Intravascular treatment of vascular occlusion and associated devices, systems, and methods

Patent metadata

Field	Value
Publication number	US-11918243-B2
Application number	US-202117362800-A
Country	US
Kind code	B2
Filing date	Jun 29, 2021
Priority date	Oct 23, 2015
Publication date	Mar 5, 2024
Grant date	Mar 5, 2024

Abstract

Systems and methods for removal of thrombus from a blood vessel in a body of a patient are disclosed herein. The method can include: providing a thrombus extraction device including a proximal self-expanding member formed of a unitary fenestrated structure, a distal substantially cylindrical portion formed of a net-like filament mesh structure, and an inner shaft member connected to a distal end of the net-like filament mesh structure; advancing a catheter constraining the thrombus extraction device through a vascular thrombus, deploying the thrombus extraction; retracting the thrombus extraction device to separate a portion of the thrombus from the vessel wall and to capture the portion of the thrombus within the net-like filament mesh structure; and withdrawing the thrombus extraction device from the body to remove thrombus from the patient.

First claim

What is claimed is:

1. A method of manufacturing a thrombus extraction device, the method comprising:
threading a plurality of filaments through a distal region of a coring element, wherein the distal region of the coring element includes a plurality of struts, wherein the struts define a plurality of apertures, and wherein threading the plurality of filaments through the distal region of the coring element includes, for each of the apertures, inserting a first filament and a second filament of the plurality of filaments through the aperture; and
weaving the filaments together to form a mesh structure that extends distally from the coring element.

2. The method of claim 1 wherein threading the plurality of filaments through the distal region of the coring element includes, for each of the apertures, looping the first filament about itself proximate the aperture.

3. The method of claim 2 wherein threading the plurality of filaments through the distal region of the coring element includes, for each of the apertures, threading the second filament through the loop of the first filament.

4. The method of claim 1 wherein threading the plurality of filaments through the distal region of the coring element includes, for each of the apertures, (a) looping the first filament about itself proximate the aperture and (b) looping the second filament about itself proximate the aperture.

5. The method of claim 1 wherein a number of the filaments is twice as great as a number of the apertures.

6. The method of claim 1 wherein each of the filaments includes a first end portion and a second end portion, and wherein threading the plurality of filaments through the distal region of the coring element includes threading each of the filaments such that the first end portion and the second end portion are positioned distal of the coring element before weaving the filaments together to form the mesh structure.

7. The method of claim 1 wherein the mesh structure has a net-like shape with a closed distal end portion.

8. The method of claim 1 wherein the filaments are metal wires.

9. The method of claim 1 wherein the mesh structure has a generally cylindrical shape.

10. The method of claim 1 wherein the coring element is a unitary structure formed from a self-expanding metal material.

11. The method of claim 1 wherein the apertures have a same size and shape and extend circumferentially about a longitudinal axis of the coring element.

Assignees

• Inari Medical Inc

Inventors

• Marchand Phil
• Thress John C
• Louw Jacob F
• Cox Brian J
• Quick Richard

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

• A61B17/320725

  with radially expandable cutting or abrading elements (A61B17/32075 takes precedence) · CPC title

• A61B17/3415 Primary

  for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters (A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06) · CPC title

• A61B2017/00526

  Methods of manufacturing · CPC title

• A61B2017/22094

  for crossing total occlusions, i.e. piercing · CPC title