Vacuum transfer tool for extendable catheter
An aspiration catheter is provided including a proximal section and a distal section extendable through the proximal section. A vacuum transfer tool may be coupled to a proximal end of the proximal section. The vacuum transfer tool may include a proximal transfer tube and a distal transfer tube, each having an aspiration port in communication with a vacuum source. The proximal transfer tube may be removably received within a proximal end of the distal transfer tube. The distal section of the catheter may be inserted into the proximal section through the proximal transfer tube. The proximal transfer tube may maintain a vacuum around a proximal end of the distal section of the catheter such that when the distal section is removed by decoupling the proximal and distal transfer tubes, the vacuum within the distal transfer tube and proximal section of the catheter is maintained, preventing an escape of any clots.
1. A method of aspirating a clot from a blood vessel using an extendable catheter, comprising:
introducing a catheter into the blood vessel;
coupling a proximal transfer tube to a distal transfer tube,
the proximal transfer tube comprising a proximal end, a distal end, a lumen extending from the proximal end to the distal end, and an aspiration port in fluid communication with the lumen, the aspiration port being positioned between the proximal end and the distal end, and
the distal transfer tube comprising a proximal end, a distal end, a lumen extending from the proximal end of the distal transfer tube to the distal end of the distal transfer tube, and an aspiration port in fluid communication with the lumen of the distal transfer tube, the aspiration port of the distal transfer tube being positioned between the proximal end of the distal transfer tube and the distal end of the distal transfer tube;
wherein the distal transfer tube is attached or attachable to a proximal end of the catheter;
inserting an extendable catheter segment of the extendable catheter through the proximal transfer tube and into the distal transfer tube;
inserting the extendable catheter segment through the distal transfer tube and into the catheter;
retracting the extendable catheter segment while aspiration is provided by both the aspiration port of the proximal transfer tube and the aspiration port of the distal transfer tube;
positioning a proximal end of the extendable catheter segment within a portion of the proximal transfer tube corresponding to a sealable space;
sealing the sealable space of the proximal transfer tube such that a vacuum is maintained by the aspiration port of the proximal transfer tube around the proximal end of the extendable catheter segment;
withdrawing the extendable catheter segment from the distal transfer tube by decoupling the proximal transfer tube and the distal transfer tube and moving the proximal transfer tube away from the distal transfer tube while maintaining the vacuum within the distal transfer tube via the aspiration port of the distal transfer tube; and
using a valve to regulate fluid flow through the aspiration port of the distal transfer tube.
2. The method of claim 1 , further comprising extending the extendable catheter segment such that a distal end of the extendable catheter segment extends distally beyond a distal end of the catheter.
3. The method of claim 1 , further comprising attaching the distal end of the distal transfer tube directly or indirectly to the proximal end of the catheter.
4. The method of claim 1 , further comprising capturing the clot on a distal end of the extendable catheter segment prior to retracting the extendable catheter segment.
5. The method of claim 4 , further comprising transferring the clot from the distal end of the extendable catheter segment.
6. The method of claim 1 , further comprising applying an irrigation fluid to at least one of the aspiration port of the proximal transfer tube or the aspiration port of the distal transfer tube.
7. The method of claim 1 , wherein the sealing the sealable space comprises rotating a rotating hemostasis valve proximal to the aspiration port of the proximal transfer tube and rotating a rotating hemostasis valve distal to the aspiration port of the proximal transfer tube.
8. The method of claim 1 , wherein the sealing the sealable space secures the extendable catheter segment to the proximal transfer tube such that the extendable catheter segment is not axially translatable relative to the proximal transfer tube.
9. The method of claim 1 , further comprising:
closing a fluid sealing port on the proximal end of the proximal transfer tube around a pull wire connected to the extendable catheter segment to a first position that forms a fluid seal but allows axial translation of the pull wire through the fluid sealing port;
extending the extendable catheter segment through the catheter while the fluid sealing port is in the first position;
retracting the extendable catheter segment through the catheter while the fluid sealing port is in the first position; and
further closing the fluid sealing port around the pull wire to a second position that forms a tighter fluid seal and disallows the axial translation of the pull wire through the fluid sealing port;
wherein the withdrawing the extendable catheter segment from the distal transfer tube is performed while the fluid sealing port is in the second position.
10. The method of claim 9 , further comprising inserting an agitator through a central lumen in the pull wire while the pull wire extends through the proximal transfer tube.
11. The method of claim 1 , further comprising inserting an agitator through the proximal transfer tube after the extendable catheter segment is withdrawn.