Central clot stabilizer and manipulator

Abstract

A clot encasement and removal device for removing a vascular obstruction is disclosed. The encasement device comprises proximal and distal capture members and a central stabilizer. The central stabilizer provides several points of contact for interacting with and manipulating an intravascular obstruction. The central stabilizer may be coupled to the distal capture member, allowing the central stabilizer and distal capture member to be manipulated in unison. The central stabilizer may reside on a distinct delivery wire, enabling independent control of proximal and distal capture members and the central stabilizer. The proximal capture member may comprise a furrowed delivery wire to enable retraction of at least a portion of the central stabilizer within the proximal capture member.

1 . A device for remove an obstruction in a lumen comprising:
 a proximal capture member; and   a distal capture member;   wherein the proximal capture member comprises a proximal encasement sleeve and a hollow proximal delivery wire;   wherein the distal capture member comprises a distal encasement sleeve and a discontinuous delivery wire;   a central stabilizer bisecting the discontinuous delivery wire into proximal and distal segments;   wherein a cross-sectional shape of at least a portion of the central stabilizer is different from a cross-sectional shape of the distal segment of the discontinuous delivery wire; and   wherein at least a portion of the proximal segment of the discontinuous delivery wire lies within the hollow proximal delivery wire.   
     
     
         2 . The device of  claim 1 , wherein each of the proximal and distal capture members further comprises an open end and a tapered end, a frame component coupled to a encasement sleeve, said encasement sleeve extending between said open end and said tapered end. 
     
     
         3 . The device of  claim 2 , wherein said proximal frame component and distal frame component comprise a self-expanding material configured to have a collapsed configuration and an expanded configuration. 
     
     
         4 . The device of  claim 2 , wherein the central cot stabilizer comprises a self-expanding material configured to have a collapsed configuration and an expanded configuration. 
     
     
         5 . The device of  claim 2 , wherein the central clot stabilizer is manually adjustable. 
     
     
         6 . The device of  claim 5 , wherein an expansion state of the manually adjustable central clot stabilizer comprises a fully collapsed state, a fully expanded state, or any expansion state therebetween. 
     
     
         7 . The device of  claim 3 , wherein the device further comprises a catheter. 
     
     
         8 . The device of  claim 7 , wherein collapsed configurations of the proximal capture member, distal capture member, and central stabilizer reside within the catheter. 
     
     
         9 . The device of any of  claims 1 - 8 , wherein at least one capture member further comprises a support arm. 
     
     
         10 . The device of  claim 9 , wherein the support arm is coupled to the respective delivery wire and the respective frame component. 
     
     
         11 . The device of  claim 2 , wherein at least one capture member further comprises a fastening component slidably coupled to the respective delivery wire, allowing a coupling angle of the respective frame component to be adjusted. 
     
     
         12 . The device of  claim 2 , wherein the encasement sleeves are devoid of any fenestrations. 
     
     
         13 . The device of  claim 2 , wherein the encasement sleeves comprise a woven material of at least one of the following: a polymer, a metal, and any combination thereof. 
     
     
         14 . The device of  claim 2 , wherein the encasement sleeves comprise a soft and flexible material. 
     
     
         15 . The device of  claim 2 , wherein the encasement sleeves comprise a self-expanding material configured to bias the encasement sleeve into an expanded configuration. 
     
     
         16 . The device of  claim 2 , wherein each encasement sleeve covers at least a portion of a surface of the frame component to which it is coupled. 
     
     
         17 . The device of  claim 2 , wherein at least one of the proximal frame component, the distal frame component, or the central stabilizer is configured to deliver a therapeutic substance to said obstruction. 
     
     
         18 . The device of  claim 1 , further comprising a radiopaque marker. 
     
     
         19 . The device of  claim 1 , wherein at least a portion of the proximal hollow delivery wire comprises a furrowed semi-cylinder that allows at least a portion the central stabilizer to be withdrawn into the proximal encasement sleeve. 
     
     
         20 . The device of  claim 19 , wherein the furrowed semi-cylinder comprises a length that is equal to or greater than a central stabilizer length to allow the entire length of the central stabilizer to reside within the proximal encasement sleeve. 
     
     
         21 . The device of  claim 2 , wherein a proximal frame component diameter is different from a distal frame component diameter. 
     
     
         22 . A device for remove an obstruction in a lumen comprising:
 a proximal capture member;   a distal capture member; and   a central stabilizer   wherein the proximal capture member comprises a proximal encasement sleeve and a hollow proximal delivery wire;   wherein the distal capture member comprises a distal encasement sleeve and a distal delivery wire;   wherein the central stabilizer comprises a central delivery wire.   
     
     
         23 . The device of  claim 22 , wherein the each of the proximal and distal capture members further comprises an open end and a tapered end, a frame component coupled to a encasement sleeve, said encasement sleeve extending between said open end and said tapered end. 
     
     
         24 . The device of  claim 23 , wherein said proximal frame component and distal frame component comprise a self-expanding material configured to have a collapsed configuration and an expanded configuration. 
     
     
         25 . The device of  claim 23 , wherein the central cot stabilizer comprises a self-expanding material configured to have a collapsed configuration and an expanded configuration. 
     
     
         26 . The device of  claim 23 , wherein the central clot stabilizer is manually adjustable. 
     
     
         27 . The device of  claim 25 , wherein an expansion state of the manually adjustable central clot stabilizer comprises a fully collapsed state, a fully expanded state, or any expansion state therebetween. 
     
     
         28 . The device of  claim 24 , wherein the device further comprises a catheter. 
     
     
         29 . The device of  claim 28 , wherein collapsed configurations of the proximal capture member, distal capture member, and central stabilizer reside within the catheter. 
     
     
         30 . The device of  claim 29 , wherein at least one capture member further comprises a support arm. 
     
     
         31 . The device of  claim 30 , wherein the support arm is coupled to the respective delivery wire and the respective frame component. 
     
     
         32 . The device of  claim 23 , wherein at least one capture member further comprises a fastening component slidably coupled to the respective delivery wire, allowing a coupling angle of the respective frame component to be adjusted. 
     
     
         33 . The device of  claim 23 , wherein the encasement sleeves are devoid of any fenestrations. 
     
     
         34 . The device of  claim 23 , wherein the encasement sleeves comprise a woven material of at least one of the following: a polymer, a metal, and any combination thereof. 
     
     
         35 . The device of  claim 23 , wherein the encasement sleeves comprise a soft and flexible material. 
     
     
         36 . The device of  claim 23 , wherein the encasement sleeves comprise a self-expanding material configured to bias the encasement sleeve into an expanded configuration. 
     
     
         37 . The device of  claim 2 , wherein each encasement sleeve covers at least a portion of a surface of the frame component to which it is coupled. 
     
     
         38 . The device of  claim 2 , wherein at least one of the proximal frame component, the distal frame component, or the central stabilizer is configured to deliver a therapeutic substance to said obstruction. 
     
     
         39 . The device of  claim 1 , further comprising a radiopaque marker. 
     
     
         40 . The device of  claim 23 , wherein a proximal frame component diameter is different from a distal frame component diameter. 
     
     
         41 . The device of  claim 22 , wherein a cross-sectional shape of at least a portion of the central stabilizer is different from a cross-sectional shape of the central delivery wire. 
     
     
         42 . The device of  claim 22 , wherein the central delivery wire and the distal delivery wire lie adjacently within the hollow proximal delivery wire. 
     
     
         43 . The device of  claim 22 , wherein the central delivery wire and distal delivery wire are oriented concentrically within the hollow proximal tube. 
     
     
         44 . The device of  claim 24 , wherein at least a portion of the central delivery wire resides within at least a portion of the distal delivery wire. 
     
     
         45 . The device of  claim 44 , wherein at least a portion of the distal delivery wire comprises a furrowed semi-cylinder that allows at least a portion the central stabilizer to be maneuvered into the distal encasement sleeve. 
     
     
         46 . The device of  claim 45 , wherein the furrowed semi-cylinder length is equal to or greater than the length of central stabilizer, enabling the entire length of the central stabilizer to be maneuvered into the distal encasement sleeve.