Annex Medical, Inc.

Other

Eugene C Karels

Stuart J Lind

Daniel L Dostal

A medical retrieval basket used for entrapping and extracting objects such as urinary and biliary calculi from the body comprising a handle assembly, a flexible shaft, and a basket. The basket comprises a plurality of outwardly disposed shape memory wires and is bulbous in shape at its distal end. Located at the intersection point of the wires at the distal end of the basket is a hub that restricts the degree of relative movement between the wires. This hub also serves to increase contact points with the object to be retrieved and to stabilize the orientation of the basket wires. The substantially tipless configuration of the distal end of the basket permits the basket to retrieve objects from difficult to reach locations and reduces tissue trauma caused by the basket tip. The basket wires have varying cross sectional shapes and sizes in different sections of the basket to optimize the performance to the needs of each section within the basket. The flexible shaft contains a drive wire that exhibits different flexibilities within the same strand of material by varied cross sectional shapes or diameters. This permits the distal section of the shaft to be more flexible, which reduces the possibility of the device shaft limiting the deflection of a flexible endoscope.

Medical retrieval device

A medical retrieval device and method used in endoscopic procedures to retrieve stones has a shaft comprising a sheath with a lumen and a drive wire slidably disposed within the lumen for operating a stone entrapping mechanism on the distal end of the retrieval device. The shaft, sheath and drive wire each have proximal, intermediate and distal portions, and each of the corresponding portions are in generally similar locations along the longitudinal length of the device. The stone entrapping mechanism is constructed of a plurality of flexible elements that are outwardly disposed to form an entrapment space and having an open and closed configuration. Configuration of the flexible elements and the entrapment space vary within the stone entrapment mechanism.

Stone retriever for flexible endoscopes having small diameter working channels

A medical retrieval device and method used in endoscopic procedures to retrieve stones has a shaft comprising a sheath with a lumen and a drive wire slidably disposed within the lumen for operating a stone entrapping mechanism on the distal end of the retrieval device. The shaft has an average outside diameter of less than 1.9 Fr. The shaft, sheath and drive wire each have proximal, intermediate and distal portions, and each of the corresponding portions are in generally similar locations along the longitudinal length of the device. The proximal portions of the shaft and the drive wire are preferably stiffer than the corresponding intermediate portions of the shaft and drive wire. The proximal and intermediate portions of the sheath have generally similar stiffnesses. The shaft reduces flow resistance within the working channel of an endoscope, increasing the flow of irrigation fluid in order to improve procedural visibility. The shaft varies in flexibility to match the requirements of a flexible endoscope and facilitate deflection of the endoscope.

A medical retrieval basket for removing objects such as urinary and biliary calculi from the body. The basket comprises an elongated flexible tube and a cage which is extendible from the distal end of the tube and can be collapsed by withdrawing into the tube by means of an actuation cable which passes through the tube. The cage consists of a plurality of flexible elements which are outwardly disposed to form a space for entrapping objects. The flexible elements are constructed of a shape memory material, allowing the cage to resume its original configuration when extended from the tube. The configuration of the cage is such that by means of rotating the cage, differing sizes, cross sectional shapes and/or spacing of the flexible elements may be presented to a given portion of the object to be removed. Rotation of the cage is controlled more precisely using an actuation cable constructed of nickel titanium.

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St. Louis Park, MN, United States of America

Eugene C Karels