Retractable separating systems and methods

• US 10,537,354 B2
• Filed: 09/05/2017
• Issued: 01/21/2020
• Est. Priority Date: 12/22/2006
• Status: Active Grant

• Current Assignee: Spectranetics Corporation (Koninklijke Philips N.V.)
• Original Assignee: Spectranetics Corporation (Koninklijke Philips N.V.)
• Inventors: Taylor, Kevin D.
• Primary Examiner(s): Fishback, Ashley L
• Application Number:
  US15/695,638
• Publication Number:
  US 20170360467A1
• Time in Patent Office: 868 Days
• 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 17/32053 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 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/320024 Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
• CPC Class Codes: A61B 2017/320741 for stripping the intima or the internal plaque from a blood vessel, e.g. for endarterectomy
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

A method for detaching an object from a patient includes providing a tool having a sheath, and a separating assembly operably coupled to a distal end of the sheath. The separating assembly includes a separator moveably coupled to a tip via a threadable connection. The separating assembly is placed near patient tissue that is attached to the object, the sheath is rotated to move the separator distal to the tip, and the separator is applied to the patient tissue that is attached to the object, so as to separate the tissue. A separating system includes a sheath, and a separator threadably coupled with a distal end of the sheath. The separator is adapted to switch between a first configuration where a separating mechanism is deployed, and a second configuration where the separating mechanism is undeployed.

Claims

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

a sheath having a proximal end and a distal end; and

a separating assembly coupled with the distal end of the sheath, the separating assembly comprising;

a band;

a cutter having a distal cutting edge; and

a slot and key configuration coupling the cutter and the band, the slot and key configuration permitting relative rotational and translational movement of the band and the cutter, the slot and key configuration comprising a channel formed in a circumference of one of the cutter and the band, and the channel including a length that extends for less than 360 degrees between ends of the channel;

whereupon relative rotation of the band and the cutter, the slot and key configuration translates the cutter between a deployed configuration where a portion of the cutter is exposed from the band and an undeployed configuration where the portion of the cutter is unexposed from the band.

2. The device according to claim 1, wherein at least a portion of the channel is aligned at an angle offset from a central longitudinal axis of the cutter.

3. The device according to claim 1, wherein the other of the cutter and the band comprises a key of the slot and key configuration, and wherein the key is movably received in the channel to facilitate translating between the deployed configuration and the undeployed configuration.

4. The device according to claim 3, wherein the cutter comprises the channel and the band comprises the key.

5. The device according to claim 1, wherein in the deployed configuration the distal cutting edge of the cutter extends past the band a distance in the range from about 0.5 mm to about 3 mm.

6. The device according to claim 1, wherein the distal cutting edge includes a plurality of serrations.

7. The device according to claim 1, wherein the distal end of the sheath is fixed with the cutter.

8. The device according to claim 1, further comprising a handle coupled with the proximal end of the sheath, the handle being configured to be manipulated by an operator to rotate the sheath.

9. The device according to claim 8, wherein the slot and key configuration facilitates, upon relative rotation of the band and the cutter in response to manipulation of the handle, translating between the deployed configuration and the undeployed configuration.

10. The device according to claim 1, wherein the band comprises a blunt distal end.

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

a sheath having a proximal end and a distal end;

a motor coupled to the sheath; and

a separating assembly coupled with the distal end of the sheath, the separating assembly comprising;

a band;

a cutter having a distal cutting edge; and

a slot and key configuration coupling the cutter and the band, the slot and key configuration permitting relative rotational and translational movement of the band and the cutter, the slot and key configuration comprising a channel formed in a circumference of one of the cutter and the band, and the channel including a length that extends for less than 360 degrees between ends of the channel;

whereupon relative rotation of the band and the cutter, the slot and key configuration translates the cutter between a deployed configuration where a portion of the cutter is exposed from the band and an undeployed configuration where the portion of the cutter is unexposed from the band.

12. The device according to claim 11, wherein the motor induces rotation of the sheath.

13. The device according to claim 12, wherein rotation of the sheath induces the cutter to translate between the deployed configuration and the undeployed configuration.

14. The device according to claim 11, wherein at least a portion of the channel is aligned at an angle offset from a central longitudinal axis of the cutter.

15. The device according to claim 11, wherein the other of the cutter and the band comprises a key of the slot and key configuration, and wherein the key is movably received in the channel to facilitate translating between the deployed configuration and the undeployed configuration.

16. The device according to claim 15, wherein the cutter comprises the channel and the band comprises the key.

17. The device according to claim 11, wherein in the deployed configuration the distal cutting edge of the cutter extends past the band a distance in the range from about 0.5 mm to about 3 mm.

18. The device according to claim 11, wherein the distal end of the sheath is fixed with the cutter.

19. The device according to claim 11, further comprising a handle coupled with the proximal end of the sheath, the handle being configured to be manipulated by an operator to rotate the sheath.

20. The device according to claim 19, wherein the slot and key configuration facilitates, upon relative rotation of the band and the cutter in response to manipulation of the handle, translating between the deployed configuration and the undeployed configuration.