Assisted aspiration catheter system
A thrombectomy system comprising an aspiration catheter having an aspiration lumen and a high pressure irrigation lumen, the aspiration catheter having a proximal end and a distal, and a control box fluidly connected to the aspiration catheter and configured to synchronously provide irrigation and vacuum through the aspiration catheter.
1. A thrombectomy system, comprising
an aspiration catheter having an aspiration lumen and a high pressure irrigation lumen, the aspiration catheter having a proximal end and a distal end;
a control box adapted to be connected to the aspiration lumen and the high pressure irrigation lumen of the aspiration catheter;
a displacement pump;
wherein the control box is configured to signal the displacement pump to provide pulses of high pressure irrigation fluid from a fluid source in a sinusoidal pressure pattern to the high pressure irrigation lumen when vacuum from a vacuum source is present in the aspiration lumen, and to prevent the high pressure irrigation fluid from the fluid source from being provided to the high pressure irrigation lumen when the vacuum from the vacuum source is not present in the aspiration lumen;
wherein the aspiration lumen has a distal opening and wherein the high pressure irrigation lumen has a distal orifice directed into the aspiration lumen and configured to release a jet of irrigation fluid across a width of the aspiration lumen against an opposing wall of the aspiration lumen, wherein the distal orifice is proximal of the distal opening; and
wherein the jet forms a spray pattern that interacts with the opposing wall of the aspiration lumen in such a way that embolic material is diluted for aspiration and not forced out of the distal opening.
2. The thrombectomy system of claim 1 , wherein the distal orifice is proximal of the distal opening by at least 0.050 cm.
3. The thrombectomy system of claim 1 , wherein the distal orifice is proximal of the distal opening by between 0.043 cm and 0.058 cm.
4. The thrombectomy system of claim 1 , further comprising a control board configured to cut power to the pump when a sensed current at the pump is out of a predetermined range.
5. The thrombectomy system of claim 1 , further comprising a control board configured to cut power to the pump when a sensed current at the pump drops faster than a preset limit.
6. The thrombectomy system of claim 1 , wherein the vacuum source is a vacuum bottle.
7. The thrombectomy system of claim 1 , wherein the fluid source is a saline bag.
8. The thrombectomy system of claim 1 , further comprising extension tubing fluidly connecting the control box to the aspiration lumen and the high pressure irrigation lumen of the aspiration catheter.
9. The thrombectomy system of claim 8 , wherein the extension tubing is configured to dampen the pulses of high pressure irrigation fluid provided by the pump.
10. The thrombectomy system of claim 9 , wherein the extension tubing comprises a compliant material.
11. The thrombectomy system of claim 1 , wherein the distal orifice is further configured such that the jet of irrigation fluid is released normal to a longitudinal axis of the aspiration lumen.
12. The thrombectomy system of claim 1 , wherein the distal orifice is further configured such that the jet of irrigation fluid has a spray mist pattern.
13. The thrombectomy system of claim 1 , wherein the sinusoidal pressure pattern comprises distinct variations between peaks and valleys in each sine wave.
14. The thrombectomy system of claim 1 , wherein the control box includes a pressure/vacuum valve interposed along the aspiration lumen between the vacuum source and the distal opening and configured to cause the vacuum source to be turned on and off.
15. The thrombectomy system of claim 14 , wherein the control box responds to irrigation fluid supplied to a first passage within the control box by opening a second passage within the control box which is connected to the aspiration lumen.
16. The thrombectomy system of claim 15 , wherein the pressure/vacuum valve is a mechanical valve such that fluid pressure in the first passage operates the pressure/vacuum valve.
17. The thrombectomy system of claim 15 , wherein the pressure/vacuum valve is controlled electronically.
18. The thrombectomy system of claim 15 , further comprising a control board configured to cut power to the pump when a sensed vacuum pressure at the second passage is out of a determined range.
19. The thrombectomy system of claim 15 , further comprising a priming valve fluidly connecting the first passage and the second passage when opened.
20. A method of removing a thrombus, comprising:
providing an aspiration catheter having an aspiration lumen and a high pressure irrigation lumen, the aspiration catheter having a proximal end and a distal end;
providing a control box adapted to be connected to the aspiration lumen and the high pressure irrigation lumen of the aspiration catheter;
providing a displacement pump, wherein the control box is configured to signal the displacement pump to provide pulses of high pressure irrigation fluid from a fluid source in a sinusoidal pressure pattern to the high pressure irrigation lumen when vacuum from a vacuum source is present in the aspiration lumen, and to prevent the high pressure irrigation fluid from the fluid source from being provided to the high pressure irrigation lumen when the vacuum from the vacuum source is not present in the aspiration lumen, wherein the aspiration lumen has a distal opening and wherein the high pressure irrigation lumen has a distal orifice directed into the aspiration lumen and configured to release a jet of irrigation fluid across a width of the aspiration lumen against an opposing wall of the aspiration lumen, wherein the distal orifice is proximal of the distal opening, and wherein the jet forms a spray pattern that interacts with the opposing wall of the aspiration lumen in such a way that embolic material is diluted for aspiration and not forced out of the distal opening;
inserting the aspiration catheter into the vasculature of a patient;
advancing the aspiration catheter to a region of interest; and
operating the control box to synchronously provide high pressure irrigation fluid and aspiration through the aspiration catheter to draw the thrombus into the aspiration lumen.