System for treating embolism and associated devices and methods
Systems and methods for the intravascular treatment of clot material within a blood vessel of a human patient are disclosed herein. A method in accordance with embodiments of the present technology can include, for example, positioning a distal portion of a catheter proximate to the clot material within the blood vessel. The method can further include coupling a pressure source to the catheter via a tubing subsystem including a valve or other fluid control device and, while the valve is closed, activating the pressure source to charge a vacuum. The valve can then be opened to apply the vacuum to the catheter to thereby aspirate at least a portion of the clot material from the blood vessel and into the catheter.
1. A method for the intravascular treatment of clot material from within a blood vessel of a human patient, the method comprising:
positioning a distal portion of a first catheter at a treatment site proximate to the clot material within the blood vessel;
coupling a first pressure source to the first catheter via a fluid control device, wherein (a) opening of the fluid control device fluidly connects the pressure source to the first catheter and (b) closing of the fluid control device fluidly disconnects the pressure source from the first catheter;
activating the first pressure source to generate a vacuum while the fluid control device is closed;
opening the fluid control device to apply the vacuum to the first catheter to thereby aspirate at least a portion of the clot material into the first catheter;
retracting the first catheter into a distal portion of a second catheter;
coupling a second pressure source to the second catheter; and
activating the second pressure source to generate suction at the distal portion of the second catheter.
2. The method of claim 1 wherein the first pressure source is a vacuum-pressure locking syringe.
3. The method of claim 1 wherein opening the first fluid control device to apply the vacuum to the first catheter includes generating suction at the distal portion of the first catheter for less than 1 second.
4. The method of claim 1 wherein the first pressure source includes a pressure vessel and a syringe fluidly coupled to the pressure vessel via a one-way valve, and wherein coupling the first pressure source to the first catheter includes coupling the pressure vessel to the first catheter, and
activating the first pressure source to generate the vacuum includes actuating the syringe one or more times to evacuate the pressure vessel.
5. The method of claim 4 wherein the syringe is a second syringe and the pressure vessel is a first syringe, and wherein activating the first pressure source includes actuating the first syringe and actuating the second syringe.
6. The method of claim 5 wherein activating the first pressure source includes actuating the second syringe before actuating the first syringe.
7. The method of claim 1 wherein the first pressure source is a syringe having a first plunger and a second plunger, wherein activating the first pressure source includes retracting the first plunger, and wherein opening the first fluid control device includes retracting the second plunger.
8. The method of claim 7 wherein, after retracting the first plunger a first distance, the first plunger engages the second plunger such that further retraction of the first plunger simultaneously retracts the second plunger.
9. The method of claim 1 wherein the first pressure source is a syringe having a volume of greater than about 60 cc, and wherein activating the first pressure source includes rotating a handle to retract a plunger of the syringe.
10. The method of claim 1 wherein opening the first fluid control device to apply the vacuum to the first catheter includes providing suction at the distal portion of the first catheter.
11. The method of claim 1 wherein positioning the distal portion of the first catheter includes positioning the distal portion proximally of the clot material.
12. The method of claim 1 wherein positioning the distal portion of the first catheter includes positioning the distal portion at least partially within the clot material.
13. The method of claim 1 wherein the method further comprises filtering the clot material from blood via a filter fluidly coupled between (a) the first pressure source and the first catheter and/or (b) the second pressure source and the second catheter.
14. The method of claim 13 wherein the method further comprises reintroducing the filtered blood into the blood vessel via the first catheter and/or the second catheter.
15. The method of claim 14 wherein filtering the clot material from the blood includes filtering the clot material from the blood within the first pressure source and/or the second pressure source.
16. The method of claim 1 , further comprising:
withdrawing the first catheter through the second catheter and from the patient; and
advancing a third catheter through the second catheter to the treatment site.
17. The method of claim 1 wherein the first catheter defines a lumen having a first diameter of 9 French or greater; and
the first pressure source is a syringe having a tip defining a bore having a second diameter greater than the first diameter.
18. A method for the intravascular treatment of clot material from within a blood vessel of a human patient, the method comprising:
positioning a distal portion of a first catheter at a treatment site proximate to the clot material within the blood vessel;
coupling a first pressure source to the first catheter via a first fluid control device, wherein (a) opening of the first fluid control device fluidly connects the first pressure source to the first catheter and (b) closing of the first fluid control device fluidly disconnects the first pressure source from the first catheter;
coupling a second pressure source to a second catheter via a second fluid control device, wherein (a) opening of the second fluid control device fluidly connects the second pressure source to the second catheter and (b) closing of the second fluid control device fluidly disconnects the second pressure source from the second catheter;
activating the first pressure source to generate a vacuum while the first fluid control device is closed;
opening the first fluid control device to apply the vacuum to the first catheter to thereby aspirate at least a portion of the clot material into the first catheter;
retracting the first catheter into a distal portion of the second catheter;
activating the second pressure source to create a vacuum while the second fluid control device is closed; and
opening the second fluid control device to apply the vacuum to the second catheter to thereby generate suction at the distal portion of the second catheter.
19. A method for the intravascular treatment of clot material from within a blood vessel of a human patient, the method comprising:
positioning a distal portion of a first catheter at a treatment site proximate to the clot material within the blood vessel, wherein positioning the distal portion of the first catheter at the treatment site includes advancing the first catheter through a lumen of a second catheter and past a seal, wherein the seal fluidly disconnects the lumen of the second catheter from the blood vessel;
coupling a pressure source to the first catheter via a fluid control device, wherein (a) opening of the fluid control device fluidly connects the pressure source to the first catheter and (b) closing of the fluid control device fluidly disconnects the pressure source from the first catheter;
coupling a second pressure source to the second catheter;
activating the first pressure source to generate a vacuum while the fluid control device is closed;
opening the fluid control device to apply the vacuum to the first catheter to thereby aspirate at least a portion of the clot material into the first catheter;
activating the second pressure source to generate a vacuum in the lumen of the second catheter; and
after opening the fluid control device, retracting the first catheter through the lumen of the second catheter and past the seal to thereby aspirate another portion of the clot material into the second catheter.
20. The method of claim 1 wherein the method further comprises positioning the distal portion of the second catheter proximate to the treatment site within the vessel.
21. The method of claim 20 wherein positioning the distal portion of the first catheter includes advancing the first catheter through the blood vessel before positioning the second catheter, and wherein positioning the distal portion of the second catheter includes advancing the second catheter over the first catheter.
22. The method of claim 20 wherein positioning the distal portion of the second catheter includes advancing the second catheter through the blood vessel before positioning the first catheter, and wherein positioning the first catheter includes advancing the first catheter through a lumen of the second catheter.
23. The method of claim 1 wherein activating the first pressure source includes activating the first pressure source before activating the second pressure source.
24. The method of claim 1 wherein the first catheter has a diameter of about 16 French, and wherein the second catheter has a diameter of about 24 French.
25. The method of claim 1 wherein the method further comprises filtering the clot material from blood via (a) a first filter fluidly coupled between the first pressure source and the first catheter and (b) a second filter fluidly coupled between the second pressure source and the second catheter.