Mechanical thrombectomy device
View Patent ↗A medical device for removing a thrombus from a blood vessel and a process thereof is presented. The device includes an outer sheath with a plurality of lumens. A wire guide inserted through one of the lumens is used to place the device proximate to a thrombus. A chemical lysing agent is used to at least partially lyse the thrombus. A wire basket extended through the first lumen proximate to the thrombus is translated back and forth to generate a force that may be transmitted to the partially lysed thrombus assisting in the formation of smaller fragments. A vacuum coupled to the distal end of the second lumen is used to remove the lysed thrombus fragments.
1. A medical device to partially lyse and remove a thrombus from a blood vessel, the device comprising:
a tubular outer sheath having a first lumen and a second lumen with each lumen having a distal portion extending to a distal end and a proximal portion extending from the distal portion to a proximal end;
a wire guide placed into the proximal end of the first lumen for delivery to a patient through the proximal end of the first lumen,
an injector mechanism causing a lysing agent to flow through the second lumen; and
a wire basket slidably received within the first lumen to replace the wire guide, the wire basket having a proximal end and a distal tip and comprising a plurality of wires, the plurality of wires extending helically from the proximal end to the distal tip;
a vacuum applied through the second lumen to remove the at least partially lysed thrombus;
the device being operable in two modes including a first delivery mode and a second mixing mode;
wherein the wire basket is sized and extended proximate to the thrombus in said delivery mode;
wherein the wire basket is caused to engage the thrombus to transmit force thereto in the furtherance of at least partially lysing and removing the thrombus in said mixing mode;
wherein the wire basket is coupled to a control member that may be used by an operator to manipulate the wire basket;
wherein the wire basket is collapsible and fits within the first lumen.
2. The device of claim 1 , wherein the lysing agent is an antibody selected as one from a group of streptokinase, urokinase, plasmin, alteplase, tenecteplase, reteplase, and a tissue plasminogen activator.
3. The device of claim 1 , wherein the lysing agent further comprises surface active polymers, emulsifying agents, anticoagulants, or a mixture thereof.
4. The device of claim 1 , wherein the lysing agent is delivered as part of an isotonic or iso-osmotic solution.
5. The device of claim 4 , wherein the isotonic solution is one selected from a group of saline, Ringer's solution, Krebs-Ringer's solution, and lactated Ringer's solution.
6. The device of claim 1 , wherein the wire basket is comprised of at least three wires.