Expandable intravascular occlusion material removal devices and methods of use

• US 5,897,567 A
• Filed: 09/09/1997
• Issued: 04/27/1999
• Est. Priority Date: 04/29/1993
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Kugler, Chad J., Hackett, Steven S., Mische, Hans A., Ressemann, Thomas V., Vrba, Anthony C.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Lewis, William W.
• Application Number:
  US08/924,850
• Time in Patent Office: 595 Days
• Field of Search: 606/1, 606/159, 606/170, 606/180, 606/171, 604/22
• US Class Current: 606/159
• CPC Class Codes: A61B 17/221 Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions surgical snare instruments A61B17/32056
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• 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 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/320004 abrasive
• 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 2017/320766 eccentric

Abstract

An improved expandable removal element (16) for an atherectomy device wherein the expandable removal element (16) is movable between an expanded position and a contracted position. In one embodiment of the present invention, a single drive shaft (92) is operatively connected to the distal end of the expandable material removal element (16) for rotating the removal element (16). A catheter (178) may surround a portion of the drive shaft (92). The catheter (178) is shiftable with respect to the drive shaft (92) for moving the material removal element between the expanded position and the contracted position. In another embodiment of the present invention, dual coaxial drive shafts are employed. The inner drive shaft (312) and the outer drive (314) are shiftable with respect to one another for moving the removal element (252) between the expanded position and the contracted position. The present invention also describes several embodiments for an improved removal element (252).

Claims

1. A vascular occlusion material removal device for removing vascular occlusion material in a vascular lumen, comprising:

a removal element having a proximal end and a distal end, and having a surface and an abrasive coating disposed thereon; and

a distal tip located at said distal end of said removal element, said distal tip having a surface being less abrasive than said surface of said removal element having an abrasive coating, wherein said abrasive surface of said removal element is comprised of a plurality of strands which arc braided together wherein each one of said plurality of strands comprises at least one wire.

2. A vascular occlusion material removal device according to claim 1 wherein the removal element is expandable and moves between a contracted position and an expanded position to allow said removal element to engage said vascular occlusion material within said vascular lumen.

3. A vascular occlusion material removal device according to claim 2 wherein a diameter of said removal element at said abrasive surface when said removal element is in said contracted position is equal to or less than a diameter of said distal tip.

4. A vascular occlusion material removal device according to claim 3 wherein said diameter of said removal element at said abrasive surface is measured at a location approximately equidistant between said proximal end and said distal end of said removal element.

5. A vascular occlusion material removal device according to claim 4 further comprising a proximal tip located at said proximal end of said removal element, said proximal tip having a surface being less abrasive than said removal element.

6. A vascular occlusion material removal device according to claim 5 wherein said diameter of said removal element at said abrasive surface when said removal element is in said contracted position is equal to or less than a diameter of said proximal tip.

7. A vascular occlusion material removal device according to claim 6 further comprising:

an outer drive shaft operatively coupled to said proximal tip to provide torque thereto; and

an inner drive shaft disposed through said removal element and operatively coupled to said distal tip, said inner drive shaft being shiftable within said removal element and said outer drive shaft, said inner drive shaft being shifted with respect to said removal element to expand said removal element from said contracted position to said expanded position.

8. A vascular occlusion material removal device according to claim 2 wherein said surface of said distal tip is smooth.

9. A vascular occlusion material removal device according to claim 1 wherein said at least one wire used in said plurality of strands is coated with an abrasive material.

10. A vascular occlusion material removal device according to claim 1 wherein said plurality of strands are each wrapped circumferentially with at least one wrapping wire.

11. A vascular occlusion material removal device according to claim 10 wherein an abrasive material is deposited on said at least one wrapping wire.

12. A vascular occlusion material removal device according to claim 1 wherein said plurality of strands have a diameter which is equal to or less than a diameter of said distal tip when said removal element is in said contracted position.