Wrapping Catheter System for Thrombus Retrieval

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Solution Overview

Problem

Current methods for removing thrombi from body vessels often result in fragmentation, wedging, or incomplete removal, especially in smaller vessels, due to their design and rigidity, which can lead to further complications.

Innovation Solution

A wrapping catheter system with a spinal wire and chordal wire equipped with a contractible-expandable net that envelops the thrombus peripherally, using shear forces to pull it out without pushing, thereby reducing friction and fragmentation risks.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If conventional rigid catheters with capturing structures are used to remove thrombi, then the thrombus can be grasped and pulled out, but the thrombus is pushed from behind causing wedging against vessel walls and fragmentation

Engineering Contradiction:
Improvecomplete thrombus removalVSAvoidthrombus fragmentation and wedging
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

Instead of pushing the thrombus from behind with a rigid catheter, the invention inverts the approach by using a flexible catheter that envelops and pulls the thrombus forward, eliminating the pushing action that causes wedging and fragmentation

Inventive Principle:
Principle #13The other way round (Inversion)

Solution Approach 2:

The invention employs a flexible catheter with a contractible-expandable net structure that can conform to the vessel geometry and envelop the thrombus, allowing gentle extraction without rigid contact that causes damage

Inventive Principle:
Principle #30Flexible shells and thin films

2Productivity

If rigid catheters with capturing cages or helixes are used, then thrombi can be mechanically removed, but smaller-vessel thrombi cannot be reached due to dimension and flexibility limitations

Engineering Contradiction:
Improvethrombus removal efficiencyVSAvoidaccess to smaller vessels
Core Design Contradiction:
ProductivityVSAdaptability or versatility

Solution Approach 1:

The flexible catheter design allows the device to navigate through smaller vessels and adapt to varying vessel geometries, extending accessibility to previously unreachable locations

Inventive Principle:
Principle #30Flexible shells and thin films

Solution Approach 2:

The contractible-expandable net structure dynamically adapts its configuration, contracting for navigation through narrow vessels and expanding for effective thrombus capture, providing versatility across different vessel sizes

Inventive Principle:
Principle #15Dynamics

3Productivity

If suction catheters generating negative pressure are used, then thrombi can be removed by suction, but the method is time-consuming and rarely successful after the available time frame has elapsed

Engineering Contradiction:
Improvethrombus removal speedVSAvoidthrombus removal success rate
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The invention replaces the suction-based mechanical system with a direct mechanical extraction system using the flexible enveloping catheter, enabling faster and more reliable thrombus removal within the available time frame

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Data Source

PatentEP3595547B1Wrapping cape system for retrieval of blocking items in tubular environments
Publication Date: 2022.10.19 GOGOUSIS VLASIS
  • EP3595547B1 patent drawingFigure 1A~1B
  • EP3595547B1 patent drawingFigure 1C~2A
  • EP3595547B1 patent drawingFigure 2B~2D

AI summary

The invention is referred to a wrapping system which displays favorable grasping characteristics in operations requiring the entrapment and removal of blocking items in tubular geometries. What would be helpful for overcoming the limitations of prior art devices, which frequently cause either wedging of the blocking items with the wall of the surrounding tissues, or lead to partial or total fragmentation of the occluding item, is a wrappingdesign. This can be accomplished with the aid of a netted wire (1, 2, 4) based wrapping action which yields a configuration that surrounds the blocking item, such as a thrombus, peripherally, thus capturing its body tangentially and allowing the operator to pull it along the surrounding tube (for instance vein or artery) by utilizing shear forces distributed along the surface of the blocking item in its axial direction. The advantage stems from the fact that the blocking item is not pushed from behind during its withdrawal, but pulled instead; also, since there is no penetration, fragmentation is avoided. In accordance with the invention, the core of the basic design consists of a system comprising a catheter, a spinal wire and a chorda ! wire aligned with it, equipped with a web-like contractible-expandable net and a pulling string, where on deployment of the system it transforms into a conical or conical-and-cylindrical wrapper that envelops and tightens the blocking item allowing for its subsequent retrieval.