Self-rolling apparatuses and methods for removing material from a body lumen

Patent metadata

Field	Value
Publication number	US-11627973-B2
Application number	US-202016790741-A
Country	US
Kind code	B2
Filing date	Feb 14, 2020
Priority date	Sep 12, 2016
Publication date	Apr 18, 2023
Grant date	Apr 18, 2023

Abstract

Self-rolling mechanical apparatuses for removing material from a body lumen include a tractor tube portion that rolls and inverts over itself in a continuous motion, tractor-like, to draw material into the tractor tube, wherein the tractor tube rolls over itself without requiring any additional internal support at the distal-facing region of the tractor tube.

First claim

What is claimed is:

1. A method of removing a material from a body lumen, the method comprising:
advancing a distal end of a self-rolling apparatus through the body lumen to the material, wherein the self-rolling apparatus comprises a tractor tube, an outer tractor pusher, and an inner tractor puller;
pulling the inner tractor puller proximally to compress an outer tractor tube portion of the tractor tube, wherein the compressed outer tractor tube portion has a column strength that resists collapsing up to at least 500 g of compression, and wherein pulling the inner tractor puller proximally causes the outer tractor tube portion at a distal-facing region of the tractor tube to roll over itself, unsupported, and invert into an inner tractor tube portion of the tractor tube; and
engaging the material with the tractor tube as it rolls over itself so that the material is pulled into the tractor tube.

2. The method of claim 1 , further comprising deploying the tractor tube of the self-rolling apparatus so that the outer tractor tube portion of the tractor tube expands to have an outer diameter that is greater than an outer diameter of the outer tractor pusher.

3. The method of claim 1 , wherein pulling the inner tractor puller comprises bracing a distal-facing end of the outer tractor pusher against a tapered face of the tractor tube that is proximal to the outer tractor tube portion.

4. The method of claim 1 , further comprising advancing a guidewire within the body lumen to the material, wherein advancing the self-rolling apparatus comprises advancing the self-rolling apparatus over the guidewire through the body lumen until the self-rolling apparatus is proximate to the material.

5. The method of claim 1 , wherein the material comprises a tissue.

6. The method of claim 1 , wherein the material comprises a clot, and the body lumen comprises a blood vessel.

7. The method of claim 1 , wherein engaging the material comprises advancing the outer tractor pusher distally while pulling the inner tractor puller proximally.

8. The method of claim 1 , wherein engaging the material comprises advancing the outer tractor pusher distally at a first rate while pulling the inner tractor puller proximally at a second rate that is faster than the first rate.

9. The method of claim 1 , wherein advancing the distal end of the self-rolling apparatus comprises advancing the self-rolling apparatus distally with the tractor tube and inner tractor puller within the outer tractor pusher, wherein the tractor tube is in an un-deployed configuration within the outer tractor pusher.

10. The method of claim 1 , further comprising applying aspiration through the tractor tube.

11. The method of claim 1 , further wherein advancing the distal end of the self-rolling apparatus comprises advancing a distal access catheter enclosing the tractor tube, outer tractor pusher and inner tractor puller, wherein the outer tractor tube portion is inverted over the inner tractor puller in an un-deployed configuration within the distal access catheter.

12. A method of removing a material from a body lumen, the method comprising:
advancing a distal end of a self-rolling apparatus through the body lumen to the material, wherein the self-rolling apparatus comprises a tractor tube, an outer tractor pusher, and an inner tractor puller, wherein the tractor tube comprises a braided material forming an outer tractor tube portion that extends distally in an un-inverted configuration and inverts into itself at a distal-facing region to form an inner tractor tube portion, wherein the outer tractor tube portion has a braid angle in a proximal to distal axis in a compressed configuration that is between 80 and 170 degrees, and wherein the inner tractor tube portion has a braid angle in the proximal to distal axis under tension of less than 80 degrees;
pulling the inner tractor puller proximally to compress the outer tractor tube portion of the tractor tube, wherein pulling the inner tractor puller proximally causes the outer tractor tube portion at the distal-facing region of the tractor tube to roll over itself, unsupported, and invert into the inner tractor tube portion; and
engaging the material with the tractor tube as it rolls over itself so that the material is pulled into the tractor tube.

13. The method of claim 12 , further comprising deploying the tractor tube of the self-rolling apparatus so that the outer tractor tube portion of the tractor tube expands to have an outer diameter that is greater than an outer diameter of the outer tractor pusher.

14. The method of claim 12 , wherein pulling the inner tractor puller comprises bracing a distal-facing end of the outer tractor pusher against a tapered face of the tractor tube that is proximal to the outer tractor tube portion.

15. The method of claim 12 , wherein the material comprises a tissue.

16. The method of claim 12 , wherein the material comprises a clot, and the body lumen comprises a blood vessel.

17. The method of claim 12 , wherein engaging the material comprises advancing the outer tractor pusher distally while pulling the inner tractor puller proximally.

18. The method of claim 12 , further comprising applying aspiration through the tractor tube.

19. A method of removing a material from a blood vessel, the method comprising:
advancing a distal end of a self-rolling apparatus through the blood vessel to the material, wherein the self-rolling apparatus comprises a tractor tube, an outer tractor pusher, and an inner tractor puller;
deploying the tractor tube of the self-rolling apparatus so that an outer tractor tube portion of the tractor tube expands to have an outer diameter that is greater than an outer diameter of the outer tractor pusher, wherein a distal-facing end of the outer tractor pusher is braced against a tapered face of the tractor tube proximal to the outer tractor tube portion, and wherein the outer tractor tube portion inverts over itself at a distal-facing region of the tractor tube and extends proximally within the outer tractor tube portion as an inner tractor tube portion that is coupled to the inner tractor puller;
pulling the inner tractor puller proximally to compress the outer tractor tube portion of the tractor tube and cause the outer tractor tube portion of the tractor tube to roll over itself, unsupported, at the distal-facing region and to invert into the inner tractor tube portion;
engaging the material with the tractor tube as it rolls over itself so that the material is pulled into the tractor tube; and
withdrawing the self-rolling apparatus removing the material from the blood vessel, wherein pulling the inner tractor puller comprises applying up to 500 g of compressive force on the outer tractor tube portion without collapsing the outer tractor tube portion.

Assignees

• Stryker Corp

Inventors

• Wallace Michael P
• Greenhalgh E Skott

Classifications

• A61B17/22031 Primary

  Gripping instruments, e.g. forceps, for removing or smashing calculi (A61B17/221 takes precedence) · CPC title

• A61B2017/2215

  having an open distal end · CPC title

• A61B2017/00398

  using powered actuators, e.g. stepper motors, solenoids · CPC title

• A61B17/221

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

• A61B2017/3425

  for internal organs, e.g. heart ports · CPC title