Single-Insertion Embolic Clot Retrieval With Repeated Device Passes
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Solution Overview
Problem
Existing devices for removing clot material from blood vessels are complex, cause vessel trauma, lack sufficient retaining structures, and require multiple invasive procedures for complete removal, leading to prolonged treatment times and patient trauma.
Innovation Solution
A single insertion delivery system that allows for repeated deployment and withdrawal of an interventional device through a guide catheter without fully removing it, using a retraction and aspiration device to capture and remove clot material efficiently.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If multiple invasive procedures are used for complete clot removal, then complete clot removal is achieved, but patient trauma increases and treatment time prolongs
Solution Approach 1:
The interventional device is nested within the guide catheter, allowing the device to be repeatedly deployed and withdrawn through the same catheter access. This eliminates the need for multiple separate invasive procedures while achieving complete clot removal through multiple passes with the same catheter system.
Solution Approach 2:
The guide catheter is inserted and positioned in advance, creating a pre-established access pathway. Subsequent deployments of the interventional device utilize this pre-created access, avoiding repeated punctures and invasive insertions for each clot removal attempt.
2Reliability
If complex devices are used for clot removal, then clot removal capability is improved, but device complexity increases
Solution Approach 1:
The system is divided into separate functional components: the guide catheter for access, the interventional device for clot engagement and removal, and the aspiration system for extraction. This segmentation allows each component to be optimized independently while maintaining overall system effectiveness, reducing unnecessary complexity.
Solution Approach 2:
The guide catheter serves multiple functions: providing access to the treatment site, guiding the interventional device, and enabling repeated deployments. The interventional device itself performs multiple functions including engaging clot material, being retrieved, and allowing redeployment. This multi-functionality reduces the need for multiple specialized devices.
3Reliability
If repeated catheter insertion is performed, then complete clot removal is achieved, but procedural time increases
Solution Approach 1:
The interventional device is nested within the guide catheter, allowing the device to be repeatedly deployed and withdrawn through the same catheter access. This eliminates the need for multiple separate invasive procedures while achieving complete clot removal through multiple passes with the same catheter system.
Solution Approach 2:
The guide catheter remains in place throughout the procedure, maintaining continuous access to the treatment site. This allows for uninterrupted repeated deployments of the interventional device and continuous aspiration of clot material, eliminating downtime between procedures that would occur with repeated catheter insertions.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
Enables multiple passes for complete clot removal with reduced patient trauma by minimizing the need for repeated catheter insertion, enhancing procedural efficiency and safety.
Implementation Method 1
using a retraction and aspiration device to capture and remove clot material efficiently
Data Source
AI summary
Systems and methods for the intravascular treatment of clot material within a blood vessel of a human patient are disclosed herein. A method in accordance with embodiments of the present technology can include, for example, engaging an interventional device of a catheter system with clot material in a blood vessel and withdrawing the interventional device and the portion of the clot material through a guide catheter. In some embodiments, the catheter system can include an attachment/valve member coupled to a proximal portion of the guide catheter, and the method can include unsealing the attachment/valve member to facilitate withdrawing the interventional device through the attachment/valve member without significant retention of clot material within the attachment/valve member. The method can further include resealing and aspirating the guide catheter before advancing another interventional device to the clot material to again engage and remove clot material from the blood vessel.


