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Blood vessel, duct or teat cutter, scrapper or abrader

Subclass of:

606 - Surgery

606001000 - INSTRUMENTS

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DocumentTitleDate
20110208222System and Method for the Treatment of Occluded Vessels - A system for treating an occlusive region of a blood vessel comprises: a catheter outer tube forming a lumen for inflation of a centering balloon; a catheter inner tube lined with either internal spiral threads or point slots to assist controlled guidewire movement; and a rotatable guidewire that may be solid or hollow. The guidewire comprises a rotatable body and a proximal shaft. The rotatable body has two components: a distal rotating head and a proximal rotating shaft, wherein these components are of equal length and the rotating shaft resides within the proximal shaft. Linear force applied to the proximal shaft will result in the rotational guidewire tip puncturing cutting through an occlusion. In an alternative embodiment, the guidewire rotatable body comprises two mechanical rings and a compression spring, wherein when the spring is released via depression of a button, the guidewire tip drills through an occlusion.08-25-2011
20130085515ATHERECTOMY DEVICES AND METHODS - The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.04-04-2013
20130085514ROTATING OCCLUSION TREATMENT SYSTEM - An occlusion treatment device for the treatment of a body lumen that is at least partially blocked by an occlusion. The occlusion treatment device includes a catheter and a debriding mechanism that is configured and dimensioned for axial movement through the catheter and is extendable beyond a distal end of the catheter. The debriding mechanism includes a head assembly with a debriding tip having an outer surface with at least one aperture formed therein, wherein at least one of the apertures is complemented by a corresponding debriding member that extends outwardly from the outer surface of the debriding tip and directs debris from the occlusion through the at least one aperture to facilitate removal of the debris from the lumen. The debriding mechanism is rotatable to effect debriding of the occlusion.04-04-2013
20090192537Cutting Balloon Catheter Having Increased Flexibility Regions - A cutting balloon catheter and method of using the same. The cutting balloon catheter may include a catheter shaft having a balloon coupled thereto. One or more cutting members or blades may be coupled to the balloon. The balloon may include one or more discrete points or areas of flexibility to enhance flexibility of the cutting balloon catheter. A break in the one or more cutting members may be aligned with the one or more discrete points of flexibility in the balloon.07-30-2009
20110196397MEDICAL DEVICE WITH A GUIDEWIRE FOR PENETRATING OCCLUSIONS - A medical device includes an outer catheter having a longitudinal axis, a movable device that can pass through the catheter and is movable along the longitudinal axis relative to the catheter, and a magnetic drive engine toward a distal end of the catheter. The magnetic drive engine includes at least two components with respective magnetic field-generating coils and magnets, that move relative to one another. One of the two components is coupled to the movable device for driving vibratory motion in the movable device along the longitudinal axis. An exemplary movable device is a guidewire over which the catheter is fed. The device typically includes a second catheter threaded inside the first catheter. The first or outer catheter shields the magnetic engine and its moving components.08-11-2011
20110196396DEVICE FOR RECANALIZATION OF VESSEL OCCLUSIONS USING GUIDE WIRE AND METHOD OF USE - An attachment mechanism and method for attaching or coupling a guide wire to a catheter for re-canalization or opening a passage through an occlusion in a blood vessel is provided. The attachment mechanism generates friction forces against the guide wire to couple the guide wire to a catheter, which design permits a greater force to be used on the guide wire during a re-canalization procedure. The invention also encompasses use of the attachment mechanism in conjunction with active catheters, which have vibration-generating means to oscillate the distal end of the catheter or a component in the distal end of the catheter, to add vibration motion, preferably axial vibration motion, to the increased force that may be applied to the guide wire for purposes of penetrating an occlusion. The methods of the invention relate to methods of attaching the guide wire to the catheter and methods of treating a vessel having a partial or total occlusion.08-11-2011
20110196395Method for displaying an image of the inside of a vessel lying in front of an expander device and display device corresponding hereto - A guide wire featuring a tip is introduced into a vessel. An expander tool featuring a tip is introduced by pushing it over the guide wire into the vessel. For the expander tool introduced into the vessel at least one image is output to the operator of the expander tool via a viewing device. The image is a representation of the area of the inside of the vessel which, seen in a local direction of advance of the expander tool, lies directly in front of the tip of the expander tool. The image is determined on the basis of at least one image dataset which was acquired by at least one sensor. The at least one sensor is arranged at the tip of the guide wire or on the expander tool behind its tip.08-11-2011
20130211433Endoscopic Vessel Dissector With Side Entry - A blunt dissector for endoscopic vein harvesting has a generally-cylindrical sheath for retaining an elongated endoscope. The sheath is elongated between a distal end and a proximal end. A transparent tip is disposed at the distal end of the sheath.08-15-2013
20100114135Devices and methods for temporarily opening a blood vessel - A device for temporarily opening a blood vessel is provided. The device has an expandable cage mounted over a shaft having a lumen. The lumen has a distal end, which extends beyond the distal end of the cage so that the lumen provides access to the vasculature distal to the obstruction.05-06-2010
20120245608BALLOON CATHETER SYSTEM FOR TREATING VASCULAR OCCLUSIONS - The present invention provides a balloon catheter comprising: 09-27-2012
20120245607METHOD AND SYSTEM FOR TREATING VALVE STENOSIS - A valvuloplasty catheter comprises a balloon or other expansible shell which carries a plurality of scoring elements, typically formed in an elastic, self-closing metal cage. The expansible shell and scoring elements are positioned inside an aortic or other cardiac valve, and the shell expanded to engage the scoring elements against stenotic material which covers the valve leaflets and valve annulus. The scoring elements uniformly distributed force to break up the stenotic material, and the cage further contributes to rapid balloon deflation allowing shortening of the treatment time.09-27-2012
20090018565Atherectomy devices, systems, and methods - The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.01-15-2009
20130041391EXPANDABLE SCAFFOLD WITH CUTTING ELEMENTS MOUNTED THERETO - A medical device assembly for incising a stenosis in a blood vessel which includes an incising device, a tubular sheath, and a catheter having an inflatable balloon mounted thereon. The incising device includes a self-expanding scaffold having a plurality of cutting elements projecting radially outward therefrom, and an elongate member extending proximally from the self-expanding scaffold to be manipulated by a user. The self-expanding scaffold is positionable in the lumen of the sheath in a contracted configuration and deployed out of the lumen of the sheath to permit the self-expanding scaffold to expand to an expanded configuration. The inflatable balloon of the catheter is configured to be advanced distally into an interior of the self-expanding scaffold through a proximal opening of the self-expanding scaffold, and inflation of the inflatable balloon urges the cutting elements radially outward to incise a stenosis.02-14-2013
20130138128CATHETER SYSTEM AND METHOD FOR BORING THROUGH BLOCKED VASCULAR PASSAGES - A rotating cutting head catheter for passage through chronic total occlusions or other refractory atherosclerotic plaque from diseased arteries is disclosed. The catheter's rotating cutting head is designed to reside safely within an outer protective sheath when not in use. The outer protective sheath contains one or more helical grooves or slots, and the cutting head contains protruding blades or projections that fit into these helical grooves or slots. Application of torque to an inner catheter or wire attached to the cutting head applies spin to the cutting head, and the force of the sheath's helical grooves or slots against the cutting head's protruding blades or projections advances the cutting head outward from the protective sheath. Once extended, the cutting head may now rotate freely. The device may use a guidewire to direct the cutting head to the desired position.05-30-2013
20100042121PRE-ANGIOPLASTY SERRATION OF ATHEROSCLEROTIC PLAQUE ENABLING LOW-PRESSURE BALLOON ANGIOPLASTY AND AVOIDANCE OF STENTING - A device and method for intravascular treatment of atherosclerotic plaque prior to balloon angioplasty which microperforates the plaque with small sharp spikes acting as serrations for forming cleavage lines or planes in the plaque. The spikes may also be used to transport medication into the plaque. The plaque preparation treatment enables subsequent angioplasty to be performed at low balloon pressures of about 4 atmospheres or less, reduces dissections, and avoids injury to the arterial wall. The subsequent angioplasty may be performed with a drug-eluting balloon (DEB) or drug-coated balloon (DCB). The pre-angioplasty perforation procedure enables more drug to be absorbed during DEB or DCB angioplasty, and makes the need for a stent less likely. Alternatively, any local incidence of plaque dissection after balloon angioplasty may be treated by applying a thin, ring-shaped tack at the dissection site only, rather than applying a stent over the overall plaque site.02-18-2010
20120184978Systems and Methods for Remote Endarterectomy - Systems and methods for remote endarterectomy are disclosed. In an embodiment, a device for remote endarterectomy includes an elongated member, having a proximal end, a distal end, and a longitudinal axis therebetween; an endarterectomy unit at the distal end of the elongated member formed by a first member engaged to a second member in a substantial secure alignment with the second member, wherein the endarterectomy unit has a circumferential enclosure configured to separate a plaque core from a blood vessel and an open region surrounded by the enclosure and configured to receive the separated plaque core therethrough; and an actuator coupled to the proximal end of the elongated member for translating the first member relative to the second member across the open space to transect the plaque core received in the open space.07-19-2012
20120184977Device and Method for Crossing Occlusions - A catheter for crossing occlusions in vessels of a patient. The catheter has a main longitudinal axis, and includes: at least one open-bore type lumen with a distal end and a proximal end, interconnected by a main longitudinal axis, substantially parallel to the main longitudinal axis of the catheter; at least one guide-wire, accommodated within the lumen, reciprocally maneuvered along and around the main longitudinal axis of the lumen; at least one effecter having a distal end and a proximal end, the effecter having at least one active configuration and at least one inactive configuration, the proximal end of the effecter defines, in the active configuration, a volume throughout which the guide-wire penetrates the intima to perform reentry.07-19-2012
20090125044Treatment of Coronary Stenosis - The invention describes includes a device and method for dilating a coronary arterial stenosis and for creating a transection in the myocardium. The transection creates a new artery composed partially of the old artery and partially of the normal healing tissue and myocardium. Several dilating means are described, as well as several cutting means and alignment means by which the cutting means may be located and properly oriented. In operation, the dilating means, cutting means and alignment means are advanced in the distal end of a catheter, which may be guided into position by a guidewire.05-14-2009
20100094320Atherectomy and Thrombectomy Devices, Methods for Making, and Procedures for Using - Embodiments are directed to devices for removing material from interior walls of vessels such as during atherectomy or thrombectomy procedures where the devices includes an ablation tool and at least one ablation tool stabilizer that can be used to radially position the ablation tool at desired locations within a vessel. In some embodiments, the ablation tool may a rotary cutting element that has an axis of rotation that is approximately parallel to the local axis of a vessel to be cleared. In some embodiments, the ablation tool may have a single side and or a top that allows clearing of material and which is capable of both radial positioning and rotational positioning via the stabilization device or devices and which may also be capable of axial motion via the stabilization device.04-15-2010
20090306691CUTTING AND CORING ATHERECTOMY DEVICE AND METHOD - The invention provides a rotational and/or axially translatable atherectomy system, device and method comprising a flexible, elongated drive shaft or catheter comprising an expandable and collapsible conical coil with a cutting edge on the coil's large diameter proximal end. When retracted, the coil's sections are collapsed around each other, held together in the retracted position by a sheath that, when distally retracted, allows the coil to automatically expand. The coil is expanded at a point distal to the occlusion, then pulled proximally to cut the occluding material near the lumen wall. The proximal pulling force may be combined with low-speed rotation and/or translation and/or axial vibration at low to ultrasonic frequency.12-10-2009
20090306690ABRASIVE NOSE CONE WITH EXPANDABLE CUTTING AND SANDING REGION FOR ROTATIONAL ATHERECTOMY DEVICE - An rotational atherectomy apparatus for abrading tissue, comprising: a flexible, elongated, rotatable drive shaft having a proximal end and a distal end opposite the proximal end; a nose cone operatively attached proximate the distal end of the drive shaft comprising a distal tapered section and a plurality of elongate, flexible members adjacent to the distal tapered section of the drive shaft, each member in the plurality being fixed at both a proximal end and a distal end opposite the proximal end; a proximal mount rotatable with the drive shaft and fixedly connected to the proximal ends of all the flexible members in the plurality; and a distal mount axially separated from the proximal mount and fixedly connected to the distal ends of all the flexible members in the plurality. When the axial separation of the proximal and distal mounts is reduced by pulling the distal tapered section proximally, each member in the plurality bows outward from the drive shaft and expands radially in an at least partially elliptical profile.12-10-2009
20090306689BIDIRECTIONAL EXPANDABLE HEAD FOR ROTATIONAL ATHERECTOMY DEVICE - A rotational atherectomy device that includes an expandable head that can clean a blockage from vessel larger than its rest diameter, in which the drive shaft may rotate in two opposite directions and may have different abrasive characteristics for each rotation direction. In one direction, the head may be configured for cutting and/or slicing, which may be well suited to removing particularly soft blockage material. In the other direction, the head may be configured for grinding, scraping and/or sanding, which may be well suited to removing particularly hard blockage material. The head includes one or more arms that are pivotally or hingedly attached to the drive shaft. One or more abrasive elements are disposed on or are attached to the one or more arms. The abrasive elements have a cutting feature, such as a sharpened edge that cuts like a razor blade when the drive shaft is rotated in the “cutting” direction. The abrasive elements also have a grinding feature, such as an abrasive material disposed on the abrasive element adjacent to the sharpened edge, which grinds away a blockage when the drive shaft is rotated in the “grinding” direction.12-10-2009
20100274270GUIDEWIRE SUPPORT CATHETER - Described herein are guidewire positioning and support devices, method for using them, method of treating a subject using them, and systems including such guidewire positioning and support devices. These devices typically include a rotatable distal tip region that may include one or more wedges. The wedges may be extendable from the rotatable distal tip. The distal end of the device may be steerable, and may be steered while still rotating the distal end of the device. The wedges (which may include sharp forward-cutting blades and blunt lateral portions) can be extended from the distal housing and locked in any position (extended, partially extended or retracted) and rotated clockwise and/or counterclockwise while locked in a retracted, extended or partially extended position. The distal region of the device may also be controllable steered from the proximal end of the device. Systems including these guidewire support catheters are also described, as are method of using them, including methods of treating chronic total occlusions.10-28-2010
20090093829Chronic total occlusion (CTO) removal device - There is disclosed a device for removing chronic total occlusions (CTO) from blood vessels or other body lumens. In one embodiment the device has a loop at a distal end connected by a shaft to a proximal end. The shaft is provided inside a catheter that has an opening at the distal end and a handle at the proximal end. By manipulating the position of the loop relative to the opening, the effective stiffness of the loop may be changed. This allows a physician to vary the loop stiffness so as to be appropriate with regard to the toughness of a CTO (some CTOs have a relatively tough exterior but a relatively soft interior). The loop may have a single turn or may comprise two or more turns.04-09-2009
20130060270ATHERECTOMY DEVICE - A device for modifying a body lumen of a mammal in need thereof is provided, comprising a helically-cut tube comprising cutting teeth, said helically-cut tube substantially coaxial with the longitudinal axis of said device, a ramp wire that is displaced from the longitudinal axis of said device over at least a portion of said ramp wire and is enclosed by said helically-cut tube over at least a part of the length of said ramp wire, a drive rod wherein the broach may be moved proximally, distally, and/or radially via proximal, distal, and radial motions, respectively, of the drive rod. Also provided are methods for using the device.03-07-2013
20130060269THROMBUS PENETRATING DEVICES, SYSTEMS, AND METHODS - A device for penetrating occlusive material in a body lumen is provided that may include an outer tube, an intermediate tube, and an inner tube. At least a portion of the intermediate tube may be moveably disposed within the outer tube. At least a portion of the inner tube may be moveably disposed within the intermediate tube. A first dynamic member may be operably connected to the intermediate tube and the inner tube. The first dynamic member may be configured to penetrate the occlusive material and to anchor the first dynamic member within the occlusive material. A second dynamic member may be operably connected to the outer tube and the intermediate tube. The second dynamic member may be configured to penetrate the occlusive material and to anchor the second dynamic member within the occlusive material and to support movement of the first dynamic member.03-07-2013
20120191113ATHERECTOMY DEVICE SUPPORTED BY FLUID BEARINGS - A rotational atherectomy device for removing a stenotic tissue (07-26-2012
20090299394METHODS AND DEVICES FOR CUTTING TISSUE - A method of removing material from a blood flow lumen generally includes providing a device having a cutting element and an opening, advancing the device through the blood flow lumen to a site where material is to be removed, forcing the opening toward a wall of the site where material is to be removed, and moving the cutting element and the opening so that material in the blood flow lumen is cut by the cutting element and directed into the opening for removal as the cutting element and opening are moved through the blood flow lumen. In some embodiments, the device may be deflected or bent to force the opening toward a wall to remove material. The cutting element may be rotatable and may have an axis that is movable, that is not parallel to the longitudinal axis of the device, or both.12-03-2009
20090270890Methods and apparatus for crossing occlusions in blood vessels - Exemplary embodiments of the present disclosure are directed to a device for facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The device includes an intravascular device including a shaft having a distal end and a proximal end. The device further includes a handle assembly fixed about the proximal end of the shaft, the handle assembly including a first portion. Further rotation of the first portion in a first direction about a longitudinal axis of the shaft causes rotation of the shaft in the first direction when a torque applied by the first portion to the shaft is below a first maximum torque. Still further, rotation of the first portion in the first direction about a longitudinal axis of the shaft does not cause rotation of the shaft in the first direction when the torque applied by the first portion to the shaft is equal to or above the first maximum torque.10-29-2009
20090270889Vascular Treatment Device - A vascular treatment device may include (1) a handle having a motor, a trigger, and a male coupling, and (2) a cartridge, engageable to the handle, having a female coupling, a wire, and a sheath fixed to the cartridge. When the female coupling is not engaged to the male coupling, the sheath may cover the distal end of the wire, allowing safe advancement of the device into the patient's vasculature, and when the female coupling is engaged by the male coupling, the distal end of the wire may be exposed from the sheath and used.10-29-2009
20120226298CUTTING BLADE FOR MEDICAL DEVICES - An athertome assembly comprises a series of spanning and descending members extended between a segmented base and a cutting surface. This athertome assembly configuration provides both flexibility and structural strength which faciliates the implantation of medical devices.09-06-2012
20120226297HAND-HELD VEIN REMOVAL DEVICE - A vein removal device includes a housing, a blade element disposed at least partially within the housing, and a hook element disposed at least partially within the housing. A cutting edge of the blade element is selectively exposed for making an incision in a patient. The blade element is disposed at one end of the housing and the hook element may be disposed at an opposite end of the housing. The blade element may be selectively exposed via actuation of a first user input that imparts a movement of the blade element relative to the housing and towards an extended position where the cutting edge of the blade element is exposed. The blade element may be biased toward the extended position via a biasing element, which may urge the blade element toward the extended position responsive to actuation of the first user input.09-06-2012
20130066347METHOD AND APPARATUS FOR INCREASING BLOOD FLOW THROUGH AN OBSTRUCTED BLOOD VESSEL - A method of increasing blood flow through an obstructed blood vessel includes providing an expandable member substantially made of a mesh having a plurality of interstices. The expandable member is inserted into the blood vessel, positioned within the blood vessel with the proximal member end upstream of the distal member end and the member body located radially adjacent at least a portion of an obstruction, and expanded to bring at least a portion of the member body into contact with the obstruction. An outward radial force is exerted on the obstruction to dislodge at least one fragment from the obstruction and to enhance blood flow through the blood vessel past the obstruction. The at least one fragment is passed through at least one interstice of the member body in the radial direction, and is selectively retained within the expandable member.03-14-2013
20130066345SYSTEM AND METHOD FOR DILATING AND ADJUSTING FLEXIBILITY IN A GUIDING DEVICE - This disclosure is directed to systems and methods for providing a guiding device having a dilatable, drilling tip. The tip is formed by wound helical members such that resistance to rotation in an unwinding direction dilates the tip. The helical members are configured so that the dilatable tip increases in stiffness when the helical members are tensioned by a resistance to rotation in the winding direction. In some embodiments, application of relative force between coaxial inner and outer tubular members is used to control the dilation, stiffness and drilling of the guiding member.03-14-2013
20130066346Intravascular Catheter Having An Expandable Incising Portion - An intravascular catheter device is provided for use during a surgical procedure. The catheter device includes a catheter tube having an expandable portion with a plurality of struts each defining an outer surface. The expandable portion is operable between a closed position, wherein the expandable portion has a first diameter, and an opened position, wherein the expandable portion has a second diameter that is larger than the first diameter. An incising element is provided on the outer surface of at least one of the struts. The incising element has a blade that extends outwardly in a radial direction from the outer surface of the strut for creating an incision in atherosclerotic material located within a blood vessel when the expandable portion is in the opened position.03-14-2013
20130066348METHOD AND APPARATUS FOR INCREASING BLOOD FLOW THROUGH AN OBSTRUCTED BLOOD VESSEL - A method of increasing blood flow through an obstructed blood vessel includes providing an expandable member substantially made of a mesh having a plurality of interstices. The expandable member is inserted into the blood vessel, positioned within the blood vessel with the proximal member end upstream of the distal member end and the member body located radially adjacent at least a portion of an obstruction, and expanded to bring at least a portion of the member body into contact with the obstruction. An outward radial force is exerted on the obstruction to dislodge at least one fragment from the obstruction and to enhance blood flow through the blood vessel past the obstruction. The at least one fragment is passed through at least one interstice of the member body in the radial direction, and is selectively retained within the expandable member.03-14-2013
20120116431Rotational Atherectomy Device with Distal Protection Capability and Method of Use - A rotational device for removing a stenotic lesion from within a vessel of a patient is disclosed. The device comprises a flexible hollow drive shaft having a distal end insertable into the vessel and an abrasive element located on the drive shaft proximal to the distal end of the drive shaft to abrade a stenotic lesion when the drive shaft rotates. The hollow drive shaft defines a lumen for fluid supplied into the drive shaft to flow in an antegrade direction along the lumen and into the vessel from the drive shaft distal to the abrasive element so that the fluid entering the vessel flows in a retrograde direction over the abrasive element and the drive shaft to entrain debris abraded by the abrasive element for removal of said debris from the patient.05-10-2012
20120116430CATHETER HAVING AN ARRANGEMENT FOR REMOVING AN OCCLUDING OBJECT - Exemplary embodiments of the present disclosure can provide a catheter which can include a removal mechanism which can excavate a tubular-organ occluding object. For example, the exemplary catheter can include: a sheath portion which can have a elongated lumen insertable into a tubular-organ. The catheter can further include an insertion member which can have a second elongated lumen which can be arranged free, slidably, and rotatably with respect to the lumen of the sheath portion. The catheter can also include a removal mechanism configured to remove a occluding object of the tubular-organ. The removal mechanism can include a support portion arranged at a distal portion of the insertion member and a plurality of rotating arrangements having at least one blade edge configured to excavate the occluding object. The support portion can have an axis of rotation that intersects an axis of extension of the insertion member.05-10-2012
20120116429ROTATIONAL THROMBECTOMY WIRE - A rotational thrombectomy wire for breaking up vascular thrombus or other obstructive material having a core having a proximal region and a distal region and being rotatable by a motor. The distal region has a smaller diameter than the proximal region. A cable is coupled to the distal region of the core and extends distally thereof. A torque tube is positioned over the cable and a coil is positioned over a distal portion of the cable. A distal portion of the cable has a non-linear configuration. A first covering material is positioned over the coil.05-10-2012
20130165958INTRAVASCULAR DEVICE - An intravascular device can comprise a carrier and an expansion apparatus. The device can be used for intravascular treatment of atherosclerotic plaque. The carrier can be reversibly expandable and collapsible within a vessel and can have ribbon strips extending between opposite ends in a longitudinal direction of the carrier. The ribbon strips can each be formed with a plurality of elongated protrusions thereon. The expansion apparatus can be used to actuate the ribbon strips each with the plurality elongated protrusions to pierce a luminal surface of the plaque with lines or patterns of microperforations which act as serrations for forming cleavage lines or planes in the plaque.06-27-2013
20090012549EQUIPMENT FOR VARICOSIS TREATMENT - A long member 01-08-2009
20090012548Cleaning apparatus and method for high-speed rotational atherectomy devices - Apparatus and method for maximizing efficiency of tissue removal from body passageways is provided. A rotational atherectomy device comprises, inter alia, an elongated, flexible and rotatable drive shaft with an enlarged cutting surface disposed thereon, guide wire and catheter. The distal end of catheter may have a cutting surface cleaner, either attached thereto or integrated therein. The cleaner may be outwardly radially flexible and biased against the drive shaft. The cleaner may be opened to accommodate the enlarged cutting surface for cleaning particles trapped therein as a consequence of abrading as it is either advanced distally over the drive shaft and/or the drive shaft is retracted proximally toward the cleaner to accommodate the diameter of the enlarged cutting section. The cleaner comprises an inner surface having an abrasive surface for mechanically scraping and dislodging material trapped in the enlarged cutting head tissue removing surface.01-08-2009
20100087844MECHANICAL THROMBECTOMY DEVICE - A medical device for removing a thrombus from a blood vessel and a process thereof is presented. The device comprises an outer sheath with a plurality of lumens. A wire guide inserted through one of the lumens is used to place the device proximate to a thrombus. A chemical lysin agent is used to at least partially lyse the thrombus. A wire basket extended through the first lumen proximate to the thrombus is translated back and forth to generate a force that may be transmitted to the partially lysed thrombus assisting in the formation of smaller fragments. A vacuum coupled to the distal end of the second lumen is used to remove the lysed thrombus fragments.04-08-2010
20080294181Clot capture coil - A clot and foreign body removal device is described which comprises a catheter with at least one lumen. Located within the catheter is a clot capture coil that is connected to an insertion mandrel. In one embodiment, the clot capture coil is made out of a solid elastic or superelastic material which has shape memory, preferably nitinol. The elasticity or superelasticity of the coil allows it to be deformed within the catheter and to then reform its original coil configuration when the coil is moved outside of the catheter lumen. In another embodiment the coil is a biphasic coil which changes shape upon heating or passing an electric current. Once the coil configuration has been established, the coil can be used to ensnare and corkscrew a clot in a vessel. A clot is extracted from the vessel by moving the clot capture coil and catheter proximally until the clot can be removed or released into a different vessel that does not perfuse a critical organ. Foreign bodies are similarly captured by deploying the coil distal to the foreign body and moving the clot capture coil proximally until the foreign body is trapped within the coil. By removing the device from the body, the foreign material is also removed.11-27-2008
20090182359Rotational Atherectomy Device And Method Of Use - A rotational device for removing an occlusion from inside a tubular structure, the device comprising a flexible drive shaft for insertion into a tubular structure and an abrasive element on the drive shaft to abrade an occlusion when the drive shaft rotates. The device includes a solid support element on the drive shaft configured so that, when the device is being used to remove an occlusion from an inner surface of a curved section of the tubular structure, the abrasive element is biased toward the inner surface by the solid support element.07-16-2009
20110282371METHODS AFFECTING MARKERS IN PATIENTS HAVING VASCULAR DISEASE - Marker levels and forms can be modulated in patients having vascular disease when sufficient vascular tissue is removed. The markers can be, e.g., from tissue, blood or lymph. The markers are typically involved in molecular pathways which are in turn modulated. Atherectomy catheters are used for accomplishing sufficient removal of vascular tissue to effect the modulations.11-17-2011
20110282369APPARATUS AND METHODS FOR ACCESSING AND REMOVING MATERIAL FROM BODY LUMENS - Apparatus are provided for accessing and/or removing material from a body lumen. The apparatus includes a tubular sheath including a shaft having a proximal end and an expandable distal end that is expandable between a collapsed configuration and an expanded, tapered configuration. In one embodiment, the expandable member include inner and outer membranes attached together and to the shaft. Optionally, the inner membrane may include a reinforcement layer and/or the outer membrane may have a longer chord length than the inner membrane, to enhance the expandable member expanding such that a distal opening is defined by the expandable member having s a relatively large diameter tapering proximally to a lumen of the shaft. Optionally, the apparatus may include a dilator and/or one or more treatment devices receivable in the lumen of the shaft.11-17-2011
20110282368Fistula Repair Device with Extendable Barbs and Therapeutic Cell Delivery - A fistula repair system includes a debriding member that may be inserted into a fistula to debride the fistula wall. The debriding member may include a plurality of selectively extendable barbs. The barbs may be hollow to deliver a medical fluid within the fistula. The debriding member may also include a plurality of openings configured to communicate the medical fluid within the fistula. The barbs may extend through the openings. The openings may include associated protrusions that are configured to debride the fistula wall. The medical fluid may include a slurry of tissue and a scaffold material. The tissue in the slurry may comprise minced tissue that was harvested from the patient afflicted with the fistula. A balloon may be used to at least temporarily seal one end of the fistula. An RF probe or mechanical hook member may be used to seal the other end of the fistula.11-17-2011
20110282370ROTATIONAL THROMBECTOMY WIRE - A rotational thrombectomy wire for breaking up vascular thrombus or other obstructive material having a core having a proximal portion and a distal portion. The distal portion has a smaller diameter than the proximal portion. A cable extends distally of the core. The cable has a first covering material positioned external thereof. A first coil is attached to a distal portion of the cable and has a diameter larger than a diameter of the cable and has a second covering material positioned thereover. The wire is rotatable by a motor.11-17-2011
20110301626ATHERECTOMY DEVICES AND METHODS - The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.12-08-2011
20110301624VARICOSE VEIN DISSECTOR AND REMOVAL APPARATUS - A varicose vein dissector and removal apparatus includes a handle having a first end and a second end, a dissector extending from the first end of the handle and a hook extending from the second end of the handle, and a blade positioned within the dissector for movement between a use position and a storage position. The apparatus is used by creating an initial incision in skin over a varicose vein to be removed, advancing the dissector into the incision and dissecting around the varicose vein to be removed, pushing the dissector against an inner surface of the skin a predetermined distance from the initial incision, exposing the blade by moving it from its storage position to its use position and creating a second incision in the skin letting the dissector protrude out of the skin, and grasping the vein with the hook and removing the vein.12-08-2011
20120109171MATERIAL REMOVAL DEVICE AND METHOD OF USE - An atherectomy catheter having an inner drive shaft which rotates a distal rotary tissue borer with a helical cutting surface which enables the catheter to cut through and cross a CTO. Additionally, the atherectomy catheter has a distal cutting element rotated by an outer drive shaft configured to cut material from the wall of a vessel at a treatment site as the catheter is pushed distally through the treatment site. The atherectomy catheter includes a collection chamber positioned proximally of the cutting element and rotary tissue borer. The atherectomy catheter may include means to direct material cut from the treatment site into the collection chamber, means to break down larger portions of material that may block or clog the collection chamber and means of transporting the material collected from the treatment site to a proximal opening in the atherectomy catheter.05-03-2012
20120109170ROTATIONAL ATHERECTOMY DEVICE WITH DISTAL EMBOLIC PROTECTION - A rotational atherectomy device for removing a stenotic tissue (05-03-2012
20110288572RETRIEVAL SYSTEMS AND METHODS FOR USE THEREOF - The devices and methods described herein relate to improved structures for removing obstructions from body lumens. Such devices have applicability in through-out the body, including clearing of blockages within the vasculature, by addressing the frictional resistance on the obstruction prior to attempting to translate and/or mobilize the obstruction within the body lumen11-24-2011
20090138031Thrombectomy catheter with a helical cutter - A thrombectomy catheter including two major members: a cutter of the helically wounded structure and also a cutter of the tubular shape which is located coaxially with the first one. The outside diameter of the helical cutter fits inside diameter of tubular one with a small gap. Thus they cold move independently. Each of them is equipped with the cutting edges on their distal area. Due to this feature the catheter is able to cut off the major portion of the obstacle from a vessel without its fragmentation and safe removing it off the vessel. The catheter is also providing blood perfusion during the surgery as well as provides opportunity for the monitoring of the operation by means of ultrasound, visual etc. devices during the operation. The original flexible design of the helical cutter also prevents the damage of the vessel.05-28-2009
20120191111SCORING BALLOON WITH OFFSET SCORING ELEMENTS - A scoring balloon (07-26-2012
20120089163CUTTING WIRE ASSEMBLY FOR USE WITH A CATHETER - A method of treating a lesion in a body lumen to enlarge a passageway in the lumen including inserting a cutting member and tracking member through a first lumen of a catheter, withdrawing the catheter from the cutting member and tracking member, inserting the catheter over the tracking member and leaving the cutting member outside the catheter, and expanding a portion of the catheter to move the cutting member into cutting contact with the lesion. A device for treating a lesion in a body lumen including a cutting member and tracking member is also provided.04-12-2012
20120191110ENDOVASCULAR POSITIONING AND DELIVERY DEVICE - A minimally invasive, percutaneous endovascular positioning device used for positioning or delivering other endovascular devices, such as staples, stents or bits, inside a blood vessel or hollow organ, comprises a cylindrical, catheter-like delivery device (07-26-2012
20100036402ROTATIONAL ATHERECTOMY DEVICE WITH PRE-CURVED DRIVE SHAFT - The invention provides a rotational atherectomy system, device and method comprising a flexible, elongated, rotatable drive shaft with an abrasive section within a pre-curved section of the drive shaft. The device may further comprise a concentric or eccentric enlarged diameter section that is at least partially covered with abrasive material to comprise the abrasive section. The abrasive section may further comprise an abrasive crown or burr mounted to the drive shaft. The pre-curved drive shaft allows smaller diameter and/or massive abrasive regions to be used while sweeping larger diameters during high-speed rotation. The pre-curved region is substantially straightened for insertion into vasculature and placement adjacent stenosis by insertion of the guide wire. Removal of guide wire proximally from the pre-curved region allows the drive shaft to return to its pre-curved form for ablation. Reinsertion of the guide wire beyond the pre-curved region straightens the drive shaft for ease of removal.02-11-2010
20120191112EXPANDABLE CATHETER ASSEMBLY AND CORRESPONDING KIT - A catheter (07-26-2012
20090299391ECCENTRIC ABRADING AND CUTTING HEAD FOR HIGH-SPEED ROTATIONAL ATHERECTOMY DEVICES - The invention provides a rotational atherectomy device having, in various embodiments, a flexible, elongated, rotatable drive shaft with at least one flexible or inflexible eccentric enlarged abrading and cutting head attached thereto which comprises an abrasive surface. When placed against stenotic tissue and rotated at high speed, the eccentric nature of the abrading and cutting head moves along an orbital path, opening the lesion to a diameter larger than the resting diameter of the enlarged abrading and cutting head. Preferably the abrading and cutting head has a center of mass spaced radially from the rotational axis of the drive shaft, facilitating the ability of the device to travel along an orbital path. The abrading and cutting head comprises proximal and/or distal radiused surfaces that facilitate cutting difficult stenosis material while minimizing trauma to the vessel.12-03-2009
20090099581METHODS AND APPARATUS FOR TREATING VASCULAR OCCLUSIONS - Embodiments of the present invention are suitable for treating a vascular occlusion. In one embodiment, a tissue removal apparatus includes a catheter having a lumen; a rotatable shaft disposed in the lumen of the catheter; a tissue removal portion connected to the rotatable shaft; and an expandable element circumferentially disposed at a distal end of the catheter, wherein upon expansion, at least a portion of the expandable element extends past the distal end of the catheter. In another embodiment, the rotatable shaft may include an auger portion to facilitate withdrawal of the removed tissue. In yet another embodiment, the tissue removal portion may include a plurality of expandable cutting members.04-16-2009
20090299393RETRIEVAL SYSTEMS AND METHODS FOR USE THEREOF - The devices and methods described herein relate to improved structures for removing obstructions from body lumens. Such devices have applicability in through-out the body, including clearing of blockages within the vasculature, by addressing the frictional resistance on the obstruction prior to attempting to translate and/or mobilize the obstruction within the body lumen12-03-2009
20110264124VEIN REMOVAL DEVICE - A surgical tool for the obliteration of spider veins.10-27-2011
20090270888Catheter System and Method for Boring through Blocked Vascular Passages - A rotating cutting head catheter for passage through chronic total occlusions or other refractory atherosclerotic plaque from diseased arteries is disclosed. The catheter's rotating cutting head is designed to reside safely within an outer protective sheath when not in use. The outer protective sheath contains one or more helical groves or slots, and the cutting head contains protruding blades or projections that fit into these helical groves or slots. Application of torque to an inner catheter or wire attached to the cutting head applies spin to the cutting head, and the force of the sheath's helical groves or slots against the cutting head's protruding blades or projections advances the cutting head outward from the protective sheath. Once extended, the cutting head may now rotate freely. The device may use a guidewire to direct the cutting head to the desired position.10-29-2009
20100114136CUTTING DEVICE AND METHOD OF VESSEL HARVESTING - Embodiments of the invention provide a cutting device and method of vessel harvesting. The cutting device can include at least one tubular member, a cutting element, and a centering member. The cutting device can include at least one tubular member with a flexible section and a cutting element. The method of vessel harvesting can include spacing a cutting element of the cutting device from the vessel as the cutting element is advanced over the vessel.05-06-2010
20090312778APPARATUS FOR REMOVING PLAQUE FROM AN ARTERIAL WALL AND METHOD OF USE THEREFOR - A surgical extractor including an elongated body having a handle and working tool coupled thereto. The extractor also includes at least one user operated button and at least one blade mechanically linked to the button. The blade is selectively movable between a retracted position and a deployed position. The blade is substantially contained within the body when in the retracted position, and it is substantially projected beyond the body when in the deployed position.12-17-2009
20090149877ROTATIONAL ATHERECTOMY DEVICE WITH PRE-CURVED DRIVE SHAFT - The invention provides a rotational atherectomy system, device and method comprising a flexible, elongated, rotatable drive shaft with an abrasive section within a pre-curved section of the drive shaft. The device may further comprise a concentric or eccentric enlarged diameter section that is at least partially covered with abrasive material to comprise the abrasive section. The abrasive section may further comprise an abrasive crown or burr mounted to the drive shaft. The pre-curved drive shaft allows smaller diameter and/or massive abrasive regions to be used while sweeping larger diameters during high-speed rotation. The pre-curved region is substantially straightened for insertion into vasculature and placement adjacent stenosis by insertion of the guide wire. Removal of guide wire proximally from the pre-curved region allows the drive shaft to return to its pre-curved form for ablation. Reinsertion of the guide wire beyond the pre-curved region straightens the drive shaft for ease of removal.06-11-2009
20100121361DIRECTIONAL ROTATIONAL ATHERECTOMY DEVICE WITH OFFSET SPINNING ABRASIVE ELEMENT - The invention provides a rotational atherectomy system, device and method comprising a flexible, elongated, rotatable drive shaft with a pre-curved abrasive section disposed within a catheter that deforms the abrasive section to a substantially straight profile and, when the abrasive section is moved distally out of the catheter, the abrasive section resumes its pre-curved profile. Directional ablation is achieved by rotation of the drive shaft along its pre-curved axis as the abrasive section is urged against a portion of the lumen wall.05-13-2010
20100100110ECCENTRIC ABRADING AND CUTTING HEAD FOR HIGH-SPEED ROTATIONAL ATHERECTOMY DEVICES - The invention provides a rotational atherectomy device having, in various embodiments, a flexible, elongated, rotatable drive shaft with at least one flexible or inflexible eccentric enlarged abrading and cutting head attached thereto which comprises an abrasive surface. When placed against stenotic tissue and rotated at high speed, the eccentric nature of the abrading and cutting head moves along an orbital path, opening the lesion to a diameter larger than the resting diameter of the enlarged abrading and cutting head. Preferably the abrading and cutting head has a center of mass spaced radially from the rotational axis of the drive shaft, facilitating the ability of the device to travel along an orbital path. The abrading and cutting head comprises proximal and/or distal radiused surfaces that facilitate cutting difficult stenosis material while minimizing trauma to the vessel. In some cases, the abrading and cutting head is made from a relatively dense metal.04-22-2010
20100280534ATHERECTOMY SYSTEM WITH IMAGING GUIDEWIRE - Systems and methods of increasing blood flow in a blood vessel with intraluminal plaque. One disclosed method includes inserting an imaging guidewire into the blood vessel to the intraluminal plaque, propelling a catheter with a working head over the guidewire towards the distal end of the guidewire, scanning with the imaging guidewire to generate a cross-section image, radially positioning the catheter using a positioning element, monitoring the image to ascertain that the working head is properly positioned and operating the working head to remove the plaque. A computerized system designed, constructed and configured to perform the methods is further disclosed11-04-2010
20100121362VESSEL SUPPORT DEVICE AND METHOD OF VESSEL HARVESTING - Embodiments of the invention provide a vessel support system and a method of vessel harvesting. The system can include a cutting device, a catheter adapted to be inserted into a section of the vessel in order to support the vessel as the cutting device is advanced over the vessel, and a cannula adapted to be coupled to the vessel and adapted to receive the catheter as the catheter is inserted into the section of the vessel. The method can include orienting a cutting device coaxially with the cannula and the catheter and advancing the cutting device over the cannula, the catheter, and the section of the vessel in order to core out the section of the vessel and a portion of the surrounding tissue.05-13-2010
20110172688Conduit Harvesting Instrument and Method - A surgical instrument for harvesting vessels from the body includes an elongated shaft having distal and proximal ends and a plurality of lumens disposed therethrough. The shaft also includes a tip having a dissecting portion disposed at a distal end thereof and a cradle section. The tip is movable from a first position proximate the distal end of the shaft to at least one additional position distally further from the distal end of the shaft to expose the cradle section. The instrument also includes an endoscope disposed in one of the plurality of lumens and at least one additional surgical instrument disposed in one of the remaining lumens. Methods are disclosed for utilizing the surgical instrument.07-14-2011
20090182360Device, System and Method for Interstitial Transvascular Intervention - Method and apparatus for utilizing the vascular system as a conduit to reach other vascular and extravascular locations within the body. Included are methods for revascularization wherein the extravascular passageways are formed to permit blood flow between vascular locations. Also included are methods for performing transvascular interstitial surgery (TVIS) wherein extravascular passageways are formed from a blood vessel to another vascular or non-vascular intracorporeal location. Also disclosed are devices usable for forming extravascular passageways in accordance with the invention, or for modifying, valving, maintaining or closing such passageways.07-16-2009
20090125045SYSTEMS AND METHODS FOR ABLATION OF OCCLUSIONS WITHIN BLOOD VESSELS - Wire systems for the ablation of occlusions within blood vessels are provided. Systems include one or more wires configured for percutaneous insertion in a blood vessel, the wires configured to ablate an occlusion within the blood vessel. In some embodiments, a wire is gradually tapered near its distal end so that it can be used to pierce occlusions. In some cases, it may be used to dilate existing microchannels within occlusions. In some embodiments, a capture device is inserted towards the occlusion from either the same or opposite side as the tapered wire, and is used to draw the wire through the occlusion.05-14-2009
20120143231Systems, methods and devices for removing obstructions from a blood vessel - The present invention provides an obstruction removing device and a method for making the obstruction removing device. The method includes two mandrels with an elongate element being wound around the first mandrel and then wrapped around the second mandrel. The mandrels are movable relative to one another so that the second mandrel may be moved closer to the first mandrel after winding the element around the first mandrel and before winding the element around the second mandrel.06-07-2012
20090182362Obstruction Removal System - An obstruction removal system for percutaneous removal of clots or obstructions within the vascular system is disclosed. The obstruction removal system includes a multi-lumen catheter with a plurality of circulating capture devices attached to or integral with a drive belt. The circulating capture or interference devices affect removal of the clot or obstruction bit-by-bit through a series of passes. The obstruction removal system may include one or more drive mechanisms, such as a pulley system and/or a vacuum source and/or a pressurization source, on its proximal end for driving the drive belt and capture devices through the catheter in a circulating manner. The obstruction removal system may also include one or more cleaning mechanisms, such as a vacuum chamber and/or a fluid rinse chamber, for removing the captured clot pieces from the capture devices.07-16-2009
20090112239Sticky dilatation balloon and methods of using - The present invention involves an expandable element with an outer sticky surface. The expandable element may be in the form of a balloon with deflated and inflated configurations. The expandable element serves to both dilate a lumen in a blood vessel thereby opening it and to exert force upon the sticky surface in order to press it into apposition against a vessel wall. The outer sticky surface may be provided directly upon the expandable element or on a separate outer sheath that conforms to and follows the contours of the expandable element. The sticky surface may take the form of a biochemical composition and/or a mechanically abrasive structure such as microhooks, hairs, mesh netting, etc. Optionally, additional expandable elements may be provided proximal and distal to the main element to occlude blood flow on either side of a lesion in order to better trap emboli for collection.04-30-2009
20100121360Testing a patient population having a cardiovascular condition for drug efficacy - Lumenectomy material is tested to determine the efficacy of a test drug in a patient population having a cardiovascular condition. The material is removed from at least a first and a second patient and tested for one or more markers of a cardiovascular condition. The first patient is administered the test drug, and the second patient is administered a placebo. At a later date, more lumenectomy material is removed and tested for the same marker or markers. The presence, absence or amount of the markers is compared in the first patient receiving the drug and the second patient receiving the placebo to determine whether the drug is effective in the patient population. The patient population can comprise as little as two individuals or as many as dozens, hundreds or thousands of patients. The drugs tested include drugs believed to be effective in treating a cardiovascular condition. The markers used can include any marker that can indicate the effectiveness of the drug being tested, including amino acid and nucleic acid markers and markers that indicate a cardiovascular condition. 05-13-2010
20110208221THERAPEUTIC AGENT DELIVERY SYSTEM, DEVICE AND METHOD FOR LOCALIZED APPLICATION OF THERAPEUTIC SUBSTANCES TO A BIOLOGICAL CONDUIT - The invention provides a system, device and method for localized application of therapeutic substances within a biological conduit. In various embodiments, a dissolvable bag or bolus of at least one therapeutic agent is introduced and pressed and/or sealed against the wall of conduit. In other embodiments, dissolvable barbs formed from at least one therapeutic agent are ejected from a catheter by fluid pressure, embedding in the wall of conduit.08-25-2011
20130218181CONSTRAINING STRUCTURE WITH NON-LINEAR AXIAL STRUTS - A constraining structure for use with a balloon catheter can include multiple longitudinal struts and multiple, sinusoidal shaped radial rings. The constraining structure can expand to form a pattern of channels including substantially square windows. The constraining structure can modify, restrict, and control a shape and/or size of the balloon when inflated. Inflating the balloon catheter within the constraining structure can provide nonuniform pressure on a vessel wall adjacent the balloon.08-22-2013
20080228209SYSTEM AND METHOD FOR REMOVAL OF MATERIAL FROM A BLOOD VESSEL USING A SMALL DIAMETER CATHETER - This invention provides a small diameter snare device and device for thrombus removal consisting of a hollow, elongate, thin-walled outer sheath. A single central core wire extends through the entire length of the sheath. The outer diameter of the core wire is sized close to the inner diameter of the sheath while allowing for axial sliding, in order to maximize the support to the body portion of the snare device. A tool tip or “capture segment” at the distal end of the sheath and core wire can be controllably expanded to engage a thrombus and remove the thrombus from the blood vessel.09-18-2008
20080228207Semi-automatic power assist for endoscopic vein dissector - An endoscopic vein dissector for removing a vein from a living body comprises a dissector tip adapted to penetrate between the vein and surrounding tissue. A handle is provided for manipulation by a device operator to guide the tip through an incision in the living body to the vicinity of the vein. A longitudinal rod is mounted between the dissector tip and handle such that the tip is movable with respect to the handle between a retracted position and an extended position. A driver applies motive power to move the dissector tip from the retracted position to the extended position. A control element is adapted to be activated by the device operator to assist in the desired penetration between the vein and the surrounding tissue.09-18-2008
20080312672Forwardly directed fluid jet crossing catheter - The present invention provides a forwardly directed fluid jet crossing catheter having a distally directed cylindrical flow fluid jet stream to cross a chronic total occlusion. The distal end of the device includes a formable catheter tip region having flexible internal components. Low and high pressure cavities are formed substantially by joined proximal and distal catheter tubes having an adhesive plug seal in common therebetween which partially defines one end of each of the low pressure and high pressure cavities. A guidewire tube and a high pressure tube are aligned along and within the low pressure and high pressure cavities and through the adhesive plug seal. The high pressure tube openly terminates in the high pressure cavity, whereby pressurized fluid transfers from the high pressure cavity in the guidewire tube entry hole to subsequently pass along the guidewire lumen and co-located guidewire to exit as a cylindrical fluid jet stream.12-18-2008
20100137892FLOW RESTORATION SYSTEMS AND METHODS FOR USE - Apparatus and methods are provided for removing obstructive material within a body lumen. The apparatus includes a macerator device deployable from a sheath that includes an expandable cage carried by a shaft and within a constraint tube. The shaft is movable relative to the constraint tube for deploying and expanding the cage within a body lumen such that an open end of the cage is oriented towards obstructive material. The cage is advanced to capture the material or the material is directed into the cage using an expandable member expanded beyond the material and retracted to direct the material into the cage. The cage is withdrawn into the constraint tube to compress the cage radially inwardly. Material extending through apertures in the cage are sheared off by a sharpened edge of the constraint tube. The smaller, sheared off particles are then aspirated from the body lumen through the sheath.06-03-2010
20090264908METHOD AND APPARATUS FOR INCREASING ROTATIONAL AMPLITUDE OF ABRASIVE ELEMENT ON HIGH-SPEED ROTATIONAL ATHERECTOMY DEVICE - A high-speed atherectomy device is disclosed, for abrading a blockage (stenosis) in the interior of a lumen (artery). The device uses a rapidly rotating drive shaft that includes an eccentric abrasive element that has its center of mass laterally offset from the rotational axis of the drive shaft. As the drive shaft rotates, centrifugal force drives the eccentric abrasive element outward, so that it traces an abrading diameter at high rotational speeds that is larger than its rest diameter. The drive shaft includes counterweights on both sides of the abrasive element, which may stabilize operation at high rotational speeds. In some cases, the counterweights are also eccentric, with their centers of mass laterally offset from the rotational axis in the opposite direction as that of the abrasive element. The counterweights are longitudinally separated from the abrasive element, and in some cases, the separations are adjustable and/or controllable. In some cases, the guide wire may be retracted prior to or during the high-speed rotation of the drive shaft, with the retraction being to the distal counterweight, the abrasive element, the proximal counterweight, or beyond the proximal counterweight.10-22-2009
20090264907MEDICAL DEVICE FOR CROSSING AN OCCLUDED BLOOD VESSEL - Medical devices and methods for making and using the same. An example medical device includes a tubular shaft and a crossing member disposed within the tubular shaft. The crossing member may include a loop portion. The methods for using the medical device may include advancing the medical device through the vasculature to a position where at least a portion of the device contacts an intravascular lesion and expanding the loop portion of the crossing device to displace the occlusion.10-22-2009
20080269789Implantable device with miniature rotating portion for the treatment of atherosclerosis, especially vulnerable plaques - A miniature rotating portion, anchored to and used within the human body. Optionally and preferably, the device may be used for one or more of active filtration and removal of plaques in the blood vessel, acting as an active plaque disassembler and lysis accelerator, acting as a localized sensor and/or acting as a hydrokinetic power generator.10-30-2008
20120197277VASCULAR PLAQUE REMOVAL SYSTEMS, DEVICES, AND METHODS - Systems, devices, and methods for removing plaque from a patient's vasculature. In one example, a medical article includes a catheter body and a dissection tip. The dissection tip can move between at least a first position and a second position and can be biased to expand radially from a longitudinal axis of the medical article when the dissection tip is moved from the first position to the second position. In one example, a dissection member includes a dissection tip and a receiving space. The dissection tip can radially adjust to circumferentially maneuver between a core of plaque and a patient's vasculature. The receiving space can receive at least a portion of a core of plaque that passes through the dissection tip.08-02-2012
20090299392ECCENTRIC ABRADING ELEMENT FOR HIGH-SPEED ROTATIONAL ATHERECTOMY DEVICES - The invention provides a rotational atherectomy device having, in various embodiments, a flexible, elongated, rotatable drive shaft with at least one asymmetric and at least partially spherical abrading element attached thereto, which comprises an abrasive surface. The abrading element comprises more mass above the drive shaft than below and comprises a flattened side or transverse surface which creates hard cutting edges and spaces the center of mass radially from the rotational axis of the drive shaft. Thus the center of mass is moved vertically and transversely by the structure of the abrading element, conferring geometric and mass eccentricity upon the element. When placed against stenotic tissue and rotated at high speed, the eccentric nature of the abrading element moves along an orbital path, opening the lesion to a diameter larger than the resting diameter of the abrading element.12-03-2009
20090125043TETHERED COIL FOR TREATMENT OF BODY LUMENS - Disclosed is an apparatus and a method for removable of undesired material from body lumens. The apparatus may be used for fragmenting or removing a thrombus or occlusion from a blood vessel. The apparatus includes first shape segments and second shape segments connected to form a coiled member. A longitudinally extending tether is positioned inside the first shape segments and outside the second shape segments along the length of the coil. Applying a proximal force on the tether produces a change in the shape of at least a portion of the coil from a first generally linear configuration to a second complex three dimensional shape. A method of using the apparatus to engage and remove, or fragment, the thrombus or occlusion is disclosed.05-14-2009
20090187203APPARATUS AND METHODS FOR MATERIAL CAPTURE AND REMOVAL - Catheters, kits, and methods are provided for removing material from a body lumen. The catheters and methods may be used in a variety of body lumens, including but not limited to coronary and other arteries. In general, the catheter has a cutting element that cuts material while the material is engaged by a material capture device on the catheter body. Preferably, the material capture device tensions the material during cutting, which reduces the amount of cutting force required. The material capture device typically follows a path that draws material into the catheter body. Preferably, but not necessarily, the material capture device may be arranged on the catheter body to advance along a path outwardly from the catheter body into the material and then inwardly towards the catheter body to tension the material. The cutting element on the catheter body moves between a first position and a second position to cut the material while in tension.07-23-2009
20080319462SYSTEM, APPARATUS AND METHOD FOR OPENING AN OCCLUDED LESION - A system, apparatus and method for maximizing efficiency of tissue removal from body passageways is provided. The system comprises a device for opening an occluded lesion, e.g., a rotational atherectomy device or angioplasty device, and a guide wire having an introducer sheath. The guide wire introducer sheath may comprise a hypo tube having columnar strength greater than that of the guide wire alone to assist the guide wire in crossing occluded lesions, wherein the sheath and guide wire are axially moveable relative to each other. The guide wire sheath may further comprise increased flexibility at its distal end to increase flexibility and/or a soft distal tip to help with steerability through the vasculature. The sheath may allow for a smaller outer diameter guide wire which, in turn, may allow for a smaller outer diameter on the occlusion-opening device, e.g., atherectomy or angioplasty device, which is slid over the pre-positioned guide wire.12-25-2008
20090326568ROTATIONAL ATHERECTOMY DEVICE WITH FLUID INFLATABLE SUPPORT ELEMENTS SUPPORTED BY FLUID BEARINGS - A rotational atherectomy device for removing a stenotic tissue from a vessel of a patient is disclosed. The device comprises a rotatable, flexible, hollow drive shaft having an open distal end. The drive shaft comprising a fluid impermeable wall, an abrasive element mounted to the drive shaft proximal to and spaced away from its distal end, the fluid impermeable wall being formed from a torque transmitting coil and at least one fluid impermeable membrane which define a lumen for the antegrade flow of pressurized fluid through the drive shaft and into a distal fluid inflatable support element to inflate said fluid inflatable support element. The distal fluid inflatable support element is located at the distal end of the drive shaft and has an outer wall comprising an outflow opening located such that said outflow opening faces an inner surface of a treated vessel during rotation of the drive shaft so that a flow of fluid out of said opening forms a layer of fluid between the outer wall of the fluid inflatable distal support element and a wall of the treated vessel. The layer of fluid forming a fluid bearing between the outer wall of the rotating fluid inflated distal support element and the wall of the treated vessel.12-31-2009
20110224707DEVICE FOR OPENING OCCLUDED BLOOD VESSELS - The invention relates to a device for opening occluded blood vessels, comprising a braided structure (09-15-2011
20080306499Recanalizing occluded vessels using controlled antegrade and retrograde tracking - A method and systems for treating chronic total occlusions, particularly those that are difficult to treat, is disclosed. In this approach, recanalizing the CTO is achieved using a combined antegrade and retrograde approach. The proximal end of the occlusion is penetrated using an antegrade wire, using a traditional approach. Using collateral vessels, the distal end of the occlusion is crossed in a retrograde fashion and by appropriately maneuvering each member, a continuous channel is created. Additional elements such as capture devices, dilators and injection catheters are also disclosed.12-11-2008
20080306498ECCENTRIC ABRADING HEAD FOR HIGH-SPEED ROTATIONAL ATHERECTOMY DEVICES - The invention provides a rotational atherectomy device having, in various embodiments, a flexible, elongated, rotatable drive shaft with at least one flexible eccentric enlarged abrading head attached thereto. In other embodiments, the eccentric abrading head is not flexible or partially flexible. At least part of the eccentric enlarged cutting head has a tissue removing surface—typically an abrasive surface. In certain embodiments, the abrading head will be at least partially hollow. When placed within an artery against stenotic tissue and rotated at sufficiently high speeds the eccentric nature of the enlarged cutting head causes the cutting head and drive shaft to rotate in such a fashion as to open the stenotic lesion to a diameter substantially larger than the outer diameter of the enlarged cutting head. Preferably the eccentric enlarged cutting head has a center of mass spaced radially from the rotational axis of the drive shaft, facilitating the ability of the device to open the stenotic lesion to a diameter substantially larger than the outer diameter of the enlarged cutting head when operated at high speeds.12-11-2008
20090024153VASCULAR FILTER WITH IMPROVED STRENGTH AND FLEXIBILTY - A method and apparatus for treating a patient having an obstruction in a first blood vessel through which blood normally flows in a given direction, at a location downstream of a branch point where the first blood vessel and, a second blood vessel branch off from a main blood vessel, by: blocking blood flow in the main blood vessel at a point upstream of the branch point; inserting into the second blood vessel a first filter adapted to pass blood while trapping debris resulting from removal of the obstruction; inserting an obstruction removal assembly into the first blood vessel and operating the assembly to at least partially break up the obstruction and produce debris; withdrawing the obstruction removal assembly from the patient's body; and then inserting into the first blood vessel a filter adapted to pass blood while trapping debris; then restoring blood flow in the main blood vessel.01-22-2009
20100298850ATHERECTOMY CATHETER WITH ALIGNED IMAGER - An atherectomy catheter is provided for excising and imaging material in a body lumen. In one embodiment, the catheter comprises a catheter body, a cutting blade, and an imaging device. The cutting blade is mounted on the catheter body and configured to move between a first position and a second position relative to an aperture or cutting window. When the cutting blade is in the second position, the blade substantially closes the aperture on the catheter body. The imaging device which is mounted on or otherwise coupled to the cutting blade is configured to be in an imaging position when the cutting blade substantially closes the aperture or cutter window. This allows the imaging device to survey material within the cutting zone of the atherectomy catheter. By allowing the imaging device to view materials within this cutting zone, material may be imaged and then removed from the body lumen without having to reposition the catheter between each step.11-25-2010
20110144673MATERIAL REMOVAL DEVICE HAVING IMPROVED MATERIAL CAPTURE EFFICIENCY AND METHODS OF USE - The present invention provides an improved atherectomy catheter having means for directing particles generated by a cutting element into a collection chamber. Methods of directing the cut material from a blood vessel lumen into a collection chamber are also provided.06-16-2011
20110144672METHOD OF USING AN AORTIC DISSECTION SEPTAL CUTTING TOOL - The present invention relates to methods of using medical cutting tools for treating aortic septal dissections.06-16-2011
20110144671ATHERECTOMY DEVICE, SYSTEM AND METHOD HAVING A BI-DIRECTIONAL DISTAL EXPANDABLE ABLATION ELEMENT - The invention provides a rotational atherectomy system, device and method comprising a bi-directional drive shaft with a flexible ablation element disposed at the distal end of the drive shaft. The flexible ablation element comprises a first retracted position for insertion into vasculature and a second expanded position for ablation, i.e., cutting, sanding and/or grinding. The ablation element comprises more than one flexible finger or blade which allows changing, in certain embodiments, of curvature radius to fit inside a deployment catheter and/or enlarge to the diameter of larger lumens, up to at least 9 mm in diameter. Bi-directional rotation of the expanded ablation element allows cutting in one rotational direction and grinding and/or sanding in the opposite rotational direction.06-16-2011
20090062828MAGNETIC FIELD-BASED COLLOIDAL ATHERECTOMY - Methods, devices, and systems for performing a non-invasive form of angioplasty are provided. The device may include one or many magnetically controlled colloidal particles that can be used to scrub the interior walls of arteries or the like. The colloidal particles may be organized in any number of configurations and may also be moved in any number of ways in an effort to maximize the amount of plaque removed from the artery.03-05-2009
20090054918Thrombectomy System and Method - Disclosed is a clot and foreign body removal system, including a catheter with at least one lumen. Located within the catheter is a clot capture wire that is connected to a hub at the proximal end. In one embodiment, the clot capture wire includes a coil made out of an elastic or superelastic material, preferably nitinol. The elasticity or superelasticity of the coil allows it to be deformed within the catheter and to then reform its original coil configuration when the coil is moved outside of the catheter lumen. In another embodiment the coil is a biphasic, shape memory coil, which changes shape upon heating, energy application, or passing an electric current. Once the coil configuration has been established, the coil can be used to ensnare and corkscrew a clot or blockage in a vessel. A clot is extracted from the vessel by moving the clot capture coil and catheter proximally until the clot can be removed completely or released into a different vessel that does not perfuse a critical organ. Foreign bodies are similarly captured by deploying the coil distal to the foreign body and moving the clot capture coil proximally until the foreign body is trapped within the coil. By removing the device from the body, the foreign material is also removed.02-26-2009
20090069828ARTICULATING RETRIEVAL DEVICES - The devices and methods described herein relate to improved structures for removing obstructions from body lumens. Such devices have applicability in through-out the body, including clearing of blockages within the vasculature, by addressing the frictional resistance on the obstruction prior to attempting to translate and/or mobilize the obstruction within the body lumen03-12-2009
20090182361Obstruction Removal System - An obstruction removal system for percutaneous removal of clots or obstructions within the vascular system is disclosed. The obstruction removal system includes a multi-lumen catheter with a plurality of circulating capture devices occurring along a drive belt. The plurality of capture devices may be basket-like devices attached to the drive belt, or may be formed by integral coiled or protuberant sections of the drive belt. The circulating capture or interference devices affect removal of the clot or obstruction bit-by-bit through a series of passes.07-16-2009
20090204134DEVICES, SYSTEMS, AND METHODS FOR REMOVING STENOTIC LESIONS FROM VESSELS - The present application provides various devices, systems, and methods for removing stenotic lesions from vessels. In at least one embodiment of an exemplary device, the device comprises at least one sizing portion and at least one treatment portion. Such a device may be useful to, for example, remove a stenotic lesion from a vessel by positioning the device within a vessel lumen, operating the sizing portion to obtain luminal size parameter data, operating the treatment portion at a location within the vessel lumen at or near a stenotic lesion, and ceasing operation of the treatment portion when the luminal size parameter data indicates a preferred luminal size parameter.08-13-2009
20090240270DEVICE AND METHOD FOR OPENING BLOOD VESSELS BY PRE-ANGIOPLASTY SERRATION AND DILATATION OF ATHEROSCLEROTIC PLAQUE - A device and method for intravascular treatment of atherosclerotic plaque perforates the plaque with microperforations by small sharp spikes to act as serrations for forming cleavage lines or planes in the plaque. In preferred embodiments, expansion may be obtained by mechanical apparatus, expansion balloon, or balloon-assisted deployment. The plaque treatment enables a subsequent balloon angioplasty to be performed without creating substantial dissections and at low balloon pressure so as to avoid injury to the arterial wall. The plaque treatment may include dilatation of the plaque at low pressure, sufficiently that no subsequent balloon angioplasty is needed. The plaque preparation may be followed by applying one or a few ring tacks to secure the compressed plaque with minimal emplacement of foreign material.09-24-2009
20090222033PERCUTANEOUS DEVICE AND METHOD FOR HARVESTING TUBULAR BODY MEMBERS - A percutaneous harvesting device for the harvesting of tubular body members from a body is disclosed. The percutaneous harvesting device includes an endovascular guide for sufficiently straightening the tubular vessel to be removed and a perivascular cutting tool that is inserted over the endovascular guide. The cutting tool is advanced along the length of the tubular body member to be removed and it cuts body tissue (wherein the tubular body member is positioned inside the body tissue) as it is advanced. The body tissue is thus dissected from the body and can then be extracted percutaneously and rapidly from the body by pulling the endovascular guide, and the tubular body member and surrounding body tissue, from the body.09-03-2009
20090248049Methods for Treating Vulnerable Plaque - A system and method for treating a vulnerable plaque. The system includes a catheter and a tissue penetrating device for forming at least one opening in an outer wall of a vessel having a vulnerable plaque. An expansion device exerts force on the vulnerable plaque to force core material through the created opening. The system may also include a pocket forming device for forming a pocket in tissue adjacent the outer wall of the vulnerable plaque. The pocket receives the core material expelled through the opening in the outer wall.10-01-2009
20090254107Catheter device - A catheter device (K, K10-08-2009
20100274271CUTTING BALLOON CATHETER AND METHOD FOR BLADE MOUNTING - A cutting balloon catheter and methods for making and using the same. The cutting balloon catheter may include a catheter shaft having a balloon coupled thereto. One or more cutting members or blades may be coupled to the balloon. Manufacturing the cutting balloon catheter may include partially submerging or embedding a cutting member within a joining member and attaching the joining member to a balloon. The cutting member may include one or more slots along its base that can interlock with the joining member.10-28-2010
20100174303INTRAVASCULAR STENT FOR TREATING VULNERABLE PLAQUE AND METHOD OF USE - An expandable stent is implanted in a body lumen, such as a coronary artery, peripheral artery, or other body lumen for rupturing a fibrous cap to controllably release vulnerable plaque. The invention provides for a an intravascular stent having a plurality of cylindrical rings connected by links. The stent includes struts and links of varying strengths about the circumference of the stent. The weaker struts and links require less force to open and, hence, may apply more stress to rupture the fibrous cap while the stronger struts and links protect the healthy portions of the body lumen. In another embodiment, the stent may include stress concentrators positioned on outer surfaces of the links. The stress concentrators are aligned with the fibrous cap prior to stent expansion so that upon stent expansion, the stress concentrators induce stress to rupture the fibrous cap, thereby releasing the vulnerable plaque.07-08-2010
20100174302ROTATIONAL ATHERECTOMY SYSTEM AND METHODS OF USE - An elongate tubular body extends between a rotatable cutter and a control. The cutter is connected to the control with a rotatable element. Material that has been processed by the cutter is drawn into the tubular body for disposal.07-08-2010
20120197276GUIDE WIRE FOR USE IN RE-CANALISING A VASCULAR OCCLUSION IN A HUMAN OR ANIMAL SUBJECT - A method of re-canalizing a vascular occlusion using a guidewire comprising a core wire which terminates at its distal end in a terminal member. The terminal member tapers to a distal leading edge which is urged through the occlusion.08-02-2012
20080208227Self-contained dissector/harvester device - A self-contained device for dissecting and/or harvesting a vessel includes a self-contained light source and a self-contained imaging system positioned within the sheath.08-28-2008
20100145371Embolectomy Catheters And Methods For Treating Stroke And Other Small Vessel Thromboembolic Disorders - Embolectomy catheters, rapid exchange microcatheters, systems and methods for removing clots or other obstructive matter (e.g., thrombus, thromboemboli, embolic fragments of atherosclerotic plaque, foreign objects, etc.) from blood vessels. This invention is particularly useable for percutaneous removal of thromboemboli or other obstructive matter from small blood vessels of the brain, during an evolving stroke or period of cerebral ischemia. In some embodiments, the embolectomy catheters of this invention are advanceable with or over a guidewire which has been pre-inserted through or around the clot. Also, in some embodiments, the embolectomy catheters include clot removal devices which are deployable from the catheter after the catheter has been advanced at least partially through the clot. The clot removal device may include a deployable wire nest that is designed to prevent a blood clot from passing therethrough. The delivery catheter may include telescoping inner and outer tubes, with the clot removal device being radially constrained by the outer tube. Retraction of the outer tube removes the constraint on the clot removal device and permits it to expand to its deployed configuration. An infusion guidewire is particularly useful in conjunction with the embolectomy catheter, and permits infusion of medicaments or visualization fluids distal to the clot.06-10-2010
20100241147Catheter and medical apparatus as well as method for assisting an intervention to remove plaque - A catheter for removing plaque in a blood vessel and a medical apparatus comprising a catheter of this kind are proposed. The catheter has a catheter sheath, a cutter for removing plaque disposed in the region of the distal end of the catheter sheath, a catheter tip disposed in the region of the distal end of the catheter sheath and bendable relative to the catheter sheath, and at least one imaging sensor arranged in the region of the distal end of the catheter sheath or in the bendable catheter tip. The image signals recorded by means of the catheter are transmitted for display purposes to an image processing and playback device. A method for assisting a minimally invasive intervention to remove plaque in a blood vessel by the catheter is also provided.09-23-2010
20110112564Device And Method For Crossing Occlusions - A catheter (05-12-2011
20100241148Method for Expanding a Vessel - A cutting balloon catheter assembly (09-23-2010
20100211088ROTATIONAL ATHERECTOMY SEGMENTED ABRADING HEAD AND METHOD TO IMPROVE ABRADING EFFICIENCY - The invention provides a rotational atherectomy system, device and method having, in various embodiments, a flexible, elongated, rotatable drive shaft comprising an eccentric abrading head comprising at least one eccentric abrading cylindrical segments attached to the drive shaft and in spaced proximity with proximal and a distal conical segments. Each individual abrading segment, comprises a first tissue removing surface, typically an abrasive coating on the outer surface, that is designed to abrade calcified, hard tissue and abrasive coating on the leading and trailing surfaces designed to abrade non-calcified, soft tissue. Each abrading segment, as well as the abrading head comprising the collective segments, has a center of mass spaced radially from the rotational axis of the drive shaft, facilitating the ability of the device to open the stenotic lesion to a diameter larger than the outer diameter of the enlarged abrading head when operated at high speeds.08-19-2010
20100145372CUTTING BLADE FOR MEDICAL DEVICES - An athertome assembly comprises a series of spanning and descending members extended between a segmented base and a cutting surface. This athertome assembly configuration provides both flexibility and structural strength which facilitates the implantation of medical devices.06-10-2010
20100211087LOOP THROMBECTOMY DEVICE - A thrombectomy device may include an elongate torsion member having a proximal end and a distal end, and a plurality of helically arranged engagement members disposed at a distal portion of the elongate torsion member. Preferably, at least a portion of the engagement members has a rounded, atraumatic shape. The engagement members have a collapsed state where the engagement members are compressed toward the elongate torsion member, and an expanded state where the engagement members are expanded radially outward. Preferably, the engagement members are attached to and extends radially outward from the elongate torsion member at a different longitudinal point such that the engagement members are spaced longitudinally and circumferentially from each other when in the expanded state. When the thrombectomy device is deployed in a body lumen or cavity, the engagement members expands out to contact a wall of the body lumen or cavity.08-19-2010
20120143230SYSTEMS, METHODS AND DEVICES FOR REMOVING OBSTRUCTIONS FROM A BLOOD VESSEL - Devices and methods for removing an obstruction from a blood vessel are described. The devices are deployed in a collapsed condition and are then expanded within the body. The devices are then manipulated to engage and remove the obstruction.06-07-2012
20100198239MULTI-MATERIAL ABRADING HEAD FOR ATHERECTOMY DEVICES HAVING LATERALLY DISPLACED CENTER OF MASS - An abrading head for a high-speed rotation atherectomy device is disclosed. The head has its center of mass laterally displaced from the rotational axis of the drive shaft. As the drive shaft spins, centrifugal force forces the abrading head radially outward. At high speeds, and the abrasive portion of the head may subtend an abrading cylinder larger than at low speeds or at rest. The abrading head has two components, each having a different density. The connection portion may be an incomplete cylinder, which fastens onto the drive shaft, and may be a relatively low density metal, such as stainless steel. The eccentric portion may be a relatively high density metal, such as tungsten or tantalum, and is attached to the connection portion. The eccentric portion has all or most of its mass on one side of the rotation axis of the drive shaft, providing a larger separation between the center of mass of the abrading head and the rotational axis of the drive shaft than if the abrading head were made from only one material.08-05-2010
20100036403ENDOSCOPIC ROTARY ABRADER - An endoscopic rotary abrader allowing for increased burr size while maintaining the required minimum clearance between the burr and the hood. This is accomplished either by an offset configuration of non-concentric inner and outer tubes, where the inner tube is shifted laterally away from the hood, or by employing an enlarged hood.02-11-2010
20100198240DEBULKING CATHETERS AND METHODS - A method of removing material from a blood flow lumen includes providing a device having a cutting element and an opening, the cutting element being movable relative to the opening. The method then includes advancing the device through a patient's vascular system to the blood flow lumen. Finally, the method involves moving the cutting element and the opening relative to the blood flow lumen so that a continuous piece of material is severed by the cutting element and directed into the opening as the cutting element and opening move through the blood flow lumen, the continuous piece of severed material being directed into the device for removal from the patient. The method may include providing a device having a rotatable cutter that, in some embodiments, is not parallel to the longitudinal axis of the device, is movable, has retracted and deployed positions, or any combination thereof. The method may further include forcing the opening toward the wall of the vascular site after the advancing step and before the moving step.08-05-2010
20090318942ROTATIONAL ATHERECTOMY DEVICE WITH FLUID INFLATABLE SUPPORT ELEMENTS AND TORQUE TRANSMITTING MEMBRANE - A rotational atherectomy device for removing a stenotic tissue from a vessel of a patient is disclosed. The device comprises a rotatable, flexible, hollow drive shaft having a fluid impermeable wall defining a lumen of the drive shaft and, an abrasive element mounted to a distal end portion of the drive shaft proximal to and spaced away from a distal support element formed at a distal end of the drive shaft. The distal support element is inflatable by pressurized fluid which flows in an antegrade direction through said lumen of the drive shaft and is least partially re-directed into the distal fluid inflatable support element. The distal fluid inflatable support element has an outer wall comprising an outflow opening located such that said outflow opening faces an inner surface of a treated vessel during rotation of the drive shaft so that a flow of fluid through said outflow opening forms a layer of fluid between the outer wall of the rotating fluid inflated distal support element and a wall of the treated vessel to form a fluid bearing between the outer wall of the rotating fluid inflated distal support element and the wall of the treated vessel. The fluid impermeable drive shaft comprises at least one torque transmitting coil and at least one fluid impermeable membrane which extends beyond a distal end of the torque transmitting coil and conveys torque to the abrasive element mounted to the drive shaft distal to and spaced away from the distal end of the torque transmitting coil.12-24-2009
20090112238FISTULA BRUSH DEVICE - A medical device includes an elongate member extending between a first end portion and a second end portion and a brush disposed upon the elongate member between the first end portion and the second end portion. A first aperture is disposed proximate the first end portion and a second aperture disposed proximate the second end portion. A first suture is disposed through the first aperture and tied upon itself to form a first loop, and a second suture is disposed through the second aperture and tied upon itself to form a second loop, wherein each of the first loop and the second loop are configured to receive an implantable material.04-30-2009
20090105737ACUTE STROKE REVASCULARIZATION/RECANALIZATION SYSTEMS PROCESSES AND PRODUCTS THEREBY - An acute stroke recanalization system and processes include catheter-based improved reconstrainable or tethered neurological devices which are deliverable through highly constricted and tortuous vessels, crossing the zone associated with subject thrombi/emboli, where deployment impacts, addresses or bridges the embolus, compacting the same into luminal walls which enables perfusion and lysis of the embolus, while the improved neurological medical device itself remains contiguous with the delivery system acting as a filter, basket or stand alone stenting mechanism, depending on the status of the embolus and other therapeutic aspects of the treatment being offered for consideration.04-23-2009
20090069829Rotational Atherectomy Device with Distal Protection Capability and Method of Use - A rotational device for removing a stenotic lesion from within a vessel of a patient is disclosed. The device comprises a flexible hollow drive shaft having a distal end insertable into the vessel and an abrasive element located on the drive shaft proximal to the distal end of the drive shaft to abrade a stenotic lesion when the drive shaft rotates. The hollow drive shaft defines a lumen for fluid supplied into the drive shaft to flow in an antegrade direction along the lumen and into the vessel from the drive shaft distal to the abrasive element so that the fluid entering the vessel flows in a retrograde direction over the abrasive element and die drive shaft to entrain debris abraded by the abrasive element for removal of said debris from the patient.03-12-2009
20100312263METHODS AND DEVICES FOR CUTTING AND ABRADING TISSUE - The present invention provides an atherectomy catheter which has a cutting element that is able to cut both soft tissue and hard tissue, and methods of cutting material from a blood vessel lumen using a rotating cutting element. The cutting element has a sharp cutting edge that surrounds a cup-shaped surface and at least one surface of abrasive material. The cup-shaped surface directs the cut material into a tissue chamber. The cutting edge and the cup-shaped surface together are well suited to cut and remove relatively soft tissue from the blood vessel. The abrasive material surface in combination with the cutting element is well suited to abrade and remove hard material from the blood vessel.12-09-2010
20100312264CUTTING BALLOON HAVING SHEATHED INCISING ELEMENTS - A cutting balloon for use in a PTCA atherectomy procedure includes an elongated balloon that defines a longitudinal axis and is inflatable from a first deflated configuration to a second radially expanded configuration. One or more incising elements are mounted on the inflatable balloon. Compressible sheaths made of a relatively low durometer, flexible material are mounted on the balloon to protect the operative cutting surface of a respective incising element during assembly of the cutting balloon and transit of the cutting balloon to the treatment site. Each sheath extends farther from the longitudinal axis than the corresponding incising element and makes first contact with the tissue during a balloon inflation. Once contact has been established between the tissue and the sheath, further balloon inflation causes the sheath to radially compress between the tissue and the inflatable balloon exposing the operative cutting surface for tissue incision.12-09-2010
20100312262Device And Method For Reducing Or Removing Stenoses - A device for reducing or removing stenosis present in a blood vessel by means of a working catheter (7) is described. The working catheter comprises a lumen (8) forming a first working channel (9), extending from the distal end (11) to the proximal end of the working catheter for inserting an instrument (38) to reduce or remove the stenosis. Furthermore, a balloon catheter (16) is provided, which is configured separately from the working catheter, the balloon catheter comprising a sealing balloon (22) in the region of the distal end (21) thereof. The balloon catheter comprises two lumen (18, 20) that are configured separately from each other, of which one is connected to the sealing balloon for the dilation of the same, while the other one forms a second working channel (19) extending from the distal end to the proximal end of the balloon catheter. The sealing balloon is configured for the lateral encompassing of the distal end region of the working catheter such that if a working catheter and a balloon catheter are inserted into the blood vessel next to each other a seal is formed between the outsides of the working catheter and of the balloon catheter and the inside wall of the blood vessel by means of the dilated sealing balloon.12-09-2010
20110112562INTERVENTIONAL CATHETER ASSEMBLIES AND CONTROL SYSTEMS - An interventional catheter assembly has an operating head and catheter system that are inserted and navigated within a patient's body while an operator controls the system externally of the operating head. Fluidic communication is provided between the operating head and the external system controls, and rotation is provided to the operating head by means of an external drive system. Numerous system controls are provided, along with various operating systems, sealing assemblies, actuators, torque transfer systems, and the like are provided. Some systems and controls are provided in a control pod and some controls, as well as displays, are provided in a console unit. Control pod, catheter system and operating head may be provided as a sterile, single use interventional catheter system, while the console unit may be provided as a multiple use device that communicates with the sterile, single use interventional catheter system during operation.05-12-2011
20080228208INTRALUMENAL MATERIAL REMOVAL USING A CUTTING DEVICE FOR DIFFERENTIAL CUTTING - Intralumenal material removal systems are provided using an advanceable and rotatable cutter assembly designed for differential cutting. The intralumenal material removal system includes a cutter assembly positionable in the body cavity of a mammalian subject. One embodiment of the cutter assembly comprises a cutter with blades that are designed and arranged to form an acute blade angle of attack with the matter-to-be-removed. The cutter assembly is axially advanceable by translating the drive shaft and rotatable by rotating the drive shaft. The occlusive material is scraped by the cutter assembly and may be aspirated to remove the material from the body cavity. The cutter assembly may provide aspiration ports positioned between facing surfaces of the blades.09-18-2008
20110009888ROTATIONAL ATHERECTOMY SYSTEM WITH ENHANCED DISTAL PROTECTION CAPABILITY AND METHOD OF USE - An atherectomy system for removing a stenotic lesion from within a vessel of a patient is disclosed. The system comprising an atherectomy device for reducing the lesion and a separate elongate drainage catheter for evacuating from the treated vessel embolic particles released into the vessel from the stenotic lesion during its reduction by the atherectomy device during an atherectomy procedure. The atherectomy device and the separate elongate drainage catheter are each configured for introduction into the patent's vasculature though separate openings in at least one peripheral artery of the patient.01-13-2011
20110009889BLOOD VESSEL OCCLUSION AUGER - A blood occlusion auger having an in vivo distal auger tool coupled in operative association with an ex vivo auger control for opening and traversing occlusions in a blood vessel The auger control allows the selection of predetermined threshold forces and step-lengths values and operates in successive repetition of identical sequential stages, to traverse occlusions. Once disposed adjacent an occlusion, the auger tool, commanded by the auger control, operates in two states, first to radially dilate the vessel and second to penetrate distally into a furrow.01-13-2011
20110118769AORTIC DISSECTION SEPTAL CUTTING TOOL - The present invention relates to medical cutting tools for treating aortic septal dissections. The cutting tool is provided with a delivery catheter and has a remotely actuated cutting blade or cutting wire component. The cutting tool is provided with at least one displacement element. The displacement element assists in placement of the cutting tool at a desired location. The displacement element also assists in maintaining contact between the cutting blade and tissue being cut.05-19-2011
20110040314Rotational Thrombectomy Wire With Blocking Device - A thrombectomy apparatus for breaking up thrombus or other obstructive material in a lumen of a vascular graft or vessel. The apparatus includes a wire having a first configuration and a second deployed configuration, the wire having a straighter configuration in the first configuration. The wire is operatively connected to a motor for rotation of the wire to contact and break up the thrombus or other obstructive material. A blocking device at a distal portion of the apparatus is movable between a collapsed configuration and an expanded configuration, and is configured in the expanded configuration to block thrombus dislodged by rotation of the wire.02-17-2011
20110040315Devices, systems, and methods for cutting and removing occlusive material from a body lumen - A vascular device is provided having a catheter body and a rotatable cutter assembly located at the distal end of the catheter body. The cutter assembly has at least one helical cutting surface within a housing that is coupled by a torque shaft to a drive mechanism. A conveyor mechanism helically wound about the torque shaft conveys occlusive material conveyed into the housing by the helical cutting blade further proximally along the catheter body for discharge without supplement of a vacuum pump. The catheter body is manipulated to insert the distal end of the catheter body within a body lumen and advance the distal end of the catheter body toward the occlusive material. The drive mechanism is operated to rotate the helical cutting surface to cut and convey the occlusive material from the body lumen proximally into the housing and to convey the occlusive material conveyed into the housing by the helical cutting surface further proximally along the catheter body by the conveyor mechanism for discharge without supplement of a vacuum pump. The distal end of the catheter body is deflected and rotated to sweep the cutter assembly in an arc about the center axis of the catheter body to cut occlusive material in a region larger than the outside diameter of the cutter assembly.02-17-2011
20090105736ROTATIONAL ATHERECTOMY DEVICE WITH COUNTERWEIGHTING - The invention provides a rotational atherectomy device having a flexible, elongated, rotatable drive shaft with an abrasive section comprising an enlarged diameter section of the drive shaft or, alternatively, a solid abrasive crown which may be attached to the drive shaft. The device further comprises a proximal and/or a distal counterweight attached to the drive shaft, spaced from the abrasive section wherein each counterweight has its center of mass offset from the longitudinal axis of the drive shaft to stimulate orbital motion by the abrasive section. When placed within an artery against stenotic tissue and rotated at sufficiently high speeds (e.g., in the range of about 20,000 rpm to about 200,000 rpm) the orbiting nature of the abrasive section causes such section to rotate as to open the stenotic lesion to a diameter substantially larger than the resting outer diameter of the abrasive section.04-23-2009
20090312777ATHERECTOMY DEVICE SUPPORTED BY FLUID BEARINGS - A rotational atherectomy device for removing a stenotic tissue (12-17-2009
20110152904CUTTING DEVICE AND METHOD OF VESSEL HARVESTING - Embodiments of the invention provide a cutting device and method of vessel harvesting. The cutting device can include at least one tubular member, a cutting element, and a centering member. The cutting device can include at least one tubular member with a flexible section and a cutting element. The method of vessel harvesting can include spacing a cutting element of the cutting device from the vessel as the cutting element is advanced over the vessel.06-23-2011
20110152908Catheter Including Composite Guide and Methods for use and manufacturing of the Same - A catheter assembly includes a catheter body having a catheter lumen. A manifold assembly is coupled with a proximal catheter portion. A manifold lumen extends through the manifold assembly, and the manifold lumen includes an assembly cavity extending around the proximal catheter portion. A fluid jet loop is coupled with a high pressure tube at a distal catheter portion. The catheter assembly further includes a composite guide having first and second guide portions. The first guide portion includes a proximal guide insert near the proximal catheter portion, the proximal guide insert is positioned within the assembly cavity, and includes a guide insert surface flush with a catheter body interior wall. The second guide portion includes a distal guide near the distal catheter portion including a tapered loop guide surface and an intermediate guide surface of the catheter lumen flushly engaged with a leading edge of the tapered loop guide surface.06-23-2011
20100130996DEVICES AND METHODS FOR MANIPULATING A CATHETER SHAFT - A catheter for performing a procedure at a treatment site in the lumen of a blood vessel. The catheter includes an elongate tubular shaft having a proximal bend, a distal bend and a hinge element. A distal portion of the shaft includes a window extending through the sidewall of the shaft between the hinge element and the distal end of the elongate tubular shaft. A working element is disposed within the lumen of the elongate tubular shaft and is configured for performing the procedure through the window at the treatment site. The bends and hinge element are configured to urge the window against a wall of the vessel at the treatment site.05-27-2010
20120035633ROTATIONAL ATHERECTOMY DEVICE WITH ECCENTRIC ABRASIVE ELEMENT AND METHOD OF USE - A rotational atherectomy device for removing a stenotic tissue from the iliac artery of a patient. The device comprises a flexible, rotatable drive shaft having an elongated proximal portion, an elongated distal portion. An abrasive element is mounted to the drive shaft between the elongated proximal and distal portions of the drive shaft and between and spaced away from a pair of counterweights which are mounted to said elongated portions of the drive shaft. The eccentric abrasive element and the counterweights are configured for rapid rotation together with the drive shaft, the drive shaft is configured to extend throughout an entire length of the iliac artery to be treated. One elongated portion of the drive shaft extends out of the patient through a first access opening located in a femoral artery which is ipsilateral to the treated artery. Another elongated portion of the drive shaft extending through a second access opening located in another peripheral artery of the patient. A method of treating an iliac artery of a patient using such a rotational atherectomy device.02-09-2012
20110152905BALLOON WITH SCORING MEMBER - A circumferentially and longitudinally continuous scoring structure having a diameter in an initial unrestrained state that is smaller than a deflated diameter of the balloon is disposed around an outer surface of the balloon in an expanded configuration. The scoring structure continually exerts a radially inward compressive force against the balloon such that when the balloon is expanded from a deflated configuration to an inflated configuration, the scoring structure expands in a radially outward direction and remains in continuous compressive contact with at least a portion of the balloon as the balloon unfolds. The scoring structure may be entirely free of attachment to the balloon and catheter, and may extend substantially a length of a working region of the balloon. The scoring structure may include a plurality of circumferentially compressible members connecting longitudinal members.06-23-2011
20110251629EMBOLECTOMY DEVICES AND METHODS FOR TREATMENT OF ACUTE ISCHEMIC STROKE CONDITION - Clot engagement element comprising bundle of unwoven fibers can be assembled to form an acute stroke treatment device. The device has the capability of forming a three dimensional filtration matrix comprising effective pores with a distribution of sizes. The bundle of fiber design allows the device to be effectively delivered into circuitous cerebral arteries to remove clot that causes stroke. The fiber bundle based filtration matrix offers the advantages of conforming to the changing inner perimeter of a blood vessel during a clot removal process and thus the capability to effectively retain and remove a clot in the vessel. The filtration matrix offers the additional advantage to trap any break-off of the clot during the removal process. A plurality of fiber bundles can be combined to form an effective clot engagement element. Supplemental engagement structure as well as mechanical treatment structure can be integrated into the stroke treatment device. The deployment of the fiber based elements can be facilitated by actuation tool. Aspiration can be employed during the clot removal process.10-13-2011
20110082483Cutting balloon assembly and method of manufacturing thereof - A cutting balloon assembly and a method for fabrication of the assembly is described. The cutting balloon assembly comprises a delivery catheter, an expandable balloon mounted on the catheter distal end, and a scoring mesh disposed around the expandable balloon. The scoring mesh comprises interlacing filaments that extend from a mesh proximal end towards a mesh distal end, form distal filament loops at said mesh distal end, and then return to the mesh proximal end. At least a part of the interlacing filaments forms one or more permanent links with neighboring filaments between the mesh proximal end and the mesh distal end.04-07-2011
20110071559Cutting Member for Bifurcation Catheter Assembly - A catheter assembly for deployment in a vessel includes a catheter shaft extending from a proximal end portion to a distal end portion. A balloon is operatively coupled to the distal end portion of the catheter shaft. At least one cutting member is coupled to the catheter assembly. As the balloon is inflated, the cutting member is moved to a position to cut a portion of the vessel.03-24-2011
20110152906Devices, systems, and methods for debulking restenosis of a blood vessel - Devices, systems, and methods are employed to restore patency to arterial lesions, e.g., by debulking restenosis in a blood vessel or within a stent or coil.06-23-2011
20120203255HIGH PRESSURE BALLOON SHOCKWAVE CATHETER AND METHOD - A system and method for breaking obstructions in body lumens includes a catheter including an elongated carrier, a balloon at one end of the carrier in sealed relation thereto, the carrier including a channel arranged to receive a fluid that fills and pressurizes the balloon to an internal pressure of greater than two atmospheres, and an arc generator including at least one electrode within the balloon that forms a mechanical shock wave within the balloon. The system further includes a power source that provides electrical energy to the arc generator.08-09-2012
20110152907Devices, systems, and methods for performing atherectomy including delivery of a bioactive material - Devices, systems, and methods are employed to perform an atherectomy in an identified region to restore patency to arterial lesions. A bioactive material is introduced into the identified region before, after or during performing the atherectomy. The bioactive material can be introduced, e.g., on a balloon coated with the bioactive material, which is expanded in contact with the identified region to deliver the bioactive material. The bioactive material can be, e.g., at least one of a restenosis-inhibiting agent, a thrombus-inhibiting agent, and an anti-inflammatory agent.06-23-2011
20080243154Surgical Instrument of the Ablation of Diseased Veins, Particularly Saphenous Veins - The invention relates to a surgical instrument for the ablation of diseased veins, particularly saphenous veins. The surgical instrument includes a stripping member or olive-shaped member, a traction probe, and a return thread, which can be used to move the olive in opposite directions. In addition, the anterior part of the olive, according to the direction of movement of same during the application of the operating method, is equipped with an axial cavity which is open at the front end of the anterior part, so as to define a circular stripping lip. The stripping olive includes an essentially-cylindrical anterior part and a posterior part having a circular cross-section, which are defined by a circular recess. The circular front end of the posterior part has a diameter greater than that of the anterior part.10-02-2008
20080215077Systems, methods and devices for removing obstructions from a blood vessel - Devices and methods for removing an obstruction from a blood vessel are described. The devices are deployed in a collapsed condition and are then expanded within the body. The devices are then manipulated to engage and remove the obstruction.09-04-2008
20110054504RECANALIZATION DEVICE WITH EXPANDABLE CAGE - A vascular recanalization device for re-establishing blood flow through a vessel lumen. The vascular recanalization device includes an elongate wire and an expandable cage slidably coupled to the elongate wire. The expandable cage includes a proximal collar slidably disposed on the elongate wire and a distal collar slidably disposed on the elongate wire. A central stop is secured to the elongate wire intermediate the proximal collar and the distal collar. A proximal stop is located proximal of the proximal collar of the expandable cage, and a distal stop is located distal of the distal collar of the expandable cage. The proximal collar is slidable along the elongate wire between the proximal stop and the central stop, and the distal collar is slidable along the elongate wire between the central stop and the distal stop.03-03-2011
20110054503SYSTEMS, METHODS AND DEVICES FOR ABLATION, CROSSING, AND CUTTING OF OCCLUSIONS - Ablation, crossing, and cutting systems, devices and associated methods, including a crossing device, comprising, in combination: a spring-enhanced handle and body configured to controllably extend and retract a blade within a microcatheter for addressing an occlusion within a vessel of a patient to provide improved access for supplemental treatment and reperfusion.03-03-2011
20110264125SYSTEMS AND METHODS FOR ENDOLUMINAL VALVE CREATION - A method of manipulating tissue at a vessel includes advancing a device distally relative to an opening at an interior surface of the vessel, and into a first wall portion of a vessel until an entirety of the device is within the wall of the vessel, the device having a distal end, a proximal end, and a cutting element coupled to the proximal end, and using the cutting element to increase a size of the opening by retracting the device proximally.10-27-2011
20110112563Atherectomy devices and methods - The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.05-12-2011
20100292721EASILY CLEANED ATHERECTOMY CATHETERS AND METHODS OF USE - An atherectomy catheter is provided having a tissue collection chamber capable of being cleaned out in a simple, fast and effective way, and also provides methods of using said catheter to remove material from a blood vessel lumen. In one embodiment the tissue collection chamber has an expandable tip having a first closed position capable of retaining material in the chamber and having a second open position that may allow expulsion of material from the chamber. In a second embodiment the tissue collection chamber has a displaceable tip having a first closed position to retain material in the chamber and having a second open position to allow expulsion of material from the chamber.11-18-2010
20100292720ROTATIONAL ATHERECTOMY DEVICE AND METHOD TO IMPROVE ABRADING EFFICIENCY - The invention provides a rotational atherectomy system, device and method having, in various embodiments, a flexible, elongated, rotatable drive shaft with at least one eccentric abrading head attached thereto, wherein the abrading head comprises at least one groove thereon. The eccentric grooved abrading comprises a tissue removing surface—typically an abrasive surface and/or at least one groove. Preferably the eccentric enlarged abrading head has a center of mass spaced radially from the rotational axis of the drive shaft, facilitating the ability of the device to open the stenotic lesion to a diameter substantially larger than the outer diameter of the enlarged abrading head when operated at high speeds. The groove(s) provide improved efficacy in the abrasion of non-calcified and/or soft tissue as well as provide a means for breaking the hydraulic wedge between the abrading head and the stenotic tissue.11-18-2010
20110125172AUTOMATIC ATHERECTOMY SYSTEM - An automatic atherectomy system uses a rotary burr at the tip of a catheter as a sensing device, in order to measure both electrical conductivity and permittivity of surrounding tissue at multiple frequencies. From these parameters it is determined which tissue lies in different directions around the tip. A servo system steers the catheter tip in the direction of the tissue to be removed. In non-atherectomy applications the rotary burr can be replaced with any desired tool and the system can be used to automatically steer the catheter to the desired position. The steering may be done hydraulically, by pressurizing miniature bellows located near the catheter tip.05-26-2011
20120150207ROTATIONAL DEVICE WITH ECCENTRIC ABRASIVE ELEMENT AND METHOD OF USE - A rotational device for removing an occlusion from inside a tubular structure, the device comprising a drive shaft for insertion over a guidewire into a tubular structure and an abrasive element on the drive shaft having its centre of mass offset from a longitudinal axis of the drive shaft. A solid counterweight is disposed on the drive shaft spaced from the abrasive element and having its centre of mass offset from the longitudinal axis of the drive shaft so that the abrasive element moves in an orbital path around said axis to abrade an occlusion from inside the tubular structure when the drive shaft rotates around the guidewire.06-14-2012
20110077673ROTATIONAL ATHERECTOMY DEVICE WITH FRICTIONAL CLUTCH HAVING MAGNETIC NORMAL FORCE - An atherectomy device is disclosed, with a clutch between the motor and the drive shaft. The clutch includes two plates that rely on frictional to transmit torque from one plate to the other. The clutch has an attractive magnetic normal force that holds the plates together. For relatively low torques, as is the case during normal use, a static frictional torque holds the plates together, and the plates spin together without slipping. For relatively high torques, as occurs when the distal end of the drive shaft encounters an obstacle and stops abruptly, the high torque exceeds the maximum possible static frictional torque, and the plates slip. When slipping, the plates transmit a kinetic frictional torque that is low enough to avoid damage to the patient or to the atherectomy device. In some cases, the torque levels associated with a stoppage of the drive shaft distal end are chosen to mimic those of a known atherectomy device, in which a gas-driven turbine is clutchlessly attached to the drive shaft.03-31-2011
20100305592Rotational Thrombectomy Wire - A rotatable thrombectomy wire for breaking up thrombus or other obstructive material comprising an inner core composed of a flexible material and an outer wire surrounding at least a portion of the inner core. The outer wire has a sinuous shaped portion at a distal region. The inner core limits the compressibility of the outer wire. The outer wire is operatively connectable at a proximal end to a motor for rotating the wire to macerate thrombus.12-02-2010
20100324576Plaque removal device with rotatable cutting element - An elongate tubular body with a rotatable cutting element is provided. An opening is provided near the distal end of the tubular body, and the cutting element may be partially exposed through the opening. The cutting element is configured to remove plaque from the wall of a body lumen. A distal segment may coupled to the distal end of the tubular body and may have a distal port for slidably receiving a guidewire therethrough.12-23-2010
20110087254ROTATIONAL ATHERECTOMY DEVICE WITH KEYED EXCHANGEABLE DRIVE SHAFT - An atherectomy device with an exchangeable drive shaft is disclosed, having a mechanical coupling that can allow for axial translation of the drive shaft while keeping the drive shaft rotationally locked to the prime mover. The coupling is geometrically keyed, with one side of the coupling having an aperture with a particular internal cross-section, and the other side of the coupling having an external cross-section that matches all or a part of the corresponding internal cross-section. Key shapes may be hexagonal, square, n-sided polygonal, star-shaped, or any other suitable shape. The keys may optionally include one or more rounded corners to simplify manufacturing. Axial motion may be locked by an optional twist-lock connection of two elements that surround the keyed coupling.04-14-2011
20100082052DOUBLE BALLOON THROMBECTOMY CATHETER - A catheter has a lumen for a thrombectomy device and at least two balloons of different compliancies. In one embodiment, the catheter is adapted to clear dialysis grafts. One balloon is adapted to expand a stenosis at a venous junction of a dialysis graft and another balloon is adapted to pull a stenosis at an arterial junction of a dialysis graft. A single catheter may be used to perform a dialysis thrombectomy procedure.04-01-2010
20100082051VASCULAR OCCLUSION DRILL - The invention provides a medical device for treatment of an obstructed vessel, the apparatus comprising: (a) an external conduit comprising a proximal end, a distal end, a cylindrical outer surface sized for passage through a blood vessel, and an internal lumen, the conduit lumen being threaded within at least a portion of the length of the conduit at the distal end, and (b) a shaft comprising a proximal end, a distal end, an internal lumen, and a cylindrical outer surface fitted inside the conduit lumen and having external threading over at least a portion of the length of the shaft at the distal end; where the shaft threading engages the external conduit threading allowing the shaft to be advanced through the lumen by rotation of the shaft.04-01-2010
20120179179Rotational Atherectomy Device with Fluid Inflatable Support Elements and Distal Protection Capability - A rotational atherectomy device for abrading a stenotic lesion from a vessel of a patient comprises a flexible drive shaft which extends towards a distal end of the device, a distal fluid inflatable support element located at a distal end of the drive shaft and an abrasive element mounted to the drive shaft proximal to and spaced away from the distal fluid inflatable support element. Both the abrasive element and the distal fluid inflatable support element are rotatable together with the drive shaft.07-12-2012
20110190797METHOD OF RESTORING BLOOD FLOW THROUGH AN OBSTRUCTED BLOOD VESSEL OF THE BRAIN - An acute stroke recanalization system and processes include catheter-based improved reconstrainable or tethered neurological devices which are deliverable through highly constricted and tortuous vessels, crossing the zone associated with subject thrombi/emboli, where deployment impacts, addresses or bridges the embolus, compacting the same into luminal walls which enables perfusion and lysis of the embolus, while the improved neurological medical device itself remains contiguous with the delivery system acting as a filter, basket or stand alone stenting mechanism, depending on the status of the embolus and other therapeutic aspects of the treatment being offered for consideration.08-04-2011
20110202079THERAPEUTIC AGENT DELIVERY SYSTEM, DEVICE AND METHOD FOR LOCALIZED APPLICATION OF THERAPEUTIC SUBSTANCES TO A BIOLOGICAL CONDUIT - The invention provides a system, device and method for localized application of therapeutic substances within a biological conduit. One embodiment comprises a rotational atherectomy device having a flexible, elongated, rotatable, drive shaft having a lumen and with an eccentric enlarged abrading head having at least one application hole attached therethrough and in communication with a therapeutic agent delivery sheath and an operator-controlled actuator. The therapeutic substances may then spray radially outwardly from the application hole(s) on the eccentric abrading head during and/or after high-speed rotation of the head. Another embodiment comprises compartments in the abrading head that hold therapeutic agent(s) for release during high-speed rotation. In each case, the therapeutic substance(s) is delivered with radial forces resulting from high-speed orbital rotation of the eccentric abrading head, driving the therapeutic substance(s) into the conduit wall.08-18-2011
20100030247VARICOSE VEIN REMOVAL DEVICE - Disclosed is an instrument for treating varicose veins, the instrument comprising: an elongate shaft having a longitudinal axis and configured to be manually moved in a forward direction and a rearward direction through a portion of soft tissue. The instrument further comprises at least two teeth projecting substantially on a first plane from the elongate shaft, the at least two teeth respectively having a forward facing surface and a rearward facing surface. The forward facing surface is angularly configured to allow substantially atraumatic passage through a tissue portion when the instrument is moved in a forward direction. The rearward facing surface is angularly configured to cause substantially traumatic passage through a tissue portion when the instrument is moved in a rearward direction.02-04-2010
20100023037ULTRASOUND CATHETER AND METHODS FOR MAKING AND USING SAME - Ultrasound catheter devices and methods provide enhanced disruption of blood vessel obstructions. Generally, ultrasound catheters include an elongate flexible catheter body with one or more lumens, an ultrasound transmission member extending longitudinally through the catheter body lumen and, in some embodiments, a guidewire tube extending through the lumen. A distal head for disrupting occlusions is coupled with the distal end of the ultrasound transmission member and is positioned adjacent the distal end of the catheter body. Some embodiments include improved features such as a bend in the catheter body for enhancing positioning and/or advancement of the catheter.01-28-2010
20100023033Hydrodynamic Thrombectomy Catheter - A catheter apparatus for removing an obstruction within a body lumen includes an elongate tubular shaft defining a lumen and a flexible membrane that fluidly seals the distal end of the tubular shaft. At least one cutting element or tool is attached to and distally extends from the flexible membrane. An actuating mechanism is operatively connected to a proximal end of the tubular shaft. The actuating mechanism displaces a fluid disposed within the lumen of the tubular shaft in such a manner that the fluid oscillates the flexible membrane and the cutting element attached thereto. Accordingly, the catheter apparatus uses pulsatile fluid flow through the tubular shaft to transmit energy from the driving mechanical at the proximal end of the catheter apparatus to the flexible membrane at the distal end of the catheter apparatus. The transmitted energy causes the cutting element to oscillate and break up a target blood clot.01-28-2010
20100023038DEVICES AND METHODS FOR DISRUPTION AND REMOVAL OF LUMINAL OCCLUSIONS - The subject invention pertains to an elastic sheath, device, and methods for disrupting and/or removing occlusive material from lumens, particularly biological lumens, such as the vasculature, ureter, urethra, fallopian tubes, bile duct, intestines, and the like. The subject invention provides for effective disruption and removal of occlusive material, such as a thrombus, from the body lumen with minimal risk of injury to the lumen wall. Advantageously, the invention can be used to achieve a high degree of removal while minimizing the amount of occlusive material that is released into the body lumen. The subject invention further pertains to methods for disrupting and removing occlusive material from a biological lumen. In another aspect, the present invention concerns a device useful as an in vitro model of luminal occlusion and methods for using the device to test the efficacy of devices and methods for treating luminal occlusions.01-28-2010
20100023035MULTI-STRANDED APPARATUS FOR TREATING A MEDICAL CONDITION - The present embodiments provide apparatus suitable for treating a medical condition at a target site. In one embodiment, the apparatus comprises a plurality of strands, each having proximal and distal regions, wherein the plurality of strands are twisted in a generally helical manner to form a tubular shape. The proximal and distal regions of each of the plurality of strands comprise a contracted configuration adapted for delivery to the target site. Further, the distal region of at least one of the plurality of strands comprises an expanded, radially deployed configuration adapted to facilitate treatment of the medical condition. The distal region of at least one of the plurality of strands may be deployed in a self-expanding or balloon-expandable manner.01-28-2010
20100023036ULTRASOUND CATHETER AND METHODS FOR MAKING AND USING SAME - Ultrasound catheter devices and methods provide enhanced disruption of blood vessel obstructions. Generally, ultrasound catheters include an elongate flexible catheter body with one or more lumens, an ultrasound transmission member extending longitudinally through the catheter body lumen and, in some embodiments, a guidewire tube extending through the lumen. A distal head for disrupting occlusions is coupled with the distal end of the ultrasound transmission member and is positioned adjacent the distal end of the catheter body. Some embodiments include improved features such as a bend in the catheter body for enhancing positioning and/or advancement of the catheter.01-28-2010
20100023034CLOT RETRIEVAL METHOD AND DEVICE - Devices, systems and methods for retrieving clot material from a vasculature lumen are provided. In one embodiment, a medical device includes a handle, a catheter, a tether member and a clot retrieval element. The catheter extends from the handle and the clot retrieval element is configured to be positioned within a distal portion of the catheter with the tether member extending between the handle and the clot retrieval element. The clot retrieval element is configured to be deployed from within the catheter so that the catheter moves proximally relative to and separate from the clot retrieval element while maintaining attachment to the clot retrieval element via the tether member. Further, the clot retrieval element is configured to be pulled by the tether member to abut against a distal side of a clot with proximal movement of the tether member to pull the clot from the vasculature lumen.01-28-2010
20100016875Intravascular foreign matter removing wire and medical implement - An intravascular foreign matter removing wire has a flexible long wire body, a first catching section located on the tip side of the wire body and operative to catch a foreign matter present inside a blood vessel, and a second catching section located in the vicinity of and on the base end side of the first catching section and operative to catch a foreign matter present inside a blood vessel.01-21-2010
20110118770VESSEL CUTTING TOOL - The present invention is an improved cutting tool to reliably and safely cut a circular hole through the wall of a body vessel. Unlike prior art, the vessel cutting tool can measure the thickness of the vessel wall before cutting the hole, measure the depth of tool penetration during cutting, and control the rate of rotational cutting relative to the rate of axial movement. Also, the invention provides other benefits not previously offered by prior art inventions. For instance, in one embodiment of the invention an electric motor is used to cut the hole. In another embodiment, the anchor element forms an immediate low profile device within the vessel and by acting as a protective separator, the anchor prevents unwanted vessel tissue from inadvertently being cut by the rotating cutter. In yet another embodiment, an adhesive is used in place of the anchor element to provide an adhesive bond to secure the cutting tool to the vessel. And in yet another embodiment, the invention allows a surgeon to bend the shaft of the cutting tool to allowing for easier access to the vessel.05-19-2011
20110306995MATERIAL REMOVAL DEVICE AND METHOD OF USE - A catheter having a tubular body and a rotatable shaft disposed within a lumen of the tubular body. A cutting element is coupled to the rotatable shaft, the cutting element having a cutting edge, the cutting element and rotatable shaft being longitudinally moveable within the tubular body between a stored position in which the cutting element is positioned distal of a side opening and a cutting position in which the cutting element is contained within the lumen of the tubular body and longitudinally aligned with the side opening. The cutting element is configured to extend through the side opening and to cut material from the wall of a vessel at a treatment site as the catheter is pulled proximally through the treatment site. The catheter may optionally have a rotating distal tip with an abrasive surface. The catheter includes a collection chamber positioned proximally of the cutting window.12-15-2011
20120041460THROMBUS MANAGEMENT SYSTEM - Systems, methods, and devices for the treatment of acute ischemic stroke that provide immediate blood flow restoration to a vessel occluded by a clot and, after reestablishing blood flow, address the clot itself. Immediate blood flow restoration advantageously can facilitate natural lysis of the clot and also can reduce or obviate the concern for distal embolization due to fragmentation of the clot. Several embodiments of the invention provide for progressive, or modular, treatment based upon the nature of the clot. For example, the progressive treatment can include immediate restoration of blood flow, in-situ clot management, and/or clot removal depending on the particular circumstances of the treatment. The in-situ clot management can include, for example, lysis, maceration, and/or removal.02-16-2012
20120041459METHOD AND APPARATUS FOR INCREASING BLOOD FLOW THROUGH AN OBSTRUCTED BLOOD VESSEL - A method of increasing blood flow through an obstructed blood vessel includes providing an expandable member substantially made of a mesh having a plurality of interstices. The expandable member is inserted into the blood vessel, positioned within the blood vessel with the proximal member end upstream of the distal member end and the member body located radially adjacent at least a portion of an obstruction, and expanded to bring at least a portion of the member body into contact with the obstruction. An outward radial force is exerted on the obstruction to dislodge at least one fragment from the obstruction and to enhance blood flow through the blood vessel past the obstruction. The at least one fragment is passed through at least one interstice of the member body in the radial direction, and is selectively retained within the expandable member.02-16-2012
20090043320FLUID JET DEVICE - A fluid jet device being provided with a fluid jet aperture section and producing a jet of fluid from the fluid jet aperture section includes: a pulsation generation section including a fluid chamber whose capacity can be changed, an inlet fluid path linked through the fluid chamber with a volume smaller than that of the fluid chamber, and an outlet fluid path linked through the fluid chamber and the fluid jet aperture section with an inertance set smaller than that of the inlet fluid path; and a pressure generation section that supplies the fluid to the inlet fluid path.02-12-2009
20100234864Three-Dimensional Cutting Instrument - A cutting instrument includes a blade and a cutting edge that is curved in a direction having a vector component that is transverse to a cutting direction of the instrument, thereby forming a three-dimensional cutting edge. In use, this structure allows the cutting instrument to be drawn across tissue, without necessarily rotating, and separate a strip from the tissue. Various geometries for the cutting instrument can be created by forming a planar blade, heating the blade, and then plastically deforming the blade around a mandrel to achieve the desired three-dimensional geometry.09-16-2010
20120046679ATHERECTOMY CATHETERS WITH LONGITUDINALLY DISPLACEABLE DRIVE SHAFTS - Described herein are atherectomy catheters, systems and methods that include longitudinally displaceable drive shafts that drive actuation of one or more cutters at the distal end of the catheter. The catheters described herein may include one or more imaging sensors for imaging before, during or after cutting tissue. In some variations the imaging sensor may be rotated around the perimeter of the catheter independently of the rotation of the cutter. Also describe herein are imaging catheters that may be used without cutters.02-23-2012
20120046677MODULAR VESSEL HARVESTING SYSTEM AND METHOD - A vessel harvesting system that is suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The system includes a vessel harvesting tool with an elongated cannula and a plurality of surgical instruments therein for separating the target vessels from the surrounding tissue and side branches. The harvesting tool includes a modular handle unit with a base attached to the elongated cannula and a sled that can adapt the base to various types of vessel severing/securing tools, such as tissue welders, bipolar scissors, and bipolar bisectors. The handle unit may be relatively rigid and integrated with the various tool movement controls to facilitate one-handed operation by a user. A severing/securing tool rotation mechanism may be incorporated within the handle and operated by a thumbwheel or other such mechanism. The vessel harvesting system may also provide distal CO02-23-2012
20120232570APPARATUS AND METHOD FOR TREATING OCCLUDED VASCULATURE - Occluded vasculature such as occluded arterial vasculature can be recanalized using a device that is configured to penetrate an occlusion, while limiting a distance that said penetration structure can extend in order to limit inadvertent vascular damage. The device can include an elongate shaft of a guidewire and a stylet disposed within a lumen of the elongate shaft such that the stylet is selectively actuatable within the elongate shaft.09-13-2012
20120209302DELIVERY AND EXCHANGE CATHETER FOR STORING GUIDEWIRE - A support catheter for stowing and exchanging guidewires and other working elements comprises a catheter body having a proximal region and a distal region. A single, contiguous lumen is formed from the proximal region through the distal region and has a larger proximal cross-sectional area than distal cross-sectional area.08-16-2012
20120010640GUIDEWIRE FOR CROSSING OCCLUSIONS OR STENOSES - Systems and methods for crossing stenosis, partial occlusions, or complete occlusions within a body lumen. The systems generally include an elongate member such as a hollow guidewire that houses a rotatable and translatable drive shaft. The drive shaft typically has a distal portion that is advanced to create a path in the occlusive material that is large enough to allow the hollow guidewire to cross the occlusive material.01-12-2012
20080312671Infusion flow guidewire system - An infusion flow guidewire system including a delivery sheath and an infusion flow guidewire. The minimal cross section flexible infusion flow guidewire includes a nitinol hypotube, a flexible tip and distally located rearwardly directed orifices for infusion of fibrinolytics and for introduction of high pressure fluids for maceration and rearwardly directed flow of thrombus debris located in tortuous small sized vessels. Apparatus, some of which is removably attachable, is provided for grasping members of the invention for rotational torquing and for longitudinal actuation along and within the vasculature.12-18-2008
20110166586SYSTEMS, METHODS AND DEVICES FOR REMOVING OBSTRUCTIONS FROM A BLOOD VESSEL - A system for removing an obstruction from a blood vessel includes an obstruction engaging element and an expandable capture element. The capture element preferably has a flexible cover and an expandable support structure. The engaging element engages the obstruction and moves the obstruction into the capture element. The capture element protects the obstruction when the obstruction is moved into the catheter.07-07-2011
20120016395HIGH CAPACITY DEBULKING CATHETER WITH DISTAL DRIVEN CUTTING WHEEL - The present invention is an atherectomy catheter with a rotary cutting knife that is driven from the distal (nose) or side (circumference) direction. The catheter collects plaque shavings in a hollow collection chamber mounted in between the rotary cutting knife and the main catheter tubing. In contrast to prior art designs, which utilized nose mounted plaque collection chambers, the present design is able to store a substantially larger volume of removed plaque, thus increasing the length of time and amount of plaque removal that can be accomplished before the catheter must be removed from the body and cleaned. This decreases medical procedure time, allows for more complete and careful plaque removal, and reduces the burden on the patient and physician.01-19-2012
20120016394Method of Performing a Surgical Procedure - A method for performing a cholecystectomy procedure comprises providing an access device having a plurality of ports for reception of instruments. An incision is made in the abdomen of a patient and the access device is mounted to provide access through the incision. A first grasper device is inserted through a first port of the access device, a second grasper device is inserted through a second port of the access device and a dissector is inserted through a third port of the access device. At least a first portion of the gall bladder is detached from surrounding tissue.01-19-2012
20120022563ANGIOPLASTY BALLOON WITH CONCEAL WIRES - A balloon catheter having wires situated between an outer layer and a surface of a balloon is described. Each wire may be confined within an interior space of a pocket or encapsulated within a sheath. The pocket includes the outer layer and the balloon surface. The outer layer and balloon surface are unattached to allow the wire to slidably fit between therewithin. The pocket is selectively bonded to the balloon. The sheath includes a preformed shape that completely circumscribes the wire along the longitudinal and radial directions of the wire. The confined and encapsulated feature of the wires enable the wires to be atraumatic and remain spaced apart during treatment of calcification of a lesion.01-26-2012
20090209987SNARE WITH CAPTURE-AREA ENHANCEMENT - A surgical snare for ensnaring an object in a patient includes a flexible section that selectively switches between an insertion shape and an ensnaring shape; and a capture-area enhancer deployed when the flexible section assumes the ensnaring shape. An actuator coupled to the flexible section causes the flexible section to transition between the insertion shape and the ensnaring shape.08-20-2009
20120059401DEVICE AND METHOD FOR COMPARTMENTAL VESSEL TREATMENT - An angioplasty balloon having an elastic constraining structure that partially expands with the balloon so that, at maximum balloon inflation, the constraining structure forms a pattern of channels or “pillows” on the balloon.03-08-2012
20120071907PLAQUE REMOVAL DEVICE WITH ROTATABLE CUTTING ELEMENT - An elongate tubular body with a rotatable cutting element is provided. An opening is provided near the distal end of the tubular body, and the cutting element may be partially exposed through the opening. The cutting element is configured to remove plaque from the wall of a body lumen. A distal segment may be coupled to the distal end of the tubular body and may have a distal port for slidably receiving a guidewire therethrough.03-22-2012
20120179180RELEASABLE MEDICAL BASKET AND RELATED METHODS OF USE - A device and related methods of use are provided for the capture and removal of various unwanted objects present within the body's anatomical lumens. In an embodiment of the present disclosure, the device includes a sheath, an elongate member, and a retrieval assembly connected to the elongate member and retractable within and extendable from a lumen of the sheath. The device includes one or more legs releasably connected to a portion of the retrieval assembly in response to movement of the elongate member relative to the sheath.07-12-2012
20120179178METHOD OF EVALUATING A TREATMENT FOR VASCULAR DISEASE - Methods of evaluating treatments for vascular disease are described. The treatments can include administration of pharmaceutical, chemical, or biological agents. Vascular tissue is removed from a first site in a vascular lumen and optionally analyzed. A treatment is administered to the patient, followed by removal of a second portion of vascular tissue from a second site. The vascular tissue from both the first and second site are compared to learn the effect of the treatment. Treatments can include placement of prosthetic devices such as stents in the lumen. Whether or not the vascular tissue recurs at a site after removal can be monitored as a measure of the success of a given treatment.07-12-2012
20120271332SURGICAL INSTRUMENT FOR REMOVING BODY TISSUE OR VESSELS - A surgical instrument and a method for using the instrument are provided. The instrument can include a tubular member. A grasper can extend within the tubular member. The grasper can have grasping members each with a distal body. An opening can be formed in an inner surface of each distal body. The grasping members can pivot between an open and a closed configuration to engage a body vessel or tissue. A cutting device can extend within the tubular member. The cutting device can have a cutting member with a cutting edge. The cutting member can be movable between a free and an engaged configuration to sever a body vessel or tissue. When the grasping members are in the closed configuration, the openings of the distal bodies can form a cavity to receive the cutting member to shield the cutting member during navigation within a body of a patient.10-25-2012
20100249815EVERTED SHEATH THROMBECTOMY DEVICE - A medical device for removing a thrombus includes an outer sheath and an inner catheter. The inner catheter is disposed within the inner lumen of the outer sheath. The device also includes a rollsock which is everted upon itself and connected to the distal ends of the outer sheath and inner catheter. A scraping device is attached to the outer surface of the rollsock, such that when the outer sheath is moved relative to the inner catheter the scraping device is exposed to an inner surface of a body vessel.09-30-2010
20120316585CATHETER WITH ENHANCED PUSHABILITY - Apparatus for enhancing pushability and minimizing kinking of a balloon catheter is provided, wherein a catheter comprises inner and outer tubes, and a balloon that is proximally affixed to the outer tube and distally affixed to the inner tube. The catheter of the present invention further comprises a tubular member imposed on the inner tube which is configured to form a reversible mechanical linkage between inner tube and outer tube while an axially compressive load is applied to the catheter tip.12-13-2012
20120221026Deep Vein Thrombosis Therapeutic Methods Using Therapeutic Cutting Devices and Systems - Methods and devices are disclosed that, in various embodiments and permutations and combinations of inventions, diagnose and treat Pulmonary Embolism or associated symptoms. In one series of embodiments, the invention consists of methods and devices for identifying patients whose Pulmonary Embolism or associated symptoms are caused or exacerbated, at least in part, by blockages of one or more of the patient's internal pulmonary veins. In some instances, stenoses or other flow limiting structures or lesions in the patient's affected veins are identified. Further, in some instances the nature of such lesions and whether there is a significant disruption of blood pressure, or both, is ascertained. In some embodiments, methods and devices for applying one or more therapies to the blockages in the patient's pulmonary veins are provided.08-30-2012
20120130413SURGICAL CUTTING INSTRUMENT - Catheter assembly in which the catheter sleeve is provided with a flexible tip at its distal end for carrying out medical procedures. In order to be able to vary the position of the free end of the flexible tip, a control element is present consisting of an actuating wire. The actuating wire is attached to the free end of the flexible tip and extends externally with respect to the flexible tip, in the direction of the catheter, and then passes through an opening into the inside of the catheter to the proximal end thereof.05-24-2012
20120130411VASCULAR TREATMENT DEVICES AND METHODS - An apparatus for performing a vascular treatment includes an intraluminal member that is controllingly moved during the vascular treatment. The intraluminal member of the vascular treatment device can be connected to a motor. The intraluminal member may be configured to retain endothelium during the vascular treatment procedure.05-24-2012
20120130412TOTAL OCCLUSION GUIDEWIRE DEVICE - A guidewire comprising a spreader or at least one centering device which may be used to open occluded vessels or other biological passages, especially chronic total occlusions. The guidewire may be used to either open the lumen or to center a boring device within the lumen, so that the chronic total occlusion can be crossed, and an interventional procedure can then be performed.05-24-2012
20120130410DIRECTION REVERSING VASCULAR TREATMENT DEVICE - An apparatus for performing a vascular treatment includes an intraluminal member that is controllingly moved during the vascular treatment. The intraluminal member of the vascular treatment device can be connected to a motor. The rotation direction of the intraluminal member can be reversed to reduce the incidence and duration of vein entanglement during a vascular ablation procedure. Reversal of direction could occur automatically, or in response to a sensor such as a load sensor provided as part of the motorized drive system.05-24-2012
20120130409CUTTING WIRE ASSEMBLY FOR USE WITH A CATHETER - A method of treating a lesion in a body lumen to enlarge a passageway in the lumen including providing a cutting member, connecting a tracking member to the cutting member to form an assembly, inserting the connected cutting member and tracking member through a first lumen of a catheter, withdrawing the catheter from the cutting member and tracking member, inserting the catheter over the tracking member and leaving the cutting member outside the catheter, and expanding a portion of the catheter to move the cutting member into cutting contact with the lesion. A device for treating a lesion in a body lumen including a cutting member having a coupler to connect a tracking member is also provided.05-24-2012
20120130408CUTTING WIRE ASSEMBLY FOR USE WITH A CATHETER - A method of treating a lesion in a body lumen to enlarge a passageway in the lumen including inserting a plurality of cutting members and a tracking member through a first lumen of a catheter, withdrawing the catheter from the cutting members and tracking member, inserting the catheter over the tracking member and leaving the cutting members outside the catheter, and expanding a portion of the catheter to move the cutting members into cutting contact with the lesion. A device for treating a lesion in a body lumen including a plurality of cutting members and a tracking member is also provided.05-24-2012
20120130407SCORING BALLOON AND METHOD OF MAKING SAME - A scoring balloon (05-24-2012
20120165846Rotational Device with Inflatable Support Elements and Torque Transmitting Membrane - A rotational atherectomy device for removing a stenotic tissue from a vessel of a patient is disclosed. The device comprises a rotatable, flexible, hollow drive shaft having a fluid impermeable wall defining a lumen of the drive shaft and, an abrasive element mounted to a distal end portion of the drive shaft proximal to and spaced away from a distal support element formed at a distal end of the drive shaft. The distal support element is inflatable by pressurized fluid which flows in an antegrade direction through said lumen of the drive shaft and is least partially re-directed into the distal fluid inflatable support element. The distal fluid inflatable support element has an outer wall comprising an outflow opening.06-28-2012
20120165847Rotational Atherectomy Device with Fluid Inflatable Support Elements Supported by Fluid Bearings - A rotational atherectomy device for removing a stenotic tissue from a vessel of a patient is disclosed. The device comprises a rotatable, flexible, hollow drive shaft having an open distal end. The drive shaft comprising a fluid impermeable wall, an abrasive element mounted to the drive shaft proximal to and spaced away from its distal end, the fluid impermeable wall being formed from a torque transmitting coil and at least one fluid impermeable membrane which define a lumen for the antegrade flow of pressurized fluid through the drive shaft and into a distal fluid inflatable support element to inflate said fluid inflatable support element. The distal fluid inflatable support element is located at the distal end of the drive shaft and has an outer wall comprising an outflow opening.06-28-2012
20120316586MECHANICAL PUMP FOR REMOVAL OF FRAGMENTED MATTER AND METHODS OF MANUFACTURE AND USE - Material transport catheters and methods for their use rely on rotation of an impeller within a catheter body and a clearing element for preventing buildup of materials at the opening of the catheter body. The impeller preferably comprises an inner tube or shaft having a helical rotor fainted over an outer surface thereof. The clearing element may comprise a free end of a structure near the distal end of the catheter body for disrupting clot, wherein the free end of the structure extends into the distal opening of the catheter body to break up materials as the impeller is rotated. Alternatively, the clearing element may comprise a cutting member disposed at the distal opening of the catheter body.12-13-2012
20120215239EASILY CLEANED ATHERECTOMY CATHETERS AND METHODS OF USE - An atherectomy catheter is provided having a tissue collection chamber capable of being cleaned out in a simple, fast and effective way, and also provides methods of using said catheter to remove material from a blood vessel lumen. In one embodiment the tissue collection chamber has an expandable tip having a first closed position capable of retaining material in the chamber and having a second open position that may allow expulsion of material from the chamber. In a second embodiment the tissue collection chamber has a displaceable tip having a first closed position to retain material in the chamber and having a second open position to allow expulsion of material from the chamber.08-23-2012
20120083810ATHERECTOMY DEVICES AND METHODS - The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.04-05-2012
20120083809Positionable Valvuloplasty Catheter - In one embodiment, a balloon catheter is provided for use during annuloplasty. Preferably, the balloon includes a distal, noncompliant portion and a proximal semi-compliant portion which allows for sequential inflation, reliable positioning, and compliance measurement.04-05-2012
20080312673Method and apparatus for CTO crossing - A method of treating vessel occlusions including chronic total occlusions (CTO) of the coronary arteries is presented that relies on remote navigation of a remotely steered medical device to the occlusion and controlled application of ablative energy or mechanical push together with real-time local imaging of the vasculature or real-time vessel wall sensing. The combinative use of remote navigation methods and real-time imaging or real-time sensing enables crossing of elongated lesions and CTOs, calcified lesions and CTOs and lesions and CTOs located at vessel branches.12-18-2008
20120172903Rotational Atherectomy Device with Fluid Inflatable Support Elements and Two Torque Transmitting Coils - A rotational atherectomy device for removing a stenotic tissue from a vessel of a patient is disclosed. The device comprises a rotatable, flexible, hollow drive shaft having a fluid impermeable wall defining a fluid impermeable lumen of the drive shaft and, an abrasive element mounted to a distal end portion of the drive shaft proximal to and spaced away from a distal support element formed at a distal end of the drive shaft, the distal support element being inflatable by pressurized fluid which flows in an antegrade direction through said lumen of the drive shaft and is at least partially re-directed into the distal fluid inflatable support element.07-05-2012
20120172902DEVICE AND METHOD FOR TREATING VARICOSE VEINS - A surgical instrument for treatment of superficial varicose veins in a body is provided. The surgical instrument includes at least one vein-engaging element disposed within or on a housing being adapted for insertion into a tissue. The at least one vein-engaging element is operable to a vein-engaging state whereby it protrudes from the housing at a length thereof.07-05-2012
20120172901CUTTING BALLOON CATHETER - A medical balloon catheter including a catheter shaft and an inflatable balloon secured to a distal portion of the catheter shaft. One or more cutting blades are secured to the inflatable balloon by a first polymeric adhesive material forming a mounting pad encasing a base portion of the cutting blade therein, and a second polymeric adhesive material adhesively bonding the mounting pad to a surface of the balloon. The first polymeric adhesive material has a first ductility and the second polymeric adhesive material has a second ductility greater than the first ductility.07-05-2012
20100049226Rotational Atherectomy Device With Fluid Inflatable Support Elements And Distal Protection Capability - A rotational atherectomy device for abrading a stenotic lesion from a vessel of a patient comprises a flexible drive shaft (02-25-2010
20100049225Atherectomy devices and methods - The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.02-25-2010
20120259351Method of and an apparatus for restoring blood flow through a blood vessel - Restoring a blood flow through a blood vessel includes introducing into blood flow an element which has an air and blood impermeable wall, and locating the element in the blood vessel so as to isolate a foreign substance accumulated in a blood vessel to provide an unobstructed blood flow through an interior of the element.10-11-2012
20120179181CATHETER COMPRISING A PROTECTION SYSTEM FOR ASPIRATING, FRAGMENTING AND EXTRACTING REMOVABLE MATERIAL FROM HOLLOW BODIES OR VESSELS OF A HUMAN OR ANIMAL BODY - Systems, devices, and processes for aspirating, fragmenting and extracting removable material from hollow bodies. A guide wire (07-12-2012
20100274269Single probe with disturber - A single probe percutaneous surgical instrument for de-bulking/removing thrombus/clog/calculi has an actuator assembly (10-28-2010
20120239065Enhanced Cross Stream Mechanical Thrombectomy Catheter - An enhanced cross stream mechanical thrombectomy catheter with backloading manifold having a distal end with outflow and inflow orifices at one side for producing concentrated cross stream jet flow for selective and concentrated thrombus ablation during thrombectomy procedures. The invention provides for suitable distancing of high powered ablation or suction forces from the near walls of the vasculature. Cross stream flow emanating from the one side of the distal end of the catheter resultantly urges the distal end of the catheter and thus the opposing non-orif iced side of the distal end of the catheter toward and against the vascular wall to inhibit contact of the inflow orifice with the vascular wall. Features of the invention include a geometrically configured insert to facilitate the backloading or exchange of guidewires.09-20-2012
20100010522ROTATIONAL ATHERECTOMY DEVICE WITH FLUID INFLATABLE SUPPORT ELEMENTS AND TWO TORQUE TRANSMITTING COILS - A rotational atherectomy device for removing a stenotic tissue from a vessel of a patient is disclosed. The device comprises a rotatable, flexible, hollow drive shaft having a fluid impermeable wall defining a fluid impermeable lumen of the drive shaft and, an abrasive element mounted to a distal end portion of the drive shaft proximal to and spaced away from a distal support element formed at a distal end of the drive shaft, the distal support element being inflatable by pressurized fluid which flows in an antegrade direction through said lumen of the drive shaft and is at least partially re-directed into the distal fluid inflatable support element. The distal fluid inflatable support element has an outer wall comprising an outflow opening located such that said outflow opening faces an inner surface of a treated vessel during rotation of the drive shaft so that a flow of fluid through said outflow opening forms a layer of fluid between the outer wall of the rotating fluid inflated distal support element and a wall of the treated vessel to form a fluid bearing between the outer wall of the rotating fluid inflated distal support element and the wall of the treated vessel, the drive shaft being comprised of at least one fluid impermeable membrane and at least two torque transmitting coils, one of said coils extending distally beyond the distal end of the other coil and conveying torque to the abrasive element mounted to the drive shaft distal to and spaced away from a portion of the drive shaft formed from the fluid impermeable membrane and said torque transmitting coils.01-14-2010
20100010521CUTTING BALLOON WITH MOVABLE MEMBER - A balloon catheter and method of use of the balloon catheter are described that may be used to dilate hardened regions of a stenosed region within a body vessel. The balloon catheter is provided with at least one wire that extends between a distal member and a proximal member. The distal member is fixedly attached to the catheter shaft, and the proximal member is slidably disposed along the outer diameter of the shaft. Inflation of the balloon causes the proximal member and the proximal end of the wire attached thereto to distally move along the shaft. Movement of the wire in the distal direction enables subsequent angioplasty to be performed. Deflation of the balloon causes the proximal member and the proximal end of the wire to proximally move along the shaft after completion of the angioplasty procedure.01-14-2010
20090018566Atherectomy devices, systems, and methods - The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.01-15-2009
20090018567Atherectomy devices, systems, and methods - The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.01-15-2009
20090018564Rotational Device with Eccentric Abrasive Element and Method of Use - A rotational device for removing an occlusion from inside a tubular structure, the device comprising a drive shaft (01-15-2009
20090018563STRIPPING DEVICE FOR REMOVAL OF VARICOSE VEINS - A vein stripping device for removal of varicose veins including a base body and a guide cable, which is connectable to the base body and insertable into a varicose vein. Attached to the base body is at least one lens which receives incident optical light to generate light energy for cutting and severing the varicose vein. The surgery is substantially pain-free and ensures a blood-dry lumen or stripping-channel.01-15-2009
20080300610Device for treating hardened lesions and method of use thereof - A balloon catheter is provided that may be used to dilate hardened regions of a stenosis on a vessel wall. The balloon catheter is provided with cutting elements that extend along a surface of a balloon. At least one bioactive is present, either on the cutting element, within the interior of the balloon, within the material of the balloon or on an outside surface of the balloon. The bioactive is delivered to the vessel wall upon dilation of the balloon.12-04-2008
20120239066ROTATIONAL THROMBECTOMY WIRE COUPLER - An assembly for breaking up vascular thrombus or other obstructive material including a motor housing having a motor, a motor shaft extending from the motor, a first housing positioned at a distal end of the motor shaft, a rotational thrombectomy wire and a second housing positioned at a proximal end of the wire. The first housing has a first magnet positioned therein and recessed from the distal edge of the first housing which has a first plurality of teeth. The second housing has a second magnet positioned therein and recessed from a proximal edge of the second housing which has a second plurality of teeth intermeshing with the first plurality of teeth when the wire is coupled to the motor shaft. The first and second plurality of teeth slip when a torque of the motor shaft exceeds a predetermined value.09-20-2012
20120239064DEVICE AND METHOD FOR REMOVING MATERIAL FROM A HOLLOW ANATOMICAL STRUCTURE - A medical device for removing a material from a hollow anatomical structure is provided. The device may include a shaft member. The device may include an expandable centering element near the distal end of the device. The device may include a macerator element either attached to the shaft or independent and freely moveable from the shaft. Alternatively, the device may include a rotating wire attached to the macerator element. The device may include an aspiration lumen in for removal of material. The device may include a drive shaft attached to a motor and used to rotate the macerator element. The device may be used in combination with a distal occlusion element, which may be either a radially expandable filter or balloon member.09-20-2012
20110130778DOUBLE BALLOON THROMBECTOMY CATHETER - A catheter has a lumen for a thrombectomy device and at least two balloons of different compliancies. In one embodiment, the catheter is adapted to clear dialysis grafts. One balloon is adapted to expand a stenosis at a venous junction of a dialysis graft and another balloon is adapted to pull a stenosis at an arterial junction of a dialysis graft. A single catheter may be used to perform a dialysis thrombectomy procedure.06-02-2011
20110130777METHODS AND DEVICES FOR CUTTING TISSUE - A catheter which includes a cutting element having one or more raised elements is provided. The cutting element has a cup-shaped surface at the distal end that may be smooth and continuous except for the raised elements. The raised elements have a surface that tends to direct cut particles of material towards one or more of the axis of rotation of the cutting element, the catheter axis, or a particle collection chamber. In further aspects of the invention, a cutting element oscillates in a direction roughly parallel to the axis of rotation of the cutting element.06-02-2011
20120265225DIRECT ACCESS ATHERECTOMY DEVICES AND METHODS OF USE - An atherectomy device comprising cannula systems having lumens adapted for insertion of a blood filter and an atherectomy catheter useful for performing atherectomy directly on a patient's cardiovascular tissue. Other embodiments include alumen for arterial perfusion useful in providing oxygenated blood to the aorta during cardiopulmonary bypass. The distal end of the atherectomy catheter includes an assembly that comprises a pincer, a loop with or without a mesh, laser, hydraulics, or other suitable mechanism adapted for removing atheroma from a cardiac or vascular tissue. Methods of using the systems for vascular atherectomy are also disclosed herein.10-18-2012
20110213392Systems and Methods for Removing Undesirable Material Within a Circulatory System - A system for removing undesirable material from vessels and from chambers within the heart is provided. The system includes a suction cannula for removing the undesirable material from a site of interest within a patient. A filter device may be provided for capturing the undesirable material and removing it from the fluid flow. The system also includes pump for generating the necessary suction force through the suction cannula to dislodge the undesirable material from the site of interest and for generating a sufficient driving force to direct the fluid flow downstream within the system. The system further includes a reinfusion cannula for introducing fluid removed from the site of interest back into a patient. A method for removing undesirable material from vessels and from heart chambers is also provided.09-01-2011
20110213391ROTATIONAL ATHERECTOMY DEVICE WITH ELECTRIC MOTOR - An atherectomy device is disclosed, which is rotationally driven by an electric motor. In some designs, the device includes features unavailable on gas turbine-driven systems, such as the storing in memory of low/medium/high preset rotation speeds for particular models of handle, calculations of the amount of saline left in the IV and associated warnings when it gets sufficiently low, and automatic adjustment of the IV pump rate to a predetermined or calculated level when the rotational speed of the motor is changed. The electric motor has far more rotational inertia than a comparable gas turbine, so the system includes a control mechanism that helps prevent damage from excessive torque being applied to the distal end of the drive shaft. When an obstruction at the distal end is detected, by a drop in the motor rotational speed, the motor is released and is allowed to spin freely as a flywheel. The freely-spinning motor allows the large angular momentum of the system to dissipate rapidly and safely, without excessive torque to the drive shaft.09-01-2011
20120277777Vein stripping device - A vein stripping device 11-01-2012
20110276072ENDOVASCULAR DEVICES AND METHODS - Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes providing an intravascular device having a distal portion with a lumen extending therein; inserting the device into the vascular lumen; positioning the distal portion in the vascular wall; and directing the distal portion within the vascular wall.11-10-2011
20120095485SYSTEMS AND METHODS FOR PERCUTANEOUS OCCLUSION CROSSING - The present invention provides methods and apparatuses for crossing or bypassing total or near total occlusions of vessels through the use of elongate members and specialized catheters that include a piercing catheter, a reentry catheter, a multi-lumen, reentry catheter, and combinations thereof. A piercing catheter comprises a distal tip used to pierce an occlusion in a crossing procedure and can be configured to microdissect the occlusion or provide support for an elongate member. A reentry catheter comprises a distal side port and ramp to facilitate the reentry or perforation of a vessel wall. A multi-lumen, reentry catheter comprises a tearable lumen divider and a distal side port and ramp.04-19-2012
20110319917METHODS OF MANAGING NEUROVASCULAR OBSTRUCTIONS - Systems, methods, and devices for the treatment of acute ischemic stroke that provide immediate blood flow restoration to a vessel occluded by a clot and, after reestablishing blood flow, address the clot itself. Immediate blood flow restoration advantageously can facilitate natural lysis of the clot and also can reduce or obviate the concern for distal embolization due to fragmentation of the clot. Several embodiments of the invention provide for progressive, or modular, treatment based upon the nature of the clot. For example, the progressive treatment can include immediate restoration of blood flow, in-situ clot management, and/or clot removal depending on the particular circumstances of the treatment. The in-situ clot management can include, for example, lysis, maceration, and/or removal.12-29-2011
20120330336DEBULKING CATHETERS AND METHODS - A method of removing material from a blood flow lumen includes providing a device having a cutting element and an opening, the cutting element being movable relative to the opening. The method then includes advancing the device through a patient's vascular system to the blood flow lumen. Finally, the method involves moving the cutting element and the opening relative to the blood flow lumen so that a continuous piece of material is severed by the cutting element and directed into the opening as the cutting element and opening move through the blood flow lumen, the continuous piece of severed material being directed into the device for removal from the patient. The method may include providing a device having a rotatable cutter that, in some embodiments, is not parallel to the longitudinal axis of the device, is movable, has retracted and deployed positions, or any combination thereof.12-27-2012
20120330335PERCUSSION TOOL FOR BREACHING INTRAVASCULAR OCCLUSIONS - A tool for use at an intra-body location during a minimally invasive surgical procedure includes a mechanical energy accumulator associated with first and second bodies. Cyclic relative motion of a pair of linking elements accumulates energy in the mechanical energy accumulator and then suddenly releases the energy to propel the second body through a range of free motion. The tool may be an over-the-wire tool or may be integrated as part of a guidewire. Various embodiments employ a helical spring element or an elastomer block as the accumulator.12-27-2012
20120330334Therapeutic Cutting Devices, Systems, and Methods for Multiple Sclerosis, Deep Vein Thrombosis, and Pulmonary Embolism - Methods and devices are disclosed that, in various embodiments and permutations and combinations of inventions, diagnose and treat Multiple Sclerosis, Deep Vein Thrombosis, and/or Pulmonary Embolism or symptoms associated with these maladies. In one series of embodiments, the invention consists of methods and devices for identifying patients whose Multiple Sclerosis, Deep Vein Thrombosis, and/or Pulmonary Embolism or associated symptoms are caused or exacerbated, at least in part, by blockages of one or more of the patient's veins. In some instances, stenoses or other flow limiting structures or lesions in the patient's affected veins are identified. Further, in some instances the nature of such lesions and whether there is a significant disruption of blood pressure, or both, is ascertained. In some embodiments, methods and devices for applying one or more therapies to the blockages in the patient's veins are provided.12-27-2012
20120101511Medical Apparatus for Dissociation of Epidural Adhesion and Diminution of Stenosis of Intervertebral Foramen - Provided is a medical apparatus which may be used for a patient with low back pain according to epidural adhesion and stenosis of the intervertebral foramen. The medical apparatus includes an insertion tube in which a balloon part, a movable end, and the like are selectively installed in order to alleviate epidural adhesion and stenosis of the intervertebral foramen, which are responsible for low back pain.04-26-2012
20120101510Systems And Methods For Removing Obstructive Matter From Body Lumens And Treating Vascular Defects - Systems and methods for removing obstructions from, delivering implantable devices or substances in or near and/or restoring flow through body lumens, such as blood vessel lumens. A catheter having a proximal portion of a first diameter and a distal portion of a second diameter (smaller than the first diameter) is advanced into a body lumen. The distal portion of the catheter is caused to expand to a diameter that is larger than the second diameter but no larger than the first diameter. A working device is then advanced out of the distal end of the catheter and used to remove obstructive matter, deliver an implantable device or substance and/or restore flow. The distal portion can be reduced in diameter prior to removal from the body.04-26-2012
20100137893DEVICE FOR DILATING THE URETHRA OF THE BODY OF A PATIENT AND DEVICE FOR REMOVING PROSTATE TISSUE - Device for removing prostate tissue from within the urethra, the device including a plurality of arms, and an actuating mechanism coupled to the arms, the arms being rotatable about a longitudinal axis of the urethra, the arms being divided into arm pairs, each of the arm pair being apart from each other in a first configuration and attempting to get closer to each other, in a second configuration, wherein the device is inserted in the urethra toward the prostate, in the first configuration, and wherein after the device is placed adjacent to the prostate, within the urethra, the actuating mechanism moves the arms to the second configuration, thereby pinching the prostate through the urethra.06-03-2010
20120289982Balloon Catheter Mesh - A resector balloon includes an outer wall having a resecting surface that resects biological material. The balloon also includes a woven sleeve including at least one woven thread disposed on at least a portion of the outer wall. The woven sleeve forms at least a portion of the resecting surface. In certain embodiments, the woven sleeve includes weft knit threads including crossover points where the threads overlap. In some embodiments, the woven sleeve includes electrically conductive threads.11-15-2012
20120289983METHODS AND DEVICES FOR RECANALIZATION OF OCCLUDED BODY VESSELS USING A DOUBLE-SIDED GUIDEWIRE - Devices and methods for recanalization of occluded body vessels using novel guidewires. A novel double-sided guidewire comprises a cross-section tapering from a more rigid middle section towards more flexible head sections. A first head of the guidewire is inserted into the occluded body vessel in a retrograde direction to traverse an occlusion. The guidewire is further advanced in the retrograde direction such that the first head and a portion of the middle section are retrieved from the body, thereby positioning the remainder of the guidewire traversing the occlusion in an antegrade direction and allowing for over the wire re-canalization techniques in the antegrade direction.11-15-2012
20130018398ROTATIONAL ATHERECTOMY DEVICE WITH ELECTRIC MOTOR - An atherectomy device is disclosed, which is rotationally driven by an electric motor. In some designs, the device includes features unavailable on gas turbine-driven systems, such as the storing in memory of low/medium/high preset rotation speeds for particular models of handle, calculations of the amount of saline left in the IV and associated warnings when it gets sufficiently low, and automatic adjustment of the IV pump rate to a predetermined or calculated level when the rotational speed of the motor is changed. The electric motor has far more rotational inertia than a comparable gas turbine, so the system includes a control mechanism that helps prevent damage from excessive torque being applied to the distal end of the drive shaft. When an obstruction at the distal end is detected, by a drop in the motor rotational speed, the motor is released and is allowed to spin freely as a flywheel. The freely-spinning motor allows the large angular momentum of the system to dissipate rapidly and safely, without excessive torque to the drive shaft.01-17-2013
20130018397MATERIAL REMOVAL DEVICE HAVING IMPROVED MATERIAL CAPTURE EFFICIENCY AND METHODS OF USE - The present invention provides an improved atherectomy catheter having means for directing particles generated by a cutting element into a collection chamber. Methods of directing the cut material from a blood vessel lumen into a collection chamber are also provided.01-17-2013
20130018396CUTTING BALLOON CATHETER WITH FLEXIBLE CUTTING BLADES - A cutting balloon catheter including a balloon mounted on a distal portion of a catheter shaft. The balloon includes a cutting member mounted on an exterior surface of the balloon which includes one or more features for providing the cutting member with enhanced flexibility for navigating tortuous anatomy and more closely conforms to the expansion characteristics of the balloon to which the cutting member is mounted.01-17-2013
20130018399ROTATIONAL ATHERECTOMY DEVICE WITH ELECTRIC MOTOR - An atherectomy device is disclosed, which is rotationally driven by an electric motor. In some designs, the device includes features unavailable on gas turbine-driven systems, such as the storing in memory of low/medium/high preset rotation speeds for particular models of handle, calculations of the amount of saline left in the IV and associated warnings when it gets sufficiently low, and automatic adjustment of the IV pump rate to a predetermined or calculated level when the rotational speed of the motor is changed. The electric motor has far more rotational inertia than a comparable gas turbine, so the system includes a control mechanism that helps prevent damage from excessive torque being applied to the distal end of the drive shaft. When an obstruction at the distal end is detected, by a drop in the motor rotational speed, the motor is released and is allowed to spin freely as a flywheel. The freely-spinning motor allows the large angular momentum of the system to dissipate rapidly and safely, without excessive torque to the drive shaft.01-17-2013
20110160758CATHETER FOR ASPIRATING, FRAGMENTING AND REMOVING MATERIAL - Catheter for aspiration, fragmentation and removal of removable material from hollow bodies, in particular of thrombi and emboli from human blood vessels, comprising a working head, a flexible transport screw, a flexible tube, and a cutting tool. The working head is independently displaceable along a guide wire, is arranged at the distal end of the catheter, and has at least one lateral opening. The flexible transport screw can be rotated at a distance by means of a rotary drive of a drive unit. The flexible tube surrounds the transport screw, is connected to the working head, and is intended for removing the detached thrombi and emboli fragments. The transport screw forms a shearing cutting tool in cooperation with the lateral opening of the working head, in order to comminute the detached thrombi and emboli between peripheral borders of the transport screw and borders of the lateral opening.06-30-2011
20110160757EXPANDABLE TIP ASSEMBLY FOR THROMBUS MANAGEMENT - Systems, methods, and devices for the treatment of acute ischemic stroke that provide immediate blood flow restoration to a vessel occluded by a clot and, after reestablishing blood flow, address the clot itself. Immediate blood flow restoration advantageously can facilitate natural lysis of the clot and also can reduce or obviate the concern for distal embolization due to fragmentation of the clot. Several embodiments of the invention provide for progressive, or modular, treatment based upon the nature of the clot. For example, the progressive treatment can comprise a three-step progressive treatment process that includes immediate restoration of blood flow, in-situ clot management, and/or clot removal depending on the particular circumstances of the treatment. The in-situ clot management can include, for example, lysis and maceration. The progressive, or modular, treatment can be provided by a system or kit of one or more treatment devices.06-30-2011
20110160756Cutting or Scoring Balloon, System and Method of Making a Cutting or Scoring Balloon - A cutting or scoring balloon (06-30-2011
20110160755Helically Advancing Constriction Crossing Mechanism And Wire Guide Positioning Method For Performing Percutaneous Vascular Procedures - A method of performing a percutaneous vascular procedure includes sliding a vascular constriction crossing mechanism in a proximal to distal direction over a wire guide having a wire guide tip positioned at a proximal side of a vascular constriction, and rotating a sheath of the vascular constriction crossing mechanism about an axis of rotation relative to another sheath of the vascular constriction crossing mechanism. The method further includes advancing a constriction crossing tip by way of helically engaging the sheaths during the steps of rotating, and guiding an intraluminal treatment device into or past the vascular constriction for performing a vascular procedure within the patient. The vascular constriction crossing mechanism includes a first sheath and a second sheath, and a constriction crossing tip coupled with a distal segment of the first sheath. The vascular constriction crossing mechanism further includes a helical coupling between the first and second sheaths, which is configured to convert a torque on one of the sheaths to an axial force on the other of the sheaths for crossing a vascular constriction with the constriction crossing tip. An anchoring mechanism may be coupled with one of the sheaths and includes a deployed state at which the anchoring mechanism contacts a vascular wall of the patient for resisting displacement of the second sheath within a vascular structure of a patient.06-30-2011
20130023913ROTATIONAL ATHERECTOMY DEVICE WITH ELECTRIC MOTOR - An atherectomy device is disclosed, which is rotationally driven by an electric motor. In some designs, the device includes features unavailable on gas turbine-driven systems, such as the storing in memory of low/medium/high preset rotation speeds for particular models of handle, calculations of the amount of saline left in the IV and associated warnings when it gets sufficiently low, and automatic adjustment of the IV pump rate to a predetermined or calculated level when the rotational speed of the motor is changed. The electric motor has far more rotational inertia than a comparable gas turbine, so the system includes a control mechanism that helps prevent damage from excessive torque being applied to the distal end of the drive shaft. When an obstruction at the distal end is detected, by a drop in the motor rotational speed, the motor is released and is allowed to spin freely as a flywheel. The freely-spinning motor allows the large angular momentum of the system to dissipate rapidly and safely, without excessive torque to the drive shaft.01-24-2013
20130023912Multiple Sclerosis Therapeutic Methods Using Therapeutic Cutting Devices and Systems - Methods and devices are disclosed that, in various embodiments and permutations and combinations of inventions, diagnose and treat Multiple Sclerosis or associated symptoms. In one series of embodiments, the invention consists of methods and devices for identifying patients whose Multiple Sclerosis or associated symptoms are caused or exacerbated, at least in part, by blockages of one or more of the patient's internal jugular veins (IJV) or azygous veins (AZV). In some instances, stenoses or other flow limiting structures or lesions in the patient's affected veins are identified. Further, in some instances the nature of such lesions and whether there is a significant disruption of blood pressure, or both, is ascertained. In some embodiments, methods and devices for applying one or more therapies to the blockages in the patient's IJV or AZV veins are provided.01-24-2013
20080255596THROMBECTOMY APPARATUS AND METHOD - A thrombectomy system may include an elongate shaft that defines a high pressure lumen and a low pressure lumen. The high pressure lumen may terminate near an end of the low pressure lumen. An expandable capture basket may be disposed near the end of the low pressure lumen. A thrombectomy apparatus may include an elongate shaft, an evacuation lumen extending within the elongate shaft and a high pressure lumen extending within the elongate shaft. A capture apparatus may be disposed within a wire lumen that extends within the elongate shaft such that the capture apparatus extends distally from the wire lumen.10-16-2008
20080255595Valvulotome - A valvulotome device for cutting valves inside a lumen of a vein having a deployable assembly with deployable cutting blades and guide fins which permit continual centralizing, self-alignment of the cutting blades within the lumen of the vein as the valves are being excised is disclosed. The valvulotome device further includes a handle operatively associated with the deployable assembly through a catheter by the handle in a one-handed operation for deploying the guide fins and cutting blades of the deployable assembly having respective outer diameters at each deployment position.10-16-2008
20080243153METHODS AND APPARATUS FOR THROMBECTOMY SYSTEM - In certain embodiments, the system is configured to remove from or fragment materials in a vessel by inserting a catheter into a vessel, wherein the distal tip of the catheter is placed at the surgical site and a liquid spray is applied to materials to remove or fragment (as defined herein) the materials. In certain embodiments, the system comprises a liquid spray emanating from a fragmentation lumen and across a fragmentation opening.10-02-2008
20080234706Systems, methods and devices for removing obstructions from a blood vessel - Devices and methods for removing an obstruction from a blood vessel are described. The devices are deployed in a collapsed condition and are then expanded within the body. The devices are then manipulated to engage and remove the obstruction.09-25-2008
20130178881Rotational Atherectomy Device with Distal Protection Capability and Method of Use - A rotational device for removing a stenotic lesion from within a vessel of a patient is disclosed. The device comprises a flexible hollow drive shaft having a distal end insertable into the vessel and an abrasive element located on the drive shaft proximal to the distal end of the drive shaft to abrade a stenotic lesion when the drive shaft rotates. The hollow drive shaft defines a lumen for fluid supplied into the drive shaft to flow in an antegrade direction along the lumen and into the vessel from the drive shaft distal to the abrasive element so that the fluid entering the vessel flows in a retrograde direction over the abrasive element and the drive shaft to entrain debris abraded by the abrasive element for removal of said debris from the patient.07-11-2013
20080221601GUIDEWIRE FOR CROSSING OCCLUSIONS OR STENOSES HAVING A SHAPEABLE DISTAL END - A hollow guidewire with a shapeable distal end, for removing tissue from a body lumen, such as a coronary artery. The hollow guidewire comprises an elongate, tubular guidewire body that has an axial lumen. A tissue removal assembly, such as a rotating drive shaft, is positioned at or near a distal end of the tubular guidewire body and extends through the axial lumen. Actuation of the tissue removal assembly removes occlusive material in the body lumen.09-11-2008
20130204279CATHETER DESIGN FOR USE IN TREATING PLEURAL DISEASES - A catheter for use in treating pleura diseases, such as pleural effusions and pneumothorax, includes a tip portion that is configured to irritate the pleura when the catheter is inserted in the pleural cavity, thereby initiating mechanical pleurodesis. The tip portion has a substantially rough configuration and may include one or more protrusions that contact the pleura when the catheter is in use, thereby irritating the layers. This irritation causes the creation of fibrous adhesions between the parietal and visceral layers that close off the pleural cavity and prevent further fluid and/or air accumulations that occur as a result of pleural diseases.08-08-2013
20110270289ATHERECTOMY DEVICES AND METHODS - The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.11-03-2011
20130090674ATHERECTOMY DEVICES AND METHODS - The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.04-11-2013
20130096587ATHERECTOMY APPARATUS, SYSTEMS AND METHODS - Described here are devices and methods for performing atherectomies. Generally, the atherectomy devices may comprise a handle, a cutter assembly, and a catheter or catheter assembly therebetween. The cutter assembly may include a cutter housing and a cutter comprising a first cutting element and a second cutting element, each of which may be rotated relative to the atherectomy device to cut occlusive material.04-18-2013
20130096589ATHERECTOMY CATHETERS AND NON-CONTACT ACTUATION MECHANISM FOR CATHETERS - An atherectomy catheter includes a deflectable distal tip, a rotatable cutter proximal to the distal tip, a cutter drive shaft configured to rotate the rotatable cutter, and a pull shaft concentric with the drive shaft and coupled to the distal tip. The pull shaft is configured such that pulling the pull shaft deflects the distal tip, thereby exposing the rotatable cutter. Also disclosed herein is a magnetic drive system configured for non-contact actuation of a catheter.04-18-2013
20130096588ATHERECTOMY POSITIONING DEVICE - Techniques are described for treating an occlusion in a patient. In one example, a system comprises an atherectomy device configured to remove an occlusion from a body lumen and a positioning device that positions the atherectomy device adjacent to the occlusion. The positioning device comprises a tubular body having first and second ends and defining a lumen therebetween, at least two fins engaged to the tubular body, wherein in a deployed state, the fins extend radially outward from the tubular body, and wherein in an undeployed state, the at least two fins wrap about one another and about the tubular body, a guide wire extending through the lumen, and first and second stopper members, each of the first and second stopper members engaged to the guide wire, wherein the first stopper member and the second stopper member substantially prevent movement of the tubular body along the guide wire.04-18-2013
20130103062ATHERECTOMY DEVICES AND METHODS - The devices and methods generally relate to treatment of occluded body lumens. In particular, the present devices and method relate to removal of the occluding material from the blood vessels as well as other body lumens.04-25-2013
20130103063DEVICES, SYSTEMS, AND METHODS FOR PERFORMING ATHERECTOMY INCLUDING DELIVERY OF A BIOACTIVE MATERIAL - Devices, systems, and methods are employed to perform an atherectomy in an identified region to restore patency to arterial lesions. A bioactive material is introduced into the identified region before, after or during performing the atherectomy. The bioactive material can be introduced, e.g., on a balloon coated with the bioactive material, which is expanded in contact with the identified region to deliver the bioactive material. The bioactive material can be, e.g., at least one of a restenosis-inhibiting agent, a thrombus-inhibiting agent, and an anti-inflammatory agent.04-25-2013
20130131703METHOD AND APPARATUS FOR INCREASING BLOOD FLOW THROUGH AN OBSTRUCTED BLOOD VESSEL - A method of increasing blood flow through an obstructed blood vessel includes providing an expandable member substantially made of a mesh having a plurality of interstices. The expandable member is inserted into the blood vessel, positioned within the blood vessel with the proximal member end upstream of the distal member end and the member body located radially adjacent at least a portion of an obstruction, and expanded to bring at least a portion of the member body into contact with the obstruction. An outward radial force is exerted on the obstruction to dislodge at least one fragment from the obstruction and to enhance blood flow through the blood vessel past the obstruction. The at least one fragment is passed through at least one interstice of the member body in the radial direction, and is selectively retained within the expandable member.05-23-2013
20130131702TETHERED COIL FOR TREATMENT OF BODY LUMENS - Disclosed is an apparatus and a method for removable of undesired material from body lumens. The apparatus may be used for fragmenting or removing a thrombus or occlusion from a blood vessel. The apparatus includes first shape segments and second shape segments connected to form a coiled member. A longitudinally extending tether is positioned inside the first shape segments and outside the second shape segments along the length of the coil. Applying a proximal force on the tether produces a change in the shape of at least a portion of the coil from a first generally linear configuration to a second complex three dimensional shape. A method of using the apparatus to engage and remove, or fragment, the thrombus or occlusion is disclosed.05-23-2013
20110218560EMBOLECTOMY DEVICE - An embodiment is a catheter comprising a first elongate shaft having a proximal end, a distal end and a first lumen therethrough, a wire having a proximal end and a distal end at least partially disposed in the first elongate shaft, the distal end extending distally from the first elongate shaft, and a motion control apparatus connected to the proximal end of the wire, further comprising a device attached to the distal end of the wire for changing the shape of an embolus, wherein the device is configured to change the shape of the embolus to unclog a distal catheter lumen.09-08-2011
20110213393Systems and Methods for Removing Undesirable Material Within a Circulatory System Utilizing a Balloon Catheter - A system for removing an undesirable material from within a vessel is provided. The system includes a cannula designed for maneuvering within a blood vessel to a site of interest and applying a suction force, such that the undesirable material can be captured and removed along the cannula away from the site. The system also may include a catheter having a balloon at its distal end. The balloon may be designed to be positioned adjacent to the undesirable material such that the undesirable material is situated between the balloon and the cannula. The catheter may also be designed to subsequently impart a force onto the undesirable material for removal of the undesirable material. A method for removing an undesirable material from within a vessel is also provided.09-01-2011
20110224708Angioplasty Device - The invention relates to an angioplasty device for treating stenoses or occlusions that facilitates the diagnosis and visualisation of the stenosis and the treatment control having a duct dedicated to the injection of the contrast product.09-15-2011
20100286719VALVULOTOME DEVICE AND METHOD - Valvulotome devices and methods are provided. Valvulotome devices include one or more valvulotome arms that have a u-shaped curved body with opposing arms and a base portion that extends between the arms. The valvulotome arm defines a notch open at one end on one of the arms and extending into the base portion of the u-shaped curved body. The notch defines an angled surface that provides a cutting edge. Methods of making valvulotome devices are also described.11-11-2010
20130150874CATHETER SYSTEM WITH BALLOON-MOUNTED PLAQUE-MODIFYING ELEMENTS - A plaque-modifying balloon and method for use in an endovascular procedure includes an elongated balloon that defines a longitudinal axis and is inflatable from a first deflated configuration to a second radially expanded configuration. One or more plaque-modifying elements are mounted on the outside of the inflatable balloon. Optionally, a compressible sheath made of a relatively low durometer, flexible material is mounted on the balloon to cover the elements during transit of the plaque-modifying balloon to and from the treatment site.06-13-2013
20120283761METHODS AND DEVICES FOR CUTTING TISSUE AT A VASCULAR LOCATION - A tissue cutting device includes a sizing element which detects the diameter of the vessel in which the cutting device is positioned. The sizing element is coupled to the cutting element so that the amount of the cutting element that is exposed varies in response to movement of the sizing element.11-08-2012
20120283760SYSTEMS, METHODS AND DEVICES FOR REMOVING OBSTRUCTIONS FROM A BLOOD VESSEL - Devices and methods for removing an obstruction from a blood vessel are described. The devices are deployed in a collapsed condition and are then expanded within the body. The devices are then manipulated to engage and remove the obstruction.11-08-2012
20120283759METHODS AND APPARATUS FOR CROSSING OCCLUSIONS IN BLOOD VESSELS - This disclosure is directed to a device for facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The device includes an intravascular device including a shaft having a distal end and a proximal end. The device includes a handle assembly fixed about the proximal end of the shaft, the handle assembly including a first portion. Rotation of the first portion in a first direction about a longitudinal axis of the shaft causes rotation of the shaft in the first direction when a torque applied by the first portion to the shaft is below a first maximum torque. Further rotation of the first portion in the first direction about a longitudinal axis of the shaft does not cause rotation of the shaft in the first direction when the torque applied by the first portion to the shaft is equal to or above the first maximum torque.11-08-2012
20130184727VESSEL SUPPORT DEVICE AND METHOD OF VESSEL HARVESTING - Embodiments of the invention provide a vessel support system and a method of vessel harvesting. The system can include a cutting device, a catheter adapted to be inserted into a section of the vessel in order to support the vessel as the cutting device is advanced over the vessel, and a cannula adapted to be coupled to the vessel and adapted to receive the catheter as the catheter is inserted into the section of the vessel. The method can include orienting a cutting device coaxially with the cannula and the catheter and advancing the cutting device over the cannula, the catheter, and the section of the vessel in order to core out the section of the vessel and a portion of the surrounding tissue.07-18-2013
20130123819Percutaneous Vein Removal Device - A surgical tool for the obliteration of spider veins.05-16-2013
20110301625Hydrodynamic Thrombectomy Catheter - A catheter apparatus for removing an obstruction within a body lumen includes an elongate tubular shaft defining a lumen and a flexible membrane that fluidly seals the distal end of the tubular shaft. At least one cutting element or tool is attached to and distally extends from the flexible membrane. An actuating mechanism is operatively connected to a proximal end of the tubular shaft. The actuating mechanism displaces a fluid disposed within the lumen of the tubular shaft in such a manner that the fluid oscillates the flexible membrane and the cutting element attached thereto. Accordingly, the catheter apparatus uses pulsatile fluid flow through the tubular shaft to transmit energy from the driving mechanical at the proximal end of the catheter apparatus to the flexible membrane at the distal end of the catheter apparatus. The transmitted energy causes the cutting element to oscillate and break up a target blood clot.12-08-2011
20130190789ROTATIONAL THROMBECTOMY WIRE WITH BLOCKING DEVICE - A thrombectomy apparatus for breaking up thrombus or other obstructive material in a lumen of a vascular graft or vessel. The apparatus includes a wire having a first configuration and a second deployed configuration, the wire having a straighter configuration in the first configuration. The wire is operatively connected to a motor for rotation of the wire to contact and break up the thrombus or other obstructive material. A blocking device at a distal portion of the apparatus is movable between a collapsed configuration and an expanded configuration, and is configured in the expanded configuration to block thrombus dislodged by rotation of the wire.07-25-2013
20120016396TETHERED COIL FOR TREATMENT OF BODY LUMENS - Disclosed is an apparatus and a method for removable of undesired material from body lumens. The apparatus may be used for fragmenting or removing a thrombus or occlusion from a blood vessel. The apparatus includes first shape segments and second shape segments connected to form a coiled member. A longitudinally extending tether is positioned inside the first shape segments and outside the second shape segments along the length of the coil. Applying a proximal force on the tether produces a change in the shape of at least a portion of the coil from a first generally linear configuration to a second complex three dimensional shape. A method of using the apparatus to engage and remove, or fragment, the thrombus or occlusion is disclosed.01-19-2012
20120035635VESSEL OCCLUDING MATERIAL EXTRACTOR - Methods, devices, and systems for extracting vessel occluding material are provided. An embodiment of a vessel occluding material extractor includes a host structure, a plurality of expandable members, a slide mechanism, and a circumferential member. The host structure has an elongate axis. The expandable members are connected to the host structure arrayed radially around the elongate axis. The slide mechanism is connected to the expandable members and adjacent the host structure, and is slidable in the direction of the elongate axis. The circumferential member is connected to the expandable members between the connection of the slide mechanism and the host structure to the expandable members.02-09-2012
20120035634ROTATIONAL THROMBECTOMY WIRE - A rotatable thrombectomy wire for breaking up thrombus or other obstructive material comprising an inner core composed of a flexible material and an outer wire surrounding at least a portion of the inner core. The outer wire has a sinuous shaped portion at a distal region. The inner core limits the compressibility of the outer wire. The outer wire is operatively connectable at a proximal end to a motor for rotating the wire to macerate thrombus.02-09-2012
20120046678Over-the-Wire Valvulotomes - Over-the-wire self-sizing, self-centering valvulotomes sufficiently designed to cut valves through a wide range of vein diameters and adjust to the internal diameter of a vein as the valvulotome is being drawn through the vessel, and methods of use thereof during certain medical procedures that involve splitting valves, are disclosed herein. In an embodiment, an over-the-wire valvulotome includes a catheter having a proximal end, a distal end, and a longitudinal axis therebetween, wherein a first portion of a plurality of cutting tools engage the catheter at the distal end, and wherein an actuation mechanism engages the catheter at the proximal end; a retainer for temporarily shielding a second portion of the plurality of cutting tools, wherein the second portion includes cutting blades; and a sheath slidably moveable over the plurality of cutting blades, wherein the catheter and the retainer have internal diameters configured for passing over a guidewire.02-23-2012
20130204278SYSTEMS FOR REMOVAL OF ATHEROSCLEROTIC PLAQUE OR THROMBUS AT A TREATMENT SITE - A system for removing plaque or thrombus from the vasculature and/or deployed medical devices is described. An embodiment can include a plaque reduction brush comprising at least one support adapted to allow the brush to be endoluminally deliverable via a delivery device to a treatment site; and a plurality of bristles extending from the at least one support and being arranged in a predetermined pattern along the at least one support, each of the plurality of bristles having a length, wherein one or more of the plurality of bristles has a bending portion along the length that is more easily bent than another portion of the length thereof, said bending portion facilitating bending of the one or more of the plurality of bristles between a compressed delivery configuration and an expanded use configuration.08-08-2013
20130204280Rotational Atherectomy Device with Fluid Inflatable Support Elements and Distal Protection Capability - A rotational atherectomy device for abrading a stenotic lesion from a vessel of a patient comprises a flexible drive shaft which extends towards a distal end of the device, a distal fluid inflatable support element located at a distal end of the drive shaft and an abrasive element mounted to the drive shaft proximal to and spaced away from the distal fluid inflatable support element. Both the abrasive element and the distal fluid inflatable support element are rotatable together with the drive shaft.08-08-2013
20130204281TOTAL OCCLUSION GUIDEWIRE DEVICE - A guidewire comprising a spreader or at least one centering device which may be used to open occluded vessels or other biological passages, especially chronic total occlusions. The guidewire may be used to either open the lumen or to center a boring device within the lumen, so that the chronic total occlusion can be crossed, and an interventional procedure can then be performed.08-08-2013
20130204282METHOD FOR EXTRACTING TUBULAR STRUCTURES - A method for extracting a tubular structure from tissue using a device including a handle having an actuator, an elongate body with a first end coupled to and extending from the handle, and an operational head disposed at a second end of the elongate body. The operational head is longitudinally movable between a neutral position and an actuated position. The method includes inserting the elongate body into the tubular structure; placing the operational head into the actuated position; engaging the tubular structure with the operational head when in the actuated position; and pulling the tubular structure from the tissue by moving the operational head.08-08-2013

Patent applications in class Blood vessel, duct or teat cutter, scrapper or abrader