Cutting balloon catheter having increased flexibility regions

• US 7,993,358 B2
• Filed: 03/24/2009
• Issued: 08/09/2011
• Est. Priority Date: 02/11/2005
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: O'Brien, Dennis
• Primary Examiner(s): Nguyen; Anhtuan T
• Assistant Examiner(s): LANG, AMY T
• Application Number:
  US12/409,680
• Publication Number:
  US 20090192537A1
• Time in Patent Office: 868 Days
• Field of Search: 606/159, 606/170, 606/190, 606/191, 606/192, 606/194, 604/96.01, 604/103, 604/103.06, 604/103.08
• US Class Current: 606/159
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 2017/00778 Operations on blood vessels A61B2017/22097, A61B2017/320741 take precedence
• CPC Class Codes: A61B 2017/22054 with two balloons
• CPC Class Codes: A61B 2017/22055 with three or more balloons
• CPC Class Codes: A61B 2017/22061 for spreading elements apart
• CPC Class Codes: A61M 2025/1086 having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence

Abstract

A cutting balloon catheter and method of using the same. The cutting balloon catheter may include a catheter shaft having a balloon coupled thereto. One or more cutting members or blades may be coupled to the balloon. The balloon may include one or more discrete points or areas of flexibility to enhance flexibility of the cutting balloon catheter. A break in the one or more cutting members may be aligned with the one or more discrete points of flexibility in the balloon.

Claims

1. A medical device comprising:

an elongate shaft having a distal region;

an expandable member coupled to the distal region of the elongate shaft;

one or more monolithic cutting members coupled to the expandable member, wherein at least one of the monolithic cutting members includes a cutting surface, and wherein a notch is formed in the cutting surface, the notch extending radially inward from the cutting surface toward the expandable member only partially through the monolithic cutting member and defines defining two or more longitudinally-aligned blade segments; and

wherein the expandable member includes at least one generally circumferential crease that is aligned with the notch.

2. The medical device of claim 1, wherein the expandable member includes a relatively non-compliant material.

3. The medical device of claim 1, wherein the one or more creases are a recessed area of the expandable member.

4. The medical device of claim 1, wherein the one or more creases are a reduced diameter portion of the expandable member.

5. The medical device of claim 1, wherein the one or more cutting members traverse the one or more circumferential creases.

6. The medical device of claim 1, wherein the one or more circumferential creases are orthogonal to the one or more cutting members.

7. A cutting balloon catheter, comprising:

a catheter shaft having a distal region;

a balloon coupled to the distal region of the catheter shaft;

wherein a crease is formed in the balloon that extends about the balloon; and

a single, unitary cutting blade attached to the balloon, wherein the cutting blade has a notch formed therein, the notch extending from a cutting surface of the cutting blade toward a longitudinal axis of the balloon and extending only partially through the cutting blade;

wherein the notch longitudinally aligns with the crease at a common longitudinal position along the axis.

8. The cutting balloon catheter of claim 7, wherein the crease includes a recessed area of the balloon.

9. The cutting balloon catheter of claim 7, wherein the crease includes a reduced diameter portion of the balloon.

10. The cutting balloon catheter of claim 7, wherein the cutting blade is substantially orthogonal to the crease.

11. The cutting balloon catheter of claim 7, wherein the balloon includes a second crease that extends about the balloon.

12. The cutting balloon catheter of claim 11, wherein the cutting blade includes a second notch, and wherein the second notch is aligned with the second crease.

13. The cutting balloon catheter of claim 12, further comprising a second cutting blade attached to the balloon.

14. The cutting balloon catheter of claim 13, wherein the second cutting blade includes a third notch and a fourth notch, wherein the third notch is aligned with the crease, and wherein the fourth notch is aligned with the second crease.

15. The cutting balloon catheter of claim 14, further comprising one or more additional cutting blades.

16. The cutting balloon catheter of claim 7, wherein the cutting blade is attached to the balloon with a joining member.

17. The cutting balloon catheter of claim 7, further comprising one or more additional cutting blades.

18. A cutting balloon catheter, comprising:

a catheter shaft having a distal region and a longitudinal axis;

a balloon coupled to the distal region of the catheter shaft;

wherein the balloon has a circumferential groove formed therein; and

a cutting blade attached to the balloon by an intermediate joining member, wherein the cutting blade has a cutting surface and a notch formed in the cutting surface that extends only partially through the cutting blade toward the balloon, the notch being aligned with the circumferential groove at the same longitudinal position along the axis.

19. The cutting balloon catheter of claim 18, wherein the balloon includes a second circumferential groove.

20. The cutting balloon catheter of claim 19, wherein the cutting blade includes a second notch, and wherein the second notch is aligned with the second circumferential groove.