Rotary-catheter for atherectomy

• US 5,007,896 A
• Filed: 03/16/1989
• Issued: 04/16/1991
• Est. Priority Date: 12/19/1988
• Status: Expired due to Term

• Current Assignee: Surgical Systems & Instruments, Inc.
• Original Assignee: Surgical Systems & Instruments, Inc.
• Inventors: Shiber, Samuel
• Primary Examiner(s): NOT, DEFINED
• Assistant Examiner(s): Owens, Kerry
• Application Number:
  US07/324,616
• Time in Patent Office: 761 Days
• Field of Search: 606/159, 606/170, 606/180, 604/22, 604/95, 604/264, 604/267
• 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 18/245 for removing obstructions in blood vessels or calculi
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/22052 eccentric
• CPC Class Codes: A61B 2090/031 torque limiting
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61M 1/75 Intermittent or pulsating suction A61M1/63, A61M1/772 take precedence
• CPC Class Codes: F16C 1/02 for conveying rotary movements
• CPC Class Codes: F16C 2202/28 Shape memory material
• 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 insertable into a human blood vessel over a flexible guide-wire for remotely cutting and removing an obstruction therein, having a diametrical stabilized torque transmitting flexible rotary-catheter equipped with a rotary coring means at its distal end and a motor connected to its proximal end.

Claims

1. An atherectomy system insertable into a human blood vessel for coring and removing an obstruction therein, comprising in combination:

a flexible guide-wire insertable into said blood vessel,

a flexible rotary-catheter defining continuous passage and being rotatably disposed and slidable over said flexible guide-wire, said flexible rotary-catheter having a proximal and distal ends,

a rotary coring means for cutting and ingesting obstruction material, located at said distal end,

a coupling means for rotating said flexible rotary-catheter around said flexible guide-wire, located at said proximal end,

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

2. An atherectomy system as in claim 1, wherein said flexible rotary-catheter is rotatably disposed in a sleeve.

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

4. An atherectomy system as in claim 3, wherein said hoop members are rolled strips connected one to the other by strips.

5. An atherectomy system as in claim 3, wherein said hoop members are closely spaced windings connected one to the other by a widely spaced winding.

6. An atherectomy system as in claim 1, wherein said means for diametricaly stabilizing the flexible rotary-catheter comprise a helix.

7. An atherectomy system as in claim 6, wherein said helix is wound in the direction of rotation and having a member restraining the exPansion of said helix, said helix carrying at least part of the torque transmitted through said flexible rotary-catheter.

8. An atherectomy system as in claim 7, wherein said external restraining member comprise a helix wound in the counter rotation direction.

9. An atherectomy system as in claim 6, having a plastic wall defining a fluid worthy channel through said flexible rotary-catheter.

10. An atherectomy system as in claIm 9, wherein said plastic wall contains diametrical restraining means.

11. An atherectomy system as in claim 1, wherein said rotary coring means is an integral part of said means for diametricaly stabilizing said flexible rotary-catheter.

12. An atherectomy system as in claim 1, wherein said rotary coring means is an integral part of said means for transmitting torque.

13. An atherectomy system insertable into a human blood vessel for coring and removing an obstruction therein, comprising in combination:

a flexible guide-wire insertable into said blood vessel,

a flexible rotary-catheter defining continuous passage and being rotatably disposed and slidable over said flexible guide-wire, said flexible rotary-catheter having a proximal and distal ends,

a rotary coring means for cutting and ingesting obstruction material, located at said distal end,

a coupling means for rotating said flexible rotary-catheter around said flexible guide-wire, located at said proximal end,

inclined plane means being located in said continuous passage for assisting the obstruction material in moving proximally therein.

14. An atherectomy system as in claim 13, wherein said flexible rotary-catheter is rotatably disposed in a sleeve.

15. An atherectomy system as in claim 14, wherein said flexible rotary-catheter comprise a helix.

16. An atherectomy system as in claim 15, wherein said helix is wound in the direction of rotation.

17. An atherectomy system as in claim 16, wherein a diametrical restraining member restrains said helix.

18. An atherectomy system as in claim 17, wherein said restraining member comprise an external helix wound in the counter rotation direction.

19. An atherectomy system as in claim 17, wherein said restraining member comprise a plastic wall.

20. An atherectomy system as in claim 19, wherein said wall contains diametrical restraining means.

21. 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 the blood vessel a flexible guide-wire and advancing it into the obstruction,

inserting into the blood vessel, over the flexible guide-wire, a flexible rotary-catheter having a proximal end and a distal end with a rotary coring means at the distal end,

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

rotating and advancing the rotary coring means to cut and swallow the atherosclerotic plaque,

removing the system with the blood clot and the atherosclerotic plaque from the blood vessel.

22. A process as in claim 21, wherein, at least a portion of the flexible guide-wire is shaped as an auger.