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EP0485133A1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Asymmetric water jet atherectomy

Assignee: Bayer Medical Care Inc
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Filing: 1991-11-04
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Granted: —
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Expires: 2011-11-04
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Abstract

Abstract A technique for ablation and removal of plaque (120) deposits from the arterial, venous, vascular graft or other tissue wall (110) of a patient. Ablation is accomplished by directing a high pressure jet (129) of sterile saline solution at the plaque deposit. The high pressure jet is located at the distal end of a catheter (12) which is advanced through the vascular system to the site of the plaque deposit. Removal of the debris is via an evacuation lumen (128) within the catheter. The arterial wall is protected from damage by the catheter design which directs the high pressure jet towards a portion of the distal end of the catheter which serves as a target. The distal end of the catheter is placed such that the plaque or other deposit to be ablated is positioned between the high pressure jet and the target. An optional ultrasonic transducer array (118) located adjacent the high pressure jet and the evacuation lumen permits the attending physician to monitor the procedure. A balloon (113) may be used to hold the catheter against the deposit allowing it to protrude into the ablation jet and be removed from the vessel.

Inventors

  • 👤 William J. Drasler
  • 👤 Robert G. Dutcher
  • 👤 Mark L. Jenson
  • 👤 Joseph M. Thielen
  • 👤 Emmanuil I. Protonotarios

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-22 22:06
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/32; A61B17/3203; A61B17/32037; A61B17/3205; A61B17/3207; A61B17/320783; A61B2217/00; A61B2217/002; A61B2217/005; A61B2217/007

Claims Analysis

Total Claims: 17
Claim 1
Independent Claim 104 words
An apparatus for ablating a deposit within a vessel of a patient, characterised in that it comprises: a. a catheter (12) having a proximal end and a distal end (56); b. supplying means (38) coupled to said proximal end of the catheter for supplying a fluid under high pressure; c. directing means (122, 132) coupled to said distal end of the catheter for directing a stream of the fluid under high pressure at the deposit; and d. preventing means (126, 140) coupled to said distal end of the catheter for preventing the stream of fluid under high pressure from directly impinging upon the vessel.
Claim 2
Dependent Claim 13 words
An apparatus according to Claim 1, wherein the fluid is a saline solution.
Claim 3
Dependent Claim 23 words
An apparatus according to Claim 1 or 2, wherein the preventing means comprises a target interposed between the directing means and the vessel.
Claim 4
Dependent Claim 16 words
An apparatus according to Claim 3, wherein the target is an integral part of the catheter.
Claim 5
Dependent Claim 21 words
An apparatus according to Claim 1, 2, 3 or 4, wherein the directing means comprises one or more high pressure jets.
Claim 6
Independent Claim 18 words
An apparatus according to any of the preceding claims, wherein the target is distal of the directing means.
Claim 7
Independent Claim 19 words
An apparatus according to any of Claims 1 to 5, wherein the directing means is distal of the target.
Claim 8
Independent Claim 23 words
An apparatus according to any of the preceding claims, which includes an ultrasonic transducer array coupled to said distal end of the catheter.
Claim 9
Dependent Claim 16 words
An apparatus according to Claim 8, wherein the ultrasonic transducer array is directed toward the deposit.
Claim 10
Dependent Claim 17 words
An apparatus according to Claim 8, wherein the ultrasonic transducer array is directed toward a reflecting device.
Claim 11
Independent Claim 29 words
An apparatus according to any of the preceding claims, wherein the directing means directs the stream of fluid under high pressure parallel to the longitudinal axis of the catheter.
Claim 12
Independent Claim 30 words
An apparatus according to any of Claims 1 to 10, wherein the directing means directs the stream of fluid under high pressure nonparallel to the longitudinal axis of the catheter.
Claim 13
Independent Claim 29 words
An apparatus according to any of the preceding claims, which includes evacuating means coupled to said distal end of the catheter for evacuating particulate matter ablated from the deposit.
Claim 14
Dependent Claim 25 words
An apparatus according to Claim 13, wherein said evacuating means comprises an evacuation lumen toward which the stream of fluid under high pressure is directed.
Claim 15
Independent Claim 22 words
An apparatus according to any of the preceding claims, which includes an inflatable balloon for positioning said distal end of the catheter.
Claim 16
Independent Claim 84 words
A method for ablating a deposit in a vessel of a patient, characterised in that it comprises: advancing a catheter with a proximal end and a distal end until said distal end of the catheter is positioned at the site of the deposit; supplying a stream of high pressure fluid to impinge upon the deposit thereby to ablate it; and interposing a target intermediate the stream of high pressure fluid and the vessel to protect the vessel from the stream of high pressure fluid.
Claim 17
Dependent Claim 24 words
A method according to Claim 16, which includes monitoring the ablating with an ultrasonic transducer array coupled to said distal end of the catheter.

References Cited (Backward Citations)

DE3421390A1 Cited
US4913618A Cited
EP0232678B1 Cited
DE3715418A1 Cited
WO1988004157A1 Cited
JPS6485639A Cited
EP0329492A2 Cited
US4950238A Cited
WO1990005493A1 Cited

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