CA2648819A1 - Rotational atherectomy device with solid support elements supported by fluid bearings - Google Patents

Rotational atherectomy device with solid support elements supported by fluid bearings Download PDF

Info

Publication number
CA2648819A1
CA2648819A1 CA002648819A CA2648819A CA2648819A1 CA 2648819 A1 CA2648819 A1 CA 2648819A1 CA 002648819 A CA002648819 A CA 002648819A CA 2648819 A CA2648819 A CA 2648819A CA 2648819 A1 CA2648819 A1 CA 2648819A1
Authority
CA
Canada
Prior art keywords
drive shaft
support element
fluid
solid
longitudinal axis
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002648819A
Other languages
French (fr)
Other versions
CA2648819C (en
Inventor
Leonid Shturman
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=36955631&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=CA2648819(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Individual filed Critical Individual
Publication of CA2648819A1 publication Critical patent/CA2648819A1/en
Application granted granted Critical
Publication of CA2648819C publication Critical patent/CA2648819C/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320758Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3203Fluid jet cutting instruments
    • A61B17/32037Fluid jet cutting instruments for removing obstructions from inner organs or blood vessels, e.g. for atherectomy

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

A rotational atherectomy device for removing a stenotic tissue (330, 360) from a vessel (300) of a patient comprises a flexible hollow drive shaft (2) and an abrasive element (101, 102) mounted to the drive shaft proximal to and spaced from a solid support element (10, 10s) mounted at the distal end (6) of the drive shaft, the solid support element having a rounded outer surface and an outflow channel (20, 20s) with an outflow opening in said rounded outer surface. The drive shaft comprises a torque transmitting coil (4) and at least one fluid impermeable membrane (3) forming a fluid impermeable lumen for the antegrade flow (FF) of fluid into the outflow channel such that, during rotation of the drive shaft, a flow of fluid out of said outflow opening forms a fluid bearing between the rotating solid support element and the wall of the treated vessel.

Claims (11)

1. A rotational atherectomy device for removing a stenotic tissue from a vessel of a patient, the device comprising a rotatable, flexible, hollow drive shaft having a distal end, an abrasive element mounted to the drive shaft proximal to and spaced away from a distal solid support element mounted at the distal end of the drive shaft, the distal solid support element having a rounded outer surface and comprising an outflow channel extending through the solid distal support element, the outflow channel having an outflow opening in said rounded outer surface, the drive shaft comprising a torque transmitting coil and at least one fluid impermeable membrane forming a fluid impermeable lumen for the antegrade flow of fluid through the drive shaft into the outflow channel of the solid distal support element such that, during rotation of the drive shaft, said outflow opening of the outflow channel is facing an inner surface of a vessel being treated so that a flow of fluid out of said outflow opening forms a fluid layer between the solid distal support element and a wall of the treated vessel, said layer of fluid forming a fluid bearing between the rotating solid distal support element and the wall of the treated vessel.
2. A rotational atherectomy device according to claim 1, wherein the fluid impermeable drive shaft is provided with a solid proximal support element located proximal to and spaced away from the abrasive element, the membrane that forms a fluid impermeable lumen for the antegrade flow of fluid through the drive shaft into the outflow channel of the distal solid support element also forming a lumen for the antegrade flow of fluid through the drive shaft into an outflow channel extending through said solid proximal support element, the solid proximal support element having a rounded outer surface, said outflow channel having an outflow opening in the rounded outer surface of the solid proximal support element such that, during rotation of the drive shaft, said outflow opening on the outer surface of the solid proximal support element is facing an inner surface of a treated vessel so that a flow of fluid out of said outflow opening forms a layer of fluid between the solid proximal support element and a wall of the treated vessel, said layer of fluid forming a fluid bearing between the rotating solid proximal support element and the wall of the treated vessel.
3. A rotational atherectomy device according to claim 1, wherein the drive shaft has a longitudinal axis and the solid distal support element has a centre of mass which is coaxial with the longitudinal axis of the drive shaft, said distal support element having a plurality of outflow channels that extend through the distal support element in a radially outward direction with respect to the longitudinal axis of the drive shaft and have their outflow openings spaced around the circumference of the solid distal support element such that, during rotation of the drive shaft, a flow of fluid out of the outflow openings forms a layer of fluid between the solid distal support element and a wall of the vessel being treated, said layer of fluid forming a fluid bearing between the rotating solid distal support element and the wall of the vessel being treated.
4. A rotational atherectomy device according to claim 2, wherein the drive shaft has a longitudinal axis and the solid proximal support element has a centre of mass coaxial with the longitudinal axis of the drive shaft, said proximal support element having a plurality of outflow channels extending through the solid proximal support element in a radially outward direction with respect to the longitudinal axis of the drive shaft and having their outflow openings located around the circumference of the solid proximal support element such that, during rotation of the drive shaft a flow of fluid out of the outflow openings forms a layer of fluid between the solid proximal support element and a wall of the vessel being treated, said layer of fluid forming a fluid bearing between the rotating solid proximal support element and the wall of the vessel being treated.
5. A rotational atherectomy device according to claim 1, wherein the drive shaft has a longitudinal axis and the solid distal support element has a centre of mass spaced radially away from the longitudinal axis of the drive shaft in one direction so that it acts as a counterweight to the abrasive element, which has its centre of mass spaced radially away from the longitudinal axis of the drive shaft in a diametrically opposite direction.
6. A rotational atherectomy device according to any of claims 1, 2 or 5, wherein the abrasive element has its centre of mass spaced radially away from a longitudinal axis of the drive shaft, the centres of mass of both distal and proximal solid support elements being spaced radially away from a longitudinal axis of the drive shaft but in a direction diametrically opposite to the direction in which the abrasive element is spaced radially away from the longitudinal axis of the drive shaft so that the distal and proximal solid support elements act as counterweights to the abrasive element.
7. A rotational atherectomy device according to claims 1, 5 and 6, comprising a plurality of outflow channels in the solid distal support element.
8. A rotational atherectomy device according to claim 3 and 4, wherein the centre of mass of the abrasive element is coaxial with the longitudinal axis of the drive shaft.
9. A rotational atherectomy device according to claim 3 and 4, wherein the centre of mass of the abrasive element is spaced radially away from the longitudinal axis of the drive shaft.
10. A rotational atherectomy device according to claim 1, wherein the fluid impermeable membrane lines the torque transmitting coil.
11. A rotational atherectomy device according to claim 1, wherein the fluid impermeable membrane is disposed around the torque transmitting coil.
CA2648819A 2006-07-13 2007-06-28 Rotational atherectomy device with solid support elements supported by fluid bearings Expired - Fee Related CA2648819C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GBGB0613979.4A GB0613979D0 (en) 2006-07-13 2006-07-13 Rotational atherectomy device with solid support elements supported by fluid bearings
GB0613979.4 2006-07-13
PCT/EP2007/056499 WO2008006704A1 (en) 2006-07-13 2007-06-28 Atherectomy device supported by fluid bearings

Publications (2)

Publication Number Publication Date
CA2648819A1 true CA2648819A1 (en) 2008-01-17
CA2648819C CA2648819C (en) 2011-10-04

Family

ID=36955631

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2648819A Expired - Fee Related CA2648819C (en) 2006-07-13 2007-06-28 Rotational atherectomy device with solid support elements supported by fluid bearings

Country Status (6)

Country Link
US (3) US8157825B2 (en)
EP (1) EP2040625B1 (en)
AU (1) AU2007271819A1 (en)
CA (1) CA2648819C (en)
GB (2) GB0613979D0 (en)
WO (1) WO2008006704A1 (en)

Families Citing this family (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB0613980D0 (en) 2006-07-13 2006-08-23 Shturman Leonid Rotational Atherectomy Device with Fluid Inflatable Elements supported by Fluid Bearings
GB0613979D0 (en) * 2006-07-13 2006-08-23 Shturman Leonid Rotational atherectomy device with solid support elements supported by fluid bearings
GB0613982D0 (en) 2006-07-13 2006-08-23 Shturman Leonid Rotational atherectomy device with fluid inflatable support elements and two torque transmitting coils
GB0623366D0 (en) 2006-11-23 2007-01-03 Shturman Leonid Rotational atherectomy device with fluid inflatable support elements and distal protection capability
GB0613981D0 (en) * 2006-07-13 2006-08-23 Shturman Leonid
GB0722990D0 (en) 2007-11-23 2008-01-02 Shturman Leonid Rotational atherectomy system with enhanced distal protection capability and method of use
GB0905751D0 (en) 2009-04-03 2009-05-20 Shturman Leonid Rotational atherectomy device with distal embolic protection and method of use
GB0905748D0 (en) 2009-04-03 2009-05-20 Shturman Leonid Rotational atherectomy device with eccentric abrasive element and method of use
US20120046600A1 (en) * 2010-02-25 2012-02-23 Cardiovascular Systems, Inc. High-speed rotational atherectomy system, device and method for localized application of therapeutic agents to a biological conduit
US9629646B2 (en) 2012-07-11 2017-04-25 Jens Kather Curved burr surgical instrument
US10517631B2 (en) 2012-09-17 2019-12-31 Cardiovascular Systems, Inc. Rotational atherectomy device with a system of eccentric abrading heads
US9289230B2 (en) 2012-09-17 2016-03-22 Cardiovascular Systems, Inc. Rotational atherectomy device with a system of eccentric abrading heads
US9750525B2 (en) 2013-03-14 2017-09-05 Cardiovascular Systems, Inc. Devices, systems and methods for an oscillating crown drive for rotational atherectomy
US9936970B2 (en) 2013-03-14 2018-04-10 Cardiovascular Systems, Inc. Devices, systems and methods for an oscillating crown drive for rotational atherectomy
US9788853B2 (en) 2014-01-15 2017-10-17 Cardio Flow, Inc. Atherectomy devices and methods
US10405878B2 (en) 2014-07-25 2019-09-10 Boston Scientific Scimed, Inc. Rotatable medical device
US10405879B2 (en) 2014-12-04 2019-09-10 Boston Scientific Scimed, Inc. Rotatable medical device
WO2016108860A1 (en) * 2014-12-30 2016-07-07 Bard Peripheral Vascular Abrasive elements for rotational atherectorm systems
CN105395238B (en) * 2015-12-14 2017-10-10 天津大学 A kind of plaque within blood vessels remove device
WO2017165013A1 (en) * 2016-03-21 2017-09-28 Cardiovascular Systems, Inc. Rotational atherectomy device with a system of eccentric abrading heads
US10639062B2 (en) 2016-04-06 2020-05-05 Cardio Flow, Inc. Atherectomy devices and methods
US10441312B2 (en) 2017-02-23 2019-10-15 Cardio Flow, Inc. Atherectomy devices and methods
US11690645B2 (en) 2017-05-03 2023-07-04 Medtronic Vascular, Inc. Tissue-removing catheter
CN114948106A (en) 2017-05-03 2022-08-30 美敦力瓦斯科尔勒公司 Tissue removal catheter with guidewire isolation bushing
US11213314B1 (en) 2018-05-24 2022-01-04 Cardio Flow, Inc. Atherectomy devices and methods
US11147582B2 (en) 2018-06-14 2021-10-19 Cardio Flow, Inc. Atherectomy devices and methods
US11272954B2 (en) 2018-08-07 2022-03-15 Cardio Flow, Inc. Atherectomy devices and methods
US11819236B2 (en) 2019-05-17 2023-11-21 Medtronic Vascular, Inc. Tissue-removing catheter

Family Cites Families (47)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1431461A (en) * 1921-11-07 1922-10-10 Gen Electric Combined car-door control and air-brake equipment
US1431416A (en) 1922-06-01 1922-10-10 Ingersoll Rand Co Built-up crank shaft
US1916085A (en) * 1927-06-24 1933-06-27 Packard Motor Car Co Counterweight
US4646736A (en) * 1984-09-10 1987-03-03 E. R. Squibb & Sons, Inc. Transluminal thrombectomy apparatus
CA1293663C (en) * 1986-01-06 1991-12-31 David Christopher Auth Transluminal microdissection device
US4870953A (en) * 1987-11-13 1989-10-03 Donmicheal T Anthony Intravascular ultrasonic catheter/probe and method for treating intravascular blockage
US4931635A (en) * 1987-12-01 1990-06-05 Teijin Seiki Company Limited Optical position sensor using Faraday effect element and magnetic scale
US4940238A (en) * 1988-01-25 1990-07-10 Bradley Robert J Golf putting practice ball and system
DE69015926T2 (en) * 1989-08-25 1995-05-18 Scimed Life Systems Inc Device for changing a catheter while holding the guide wire.
US5100425A (en) 1989-09-14 1992-03-31 Medintec R&D Limited Partnership Expandable transluminal atherectomy catheter system and method for the treatment of arterial stenoses
US5242460A (en) * 1990-10-25 1993-09-07 Devices For Vascular Intervention, Inc. Atherectomy catheter having axially-disposed cutting edge
US5273526A (en) * 1991-06-21 1993-12-28 Lake Region Manufacturing Company, Inc. Vascular occulusion removal devices and method
US5217474A (en) * 1991-07-15 1993-06-08 Zacca Nadim M Expandable tip atherectomy method and apparatus
WO1993008750A2 (en) * 1991-11-04 1993-05-13 Baxter International Inc. Ultrasonic ablation device adapted for guidewire passage
US5250060A (en) * 1992-06-26 1993-10-05 Carbo Paul L Angioplasty apparatus
US5360432A (en) * 1992-10-16 1994-11-01 Shturman Cardiology Systems, Inc. Abrasive drive shaft device for directional rotational atherectomy
US5403280A (en) * 1993-02-16 1995-04-04 Wang; James C. Inflatable perfusion catheter
US5317607A (en) * 1993-04-30 1994-05-31 Combustion Engineering, Inc. EDM crack removal tooling
US5370653A (en) * 1993-07-22 1994-12-06 Micro Therapeutics, Inc. Thrombectomy method and apparatus
EP0774931B1 (en) * 1994-08-12 2003-06-25 Diamicron, Inc. Prosthetic joint with at least one diamond coated interface
US5584843A (en) * 1994-12-20 1996-12-17 Boston Scientific Corporation Shaped wire multi-burr rotational ablation device
US5681336A (en) * 1995-09-07 1997-10-28 Boston Scientific Corporation Therapeutic device for treating vien graft lesions
US6905505B2 (en) * 1996-07-26 2005-06-14 Kensey Nash Corporation System and method of use for agent delivery and revascularizing of grafts and vessels
US5843103A (en) * 1997-03-06 1998-12-01 Scimed Life Systems, Inc. Shaped wire rotational atherectomy device
US6015420A (en) * 1997-03-06 2000-01-18 Scimed Life Systems, Inc. Atherectomy device for reducing damage to vessels and/or in-vivo stents
US5868708A (en) 1997-05-07 1999-02-09 Applied Medical Resources Corporation Balloon catheter apparatus and method
US6132444A (en) * 1997-08-14 2000-10-17 Shturman Cardiology Systems, Inc. Eccentric drive shaft for atherectomy device and method for manufacture
US5928193A (en) * 1997-10-03 1999-07-27 Boston Scientific Corporation Balloon catheterization
US6146395A (en) * 1998-03-05 2000-11-14 Scimed Life Systems, Inc. Ablation burr
US6096054A (en) * 1998-03-05 2000-08-01 Scimed Life Systems, Inc. Expandable atherectomy burr and method of ablating an occlusion from a patient's blood vessel
US6152911A (en) * 1998-08-27 2000-11-28 Chase Medical, Inc. Venous return catheter having multiple helical support members
US6955661B1 (en) * 1999-01-25 2005-10-18 Atrium Medical Corporation Expandable fluoropolymer device for delivery of therapeutic agents and method of making
US6241706B1 (en) * 1999-07-16 2001-06-05 Datascope Investment Corporation Fast response intra-aortic balloon pump
US6350253B1 (en) * 1999-07-19 2002-02-26 I-Flow Corporation Catheter for uniform delivery of medication
US6663613B1 (en) * 2000-01-25 2003-12-16 Bacchus Vascular, Inc. System and methods for clot dissolution
US6485500B1 (en) * 2000-03-21 2002-11-26 Advanced Cardiovascular Systems, Inc. Emboli protection system
EP1267989B1 (en) * 2000-04-05 2006-07-19 Pathway Medical Technologies, Inc. Intralumenal material removal systems and methods
EP1304965A2 (en) 2000-07-31 2003-05-02 Boston Scientific Limited Expandable atherectomy burr
US6491660B2 (en) * 2001-01-23 2002-12-10 Scimed Life Systems, Inc. Frontal infusion system for intravenous burrs
EP1412013A2 (en) * 2001-03-30 2004-04-28 Nanopass Ltd. Inflatable medical device with combination cutting elements and drug delivery conduits
US7666202B2 (en) * 2004-01-07 2010-02-23 Cardiovascular Systems, Inc. Orbital atherectomy device guide wire design
US7959608B2 (en) * 2004-04-27 2011-06-14 The Spectranetics Corporation Thrombectomy and soft debris removal device
US7347853B2 (en) * 2004-05-12 2008-03-25 C. R. Bard, Inc. Catheter with removable extension
GB2426455A (en) 2005-05-26 2006-11-29 Leonid Shturman A rotational atherectomy device with supports on the drive shaft
GB2426456B (en) 2005-05-26 2010-10-27 Leonid Shturman Rotational device with eccentric abrasive element and method of use
GB2426458A (en) 2005-05-26 2006-11-29 Leonid Shturman Atherectomy device
GB0613979D0 (en) * 2006-07-13 2006-08-23 Shturman Leonid Rotational atherectomy device with solid support elements supported by fluid bearings

Also Published As

Publication number Publication date
US20090312777A1 (en) 2009-12-17
WO2008006704A1 (en) 2008-01-17
US20130245654A1 (en) 2013-09-19
GB0712601D0 (en) 2007-08-08
US8157825B2 (en) 2012-04-17
US8454638B2 (en) 2013-06-04
EP2040625B1 (en) 2016-08-10
GB0613979D0 (en) 2006-08-23
AU2007271819A1 (en) 2008-01-17
GB2440223A (en) 2008-01-23
CA2648819C (en) 2011-10-04
EP2040625A1 (en) 2009-04-01
US20120191113A1 (en) 2012-07-26

Similar Documents

Publication Publication Date Title
CA2648819A1 (en) Rotational atherectomy device with solid support elements supported by fluid bearings
WO2008006705A3 (en) Rotational atherectomy device with fluid inflatable support elements supported by fluid bearings
US11123538B2 (en) Catheter pump with drive unit and catheter
US8568432B2 (en) Catheter for aspirating, fragmenting and removing extractable material from blood vessels
GB0712598D0 (en) Rotational device with inflatable support elements and torque transmitting membrane
GB0712599D0 (en) Rotational atherectomy device with fliud inflatable support elements and two torque transmitting coils
US9089634B2 (en) Fluid pump having at least one impeller blade and a support device
DE69734294D1 (en) ECENTRICALLY ROTATING ATHEREKTOMY DEVICE
JP6706611B2 (en) Catheter system and treatment method
US11525476B2 (en) Bearing and medical device
EP3988039A1 (en) High speed cutting bur
WO2009047889A1 (en) Shower device
CN109715092A (en) Medical instrument
KR101027792B1 (en) A propeller for generator
WO2021057588A1 (en) Rotation device, and drive shaft for rotation device
US11589894B2 (en) Medical device
CN217827997U (en) Drilling equipment for orthopedics
JP6630596B2 (en) Suction tube
JP2023166449A (en) Drive shaft with metallic inner layer and polymer jacket
CN115849477A (en) Sewage treatment agent feeding machine
SE1950222A1 (en) Rotary disc filter with means for keeping the filter surface clean

Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed

Effective date: 20220301

MKLA Lapsed

Effective date: 20200831