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EP0472368B1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Ablation catheter

Assignee: Cook Research Inc
•
Filing: 1991-08-15
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Granted: 1995-06-28
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Expires: 2011-08-15
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Abstract

Abstract An ablation catheter is provided with an elongated member or shaft (110) and a plurality of helically-shaped cutting wires (104) atached to the shaft to form a cutting basket (150). Each of the cutting wires has a section formed as a circumferentially subscribing arc (105) and together the wires present a circumferential cutting area of an essentially cylindrical configuration. Each of the wires (104) comprises a first curved or straight section (123) extending from the distal end of shaft (110) to a discontinuity such as a corner or kink (125). Obstructing matter on the inner surface of a vessel cavity, such as a blood vessel or the like, is separated from the surface as the catheter is moved through the vessel. The catheter may be inserted in a vessel in a standard fashion using a wire guide (102) which extends through a longitudinal passageway in the shaft and a hub (103) interconnecting the basket wire. The shaft and basket together may be contained in an outer sheath to facilitate insertion. The outer sheath with the basket in a collapsed state in the outer sheath may be readily moved past an obstruction, and the sheath withdrawn to allow the basket to expand and come in contact with the interior surface of the vessel cavity. The proximal ends of the cutting wires extend from the shaft through a vibratory transducer, and the distal ends are connected together by a hub. Electrical current is applied to electrical terminals connected to the cutting wires at the proximal end of the shaft to heat the wires to facilitate separating obstructing matter from a vessel surface. Futhermore, the vibration transducer vibrates the cutting wires to further aid in separating plaque and obstructions from soft tissue such as the intima layer of the wall of a blood vessel.

Inventors

  • 👤 Neal Edward Fearnot

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-23 13:10
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/22; A61B17/221; A61B17/22004; A61B17/22012; A61B17/2202; A61B18/00; A61B18/04; A61B18/08; A61B18/10; A61B2017/22021; A61B2017/22038; A61B2017/2212; A61B2018/00053; A61B2018/00059; A61B2018/00071; A61B2018/00077; A61B2018/00107; A61B2018/00148; A61B2018/00636; A61B2018/00642; A61F; A61F2/00; A61F2/01; A61F2/013

Claims Analysis

Total Claims: 11
Claim 1
Independent Claim 159 words
An ablation catheter for use in a body cavity, such as a blood vessel, or other vessel, or duct of a patient, said catheter comprising an elongated member (110), at least one wire (104) with the proximal end thereof extending from the distal end of the elongated member and extending to a wire interconnection arrangement (103) at the distal end of the wire, the wire having a helically shaped section (105) which when expanded and moved within the said cavity serves to engage and move along the internal surface of the body cavity in order to remove tissue and/or obstructions therefrom, CHARACTERISED IN THAT the wire has at least one discontinuity (125) from which the wire extends laterally to form the said helically shaped section with respect to the axis of the elongated member, and to impart an outward component to the said section in order to increase the peripheral contact of the wire with the said internal surface:
Claim 2
Dependent Claim 55 words
A catheter according to claim 1, wherein a plurality of wires each similar to the first mentioned wire, extend between the distal end of the elongated member and the wire interconnection arrangement, and wherein each of the wires has an arcuately shaped section, the plurality of arcuated shaped sections collectively forming the helically shaped section.
Claim 3
Dependent Claim 35 words
A catheter according to claim 1 or 2, wherein each wire has a second discontinuity with the part of the wire between the said one and second discontinuities in contact with the said internal surface.
Claim 4
Dependent Claim 27 words
A catheter according to claim 2, wherein the arcuately shaped sections are in overlapping relationship in order to permit expansion and to maintain the said peripheral contact.
Claim 5
Dependent Claim 39 words
A catheter according to claim 4, characterised in that the said angle is in the region of less than 90°, with each said part forming the helically shaped section substantially transverse to the longitudinal axis of the said member.
Claim 6
Dependent Claim 64 words
A catheter according to claim 2, wherein the plurality of wires are in the form of a wire cage, and wherein means (160,166) are provided for controlling the expansion of the cage, said means being mechanically coupled to the elongated member and the interconnection arrangement, whereby the distance between the distal end of the elongated member and the interconnection arrangement can be controllably varied.
Claim 7
Dependent Claim 40 words
A catheter according to any one preceding claim, wherein the elongated member includes a hollow passageway (111) therein for insertion of a wire guide (102), and wherein the wire guide can extend through or be fixed to the interconnection arrangement.
Claim 8
Dependent Claim 28 words
A catheter according to any one preceding claim, wherein each wire is electrically conductive and connected so that it can be heated to facilitate removal of said tissue.
Claim 9
Dependent Claim 25 words
A catheter according to any one preceding claim, wherein vibratory means (101) is provided in contact with each wire (104) to impart vibratory motion thereto.
Claim 10
Dependent Claim 36 words
A catheter according to any one preceding claim, further comprising an outer sheath (140) having a longitudinal passageway therethrough for containing the elongated member and the wire cage during insertion of the latter into the cavity.
Claim 11
Dependent Claim 37 words
A catheter according to any one preceding claim as appendant to claim 2, wherein a collapsible net (202) is attached to the cage to collect tissue when removed from the cavity by the wires of the cage.

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