Easily cleaned atherectomy catheters and methods of use

• US 8,192,452 B2
• Filed: 05/14/2010
• Issued: 06/05/2012
• Est. Priority Date: 05/14/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Moberg, John Robert
• Primary Examiner(s): Nguyen, Tuan
• Application Number:
  US12/780,107
• Publication Number:
  US 20100292721A1
• Time in Patent Office: 753 Days
• Field of Search: 606/158, 606/159, 606/160, 606/170, 606/171, 606/175, 606/176, 606/178, 606/179, 606/180, 606/198, 604/22, 600/564
• US Class Current: 606/159
• 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 17/320783 through side-hole, e.g. sliding or rotating cutter inside catheter
• CPC Class Codes: A61B 2017/320716 comprising means for preventing embolism by dislodged material
• CPC Class Codes: A61B 2017/320775 Morcellators, impeller or propeller like means
• CPC Class Codes: A61B 2017/320791 with cutter extending outside the cutting window

Abstract

An atherectomy catheter is provided having a tissue collection chamber capable of being cleaned out in a simple, fast and effective way, and also provides methods of using said catheter to remove material from a blood vessel lumen. In one embodiment the tissue collection chamber has an expandable tip having a first closed position capable of retaining material in the chamber and having a second open position that may allow expulsion of material from the chamber. In a second embodiment the tissue collection chamber has a displaceable tip having a first closed position to retain material in the chamber and having a second open position to allow expulsion of material from the chamber.

Claims

1. An atherectomy catheter comprising:

a body having an opening;

a rotatable shaft coupled to the body, the rotatable shaft being rotatable about a longitudinal axis of the shaft;

a tissue collection chamber coupled to the body and positioned distal to the cutting element; and

a cutting element coupled to the rotatable shaft, the cutting element having a cup-shaped surface and a cutting edge, the cup-shaped surface being configured to re-direct tissue cut by the cutting edge in a distal direction when the cup-shaped surface moves in the distal direction, wherein the tissue collection chamber has a first closed position capable of retaining cut tissue in the chamber and a second open position capable of allowing expulsion of cut tissue from the chamber,

wherein the tissue collection chamber comprises an expandable tip at a distal region of the catheter, the expandable tip having a first closed position capable of retaining cut tissue in the chamber and a second open position capable of allowing expulsion of cut tissue from a distal opening at a distal end of the chamber, and

wherein in the second open position, the cutting element is configured to extend distally through the distal opening to expel the cut tissue.

2. The catheter of claim 1, wherein the tissue collection chamber comprises a sheath having a lumen.

3. The catheter of claim 2, wherein the tissue collection chamber comprises one or more slots in a distal region of the sheath.

4. The catheter of claim 2, wherein the tissue collection chamber comprises two or more slots in a distal region of the sheath.

5. The catheter of claim 2, wherein a distal region of the sheath has a distally tapering diameter.

6. The catheter of claim 3, wherein the tissue collection chamber has the distal opening in the first closed position.

7. The catheter of claim 2, wherein the tissue collection chamber comprises a shim sleeve disposed within the lumen of the sheath, the shim sleeve being axially slidable relative to the sheath, and the shim sleeve having a lumen.

8. The catheter of claim 7, wherein the shim sleeve comprises a window.

9. The catheter of claim 8, wherein the cutting element can be deployed through the shim sleeve window and the opening of the catheter.

10. The catheter of claim 7, wherein a distal region of the sheath can be expanded by moving the shim sleeve distally.

11. The catheter of claim 3, wherein the distal region of the sheath comprises 2, 3, 4, 6, 8, 12, or 16 slots.

12. The catheter of claim 2, wherein the sheath is pre-programmed to assume the first closed position.

13. The catheter of claim 7, wherein the cutting element can be extended distally through the lumen of the shim sleeve.

14. The catheter of claim 13, wherein the cutting element can be extended distally through the distal opening of the sheath when the tissue collection chamber is in the second open position.

15. The catheter of claim 1, wherein the tissue collection chamber comprises a guidewire lumen.

16. The catheter of claim 2, wherein the tissue collection chamber comprises one or more slots in a distal region of the sheath, the distal region of the sheath has a distally tapering diameter, and the tissue collection chamber comprises a shim sleeve disposed within the sheath, the shim sleeve being axially slidable relative to the sheath, and the shim sleeve having a lumen.

17. The catheter of claim 16, wherein the distal region of the sheath can be expanded by moving the shim sleeve distally.

18. The catheter of claim 1, wherein the cutting edge is a radially outer edge of the cutting element.

19. The catheter of claim 1, wherein the cutting element is movable between a stored position and a cutting position relative to the opening.

20. The catheter of claim 19, wherein the cutting element is moved between the stored position and the cutting position by sliding the cutting element against a cam surface.

21. The catheter of claim 20, wherein a distal portion of the catheter relative to a proximal portion is deflected by sliding the cutting element against the cam surface.

22. A method of removing tissue from a body lumen, the method comprising:

providing an atherectomy catheter, the atherectomy catheter comprising;

a body having an opening;

a rotatable shaft coupled to the body, the rotatable shaft being rotatable about a longitudinal axis of the shaft;

a tissue collection chamber coupled to the body and positioned distal to the cutting element; and

a cutting element coupled to the rotatable shaft, the cutting element having a cup-shaped surface and a cutting edge, the cup-shaped surface being configured to re-direct tissue cut by the cutting edge in a distal direction when the cup-shaped surface moves in the distal direction, wherein the tissue collection chamber has a first closed position capable of retaining cut tissue in the chamber and a second open position capable of allowing expulsion of cut tissue from the chamber, and wherein the tissue collection chamber comprises an expandable tip at a distal region of the catheter, the expandable tip having a first closed position capable of retaining cut tissue in the chamber and a second open position capable of allowing expulsion of cut tissue from a distal opening at a distal end of the chamber;

placing the catheter in the body lumen;

moving the catheter in the body lumen to contact the cutting element with the tissue in the body lumen;

cutting the tissue;

collecting the cut tissue in the tissue collection chamber;

expanding the expandable tip; and

advancing the cutting element distally to expel the cut tissue through the distal opening.

23. The method of claim 22, wherein the catheter is moved in a distal direction to contact the cutting edge with the tissue in the body lumen.

24. The method of claim 22, wherein the catheter is placed in the body lumen with the cutting element in a stored position and the catheter is moved to contact the material with the cutting element in a cutting position.

25. The method of claim 22, further comprising removing the catheter from the body lumen, and removing the cut tissue from the tissue collection chamber after the catheter has been removed from the body lumen.

26. The method of claim 25, wherein the catheter is removed from the body lumen with the tissue collection chamber in the first closed position and the cut tissue is removed from the tissue collection chamber with the tissue collection chamber in a second open position capable of allowing expulsion of cut tissue from the tissue collection chamber.