Ovoid atherectomy cutter

• US 5,019,088 A
• Filed: 11/07/1989
• Issued: 05/28/1991
• Est. Priority Date: 11/07/1989
• Status: Expired due to Term

• Current Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Original Assignee: Interventional Technologies Incorporated (Boston Scientific Corporation)
• Inventors: Farr, Andrew F.
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US07/432,512
• Time in Patent Office: 567 Days
• Field of Search: 606/159, 606/160, 606/161, 606/170, 606/180, 606/80, 606/81, 604/22, 15/104.09, 15/104.16
• US Class Current: 606/159
• 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

Abstract

A rotatable atherectomy cutter for removing obstructive tissue from a body vessel includes a hollow cylindrical base having an outer wall, a hollow cylindrical guide tip coaxially distanced from the base for slidably receiving a guide wire and a pair of dismetrically opposed blades each having a distal end and a proximal end. The distal end of each blade is connected to the guide tip and the proximal end connected to the base for alternately cutting the tissue with a first cutting edge and a second cutting edge longer than the first cutting edge. The proximal end of each blade is connected to an ovoid portion formed in the base for allowing the second cutting edge of the blade to extend beyond the outer diameter of the cylindrical base to cut a diameter of tissue larger than the diameter of the base. The base includes a straight wall portion connecting the pair of blades to establish the first cutting edge on each of the blades. The blades are inclined to the longitudinal axis of the cutter at an angle in the range of between thirty 30) and seventy (70) degrees and are preferably made of stainless steel. Also included is a mechanism for removing debris through an opening in the top of the base. The ovoid portion extends the second cutting edge of the blades beyond the outer wall a distance of approximately five (5) to ten 10) percent of the diameter of the base.

Claims

1. A rotatable atherectomy cutter for removing obstructive tissue from a body vessel, comprising:

a hollow cylindrical base having an outer wall;

a hollow cylindrical guide tip coaxially distanced from said base having a diameter less than the diameter of said base;

a pair of narrow diametrically opposed blades, each having a distal end and a proximal end, each said proximal end being connected to said base and each said distal end being connected to said tip, each blade establishing a first cutting edge and a second cutting edge, each said second cutting edge being longer than each said first cutting edge; and

an ovoid portion attached to said base and located at said proximal end of each said blades for connecting each of said blades to said base for allowing said second cutting edge to extend beyond the maximum diameter of said outer wall of said base.

2. A rotatably atherectomy cutter as recited in claim 1, wherein said first cutting edge does not extend beyond said outer wall.

3. A rotatable atherectomy cutter as recited in claim 1, wherein said second cutting edge extends beyond said outer wall by an amount equivalent to between five to ten percent of the diameter of said cylindrical base.

4. A rotatable atherectomy cutter as recited in claim 1, wherein said pair of blades are inclined to the longitudinal axis of said cutter at an angle in the range of between thirty and seventy degrees.

5. A rotatable atherectomy cutter as recited in claim 4, wherein said cutter is made of stainless steel.

6. A rotatable atherectomy cutter as recited in claim 1, further comprising a guide were insertable through said base and said tip for guiding said cutter along said wire through said vessel.

7. A rotatable atherectomy cutter as recited in claim 1, further comprising means coupled to said base for rotating said cutter, and suction means for removing debris through said hollow base.

8. A rotatable anterectomy cutter as recited in claim 1, wherein said first cutting edges of said blades each face in a first direction, and wherein said second cutting edges of said blades each face in a second direction opposite said first direction.

9. A rotatable atherectomy cuter for removing obstructive tissue from a body vessel, comprising:

a hollow cylindrical base having an outer wall;

a hollow cylindrical guide tip coaxially distanced from said base;

a pair of substantially straight diametrically opposed blades extending from said guide tip, each said blade having a first edge and a second edge longer than said first edge; and

an ovoid portion having a wall attached to said outer wall of said base and said blades for allowing said second edge of each said blade to extend beyond said outer wall of said base.

10. A rotatable atherectomy cutter as recited in claim 9, wherein said base includes a sloped surface adjacent said ovoid portion.

11. A rotatable atherectomy cutter as recited in claim 10, wherein said cutter is made of stainless steel.

12. A rotatable atherectomy cutter as recited in claim 11, wherein said ovoid portion extends said second cutting edge beyond said outer wall a distance of approximately five to ten percent of the diameter of said base.

13. A rotatable atherectomy cutter for removing obstructive tissue from a body vessel, comprising:

a hollow cylindrical-shaped base having an outer wall;

guide means coaxially distanced from said base for slidably receiving a guide wire;

cutting means connecting said base to said guide means for alternately cutting said tissue with a first

cutting edge and with a second cutting edge longer than said first cutting edge; and

ovoid means coupled to said cutting means for allowing said second cutting edge to extend beyond said outer wall of said base to cut a diameter of tissue larger than the diameter of said base means.

14. A rotatable atherectomy cutter as recited in claim 13, wherein said base has a generally rectangular top opening having a front rim for receiving debris, and has a sloped portion adjacent said rim of said opening to facilitate travel of said cutter through said vessel.

15. A rotatable atherectomy cutter for removing obstructive tissue from a body vessel, comprising:

a hollow cylindrical base having an outer wall;

a hollow cylindrical guide tip coaxially distanced from said base having a diameter less than the diameter of said base; and

a pair of narrow diametrically opposed blades, each having a distal end and a proximal end, each of said distal ends being connected to said tip, each of said blades establishing a first cutting edge and a second cutting edge, each of said second cutting edges being longer than each of said first cutting edges; and

an ovoid portion attached to said base and said proximal ends of said blades, said ovoid portion including a straight wall attached to said first edges of said blades to allow said second edges of said blades to extend beyond the maximum diameter of said outer wall of said base.

16. A rotatable atherectomy cutter for removing obstructive tissue from a body vessel, comprising:

a hollow cylindrical base having an outer wall;

a hollow cylindrical guide tip coaxially distanced from said base;

a pair of substantially straight diametrically opposed blades extending from said guide tip toward said base, each said blade having a first cutting edge and a second cutting edge longer than said first cutting edge; and

an ovoid portion connected to said base and having a straight wall attached to said first edges of said blades for allowing said second edges of said blades to extend beyond said outer wall of said base.