Abstract:
The present invention describes a catheter suitable for introduction into a tubular tissue for dissolving blockages in such tissue. The catheter is particularly useful for removing thrombi within blood vessels. In accordance with the preferred embodiments, a combination of vibrating motion and injection of a lysing agent is utilized to break up blockages in vessels. The vessels may be veins, arteries, ducts, intestines, or any lumen within the body that may become blocked from the material that flows through it. As a particular example, dissolution of vascular thrombi is facilitated by advancing a catheter through the occluded vessel, the catheter causing a vibrating, stirring action in and around the thrombus usually in combination with the dispensing of a thrombolytic agent such as urokinase into the thrombus. The catheter has an inflatable or expandable member near the distal tip which, when inflated or expanded, prevents the passage of dislodged thrombus around the catheter. The dislodged portions of thrombus are directed through a perfusion channel in the catheter, where they are removed by filtration means housed within the perfusion channel before the blood exits the tip of the catheter. Catheters that allow both frequency ( 1-1000  Hz) vibratory motion and delivery of such agents to a blockage and a method for using such catheters are disclosed.

Description:
BACKGROUND OF THE INVENTION 
     This application is a continuation in part of application Ser. No. 08/483,071, filed Jun. 7, 1995, now U.S. Pat. No. 5,713,848. 
    
    
     1. Field of Invention 
     The present Invention is generally directed to removal of blockage of tubular tissue and specifically directed to the dissolution of intravascular thrombi. 
     2. Brief Description of Prior Art 
     It is well known that the formation of thrombi (clots) in blood vessels is a serious medical malady. Thrombi are correlated to the formation of plaque buildup in blood vessels and when blockage occurs, it is more a result of the thrombi than of the plaque buildup (which is usually referred to as atherosclerosis when it is involved in arteries). 
     All thrombi need not be treated interventionally, but in many instances thrombi do, in fact, become life threatening and require removal or at least reduction in size. A thrombus is primarily comprised of red blood cells and fibrin. There are several treatments which could be adapted for the removal of thrombi in vessels which involve intravascular catheters. Most such intravascular catheters have been designed primarily for plaque removal and contain an element that vibrates at ultrasonic frequencies. Representative of such atherectomy catheters are U.S. Pat. Nos. 5,069,664; 4,920,954; 4,898,575 and 4,808,153. Some involve cutting the plaque off of the wall of the vessel using a cutting blade. Some may be adapted to facilitate removal of a thrombus in a vessel. For example, DonMicheal, et al., in U.S. Pat. No. 4,870,953 describe an intravascular catheter having a bulbous head at its distal end which vibrates at ultrasonic frequencies. It is suggested that such a tip might be useful for disintegrating a thrombus. DonMicheal, et al. also teaches the discharge of a radiographic contrast medium from the catheter tip to enable visualization of the cleared vessel. A second cooling solution may be circulated through the catheter to the tip to prevent overheating of the bulbous tip. All the foregoing intravenous catheters have their shortcomings. None are particularly adapted for removing thrombi. 
     The use of laser catheters for treatment of thrombi is not uncommon, and significant damage to vessels during this treatment have been reported. The use of drugs for the primary dissolution of these clots is extremely common and is often considered the primary treatment of choice when a thrombus is present. These drugs are referred to as thrombolytic agents (meaning clot dissolution or decomposition). The most common thrombolytic agents (drugs) that are used presently in the treatment of vascular thrombosis are such agents as urokinase, streptokinase, TPA, leech saliva and other such pharmaceutical clot dissolving agents. Significant problems such as hemorrhagic complications, early rethrombosis, prolonged infusion times, costs, significant failure rates, etc., are persistent problems with the use of these pharmaceutical agents. To overcome the aforesaid problems with drugs, an intravascular spraying catheter may be placed in or near a thrombus and the clot periodically sprayed (or pulsed) with a thrombolytic agent which facilitates clot dissolution. Using intermittent spraying of thrombolytic agents may enable the use of less drug over a shorter time period to effect for thrombolysis when compared to the more classical approach of allowing the drug to drip in or near the clot. But even this approach requires excessive time and drug amount. In addition, the use of pulsatile injections of thrombolytic agents may result in pieces of the clot fracturing off from the main body of the clot and causing an embolism which is a danger faced by interventionalists performing this procedure. It is, therefore, desirable to provide an improved catheter for delivering thrombolytic agents which reduce the time and amount of pharmaceutical agent required for thrombolysis and which reduced the danger of embolism. 
     Stiles, in U.S. Pat. No. 4,692,139 (incorporated herein by reference) describes a catheter for removing obstructions from biological ducts which transmits ultrasonic vibrations to the obstruction to facilitate lysis. Stiles&#39; catheter has means for administering a lysing agent and simultaneously administering ultrasonic vibrations to obstructing material forward of the catheter tip. The Stiles catheter has a vibrating probe which probe (when the catheter is deployed within a vessel) projects from the tip of the catheter. There is no teaching of any advantages to be gained by either: (a) vibrating the catheter (as opposed to a probe housed within a catheter); or (b) using low frequencies (frequencies below 1000 Hz). Further, Stiles teaches the use of vibrational frequencies in the range “of at least 60 KHz”. The vibrational frequency employed to effect lysis is an important issue. It is noted that at the frequencies suggested by Stiles&#39; teaching, the wavelength of ultrasound in the probe is        λ   =       v   f     &lt;     1000   f     &lt;     1000     60   ,   000                                
     or λ&lt;1/60 foot. Thus, in Stiles&#39; catheter there are normally many wavelengths of ultrasound between the ultrasonic source and the probe tip. Wherever the probe tip touches the surrounding aspiration tube walls and/or aspirate, energy will be lost due to heating. Thus, it is difficult or impossible to control the amount of ultrasonic vibratory energy reaching the tip of the probe. Depending on the amount of loss of ultrasonic vibrational energy that occurs along the length of the probe (which, of course, depends on the amount of aspirate in the aspirator tube and the amount of mechanical contact between the probe and the surrounding walls) the energy actually delivered to tissue at the probe tip may either ablate or weld tissue, emulsify an obstruction or be insufficient to have any effect on an obstruction. 
     Lower frequency vibrations (less than 100 Hz) have wavelengths greater than one foot. The amplitude and, therefore the energy of the low frequency vibration delivered to the tip of a catheter is much more predictable at the lower frequencies and enable more accurate dosimetry. This is because the vibratory loss to surrounding tissue is due to uniform frictional losses along the length of the elongate member (inserted catheter). Stiles&#39; probe, which vibrates at ultrasonic frequencies as noted above, is housed within an aspiration tube where it may unpredictably be loaded by contact with any aspirate that may be present or the surrounding catheter walls. That is, the undesirable coupling of vibratory energy out of the Stiles&#39; probe is unpredictable. It would be desirable to provide an interventional catheter having a structure wherein the vibrating element contacts the tissue along its entire length. 
     All of the prior art thrombolysis catheters have specified ultrasonic frequencies (above audible frequencies) when advocating adjunctive vibratory waves to assist thrombolysis. Perhaps this is due to the availability of compact solid state crystals that oscillate or may be driven at these frequencies. Perhaps it is the belief that these frequencies assist in “emulsifying” an obstruction such as a thrombus. Whatever the reason, the present teaching surprisingly shows that the application of low frequency mechanical vibrations facilitate thrombus disintegration. Even more surprisingly, this is true even in the absence of an exogenous lysing agent. 
     SUMMARY OF THE INVENTION 
     While the invention is best understood and taught by making reference to the invention in context of a particular application such as the treatment of vascular thrombosis, it is the object of the present invention to provide a catheter (herein alternatively referred to as a “motion catheter” or a “vibrating catheter”) that can be placed in a blocked lumen in the body and, by either utilizing the motion of the catheter alone or the catheter motion in combination with the dispensing of a medicament suitable for dissolving such blockage, dislodge or more preferably, dissolve said blockage. This motion catheter, which may be simply a moving wire, can be used alone for blockage removal or with a lysing agent to dissolve the blockage. Most preferably, both motion and dispensing are used in combination to effect blockage removal. 
     The objects of this invention are achieved, in general, by providing a vibrating wire, or alternatively, a vibrating catheter that has an open lumen for delivery of said lysing agents. The vibrating catheter may have one or more directional channels for delivery of a lysing agent which channel(s) are attached to a pump so that delivery of said lysing agent can be controlled with respect to delivery time and delivery rate of the lysing agent. 
     Because blockage of lumens in the body are often times visualized with image enhancement devices, the catheter of the present invention is conveniently placed by means of fluoroscopy, ultrasound or the like. The motion catheter may be placed in the body in any tubular tissue in proximity to said blockage so that the motion of the catheter will dislodge or preferably dissolve the blockage. 
     A specific application of the aforementioned motion catheter is the dissolution of blood clots or thrombi with or without the use of a lysing/thrombolytic agent such as urokinase, streptokinase or a similar lysing agent. If the distal tip of the motion catheter is placed in juxtaposition to a blood clot (proximal, distal, inside or adjacent to the clot), the low frequency (1-5000 Hz) motion of the catheter facilitates the dislodgement by mechanical agitation of the thrombolytic clot. Dissolution may be achieved if the vibrating catheter also dispenses a thrombolytic agent. Usually the thrombi are located in an artery. As a thrombus dissolves, it is desirable that the tip of the motion catheter be moved (with regard to it&#39;s original placement/location) to keep the tip in juxtaposition with the clot and to further facilitate the dissolution of the thrombi. 
    
    
     BRIEF DESCRIPTION OF THE DRAWINGS 
     FIG. 1 is a schematic view of a preferred embodiment of the motion catheter of the present invention. 
     FIG. 2 is a cross-sectional view of the distal treatment tip of the catheter of FIG. 1 along line  2 — 2 . 
     FIG. 3 is a cross-sectional view of the motion catheter of FIG. 1 taken near the proximal end of the catheter along line  3 — 3 . 
     FIG. 4 is a longitudinal cross-sectional view of the proximal end of the motion catheter of FIG. 1 taken along line  4 — 4 . 
     FIG. 5 is a schematic perspective view of the preferred embodiment of the motion catheter of the present invention wherein the distal treatment tip of the catheter of the present invention is embedded in the obstruction (shown in cross-section) causing blockage of the lumen. 
     FIG. 6 is a schematic perspective of the preferred embodiment of the present invention shown in FIG. 5 wherein the motion catheter passes through or around the obstruction and the lysing agent (if required) emanates from the most distal portion of the catheter. 
     FIG. 7 is a schematic perspective view of the preferred embodiment of the present invention shown in FIG. 5 wherein the distal treatment tip of the catheter protrudes through the clot/obstruction and the lysing agent sprays inside the clot and both proximal and distal to the clot. 
     FIG. 8 is a cross-sectional view of the preferred embodiment of the present invention in FIG. 5 wherein the distal treatment tip of the motion catheter is located proximal to the obstruction and the spraying lysing agent delivered from the tip in a direction parallel to the long axis of the catheter. 
     FIG. 9 is a perspective view of the distal tip of the preferred embodiment of the present invention shown in FIG. 5 wherein the motion catheter is rotating or oscillating in a to-and-fro motion while the lysing agent is being dispensed. 
     FIG. 10 is a cross-sectional view of the preferred embodiment of the present invention shown in FIG. 5 wherein the lysing agent is dispensed by holes in the distal tip and is directed within and/or under the body of the obstruction. 
     FIG. 11 is a cross-sectional view of a second preferred embodiment of the present invention wherein an inflatable vessel occluder near the distal tip of the catheter blocks the flow of blood around the outside of the catheter thereby forcing the blood to flow through a particle filter housed within a perfusion channel within the catheter. 
     FIG. 12 illustrates a prospective view of an aspiration embodiment of the present invention. 
     FIG. 13 illustrates the distal end of an aspiration embodiment of the present invention. 
     FIG. 14 illustrates an alternate embodiment of an aspiration device of the present invention. 
     FIG. 15 illustrates an additional alternative embodiment of an aspiration device of the present invention. 
     FIG. 16 illustrates the use of a balloon mechanism with the catheter of the present invention. 
     FIGS. 16 through 20 illustrate various embodiments of a filter trap with and without the use of the aspiration device of the present invention. 
    
    
     DESCRIPTION OF THE PREFERRED EMBODIMENT 
     Turning now to FIG. 1, a preferred embodiment of the motion catheter of the present invention is generally indicated at the numeral  10 . The catheter  10  has a proximal end  11  and a distal or treatment end  12 . The proximal end  11  matingly engages a vibrating member  16  which vibrating member  16  is driven by an oscillator  15 . The catheter  10  may have one or more lumens extending from the proximal end to the distal end. One lumen, which is optional, is a guidewire lumen which enters the catheter through the guidewire lumen port  13  and exits the catheter through the distal tip  12 . A second lumen, having an entry port generally indicated at  14 , extends the length of the catheter to the distal tip  12  and is used as a conduit for transporting a lysing agent or other compatible fluid (e.g. saline) from a reservoir (not shown) to the distal tip  12  of the catheter  10 . 
     The distal tip  12  of the catheter  10 , which may be radiopaque, is shown in cross-section in FIG. 2. A lysing agent lumen  21  extends the length of the catheter connecting the lysing agent entry port  14  with dispensing holes near the distal tip  12 . There may be one or more holes surrounding the tip  12 , which holes are in fluid communication with the lysing agent lumen  21 . The guidewire lumen  22 , which is optional, enables the use of the catheter with a guidewire. The guidewire (not shown) may be introduced into the vessel in which the catheter is to be inserted for removing blockage. The abnormal narrowing or constriction of a passage or lumen such as results from a clot lodged in a blood vessel is called a stenosis. The guidewire is advanced, usually by means of x-ray, until it reaches the point of stenosis. The guidewire may then be either forced through the stenosis or it may terminate at the stenosis. The catheter  10 , may then be inserted over the guidewire and advanced so that the distal tip  12  of the catheter is in juxtaposition with the blockage. While for many applications the presence of a guidewire lumen is necessary, for other applications it is not required. A pump (not shown) may be used to force a lysing agent into the lysing agent lumen  21  through the entrance port  14 . 
     It is known in the prior art to be advantageous to have an element within an intravascular catheter capable of vibration at high frequencies. Such catheters normally require the element to vibrate at ultrasonic frequencies to effect the result desired. Accordingly, such catheters employ a titanium wire coupled to an ultrasonic generator such as a piezoelectric crystal which causes the wire to vibrate longitudinally at ultrasonic frequencies. In these instances, the ultrasonic energy is transferred to the medium surrounding the vibrating element and is used to cause cavitation at the tip of the catheter, which cavitation may cause the disruption of the blockage. Alternatively, an ultrasonic transducer may be placed at the tip of the catheter to emit ultrasonic waves laterally therefrom and receive reflections from the walls of the surrounding vessel thereby providing an ultrasonic image of the vessel wall. The use of ultrasonic frequencies produces heat, both along the wall of the catheter and at the tip which requires a cooling fluid. In addition, titanium must be used in order to prevent fracture of the wire. In the present invention, the entire catheter  10  is coupled to a source of vibrational energy  16  driven by an oscillator  15  operating in the range of 2 to 1000 oscillations per second. These low frequency vibrations transmit along the catheter to its distal tip  12  providing a mechanical motion of the tip. Such mechanical motion can be used to mix a lysing agent with a blockage near the distal tip. The vibrating agent  16  (FIG. 1) is inserted into the proximal end of the motion catheter  10  as shown in greater detail in FIG.  4 . The proximal end  11  of the catheter  10  matingly engages the oscillating element  16 . The oscillating element  16  reciprocates in the direction of the long axis of the catheter  10 . Alternatively, the oscillating element  16  may rotate to and fro causing a back and forth rotary motion along the wall of the catheter which is translated to the tip. Or a to-and-fro motion may be used in combination with a back and forth translational motion to effect a wobbling motion at the tip. The use of such motion in combination with the dispensing of a medicament such as a lysing agent at the tip of the catheter is illustrated in FIGS. 5 through 10. 
     In FIG. 5, the distal tip  12  of catheter  10  is shown advanced into a blood vessel  55 . The blood vessel inner wall  55  is surrounded by tissue generally indicated by  57 . An obstruction  51  in the vessel is penetrated by the distal treatment tip  12  of the catheter  10 . Once tip  12  of the catheter  10  is within the obstruction  51  (such as a blood clot) a lysing agent  53  is dispensed from the holes  58  near the tip of the catheter by means of pumping the lysing agent  53  from a reservoir (not shown) through the lysing agent lumen  21 . At the same time, the mechanical motion of the tip, generally indicated at  54 , is induced in the distal tip of the catheter by means the vibrating element  16 . The combination of lysing agent  53  emanating from holes  58  in the distal tip  12  of the catheter  10  in combination with the vibratory motion  54  of the distal tip of the catheter assists in the penetration of the lysing agent into the obstruction  51 , and provides an advantage over prior art. 
     Alternatively, the distal tip  12  of the catheter  10  may be inserted into the blockage  51  and passed completely therethrough, as shown in FIG. 6, so that the very distal-most portion of the distal tip  12  extends beyond the obstruction  51 . In such an event, motional waves  54  may be used in combination with the release of a lysing agent  53  from holes  58  in the distal tip to facilitate dissolution of the blockage  51 . This may be particularly advantageous in the event that plaque  56  is covering a portion of the wall  55  of the vessel. 
     As shown in FIG. 7, it is also possible to have a plurality of holes  58  dispensing the lysing agent  53 , both distal to the obstruction  51  and interior to the obstruction. Such a combination of vibrational motion and spraying of lysing agent into the blockage facilitates the rapid disruption of the blockage  51 . 
     In FIG. 8, the distal tip  12  is advanced until it is in juxtaposition with the proximal end of the blockage  51 . When the distal tip is in position, the vibrational waves  54  in combination with the release or spraying of lysing agent  53  affect the dissolution of the blockage  51 . 
     Up until now, we&#39;ve been referring primarily to vibrational motion in the tip of the catheter that is axial oscillatory motion generally in the direction of the axis of the catheter. FIG. 9 shows a rotary motion which may be imparted to the tip of the catheter by applying an oscillating rotary motion to the proximal end of the catheter. The arrows in FIG. 9 show the rotation of various elements of the tip of the catheter with respect to adjacent elements of the catheter. The catheter  10  is a flexible structure and these rotational waves can travel down the catheter changing direction. Such rotary motion, particularly when the tip  12  is embedded within the blockage  51 , may be particularly advantageous for facilitating the penetration of lysing agent  53  sprayed from the holes  58  in the distal tip  12  of the catheter  10 . The rotational arrows are generally indicated at  58 . 
     FIG. 10 shows a translational motion which can be used in combination with the rotary motion of FIG. 9, which combination of motions may cause the tip  12  of the catheter  10  to “wobble” or “wiggle” causing mixing and enabling the lysing agent  53  to more rapidly permeate the obstruction  51  facilitating dissolution thereof. 
     During the dissolution process, fragments of the obstructing thrombus may break loose and obstruct the vascular system at once or more points remote from the original obstruction. A second preferred embodiment of the catheter of the present invention which is especially designed to prevent the dissemination of such fragments to other points in the vascular system is shown in FIG.  11 . In this second preferred embodiment the catheter  10  has a coaxial inflatable member  59  on the outer surface thereof between the holes  58 , through which holes lysing agent (not shown) is sprayed, and the distal tip  12  of the catheter  10 . A perfusion channel (not shown) housed within the body portion of the catheter  10  is coextensive with the portion of the catheter between fenestrations  60  and  61  in the outer wall of the catheter  10  providing fluid communication therebetween. Blood enters the perfusion channel (not shown) through the proximal fenestration  60  in the direction indicated by arrow  60 ( a ). Any fragments of thrombus entrained in the blood as the blood enters the proximal fenestration  60  will pass into the catheter perfusion channel. A particle filter (not shown) is deployed within the perfusion channel to remove such fragments before the blood exits the perfusion channel through the distal fenestration  61  as indicated by arrow  61 ( a ). The filter (not shown) is in-line with the perfusion channel connecting fenestrations  60  and  61  and can be a polymeric or metallic mesh or “birds nest” or a filter of the type used to remove fat cells from an aspirate described in U.S. Pat. No. 4,834,703 to Dubrul, et al., (incorporated herein by reference). Such a filter must be in-line with the perfusion channel and coextensive with at least a portion thereof to effectively remove fragments of thrombus and any other unwanted particulate debris from the perfusate  60 ( a ) and  61 ( a ). 
     EXAMPLE 
     To prove evaluate the effectiveness of the present invention, an in vitro experiment was performed to evaluate the advantage, if any, of using the motion catheter to disburse clots rather than existing technology. Blood clots were created in a test tube. The weight of each clot was measured prior to experimentation. The clots were then treated with Urokinase at a rate of 5000 IU/ml for 5 minutes to a total of 15,000 IU. The clot (thrombus) weights were measured initially and finally to determine the amount of lysing that had taken place. One of the groups (GROUP 1) was used as a control. Nothing was done to the GROUP 1 thrombi except initial and final weighing. Another group (GROUP 2) was treated with the same amount of lysing agent, but the lysing agent was dispersed through the motion catheter while the catheter was being very slowly vibrated; the catheter was placed proximal to the clot in similar fashion as was the aforementioned group. In GROUP 3, the MOTION CATHETER was placed in the clot as in GROUPS 1 and 2, but the Urokinase was pulsed into the clot and no motion was applied to the system. In GROUP 4 the lysing agent was pulsed into the clot as in GROUP 36, but a slow (low frequency) vibratory motion was applied to the MOTION CATHETER. GROUP 5 clots were treated with saline and slow vibration. In GROUPS 2,4 &amp; 5 (GROUPS with a motion applied to the MOTION CATHETER) the amount of lysing of the clot/thrombus was greatly increased as determined by the difference in weight of the clot/thrombus before and after the one hour treatment. Those results are tabulated in Table 1 where the percentage of lysing is the difference between the initial and final weight of the clots divided by the initial weight, the quotient multiplied×100. 
     
       
         
               
               
             
           
               
                 TABLE 1 
               
               
                   
               
             
             
               
                 GROUP 1 
                  4.5% Lysing 
               
               
                 GROUP 2 
                 68% 
               
               
                 GROUP 3 
                 26% 
               
               
                 GROUP 4 
                 45% 
               
               
                 GROUP 5 
                 45% 
               
               
                   
               
             
          
         
       
     
     From the foregoing data it is clear that low frequency vibration with administration of a lysing agent (GROUP 2) give the best results. Surprisingly, the GROUP 5 clots (no lysing agent) that were subjected only to a low frequency (1-1000 Hz) vibrating member in the presence of saline exhibited substantial dissociation under the conditions of the experiment. This suggests that the introduction of a simple intravascular wire or similar elongate member vibrating at lower frequencies (&lt;1000 Hz) into a blocked vessel may be useful for disrupting clots. 
     The invention will now be described with respect to FIGS. 12 through 15. An aspiration device generally indicated by the numeral  100 , is shown with respect to FIG.  12 . The aspiration device  100  includes a section mechanism  102  located at the proximal end  11  of the motion catheter  10 . The aspiration device  100  additionally includes an outer sleeve  104 , as shown more clearly in FIG.  13 . The outer sleeve extends from the proximal end  11  to the distal end  12  of the device  10 . 
     During, after, or before the obliteration of the atheroma or other obstruction in the blood vessel, small particles represented by fragments  106  exist within the blood vessel. As is well known, these fragments can cause extreme health difficulties such as stroke, ischemia, collateral vessel blockage and the like. It is thus, advantageous to remove such particles  106  from the blood vessel. The aspiration device  100 , which activated, causes a suctioning, or low pressure, to be developed at the proximal end drawing blood in a direction of the arrows  108 . The aspiration device is activated by the suction mechanism  102 . The suction mechanism  102  includes a chamber  110  and a plunger  112 . When the plunger  112  is pulled away from the chamber  110 , a low pressure area or vacuum. As noted below, this causes the blood flow to proceed from the distal end to the proximal end. Other vacuum sources such as a mechanical pump, or an electro-mechanical pump, may also be used as the suctioning mechanism  102 , to create the low pressure area. 
     It will be appreciated that, while it is not shown in FIG. 12, a third port could be added comprising an injection port. The injection port, while not shown here, is shown in the earlier filed drawings connected with this matter, specifically FIG. 1 of U.S. Pat. No. 5,498,236 and U.S. Pat. No. 5,380,273. Additionally, the motion catheter  10  may include distal end  12  having an infusion port such as infusion port  61 , as described with reference to FIG. 11 of the above identified patents. 
     It will be appreciated that the injection port and the aspiration port may be activated independently and simultaneously. Thus, while fluid may be moved up and through the catheter from the distal end to the proximal end, it may also be appreciated that fluid may also be moved down and through the proximal end  11  through the distal end  12  using the injection port. In this way, while simultaneously aspirating, a fluid such as a medicament, for example saline or sterile water, may be injected into the patient&#39;s blood vessel simultaneously with the aspiration process. Additionally, it will be appreciated that fluid of any kind can be moved in either direction through the catheter using aspiration and infusion including fluid such as a contrast fluid. 
     In will be appreciated that FIG. 11 of the above identified patents, noted particularly at U.S. Pat. No. 5,498,236, col. 6, lines 50 through 57, and at col. 6, line 65 through col. 7, line 12 and U.S. Pat. No. 5,380,273, col. 6, line 58 through col. 7, line 25, specifically disclose polymeric, metallic mesh, or birdsnest filter described with respect to aspiration and the like. A filter such as the one described above, or filter cartridge as specifically referred to in U.S. Pat. No. 4,834,703, may be inserted within the outer sleeve  104  coaxially with the catheter. The filter cartridge, or filter, traps the particulate matter or particles  106 , thereby removing the same from the blood vessel and consequently from the blood stream. 
     As shown in FIGS. 12 and 13, the motion catheter  10  may be activated during aspiration. It may be desirable to remove particulate matter  106  as the tip is in motion to either vibration or rotation. Alternatively, the aspiration device  100  may be activated both after and before activation of the motion catheter. 
     With respect to FIG. 14, there is shown another embodiment of the aspiration device  100 , wherein the distal end  12  of the motion catheter  10  includes the distal end having fenestrations. In this embodiment, the in-line polymeric filter and/or filter cartridge would be inserted within the motion catheter itself to trap the particulate matter  106 . The fenestrations  114  are shown in FIG. 14 as being generally rectangular in shape. It will be appreciated that a variety of shapes, sizes, and styles may be appropriate depending upon the particular function, blood flow, and level of force of the aspiration device  100 . Similarly to the previously discussed embodiment shown in FIG. 13, the embodiment shown in FIG. 14 having fenestrations  114 , allow the particulate matter to enter the fenestrations as a result of the low pressure being created by the activation of the aspiration device  100 , and thereby removed by the blood stream through the in-line polymeric filters as discussed above. 
     With respect to FIG. 15, there is shown a third embodiment of the aspiration device  100  in accordance with this invention. In the aspiration device of FIG. 15, the outer sleeve  104  includes an occluding mechanism  116  which prevents blood from preceding around the occluding mechanism  116  and causes blood flow to enter the proximal end of the outer sleeve  104 . Similar to the previously discussed embodiments of FIGS. 13 and 14, the occluding mechanism operates to force blood flow to an area where an in-line polymeric filter or filter cartridge may trap the particulate matter  106 , thereby removing it from the blood vessel and consequently the blood stream. 
     It will be appreciated that a variety of other filters not described herein may be used. For example, the filters may comprise a variety of different shapes and sizes and may be located in slightly different positions on the catheter. 
     The occluding mechanism  116  comprises an exemplary embodiment, an angioplasty type balloon which is selectively inflated to cause a blockage in the blood vessel as shown clearly in FIG.  15 . Other occluding mechanisms of course are within the scope and spirit of this invention. 
     Also it will be appreciated that an occlusion balloon, or centering balloon, may also be used in place of the angioplasty type balloon. The occlusion or centering balloon is distinguished from the angioplasty balloon because it does not inflate to a predetermined sized. Rather the occlusion balloon continues to increase in size the more it is inflated. Also, the occlusion balloon conforms itself to the shape and size of the inner vessel wall. In some instances, it may well be preferable to use the occlusion balloon as opposed to the angioplasty type balloon. It will be understood herein that when referring to the angioplasty balloon below, that other types of balloons including the occlusion or centering balloon, may well be substituted in its place. 
     Similarly with respect to FIGS. 13 and 14, the aspiration device of FIG. 15 may be used before, after, or during activation of the motion catheter  10 . 
     With respect to FIG. 16, there is shown another embodiment of the motion catheter  10  in accordance with this invention. In this embodiment, the motion catheter  10  includes an angioplasty-type balloon  118  at the distal end  12 . The angioplasty-type balloon  118  is formed, as in conventional in the field and more particularly as shown and described in U.S. Pat. Nos. 4,922,905; 4,838,268; 4,808,164; and 4,707,670; which are specifically incorporated herein by reference, and represents a typical angioplasty-type balloon. As noted above, an occlusion balloon such as those identified in U.S. Pat. Nos. 5,637,086; 5,222,970; 5,074,869; and 4,130,119; which are also specifically incorporated herein by reference, may be substituted for the angioplasty-type balloon. 
     In the embodiment shown in FIG. 16 showing the angioplasty balloon  118 , the motion catheter may be activated before, during, or after, balloon expansion. It is believed that such motion of the angioplasty balloon is particularly useful in relieving the blood vessel obstruction. It will be appreciated that the various elements, shown in FIGS. 12 through 15, may be combined or used alternatively with the embodiment shown in FIG. 16 within the spirit and scope of this invention. However, it is not necessary for the beneficial effects and advantages of the embodiment shown in FIG. 16 to provide the alternative structures shown and described in such combinations. 
     With respect to FIGS. 17 through 20, there is shown an alternate embodiment of the motion catheter device  10  having a coaxially filter trap  120 . As similarly shown with respect to the &#39;273 and &#39;236 patents described above, the filter trap  120  is deployable and expandable as shown in FIGS. 17 through 20. 
     In FIG. 17 the filter trap is in its initial stage of deployment. In FIG. 18 the filter trap has been fully expanded. Additionally, in FIG. 18 there is shown the filter trap  120  used in combination with the occluding mechanism  116 . Using a combination of these devices provides the invention with the ability to trap particulate matter  106 , whether it flowed against or with the arrows  108 . It will be readily appreciated that any particulate matter traveling in the direction opposite of the arrows would be trapped within the filter trap  120 . The filter trap  120  is made of polymeric mesh and can be expanded to a variety of shapes and sizes. The device  10  (not shown) includes activation mechanism (not shown) which can readily expand or contract the filter trap  120 . 
     It will be appreciated that the inflatable coaxial structure described with respect to the &#39;273 and &#39;236 patents can, in fact, define a filter such as the ones described above. It will also be appreciated that a combination of the inventions taught by the &#39;236 and &#39;273 patents and the disclosure herein can be combined. In fact, an occluding element could be distal to the distal end of the catheter  12  with a filter being in-line in an aspiration device. In this way, the particulate matter is prevented from flowing down stream by the occlusion mechanism while the aspiration device is activated causing the particulate matter to be drawn back into the inflatable coaxial filters. Thus, the fluid down stream of the occluding mechanism would be relatively free of particulate matter while the particulate matter would be substantially trapped within the coaxial filter. 
     Upon activation of the motion catheter, a spinning vortex is created. Upon the direction of the user, the particulate matter  106  can be directed, either proximally or distally, to be trapped by the filter system described above. Again, the object of trapping particulate matter is accomplished. In this way, the spinning vortex causes additional and further particulate matter to be trapped in a coaxial filter. 
     Additionally, polymeric shapes such as a frusto-conical shape filter trap alternative embodiment generally indicated by the numeral  122 , may alternatively be employed. The filter trap  122 , shown in cross section FIG. 19, includes an outer member  124  and an inner member  126 . Both members are connect to a shaft  128 . Upon activation both inner and outer members,  124  and  126  respectively, are deployed or expanded within the blood vessel. Upon deactivation, both members are contracted and fit snugly along shaft  128 . The duel filter has the purpose of 1) sealing against the vessel wall, 2) capturing large and small particles and the prevention of dissemination of such fragments, 3) the centering of the catheter during motion, 4) capturing and holding particulate matter for dissolution, and 5) capturing of particulate matter allowing blood or smaller particles to flow through, whereby, at the end of the procedure, the filter trap is un-deployed and particulate matter is removed. 
     The filter shaft system, upon trapping the particulate matter  106 , can either remain deployed until the blood flow causes the particulate matter  106  to be dissolved or can be contracted and then removing the device  10  from the blood vessel and then removing the trapped particulate matter  106  will thus remove the particulate matter from the blood system. 
     The aforesaid specification taken in connection with the drawings and the aforementioned experiment sets forth the preferred embodiments of the present invention. The embodiments of the invention disclosed herein are the best modes contemplated by the inventors for carrying out their invention in a commercial environment, although it should be understood that various modification can be accomplished within the scope of the invention.