Tissue-removing catheter and tissue-removing element with depth stop

• US 10,314,664 B2
• Filed: 10/07/2015
• Issued: 06/11/2019
• Est. Priority Date: 10/07/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Schuman, Victoria
• Primary Examiner(s): Scherbel, Todd J
• Assistant Examiner(s): Labranche, Brooke
• Application Number:
  US14/877,097
• Publication Number:
  US 20170100150A1
• Time in Patent Office: 1,343 Days
• 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 2017/320791 with cutter extending outside the cutting window
• CPC Class Codes: A61B 2090/033 Abutting means, stops, e.g. abutting on tissue or skin
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

A tissue-removing catheter includes a tissue-removing element operably connected to a drive shaft for rotation of the tissue-removing element about an axis of rotation in a cutting direction. The tissue-removing element includes a cutting edge that extends around the axis of rotation and a depth stop that extends around the axis of rotation radially inward of the cutting edge relative to the axis of rotation. The depth stop defines an engagement surface adapted to engage a hard object and thereby limit the depth at which the cutting edge cuts into the hard object. In use, when the cutting edge cuts into a hard object, the depth stop engages the hard object to limit the cutting depth.

Claims

1. A tissue-removing element configured for a tissue-removing catheter, the tissue-removing element comprising:

a tissue-removing element body having opposite first and second axial ends and an axis extending through the first and second axial ends;

an annular cutting edge at the first axial end of the tissue-removing element body extending around the axis of the tissue-removing element body;

an annular depth stop at the first axial end of the tissue-removing element body extending around the axis of the tissue-removing element body and being disposed radially inward of the cutting edge relative to the axis of the tissue-removing element body, the annular depth stop having an engagement surface at an axial end thereof configured to restrict a cutting depth of the annular cutting edge, wherein the annular cutting edge and the annular depth stop intersect one another at an annular junction, wherein the annular cutting edge and the annular depth stop extend directly from the annular junction in the same axial direction, wherein the annular depth stop has a uniform cross-sectional shape around the axis of the tissue-removing element body; and

a concave tissue-receiving depression defined by the first axial end of the tissue-removing element body, wherein the tissue-receiving depression is radially inward of the annular depth stop and the tissue-receiving depression is radially inward of the annular junction, and wherein the tissue-receiving depression is configured to direct removed tissue in the axial direction.

2. A tissue-removing element as set forth in claim 1, wherein the engagement surface has a generally convex cross-sectional shape.

3. A tissue-removing element as set forth in claim 1, wherein the cutting edge protrudes axially beyond the annular depth stop.

4. A tissue-removing element as set forth in claim 3, wherein the cutting edge is axially spaced apart from the axial end of the annular depth stop a distance of from about 0.0005 inches (0.0127 mm) to about 0.010 inches (0.254 mm).

5. A tissue-removing element as set forth in claim 1, wherein the annular depth stop protrudes axially beyond the cutting edge.

6. A tissue-removing element as set forth in claim 5, wherein the axial end of the annular depth stop is axially spaced apart from the cutting edge a distance from about 0.0005 inches (0.0127 mm) to about 0.010 inches (0.254 mm).

7. A tissue-removing element as set forth in claim 1, wherein the cutting edge and the axial end of the annular depth stop are located at about the same axial position.

8. A tissue-removing element as set forth in claim 1, wherein the axial end of the annular depth stop is radially spaced apart from the cutting edge a distance from about 0.001 inches (0.0254 mm) to about 0.02 inches (0.508 mm).

9. A tissue-removing element as set forth in claim 1, wherein the annular cutting edge is defined by a radially outer blade surface and a beveled radially inner blade surface intersecting one another.

10. A tissue-removing element as set forth in claim 9, wherein the inner blade surface and the engagement surface define an annular gap therebetween.

11. A tissue-removing element as set forth in claim 9, wherein the radially inner blade surface intersects the engagement surface at the annular juncture.

12. A tissue-removing element as set forth in claim 11, wherein the inner blade surface and the engagement surface extend away from the annular juncture in radially opposite directions.

13. A tissue-removing element as set forth in claim 1, further comprising a tissue-receiving depression formed in the first axial end of the tissue-removing element body radially inward of the annular depth stop.

14. A tissue-removing element as set forth in claim 1, further comprising a tissue-receiving passage extending axially through the first axial end of the tissue-removing element body radially inward of the depth stop.

15. A tissue-removing element as set forth in claim 1, in combination with a catheter including a driveshaft operatively connected to the tissue-removing element and configured to rotate the tissue-removing element about the axis of the tissue-removing element body.

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

a rotatable driveshaft; and

a tissue-removing element coupled to the rotatable driveshaft for rotating the tissue-removing element about an axis of rotation, the tissue-removing element having opposite first and second axial ends spaced apart along the axis of rotation, the tissue-removing element comprising;

an annular cutting edge at the first axial end of the tissue-removing element extending around the axis of rotation of the tissue-removing element;

an annular depth stop at the first axial end extending around the axis of rotation of the tissue-removing element and being disposed radially inward of the cutting edge relative to the axis of rotation of the tissue-removing element, the annular depth stop having an engagement surface at an axial end thereof configured to restrict a cutting depth of the annular cutting edge, wherein the annular cutting edge and the annular depth stop intersect one another at an annular junction, wherein the annular cutting edge and the annular depth stop extend directly from the annular junction in the same axial direction, wherein the annular depth stop has a uniform cross-sectional shape around the axis of the tissue-removing element body; and

a concave tissue-receiving depression defined by the first axial end of the tissue-removing element body, wherein the tissue-receiving depression is radially inward of the annular depth stop and the tissue-receiving depression is radially inward of the annular junction, wherein the tissue-receiving depression is configured to direct removed tissue in the axial direction.

17. A tissue-removing catheter as set forth in claim 16, wherein the engagement surface has a generally convex cross-sectional shape.

18. A tissue-removing element as set forth in claim 16, wherein the cutting edge protrudes axially beyond the annular depth stop.