Systems and methods for percutaneous removal of objects from an internal body space
Disclosed are systems, methods, and devices for percutaneous retrieval of objects, such as endovascular devices, from an internal body space. The present inventions have vascular, non-vascular (gastrointestinal), and surgical (laproscopic) applications. The inventions include a a wire woven distal end that is formed from wires and includes a substantially cylindrical main body section comprising a leading end, a trailing end, and a middle portion extending between the leading end and the trailing end and defining a longitudinal axis of the main body section, and a flare defining a mouth of the wire woven distal end that projects circumferentially from the leading end of the main body section, wherein when at least a portion of the retrieval end is transitioned to a compressed state following capture of an object, the retrieval end exerts an inward force that at least partially collapses or compresses the object.
1. A system for transforming a linear pulling force at one end of a catheter device to a radial compressive force at an opposite end of said catheter device that is substantially perpendicular to said linear pulling force comprising:
an outer sheath having a lumen;
an inner sheath that is adapted for insertion into the outer sheath; and,
a wire woven distal end at a terminal extremity of the inner sheath that is formed from wires and includes
a substantially cylindrical main body section comprising a leading end, a trailing end, and a middle portion extending between the leading end and the trailing end and defining a longitudinal axis of the main body section;
a flare defining a mouth of the wire woven distal end that projects circumferentially from the leading end of the main body section at an angle of about 30° to 60° relative to the longitudinal axis, and has a length of about 2.75 to 3 mm;
a tapered section at the trailing end of the main body section; and
an attachment portion that is affixed to the terminal extremity of the inner sheath,
wherein the main body section has a compressed state and an expanded state, the main body section adopting the compressed state when the wire woven distal end is housed within the lumen of the outer sheath, and adopting the expanded state when the wire woven distal end of the inner sheath is advanced beyond a distal end of the outer sheath by moving the wire woven distal end of the inner sheath forward relative to the distal end of the outer sheath,
wherein the main body section has a diameter of about 22-38 mm in the expanded state and includes 11-21 picks per centimeter,
wherein the wires of the wire woven distal end have a diameter of about 100 to about 300 μm, and,
wherein when said inner sheath in the expanded state is at least partially withdrawn into the outer sheath, said linear force is imposed on said tapered section, and then said main body section produces a radial compressive force within the wire woven distal end.
2. The system according to claim 1 , wherein the inner sheath comprises a lumen extending from a proximal end of the inner sheath to the wire woven distal end, the lumen housing a suture line that is configured to transition the mouth of the wire woven distal end between closed and opened states or a control line that is configured to position the mouth, or that includes a snare or manipulation tool.
3. The system according to claim 1 , wherein the main body section of the wire woven distal end produces a radial compressive force when said inner sheath in the expanded state is withdrawn into the outer sheath irrespective of whether any portion of an endovascular device within the wire woven distal end has been withdrawn into the outer sheath.
4. The system according to claim 1 , wherein the flare has a length of about 2.8 mm.
5. The system according to claim 4 , wherein the flare projects circumferentially from the leading end of the main body section at an angle of about 30° relative to the longitudinal axis.
6. The system according to claim 4 , wherein the flare projects circumferentially from the leading end of the main body section at an angle of about 35° relative to the longitudinal axis.
7. The system according to claim 4 , wherein the flare projects circumferentially from the leading end of the main body section at an angle of about 40° relative to the longitudinal axis.
8. The system according to claim 4 , wherein the flare projects circumferentially from the leading end of the main body section at an angle of about 45° relative to the longitudinal axis.
9. The system according to claim 4 , wherein the flare projects circumferentially from the leading end of the main body section at an angle of about 50° relative to the longitudinal axis.
10. The system according to claim 4 , wherein the flare projects circumferentially from the leading end of the main body section at an angle of about 55° relative to the longitudinal axis.
11. The system according to claim 4 , wherein the flare projects circumferentially from the leading end of the main body section at an angle of about 60° relative to the longitudinal axis.
12. The system according to claim 1 , wherein the mouth defined by the flare has a diameter that is about 107 to 122% larger than the diameter of the main body section when the main body section is in the expanded state.
13. The system according to claim 1 , wherein the inner sheath comprises a wire weave embedded in a thermoplastic or elastomeric material.
14. The system according to claim 13 , wherein the wire weave of the inner sheath has a braiding angle of about 20-55°.
15. The system according to claim 14 , wherein the wire weave of the inner sheath has a braiding angle of about 30-40°.
16. The system according to claim 1 , further comprising an introductory sheath having an introductory lumen that is sized such that the outer sheath and inner sheath can be translated through the introductory lumen pursuant to delivering the outer sheath and inner sheath from an environment external to a subject to a void space within the subject.
17. The system according to claim 16 , wherein the introductory sheath can be disengaged from the outer sheath following translation of the outer sheath through the lumen of the introductory sheath by separating the introductory sheath into two or more parts.
18. A system for transforming a linear pulling force at one end of a catheter device to a radial compressive force at an opposite end of said catheter device that is substantially perpendicular to said linear pulling force comprising:
an outer sheath having a lumen;
an inner sheath that is adapted for insertion into the outer sheath, wherein the inner sheath comprises a wire weave embedded in a thermoplastic or elastomeric material, and wherein the wire weave has a braiding angle of about 20-55°; and,
a wire woven distal end at a terminal extremity of the inner sheath that is formed from wires and includes
a substantially cylindrical main body section comprising a leading end, a trailing end, and a middle portion extending between the leading end and the trailing end and defining a longitudinal axis;
a tapered section at the trailing end of the main body section; and
an attachment portion that is affixed to the terminal extremity of the inner sheath,
wherein the main body section has a compressed state and an expanded state, the main body section adopting the compressed state when the wire woven distal end is housed within the lumen of the outer sheath, and adopting the expanded state when the wire woven distal end of the inner sheath is advanced beyond a distal end of the outer sheath by moving the wire woven distal end of the inner sheath forward relative to the distal end of the outer sheath,
wherein the main body section has a diameter of about 22-38 mm in the expanded state and includes 11-21 picks per centimeter,
wherein the wires of the wire woven distal end have a diameter of about 100 to about 300 μm, and,
wherein when said inner sheath in the expanded state is at least partially withdrawn into the outer sheath, said linear force is imposed on said tapered section, and then said main body section produces a radial compressive force within the wire woven distal end.
19. The system according to claim 18 , wherein the wire weave of the inner sheath has a braiding angle of about 30-40°.
20. The system according to claim 18 , wherein the wire weave of the inner sheath comprises wires having a ribbon-shaped profile.
21. The system according to claim 20 , wherein the wires of the wire weave of the inner sheath have dimensions of 0.001-0.003 inches by about 0.003-0.007 inches.
22. A system for transforming a linear pulling force at one end of a catheter device to a radial compressive force at an opposite end of said catheter device that is substantially perpendicular to said linear pulling force comprising:
an outer sheath having a lumen;
an inner sheath that is adapted for insertion into the outer sheath; and,
a wire woven distal end at a terminal extremity of the inner sheath that is formed from wires and includes
a substantially cylindrical main body section comprising a leading end, a trailing end, and a middle portion extending between the leading end and the trailing end and defining a longitudinal axis of the main body section;
a flare defining a mouth of the wire woven distal end that projects circumferentially from the leading end of the main body section at an angle relative to the longitudinal axis;
a tapered section at the trailing end of the main body section; and
an attachment portion that is affixed to the terminal extremity of the inner sheath,
wherein the main body section has a compressed state and an expanded state, the main body section adopting the compressed state when the wire woven distal end is housed within the lumen of the outer sheath, and adopting the expanded state when the wire woven distal end of the inner sheath is advanced beyond a distal end of the outer sheath by moving the wire woven distal end of the inner sheath forward relative to the distal end of the outer sheath,
wherein the main body section has a diameter of about 22-38 mm in the expanded state and includes 11-21 picks per centimeter,
wherein the mouth defined by the flare has a diameter that is about 107 to 122% larger than the diameter of the main body section when the main body section is in the expanded state
wherein the wires of the wire woven distal end have a diameter of about 100 to about 300 μm, and,
wherein when said inner sheath in the expanded state is at least partially withdrawn into the outer sheath, said linear force is imposed on said tapered section, and then said main body section produces a radial compressive force within the wire woven distal end.
23. A device for use with a system for retrieving an object from a void space within a human subject comprising:
a wire weave forming (i) a substantially cylindrical main body section comprising a leading end, a trailing end, and a middle portion extending between the leading end and the trailing end and defining a longitudinal axis; (ii) a flare defining a mouth of the device that projects circumferentially from the leading end of the main body section at an angle of about 30° to 60° relative to the longitudinal axis, and has a length of about 2.75 to 3 mm; (iii) a tapered section at the trailing end of the main body section; and, (iv) an attachment portion for affixing the device to a catheter for manipulating the position of the device within the void space,
wherein the main body section has a compressed state and an expanded state, the main body section adopting the compressed state when the wire woven distal end is housed within a lumen of a delivery sheath, and adopting the expanded state when the wire woven distal end of the inner sheath is advanced beyond a distal end of the delivery sheath by moving the wire woven distal end of the inner sheath forward relative to the distal end of the delivery sheath,
wherein the main body section has a diameter of about 22-38 mm in the expanded state and includes 11-21 picks per centimeter,
wherein the wires of the wire weave have a diameter of about 100 to about 300 μm, and,
wherein when said inner sheath in the expanded state is at least partially withdrawn into the delivery sheath, said linear force is imposed on said tapered section, and then said main body section produces a radial compressive force within the device.