Atherectomy system having a variably exposed cutter
First Claim
Patent Images
1. An atherectomy system comprising:
- a. a catheter tube, the catheter tube having a proximal end and a distal end, a first lumen and a second lumen, the second lumen smaller in diameter than the first lumen, the catheter tube comprising;
(1) a hinge mechanism in the catheter tube that comprises a notch that interrupts an outer surface of the catheter tube and extends into the first lumen of the catheter tube; and
(2) a positionable tip extending distally from the hinge mechanism, wherein rotation of the hinge mechanism pivots the positionable tip relative to a portion of the catheter tube located proximal the hinge mechanism;
b. a high pressure tube within the first lumen, the high pressure tube having a proximal end and a distal end, the distal end extending past the hinge mechanism and into the positionable tip, the high pressure tube terminating in a distally located fluid jet emanator, the fluid jet emanator having proximally facing jet orifices from which a high pressure fluid is emitted; and
c. a fixed cutter located at a fixed position within the first lumen and secured to the fluid jet emanator, the cutter comprising a cutting surface that is always exposed within the notch of the hinge mechanism;
wherein the atherectomy system does not use a separate suction source.
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Abstract
An atherectomy system having a variably exposed cutter wherein a distally located positionable tip closely associated with the cutter and a high pressure fluid jet emanator can be variably and angularly deployed about a hinge mechanism subsequent to entry into the vasculature. The fixed cutter slices or parts atheromatous material and/or thrombotic material from a blood vessel for interaction with high pressure jets to macerate, break up or otherwise reduce the materials for evacuation from the site.
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Citations
36 Claims
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1. An atherectomy system comprising:
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a. a catheter tube, the catheter tube having a proximal end and a distal end, a first lumen and a second lumen, the second lumen smaller in diameter than the first lumen, the catheter tube comprising; (1) a hinge mechanism in the catheter tube that comprises a notch that interrupts an outer surface of the catheter tube and extends into the first lumen of the catheter tube; and (2) a positionable tip extending distally from the hinge mechanism, wherein rotation of the hinge mechanism pivots the positionable tip relative to a portion of the catheter tube located proximal the hinge mechanism; b. a high pressure tube within the first lumen, the high pressure tube having a proximal end and a distal end, the distal end extending past the hinge mechanism and into the positionable tip, the high pressure tube terminating in a distally located fluid jet emanator, the fluid jet emanator having proximally facing jet orifices from which a high pressure fluid is emitted; and c. a fixed cutter located at a fixed position within the first lumen and secured to the fluid jet emanator, the cutter comprising a cutting surface that is always exposed within the notch of the hinge mechanism; wherein the atherectomy system does not use a separate suction source. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34)
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10. An atherectomy system comprising:
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a. a catheter tube, the catheter tube having a proximal end and a distal end, a first lumen and a second lumen, the second lumen smaller in diameter than the first lumen and located parallel to the first lumen, the catheter tube comprising; (1) a flexible and bendable section comprising a gap interrupting an outer surface of the catheter tube and extending into the first lumen of the catheter tube; (2) a positionable tip extending distally from the flexible and bendable section, wherein rotation of the catheter tube at the flexible and bendable section pivots the positionable tip relative to a portion of the catheter tube located proximal the flexible and bendable section; b. a high pressure tube within the first lumen, and having a proximal end and a distal end, the distal end extending past the hinge mechanism and into the positionable tip, the high pressure tube terminating in a distally located fluid jet emanator having proximally facing jet orifices from which a high pressure fluid is emitted; and c. a fixed cutter located at a fixed position within the first lumen and secured to the fluid jet emanator, the cutter comprising a cutting surface that is always exposed within the gap interrupting the first lumen of the catheter tube; wherein the atherectomy system does not use a separate suction source. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17)
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35. An atherectomy catheter comprising:
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a catheter tube comprising a proximal end and a distal end, the catheter tube further comprising; a first lumen extending through the catheter tube, wherein the first lumen extends to the distal end of the catheter tube; a notch in an outer surface of the catheter tube that exposes a portion of a first lumen in the catheter tube; and a positionable tip extending distally from the notch, wherein the first lumen extends into the positionable tip, and wherein the positionable tip is movable between a straight profile position in which the positionable tip is aligned with a portion of the catheter tube located proximal the notch and positions in which the positionable tip is angularly positioned with respect to the portion of the catheter tube located proximal the notch; a high pressure tube located within the first lumen, the high pressure tube comprising a proximal end and a distal end, the distal end extending through the portion of the first lumen exposed by the notch and into the positionable tip; a fluid jet emanator operably attached to the distal end of the high pressure tube in the positionable tip, wherein the fluid jet emanator comprises proximally facing jet orifices from which a high pressure fluid is emitted; and a fixed cutter located within the first lumen and secured to the fluid jet emanator, the fixed cutter comprising a cutting surface that is always exposed within the notch;
wherein the atherectomy system does not use a separate suction source. - View Dependent Claims (36)
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Specification