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 PDFInfo
- 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
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3203—Fluid jet cutting instruments
- A61B17/32037—Fluid 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.
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)
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 |
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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 |
-
2006
- 2006-07-13 GB GBGB0613979.4A patent/GB0613979D0/en not_active Ceased
-
2007
- 2007-06-28 US US12/373,461 patent/US8157825B2/en active Active
- 2007-06-28 CA CA2648819A patent/CA2648819C/en not_active Expired - Fee Related
- 2007-06-28 WO PCT/EP2007/056499 patent/WO2008006704A1/en active Application Filing
- 2007-06-28 EP EP07765711.2A patent/EP2040625B1/en not_active Not-in-force
- 2007-06-28 AU AU2007271819A patent/AU2007271819A1/en not_active Abandoned
- 2007-06-28 GB GB0712601A patent/GB2440223A/en not_active Withdrawn
-
2012
- 2012-04-03 US US13/438,282 patent/US8454638B2/en not_active Expired - Fee Related
-
2013
- 2013-05-02 US US13/875,632 patent/US20130245654A1/en not_active Abandoned
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 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
MKLA | Lapsed |
Effective date: 20220301 |
|
MKLA | Lapsed |
Effective date: 20200831 |