is positioned to capture the vegetative growth en bloc. A second cannula is positioned in fluid communication with the first cannula, such that a distal end of the second cannula is situated in spaced relation to the distal end of the first cannula. A suction force is provided through the distal end of the first cannula so as to capture the vegetative growth. Fluid removed by the suction force is reinfused through the distal end of the second cannula. Subsequent to becoming dislodged, the vegetative growth is caputred by the first cannula. A method for capturing a vegetative growth during removal of a pacemaker lead is also provided.

Claims

1. A method for capturing dislodged vegetative growth during a surgical procedure, the method comprising:

maneuvering, within a circulatory system, a first cannula such that its distal end is positioned in a strategic location for subsequent capture of a vegetative growth that has become dislodged during the surgical procedure;

positioning, within the circulatory system, a second cannula, in fluid communication with the first cannula, such that a distal end of the second cannula is in a spaced relation to the distal end of the first cannula;

providing a pump capable of simultaneously creating a suction force and a driving force, the suction force is through the distal end of the first cannula so as to capture any vegetative growth that has become dislodged and the driving force is through the distal end of the second cannula; and

performing the surgical procedure.

2. A method as set forth in claim 1 wherein, in the step of maneuvering, the location includes one of a medium-sized blood vessel, a large-sized blood vessel, or a heart chamber.

3. A method as set forth in claim 1 wherein the step of maneuvering includes expanding, at the location, the distal end of the first cannula from a first diameter to a relatively larger second diameter.

4. A method as set forth in claim 1 wherein the step of positioning includes one or more of:

placing the distal end of the second cannula and the distal end of the first cannula within the same blood vessel as that of the distal end of the first cannula;

placing the distal end of the second. cannula within a different vessel as that of the distal end of the first cannula;

placing the distal end of the second cannula within the same chamber of a heart as that of distal end of the first cannula;

placing the distal end of the second cannula and in a blood vessel and placing the distal end of the first cannula m a chamber of a heart; and

placing the distal end of the second cannula in a spaced relation to the distal end of the first cannula.

5. A method as set forth in claim 1 further comprising dislodging the vegetative growth from its position within a heart of a patient for capture by the first cannula.

6. A method as set forth in claim 5 wherein the step of dislodging includes detatching the vegetative growth from a valve within the heart of the patient.

7. A method as set forth in claim 1 further comprising dislodging the vegetative growth from its position on a foreign body within the circulatory system.

8. A method as set forth in claim 7 wherein the step of dislodging includes removing the vegetative growth from a lead of a pacemaker, which lead is attached to the heart of the patient.

9. A method as set forth in claim 1 further comprising extending a catheter into the circulatory system from the distal end of the first or second cannula.

10. A method as set forth in claim 1 wherein the step of maneuvering includes positioning the first cannula in a medium size blood vessel or a large size blood vessel.

11. A method as set forth in claim 1 wherein the step of providing includes capturing the vegetative growth without substantial fragmentation.

12. A method as set forth in claim 1 further comprising reinfusing, through the distal end of the second cannula, fluid removed from the patient by the suction force, to a location in spaced relation from the distal end of the first cannula.

13. A method for capturing dislodged vegetative growth during a surgical removal of a pacemaker lead from a heart, the method comprising:

maneuvering, within a circulatory system, a first cannula such that its distal end is positioned in a strategic location for subsequent capture of a vegetative growth that has become dislodged during the surgical procedure;

positioning, within the circulatory system, a second cannula, in fluid communication with the first cannula, such that a distal end of the second cannula is in a spaeed relation to the distal end of the first cannula;

providing a pump capable of simultaneously creating a suction force and a driving force, the suction force is through the distal end of the first cannula so as to capture any vegetative growth that becomes dislodged during removal of the pacemaker lead.

14. A method as set forth in claim 13 wherein, in the step of maneuvering, the location includes one of a medium-sized blood vessel, a large-sized blood vessel, or a heart chamber.

15. A method as set forth in claim 13 wherein the step of maneuvering includes expanding, at the location, the distal end of the first cannula from a first diameter to a relatively larger second diameter.

16. A method as set forth in claim 13 wherein the step of positioning includes one or more of:

placing the distal end of the second cannula and the distal end of the first cannula within the same blood vessel as that of the distal end of the first cannuta;

placing the distal end of the second cannula within a different vessel as that of the distal end of the first cannula;

placing the distal end of the second cannula within the same chamber of a heart as that of distal end of the first cannula;

placing the distal end of the second cannula and in a blood vessel and placing the distal end of the first cannula in a chamber of a heart; and

placing the distal end of the second cannula in a spaced relation to the distal end of the first cannula.

17. A method as set forth in claim 13 further comprising extending a catheter into the vessel from the distal end of the first or second cannula.

18. A method as set forth in claim 13 wherein the step of maneuvering includes positioning the first cannula in a medium size blood vessel or a large size blood vessel.

19. A method as set forth in claim 13 further comprising reinfusing, through the distal end of the second cannula, fluid removed from the patient by the suction force, to a location in spaced relation from the distal end of the first cannula.

20. A method as set forth in claim 13 further comprising extending a catheter from the distal end of the first or second catheter to the location of the vegetative growth.

21. A method as set forth in claim 20 wherein the step of extending further includes engaging a thrombectomy device coupled to the catheter in order to dislodge the vegetative growth.

22. A method as set forth in claim 13 wherein the step of providing includes capturing the vegetative growth without substantial fragmentation.

23. A method as set forth in claim 13 wherein the step of providing includes capturing, by the distal end of the first cannula, any debris dislodged during removal of the pacemaker lead.

24. A method for capturing dislodged undesirable material during an interventional procedure, the method comprising:

maneuvering, within a circulatory system, a first cannula such that its distal end is positioned in a strategic location for subsequent capture of an undesirable material that has become dislodged during the interventional procedure;

positioning, within the circulatory system, a second cannula, in fluid communication with the first cannula, such that a distal end of the second cannula is in a spaced relation to the distal end of the first cannula;

providing a pump capable of simultaneously creating a suction force and a driving force, the suction force is through the distal end of the first cannula so as to capture any undesirable material that has become dislodged and the driving force is through the distal end of the second cannula; and

performing the interventional procedure.

25. A method as set forth in claim 24 wherein the suction force and driving force remain engaged for the duration of the interventional procedure.

26. A method as set forth in claim 24 wherein the interventional procedure may comprise of using a distal protection device or a balloon catheter to aid in mechanical disruption of the undesirable material.