Capture assembly and method
View Patent ↗This patent document discloses assemblies and methods for removing obstructive material from a body vessel or other cavity. An assembly can include an elongate inner member, an elongate outer member, an aspirator, one or more valves, and a waste collection reservoir. Each of the elongate members can extend from a proximal end portion to a distal end portion and can include a lumen therethrough. The elongate inner member can be partially disposed in the lumen of the elongate outer member and can be moveable along its longitudinal axis relative to the elongate outer member. The aspirator can be in flow communication with the proximal end portion of the elongate inner member for drawing the obstructive material into or through its lumen. The one or more valves can be configured and positioned to allow obstructive material removed from the body vessel or cavity to be urged toward the waste collection reservoir.
1. An assembly for removing obstructive material from a body vessel or cavity, comprising:
an elongate outer member and an elongate inner member, each extending from a proximal end portion to a distal end portion and including a lumen therethrough,
the elongate inner member partially disposed in the lumen of the elongate outer member and movable along its longitudinal axis relative to the elongate outer member; and
a one-way valve in communication with the lumen of the elongate inner member and allowing flow in a distal-to-proximal direction, the one-way valve positioned between the distal end portion of the elongate inner member and the distal end portion of the elongate outer member.
2. The assembly of claim 1 , further comprising a second one-way valve allowing flow toward a waste collection reservoir.
3. The assembly of claim 1 , further comprising a manipulator handle coupled to the proximal end portion of one or both of the elongate inner member and the elongate outer member to allow advancement and retraction of the elongate inner member relative to the elongate outer member.
4. The assembly of claim 3 , wherein the manipulator handle includes a first handle member coupled with the proximal end portion of the elongate inner member and a second handle member coupled with the proximal end portion of the elongate outer member, each handle member manipulatable by a treating clinician.
5. The assembly of claim 1 , wherein the lumen of the elongate outer member tightly fits around the outer surface of the elongate inner member without gripping it, thereby allowing the elongate inner member to move relative to the elongate outer member while sealing the lumen of the elongate outer member.
6. The assembly of claim 1 , wherein at least part of the distal end portion of the elongate outer member includes a second lumen sized and shaped to receive a portion of a guidewire.
7. The assembly of claim 6 , wherein the second lumen extends from a location distal to the one-way valve to the distal end portion of the elongate outer member.
8. The assembly of claim 1 , wherein the distal end portion of one or both of the elongate inner member and the elongate outer member includes a skived opening into its lumen.
9. The assembly of claim 1 , wherein the proximal end portion of the elongate inner member extends proximally of the proximal end portion of the elongate outer member.
10. The assembly of claim 1 , wherein the distal end portion of the elongate outer member extends distally of the distal end portion of the elongate inner member.
11. The assembly of claim 1 , further comprising an aspirator in flow communication with the elongate inner member for drawing the obstructive material through the lumen of the elongate inner member.
12. The assembly of claim 11 , wherein the aspirator includes a syringe barrel, a plunger slidable in the syringe barrel, and a resilient means, the resilient means configured to urge the plunger toward a resting position.
13. A method, comprising:
percutaneously advancing a distal end of an assembly, including an elongate inner member, a surrounding elongate outer member and a one-way valve positioned between a distal end of the elongate inner member and a distal end of the elongate outer member, to a first location within a body vessel or cavity proximate to obstructive material to be removed;
moving the elongate inner member relative to the elongate outer member along its longitudinal axis; and
removing the obstructive material from the first location within the body vessel or cavity.
14. The method of claim 13 , wherein moving the elongate inner member relative to the elongate outer member includes axially reciprocating a position of the distal end of the elongate inner member and the distal end of the elongate outer member.
15. The method of claim 13 , further comprising:
moving the assembly from the first location to a different second location proximate to other obstructive material to be removed, without having to withdraw and reintroduce the assembly from the body vessel or cavity;
moving the elongate inner member relative to the elongate outer member along its longitudinal axis; and
removing the obstructive material from the second location within the body vessel or cavity.
16. The method of claim 13 , wherein moving the elongate inner member relative to the elongate outer member includes retracting the distal end of the elongate inner member further proximal of the distal end of the elongate outer member.
17. The method of claim 16 , wherein retracting the distal end of the elongate inner member further proximal of the distal end of the elongate outer member includes opening the one-way valve and allowing the obstructive material to flow from a location distal to the valve to a location proximal of the valve.
18. The method of claim 13 , wherein moving the elongate inner member relative to the elongate outer member includes advancing the distal end of the elongate inner member toward the distal end of the elongate outer member.
19. The method of claim 18 , wherein advancing the distal end elongate inner member toward the distal end of the elongate outer member includes causing the one-way valve to close.
20. The method of claim 13 , further comprising activating an aspirator in flow communication with a lumen of the elongate inner member.
21. The method of claim 20 , wherein removing the obstructive material includes depositing the obstructive material into a waste collection reservoir in flow communication with the aspirator.