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US4979951A Expired / Lapsed US ⏱️ 0.0 years remaining

Atherectomy device and method

Assignee: Abbott Cardiovascular Systems Inc
•
Filing: 1989-01-18
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Granted: 1990-12-25
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Expires: 2009-01-18
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Abstract

Abstract Atherectomy device having a generally cylindrical housing formed of a relatively rigid material. The housing has rounded distal and proximal end portions. The housing is formed with a cutout extending longitudinally of the housing on one side of the housing. An atheroma cutter is disposed to the proximal end of the housing and is used for advancing the housing into the arterial passage. A flexible drive cable extends through the flexible guide and is connected to the atheroma cutter for operation of the atheroma cutter.

Inventors

  • 👤 John B. Simpson

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-22 19:15
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/32; A61B17/3205; A61B17/3207; A61B17/320783; A61B17/22; A61B17/22031; A61B17/320016; A61M; A61M25/00; A61M25/10; A61M25/104; A61B10/00; A61B10/02; A61B10/0233; A61B10/0266; A61B10/0275; A61B10/04; A61B2017/00831; A61B2017/0084; A61B2017/00845; A61B2017/00853; A61B2017/22038; A61B2017/22051; A61B2017/22052; A61B2017/22072; A61B2017/22074; A61B2017/22075; A61B90/00; A61B90/06; A61B2090/064; A61B90/39; A61B2090/3933; A61F; A61F2/00; A61F2/01; A61M2025/1043; A61M2025/1093

Claims Analysis

Total Claims: 67
Claim 1
Independent Claim 98 words
An atherectomy device comprising: a flexible member having proximate and distal ends; a housing disposed at the distal end of the flexible member, said housing having a cutout extending longitudinally on one side thereof and having a length greater than the width of the housing; cutting means disposed within the housing; drive means for translating the cutting means relative to the housing so that said cutting means will move past the cutout in the housing; and means on the housing for urging the housing in the direction of the cutout when the housing is in a blood vessel.
Claim 2
Dependent Claim 98 words
An atherectomy device comprising: a flexible member having proximate and distal ends; a housing disposed at the distal end of the flexible member, said housing having a cutout extending longitudinally on one side thereof and having a length greater than the width of the housing; cutting means disposed within the housing; drive means for translating the cutting means relative to the housing so that said cutting means will move past the cutout in the housing; and means on the housing for urging the housing in the direction of the cutout when the housing is in a blood vessel.
Claim 3
Dependent Claim 40 words
An atherectomy device as in claim 1, wherein the means for urging the housing in the direction of the cutout comprises a balloon mounted externally on the housing at a position opposite the cutout and means for inflating the balloon.
Claim 4
Dependent Claim 37 words
An atherectomy device as in claim 1, wherein the cutting means includes an arcuate cutting edge and the means for translating includes means for simultaneously rotating the arcuate cutting edge as it is moved past the cutout.
Claim 5
Dependent Claim 17 words
An atherectomy device as in claim 3, wherein the arcuate cutting edge defines a continuous cutting edge.
Claim 6
Dependent Claim 35 words
An atherectomy device as in claim 3, wherein the means for translating and rotating the cutting means includes an elongate torque member extending from the proximate end of the flexible member to the cutting means.
Claim 7
Dependent Claim 27 words
An atherectomy device as in claim 5, wherein the means for translating and rotating includes a motor attached to a proximal end of the elongate torque member.
Claim 8
Dependent Claim 23 words
An atherectomy device as in claim 1, further comprising means on the housing for guiding the flexible member through a patient's vascular system.
Claim 9
Dependent Claim 19 words
An atherectomy device as in claim 7, wherein the guiding means on the housing comprises a fixed guide wire.
Claim 10
Dependent Claim 25 words
An atherectomy device as in claim 7, wherein the guiding means comprises an axial passage in the housing capable of receiving a guide wire therethrough.
Claim 11
Dependent Claim 105 words
An atherectomy device comprising: a flexible member having proximate and distal ends; a housing disposed at the distal end of the flexible member, said housing having a cutout extending longitudinally on one side thereof and having a length greater than the width of the housing; cutting means having an arcuate cutting edge disposed within the housing; means for longitudinally translating the cutting means relative to the housing so that said cutting means will move past the cutout in the housing; and means for rotating the cutting means while it is being longitudinally translated, whereby atheroma extending through the cutout into the housing may be severed.
Claim 12
Dependent Claim 105 words
An atherectomy device comprising: a flexible member having proximate and distal ends; a housing disposed at the distal end of the flexible member, said housing having a cutout extending longitudinally on one side thereof and having a length greater than the width of the housing; cutting means having an arcuate cutting edge disposed within the housing; means for longitudinally translating the cutting means relative to the housing so that said cutting means will move past the cutout in the housing; and means for rotating the cutting means while it is being longitudinally translated, whereby atheroma extending through the cutout into the housing may be severed.
Claim 13
Dependent Claim 35 words
An atherectomy device as in claim 10, wherein the rotating means includes a motor disposed at the proximal end of the flexible member and an elongate torque member coupling the motor to the cutting means.
Claim 14
Dependent Claim 23 words
An atherectomy device as in claim 11, wherein the motor can rotate the cutting means at from 1500 to 2500 revolutions per minute.
Claim 15
Dependent Claim 31 words
An atherectomy device as in claim 10, further comprising means on the housing for urging the housing in the direction of the cutout when the housing is in a blood vessel.
Claim 16
Dependent Claim 23 words
An atherectomy device as in claim 10, further comprising means on the housing for guiding the flexible member through a patient's vascular system.
Claim 17
Dependent Claim 16 words
An atherectomy device as in claim 14, wherein the guiding means comprises a fixed guide wire.
Claim 18
Dependent Claim 22 words
An atherectomy device as in claim 14, wherein the guiding means comprises an axial passage capable of receiving a guide wire therethrough.
Claim 19
Dependent Claim 18 words
An atherectomy device as in claim 10, wherein the arcuate cutting edge is a circle or an ellipse.
Claim 20
Dependent Claim 90 words
An atherectomy device comprising: a flexible member having proximate and distal ends; a housing disposed at the distal end of the flexible member, said housing having a cutout extending longitudinally on one side thereof and having a length greater than the width of the housing; cutting means disposed within the housing; drive means for translating the cutting means relative to the housing so that said cutting means will move past the cutout in the housing; and means on the housing for guiding the flexible member through a patient's vascular system.
Claim 21
Dependent Claim 90 words
An atherectomy device comprising: a flexible member having proximate and distal ends; a housing disposed at the distal end of the flexible member, said housing having a cutout extending longitudinally on one side thereof and having a length greater than the width of the housing; cutting means disposed within the housing; drive means for translating the cutting means relative to the housing so that said cutting means will move past the cutout in the housing; and means on the housing for guiding the flexible member through a patient's vascular system.
Claim 22
Dependent Claim 23 words
An atherectomy device as in claim 18, wherein the means on the housing for guiding the flexible member is a fixed guide wire.
Claim 23
Dependent Claim 28 words
An atherectomy device as in claim 18, wherein the means on the housing for guiding the flexible member is an axial passage capable of receiving a guide wire.
Claim 24
Dependent Claim 31 words
An atherectomy device as in claim 18, further comprising means on the housing for urging the housing in the direction of the cutout when the housing is in a blood vessel.
Claim 25
Dependent Claim 37 words
An atherectomy device as in claim 18, wherein the cutting means includes an arcuate cutting edge and the means for translating includes means for simultaneously rotating the arcuate cutting edge as it is move past the cutout.
Claim 26
Dependent Claim 17 words
An atherectomy device as in claim 22, wherein the arcuate cutting edge defines a continuous cutting edge.
Claim 27
Dependent Claim 35 words
An atherectomy device as in claim 22, wherein the means for translating and rotating the cutting means includes an elongate torque member extending from the proximate end of the flexible member to the cutting means.
Claim 28
Dependent Claim 27 words
An atherectomy device as in claim 24, wherein the means for translating and rotating includes a motor attached to a proximal end of the elongate torque member.
Claim 29
Dependent Claim 187 words
An atherectomy device comprising: a flexible member having a proximate and distal ends and a lumen extending between said proximate and distal ends; a cylindrical housing disposed at the distal end of the flexible member, said housing having a cutout extending longitudinally on one side thereof and having a length greater than the diameter of the housing; an elongate torque member disposed within the lumen and extending from the proximal end of the flexible member in to the cylindrical housing; a cutter member having an arcuate cutting edge attached to a distal end of the flexible torque cable within the housing; means for axially translating a proximal end of the torque cable, whereby the cutter may be moved past the cutout in the cylindrical housing; a motor attached to the proximal end of the elongate torque member, whereby the cutter member may be rotated while it is being axially moved; means on the housing for urging the housing in the direction of the cutout when the housing is in a blood vessel; and means on the housing for guiding the flexible member through a patient's vascular system.
Claim 30
Dependent Claim 187 words
An atherectomy device comprising: a flexible member having a proximate and distal ends and a lumen extending between said proximate and distal ends; a cylindrical housing disposed at the distal end of the flexible member, said housing having a cutout extending longitudinally on one side thereof and having a length greater than the diameter of the housing; an elongate torque member disposed within the lumen and extending from the proximal end of the flexible member in to the cylindrical housing; a cutter member having an arcuate cutting edge attached to a distal end of the flexible torque cable within the housing; means for axially translating a proximal end of the torque cable, whereby the cutter may be moved past the cutout in the cylindrical housing; a motor attached to the proximal end of the elongate torque member, whereby the cutter member may be rotated while it is being axially moved; means on the housing for urging the housing in the direction of the cutout when the housing is in a blood vessel; and means on the housing for guiding the flexible member through a patient's vascular system.
Claim 31
Dependent Claim 17 words
An atherectomy device as in claim 26, wherein the arcuate cutting edge defines a continuous cutting edge.
Claim 32
Dependent Claim 48 words
An atherectomy device as in claim 26, wherein the means for translating includes a pair of mutually reciprocable members, with one member attached to the flexible member and the other member attached to the elongate torque member, wherein the reciprocable members may be manually reciprocated with one hand.
Claim 33
Dependent Claim 22 words
An atherectomy device as in claim 26, wherein the motor is mounted within the reciprocable member attached to the elongate torque member.
Claim 34
Dependent Claim 40 words
An atherectomy device as in claim 26, wherein the means for urging the housing in the direction of the cutout comprises a balloon mounted externally on the housing at a position opposite the cutout and means for inflating the balloon.
Claim 35
Dependent Claim 23 words
An atherectomy device as in claim 26, wherein the means on the housing for guiding the flexible member is a fixed guide wire.
Claim 36
Dependent Claim 28 words
An atherectomy device as in claim 26, wherein the means on the housing for guiding the flexible member is an axial passage capable of receiving a guide wire.
Claim 37
Independent Claim 96 words
A method for removing atheromic material from a blood vessel, said method comprising: (a) positioning a housing having a longitudinally extending cutout within the blood vessel proximate an atheroma, said cutout having a length greater than the width of the housing; (b) urging the cutout against the atheroma so that an elongate portion of the atheromic material enters the housing; and (c) translating a cutting blade past the cutout while the housing is held generally in place relative to the atheroma, whereby the elongate portion of the atheromic material is severed and captured within the housing.
Claim 38
Independent Claim 96 words
A method for removing atheromic material from a blood vessel, said method comprising: (a) positioning a housing having a longitudinally extending cutout within the blood vessel proximate an atheroma, said cutout having a length greater than the width of the housing; (b) urging the cutout against the atheroma so that an elongate portion of the atheromic material enters the housing; and (c) translating a cutting blade past the cutout while the housing is held generally in place relative to the atheroma, whereby the elongate portion of the atheromic material is severed and captured within the housing.
Claim 39
Dependent Claim 15 words
A method as in claim 33, wherein the housing is positioned over a guide wire.
Claim 40
Dependent Claim 20 words
A method as in claim 33, wherein the housing is positioned using a fixed guide wire attached to the housing.
Claim 41
Dependent Claim 28 words
A method as in claim 33, wherein the cutout is urged against the atheroma by inflating a balloon secured to the housing on a side opposite the cutout.
Claim 42
Dependent Claim 16 words
A method as in claim 33, wherein the cutting blade is translated longitudinally across the cutout.
Claim 43
Dependent Claim 23 words
A method as in claim 37, wherein the cutting blade is arcuate and is rotated while it is translated longitudinally across the cutout.
Claim 44
Dependent Claim 21 words
A method as in claim 36, wherein the cutting blade is rotated at from about 1500 to 2500 revolutions per minute.
Claim 45
Dependent Claim 14 words
A method as in claim 39, wherein the blade is rotated by a motor.
Claim 46
Dependent Claim 22 words
A method as in claim 33, wherein steps (b) and (c) are repeated in order to remove additional portions of atheromic material.
Claim 47
Dependent Claim 21 words
A method as in claim 41, wherein steps (b) and (c) are repeated without removing the housing from the blood vessel.
Claim 48
Dependent Claim 18 words
A method as in claim 41, wherein the housing is repositioned between successive translations of the cutting blade.
Claim 49
Independent Claim 107 words
A method for removing atheromic material from a blood vessel, said method comprising: (a) positioning a housing having a longitudinally-extending cutout within the blood vessel proximate an atheroma, said cutout having a length greater than the width of the housing; (b) urging the cutout against the atheroma so that an elongate portion of the atheromic material enters the housing; and (c) translating and rotating a cup-shaped blade past the cutout while the housing remains urged against the atheroma, whereby the elongate portion of the atheromic material is severed and collected within the housing and the likelihood of releasing severed atheromic material into the blood vessel is minimized.
Claim 50
Independent Claim 107 words
A method for removing atheromic material from a blood vessel, said method comprising: (a) positioning a housing having a longitudinally-extending cutout within the blood vessel proximate an atheroma, said cutout having a length greater than the width of the housing; (b) urging the cutout against the atheroma so that an elongate portion of the atheromic material enters the housing; and (c) translating and rotating a cup-shaped blade past the cutout while the housing remains urged against the atheroma, whereby the elongate portion of the atheromic material is severed and collected within the housing and the likelihood of releasing severed atheromic material into the blood vessel is minimized.
Claim 51
Dependent Claim 15 words
A method as in claim 44, wherein the housing is positioned over a guide wire.
Claim 52
Dependent Claim 20 words
A method as in claim 44, wherein the housing is positioned using a fixed guide wire attached to the housing.
Claim 53
Dependent Claim 28 words
A method as in claim 44, wherein the cutout is urged against the atheroma by inflating a balloon secured to the housing on a side opposite the cutout.
Claim 54
Dependent Claim 20 words
A method as in claim 47, wherein the blade is rotated at from about 1500 to 2500 revolutions per minute.
Claim 55
Dependent Claim 14 words
A method as in claim 46, wherein the blades is rotated by a motor.
Claim 56
Dependent Claim 22 words
A method as in claim 44, wherein steps (b) and (c) are repeated in order to remove additional portions of atheromic material.
Claim 57
Dependent Claim 21 words
A method as in claim 50, wherein steps (b) and (c) are repeated without removing the housing from the blood vessel.
Claim 58
Dependent Claim 18 words
A method as in claim 50, wherein the housing is repositioned between successive translations of the cutting blade.
Claim 59
Dependent Claim 124 words
An atherectomy device comprising: a flexible member having proximate and distal ends; a housing disposed at the distal end of the flexible member, said housing having a cutout extending longitudinally on one side thereof, wherein the cutout has a length greater than the width of the housing and the remaining portion of the housing in the vicinity of the cutout forms substantially a semi-cylinder; cutting means having an arcuate cutting edge disposed within the housing; means for longitudinally translating the cutting means relative to the housing so that said cutting means will advance past the cutout in the housing; and means for rotating the cutting means while it is being longitudinally translated, whereby atheroma extending through the cutout into the housing may be severed.
Claim 60
Dependent Claim 124 words
An atherectomy device comprising: a flexible member having proximate and distal ends; a housing disposed at the distal end of the flexible member, said housing having a cutout extending longitudinally on one side thereof, wherein the cutout has a length greater than the width of the housing and the remaining portion of the housing in the vicinity of the cutout forms substantially a semi-cylinder; cutting means having an arcuate cutting edge disposed within the housing; means for longitudinally translating the cutting means relative to the housing so that said cutting means will advance past the cutout in the housing; and means for rotating the cutting means while it is being longitudinally translated, whereby atheroma extending through the cutout into the housing may be severed.
Claim 61
Dependent Claim 35 words
An atherectomy device as in claim 53, wherein the rotating means includes a motor disposed at the proximal end of the flexible member and an elongate torque member coupling the motor to the cutting means.
Claim 62
Dependent Claim 23 words
An atherectomy device as in claim 54, wherein the motor can rotate the cutting means at from 1500 to 2500 revolutions per minute.
Claim 63
Dependent Claim 31 words
An atherectomy device as in claim 53, further comprising means on the housing for urging the housing in the direction of the cutout when the housing is in a blood vessel.
Claim 64
Dependent Claim 23 words
An atherectomy device as in claim 53, further comprising means on the housing for guiding the flexible member through a patient's vascular system.
Claim 65
Dependent Claim 16 words
An atherectomy device as in claim 57, wherein the guiding means comprises a fixed guide wire.
Claim 66
Dependent Claim 22 words
An atherectomy device as in claim 57, wherein the guiding means comprises an axial passage capable of receiving a guide wire therethrough.
Claim 67
Dependent Claim 18 words
An atherectomy device as in claim 53, wherein the arcuate cutting edge is a circle or an ellipse.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1993-12-24 1994-06-25 1994-12-25 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1997-12-24 1998-06-25 1998-12-25 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2001-12-24 2002-06-25 2002-12-25 $7700.00 Window Closed / Lapsed

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