Importance

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Abstract

A catheter for insertion in body vessels for removing occlusions or obstructions such as thrombus, clot, plaque and other vascular or arterial deposits without generating distal emboli. Removal of freshly or recently formed obstructions is a preferred application. Concurrently or subsequently, suction or aspiration removal of the resulting occlusion debris is disclosed. A catheter system of this invention comprises elongate, hollow, inner and outer coaxial catheters having distal and proximal ends. The distal end of the outer catheter terminates short of the distal end of the inner catheter. The catheters may be independently movable with respect to each other. The inner catheter wall defines a central lumen which fluidically couples the proximal and distal ends of the inner catheter and through which a guidewire can pass. The central lumen has a reduced diameter distal portion which, with an occluder means (e.g., a guidewire), is adapted to restrict distal fluid delivery therethrough. The distal end of the inner catheter is fluidically coupled to a diffusion manifold which includes a plurality of fluid diffusion orifices. Located between the diffusion manifold and the distal end of the outer catheter is a diffuser, The diffuser, which may be fixedly or rotatively mounted, is located so that fluid exiting from the diffusion orifices impinges thereon and is dispersed toward the occlusion.

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First Claim