Tissue-removing catheter including operational control mechanism

• US 10,226,276 B2
• Filed: 06/26/2015
• Issued: 03/12/2019
• Est. Priority Date: 06/26/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Kessler, Jason
• Primary Examiner(s): David, Shaun
• Application Number:
  US14/751,369
• Publication Number:
  US 20160374716A1
• Time in Patent Office: 1,355 Days
• Field of Search: None
• CPC Class Codes: A61B 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes precedence
• CPC Class Codes: A61B 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61B 17/320783 through side-hole, e.g. sliding or rotating cutter inside catheter
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00075 Motion
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/0019 Means for setting or varying the pulse width
• CPC Class Codes: A61B 2017/22001 Angioplasty, e.g. PCTA
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/22051 with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation A61B2017/22048, A61B2017/3486 take precedence
• CPC Class Codes: A61B 2017/22067 Blocking; Occlusion A61B2017/22054 takes precedence
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2017/320766 eccentric
• CPC Class Codes: A61B 2017/320791 with cutter extending outside the cutting window

Abstract

A tissue-removing catheter for removing tissue from a body lumen during a cutting operation includes an elongate catheter body configured for insertion into the body lumen and a tissue-removing element. A motor is operably connected to the tissue-removing element for rotating the tissue-removing element. A sensor is configured to detect a parameter of the catheter body during the cutting operation. A motor control circuit is in electrical communication with the sensor and the motor. During an operational control function, the motor control circuit is configured to receive a signal from the sensor based at least in part on the detected parameter, determine whether the received signal is indicative of inefficient movement of the tissue-removing element, and adjust a rotational speed of the tissue-removing element to increase efficiency of the tissue-removing element if the received signal is indicative of inefficient movement of the tissue-removing element.

Claims

1. A tissue-removing catheter for removing tissue from a body lumen during a cutting operation thereof, the tissue-removing catheter comprising:

an elongate catheter body configured for insertion into the body lumen, the catheter body having opposite distal and proximal portions, and a longitudinal axis extending between the distal and proximal portions;

a tissue-removing element located generally at the distal portion of the catheter body for rotation generally about the longitudinal axis of the catheter body;

an electric motor operably connected to the tissue-removing element for imparting rotation of the tissue-removing element about a rotational axis during the cutting operation of the catheter, wherein a rotational speed of the tissue-removing element is selectively adjustable;

a sensor configured to detect a linear advancement speed of the catheter body in the body lumen during the cutting operation of the catheter;

a motor control circuit in electrical communication with the sensor and the motor, wherein during an operational control function, the motor control circuit is configured to;

receive a signal from the sensor indicative of the detected linear advancement speed of the catheter body in the body lumen during the cutting operation of the catheter,

determine whether the received signal is indicative of the detected linear advancement speed of the catheter body being greater than a predetermined threshold linear advancement speed based on a rotational speed of the tissue-removing element, and

increase the rotational speed of the tissue-removing element if the received signal is indicative of the detected linear advancement speed of the tissue-removing element being greater than the predetermined threshold linear advancement speed.

2. The tissue-removing catheter set forth in claim 1, wherein the motor control circuit is configured to increase the amount of electrical power supplied to the motor to increase the rotational speed of the tissue-removing element.

3. The tissue-removing catheter set forth in claim 1, wherein the sensor comprises an accelerometer.

4. The tissue-removing catheter set forth in claim 1, further comprising an indicator in electrical communication with the motor control circuit, wherein the motor control circuit is configured to activate the indicator if the received signal is indicative of the detected linear advancement speed of the tissue-removing element being different than the predetermined threshold linear advancement speed.

5. The tissue-removing catheter as set forth in claim 1, wherein the motor control circuit is in electrical communication with a pulse width modulation (PWM) circuit configured to adjust the amount of electrical power supplied to the motor.

6. The tissue-removing catheter set forth in claim 1, wherein the motor control circuit comprises a microcontroller.

7. The tissue-removing catheter set forth in claim 1, further comprising a handle connected to the proximal portion of the catheter body, wherein the motor control circuit and the motor are disposed in the handle.

8. The tissue-removing catheter set forth in claim 7, wherein the sensor is disposed in the handle.

9. The tissue-removing catheter set forth in claim 7, wherein the sensor is disposed in the distal portion of the catheter body.

10. The tissue-removing catheter set forth in claim 1, wherein the motor control circuit is configured to:

determine whether the received signal is indicative of the detected linear advancement speed of the catheter body being less than a second predetermined threshold linear advancement speed based on the rotational speed of the tissue-removing element, and

decrease the rotational speed of the tissue-removing element if the received signal is indicative of the detected linear advancement speed of the tissue-removing element being less than the second predetermined threshold linear advancement speed.

11. The tissue-removing catheter set forth in claim 10, wherein the motor control circuit is configured to decrease the amount of electrical power supplied to the motor to decrease the rotational speed of the tissue-removing element.