Surgical shaving device for use within body conduits

• US 5,904,698 A
• Filed: 06/10/1997
• Issued: 05/18/1999
• Est. Priority Date: 06/10/1997
• Status: Expired due to Term

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Thomas, Thomas P., Hart, Charles C., Hilal, Said
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Woo, Julian W.
• Application Number:
  US08/872,206
• Time in Patent Office: 707 Days
• Field of Search: 606/159, 606/194, 606/200, 604/93, 604/96, 604/267, 604/266, 607/122
• 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 17/3207 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 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/22061 for spreading elements apart
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61B 2017/320004 abrasive
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon

Abstract

A surgical device is disclosed for treating and removing obstructing material from within a vascular conduit or other body passageway. The device comprises a catheter device having an expandable and collapsible outer mesh sleeve disposed at a distal end. The outer mesh sleeve is configured such that when expanded in the obstructed conduit or passageway, a portion of the obstructing material is forced through a plurality of openings in its outer surface and thus, into the outer mesh sleeve. An inflatable and deflatable balloon may be coupled to the catheter and used to radially expand the outer mesh sleeve into the obstructing material. A treatment element disposed within the catheter device is moved against the inner surface of the outer mesh sleeve to treat and remove any obstructing material with which it contacts. The treatment element may be configured as a blade for physically removing the obstructing material, or as an electrode for electrosurgical treatment. After treatment or removal of the obstructing material, the outer mesh sleeve is collapsed and the catheter device removed from the body conduit.

Claims

1. A surgical device for treating an obstructing material within a body conduit, the surgical device comprising:

a hollow catheter for insertion into said body conduit, said catheter having a longitudinal axis extending between a proximal end and a distal end;

a radially expandable and collapsible woven mesh outer sleeve having a plurality of openings extending from an outer surface through to an inner surface, said outer sleeve coupled to said catheter adjacent said distal end and adapted for radially expanding against said obstructing material such that portions of said obstructing material are forced to protrude through said openings and into said outer sleeve;

a shaft extending longitudinally within said catheter tube, said shaft movable within said catheter tube and having a proximal shaft end and a distal shaft end; and

a treatment element disposed within said outer sleeve and connected to the distal shaft end, said treatment element adapted for movement against the inner surface of said outer sleeve to treat the portions of the obstructing material which extend within the inner surface of the outer sleeve.

2. The surgical device as recited in claim 1 wherein said treatment element comprises a blade.

3. A surgical device for treating an obstructing material within a body conduit, the surgical device comprising:

a hollow catheter for insertion into said body conduit, said catheter having a longitudinal axis extending between a proximal end and a distal end;

a radially expandable and collapsible outer sleeve having a plurality of openings extending from an outer surface through to an inner surface, said outer sleeve coupled to said catheter adjacent said distal end and adapted for radially expanding against said obstructing material such that portions of said obstructing material are forced to protrude through said openings and into said outer sleeve;

a shaft extending longitudinally within said catheter tube, said shaft movable within said catheter tube and having a proximal shaft end and a distal shaft end; and

a treatment element in the form of a radially expandable and collapsible inner mesh sleeve disposed within said outer sleeve and connected to the distal shaft end, said treatment element adapted for movement against the inner surface of said outer sleeve to treat the portions of the obstructing material which extend within the inner surface of the outer sleeve.

4. The surgical device as recited in claim 3 wherein said outer mesh sleeve comprises woven filaments made from an electrically non-conducting material.

5. The surgical device as recited in claim 4 wherein said treatment element further comprises a non-electrically non-conductive distal end for preventing an electrical short between said first electrode and said second electrode.

6. A surgical device for treating an obstructing material within a body conduit, the surgical device comprising:

a hollow catheter for insertion into said body conduit, said catheter having a longitudinal axis extending between a proximal end and a distal end;

a radially expandable and collapsible outer sleeve having a plurality of openings extending from an outer surface through to an inner surface, said outer sleeve coupled to said catheter adjacent said distal end and adapted for radially expanding against said obstructing material such that portions of said obstructing material are forced to protrude through said openings and into said outer sleeve;

a shaft extending longitudinally within said catheter tube, said shaft movable within said catheter tube and having a proximal shaft end and a distal shaft end; and

a treatment element in the form of an electrode disposed within said outer sleeve and connected to the distal shaft end, said treatment element adapted for movement against the inner surface of said outer sleeve to treat the portions of the obstructing material which extend within the inner surface of the outer sleeve.

7. A surgical device for treating an obstructing material within a body conduit, the surgical device comprising:

a hollow catheter for insertion into said body conduit, said catheter having a longitudinal axis extending between a proximal end and a distal end;

a radially expandable and collapsible outer sleeve having a plurality of openings extending from an outer surface through to an inner surface, said outer sleeve coupled to said catheter adjacent said distal end and adapted for radially expanding against said obstructing material such that portions of said obstructing material are forced to protrude through said openings and into said outer sleeve;

a shaft extending longitudinally within said catheter tube, said shaft movable within said catheter tube and having a proximal shaft end and a distal shaft end;

a treatment element in the form of disposed within said outer sleeve and connected to the distal shaft end, said treatment element adapted for movement against the inner surface of said outer sleeve to treat the portions of the obstructing material which extend within the inner surface of the outer sleeve;

wherein

said treatment element comprises a first electrode and said outer mesh sleeve comprises a second electrode.

8. A surgical device for treating an obstructing material within a flow passageway of a body conduit, the surgical device comprising:

a hollow catheter tube adapted for insertion into said body conduit, said catheter tube having a longitudinal axis extending between a proximal end and a distal end;

an inner member extending longitudinally through said catheter tube and including a proximal end and a distal end, said inner member being longitudinally slidable within said catheter tube;

an outer mesh sleeve surrounding a distal portion of said inner member and having a plurality of mesh openings extending from an outer surface of the sleeve to an inner surface of the sleeve, said outer mesh sleeve having a proximal sleeve end coupled to said distal end of said catheter tube and a distal sleeve end coupled to said distal end of said inner member such that said outer mesh sleeve is radially expandable and collapsible through longitudinal movement of said inner member relative to said catheter tube, and wherein said outer mesh sleeve is radially expandable such that the outer mesh surface may be forced against said obstructing material such that a portion of said obstructing material is forced to protrude through at least one of said mesh openings and into said outer mesh sleeve; and

a treatment element disposed within said outer mesh sleeve, said treatment element adapted for movement against the inner surface of said outer mesh sleeve such that the portion of the obstructing material which extends into said outer mesh sleeve is contacted and treated by said treatment element.

9. The surgical device as recited in claim 8, and further comprising an inflatable and deflatable balloon disposed within said outer mesh sleeve for expanding said outer mesh sleeve into said obstructing material.

10. The surgical device as recited in claim 9 wherein said balloon is inflatable such that it radially expands sufficiently to force said treatment element against said inner surface.

11. The surgical device as recited in claim 9 further comprising a second inner member extending longitudinally within said catheter tube, said second inner member being hollow and having a distal end connected to said balloon, said second inner member being fluidly connected with said balloon such that said balloon is inflatable and deflatable.

12. The surgical device as recited in claim 11 wherein said inner member and said second inner member are the same.

13. The surgical device as recited in claim 8, and further comprising a shaft connected to said treatment element and being longitudinally movable to slide said treatment element against the inner surface of said outer mesh sleeve.

14. The surgical device as recited in claim 8 wherein said treatment element is a blade.

15. The surgical device as recited in claim 8 wherein said treatment element is an inner mesh sleeve.

16. The surgical device as recited in claim 8 wherein said treatment element is a first electrode.

17. The surgical device as recited in claim 16 wherein said first electrode is an electrosurgical wire.

18. The surgical device as recited in claim 17 wherein said treatment element further comprises an electrically non-conductive distal end for preventing electrical discharging between said first electrode and said second electrode.

19. The surgical device as recited in claim 16 wherein said first electrode is an inner mesh sleeve.

20. The surgical device as recited in claim 16 wherein said outer mesh sleeve comprises a material which is electrically non-conductive.

21. The surgical device as recited in claim 8 wherein said treatment element comprises a first electrode and said outer mesh sleeve comprises a second electrode.

22. The surgical device as recited in claim 8, and further comprising an actuating mechanism for moving said inner member longitudinally relative to said catheter tube.

23. A method for enlarging a flow passageway and treating an obstructing material within a body conduit, said method comprising the steps of:

providing a catheter device having a radially expandable and collapsible outer mesh sleeve and an internal electrode which is movable against an inner surface of the outer mesh sleeve;

directing the catheter device within the body conduit and adjacent the obstructing material;

expanding the outer mesh sleeve against the obstructing material such that the mesh sleeve is forced into the obstructing material and at least a portion of the obstructing material is forced through a plurality of openings in the mesh sleeve;

moving the electrode against the inner surface of the mesh sleeve such that the portion of the obstructing material which protrudes into the outer mesh sleeve is contacted and treated by the treatment element;

collapsing the expanded outer mesh sleeve; and

removing the catheter device from the body conduit.

24. A method for enlarging a flow passageway and treating an obstructing material within a body conduit, said method comprising the steps of:

providing a catheter device having a radially expandable and collapsible outer mesh sleeve and an internal treatment element which is movable against an inner surface of the outer mesh sleeve;

directing the catheter device within the body conduit and adjacent the obstructing material;

expanding the outer mesh sleeve against the obstructing material such that the mesh sleeve is forced into the obstructing material and at least a portion of the obstructing material is forced through a plurality of openings in the mesh sleeve;

during the expanding step, inflating a balloon disposed within the outer mesh sleeve to radially expand the outer mesh sleeve and embed the outer mesh in the obstructing material, and deflating said balloon while leaving the outer mesh sleeve embedded in the obstructing material;

moving the treatment element against the inner surface of the mesh sleeve such that the portion of the obstructing material which protrudes into the outer mesh sleeve is contacted and treated by the treatment element;

collapsing the expanded outer mesh sleeve; and

removing the catheter device from the body conduit.

25. A method for treating an obstructing material and enlarging a flow passageway within a vascular conduit supported by a stent, said method comprising the steps of:

providing a catheter device having a radially expandable and collapsible outer sleeve and a live electrode disposed within the outer sleeve for movement against an inner surface of the outer sleeve and for treatment of any obstructing material which protrudes through a plurality of openings in the outer sleeve;

directing the catheter device within the vascular passageway such that the outer sleeve is within the stent and adjacent the obstructing material;

expanding the outer sleeve against the obstructing material such that the outer sleeve is forced into the obstructing material and at least a portion of the obstructing material is forced through the plurality of openings in the outer sleeve;

moving the live electrode against the inner surface of the outer sleeve such that the treatment element contacts and treats the portion of the obstructing material which is protruding through the outer sleeve; and

removing the catheter device from the vascular passageway.

26. The method as recited in claim 25 wherein the step of moving comprises moving a blade against the inner surface of the outer sleeve for physically cutting the portion of the obstruction which is protruding into said outer sleeve.

27. A method for treating an obstructing material and enlarging a flow passageway within a vascular conduit supported by a stent, said method comprising the steps of:

providing a catheter device having a radially expandable and collapsible outer sleeve and a treatment element disposed within the outer sleeve for movement against an inner surface of the outer sleeve and for treatment of any obstructing material which protrudes through a plurality of openings in the outer sleeve;

directing the catheter device within the vascular passageway such that the outer sleeve is within the stent and adjacent the obstructing material;

expanding the outer sleeve against the obstructing material such that the outer sleeve is forced into the obstructing material and at least a portion of the obstructing material is forced through the plurality of openings in the outer sleeve;

during the expanding step, inflating a balloon disposed within said outer sleeve to radially expand said outer sleeve against said vascular conduit and into said obstructing material, and deflating said balloon to expose said inner surface of said outer sleeve;

moving the treatment element against the inner surface of the outer sleeve such that the treatment element contacts and treats the portion of the obstructing material which is protruding through the outer sleeve; and

removing the catheter device from the vascular passageway.