Intralumenal material removal using a cutting device for differential cutting

• US 7,344,546 B2
• Filed: 05/20/2003
• Issued: 03/18/2008
• Est. Priority Date: 04/05/2000
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Limited (Boston Scientific Corporation)
• Original Assignee: Pathway Medical Technologies, Inc. (Bayer AG)
• Inventors: Torrance, Casey, Wulfman, Edward I., Youmans, Scott, Nistal, Brent
• Primary Examiner(s): Dawson; Glenn K.
• Application Number:
  US10/442,888
• Publication Number:
  US 20040006358A1
• Time in Patent Office: 1,764 Days
• Field of Search: None
• US Class Current: 606/159
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• 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 17/3462 with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals expandable cannulas A61B17/3417
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2017/22049 Means for locking the guide wire in the catheter
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/320032 Details of the rotating or oscillating shaft, e.g. using a flexible shaft
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/415 the glands, e.g. tonsils, adenoids or thymus
• CPC Class Codes: A61B 5/418 lymph vessels, ducts or nodes
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/4209 by using holders, e.g. positioning frames
• CPC Class Codes: A61M 2039/062 used with a catheter
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires
• CPC Class Codes: A61M 39/06 Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
• CPC Class Codes: A61M 39/0606 without means for adjusting the seal opening or pressure A61M39/0693 takes precedence

Abstract

Intralumenal material removal systems are provided using an advanceable and rotatable cutter assembly designed for differential cutting. The intralumenal material removal system includes a cutter assembly positionable in the body cavity of a mammalian subject. One embodiment of the cutter assembly includes a cutter with blades that are designed and arranged to form an acute blade angle of attack with the matter-to-be-removed. The cutter assembly is axially advanceable by translating the drive shaft and rotatable by rotating the drive shaft. The occlusive material is scraped by the cutter assembly and may be aspirated to remove the material from the body cavity. The cutter assembly may provide aspiration ports positioned between facing surfaces of the blades.

Claims

1. An assembly to remove matter from a cavity in a body, comprising:

multiple blades capable of removing the matter using differential cutting techniques, each blade having a facing surface presented in front of an opposing blade facing surface and each blade positioned to form an acute blade angle of attack of between about 30 degrees and about 90 degrees;

at least two ports to remove the matter, each port being positioned between the facing surfaces of two opposing blades;

a conduit in communication with the ports to direct the removed matter away from the site of the matter; and

a distal ring in contact with the blades at the distal end of the blades and a proximal ring having a proximal ring face in contact with the blades at the proximal end of the blades, the proximal ring being larger than the distal ring, and the ports being defined by the proximal ring face and the opposing blade'"'"'s facing surfaces.

2. The assembly of claim 1, wherein the acute blade angle of attack is greater than or equal to about 45 degrees and less than 90 degrees.

3. The assembly of claim 1, wherein the acute blade angle of attack is less than or equal to about 75 degrees.

4. The assembly of claim 1, wherein the blades have a cross-sectional dimension of between about 0.1 to 0.5 mm.

5. The assembly of claim 1, wherein the proximal ring includes an ablation surface having a plurality of micro-flutes to cut the matter.

6. The assembly of claim 1, wherein the blades protrude beyond the outer diameter of the proximal ring.

7. The assembly of claim 1, further comprising at least one infusion port in proximity to the cutting assembly for infusing a liquid.

8. A method of removing matter from a cavity in a body, comprising:

rotating a cutter assembly having circumferential positioned multiple blades and at least two ports, each port being located between facing surfaces of opposing blades, each of the blades having a leading face;

as the cutter assembly rotates, sequentially contacting each of the blades with a surface of the matter at a blade contact point, wherein the leading face of the blade forms an acute blade angle of attack;

moving the cutter assembly in the direction of the acute blade angle to scrape the matter; and

aspirating the scraped matter through the ports,

wherein moving the cutter assembly along the matter includes moving the cutter assembly along a support surface that contacts the matter and the support surface deforms away from the blade contact point.

9. The method of claim 8, further comprising infusing a liquid in proximity to the cutter assembly.

10. A system for removing matter from a cavity in a body, comprising:

a drive shaft that is rotatable;

a drive system operably coupled to the drive shaft for rotating the drive shaft; and

a cutter assembly coupled to the drive shaft, the cutter assembly comprising a proximal cutter and a distal cutter,

wherein at least one of the proximal and distal cutters comprises multiple blades having leading edges positioned to form an acute blade angle of attack with the matter, and wherein the distal cutter has a fixed diameter and the proximal cutter has an adjustable diameter.

11. The system of claim 10, wherein each blade has a facing surface presented in front of an opposing blade facing surface, and the system further comprises at least two aspiration ports to remove the matter, each port being positioned between the facing surfaces of two opposing blades.

12. The system of claim 10, further comprising at least one infusion port in proximity to the cutting assembly for infusing a liquid.