Device for cutting tissue

• US 10,499,947 B2
• Filed: 05/23/2017
• Issued: 12/10/2019
• Est. Priority Date: 12/02/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Zhang, Zhiyong, Rangwala, Hussain S., VanPelt, Jr., Robert Wayne, Guggenheimer, Ethan Andrew, Whealon, William Joseph, Moberg, John Robert
• Primary Examiner(s): Nguyen, Tuan V
• Application Number:
  US15/602,378
• Publication Number:
  US 20170281223A1
• Time in Patent Office: 931 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 2017/320775 Morcellators, impeller or propeller like means
• CPC Class Codes: A61B 2017/320791 with cutter extending outside the cutting window

Abstract

A catheter which includes a cutting element having one or more raised elements is provided. The cutting element has a cup-shaped surface at the distal end that may be smooth and continuous except for the raised elements. The raised elements have a surface that tends to direct cut particles of material towards one or more of the axis of rotation of the cutting element, the catheter axis, or a particle collection chamber. In further aspects of the invention, a cutting element oscillates in a direction roughly parallel to the axis of rotation of the cutting element.

Claims

1. An atherectomy catheter comprising:

a rotatable shaft;

a cutting element coupled to the rotatable shaft and configured to rotate the cutting element about an axis of rotation, the cutting element having

an annular cutting edge,

an interior surface radially inward of the annular cutting edge, and

a raised element comprising first, second and third walls extending from the interior surface of the cutting element, wherein the first and third walls extend generally radially relative to the axis of rotation from adjacent the annular cutting edge toward the axis of rotation, wherein the second wall is radially inward of the first and third walls and extends between and connects the first and third walls, wherein the first wall curves toward the third wall from the second wall toward the annular cutting edge to direct cut particles of material toward the axis of rotation of the cutting element.

2. The atherectomy catheter of claim 1, wherein the annular cutting edge is at a radially outer edge of the cutting element.

3. The atherectomy catheter of claim 1, wherein the raised element has a distal wall extending between distal edges of the first, second and third walls, wherein a curved raised-element cutting edge is formed at an intersection of the distal wall and the first wall.

4. The atherectomy catheter of claim 3, wherein the distal wall forms an angle of less than 90 degrees with respect to the axis of rotation of the cutting element.

5. The atherectomy catheter of claim 3, wherein the cutting element has proximal and distal ends, wherein the raised element is recessed proximally from the annular cutting edge by a longitudinal distance.

6. The atherectomy catheter of claim 5, wherein a second edge is formed at an intersection of the distal wall and the third wall, wherein the curved raised-element cutting edge is more distal than the second edge.

7. The atherectomy catheter of claim 6, wherein a minimum radial distance between the raised-element cutting edge and the annular cutting edge of the cutting element is less than a minimum radial distance between the second edge and the annular cutting edge of the cutting element.

8. The atherectomy catheter of claim 7, wherein an included angle between the first wall and the distal wall is an obtuse angle.

9. The atherectomy catheter of claim 1, wherein the first wall forms an acute angle with the interior surface to form an undercut.

10. The atherectomy catheter of claim 1, wherein the interior surface comprises a cup-shaped surface of the cutting element, the cup-shaped surface being smooth and uninterrupted throughout at least 300 degrees when viewed along the axis of rotation of the cutting element.

11. The atherectomy catheter of claim 10, wherein the cup-shaped surface of the cutting element is smooth and uninterrupted for at least 90% of the surface area of the cutting element when viewed along the axis of rotation of the cutting element.

12. The atherectomy catheter of claim 10, wherein the cup-shaped surface of the cutting element has an outer radius when viewed along the axis of rotation of the cutting element, the cup-shaped surface being continuous and uninterrupted from the axis of rotation to at least half the distance to the outer radius.

13. The atherectomy catheter of claim 10 wherein the cup-shaped surface of the cutting element has a surface area, wherein the raised element comprises a plurality of raised elements, the plurality of raised elements altogether occupying less than 5% of the surface area of the cup-shaped surface when viewed along the axis of rotation of the cutting element.

14. The atherectomy catheter of claim 1, wherein the raised element comprises a plurality of raised elements, the plurality of raised elements being 2, 3, 4, 6, or 8 raised elements.

15. The atherectomy catheter of claim 1, further comprising an elongate body, wherein the shaft is coupled to the body.

16. The atherectomy catheter of claim 1, wherein the first wall curves from a relatively tangential angle with the annular cutting edge at a radially outer edge of the cutting element to an angle that is more orthogonal to the radially outer edge of the cutting element closer to the axis of rotation of the cutting element.

17. The atherectomy catheter of claim 1, wherein the drive shaft is configured to rotate the cutting element in a rotation direction about the axis of rotation, wherein the first wall is configured as a leading wall and the third wall is configured as a trailing wall as the cutting element is rotated in the rotation direction.