Thrombectomy device, system and method for extraction of vascular thrombi from a blood vessel
A thrombectomy device including a delivery catheter; a tapered dilator catheter configured to be movably disposed within the delivery catheter; and an expandable aspiration funnel configured to be movably disposed within the delivery catheter in a retracted position and at least partially outside the delivery catheter in an extended position, the funnel comprising a non-permeable covering, a diameter of a distal end of the funnel being greater in the extended position than in the retracted position, the funnel being configured to adapt its shape and length to a surrounding blood vessel such that the funnel lengthens as it narrows to retain a thrombus within the funnel. The invention also includes methods of using the device.
1. A method of extracting a thrombus from a thrombus site in a blood vessel of a patient, the method comprising:
advancing a delivery catheter and an aspiration funnel through vasculature of the patient toward the thrombus site with the aspiration funnel disposed in a retracted position proximal to the distal end of the delivery catheter;
moving the aspiration funnel and delivery catheter with respect to each other to place the aspiration funnel in an extended position at least partially outside of the delivery catheter;
occluding the blood vessel with the funnel to stop flow of blood in the blood vessel;
aspirating the thrombus into the funnel;
moving the funnel and the thrombus proximally within the vasculature; and
adapting a shape and length of the funnel to a surrounding blood vessel of the vasculature such that the funnel lengthens as it narrows to retain the thrombus within the funnel as it moves within the blood vessel.
2. The method of claim 1 wherein the occluding step comprises expanding a distal end of the funnel to a diameter of the blood vessel proximal to the thrombus site.
3. The method of claim 1 wherein the moving step comprises expanding a distal end of the funnel.
4. The method of claim 3 wherein the expanding step comprises allowing the funnel to self-expand.
5. The method of claim 3 wherein the expanding step comprises decreasing a length of the funnel.
6. The method of claim 1 wherein the advancing step comprises advancing the delivery catheter and the aspiration funnel along a common axis.
7. The method of claim 1 further comprising moving the funnel proximally into the delivery catheter after the aspirating step.
8. The method of claim 1 further comprising advancing a tapered dilator catheter with the delivery catheter and the aspiration funnel through vasculature of the patient toward the thrombus site with a distal end of the tapered dilator catheter disposed distal to a distal end of the delivery catheter and retracting the dilator catheter into the delivery catheter prior to moving the aspiration funnel and delivery catheter with respect to each other to place the aspiration funnel in an extended position at least partially outside of the delivery catheter.
9. The method of claim 8 wherein the advancing step comprises advancing the delivery catheter, the tapered dilator catheter and the aspiration funnel along a common axis.