Retrieval of material from corporeal lumens
Retrieval of material from vessel lumens can be improved by use of a distal element comprising an expandable mesh. a treatment device includes an elongated member having a proximal portion and a distal portion configured to be positioned within a blood vessel at a treatment site at or near a thrombus. A distal element comprising a plurality of woven filaments defining a shaft at a proximal portion and a body distal of the shaft is coupled to the distal portion of the elongated member via a connection assembly. In an expanded state, at least a portion of the distal element is configured to be in apposition with the blood vessel wall at the treatment site to anchor or stabilize the elongated member with respect to the blood vessel. The distal element can be electrically coupled to an extracorporeal current generator.
1. A treatment device, comprising:
an elongated member having a proximal portion and a distal portion configured to be positioned within a blood vessel at a treatment site at or near a thrombus; and
a distal element having a proximal end portion and a distal end portion, the proximal end portion being coupled to the distal portion of the elongated member via a connection assembly, wherein the distal element comprises:
a plurality of woven filaments defining a non-expandable extension portion at the proximal end portion of the distal element and an expandable body portion distal of the extension portion, wherein, along the extension portion, the filaments extend in a direction substantially parallel with a longitudinal axis of the elongated member, and wherein the body portion comprises (a) a first portion along which the filaments extend radially outwardly and extend substantially linearly, and (b) a second portion along which the filaments are interwoven and wrap around all or a portion of the circumference of the distal element, and
a cover disposed on the filaments along all or a portion of a length of the distal element,
wherein the distal element has a constrained state for delivery to the treatment site and an expanded state in which at least a portion of the body is configured to expand into contact with the blood vessel wall at the treatment site and anchor and/or stabilize the elongated member within the blood vessel.
2. The treatment device of claim 1 , wherein the cover is disposed at an inner surface of the filaments that faces an interior cavity of the distal element.
3. The treatment device of claim 1 , wherein the cover is disposed at an outer surface of the filaments.
4. The treatment device of claim 1 , wherein the interwoven filaments define a plurality of pores, and wherein the cover extends across the pores.
5. The treatment device of claim 4 , wherein the portion of the cover disposed between the pores bulges radially inwardly or radially outwardly.
6. The treatment device of claim 1 , wherein, when in the expanded state, the body expands radially outwardly from the extension portion.
7. The treatment device of claim 1 , wherein the extension portion extends along a length of the elongated member.
8. The treatment device of claim 1 , wherein the extension portion has a length of at least 1 mm.
9. The treatment device of claim 1 , wherein the distal element is configured to rotate about the elongated member.
10. The treatment device of claim 1 , wherein the distal element is configured to move axially along to the elongated member.
11. The treatment device of claim 1 , wherein the distal element is rotatably and slidably coupled to the elongated member.
12. The treatment device of claim 1 , wherein the elongated member is configured to extend through at least a portion of a cavity of the distal element.
13. The treatment device of claim 1 , wherein the elongated member is a solid metal wire.
14. The treatment device of claim 1 , wherein the elongated member comprises an elongated tubular element having a lumen extending therethrough.
15. The treatment device of claim 14 , wherein the elongated tubular element is a hypotube.
16. The treatment device of claim 14 , wherein a distal portion of the elongated tubular element is joined to a proximal portion of the connection assembly.
17. The treatment device of claim 1 , wherein the connection assembly comprises a tubular band surrounding a proximal portion of the distal element.
18. The treatment device of claim 17 , wherein the band includes a radiopaque material.
19. The treatment device of claim 1 , wherein the connection assembly comprises an outer band and an inner band.
20. The treatment device of claim 19 , wherein a portion of the shaft is positioned between the outer band and the inner band.
21. The treatment device of claim 1 , wherein the distal element is fixed to the elongated member at the connection assembly.