US9408625B2
Active / In Force
US
⏱️ 3.7 years remaining
Surgical cutting instrument
Assignee: Ureca BV
•
Filing: 2010-06-22
•
Granted: 2016-08-09
•
Expires: 2030-06-22
Abstract
Abstract 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.
Inventors
- 👤 Johannes Franciscus Marinus Remmerswaal
- 👤 Elinard Wilco Theuvenet
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-22 15:30
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/32; A61B17/3205; A61B17/3207; A61B17/32056; A61B17/320725; A61B17/34; A61B17/3478; A61B17/00234; A61B2017/00238; A61B2017/00243; A61B2017/00247; A61B2017/00252; A61B2017/00292; A61B2017/003; A61B2017/00353; A61B17/22; A61B2017/22038; A61B2017/22042; A61B2017/22044; A61B2017/22094; A61B2017/22095; A61B2017/32006; A61B2017/320733; A61B2017/320741
Claims Analysis
Total Claims: 23
Claim 1
Independent Claim
148 words
A surgical cutting instrument for passing occlusions, comprising: a sleeve having a proximal part and a flexible tip attached to the proximal part and having a distal end, and a cutting wire, wherein said sleeve is provided with a lumen for guiding said cutting wire, wherein the cutting wire extends through the distal end of the flexible tip, then towards toward the proximal part on an outside of the sleeve and then contacts the flexible tip to form a loop of adjustable size, wherein the proximal part of the sleeve comprises a stiffer material than the flexible tip, and wherein the flexible tip extends from the distal end across a distance of at least 2 mm and at most 10 cm and said cutting wire is fitted in such a manner that when a force is exerted thereon, said cutting wire changes the curvature of said flexible tip.
Claim 2
Dependent Claim
148 words
A surgical cutting instrument for passing occlusions, comprising: a sleeve having a proximal part and a flexible tip attached to the proximal part and having a distal end, and a cutting wire, wherein said sleeve is provided with a lumen for guiding said cutting wire, wherein the cutting wire extends through the distal end of the flexible tip, then towards toward the proximal part on an outside of the sleeve and then contacts the flexible tip to form a loop of adjustable size, wherein the proximal part of the sleeve comprises a stiffer material than the flexible tip, and wherein the flexible tip extends from the distal end across a distance of at least 2 mm and at most 10 cm and said cutting wire is fitted in such a manner that when a force is exerted thereon, said cutting wire changes the curvature of said flexible tip.
Claim 3
Dependent Claim
21 words
The cutting instrument according to claim 1 , wherein one end of said cutting wire is attached to said flexible tip.
Claim 4
Dependent Claim
16 words
The cutting instrument according to claim 2 , wherein said flexible tip comprises a radiopaque material.
Claim 5
Dependent Claim
28 words
The cutting instrument according to claim 2 , wherein said flexible tip comprises an external surface which is softer a core of a material of said flexible tip.
Claim 6
Dependent Claim
32 words
The cutting instrument according to claim 1 , wherein one end of said cutting wire extends through an opening in said flexible tip and extends through the sleeve towards the proximal part.
Claim 7
Dependent Claim
16 words
The cutting instrument according to claim 5 , wherein said flexible tip comprises a radiopaque material.
Claim 8
Dependent Claim
29 words
The cutting instrument according to claim 5 , wherein said flexible tip comprises an external surface which is softer than a core of a material of said flexible tip.
Claim 9
Dependent Claim
16 words
The cutting instrument according to claim 1 , wherein said flexible tip comprises a radiopaque material.
Claim 10
Dependent Claim
29 words
The cutting instrument according to claim 1 , wherein said flexible tip comprises an external surface which is softer than a core of a material of said flexible tip.
Claim 11
Dependent Claim
15 words
The cutting instrument according to claim 9 , wherein the flexible tip comprises a co-extrudate.
Claim 12
Dependent Claim
20 words
The cutting instrument according to claim 1 , wherein said flexible tip is bent when said cutting wire is absent.
Claim 13
Dependent Claim
35 words
The cutting instrument according to claim 1 , comprising two cutting wires which are provided at an angle to one another and wherein each effect the curvature of the flexible tip into continually different directions.
Claim 14
Dependent Claim
15 words
A combination comprising a surgical cutting instrument according to claim 1 and a guide wire.
Claim 15
Dependent Claim
18 words
The combination according to claim 13 , wherein said sleeve comprises a further lumen for said guide wire.
Claim 16
Dependent Claim
30 words
The combination according to claim 13 , wherein one end of said guide wire provides guidance in a vein and wherein an opposite end is designed as a puncturing instrument.
Claim 17
Independent Claim
179 words
A method for passing an occlusion in a vein, comprising the steps of: introducing a surgical cutting instrument into said vein, the surgical cutting instrument having a sleeve having a proximal part and a flexible tip attached to the proximal part and having a distal end, the proximal part comprising a stiffer material than the flexible tip, and a cutting wire which extends from the proximal part inside the sleeve and through the distal end to an outside of the sleeve and then extends through the sleeve towards the proximal part to form a cutting loop, wherein the cutting wire is connected so that when a force is exerted thereon the cutting wire changes the curvature of the flexible tip; providing a passage through/past said occlusion by means of the cutting wire of the surgical cutting instrument; and subsequent to said introducing and providing steps, entering said vein by exerting a force on the cutting wire to bend the flexible tip so that the distal end and cutting wire extending out the distal end are directed into the vein.
Claim 18
Independent Claim
179 words
A method for passing an occlusion in a vein, comprising the steps of: introducing a surgical cutting instrument into said vein, the surgical cutting instrument having a sleeve having a proximal part and a flexible tip attached to the proximal part and having a distal end, the proximal part comprising a stiffer material than the flexible tip, and a cutting wire which extends from the proximal part inside the sleeve and through the distal end to an outside of the sleeve and then extends through the sleeve towards the proximal part to form a cutting loop, wherein the cutting wire is connected so that when a force is exerted thereon the cutting wire changes the curvature of the flexible tip; providing a passage through/past said occlusion by means of the cutting wire of the surgical cutting instrument; and subsequent to said introducing and providing steps, entering said vein by exerting a force on the cutting wire to bend the flexible tip so that the distal end and cutting wire extending out the distal end are directed into the vein.
Claim 19
Dependent Claim
22 words
The method according to claim 16 , wherein said exerting a force on the cutting wire comprises pulling at the proximal part.
Claim 20
Dependent Claim
36 words
The method according to claim 16 , comprising continuously changing the curvature of said flexible tip in order to produce a scraping movement with the distal end and the cutting wire extending out the distal end.
Claim 21
Dependent Claim
153 words
A surgical cutting instrument for passing occlusions, comprising: a sleeve having a proximal part and a flexible tip attached to the proximal part and having a distal end, the distal end having a longitudinally directed outlet opening, and the proximal part comprising a stiffer material than the flexible tip; and a cutting wire extending from the proximal part inside the sleeve and extending through the outlet opening to an outside of the sleeve sleeve-shaped part and then extending through the sleeve towards the proximal part to form a cutting loop adjustable in size and able to cut tissue in a forward direction from the distal end, wherein the cutting wire is connected to and through the sleeve in such a way that the exerting force on the cutting wire changes a curvature of the flexible tip and directs the distal end in a direction of desired forward movement for the surgical cutting instrument.
Claim 22
Dependent Claim
153 words
A surgical cutting instrument for passing occlusions, comprising: a sleeve having a proximal part and a flexible tip attached to the proximal part and having a distal end, the distal end having a longitudinally directed outlet opening, and the proximal part comprising a stiffer material than the flexible tip; and a cutting wire extending from the proximal part inside the sleeve and extending through the outlet opening to an outside of the sleeve sleeve-shaped part and then extending through the sleeve towards the proximal part to form a cutting loop adjustable in size and able to cut tissue in a forward direction from the distal end, wherein the cutting wire is connected to and through the sleeve in such a way that the exerting force on the cutting wire changes a curvature of the flexible tip and directs the distal end in a direction of desired forward movement for the surgical cutting instrument.
Claim 23
Dependent Claim
22 words
The surgical cutting instrument according to claim 19 , wherein the cutting wire extends through the outlet opening towards the proximal part.
References Cited (Backward Citations)
US3910279A
Cited
US4325374A
Cited
US5904679A
Cited
US5312341A
Cited
US5954713A
Cited
US20020123698A1
Cited
US6379319B1
Cited
US6712817B1
Cited
US20070083220A1
Cited
US20070088369A1
Cited
WO2008035330A2
Cited
US20080091196A1
Cited
US20090093674A1
Cited
US20090093829A1
Cited
WO2009082228A1
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2019-08-09 | 2020-02-08 | 2020-08-09 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2023-08-09 | 2024-02-08 | 2024-08-09 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2027-08-09 | 2028-02-08 | 2028-08-09 | $7700.00 | Pending Window |