Easily cleaned atherectomy catheters and methods of use

• US 8,574,249 B2
• Filed: 05/01/2012
• Issued: 11/05/2013
• Est. Priority Date: 05/14/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Moberg, John Robert
• Primary Examiner(s): NGUYEN, TUAN VAN
• Application Number:
  US13/460,875
• Publication Number:
  US 20120215239A1
• Time in Patent Office: 553 Days
• Field of Search: 606/108, 606/158, 606/159, 606/167, 606/170, 606/171, 606/180, 606/198, 604/22
• 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 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;

a tissue collection chamber coupled to the body and positioned distal to the cutting element, the tissue collection chamber comprises a sheath defining a lumen for receiving cut tissue from the cutting element, and a displaceable tip at a distal region of the sheath, the displaceable tip being displaceable relative to the sheath between a first closed position capable of retaining cut tissue in the sheath and a second open position capable of allowing expulsion of cut tissue from the sheath, the displaceable tip being attached to the sheath in both the first closed and second open positions; and

an actuator axially movable relative to the sheath to impart displacement of the tip between the first closed position and the second open position.

2. The catheter of claim 1, wherein the actuator comprises a push shaft axially slidable relative to the sheath, the displaceable tip is disposed on the push shaft so that axial sliding movement of the actuator imparts axially sliding movement of the displaceable tip relative to the sheath.

3. The catheter of claim 2, wherein the push shaft is received within the lumen of the sheath.

4. The catheter of claim 3, wherein the push shaft has a partially circular cross section.

5. The catheter of claim 3, wherein the push shaft has an approximately semi-circular cross section.

6. The catheter of claim 2, wherein a proximal portion of the displaceable tip has a reduced diameter and is capable of being received within the lumen of the sheath.

7. The catheter of claim 2, wherein a distal region of the displaceable tip has a distally tapering diameter.

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

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

10. The catheter of claim 9, wherein the cutting element is moved between the stored position and the cutting position by sliding the cutting element against a cam surface.

11. The catheter of claim 10, wherein a distal portion of the catheter relative to a proximal portion is deflected by sliding the cutting element against the cam surface.

12. 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 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;

a tissue collection chamber coupled to the body and positioned distal to the cutting element, the tissue collection chamber comprises a sheath defining a lumen for receiving cut tissue from the cutting element, and a displaceable tip at a distal region of the sheath, the displaceable tip being displaceable relative to the sheath between a first closed position capable of retaining cut tissue in the sheath and a second open position capable of allowing expulsion of cut tissue from the sheath, the displaceable tip being attached to the sheath in both the first closed and second open positions; and

an actuator axially movable relative to the sheath to impart displacement of the tip between the first closed position and the second open position;

placing the catheter in the body lumen; and

moving the catheter in the body lumen to contact the cutting element with the material in the body lumen.

13. The method of claim 12, wherein the catheter is moved in a distal direction to contact the cutting edge with the material in the body lumen.

14. The method of claim 12, 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.

15. The method of claim 12, wherein the actuator comprises a push shaft axially slidable relative to the sheath, the displaceable tip is connected to the push shaft so that axial sliding movement of the actuator imparts axially sliding movement of the displaceable tip relative to the sheath.

16. The method of claim 12, further comprising:

collecting the material in the tissue collection chamber with the tip in the first closed position;

removing the catheter from the body lumen with the tip in the first closed position;

moving the actuator axially relative to the tissue collection chamber to impart displacement of the tip from the first closed position to the second open position; and

removing the tissue from the tissue collection chamber after the catheter has been removed from the body lumen and after the tip has been displaced to the second open position.