Tissue-removing catheter including movable distal tip

• US 10,292,721 B2
• Filed: 07/20/2015
• Issued: 05/21/2019
• Est. Priority Date: 07/20/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Guggenheimer, Ethan, Fruland, Benjamin, Schneider, Lucas, Garvey, Zachary, Sills, Cory
• Primary Examiner(s): Fishback, Ashley L
• Application Number:
  US14/803,703
• Publication Number:
  US 20170020539A1
• Time in Patent Office: 1,401 Days
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 17/3207 Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions A61B17/32037 takes precedence; endoscopic cutting instruments A61B17/320016
• 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 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/22039 eccentric
• CPC Class Codes: A61B 2017/22045 fixed to the catheter; guiding tip
• CPC Class Codes: A61B 2017/320004 abrasive
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2017/320775 Morcellators, impeller or propeller like means
• CPC Class Codes: A61B 2017/320791 with cutter extending outside the cutting window

Abstract

A catheter includes a tissue-removing element and a tissue-containment chamber configured to receive tissue removed by the tissue-removing element. The tissue-containment chamber has a tissue-removing opening for use in removing tissue from the chamber. A closure component is associated with the tissue-removing opening for selectively opening and closing the opening.

Claims

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

an elongate body having proximal and distal ends;

a tissue-removing element adjacent the distal end of the elongate body, the tissue-removing element configured to engage and remove tissue from the body lumen;

a tissue-containment chamber adjacent the distal end of the elongate body and configured to receive tissue removed by the tissue-removing element, the tissue-containment chamber defining a chamber lumen and having a proximal end connected to the distal end portion of the elongate body, a distal end opposite the proximal end, a longitudinal axis extending between the proximal and distal ends, and a tissue-removing opening adjacent to and spaced apart from the distal end thereof;

a closure component in the chamber lumen of the tissue-containment chamber, the closure component being slidable longitudinally in a distal direction within the chamber lumen from a closed position, in which the closure component inhibits removed tissue in the tissue-containment chamber from exiting through the tissue-removing opening, to an open position, in which the closure component allows removed tissue in the tissue-containment chamber to exit through the tissue-removing opening.

2. The tissue-removing catheter set forth in claim 1, further comprising a boss-and-groove connection connecting the closure component to the tissue-containment chamber.

3. The tissue-removing catheter set forth in claim 2, wherein the boss-and-groove connection includes a groove associated with the closure component and extending along the closure component, and a boss on the tissue-containment chamber and retained within and movable along the groove.

4. The tissue-removing catheter set forth in claim 3, wherein the groove is generally L-shaped with a long arm extending along the closure component and a short arm extending crosswise of the closure component.

5. The tissue-removing catheter set forth in claim 4, wherein the closure component is in a locked configuration and inhibited from sliding longitudinally within the chamber lumen when the boss is in the short arm of the L-shaped groove, and wherein the closure component is in an unlocked configuration and allowed to slide longitudinally within the chamber lumen when the boss is in the long arm of the L-shaped groove.

6. The tissue-removing catheter set forth in claim 5, wherein the distal end of the tissue-containment chamber defines a distal opening, wherein the closure component extends through the distal opening of the tissue-containment chamber and into the chamber lumen.

7. The tissue-removing catheter set forth in claim 6, further comprising a tip component defining a distal end of the tissue-removing catheter, wherein the tip component is connected to a distal end of the closure component.

8. The tissue-removing catheter set forth in claim 7, wherein the tip component is rotatable relative to the tissue-containment chamber to move the closure component between its locked and unlocked configurations.

9. The tissue-removing catheter set forth in claim 8, further comprising a first guide wire lumen on the tissue-containment chamber and a second guide wire lumen on the tip component, wherein the first and second guide wire lumens are aligned for receiving a guide wire therethrough when the closure component is in its locked configuration.

10. The tissue-removing catheter set forth in claim 9, wherein the first and second guide wire lumens are misaligned when the closure component is in its unlocked configuration.

11. The tissue-removing catheter set forth in claim 10, wherein the tip component is rotatable relative to the tissue-containment chamber to move the closure component from its locked configuration to its unlocked configuration when a guide wire is received in the first and second guide wire lumens.

12. The tissue-removing catheter set forth in claim 1, wherein the closure component is selectively lockable in the closed position to inhibit unintentional movement of the closure component to the open position, and wherein the closure component is selectively unlockable in the closed position to allow movement of the closure component to the open position.

13. The tissue-removing catheter set forth in claim 12, wherein the distal end of the tissue-containment chamber defines a distal opening, wherein the closure component extends through the distal opening of the tissue-containment chamber and into the chamber lumen.

14. The tissue-removing catheter set forth in claim 13, further comprising a tip component defining a distal end of the tissue-removing catheter, wherein the tip component is connected to a distal end of the closure component.

15. The tissue-removing catheter set forth in claim 14, wherein the tip component is rotatable relative to the tissue-containment chamber to selectively lock and unlock the closure component.

16. The tissue-removing catheter set forth in claim 14, further comprising a first guide wire lumen on the tissue-containment chamber and a second guide wire lumen on the tip component, wherein the tip component is rotatable relative to the tissue-containment chamber to selectively lock and unlock the closure component when a guide wire is received in the first and second guide wire lumens.

17. A method of cleaning a tissue-removing catheter, the method comprising:

inserting a tissue-removing catheter into a body lumen of a subject, the tissue-removing catheter including an elongate body having proximal and distal ends;

removing tissue from the body lumen by engaging the tissue with a tissue-removing element adjacent the distal end of the elongate body;

capturing the removed tissue from the body lumen in a tissue-containment chamber adjacent the distal end of the elongate body, wherein the tissue-containment chamber defines a chamber lumen and has a proximal end connected to the distal end portion of the elongate body, a distal end opposite the proximal end, a longitudinal axis extending between the proximal and distal ends, and a tissue-removing opening adjacent to and spaced apart from the distal end thereof, wherein a closure component in the chamber lumen of the tissue-containment chamber is in a closed position during said capturing the removed tissue to inhibit the removed tissue in the tissue-containment chamber from exiting through the tissue-removing opening;

removing the tissue-removing catheter from the body lumen of the subject after said removing tissue from the body lumen using the tissue-removing catheter and said capturing the removed tissue;

sliding, after said removing the tissue-removing catheter, the closure component longitudinally in a distal direction within the chamber lumen from the closed position to an the open position, in which the closure component allows removed tissue in the tissue-containment chamber to exit through the tissue-removing opening;

forcing the removed tissue in the tissue-containment outside the tissue-containment chamber through the tissue-removing opening when the closure component is in the open position.

18. The method of cleaning a tissue-removing catheter set forth in claim 17, further comprising rotating, after said removing the tissue-removing catheter and before said sliding the closure component longitudinally, the closure component relative to the tissue-containment chamber from a locked configuration to an unlocked configuration.

19. The method of cleaning a tissue-removing catheter set forth in claim 18, wherein said rotating the closure component comprises manually rotating a tip component connected to the closure component, wherein the tip component defines a distal end of the tissue-removing catheter.

20. The method of cleaning a tissue-removing catheter set forth in claim 17, wherein the steps of removing the tissue-removing catheter, sliding the closure component longitudinally within the chamber lumen, and forcing the removed tissue in the tissue-containment chamber through the tissue-removing opening are performed while the tissue-removing catheter is on a guide wire.

21. A tissue-removing catheter for removing tissue from a body lumen, the catheter comprising:

an elongate body having proximal and distal ends;

a tissue-removing element adjacent the distal end of the elongate body, the tissue-removing element configured to engage and remove tissue from the body lumen;

a tissue-containment chamber adjacent the distal end of the elongate body and configured to receive tissue removed by the tissue-removing element, the tissue-containment chamber defining a chamber lumen and having a proximal end connected to the distal end portion of the elongate body, a distal end opposite the proximal end, a longitudinal axis extending between the proximal and distal ends, and a tissue-removing opening adjacent to and spaced apart from the distal end thereof; and

a closure component in the chamber lumen of the tissue-containment chamber, the closure component being slidable longitudinally within the chamber lumen between a closed position, in which the closure component inhibits removed tissue in the tissue-containment chamber from exiting through the tissue-removing opening, and an open position, in which the closure component allows removed tissue in the tissue-containment chamber to exit through the tissue-removing opening,

wherein the closure component is selectively lockable in the closed position to inhibit unintentional movement of the closure component to the open position, and wherein the closure component is selectively unlockable in the closed position to allow movement of the closure component to the open position.

22. The tissue-removing catheter set forth in claim 21, wherein the distal end of the tissue-containment chamber defines a distal opening, wherein the closure component extends through the distal opening of the tissue-containment chamber and into the chamber lumen.

23. The tissue-removing catheter set forth in claim 22, further comprising a tip component defining a distal end of the tissue-removing catheter, wherein the tip component is connected to a distal end of the closure component.

24. The tissue-removing catheter set forth in claim 23, wherein the tip component is rotatable relative to the tissue-containment chamber to selectively lock and unlock the closure component.