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EP0379786A2 Expired / Lapsed EP ⏱️ 0.0 years remaining

Atherectomy cutting device with eccentric wire

Assignee: InterVentional Technologies Inc
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Filing: 1989-11-15
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Granted: —
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Expires: 2009-11-15
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Abstract

Abstract An atherectomy cutting device (10) for removing obstructive tissue from the lumen (12) of a body vessel (14) comprises a guide wire (16) positionable in the lumen of the vessel, and a rotatable cutter (18) supported on an eccentric wire (20). The eccentric wire has a distal portion extension (32) establishing a substantially right angle with the eccentric wire and having a ring (34) to permit sliding movement of the eccentric wire and cutter along the guide wire. The extension and eccentric wire also permit manipulative movement of the rotatable cutter in an arc around the guide wire. There is included a dual lumen sheath (30) having a first lumen (36) for supporting the guide wire and a second lumen (38) for supporting the eccentric wire carrying the rotatable cutter. Also included is a method for removing obstructive tissue which involves manipulating the eccentric wire about the guide wire to move the cutter in an arc about the guide wire and this increase the portion of obstructive tissue contacted by the cutter.

Inventors

  • 👤 Andrew F. Farr

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-23 16:35
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/32; A61B17/3205; A61B17/3207; A61B17/320758; A61B17/22; A61B2017/22038

Claims Analysis

Total Claims: 17
Claim 1
Independent Claim 51 words
A device for removing obstructive tissue from the lumen of a body vessel which comprises: a first wire positionable in said lumen; a second wire having a distal end slidably engaged with said first wire; and a rotatable cutter supported by said second wire for movement therewith along said first wire.
Claim 2
Independent Claim 51 words
A device for removing obstructive tissue from the lumen of a body vessel which comprises: a first wire positionable in said lumen; a second wire having a distal end slidably engaged with said first wire; and a rotatable cutter supported by said second wire for movement therewith along said first wire.
Claim 3
Dependent Claim 20 words
A device according to claim 1 further comprising means for moving said cutter in an arc around said first wire.
Claim 4
Dependent Claim 30 words
A device according to claim 1 or 2 further comprising a sheath having a first lumen for supporting said first wire and a second lumen for supporting said second wire.
Claim 5
Dependent Claim 29 words
A device according to claim 1, 2 or 3 wherein said distal end of said second wire is formed with a ring for slidable engagement along said first wire.
Claim 6
Independent Claim 28 words
A device according to any preceding claim wherein said distal end of said second wire is bent to establish an extension oriented substantially perpendicular to said first wire.
Claim 7
Independent Claim 87 words
An apparatus for operably positioning an atherectomy cutter against obstructive tissue in the lumen of a body vessel to remove clippings of the vessel which comprises: an eccentric wire for supporting said cutter, said eccentric wire having a proximal end and a distal end; an extension attached to said distal end to establish a substantially right angle with said eccentric wire; a ring attached to said extension; and a guide wire positioned in said ring to permit sliding movement of said eccentric wire along said guide wire.
Claim 8
Independent Claim 87 words
An apparatus for operably positioning an atherectomy cutter against obstructive tissue in the lumen of a body vessel to remove clippings of the vessel which comprises: an eccentric wire for supporting said cutter, said eccentric wire having a proximal end and a distal end; an extension attached to said distal end to establish a substantially right angle with said eccentric wire; a ring attached to said extension; and a guide wire positioned in said ring to permit sliding movement of said eccentric wire along said guide wire.
Claim 9
Dependent Claim 20 words
An apparatus according to claim 6 further comprising means for moving said cutter in an arc around said guide wire.
Claim 10
Dependent Claim 17 words
An apparatus according to claim 6 or 7 wherein said extension is integral with said eccentric wire.
Claim 11
Dependent Claim 31 words
An apparatus according to claim 6, 7 or 8 further comprising a sheath having a first lumen for supporting said guide wire and a second lumen for supporting said eccentric wire.
Claim 12
Independent Claim 29 words
An apparatus according to any of claims 6 to 9 further comprising torque means positioned over said eccentric wire and fixedly attached to said cutter for rotating said cutter.
Claim 13
Dependent Claim 14 words
An apparatus according to claim 10 wherein said torque means comprises a hollow tube.
Claim 14
Dependent Claim 28 words
An apparatus according to claim 10 or 11 further comprising suction means operatively connected to said torque means for removing clippings from the artery through said torque means.
Claim 15
Independent Claim 16 words
An apparatus according to any of claims 6 to 12 wherein said guide wire is steerable.
Claim 16
Independent Claim 122 words
A method for removing obstructive matter from a vessel, not being a vessel in a human or animal body, which method comprises the steps of: Inserting a first wire into the vessel across the obstructive matter; Engaging an end of a second wire with said first wire for sliding movement of said end along said first wire; Positioning a cutter on said second wire for movement of said cutter with said second wire along said first wire to bring said cutter into contact with the obstructive matter; Rotating said cutter to cut the obstructive matter; and Manipulating said second wire to move said cutter in an arc about said first wire to increase the portion of obstructive matter contacted by said cutter.
Claim 17
Independent Claim 122 words
A method for removing obstructive matter from a vessel, not being a vessel in a human or animal body, which method comprises the steps of: Inserting a first wire into the vessel across the obstructive matter; Engaging an end of a second wire with said first wire for sliding movement of said end along said first wire; Positioning a cutter on said second wire for movement of said cutter with said second wire along said first wire to bring said cutter into contact with the obstructive matter; Rotating said cutter to cut the obstructive matter; and Manipulating said second wire to move said cutter in an arc about said first wire to increase the portion of obstructive matter contacted by said cutter.

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