Method of attaching a mesh to a coated loop member of a surgical snare device

Patent metadata

Field	Value
Publication number	US-10149691-B2
Application number	US-201514858622-A
Country	US
Kind code	B2
Filing date	Sep 18, 2015
Priority date	Sep 19, 2014
Publication date	Dec 11, 2018
Grant date	Dec 11, 2018

Abstract

There is provided herein, a method of attaching a mesh to a loop member, which includes covering a wire with a layer, manipulating the wire along with the layer to form the loop member, wherein the loop member has a shape, placing the mesh over the loop member, wherein portions of the mesh extend beyond a circumference of the loop member, transferring heat to the layer to cause it to partially melt and become tacky, allowing the mesh to fuse with the tacky layer and form a secure bond on cooling, and trimming portions of the mesh extending beyond the circumference of the loop member. A retrieval device formed by the method includes the loop member and attached mesh positioned and longitudinally movable within a tubular sheath. The loop member and mesh are deployed to capture a target object and partially retracted for removal of the object.

First claim

We claim:

1. A retrieval device, comprising:
a snare loop, including:
a central opening;
a loop member surrounding the central opening, and
a layer of material that overlies the loop member;

a mesh extending across the central opening of the snare loop, wherein the mesh includes:
a plurality of openings, and
a plurality of strands:
wherein first portions of the plurality of strands surround the plurality of openings,
wherein second portions of the plurality of strands are coupled to the layer of material, the second portions of the plurality of strands being positioned along an outer periphery of the mesh, and
wherein the second portions of the plurality of strands are fixed and immovable relative to the layer of material;

a sheath, including:
a lumen,
a proximal end,
a distal end, and
a distal opening, wherein the lumen extends between the proximal end and the distal end, and wherein the lumen is in communication with the distal opening;

a drive strand extending through the lumen of the sheath to a portion of the snare loop proximal to the central opening, wherein movement of the drive strand within the lumen of the sheath is configured to:
move at least a portion of the snare loop, and at least a portion of the mesh, distally out of the distal opening of the sheath, and
move at least a portion of the snare loop, and at least a portion of the mesh, proximally into the distal opening of the sheath, wherein the second portions of the plurality of strands remain stationary relative to the layer of material as the snare loop and the mesh move through the distal opening of the sheath; and

a shrink covering on the portion of the snare loop proximal to the central opening, wherein a proximal end of the shrink covering is distal to the distal end of the drive strand.

2. The retrieval device of claim 1 , wherein a proximal end of the loop member includes first and second proximal arms, and wherein a portion of the first proximal arm and a portion of the second proximal arm are secured by the shrink covering.

3. The retrieval device of claim 2 , wherein the first proximal arm and second proximal arm contact each other within the shrink covering, and wherein the shrink covering comprises a portion of the mesh.

4. The retrieval device of claim 1 , wherein at least one of the second portions of the plurality of strands terminates at a surface of the snare loop.

5. The retrieval device of claim 1 , wherein the layer of material includes a first section and a second section on a side opposite the first section, wherein the second portions of the plurality of strands terminate at the first section, and wherein the second section is free of any contact with the second portions of the plurality of strands.

6. The retrieval device of claim 1 , wherein the second portions of the plurality of strands are at a first section of the layer of material, and wherein the second portions of the plurality of strands are spaced apart from a second section of the layer of material, the second section being on a side of the snare loop opposite the first section.

7. The retrieval device of claim 1 , wherein the second portions of the plurality of strands are at least partially embedded in the layer of material.

8. The retrieval device of claim 1 , wherein the layer of material is green.

9. The retrieval device of claim 1 , wherein the layer of material envelops the loop member.

10. A retrieval device, comprising:
a snare loop, including:
a loop member including a first proximal arm and a second proximal arm,
a central opening through the snare loop, and
a layer of material that overlies at least a portion of the loop member defining the central opening;

a net extending across the central opening of the snare loop, wherein the net includes:
a plurality of strands, and
a plurality of openings between a first portion of the plurality of strands,
wherein second portions of the plurality of strands are coupled to the layer of material, wherein the second portions of the plurality of strands include one or more terminal ends, and wherein the one or more terminal ends are directly and immovably coupled to the layer of material;

a sheath, including
a lumen,
a proximal end,
a distal end, and
a distal opening, wherein the lumen extends between the proximal end and the distal end, and wherein the lumen is in communication with the distal opening;

a drive strand extending through the lumen of the sheath to the snare loop, wherein movement of the drive strand within the lumen of the sheath is configured to move the snare loop and the net relative to the sheath, and wherein the second portions of the plurality of strands that are coupled to the layer of material remain positionally fixed relative to the layer of material during movement of the snare loop and the net into and out of the distal opening of the sheath; and
a shrink covering configured to secure the first proximal arm to the second proximal arm, wherein the first proximal arm and second proximal arm contact each other within the shrink covering, and wherein the shrink covering comprises portions of the net.

11. The retrieval device of claim 10 , wherein a portion of the first proximal arm and a portion of the second proximal arm are enveloped by the shrink covering.

12. The retrieval device of claim 10 , wherein the snare loop includes a first section, and a second section on a side of the snare loop opposite the first section, and wherein the second portions of the plurality of strands are only coupled to the layer of material at the first section.

13. The retrieval device of claim 10 , wherein the layer of material is polymeric.

14. The retrieval device of claim 10 , wherein the second portions of the plurality of strands are at least partially embedded in the layer of material.

15. The retrieval device of claim 10 , wherein the loop member is made of metal.

16. A retrieval device comprising:
a snare, including:
a support member having a plurality of bends and including a first proximal arm and a second proximal arm,
a central opening surrounded by the support member,
a layer of material on the support member, wherein the layer of material includes a first section on a first side of the support member, and a second section on a second side of the support member opposite the first side;

a mesh extending across the central opening of the snare, wherein the mesh includes:
a plurality of strands,
a plurality of openings bordered by a first portion of the plurality of strands, wherein a second portion of the plurality of strands are coupled to the first section of the layer of material on the support member without being coupled to the second section of the layer of material on the support member;

a sheath, including
a lumen,
a proximal end,
a distal end, and
a distal opening, wherein the lumen extends between the proximal end and the distal end, wherein the lumen is in communication with the distal opening, and wherein the snare and the mesh are extendable out of the distal opening and retractable into the distal opening;

a drive strand extending through the lumen of the sheath to a portion of the snare proximal to the central opening, wherein movement of the drive strand within the lumen of the sheath is configured to:
move at least a portion of the snare, and at least a portion of the mesh, distally out of the distal opening of the sheath, and
move at least a portion of the snare, and at least a portion of the mesh, proximally into the distal opening of the sheath, wherein the second portion of the plural

Assignees

• Endochoice Inc

Inventors

• Kan Gil
• Knapp Tracey
• Jacobs Charlie

Classifications

• A61B17/221 Primary

  Gripping devices in the form of loops or baskets {for gripping calculi or similar types of obstructions (surgical snare instruments A61B17/32056)} · CPC title

• A61B2017/00526

  Methods of manufacturing · CPC title

• A61B17/00234

  for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title

• A61B2017/00287

  Bags for minimally invasive surgery · CPC title

• A61B2017/2212

  having a closed distal end, e.g. a loop · CPC title