Transluminal thrombectomy apparatus

• US 4,646,736 A
• Filed: 07/25/1986
• Issued: 03/03/1987
• Est. Priority Date: 09/10/1984
• Status: Expired due to Term

• Current Assignee: Boston Scientific Corporation Northwest Technology Center Inc.
• Original Assignee: E R Squibb & Sons Incorporated
• Inventors: Auth, David C.
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US06/889,600
• Time in Patent Office: 221 Days
• Field of Search: 128/305, 128/305.1, 128/303 R, 128/304, 128/751, 128/752, 604/22
• US Class Current: 606/159
• 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 17/320758 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 2017/320733 with a flexible cutting or scraping element, e.g. with a whip-like distal filament member
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

The invention is an apparatus for breaking up a thrombus by introducing a rotating drive shaft into the thrombus whereby the fibrin of the thrombus will be withdrawn from the thrombus onto the rotating drive shaft, thereby breaking up the network of the thrombus which prevents blood flow. The apparatus includes a drive shaft housing which can be used to withdraw fluid from the area of the thrombus or to introduce medicines, such as streptokinase which will further break up the thrombus or other chemicals such as contrast agents for visualizing the vascular anatomy.

Claims

1. A transluminal thrombectomy apparatus comprising:

(a) a flexible drive shaft having a tip affixed to the distal end thereof, said tip being solid and having a proximal end and a distal end, the ends of said tip being rounded, and the entire exterior surface of said tip being continous and smooth, whereby said tip is not capable of cutting or of injuring the wall of a lumen;

(b) a flexible, cylindrical shaft housing, said flexible drive shaft extending through said shaft housing and through shaft housing connecting means at its proximal end, said shaft housing connecting means connecting said shaft housing to a drive shaft bearing block and seal, whereby a fluid path will exist from said shaft bearing block down through said shaft housing;

(c) a rotating prime mover; and

(d) drive shaft connecting means at the proximal end of said drive shaft which extends through said shaft housing connecting means for connecting said drive shaft to said rotating prime mover.

2. The transluminal thrombectomy apparatus of claim 1 wherein said flexible drive shaft is comprised of a flexible, solid shaft.

3. The transluminal thrombectomy apparatus of claim 2 wherein said shaft is made of a radiopaque material.

4. The transluminal thrombectomy apparatus of claim 3 in which said shaft is made of stainless steel.

5. The transluminal thrombectomy apparatus of claim 3 wherein said helical metal winding is comprised of a radiopaque material.

6. The transluminal thrombectomy apparatus of claim 5 wherein said helical metal winding is bonded to said solid shaft.

7. The transluminal thrombectomy apparatus of claim 6 wherein the metal of said helical metal winding is selected from the group consisting of gold and platinum.

8. The transluminal thrombectomy apparatus of claim 2 wherein said flexible drive shaft further comprises a helical metal winding over said solid shaft.

9. The transluminal thrombectomy apparatus of claim 1 wherein said tip is an elongated cylinder with rounded shoulders adjacent to and remote from said shaft housing.

10. The transluminal thrombectomy apparatus of claim 9 wherein said tip is formed from radiopaque substance.

11. The transluminal thrombectomy apparatus of claim 1 wherein said tip is spheroidal in shape.

12. The transluminal thrombectomy apparatus of claim 11 wherein said tip is formed from radiopaque substance.

13. The transluminal thrombectomy apparatus of claim 1 wherein said flexible, cylindrical shaft housing is comprised of a cylindrical plastic tube having a fluid connector at its end which is remote from said tip.

14. The transluminal thrombectomy apparatus of claim 13 wherein said fluid connector connects to an apparatus capable of providing a fluid path through said shaft housing to the end of said shaft housing at which said tip is located, and said apparatus also includes a seal means through which said drive shaft extends, said seal means being adapted to permit axial movement of said drive shaft therethrough while said transluminal thrombectomy apparatus is in use.

15. The transluminal thrombectomy apparatus of claim 1 wherein said shaft housing includes a formed bend therein adjacent to the end of said shaft housing from which said tip extends, whereby steerability through alternative selection of vessels can be accomplished.

16. The transluminal thrombectomy apparatus of claim 1 wherein the inside diameter of said flexible, cylindrical shaft housing is greater than the outside diameter of said tip, said shaft housing extending along and surrounding said drive shaft.

17. The transluminal thrombectomy apparatus of claim 1 further comprising connecting means for sealably connecting the end of said shaft housing which is remote from said tip to an apparatus capable of providing a fluid path through said shaft housing to the end of said shaft housing at which said tip is located.

18. The transluminal thrombectomy apparatus of claim 1 wherein said tip has a diameter which is greater than that of said drive shaft.