Inverting Thrombectomy Tubes With Annular Bias for Jam-Free Deployment
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Solution Overview
Problem
Existing mechanical thrombectomy devices face challenges in deploying the distal end of the catheter between the tractor and puller, particularly in curved or tortuous body regions, leading to jamming and unsuccessful operation.
Innovation Solution
The apparatus includes an annular bias that holds the flexible tractor tube open, allowing the elongate inversion support catheter to be inserted between the tractor and puller, facilitating the rolling and inverting motion over the distal end of the catheter, even in complex vessel geometries.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If the distal end of the catheter is deployed between the tractor and puller in curved or tortuous body regions, then the thrombectomy device can be positioned at the clot location, but the device may jam and fail to operate successfully
Solution Approach 1:
A lubricious coating is applied to the distal end of the catheter to act as an intermediary substance that reduces friction and prevents jamming during deployment through curved or tortuous body regions, enabling successful operation
2Adaptability or versatility
If the tractor tube is made flexible to enable rolling and inverting motion, then the device can navigate curved vessels, but the tractor tube may collapse and jam on the catheter tip
Solution Approach 1:
The tractor tube is constructed as a flexible tube that can roll and invert while maintaining structural integrity to prevent collapse and jamming on the catheter tip during navigation through curved vessels
Solution Approach 2:
The distal end of the catheter is configured with a curved or radiused profile that facilitates the rolling motion of the flexible tractor tube while preventing jamming, enabling the tube to navigate curved vessel anatomy
3Ease of operation
If the distal end of the catheter is made softer to facilitate rolling motion, then the tractor can invert more easily, but the catheter tip may buckle under compression
Solution Approach 1:
The catheter is designed with non-uniform softness along its length, with the distal end being softer to facilitate rolling motion while more proximal regions maintaining sufficient stiffness to prevent buckling under compression
Data Source
Figure 1A~1D
Figure 1E~1H
Figure 1I
AI summary
Rolling tractor tube mechanical thrombectomy apparatuses that may be deployed from out of a catheter in situ are described herein. These apparatuses may be delivered out of a catheter from a collapsed delivery configuration within the catheter to a deployed configuration out of the catheter, in which the same catheter is re-inserted between a tubular tractor and an elongate puller. In particular, any of these methods and apparatuses may be adapted to work with a tractor tube having an open end that is biased open, including using an annular bias.