Valvulotome device and method

• US 8,398,663 B2
• Filed: 05/17/2010
• Issued: 03/19/2013
• Est. Priority Date: 02/27/2004
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Paul, Ram H. Jr., Case, Brian C., Flagle, Jacob A.
• Primary Examiner(s): SEVERSON, RYAN J
• Application Number:
  US12/781,300
• Publication Number:
  US 20100286719A1
• Time in Patent Office: 1,037 Days
• Field of Search: 606/110, 606/159, 606/167, 606/170, 600/36
• US Class Current: 606/159
• 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 2017/22097 Valve removal in veins

Abstract

Valvulotome devices and methods are provided. Valvulotome devices include one or more valvulotome arms that have a u-shaped curved body with opposing arms and a base portion that extends between the arms. The valvulotome arm defines a notch open at one end on one of the arms and extending into the base portion of the u-shaped curved body. The notch defines an angled surface that provides a cutting edge. Methods of making valvulotome devices are also described.

Claims

1. A valvulotome device, comprising:

a tubular member having a proximal end, a distal end, a lengthwise axis, and defining a first lumen, the tubular member forming first and second valvulotome arms having a radially compressed and radially expanded configurations, each of the first and second valvulotome arms having a u-shaped curved body comprising opposing first and second arms and a base portion extending between the first and second arms, at least one of the first and second valvulotome arms defining a notch having an open end on one of the first and second arms of the u-shaped curved body and extending into the base portion of the u-shaped curved body, the notch defining an angled surface that provides a cutting edge.

2. The valvulotome device of claim 1, wherein the first valvulotome arm defines a first notch having an open end on one of the first and second arms of the u-shaped curved body of the first valvulotome arm and extending into the base portion of the u-shaped curved body of the first valvulotome arm, the first notch defining a first angled surface that provides a first cutting edge;

and

wherein the second valvulotome arm defines a second notch having an open end on one of the first and second arms of the u-shaped curved body of the second valvulotome arm and extending into the base portion of the u-shaped curved body of the second valvulotome arm, the second notch defining a second angled surface that provides a second cutting edge.

3. The valvulotome device of claim 1, wherein the cutting edge has first and second opposing portions to form a cutting arc.

4. The valvulotome device of claim 1, wherein the at least one of the first and second valvulotome arms that defines the notch has a valvulotome arm longitudinal axis and the u-shaped curved body has a lateral width having a midpoint;

and

wherein the cutting arc traverses the midpoint of the lateral width of the u-shaped curved body.

5. The valvulotome device of claim 4, wherein the cutting arc has an apex positioned substantially adjacent the valvulotome arm longitudinal axis.

6. The valvulotome device of claim 4, wherein the cutting arc has an apex positioned on the valvulotome arm longitudinal axis.

7. The valvulotome device of claim 1, wherein the tubular member comprises first and second splits that cooperatively form the first and second valvulotome arms.

8. The valvulotome device of claim 7, wherein each of the first and second splits comprise a curve having a radius.

9. The valvulotome device of claim 7, wherein the first split is positioned substantially opposite the second split with respect to the lengthwise axis of the tubular member.

10. The valvulotome device of claim 1, wherein the tubular member comprises a material selected from the group consisting of metals, polymerics, and ceramics.

11. The valvulotome device of claim 1, wherein the tubular member comprises stainless steel.

12. The valvulotome device of claim 1, wherein the tubular member comprises a shape memory metal.

13. The valvulotome device of claim 12, wherein the shape memory metal comprises nickel titanium.

14. A valvulotome device, comprising:

an outer tubular member having a first proximal end, a first distal end, a first lengthwise axis, and defining a first lumen, the outer tubular member forming first and second valvulotome arms having radially compressed and radially expanded configurations, each of the first and second valvulotome arms having a u-shaped curved body comprising opposing first and second arms and a base portion extending between the first and second arms, at least one of the first and second valvulotome arms defining a notch having an open end on one of the first and second arms of the u-shaped curved body and extending into the base portion of the u-shaped curved body, the notch defining an angled surface that provides a cutting edge; and

an inner tubular member having a second proximal end, a second distal end, a second lengthwise axis, and defining a second lumen, the inner tubular disposed in the first lumen defined by the outer tubular member and forming first and second spacing arms having radially compressed and radially expanded configurations.

15. The valvulotome device of claim 14, wherein the first proximal end is positioned flush with the second proximal end.

16. The valvulotome device of claim 14, wherein the outer tubular member is circumferentially oriented about the first longitudinal axis such that each of the first and second valvulotome arms is circumferentially spaced from each of the first and second spacing arms by an angle of approximately 90°

.

17. The valvulotome device of claim 14, wherein at least one of the outer tubular member and the inner tubular member comprises stainless steel.

18. The valvulotome device of claim 14, wherein at least one of the outer tubular member and the inner tubular member comprises a shape memory metal.

19. The valvulotome device of claim 14, wherein the shape memory metal comprises nickel titanium.

20. A valvulotome device, comprising:

an outer tubular member having a first proximal end, a first distal end, a first lengthwise axis, and defining a first lumen, the outer tubular member forming first and second valvulotome arms having radially compressed and radially expanded configurations, each of the first and second valvulotome arms having a u-shaped curved body comprising opposing first and second arms and a base portion extending between the first and second arms, the first valvulotome arm defining a first notch having an open end on one of the first and second arms of the u-shaped curved body of the first valvulotome arm and extending into the base portion of the u-shaped curved body of the first valvulotome arm, the first notch defining a first angled surface that provides a first cutting edge, the second valvulotome arm defining a second notch having an open end on one of the first and second arms of the u-shaped curved body of the second valvulotome arm and extending into the base portion of the u-shaped curved body of the second valvulotome arm, the second notch defining a second angled surface that provides a second cutting edge; and

an inner tubular member having a second proximal end, a second distal end, a second lengthwise axis, and defining a second lumen, the inner tubular disposed in the first lumen defined by the outer tubular member and forming first and second spacing arms having radially compressed and radially expanded configurations;

wherein the first proximal end is positioned flush with the second proximal end; and

wherein the outer tubular member is circumferentially oriented about the first longitudinal axis such that each of the first and second valvulotome arms is circumferentially spaced from each of the first and second spacing arms by an angle of approximately 90°

.