Rotary-catheter for atherectomy system

• US 4,819,634 A
• Filed: 07/27/1987
• Issued: 04/11/1989
• Est. Priority Date: 05/14/1984
• Status: Expired due to Term

• Current Assignee: Surgical Systems & Instruments, Inc.
• Original Assignee: Surgical Systems & Instruments, Inc.
• Inventors: Shiber, Samuel
• Primary Examiner(s): Wolfe, Willis R.
• Assistant Examiner(s): Macy, M.
• Application Number:
  US07/078,042
• Time in Patent Office: 624 Days
• Field of Search: 128/305, 128/311, 128/656, 128/657, 128/658, 128/772, 604/22, 604/95, 604/282, 604/264
• US Class Current: 606/159
• CPC Class Codes: A61B 17/22012 in direct contact with, or very close to, the obstruction or concrement for removing obstructions in blood vessels by laser A61B18/245
• 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 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/245 for removing obstructions in blood vessels or calculi
• CPC Class Codes: A61B 2017/00685 Archimedes screw
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/22052 eccentric
• CPC Class Codes: F16C 1/02 for conveying rotary movements
• CPC Class Codes: F16C 2316/10 in medical appliances, e.g. in diagnosis, dentistry, instruments, prostheses, medical imaging appliances
• CPC Class Codes: F16D 7/02 of the friction type

Abstract

A mechanical atherectomy system insertable into a human blood vessel over a flexible guide-wire for remotely cutting and removing an obstruction therein, having a diametrically stabilized torque transmitting flexible rotary-catheter equipped with a tubular-blade at its distal end and a motor connected to its proximal end.

Claims

1. A mechanical atherectomy system insertable into a human blood vessel for remotely cutting and removing an obstruction therein, comprising in combination:

a flexible guide-wire insertable into said blood vessel,

a flexible rotary-catheter defining a channel and having distal and proximal ends, said flexible rotary-catheter being rotatably disposed and slidable over said guide-wire, a tubular-blade mounted to said distal end, said tubular-blade having a through-hole forming with said channel a continuous passage for passing obstruction material ingested into said through-hole, into said flexible rotary-catheter,

coupling means at said proximal end of said flexible rotary-catheter for rotating said flexible rotary-catheter and said tubular-blade around said guide-wire,

means for diametricaly stabilizing and means for transmitting torque being incorporated in said flexible rotary-catheter.

2. A mechanical atherectomy system as in claim 1, wherein said means for diametricaly stabilizing said rotary-catheter comprise a series of hoop members connected one to the other by said torque transmitting means.

3. A mechanical atherectomy system as claim 2, wherein said hoop members are rolled strips connected one to the other by strips.

4. A mechanical atherectomy system as in claim 2, wherein said hoop members are closely spaced windings connected one to the other by a widely spaced winding.

5. A mechanical atherectomy system as in claim 1, wherein said means for diametricaly stabilizing comprise a helix wound in the direction of rotation, an external member restraining the expansion of said helix, said helix carrying at least part of the torque transmitted through said flexible rotary-catheter.

6. A mechanical atherectomy system as in claim 5, wherein said external restraining member comprise a helix wound in the counter rotation direction.

7. A mechanical atherectomy system as claim 5, wherein said external retraining member comprise a flexible wall.

8. A mechanical atherectomy system as in claim 7, wherein said flexible wall contains peripheral restraining means.

9. A mechanical atherectomy system as claim 1, wherein said tubular blade is an integral part of said means for diametricaly stabilizing said flexible rotary-catheter.

10. A mechanical atherectomy system as in claim 1, wherein said tubular blade is an integral part of said means for transmitting torque.

11. A process for removing from a human blood vessel a soft blood clot, comprising the following steps:

inserting into said blood vessel a guide-wire and advancing it into said blood clot,

inserting into said blood vessel, over said guide wire, a flexible rotary-catheter having a distal and proximal ends, advancing said distal end to mechanically engage and unseat said blood clot while applying suction to said proximal end to such said blood clot into said distal end,

removing said blood clot and said catheter out of said blood vessel.

12. A process as in claim 11, wherein, at least a portion of said guide-wire is shaped as an auger.

13. A process for removing from a human blood vessel an obstruction made of a soft blood clot formed on an atherosclerotic plaque, comprising the following steps:

inserting into said blood vessel a guide-wire and advancing it into said blood clot,

inserting into said blood vessel, over said guide wire, a flexible rotary-catheter having a proximal end and distal end with a tubular blade affixed to said distal end,

advancing said distal end to mechanically engage and unseat said blood clot while applying suction to said proximal end to suck said blood clot into said distal end,

rotating and advancing said tubular blade to peripherally cut and swallow said atherosclerotic plaque,

removing said blood clot, said atherosclerotic plaque and said catheter out of said blood vessel.

14. A process as in claim 13, wherein, at least a portion of said guide-wire is shaped as an auger.

15. A mechanical atherectomy system insertable into a human blood vessel for remotely cutting and removing an obstruction therein, comprising in combination:

a flexible guide-wire insertable into said blood vessel,

a flexible rotary-catheter defining a channel and having distal and proximal ends, said flexible rotary-catheter being rotatably disposed and slidable over said guide-wire, a tubular-blade mounted to said distal end, said tubular-blade having a through-hole forming with said channel an inner wall which defines a continuous passage for accepting ingested obstruction,

said inner wall having inclined plane means which assist in pulling the obstruction material into the continuous passage,

coupling means at said proximal end of said flexible rotary-catheter for rotating said flexible rotary-catheter and said tubular-blade around said guide-wire.

16. A mechanical atherectomy system as in claim 15, wherein said flexible rotary-catheter is rotatebly disposed in a sleeve.

17. A mechanical atheretomy system as in claim 15, wherein said flexible rotary-catheter comprise a helix wound in the direction of rotation.

18. a mechanic atherectomy system as in claim 17, wherein said flexible rotary-catheter is rotatebly disposed in a sleeve.

19. A mechanical atherectomy system as in claim 17, wherein a restraining member surrounds said helix and restrains its diametrical expansion.

20. A mechanical atherectomy system as in claim 19, wherein said restraining member comprise a helix wound in the counter rotation direction.

21. A mechanical atherectomy system as in claim 19, wherein said restraining member comprise a flexible wall.

22. A mechanical atherectomy system as in claim 21, wherein said flexible wall contains peripheral restraining means.