IVC filter retrieval systems with releasable capture feature
Funnel-trap type devices or systems made of braid are described for capture and retrieval or, instead, capture and subsequent release of Inferior Vena Cava (IVC) filters or other medical devices. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated.
1. A medical method performed in the vasculature of a patient, the method comprising:
advancing a funnel-trap shaped retrieval extension of a retrieval device over a proximal end of an implanted medical device, wherein the retrieval extension comprises braid with a first fold that forms two layers of the braid and a second fold in the two layers of the braid that forms a distal opening and an inwardly-directed flap, wherein a proximal opening is formed by the first fold;
capturing the proximal end of the medical device with the inwardly-directed flap of the retrieval extension after the proximal end of the medical device has been advanced beyond the discrete proximal opening; and
everting the flap to release the hooked end after capture.
2. The method of claim 1 , wherein the everting is by advancing a wire connected to the inwardly-directed flap and received within a lumen of the retrieval device.
3. The method of claim 1 , where the everting is by advancing a plunger including an expandable section received within the lumen of the retrieval device.
4. The method of claim 3 , further comprising expanding the expandable section and pushing out the inwardly-directed flap.
5. The method of claim 3 , further comprising inserting the plunger into the lumen of the retrieval device while the funnel-trap shaped retrieval extension is in the vasculature of the patient.
6. The method of claim 1 , further comprising providing a plunger with an expandable member included in the retrieval device prior to introduction into the vasculature of the patient.
7. The method of claim 1 , wherein the everting is accomplished by withdrawing the retrieval device.
8. The method of claim 1 , wherein the proximal end of the medical device comprises a nub or nubbin.
9. The method of claim 1 , wherein the proximal end of the medical device comprises a hook.
10. The method of claim 9 , further comprising capturing the hook with the inwardly-directed flap of the retrieval extension by advancing the hook beyond the discrete proximal opening such that the hook passes over the inwardly-directed flap and the discrete proximal opening.
11. A medical method performed in the vasculature of a patient, the method comprising:
advancing a funnel-trap shaped retrieval extension of a retrieval device over a hooked end of an implanted medical device, wherein the retrieval extension comprises braid with a first fold that forms two layers of the braid and a second fold in the two layers of the braid that forms a distal opening and an inwardly-directed flap, wherein a proximal opening is formed by the first fold;
capturing the hooked end of the medical device with the inwardly-directed flap of the retrieval extension by advancing the hooked end of the medical device beyond the proximal opening such that the hooked end of the medical device passes over the inwardly-directed flap; and
everting the flap to release the hooked end after capture.
12. The method of claim 11 , wherein the everting is by advancing a wire connected to the inwardly-directed flap and received within a lumen of the retrieval device.
13. The method of claim 11 , where the everting is by advancing a plunger including an expandable section received within the lumen of the retrieval device.
14. The method of claim 13 , further comprising expanding the expandable section and pushing out the inwardly-directed flap.
15. The method of claim 13 , further comprising inserting the plunger into the lumen of the retrieval device while the funnel-trap shaped retrieval extension is in the vasculature of the patient.
16. The method of claim 11 , further comprising providing a plunger with an expandable member included in the retrieval device prior to introduction into the vasculature of the patient.
17. The method of claim 11 , wherein the everting is accomplished by withdrawing the retrieval device.