Medical device for removing an implanted object

• US 9,918,737 B2
• Filed: 02/20/2015
• Issued: 03/20/2018
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Spectranetics Corporation (Koninklijke Philips N.V.)
• Original Assignee: Spectranetics Corporation (Koninklijke Philips N.V.)
• Inventors: Carver, Robert, Lee, Weston H., Kagarise, Brian E., Hoo, Bruce A., Gleason, Peter Wilbur, Halbert, Phillip Charles
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Morales, Jon Eric C
• Application Number:
  US14/627,950
• Publication Number:
  US 20150258334A1
• Time in Patent Office: 1,124 Days
• Field of Search: 607116
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• 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 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 17/50 Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body locating otherwise A61B5/06; locating by radiation A61B6/00; removing calculi A61B17/22; from the eyes A61F9/00709
• CPC Class Codes: A61B 2017/00986 Malecots, e.g. slotted tubes, of which the distal end is pulled to deflect side struts
• CPC Class Codes: A61B 2017/320032 Details of the rotating or oscillating shaft, e.g. using a flexible shaft
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/0573 chacterised by means penetrating the heart tissue, e.g. helix needle or hook
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient'"'"'s vasculature system. Specifically, the surgical device includes a handle, an elongate sheath and a circular cutting blade that extends from the distal end of the sheath upon actuating the handle. The circular cutting blade is configured to engage the tissue surrounding an implanted lead and cut such tissue in a coring fashion as the surgical device translates along the length of the lead, thereby allowing the lead, as well as any tissue remaining attached to the lead, to enter the device'"'"'s elongate shaft. The surgical device has a barrel cam cylinder in the handle assembly that imparts rotation of the blade and a separate cam mechanism in the tip of outer sheath assembly that imparts and controls the extension and retraction of the blade. The barrel cam cylinder and cam mechanism cooperate to cause the blade to rotate in a first direction and extend from and retract in the outer sheath due to a first actuation of the handle and to rotate in a second direction and extend and retract in the outer sheath due to a second actuation of the handle.

Claims

1. A device for removing an implanted object from a body vessel, the device comprising:

a sheath assembly comprising an outer sheath assembly and an inner sheath assembly, and a pin;

the outer sheath assembly comprising an outer sheath and an outer band, the outer band coupled to the pin;

the inner sheath assembly comprising an inner sheath and a tip, wherein the tip has a cutting surface;

the inner sheath comprising a proximal end and a distal end, wherein the distal end of the inner sheath is coupled to the tip;

the tip comprising a cam slot for receipt of and cooperation with the pin;

wherein the outer sheath assembly is stationary and the inner sheath assembly is capable of rotating; and

a handle assembly comprising a trigger and a barrel cam cylinder, the trigger comprising a trigger pin, the barrel cam cylinder comprising a barrel cam cylinder slot for receipt and cooperation with the trigger pin, wherein the proximal end of the inner sheath is coupled to the barrel cam cylinder such that upon the trigger pin moving proximally in a longitudinal direction, the barrel cam cylinder rotates in both a clockwise direction and a counter clockwise direction, thereby causing the tip to rotate in both the clockwise direction and the counter clockwise direction while the tip moves longitudinally;

wherein the outer sheath assembly comprises an outer key and the inner sheath assembly comprises an inner key, wherein the inner key is coupled to the barrel cam cylinder.

2. The device of claim 1, wherein the outer key comprises a lumen, and wherein the inner key is capable of rotating within the lumen of the outer key.

3. The device of claim 2, wherein the inner key is capable of moving longitudinally relative to the outer key.

4. The device of claim 2, wherein the lumen of the outer key comprises a proximal end and a distal end, wherein the lumen has a larger diameter at its proximal end in comparison to its distal end.

5. The device of claim 4, wherein the lumen of the outer key comprises an abutment between its proximal end and distal end.

6. The device of claim 1, wherein the pin couples the tip of the inner sheath assembly to the outer band of the outer sheath assembly.

7. The device of claim 1, wherein the handle assembly further comprises a spring assembly coupled to the trigger.

8. The device of claim 7, wherein the spring is a constant force spring.

9. A device for removing an implanted object from a body vessel, the device comprising:

a sheath assembly comprising an outer sheath assembly and an inner sheath assembly, and a pin, wherein the outer sheath assembly and the inner sheath assembly each comprise a proximal end and a distal end, wherein the distal end of the outer sheath assembly is coupled to the distal end of the inner sheath assembly by the pin;

the inner sheath assembly comprising an inner sheath and a tip at its distal end, wherein the tip has a cutting surface;

the tip comprising a slot for receipt of and cooperation with the pin; and

a handle assembly comprising a trigger and a barrel cam cylinder, the trigger comprising a trigger pin, the barrel cam cylinder comprising a barrel cam cylinder slot for receipt and cooperation with the trigger pin, wherein the proximal end of the inner sheath is coupled to the barrel cam cylinder by the trigger pin such that upon the trigger pin moving proximally in a longitudinal direction, the barrel cam cylinder rotates in a first direction and a second direction, wherein the first direction is different than the second direction, wherein the tip moves longitudinally and extends from and retracts into the outer sheath while the barrel cam cylinder rotates in the first direction, and wherein the tip moves longitudinally while the barrel cam cylinder rotates in the second direction, wherein the barrel cam cylinder comprises an exterior surface, and the barrel cam cylinder slot is continuous around the exterior surface.

10. The device of claim 9, wherein the tip extends from and retracts into the outer sheath while barrel cam cylinder rotates in the second direction.