Catheter including a radiopaque expandable member
In some examples, a catheter includes an elongated body and an expandable member at a distal portion of the elongated body and defining at least part of a distal tip of the catheter. The expandable member is formed from materials that enable a distal tip of the catheter to be radiopaque without the addition of a separate radiopaque marker (e.g., a solid metal ring of radiopaque material separate from and connected to the elongated body) at the distal tip of the catheter.
1 . A catheter comprising:
an elongated body comprising a proximal body portion and a distal body portion, and defining a body inner lumen; and
an expandable member located at the distal body portion, the expandable member defining an expandable member inner lumen, the expandable member inner lumen comprising a distal extension of the body inner lumen,
wherein the expandable member is configured to self-expand radially outward from a collapsed configuration to an expanded configuration and thereby expand the expandable member inner lumen radially outward,
wherein the expandable member comprises a plurality of structural elements, one or more of the structural elements of the plurality of structural elements comprising a first material surrounding a core comprising a second material,
wherein the first material is more radiopaque than the second material, or wherein the second material is more radiopaque than the first material,
wherein at least one of the first material or the second material comprises a shape memory material,
wherein the expandable member comprises a flexible membrane having a stiffness that is less than a stiffness of at least one of an outer jacket or an inner liner of the elongated body,
wherein the elongated body further comprises:
the inner liner;
the outer jacket; and
a structural support member positioned between the inner liner and the outer jacket,
wherein a proximal portion of the plurality of structural elements of the expandable member longitudinally overlap and is radially outward of an outer surface of a distal portion of the structural support member of the elongated body,
wherein the proximal portion of the plurality of structural elements of the expandable member and the outer surface of the distal portion of the structural support member are separated by a tie layer, and
wherein the expandable member is configured to, during application of a suction force to the body inner lumen, axially contract in response to sealing contact with a thrombus enabling a user to observe, via fluoroscopic imagery, that the catheter is engaged with the thrombus.
2 . The catheter of claim 1 , wherein the expandable member defines a cylindrical tube when in the expanded configuration, wherein when the expandable member is in the expanded configuration, an outer diameter of the cylindrical tube is greater than an outer diameter of the distal body portion, and wherein the outer diameter of the cylindrical tube is no more than 300% of the outer diameter of the distal body portion.
3 . The catheter of claim 1 , wherein the first material comprises an electroplated coating on an exterior surface of the core.
4 . The catheter of claim 1 , wherein one or more structural elements of the plurality of structural elements comprises a drawn-filled tube.
5 . The catheter of claim 1 , wherein the plurality of structural elements comprises filaments interwoven into a braided structure.
6 . The catheter of claim 1 , wherein the plurality of structural elements comprises struts defining an expandable frame.
7 . The catheter of claim 1 , wherein the catheter does not have a solid metal radiopaque marker band distal to a proximal end of the expandable member.
8 . The catheter of claim 1 , wherein the first material comprises a nickel-titanium alloy, and wherein the second material comprises platinum or a platinum alloy.
9 . The catheter of claim 1 , wherein the first material comprises gold, and the second material comprises a nickel-titanium alloy.
10 . The catheter of claim 1 , wherein the flexible membrane is coupled to the plurality of structural elements.
11 . The catheter of claim 1 , wherein the flexible membrane is radiopaque.
12 . A system comprising:
an introducer sheath;
the catheter of claim 1 ; and
a compression tool configured to compress the expandable member for insertion of the catheter into the introducer sheath.
13 . The catheter of claim 1 , wherein a diameter of a distal end of the expandable member is less than a diameter of the thrombus.
14 . The catheter of claim 1 , wherein the expandable member is configured to, during application of the suction force to the body inner lumen, maintain the expanded configuration in an absence of sealing contact with the thrombus.
15 . The catheter of claim 1 ,
wherein the expandable member, when in the expanded configuration, includes a tapering section and a distal section distal to the tapering section, and
wherein the inner liner of the elongated body terminates at or proximal to the tapering section of the expandable member.
16 . A catheter comprising:
an elongated body including a proximal body portion and a distal body portion, and defining a body inner lumen; and
a radiopaque expandable member located at the distal body portion of the elongated body, the expandable member defining an expandable member inner lumen in fluid communication with the body inner lumen,
wherein the expandable member is configured to self-expand radially outward from a collapsed configuration to an expanded configuration,
wherein the expandable member comprises a plurality of structural elements,
wherein the expandable member comprises a shape memory material,
wherein the expandable member comprises a flexible membrane having a stiffness that is less than a stiffness of at least one of an outer jacket or an inner liner of the elongated body,
wherein the elongated body further comprises:
the inner liner;
the outer jacket; and
a structural support member positioned between the inner liner and the outer jacket,
wherein a proximal portion of the plurality of structural elements of the expandable member longitudinally overlap and is radially outward of an outer surface of a distal portion of the structural support member of the elongated body,
wherein the proximal portion of the plurality of structural elements of the expandable member and the outer surface of the distal portion of the structural support member are separated by a tie layer, and
wherein the expandable member is configured to, during application of a suction force to the body inner lumen, axially contract in response to sealing contact with a thrombus enabling a user to observe, via fluoroscopic imagery, that the catheter is engaged with the thrombus.
17 . The catheter of claim 16 , wherein one or more of the structural elements of the plurality of structural elements comprising a first material surrounding a core comprising a second material, and wherein the first material is more radiopaque than the second material, or wherein the second material is more radiopaque than the first material.
18 . The catheter of claim 16 , wherein the expandable member is configured to be navigated through vasculature of the patient while the expandable member is in the expanded configuration.
19 . The catheter of claim 16 , wherein the flexible membrane is coupled to a plurality of structural elements, and wherein the flexible membrane comprises a thermoplastic elastomer combined with a radiopaque material.
20 . The catheter of claim 16 ,
wherein the expandable member comprises a plurality of first filaments comprising a first material interwoven with a plurality of second filaments comprising a second material, and
wherein the second material is more radiopaque than the first material.
21 . The catheter of claim 20 , wherein the catheter does not comprise a solid metal radiopaque marker band at the distal body portion of the elongated body.
22 . The catheter of claim 16 , wherein the tie layer is configured to retain the outer jacket and the proximal portion of the plurality of structural elements of the expandable member in place overtop of the inner liner.
23 . A catheter comprising:
an elongated body comprising a proximal body portion and a distal body portion, and defining a body inner lumen; and
an expandable member located at the distal body portion, the expandable member defining an expandable member inner lumen, the expandable member inner lumen comprising a distal extension of the body inner lumen,
wherein the expandable member is configured to self-expand radially outward from a collapsed configuration to an expanded configuration and thereby expand the expandable member inner lumen radially outward,
wherein the expandable member comprises a plurality of structural elements, one or more of the structural elements of the plurality of structural elements comprising a first material surrounding a core comprising a second material,
wherein the first material is more radiopaque than the second material, or wherein the second material is more radiopaque than the first material,
wherein at least one of the first material or the second material comprises a shape memory material,
wherein the expandable member comprises a flexible membrane having a stiffness that is less than a stiffness of at least one of an outer jacket or an inner liner of the elongated body,
wherein the elongated body further comprises:
the inner liner;
the outer jacket; and
a structural support member positioned between the inner liner and the outer jacket,
wherein a proximal portion of the plurality of structural elements of the expandable member longitudinally overlap and is radially outward of an outer surface of a distal portion of the structural support member of the elongated body,
wherein the proximal portion of the plurality of structural elements of the expandable member and the outer surface of the distal portion of the structural support member are separated by a tie layer, and
wherein the expandable member is configured to axially contract in response to an application of a suction force to the proximal body portion of the elongated body.
24 . The catheter of claim 23 , wherein the expandable member is configured to, during application of the suction force to the body inner lumen, maintain the expanded configuration.