Controller system for crossing vascular occlusions

• US 20070239140A1
• Filed: 12/07/2006
• Published: 10/11/2007
• Est. Priority Date: 03/22/2006
• Status: Abandoned Application

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Revascular Therapeutics Inc. (Boston Scientific Corporation)
• Inventors: Chechelski, Victor, Noriega, Gerardo V., Nassi, Menahem, Riordan, Keith, Carley, Michael
• Application Number:
  US11/636,388
• Publication Number:
  US 20070239140A1
• Time in Patent Office: Days
• US Class Current: 606/1
• 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 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/22075 with motorized advancing or retracting means
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/309 using white LEDs
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation
• CPC Class Codes: A61M 25/0105 Steering means as part of the catheter or advancing means; Markers for positioning systems for detection of markers A61B

Abstract

A controller system includes a device configured to cross an occlusion or stenosis and a control unit. The occlusion-crossing device has an axial lumen and a drive shaft extending through the axial lumen. The control unit is coupled to the device. The control unit has a processor which produces a variable sound and a variable visual display in response to a load measurement on the drive shaft. The load may be measured by a change in current in a motor which drives the shaft. This change in current is then converted to a frequency for variable sound and to a visual display indicative of the load. The load status on the motor may be divided into discrete load levels and correspondingly indicated by discrete levels in the feedback sound frequency and the visual display. This system may be used to monitor and facilitate crossing vascular total occlusions during percutaneous interventions.

Claims

1. A driver for a device having a drive shaft, said driver comprising:

a motor coupled to the drive shaft configured to rotate and/or oscillate the drive shaft;

a load sensor coupled to the motor having an output representative of load on the motor; and

at least one of an audible and visual output coupled to the sensor output and providing load status to a user.

2. The driver of claim 1, wherein the load status is represented as a plurality of discrete load levels.

3. The driver of claim 2, wherein there are at least two discrete load levels.

4. The driver of claim 1, wherein the audible output changes in frequency as the load on the motor increases.

5. The driver of claim 4, wherein the frequency increases as the load increases.

6. The driver of claim 4, wherein the frequency decreases as the load increases.

7. The driver of claim 1, wherein the audible output is of a constant volume.

8. The driver of claim 4, wherein the change in frequency is a continuous function of the load.

9. The driver of claim 2, wherein the audible output undergoes step changes in frequency corresponding with the plurality of discrete load levels.

10. The driver of claim 1, wherein the audible output and visual output are simultaneously provided.

11. The driver of claim 2, wherein the visual output indicates one of the plurality of discrete load levels.

12. The driver of claim 2, wherein the visual output comprises a plurality of light elements corresponding to the plurality of discrete load levels.

13. The driver of claim 2, wherein the visual output comprises a corresponding signal displayed on a monitor external to the driver.

14. The driver of claim 1, wherein current to the motor is disconnected by the driver if at least one condition occurs from the group consisting of:

i) oscillating time in one direction is greater than a maximum allowed output time, and ii) there is no reverse direction between two identical oscillation cycles.

15. The driver of claim 1, wherein the load sensor tracks the load on the motor through a period within an oscillation cycle of the motor and then enters a hold period while the motor changes polarity.

16. A method for crossing a total occlusion, said method comprising:

engaging a rotating and/or oscillating shaft against the occlusion;

providing at least one of an audible and visual feedback indicative of load produced on a motor driving the shaft; and

advancing the shaft into the occlusion for so long as the feedback produced remains below a threshold level.

17. The method of claim 16, further comprising advancing the shaft into the occlusion for so long as the feedback remains above a second threshold level.

18. The method of claim 16, wherein the threshold level is indicative of a substantially maximum load on the motor.

19. The method of claim 17, wherein the second threshold level is indicative of substantially no load on the motor.

20. The method of claim 16, wherein the providing step comprises providing feedback represented as a plurality of discrete load levels.

21. The method of claim 20, wherein the plurality of discrete load levels comprises at least two discrete load levels.

22. The method of claim 16, wherein providing an audible feedback comprises providing a feedback sound that changes in frequency as the load produced on the motor increases.

23. The method of claim 22, wherein providing a feedback sound that changes in frequency as the load produced on the motor increases comprises increasing the frequency of the feedback sound as the load increases.

24. The method of claim 22, wherein providing a feedback sound that changes in frequency as the load produced on the motor increases comprises decreasing the frequency of the feedback sound as the load increases.

25. The method of claim 16, wherein providing an audible feedback comprises providing a feedback sound of a constant volume.

26. The method of claim 22, wherein providing a feedback sound that changes in frequency as the load produced on the motor increases comprises changing the frequency as a continuous function of the increase in the load.

27. The method of claim 20, wherein providing feedback represented as a plurality of discrete load levels comprises providing a feedback sound that undergoes step changes in frequency corresponding with the plurality of discrete load levels.

28. The method of claim 16, wherein providing at least one of an audible and visual feedback indicative of load produced on a motor driving the shaft comprises providing the audible and visual feedback simultaneously.

29. The method of claim 20, wherein providing feedback represented as a plurality of discrete load levels comprises providing a visual display that indicates one of the plurality of discrete load levels.

30. The method of claim 20, wherein providing feedback represented as a plurality of discrete load levels comprises providing a plurality of light elements corresponding to the plurality of discrete load levels.

31. The method of claim 16, wherein providing the visual feedback comprises displaying a signal on a monitor.

32. The method of claim 16, further comprising disconnecting current to the motor if at least one condition occurs from the group consisting of:

i) oscillating time in one direction is greater than a maximum allowed output time, and ii) there is no reverse direction between two identical oscillation cycles.

33. The method of claim 16, further comprising:

tracking the load produced on the motor, using a load sensor, through a period within an oscillation cycle of the motor; and

placing the load sensor into a hold period while the motor changes polarity.