BLOOD-FILTERING DEVICES FOR USE WITH CLOT TREATMENT SYSTEMS
20230310751 · 2023-10-05
Inventors
- Benjamin Edward Merritt (San Clemente, CA, US)
- Christopher Andrew Zikry (Northridge, CA, US)
- John Coleman Thress (Capistrano Beach, CA, US)
- Parker Ozenne (Aliso Viejo, CA, US)
- Steven McConnell (Anaheim, CA, US)
Cpc classification
International classification
Abstract
Disclosed herein are clot treatment systems with filtering syringes, and associated devices and methods. The filtering syringe can be coupled to a catheter subsystem insertable within a patient. The filtering syringe can aspirate material (e.g., clot material, blood, etc.) from a patient via the catheter subsystem. The filtering syringe can include a plunger assembly, and the plunger assembly can include one or more filters. Each of the filters can be configured to (i) allow at least a first portion of aspirated material (e.g., blood) to pass through at least one of the filters, and (ii) prevent at least a second portion of the aspirated material (e.g., clot material) from passing through at least one of the filters. In some embodiments, the filtering syringe is fluidly coupled to a filtered material subsystem that can fluidly couple the filtering syringe to the patient or another suitable fluid outflow location.
Claims
1. A filtering syringe for treatment of clot material from within a blood vessel of a patient, the filtering syringe comprising: a barrel defining a chamber configured to receive at least a portion of the clot material and blood from the patient; and a plunger assembly having a first end portion and a second end portion opposite the first end portion, wherein the plunger assembly includes a filter proximate to the first end portion, a port proximate to the second end portion, and a lumen therebetween and fluidly coupling the filter and the port; wherein at least the first end portion of the plunger assembly is insertable within the chamber and slidable relative to the barrel; and wherein the filter is configured to allow at least part of the blood received within the chamber to separate from the portion of the clot material and enter the lumen of the plunger assembly.
2. The filtering syringe of claim 1, further comprising a tip configured to fluidly couple the filtering syringe to a clot treatment system.
3. The filtering syringe of claim 1 wherein the filter has a circular, annular, cylindrical, and/or pleated shape.
4. The filtering syringe of claim 1 wherein the filter has a porosity between about 40 microns and about 200 microns.
5. The filtering syringe of claim 1 wherein the filter includes at least one of a polyester, a polyamide, and/or a hemocompatible material.
6. The filtering syringe of claim 1 wherein the filter is a first filter having a first porosity, the filtering syringe further comprising a second filter having a second porosity.
7. The filtering syringe of claim 6 wherein the first porosity is different than the first porosity.
8. The filtering syringe of claim 6 wherein the first porosity is the same as the second porosity.
9. The filtering syringe of claim 6 wherein the second filter is positioned proximate the first end portion of the plunger assembly.
10. The filtering syringe of claim 6 wherein the second filter is spaced apart from the first filter.
11. The filtering syringe of claim 1 wherein the port includes a luer-activated valve.
12. The filtering syringe of claim 1 wherein the first end portion of the plunger assembly is a distal end portion of the plunger assembly and the second end portion is a proximal end portion of the plunger assembly, wherein the filter is positioned proximally from the distal end portion.
13. The filtering syringe of claim 1 wherein the chamber includes an inner surface, and wherein first end portion of the plunger assembly is radially spaced apart from chamber such that the barrel assembly and the plunger assembly at least partially define (i) a first chamber portion positioned on a first side of the first end portion of the plunger assembly, (ii) a second chamber portion positioned on a second side of the first end portion of the plunger assembly, the second side opposite the first side, and (iii) a gap fluidly coupling the first chamber portion and the second chamber portion.
14. The filtering syringe of claim 13 wherein the filter is positioned in the second chamber portion, wherein the first chamber portion is configured to receive at least the portion of the clot material from the patient, wherein the gap is configured to at least partially prevent the portion of the clot material from entering the second chamber portion, and wherein the filter is configured to allow blood within the second chamber portion to enter the lumen.
15. The filtering syringe of claim 1 wherein the first end portion of the plunger assembly is configured to at least partially prevent contact between the filter and the portion of the clot material.
16. The filtering syringe of claim 1 wherein the plunger assembly defines a filter chamber configured to receive the filter, and wherein the first end portion of the plunger assembly includes one or more holes in fluid communication with the filter chamber.
17. The filtering syringe of claim 16 wherein the filter is an annular filter defining a central space, and wherein individual ones of the one or more holes are positioned to direct at least a portion of the clot material and/or the blood received from the patient into the central space.
18. A system for intravascular treatment of clot material from within a blood vessel of a human patient, the system comprising: a catheter configured to be intravascularly positioned at a treatment site proximate to the clot material within the blood vessel; and a filtering syringe configured to generate negative pressure, wherein the filtering syringe includes— a tip configured to be fluidly coupled to the catheter to receive at least a portion of the clot material and blood from within the blood vessel via the catheter, and a filter assembly including one or more filters configured to filter the blood from the portion of the clot material.
19. The system of claim 18, further comprising a filtered material system fluidly coupled to the filtering syringe and configured to receive at least a portion of the filtered blood.
20. The system of claim 19, wherein the filtered material system includes a fluid drive component operable to drive flow of the filtered blood through at least part of the filtered material system.
21. The system of claim 20 wherein the filtered material system includes at least one flow path, and wherein fluid drive component is operable to drive the flow of the filtered blood through the at least one flow path.
22. The system of claim 21 wherein the at least one flow path is configured to direct fluid flow away from the filtering syringe.
23. The system of claim 19 wherein the filtering syringe further includes a valve opposite the tip, wherein the filtered material system includes (i) a fluid control device fluidly coupled to the valve and (ii) tubing fluidly coupled to the fluid control device, and wherein the fluid control device is configured to at least partially prevent filtered blood within the tubing from entering the filtering syringe.
24. A method for removing clot material from within a blood vessel of a human patient, the method comprising: positioning a distal portion of a catheter proximate to the clot material within the blood vessel; coupling a filtering and pressure-generating syringe to the catheter via a fluid control device, wherein (i) opening of the fluid control device fluidly connects the filtering and pressure-generating syringe to the catheter, and (ii) closing the fluid control device fluidly disconnects the filtering and pressure-generating syringe from the catheter; activating the syringe to generate a vacuum while the fluid control device is closed; opening the fluid control device to apply the vacuum to the catheter to thereby aspirate at least a portion of the clot material into the catheter; and filtering blood from the portion of the clot material via a filter of the syringe.
25. The method of claim 24 wherein filtering the blood includes moving a plunger of the syringe to cause the filter to move toward the portion of the clot material.
26. The method of claim 24 wherein filtering the blood includes actuating a fluid drive component of a filtered material system to cause the blood to flow through the filter proximally toward the fluid drive component.
27. A filtering syringe for removing target material from within a human patient, the filtering syringe comprising: a barrel defining a chamber configured to receive at least a portion of the target material and fluid from the human patient; and a plunger assembly having a first end portion and a second end portion opposite the first end portion, wherein the plunger assembly includes a filter proximate to the first end portion, a valve proximate to the second end portion, and a lumen therebetween and fluidly coupling the filter and the valve; wherein at least the first end portion of the plunger assembly is insertable within the chamber and slidable relative to the barrel; and wherein the filter is configured to allow at least part of the fluid received within the chamber to pass through the filter and enter the lumen of the plunger assembly.
28. The filtering syringe of claim 27 wherein the fluid includes blood.
29. The filtering syringe of claim 27 wherein the target material includes clot material.
30. A filtering syringe for treating a human patient, comprising: a barrel defining a chamber configured to receive first material and second material from within the human patient; and a plunger assembly having a first end portion and a second end portion opposite the first end portion, wherein the plunger assembly includes a filter proximate to the first end portion, a valve proximate to the second end portion, and a lumen therebetween and fluidly coupling the filter and the valve; wherein at least the first end portion of the plunger assembly is insertable within the chamber and slidable relative to the barrel; and wherein the filter is configured to (i) allow at least part of the first material received within the chamber to pass through the filter and enter the lumen of the plunger assembly, and (ii) prevent at least part of the second material received within the chamber from passing through the filter.
31. The filtering syringe of claim 30 wherein the first material includes blood.
32. The filtering syringe of claim 30 wherein the second material includes clot material.
33. A filtering syringe for treating a human patient, comprising: a barrel defining a chamber configured to receive first material and second material from within the human patient; and a plunger assembly including a first body portion and a second body portion, wherein the first body portion includes a filter and a valve, and wherein the second body portion defines an interior chamber and is detachably couplable to the first body portion via the valve; wherein at least part of the first body portion and the second body portion are insertable within the chamber and slidable relative to the barrel; and wherein the filter is configured to allow at least part of the first material received within the chamber to pass through the filter and into the interior chamber of the second body portion.
34. The filtering syringe of claim 33 wherein the second body portion comprises a syringe including a plunger operable to draw at least part of the first material within the chamber through the filter and into the interior chamber of the syringe.
35. The filtering syringe of claim 34 wherein the syringe includes a tip, and wherein the valve of the first body portion is configured to matingly engage the tip of the syringe to fluidly couple the chamber of the barrel to the interior chamber of the syringe.
36. The filtering syringe of claim 33 wherein the first material includes blood.
37. The filtering syringe of claim 33 wherein the second material includes clot.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0007] Many aspects of the present technology can be better understood with reference to the following drawings. The components in the drawings are not necessarily to scale. Instead, emphasis is placed on illustrating clearly the principles of the present disclosure.
[0008]
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[0022]
DETAILED DESCRIPTION
[0023] The present technology is generally directed to clot treatment systems with filters, and associated devices and methods. In some of the embodiments described in detail below, the filters can be part of a filtering syringe. The filtering syringe can be coupled to a catheter subsystem insertable within a patient, such that the filtering syringe can remove (e.g., aspirate) material (e.g., clot material, blood) from a patient via the catheter subsystem. The filtering syringe can include a plunger assembly, and the plunger assembly can include one or more filters. The filters can be configured to (i) allow at least a first portion of material removed from the patient to pass through at least one of the filters, and (ii) prevent at least a second portion of the removed material from passing through at least one of the filters. In some embodiments, for example, the one or more filters are configured to (i) allow blood to pass through at least one of the filters, and (ii) prevent clot material from passing through at least one of the filters, such that the at least one filter can “filter” blood from the material removed from the patient.
[0024] In some embodiments, the clot treatment systems further include a filtered material subsystem. The filtered material subsystem can include one or more valves and/or tubing sections that can fluidly couple the filtering syringe and the patient. Additionally, in at least some embodiments, the filtered material subsystem includes a fluid drive element fluidly coupled to the filtering syringe and operable to draw fluid through one or more of the filters, for example, to filter the blood from the clot material within the filtering syringe and/or to otherwise drive flow of the blood through at least part of the filtered material subsystem. In operation, the filtered material subsystem can be configured to (i) capture/receive all or part of the blood within the filtering syringe, and/or (ii) return/reintroduce all or part of the blood within the filtering syringe back to the patient.
[0025] In some aspects of the present technology, the filtering syringe can be used to perform multiple material removal (e.g., aspiration) cycles while remaining coupled to the filtered material subsystem and/or the catheter subsystem such that, during one or more of the material removal cycles, at least part of the aspirated material (e.g., blood) removed from the patient can be filtered and/or reintroduced into the patient without disconnecting the filtering syringe from the filtered material subsystem and/or the catheter subsystem, and/or while maintain a generally consistent (e.g., optimal) vacuum power/pressure and/or volumetric flowrate throughout the one or more material removal cycles. In some embodiments, the filtering syringe can be used to perform multiple material removal cycles while remaining fluidly coupled to the catheter system via a single fluid control device. In some aspects, having multiple fluid control devices (e.g., check-valves, Y-connectors, and the like) between a catheter system and a pressure source can reduce the pressure/aspiration power applied by the pressure source to the catheter system. In some embodiments, the filtering syringe can be used to perform one or more material removal cycles while remaining fluidly coupled to catheter and returning at least part of the filtered blood to the patient without using any fluid control devices to control/direct fluid flow between the filtering syringe and the patient. Additionally, or alternatively, at least some of the filtered material subsystems are expected to be safer and/or reduce the likelihood that clot material removed from the patient is accidentally/inadvertently reintroduced into the patient. For example, at least some of the filtered material subsystems can define one or more flow paths configured to direct the flow of the aspirated material to inhibit or prevent the filtered material (e.g., blood) from being reintroduced into the filtering syringe and/or the clot material in the filtering syringe from being driven back into the patient P. In these and other embodiments, at least some of the filtering syringes and/or filtered material subsystems can be configured such that a user can more easily perform one or more tests or other analyses on at least part of the filtered material before or instead of returning the filtered material to the patient.
[0026] Certain details are set forth in the following description and in
[0027] The terminology used below is to be interpreted in its broadest reasonable manner, even though it is being used in conjunction with a detailed description of certain examples of embodiments of the technology. Indeed, certain terms may even be emphasized below; however, any terminology intended to be interpreted in any restricted manner will be overtly and specifically defined as such in this Detailed Description section.
[0028] The accompanying Figures depict embodiments of the present technology and are not intended to be limiting of its scope unless expressly indicated. The sizes of various depicted elements are not necessarily drawn to scale, and these various elements may be enlarged to improve legibility. Component details may be abstracted in the Figures to exclude details such as the position of components and certain precise connections between such components when such details are unnecessary for a complete understanding of how to make and use the present technology. Many of the details, dimensions, angles, and other features shown in the Figures are merely illustrative of particular embodiments of the disclosure. Accordingly, other embodiments can have other details, dimensions, angles, and features without departing from the present technology. In addition, those of ordinary skill in the art will appreciate that further embodiments of the present technology can be practiced without several of the details described below.
[0029] With regard to the terms “distal” and “proximal” within this description, unless otherwise specified, the terms can reference a relative position of the portions of a catheter subsystem with reference to an operator and/or a location in the vasculature. Also, as used herein, the designations “rearward,” “forward,” “upward,” “downward,” and the like are not meant to limit the referenced component to a specific orientation. It will be appreciated that such designations refer to the orientation of the referenced component as illustrated in the Figures; the systems of the present technology can be used in any orientation suitable to the user.
[0030]
[0031] In general, the clot removal system (i) can include features generally similar or identical to those of the clot removal systems described in detail in U.S. patent application Ser. No. 16/536,185, filed Aug. 8, 2019, and titled “SYSTEM FOR TREATING EMBOLISM AND ASSOCIATED DEVICES AND METHODS,” which is incorporated herein by reference in its entirety, and/or (ii) can be used to treat/remove clot material from a patient (e.g., a human patient) using any of the methods described in detail therein. In some embodiments, the catheter subsystem 100 can include some features that are at least generally similar in structure and function, or identical in structure and function, to those of the catheters disclosed in (i) U.S. Patent Application Publication No. 17/529,018, titled “CATHETERS HAVING SHAPED DISTAL PORTIONS, AND ASSOCIATED SYSTEMS AND METHODS,” and filed Nov. 17, 2021, and/or (ii) U.S. Patent Application Publication No. 17/529,064, titled “CATHETERS HAVING STEERABLE DISTAL PORTIONS, AND ASSOCIATED SYSTEMS AND METHODS,” and filed Nov. 17, 2021, each of which is incorporated herein by reference in its entirety.
[0032] In the illustrated embodiment, the valve 106 includes a distal portion 107a, a proximal portion 107b, and a lumen 109 extending therethrough from the distal portion 107a to the proximal portion 107b. In some embodiments, the valve 106 is a hemostasis valve that is configured to maintain hemostasis during a clot removal procedure by preventing fluid flow in the proximal direction through the valve 106 as various components, such as delivery sheaths, pull members, guidewires, interventional devices, other aspiration catheters, etc., are inserted through the valve 106 to be delivered through the catheter 102 to a treatment site in a blood vessel. The valve 106 further includes one or more branches or side ports 108 configured to fluidly couple the lumen 104 of the catheter 102 to the tubing subsystem 120. In the illustrated embodiment, the valve 106 includes buttons 101 that can be actuated (e.g., depressed) to open a conduit within the lumen 109. In some embodiments, the valve 106 can be a valve of the type disclosed in U.S. patent application Ser. No. 16/117,519, filed Aug. 30, 2018, and titled “HEMOSTASIS VALVES AND METHODS OF USE,” which is incorporated herein by reference in its entirety. In some embodiments, the proximal portion 107b of the valve 106 is further configured to be detachably coupled (e.g., via a snap-fit arrangement) to a filtering device, such as one or more of the filtering syringes described in greater detail below with reference to
[0033] The tubing subsystem 120 fluidly couples the catheter subsystem 100 to the pressure source 130. More specifically, the tubing subsystem 120 can include one or more tubing sections 124 (individually labeled as a first tubing section 124a and a second tubing section 124b), at least one fluid control device 126 (e.g., a valve), and at least one connector 128 for fluidly coupling the tubing subsystem 120 to the pressure source 130 and/or other suitable components. More specifically, in the illustrated embodiment, the fluid control device 126 is a stopcock that is fluidly coupled to (i) the side port 108 of the valve 106 via the first tubing section 124a and (ii) the connector 128 via the second tubing section 124b. In at least some embodiments, the fluid control device 126 is a three-way stopcock, and includes a free port or inlet configured to allow a user to fluidly couple additional devices to the catheter subsystem 100 while the pressure source 130 is also fluidly coupled to the catheter subsystem 100, for example, to reintroduced filtered blood into a patient as described in detail below with reference to
[0034] The pressure source 130 is configured to generate (e.g., form, create, charge, build up) a vacuum (e.g., negative relative pressure) and store the vacuum for subsequent application to the catheter subsystem 100. Further details of suitable pressure sources are described in detail below with reference to
[0035] During operation of the assembly 10, a user can first close the fluid control device 126 before activating the pressure source 130 to build up vacuum pressure within the pressure source 130 (e.g., a vacuum chamber of the pressure source 130). In some embodiments, the user can control or select the volume of the generated vacuum. In this manner, a vacuum is charged within the pressure source 130 before the pressure source 130 is fluidly connected to the catheter subsystem 100. To aspirate the lumen 104 of the catheter 102, the user can open the fluid control device 126 to fluidly connect the pressure source 130 to the catheter subsystem 100 and thereby apply or release the vacuum stored in the pressure source 130 to the lumen 104 of the catheter 102. Opening of the fluid control device 126 instantaneously or nearly instantaneously applies the stored vacuum pressure to the tubing subsystem 120 and the catheter 102, thereby generating suction throughout the catheter 102. In particular, the suction is applied at the distal portion 103a of the catheter 102. In one aspect of the present technology, pre-charging or storing the vacuum before applying the vacuum to the lumen 104 of the catheter 102 is expected to generate greater suction forces (and corresponding fluid flow velocities) at and/or near the distal portion 103a of the catheter 102 compared to simply activating the pressure source 130 while it is fluidly connected to the catheter 102. The suction forces generated by application of the stored vacuum can be used to aspirate or otherwise remove aspirated material from within a blood vessel of a human patient. The aspirated material can be received by the pressure source 130, and at least a portion of the aspirated material can be filtered, transferred to the filtered material subsystem 170, and/or returned to/reintroduced into the patient P or another suitable outflow location.
[0036]
[0037] In the illustrated embodiment, the filtering syringe 230 includes a barrel assembly 240 and a filtering plunger assembly 250 (“the plunger assembly 250”). The barrel assembly 240 includes a chamber or barrel 242, a tip 244 extending distally from the barrel 242, and a lumen or bore 246 extending through the tip 244 and the barrel 242. In some embodiments, the barrel assembly 240 includes a locking component 248. The barrel 242 is shown as transparent in
[0038] The plunger assembly 250 can include a body or plunger 252 having a first (e.g., distal) end portion 253a defining a distal end terminus of the plunger 252, and a second (e.g., proximal) end portion 253b opposite the first end portion 253a and defining a proximal end terminus of the plunger 252. The plunger assembly 250 can further include a seal 254, a port or valve 258 (such as a Luer-activated valve or any other suitable valve), and a lumen 256 (partially obscured in
[0039] The plunger assembly 250 further includes a filter assembly 260. In the illustrated embodiment, the filter assembly 260 is positioned at the first end portion 253a of the plunger 252 and at a distal end portion of the lumen 256. In other embodiments, the filter assembly 260 can be positioned proximate to the second end portion 253b, proximally from the lumen 256, and/or at any other suitable position relative to the lumen 256 and/or within the filtering syringe 230. The filter assembly 260 can include one or more filters 262 (which can also be referred to as “filtering elements,” “filtering stages,” or the like). As described in detail below, fluid (e.g., blood) can be pulled through the filters 262 into the lumen 256 and out of the valve 258.
[0040] At least a portion of the plunger assembly 250 is advanceable distally and proximally through the barrel 242. In the illustrated embodiment, the seal 254 sealably engages an interior surface of the barrel 242 and forms a substantially fluid impermeable seal therewith. Referring to both
[0041] With continued reference to
[0042]
[0043] In some embodiments, one or more of the filters 262 can be detachably coupled to the plunger assembly 250 (to, e.g., form the filter assembly 260), such that one or more of the filters 262 can be removed from the plunger assembly 250, such as for cleaning, reuse, and/or disposal. Alternatively or additionally, one or more of the filters 262 can be coupled to, integrally formed with, or otherwise form a single-piece assembly with the plunger 252, such that the plunger 252 can be removed from the barrel 242 to clean, reuse, and/or dispose of the plunger 252 and/or the filter after use. Although the first and second filters 262a-b have a circular shape in the embodiment illustrated in
[0044] Referring to
[0045]
[0046]
[0047] During a procedure involving the assembly 10, such as a clot treatment and/or a clot removal procedure, a user can open the fluid control device 126 after withdrawing the plunger 252 to charge a vacuum in the barrel 242 to aspirate aspirated material AM into the barrel 242, as described in detail with reference to
[0048] After aspirating the aspirated material AM, the user can close the fluid control device 126 to inhibit the aspirated material AM from flowing back through the fluid control device 126, into the assembly 10, and/or otherwise toward the patient P (
[0049] Once all or part of the first material FM is within the syringe 370, the user can (i) disconnect the syringe 370 from the valve 258, and/or (ii) return at least a portion of the first material FM (e.g., blood) to the patient. For example, the user can connect the syringe 370 to the fluid control device 126 (e.g., the free port or inlet, described above with reference to
[0050]
[0051] In operation, the user can couple the filtering syringe 230 to the assembly 10 (e.g., via the connector 128,
[0052] In some aspects of the present technology, the filtering syringe 230 can remain coupled to the filtered material subsystem 470 for one or more aspiration cycles, e.g., unless or until the filtering syringe 230 is filled with the second material UFM (
[0053]
[0054] The first and second fluid control devices 572a-b are each one-way valves positioned to allow fluid (e.g., the first material FM,
[0055] After the user has withdrawn the plunger 578, the user can depress the plunger 578 to drive fluid along the second flow path FP2 from the drive syringe 576, through the second fluid control device 572b, into the second tubing section 574b, and toward the patient P. As the user depresses the plunger 578, the first fluid control device 572a can substantially or fully prevent the drive syringe 576 from driving fluid flow into the filtering syringe 230 (e.g., because the force/pressure applied to the first fluid control device 572a when the user depresses the plunger 578 is in a direction opposite the second direction D2). In some aspects of the present technology, this can inhibit or prevent filtered material (e.g., the first material FM) from being reintroduced into the filtering syringe 230 and/or the aspirated material AM in the filtering syringe 230 from being driven back into the patient P (e.g., through the catheter 102;
[0056] In some aspects of the present technology, the user can operate the drive syringe 576 to de-air the filtered material subsystem 570 and/or the filtering syringe 230. De-airing the filtering syringe 230 can be generally similar to the filtering process described above, but with the drive syringe 576 drawing air and/or other fluid(s) from the filtering syringe 230 instead of the first material FM. In further aspects of the present technology, after the user has withdrawn the plunger 578 but before or instead of depressing the plunger 578, the user can (i) decouple the drive syringe 576 from the first tubing section 574a, (ii) perform one or more tests on the material within the drive syringe 576, (iii) transfer all or part of the material within the drive syringe 576 to another site and/or patient, (iv) take one or more images of the material within the drive syringe 576, and/or flush the filtering syringe 230 and/or the drive syringe 576.
[0057]
[0058] In operation, a plunger 652 of the second syringe 630 can be withdrawn and then locked to generate and store vacuum within the second syringe 630. Once material is aspirated into the filtering syringe 230, the vacuum pressure in the second syringe 630 can automatically draw some of the aspirated material toward and through the filter assembly 260 along the first flow path FP1 such that some of the filtered blood can be drawn into the second syringe 630. To fully filter the material from the filtering syringe 230 into the filtered material subsystem 670, the locking component 248 can be unlocked to allow the plunger 252 to move in the first direction D1 to equalize the pressures between the filtering syringe 230 and the second syringe 630. After the filtered material FM is drawn into the second syringe 630, the second plunger 652 can be unlocked (via, e.g., locking component 648) and depressed to drive fluid from the second syringe 630 along the second flow path FP2 from the second syringe 630 to and/or toward the patient P.
[0059]
[0060] In operation, the user can transition the fluid control device 780 to the first configuration and withdraw the plunger 778 to drive fluid along the first flow path FP1, e.g., from the filtering syringe 230, through the fluid control device 780, and into the drive syringe 776. As the user withdraws the plunger 778, the fluid control device 780 can substantially or fully prevent the drive syringe 776 from drawing fluid from the patient P when the tubing section 774 is fluidly coupled to the patient P (e.g., because the second flow path FP2 is closed when the fluid control device 780 is in the first configuration). After the user has withdrawn the plunger 778, the user can transition the fluid control device 780 from the first configuration toward and/or to the second configuration and depress the plunger 778 to drive fluid along the second flow path FP2 from the drive syringe 776, through the fluid control device 780, into the tubing section 774, and toward the patient P. As the user depresses the plunger 778, the fluid control device 780 can substantially or fully prevent the drive syringe 776 from driving fluid into the filtering syringe 230 because the first flow path FP1 is closed when the stopcock is in the second configuration. In some embodiments, after depressing the plunger 778, the user can perform one or more additional aspiration cycles with the filtered material subsystem 770 without disconnecting the filtering syringe 230 or the drive syringe 776 from the fluid control device 780.
[0061]
[0062]
[0063]
[0064] In operation, a user can rotate the detachable cap 943 relative to the barrel 942 (e.g., in the direction shown by the arrow R) to couple and/or uncouple the detachable cap 943 and the barrel 942. The user can uncouple the detachable cap 943 from the barrel 942 after performing one or more material removal cycles to, for example, flush or remove any fluid, clot material, or other aspirated material collected within the barrel 942. After flushing/removing material collected within the barrel 942, the user can recouple the detachable cap 943 to the barrel 942 and use the filtering syringe 930 to perform one or more additional material removal cycles, alone or in combination with any of the filtered material systems described in detail with reference to
[0065]
[0066] In the illustrated embodiment, the second body portion 1052b includes a syringe (“syringe 1052b”), such as a 30 cc luer-lock syringe, or any other suitable syringe, including any of the filtering syringes described herein. In these and other embodiments, the syringe 1052b can have an internal volume less than, equal to, or greater than an internal volume of the barrel 1042. The tip 1055 of the syringe 1052b can be coupled to the first body portion 1052a, such that movement of the syringe 1052b can cause corresponding movement of the first body portion 1052a. In operation, for example, the plunger assembly 1050 (e.g., the syringe 1052b) can be drawn (e.g., proximally, by a user) relative to the barrel 1042 to generate and/or store a vacuum within the filtering syringe 1030, as described previously with reference to
[0067]
[0068]
[0069]
[0070] During a procedure, aspirated material AM including blood and/or clot material can be drawn into the first chamber portion 1141a of the barrel 1142. The plunger 1152 can be advanced in the first direction D1 and/or a vacuum can be applied to the lumen 1156 to cause at least some material (e.g., blood) within the first chamber portion 1141a to flow through the gap 1192, into the second chamber portion 1141b, at least partially through the annular filter 1162, into the central space 1164 of the annular filter 1162, and/or into the lumen 1156, such as shown by flow path arrow FP in
[0071]
[0072]
[0073] During a procedure, the plunger 1252 can be moved the first direction D1 relative to the barrel 1242 to force at least some of the aspirated material AM through individual ones of the holes 1292 and/or into the central space 1164. As the aspirated material AM collects within the central space 1164, the filter 1162 can separate blood and/or other fluids contained within the aspirated material AM from the aspirated material AM. Because the proximal and distal end portions 1263, 1265 of the annular filter 1162 are sealed, the blood and/or other fluids can be separated by causing the blood and/or other fluids to flow outwardly from the central space 1164 across the filter 1162. For example, moving the plunger 1252 in the first direction D1 relative to the barrel 1242 can force the blood and/or other fluids across the filter 1162, into a space between the filter 1162 and the filter chamber 1294, and into and/or through at least a portion of the lumen 1256. The blood and/or other fluids within the lumen 1256 can flow to the filtered material subsystem 1170 and/or be returned to the patient P.
[0074] Accordingly, in some aspects of the present technology, a filtering syringe can be coupled to a catheter subsystem insertable within a patient. The filtering syringe can aspirate material (e.g., clot material, blood, etc.) from a patient via the catheter subsystem. The filtering syringe can include a plunger assembly, and the plunger assembly can include one or more filters. Individual ones of the filters can be configured to (i) allow at least a first portion of aspirated material to pass through at least one of the filters, and (ii) prevent at least a second portion of the aspirated material from passing through at least one of the filters. In some embodiments, for example, the filters are configured to (i) allow blood to pass through the filters, and (ii) prevent clot material from passing through the filters, such that the filters can “filter” blood from the other material aspirated from the patient. In some embodiments, the filtering syringe is fluidly coupled to a filtered material subsystem. The filtered material subsystem can include one or more valves and/or tubing sections that can fluidly couple the filtering syringe to the patient or another suitable fluid (e.g., blood) outflow location. The filtered material subsystem can (i) capture/receive all or part of the first portion of the aspirated material filtered by the filtering syringe, and/or (ii) return/reintroduce all or part of the first portion of the aspirated material into the patient.
[0075] Several aspects of the present technology are set forth in the following examples:
[0076] 1. A filtering syringe for treatment of clot material from within a blood vessel of a patient, the filtering syringe comprising: [0077] a barrel defining a chamber configured to receive at least a portion of the clot material and blood from the human patient; [0078] a plunger assembly having a first end portion and a second end portion opposite the first end portion, wherein the plunger assembly includes a filter proximate to the first end portion, a port proximate to the second end portion, and a lumen therebetween and fluidly coupling the filter and the port; [0079] wherein at least the first end portion of the plunger assembly is insertable within the chamber and slidable relative to the barrel; and [0080] wherein the filter is configured to allow at least part of the blood received within the chamber to separate from the portion of the clot material and enter the lumen of the plunger assembly.
[0081] 2. The filtering syringe of example 1, further comprising a tip configured to fluidly couple the filtering syringe to a clot treatment system.
[0082] 3. The filtering syringe of example 1 or example 2 wherein the filter has a circular, annular, cylindrical, and/or pleated shape.
[0083] 4. The filtering syringe of any of examples 1-3 wherein the filter has a porosity between about 40 microns and about 200 microns.
[0084] 5. The filtering syringe of any of examples 1-4 wherein the filter includes at least one of a polyester, a polyamide, and/or a hemocompatible material.
[0085] 6. The filtering syringe of any of examples 1-5 wherein the filter is a first filter having a first porosity, the filtering syringe further comprising a second filter having a second porosity.
[0086] 7. The filtering syringe of example 6 wherein the first porosity is different than the first porosity.
[0087] 8. The filtering syringe of example 6 wherein the first porosity is the same as the second porosity.
[0088] 9. The filtering syringe of any of examples 6-8 wherein the second filter is positioned proximate the first end portion of the plunger assembly.
[0089] 10. The filtering syringe of any of examples 6-9 wherein the second filter is spaced apart from the first filter.
[0090] 11. The filtering syringe of any of examples 1-10 wherein the port includes a luer-activated valve.
[0091] 12. The filtering syringe of any of examples 1-11 wherein the first end portion of the plunger assembly is a distal end portion of the plunger assembly and the second end portion is a proximal end portion of the plunger assembly, wherein the filter is positioned proximally from the distal end portion.
[0092] 13. The filtering syringe of any of examples 1-12 wherein the chamber includes an inner surface, and wherein first end portion of the plunger assembly is radially spaced apart from chamber such that the barrel assembly and the plunger assembly at least partially define (i) a first chamber portion positioned on a first side of the first end portion of the plunger assembly, (ii) a second chamber portion positioned on a second side of the first end portion of the plunger assembly, the second side opposite the first side, and (iii) a gap fluidly coupling the first chamber portion and the second chamber portion.
[0093] 14. The filtering syringe of example 13 wherein the filter is positioned in the second chamber portion, wherein the first chamber portion is configured to receive at least the portion of the clot material from the patient, wherein the gap is configured to at least partially prevent the portion of the clot material from entering the second chamber portion, and wherein the filter is configured to allow blood within the second chamber portion to enter the lumen.
[0094] 15. The filtering syringe of any of examples 1-14 wherein the first end portion of the plunger assembly is configured to at least partially prevent contact between the filter and the portion of the clot material.
[0095] 16. The filtering syringe of any of examples 1-15 wherein the plunger assembly defines a filter chamber configured to receive the filter, and wherein the first end portion of the plunger assembly includes one or more holes in fluid communication with the filter chamber.
[0096] 17. The filtering syringe of example 16 wherein the filter is an annular filter defining a central space, and wherein individual ones of the one or more holes are positioned to direct at least a portion of the clot material and/or the blood received from the patient into the central space.
[0097] 18. A system for intravascular treatment of clot material from within a blood vessel of a human patient, the system comprising: [0098] a catheter configured to be intravascularly positioned at a treatment site proximate to the clot material within the blood vessel; [0099] a filtering syringe configured to generate negative pressure, wherein the filtering syringe includes— [0100] a tip configured to be fluidly coupled to the catheter to receive at least a portion of the clot material and blood from within the blood vessel via the catheter, and [0101] a filter assembly including one or more filters configured to filter the blood from the portion of the clot material.
[0102] 19. The system of example 18, further comprising a filtered material system fluidly coupled to the filtering syringe and configured to receive at least a portion of the filtered blood.
[0103] 20. The system of example 19, wherein the filtered material system includes a fluid drive component operable to drive flow of the filtered blood through at least part of the filtered material system.
[0104] 21. The system of example 20 wherein the filtered material system includes at least one flow path, and wherein fluid drive component is operable to drive the flow of the filtered blood through the at least one flow path.
[0105] 22. The system of example 21 wherein the at least one flow path is configured to direct fluid flow away from the filtering syringe.
[0106] 23. The system of any of examples 19-22 wherein the filtering syringe further includes a valve opposite the tip, wherein the filtered material system includes (i) a fluid control device fluidly coupled to the valve and (ii) tubing fluidly coupled to the fluid control device, and wherein the fluid control device is configured to at least partially prevent filtered blood within the tubing from entering the filtering syringe.
[0107] 24. A method for removing clot material from within a blood vessel of a human patient, the method comprising: [0108] positioning a distal portion of a catheter proximate to the clot material within the blood vessel; [0109] coupling a filtering and pressure-generating syringe to the catheter via a fluid control device, wherein (i) opening of the fluid control device fluidly connects the filtering and pressure-generating syringe to the catheter, and (ii) closing the fluid control device fluidly disconnects the filtering and pressure-generating syringe from the catheter; [0110] activating the syringe to generate a vacuum while the fluid control device is closed; [0111] opening the fluid control device to apply the vacuum to the catheter to thereby aspirate at least a portion of the clot material into the catheter; and [0112] filtering blood from the portion of the clot material via a filter of the syringe.
[0113] 25. The method of example 24 wherein filtering the blood includes moving a plunger of the syringe to cause the filter to move toward the portion of the clot material.
[0114] 26. The method of example 24 or example 25 wherein filtering the blood includes actuating a fluid drive component of a filtered material system to cause the blood to flow through the filter proximally toward the fluid drive component.
[0115] 27. A filtering syringe for removing target material from within a human patient, the filtering syringe comprising: [0116] a barrel defining a chamber configured to receive at least a portion of the target material and fluid from the human patient; [0117] a plunger assembly having a first end portion and a second end portion opposite the first end portion, wherein the plunger assembly includes a filter proximate to the first end portion, a valve proximate to the second end portion, and a lumen therebetween and fluidly coupling the filter and the valve; [0118] wherein at least the first end portion of the plunger assembly is insertable within the chamber and slidable relative to the barrel; and [0119] wherein the filter is configured to allow at least part of the fluid received within the chamber to pass through the filter and enter the lumen of the plunger assembly.
[0120] 28. The filtering syringe of example 27 wherein the fluid includes blood.
[0121] 29. The filtering syringe of example 27 or example 28 wherein the target material includes clot material.
[0122] 30. A filtering syringe for treating a human patient, comprising: [0123] a barrel defining a chamber configured to receive first material and second material from within the human patient; [0124] a plunger assembly having a first end portion and a second end portion opposite the first end portion, wherein the plunger assembly includes a filter proximate to the first end portion, a valve proximate to the second end portion, and a lumen therebetween and fluidly coupling the filter and the valve; [0125] wherein at least the first end portion of the plunger assembly is insertable within the chamber and slidable relative to the barrel; and [0126] wherein the filter is configured to (i) allow at least part of the first material received within the chamber to pass through the filter and enter the lumen of the plunger assembly, and (ii) prevent at least part of the second material received within the chamber from passing through the filter.
[0127] 31. The filtering syringe of example 30 wherein the first material includes blood.
[0128] 32. The filtering syringe of example 30 or example 31 wherein the second material includes clot material.
[0129] 33. A filtering syringe for treating a human patient, comprising: [0130] a barrel defining a chamber configured to receive first material and second material from within the human patient; and [0131] a plunger assembly including a first body portion and a second body portion, wherein the first body portion includes a filter and a valve, and wherein the second body portion defines an interior chamber and is detachably couplable to the first body portion via the valve; [0132] wherein at least part of the first body portion and the second body portion are insertable within the chamber and slidable relative to the barrel; and [0133] wherein the filter is configured to allow at least part of the first material received within the chamber to pass through the filter and into the interior chamber of the second body portion.
[0134] 34. The filtering syringe of example 33 wherein the second body portion comprises a syringe including a plunger operable to draw at least part of the first material within the chamber through the filter and into the interior chamber of the syringe.
[0135] 35. The filtering syringe of example 34 wherein the syringe includes a tip, and wherein the valve of the first body portion is configured to matingly engage the tip of the syringe to fluidly couple the chamber of the barrel to the interior chamber of the syringe.
[0136] 36. The filtering syringe of any of examples 33-35 wherein the first material includes blood.
[0137] 37. The filtering syringe of any of examples 33-36 wherein the second material includes clot material.
[0138] The above detailed descriptions of embodiments of the technology are not intended to be exhaustive or to limit the technology to the precise form disclosed above. Although specific embodiments of, and examples for, the technology are described above for illustrative purposes, various equivalent modifications are possible within the scope of the technology, as those skilled in the relevant art will recognize. For example, although steps are presented in a given order, alternative embodiments may perform steps in a different order. The various embodiments described herein may also be combined to provide further embodiments.
[0139] From the foregoing, it will be appreciated that specific embodiments of the technology have been described herein for purposes of illustration, but well-known structures and functions have not been shown or described in detail to avoid unnecessarily obscuring the description of the embodiments of the technology. Where the context permits, singular or plural terms may also include the plural or singular term, respectively.
[0140] Moreover, unless the word “or” is expressly limited to mean only a single item exclusive from the other items in reference to a list of two or more items, then the use of “or” in such a list is to be interpreted as including (a) any single item in the list, (b) all of the items in the list, or (c) any combination of the items in the list. Additionally, the term “comprising” is used throughout to mean including at least the recited feature(s) such that any greater number of the same feature and/or additional types of other features are not precluded. It will also be appreciated that specific embodiments have been described herein for purposes of illustration but that various modifications may be made without deviating from the technology. Further, while advantages associated with some embodiments of the technology have been described in the context of those embodiments, other embodiments may also exhibit such advantages, and not all embodiments need necessarily exhibit such advantages to fall within the scope of the technology. Accordingly, the disclosure and associated technology can encompass other embodiments not expressly shown or described herein.