# US 9,039,715 B2 · Apparatus for entrapping and extracting objects from body cavities

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- Number: US 9,039,715 B2
- Document ID: US9039715B2
- Status: Granted
- Kind: B2
- Application number: 13/898,922
- Filed: 2013-05-21
- Published: 2013-10-03
- Granted: 2015-05-26
- Earliest claimed: 2011-07-11
- Assignees: Great Aspirations Ltd.
- Applicants: Great Aspirations Ltd.
- Inventors: Valery Diamant; Chaim Lotan; Haim Danenberg
- Web page: https://patentgrep.com/patent/US9039715B2

## CPC

- A61B 17/221: Gripping devices in the form of loops or baskets {for gripping calculi or similar types of obstructions (surgical snare instruments A61B17/32056)}
- A61B 17/22031: {Gripping instruments, e.g. forceps, for removing or smashing calculi (A61B17/221 takes precedence)}
- A61B 17/50: Instruments {, other than pincettes or toothpicks,} for removing foreign bodies from the human body (surgical pincettes, i.e. surgical tweezers, A61B17/30)
- A61M 1/84: {Drainage tubes; Aspiration tips (for negative pressure wound therapy A61M1/90; for surgical cutting instruments A61B17/32)}
- A61B 2017/00862: {elastic or resilient}
- A61B 2017/00867: {shape memory effect}
- A61B 2017/00871: {polymeric}
- A61B 2017/22039: {eccentric}
- A61B 2017/2215: {having an open distal end}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

A retrieval apparatus for entrapping and retaining an object located in a body for its extraction therefrom is described. The retrieval apparatus includes a snare and a snare control assembly. The snare has a proximal section and a distal section, and comprises a plurality of filaments extending from a proximal end of the proximal section towards the distal section, and then returning to the proximal end to form a plurality of loops. In the deployed state, the loops are interlaced to each other within the proximal section and are free and not interleaved within the distal section. Segments of the filaments of the distal section are bent with respect to segments of the filaments of the proximal section such that the retrieval snare in the contracted, state forms a hollow cavity extending from die distal section towards the proximal section.

## Claims

### Claim 1

A retrieval apparatus for entrapping and retaining an object located in a body for its extraction therefrom, the apparatus comprising a retrieval snare being changeable between its contracted state and a deployed state and formed by a plurality of filaments defining proximal and distal sections interconnected to each other, the proximal section having a longitudinal axis;
wherein the filaments extend from a proximal end of the proximal section towards the distal section, and then return to the proximal end to form a plurality of loops,
wherein the loops are interlaced with each other only within the proximal section, while being free within the distal section in the deployed state,
wherein the filaments forming sides of at least a part of the filament loops are bent at least one time to define a sequence of straight wire segments angled with respect to each other within the proximal and distal sections, when viewed from a plane substantially parallel to the longitudinal axis, and arcuate into arcs at a distal end of the distal section.

### Claim 2 (depends on 1)

The retrieval apparatus of claim 1, wherein distal ends of the loops approach each other when the snare is in the contracted state, thereby providing a hollow cavity at the distal section.

### Claim 3 (depends on 1)

The retrieval apparatus of claim 1, wherein the filament loops are flat and planar along at least a portion of their length.

### Claim 4 (depends on 1)

The retrieval apparatus of claim 1, further comprising a snare control assembly comprising:
a delivery catheter having at least one lumen, and configured to penetrate into the body for reaching the object; and
a manipulation member coupled to the snare, and configured to pass within said at least one lumen of the delivery catheter, and to operate for (i) protracting the snare from the delivery catheter for opening the snare, and (ii) retracting the snare within the delivery catheter for collapsing the retrieval snare inside of the delivery catheter.

### Claim 5 (depends on 4)

The retrieval apparatus of claim 4, wherein the manipulation member includes an aspiration tube coupled to the filament loops.

### Claim 6 (depends on 4)

The retrieval apparatus of claim 4, wherein the manipulation member includes an aspiration lumen and a guide wire lumen, both lumens extending between the proximal and distal ends of the manipulation member.

### Claim 7 (depends on 6)

The retrieval apparatus of claim 6, wherein the wire guide lumen is arranged within the aspiration lumen and separated from the aspiration lumen by a separation wall.

### Claim 8 (depends on 4)

The retrieval apparatus of claim 4, wherein the delivery catheter includes a snare lumen and a guide wire lumen, both lumens extending between the proximal and distal ends of the delivery catheter.

### Claim 9 (depends on 4)

The retrieval apparatus of claim 4, further comprising: a guiding catheter including a lumen configured for housing the delivery catheter, a guide wire extending within the guide wire lumen; and a suction device coupled to the aspiration lumen at the proximal end of the manipulation member.

### Claim 10 (depends on 1)

The retrieval apparatus of claim 1, wherein the filaments forming sides of the loops are bent two times to define three straight wire segments having predetermined length values, said three straight wire segments angled with respect to each other at a sequence of two angles having predetermined angle values.

### Claim 11 (depends on 10)

The retrieval apparatus of claim 10, wherein said predetermined angle values of said sequence of the two angles counted from the snare proximal end are in the range of 115 degrees to 150 degrees, and 90 degrees to 150 degrees, respectively.

### Claim 12 (depends on 10)

The retrieval apparatus of claim 10, wherein an opening angle of the loops in a fully deployed state is in the range of 60 degrees to 130 degrees.

### Claim 13 (depends on 10)

The retrieval apparatus of claim 10, wherein a relationship between said predetermined values of said sequence of the two angles is such that a direction of the second segment counted from the snare proximal end is coaxial with the direction of the delivery catheter.

### Claim 14 (depends on 10)

The retrieval apparatus of claim 10, wherein a length of the first straight wire segment counted from the snare proximal end is greater than the length of the second straight wire segment by 3 to 14 times.

### Claim 15 (depends on 1)

The retrieval apparatus of claim 1, wherein the filaments forming sides of the loops are bent four times to define five straight wire segments having predetermined length values, said five straight wire segments angled with respect to each other at a sequence of four angles having predetermined angle values.

### Claim 16 (depends on 15)

The retrieval apparatus of claim 15, wherein said predetermined values of said sequence of the four angles counted from the snare proximal end are in the range of 160 degrees to 175 degrees, 150 degrees to 160 degrees, 125 degrees to 165 degrees, and 95 degrees to 170 degrees, respectively.

### Claim 17 (depends on 16)

The retrieval apparatus of claim 16, wherein the angle between the second and third straight wire segments counted from the snare proximal end is equal to or greater than the angle between the third and fourth straight wire segments.

### Claim 18 (depends on 15)

The retrieval apparatus of claim 15, wherein an opening angle of the loops in a fully deployed state is in the range of about 60 degrees to about 130 degrees.

### Claim 19 (depends on 15)

The retrieval apparatus of claim 15, wherein a relationship between said predetermined values of said sequence of four angles is such that a direction of the fourth segment counted from the snare proximal end is coaxial with the direction of the delivery catheter.

### Claim 20 (depends on 15)

The retrieval apparatus of claim 15, wherein a length of the first segment counted from the snare proximal end is equal to or longer than the length of the second segment by up to two times.

### Claim 21 (depends on 15)

The retrieval apparatus of claim 15, wherein a length of the second segment counted from the snare proximal end is greater than the length of the third segment by 1.5 to 2 times.

### Claim 22 (depends on 15)

The retrieval apparatus of claim 15, wherein a length of the third segment counted from the snare proximal end is equal to or longer than the length of the fourth segment by up to two times.

### Claim 23 (depends on 1)

The retrieval apparatus of claim 1, wherein an interlaced pattern of the proximal section is formed by interleaving each lateral side of the filament loop with three corresponding opposite sides of the three neighboring loops arranged in series.

### Claim 24 (depends on 1)

The retrieval apparatus of claim 1, wherein at least one loop has a side that is permanently connected along the proximal portion to an opposite side of an adjacent loop at more than one connection point.

### Claim 25 (depends on 1)

The retrieval apparatus of claim 1, wherein each side of each loop is permanently connected to a side of an adjacent loop near the proximal end along a predetermined segment length.

### Claim 26 (depends on 1)

The retrieval apparatus of claim 1, wherein the loops are permanently interconnected to each other at least at one additional joint point selected within the proximal section in places where one loop crosses another loop.

### Claim 27 (depends on 1)

The retrieval apparatus of claim 1, wherein a part of the filament loops is made of a thicker wire than the wire of the remaining loops.

### Claim 28 (depends on 1)

The retrieval apparatus of claim 1, wherein at least a part of the filament loops have dimensions and shapes different from the dimensions and shapes of the other loops.

### Claim 29 (depends on 1)

The retrieval apparatus of claim 1, wherein the snare further includes a mesh formed by interweaved and/or overlapping wires weaved around a snare carcass structure formed by said plurality of filaments.

### Claim 30 (depends on 1)

The retrieval apparatus of claim 1, wherein the snare further includes a cover film configured for coating a snare carcass structure formed by the filaments.

### Claim 31 (depends on 1)

The retrieval apparatus of claim 1, wherein the snare further includes a closing element arranged at a distal section and configured for binding the loops together at their distal ends.

### Claim 32 (depends on 1)

The retrieval apparatus of claim 1, wherein the manipulation member includes at least a part of the plurality of filaments extending from the snare proximal end.
