39 results about "Pulmonary embolectomy" patented technology

Apparatus and methods are provided for use in filtering emboli from a vessel and / or performing thrombectomy and embolectomy, wherein a vascular device disposed on a guidewire comprises a support hoop disposed from a suspension strut. Alternately, a support hoop having an articulation region may be directly connected to a region proximate the distal end of the guidewire. A blood permeable sac is affixed to the support hoop to form a mouth of the blood permeable sac. The support hoop is disposed obliquely relative to the longitudinal axis of the guidewire and is capable of being properly used in a wide range of vessel diameters. The vascular device collapses during removal to prevent material from escaping from the sac. A delivery sheath and introducer sheath for use with the vascular device of the present invention are also provided.

An embolectomy device includes a catheter and an elongated shaft positioned in and moveable within the catheter. The shaft has proximal and distal end portions, and a retrieval portion between the proximal and distal end portions. The retrieval portion has a plurality of legs having proximal and distal end portions. Portions of the legs are movable laterally outward from a long axis of the elongated shaft when the retrieval portion is at least partially moved out of the catheter. A retrieval net can be fixed to portions of the legs for engaging a clot or other occlusion within a body canal. An expander can be provided for moving portions of an occlusion toward canal walls to open a lumen. A method for removing clots and other occlusions from body canals is also disclosed.

Apparatus and methods are provided for use in filtering emboli from a vessel and / or performing thrombectomy and embolectomy, wherein a vascular device comprises one or more support hoops connected near a distal end of a guide wire, each support hoop having an articulation region, and a blood permeable sac affixed to the support hoop or hoops to form a mouth of the blood permeable sac. The mouth of the sac closes when the apparatus is collapsed for removal to prevent material from escaping from the sac.

An access device adapted for use in a body conduit is provided comprising an outer tube having a proximal end and a distal end, an inner tube disposed coaxially with the outer tube having a proximal end and a distal end, and an expandable portion having a first end coupled to the distal end of the outer tube and a second end coupled to the distal end of the inner tube. The outer tube and the inner tube are movable relative to each other to transform the expandable portion between a low-profile state and a high-profile state, and at least one of the outer and inner tubes comprises a wire-reinforced tube or is formed from a plurality of individual, discrete, generally ring-shaped elements arranged in series and fused or bonded together to form a continuous tubular structure. The access device may further comprise an actuator coupled to one of the outer and inner tubes and being movable relative to the other of the outer and inner tubes to transform the expandable portion between the low- and high-profile states. The expandable portion may be formed with a braid material and has the shape of a cone. The ring-shaped elements may be formed of a thermoplastic or a thermoset material, and they may include at least one of plastic rings, metallic rings, un-reinforced plastic rings and metal reinforced plastic rings assembled along the length of at least one of the tubes to provide variable flexibility and kink-resistance. The wire-reinforced tube is formed by coating a wire with a plastic material, wrapping the coated wire around a mandrel forming a plurality of windings, and heating the wound coated wire until the plastic material melts and bonds the windings forming the wire-reinforced tube.

Embolectomy catheters, rapid exchange microcatheters, systems and methods for removing clots or other obstructive matter (e.g., thrombus, thromboemboli, embolic fragments of atherosclerotic plaque, foreign objects, etc.) from blood vessels. This invention is particularly useable for percutaneous removal of thromboemboli or other obstructive matter from small blood vessels of the brain, during an evolving stroke or period of cerebral ischemia. In some embodiments, the embolectomy catheters of this invention are advanceable with or over a guidewire which has been pre-inserted through or around the clot. Also, in some embodiments, the embolectomy catheters include clot removal devices which are deployable from the catheter after the catheter has been advanced at least partially through the clot. The clot removal device may included a deployable wire nest that is designed to prevent a blood clot from passing therethrough. The delivery catheter may include telescoping inner and outer tubes, with the clot removal device being radially constrained by the outer tube. Retraction of the outer tube removes the constraint on the clot removal device and permits it to expand to its deployed configuration. An infusion guidewire is particularly useful in conjunction with the embolectomy catheter, and permits infusion of medicaments or visualization fluids distal to the clot.

The present invention provides an embolectomy device for removal of clots from vasculature, said device comprising: a proximal effecter characterized by a non-expanded configuration and an expanded configuration; a distal effecter characterized by a non-expanded configuration and an expanded configuration; said proximal effecter, in said expanded configuration is adapted for grasping a proximal portion of the target embolus; said proximal effecter, in said expanded configuration is adapted for grasping a distal portion of said target embolus; wherein both said effecters, when expanded, are oppositely positioned and are adapted to operate in concert, for trapping said clot such that said clot is (i) manipulatable along and / or around the main longitudinal axis of said vasculature in a predetermined set of motions; (ii) extracted out of said vasculature.

It is one object of the present invention to provide a device for extracting a clot from a blood vessel in a non fragmented manner, comprising: 1. an endless wire coupled to a spring-like helical member having a plurality of loops; said loops are positioned at an angle A relatively to the main longitudinal axis of said blood vessel; and, are adapted to radially encircle at least a portion of the outer circumference of said clot; and, 2. a tubular mesh-like net for both enveloping said helical member and enclosing said clot therein; wherein at least a portion of said clot is contemporaneously confined within said loops and said mesh-like net, such that radial compression forces and longitudinal shearing forces are exerted on said clot and the tendency of said clot to fragment is mitigated.

Balloon catheters having the strength and maximum inflated diameter characteristics of an angioplasty balloon and having the recovery characteristics during deflation of an elastic embolectomy balloon. The balloon catheter can be made in very small sizes and has a lubricious and chemically inert outer surface. The balloon catheter is easy to navigate through tortuous passageways, is capable of rapid inflation and deflation and has high burst strengths. Balloon covers having these same characteristics are also described for use with conventional embolectomy balloons or angioplasty balloons.

A grooved embolectomy catheter (10) having lumen including a grooved insertion end (22). A method of treating a thrombus in an individual in need of treatment by inserting the above catheter into an individual, at a location in need of treatment, and rotating the catheter within the individual at the location in need of treatment, thereby breaking apart the thrombus is provided.

Devices and methods for removing a foreign object from a body lumen are disclosed. An embolectomy device can include a filter basket having a plurality of filter struts forming a cage-like structure that can be expanded to circumferentially surround the incoming foreign object. A support frame including a proximal hoop and one or more rail members may be employed to support the filter basket. The support frame and filter basket can be coupled to a pusher wire that can be used to manipulate the device within the body. In certain embodiments, the filter struts may vary in thickness to impart a desired flexibility characteristic to the device. Methods of manufacturing such devices are also disclosed.

An embolectomy device includes an elongated shaft positionable in and movable within a catheter. The elongated shaft having a distal end portion. An expander portion having proximal and distal ends. The expander portion having a first plurality of legs connecting the proximal end of the expander portion to the distal end portion of the elongated shaft and a second plurality of legs connecting the distal end of the expander portion to the proximal end of the intermediate elongated shaft. The expander portion being biased to expand laterally outward from the long axis of the embolectomy device when the expander portion has been moved out of the catheter to engage a clot. A retrieval portion can be provided proximally of the expander portion. A retrieval net can be fixed to the retrieval portion. The expander portion can be at least partially covered by a net. A method for removing clots and other occlusions for body canals is also provided.

Apparatus and methods are provided for use in filtering emboli from a vessel and / or performing thrombectomy and embolectomy, wherein a vascular device comprises one or more support hoops connected near a distal end of a guide wire, each support hoop having an articulation region, and a blood permeable sac affixed to the support hoop or hoops to form a mouth of the blood permeable sac. The mouth of the sac closes when the apparatus is collapsed for removal to prevent material from escaping from the sac.

Embolectomy procedures can be performed under conditions to effectively remove thrombus / emboli with little risk of injuring the vessel wall and while effectively capturing and removing emboli. Desired embolectomy devices present a polymer matrix against the vessel wall. Suction can be used to facilitate the embolectomy process and to remove emboli loosened in the procedure. Some devices combine features to present a polymer matrix against the vessel wall while corresponding providing sufficient support to effectively loosen thrombus. Combinations of embolectomy and / or filter elements can be used.

An embodiment is a catheter comprising a first elongate shaft having a proximal end, a distal end and a first lumen therethrough, a wire having a proximal end and a distal end at least partially disposed in the first elongate shaft, the distal end extending distally from the first elongate shaft, and a motion control apparatus connected to the proximal end of the wire, further comprising a device attached to the distal end of the wire for changing the shape of an embolus, wherein the device is configured to change the shape of the embolus to unclog a distal catheter lumen.

An embodiment is a catheter comprising a first elongate shaft having a proximal end, a distal end and a first lumen therethrough, a wire having a proximal end and a distal end at least partially disposed in the first elongate shaft, the distal end extending distally from the first elongate shaft, and a motion control apparatus connected to the proximal end of the wire, further comprising a device attached to the distal end of the wire for changing the shape of an embolus, wherein the device is configured to change the shape of the embolus to unclog a distal catheter lumen.

Embolectomy procedures can be performed under conditions to effectively remove thrombus / emboli with little risk of injuring the vessel wall and while effectively capturing and removing emboli. Desired embolectomy devices present a polymer matrix against the vessel wall. Suction can be used to facilitate the embolectomy process and to remove emboli loosened in the procedure. Some devices combine features to present a polymer matrix against the vessel wall while corresponding providing sufficient support to effectively loosen thrombus. Combinations of embolectomy and / or filter elements can be used.

Apparatus and methods are provided for use in filtering emboli from a vessel and / or performing thrombectomy and embolectomy, wherein a vascular device disposed on a guidewire comprises a support hoop disposed from a suspension strut. Alternately, a support hoop having an articulation region may be directly connected to a region proximate the distal end of the guidewire. A blood permeable sac is affixed to the support hoop to form a mouth of the blood permeable sac. The support hoop is disposed obliquely relative to the longitudinal axis of the guidewire and is capable of being properly used in a wide range of vessel diameters. The vascular device collapses during removal to prevent material from escaping from the sac. A delivery sheath and introducer sheath for use with the vascular device of the present invention are also provided.

Balloon catheters having the strength and maximum inflated diameter characteristics of an angioplasty balloon and having the recovery characteristics during deflation of an elastic embolectomy balloon. The balloon catheter can be made in very small sizes and has a lubricious and chemically inert outer surface. The balloon catheter is easy to navigate through tortuous passageways, is capable of rapid inflation and deflation and has high burst strengths. Balloon covers having these same characteristics are also described for use with conventional embolectomy balloons or angioplasty balloons.

An embolectomy device includes a proximal elongated shaft positionable and movable within a catheter, the proximal elongated shaft having a distal end. A distal elongated shaft positionable and movable with a catheter, the distal elongated shaft having a proximal end. An expander portion comprising a body having proximal and distal ends. The proximal end of the body extending from the distal end of the proximal elongated shaft and the proximal end of the distal elongated shaft extending from the distal end of the body of the expander portion. The body being biased to expand laterally outward from an axis of the embolectomy device. The body is shaped as an spheroid when expanded laterally outward.

The invention relates to a blood-vessel embolectomy device with a semi-closed structure and a thrombus treating apparatus with the same. The blood-vessel embolectomy device comprises an embolectomy device body, a developing loop located at the near end of the embolectomy device body and developing rings located at the far end of the embolectomy device body. The embolectomy device body is of a web-tubular or cage-shaped structure composed of a plurality of connected unit grids; the near end of the embolectomy device body is of the closed conical structure; a longitudinal gap is formed in the side face of the far end of the embolectomy device body. The thrombus treating apparatus comprises the blood-vessel embolectomy device with the semi-closed structure, a protecting sheath tube, a conveying wire, a micro guide tube, a guiding guide tube and a rotating bleeding stopping valve. The micro guide tube is pushed to a thrombus embolism in the guiding guide tube along the guiding guide tube, the protecting sheath tube is communicated with the micro guide tube through the rotating bleeding stopping valve, and the embolectomy device body is placed in the protecting sheath tube, pushed into the micro guide tube through the conveying wire and pushed to the thrombus embolism. According to the blood-vessel embolectomy device with the semi-closed structure and the thrombus treating apparatus, flexibility is good, the embolectomy device body can pass through the bent blood vessel or reach the blood vessel with the thin far end, and harm to the blood vessel wall is small.

The invention relates to a blood-vessel embolectomy device with a helical structure and a thrombus treating apparatus with the same. The blood-vessel embolectomy device comprises a developing loop, developing rings and an embolectomy device body arranged between the developing loop and the developing rings. The embolectomy device body is of a web-tubular or cage-shaped structure composed of a plurality of connected unit grids; the web-shaped or cage-shaped structure is in an opening type, and a longitudinal gap is formed in the side face of the embolectomy device body, and extends in a helical mode along the outer surface of the web-shaped or cage-shaped structure. The thrombus treating apparatus comprises the blood-vessel embolectomy device with the helical structure, a protecting sheath tube, a conveying wire, a micro guide tube, a guiding guide tube and a rotating bleeding stopping valve. The micro guide tube is pushed to a thrombus embolism in the guiding guide tube along the guiding guide tube, the protecting sheath tube is communicated with the micro guide tube through the rotating bleeding stopping valve, and the embolectomy device body is placed in the protecting sheath tube and pushed into the micro guide tube through the conveying wire. According to the blood-vessel embolectomy device with the helical structure and the thrombus treating apparatus, flexibility is good, the embolectomy device body can pass through the bent blood vessel or reach the blood vessel with the thin far end, and harm to the blood vessel wall is reduced to be minimum.

The present disclosure involves a rheolytic thrombectomy catheter with a self-inflating proximal balloon having drug infusion capabilities. A self-inflating balloon having a plurality of outflow orifices located about the peripheral circumference thereof is located proximal to an inflow gap or orifices and a fluid jet emanator and which balloon is inflated and expanded by internal operating pressures to uniformly space and position the outflow orifices of the self-inflating balloon in close proximity to or in intimate contact with the thrombus or walls of the blood vessel. Devices of the present disclosure can be used for the purposes of thrombectomies, embolectomies, thrombus or vessel dilation and for the delivery of drugs to a thrombus or vessel site.

The invention relates to an embolectomy apparatus for intravascular embolectomy and an application of the embolectomy apparatus. The embolectomy apparatus comprises a stent portion, a tectorial membrane portion, a proximal portion, a push-pull rod and a micro catheter. The stent portion is of a meshed structure, and the stent, under a release state, is expanded as a hollow tubular structure; many holes are formed in the far end of the tectorial membrane, so as to facilitate passing of a blood flow; the proximal portion is of a triangular or elliptic meshed opening structure with the end connected to the push-pull rod; and by virtue of the micro catheter, the embolectomy apparatus for the intravascular embolectomy is transported. With the application of the tectorial membrane stent-type embolectomy apparatus provided by the invention, acute thrombosis formed in minute blood vessels, in particular in cerebral blood vessels, can be removed conveniently; the embolectomy apparatus can prevent the prolapse of the thrombosis from meshes of the stent and protect openings of branch vessels from getting blocked; and in addition, damage to the inner walls of the blood vessels caused by steel strips of the stent. The embolectomy apparatus provided by the invention is simple, convenient and safe to operate and is convenient for popularization; and the embolectomy apparatus is applicable to broad ordinary people at salaried class.

An embolectomy and thrombolysis device for visceral arterial embolism comprises a plurality of independent flexible-shaft-shaped balloon blocking catheters, a first guide wire with the diameter of 0.018 inches, a flexible-shaft-shaped balloon embolectomy catheter, a second guide wire with the diameter of 0.035 inches, and a flexible-shaft-shaped thrombolysis catheter with a drug injection cavity. The external diameter of each of the flexible-shaft-shaped balloon blocking catheters is 3F, each flexible-shaft-shaped balloon blocking catheter comprises a guide channel, a water injection channel and an expanding blocking balloon, wherein the guide channels penetrate through the catheters axially, and the expanding blocking balloons located at the distal ends of the catheters are communicated with the water injection channels. The external diameter of the flexible-shaft-shaped balloon embolectomy catheter is 4F or 5F, the flexible-shaft-shaped balloon embolectomy catheter comprises a guide channel and a water injection channel, wherein the guide channel penetrates through the flexible-shaft-shaped balloon embolectomy catheter axially, and an expanding embolectomy balloon located at the distal end of the flexible-shaft-shaped balloon embolectomy catheter is communicated with the water injection channel. The drug injection cavity penetrates through the flexible-shaft-shaped thrombolysis catheter axially. Through the cooperation of the balloon blocking catheters, the first guide wire, the balloon embolectomy catheter, the second guide wire and the thrombolysis catheter, the embolectomy and thrombolysis device can simplify operations, reduce injuries to patients due to the operations, lower the risk of the operations and increase the survival rate of the patients.

The invention provides a segmented embolectomy stent. The shape of the segmented embolectomy stent is a tubular shape with the circumferential surface provided with a plurality of meshes formed by hollowing-out; the segmented embolectomy stent comprises a proximal end segment, a middle portion segment and a distal end segment; the proximal end segment forms a tapered opening and is connected witha push wire; the middle portion segment is formed by connecting a plurality of sub-segments end to end; at least one first X-shaped connecting portion is formed between the adjacent sub-segments, andeach X-shaped connecting segment includes two X-shaped connecting segments; and the two X-shaped connecting portions in every X-shaped connecting segment directly face each other. The design of the symmetric X-shaped connecting segment and the bilaterally symmetrical and the longitudinal symmetrical structure enable the stent to maintain the opposite segmented structure of every segment, reserve the advantages of strong thrombus capturing ability and strong blood vessel torturing ability of the segmented stent, increase the stability of the stent structure and the stability of the capturing effect, and make the stent easily operated by an operator.

An embolectomy device (112) includes a clot engaging structure comprising a plurality of interconnected struts (124) forming an open cell structure having an inner lumen, wherein the clot engaging structure is biased to expand or otherwise expandable from a radially constrained configuration to a radially expanded configuration when released from a delivery catheter into a blood vessel; and a support structure (200) positioned within the inner lumen of the clot engaging structure, the support structure (200) comprising a plurality of connectors (230) connected to respective struts (124) of theclot engaging structure, wherein the support structure (200) connectors are biased to move or otherwise movable from a radially constrained configuration to a radially expanded configuration to thereby cause or otherwise assist and / or facilitate and maintain expansion of the open cell clot engaging structure.