Atherectomy device

• US 4,842,579 A
• Filed: 07/29/1988
• Issued: 06/27/1989
• Est. Priority Date: 05/14/1984
• Status: Expired due to Term

• Current Assignee: Samuel Shiber
• Original Assignee: Surgical Systems & Instruments, Inc.
• Inventors: Shiber, Samuel
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US07/225,880
• Time in Patent Office: 333 Days
• Field of Search: 128/305, 128/753, 128/754, 128/311, 604/22
• US Class Current: 604/22
• 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 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 18/245 for removing obstructions in blood vessels or calculi
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2090/3614 using optical fibre
• 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

An atherectomy system for cutting, ingesting and removing an obstruction from within a patient'"'"'s artery, having a flexible guide-wire insertable into the artery, a flexible rotary catheter being rotatably disposed and insertable into the artery over the flexible guide-wire, a blade at a distal end of the flexible rotary catheter having teeth on its periphery which are rounded and bent toward the center of the blade to ease insertion through the arteries and to reduce the probability of cutting the arterial wall during the insertion and cutting operation the blade having an outer wall which slidingly and rotatably bears against the arterial wall spreading the contact force on a relatively large area to minimize damage to the artery, a continuous passage defined between the rotating flexible rotary catheter and the flexible guide-wire, for ingesting the cut obstruction material.

Claims

1. An atherectomy system for cutting, ingesting and removing an obstruction from within a patient'"'"'s artery, comprising in combination:

a flexible guide-wire insertable into the artery,

a flexible rotary catheter being rotatably disposed and insertable into the artery, over said flexible guide-wire,

a blade at a distal end of said flexible rotary catheter for cutting an obstruction located in front of said blade, said blade having teeth on its periphery which are rounded and bent toward the center of the blade and an outer wall for slidingly and rotatably bearing against the artery,

a rotating inner-wall formed by the inside surfaces of said flexible rotary catheter and said blade,

a continuous passage surrounding said flexible guide-wire for ingesting the cut obstruction material, said continuous passage being defined between said rotating inner-wall and said flexible guide-wire,

coupling means at said proximal end of said flexible rotary catheter for coupling it to a rotating means.

2. An atherectomy system as in claim 1, wherein suction is applied at said proximal end of said continuous passage to proximally pull the cut obstruction material in said continuous passage.

3. An atherectomy system as in claim 1, said flexible guide-wire having distal barrier means to counter distal movement of surrounding obstruction material while said blade cuts the obstruction material.

4. An atherectomy system as in claim 1, said flexible guide-wire containing an optical fiber.

5. An atherectomy system as in claim 1, wherein said flexible rotary catheter has a higher torque carrying capacity in the vicinity of said proximal end than in the vicinity of said distal end.