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Automatic atherectomy system

a technology of automatic atherectomy and atherectomy chamber, which is applied in the field of medical devices, can solve the problems of difficult to rely on such “self-direction” methods and complicated in-situ measurement of these properties, and achieve the effects of low conductivity, high permittivity, and high conductivity

Inactive Publication Date: 2007-11-22
KARDIUM
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  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0006]In atherectomy there is a need to differentiate between at least three types of tissue: vessel wall, plaque and blood. Both vessel wall and blood have high conductivity and high permittivity, while plaque ...

Problems solved by technology

A similar situation exists in some tumor removal procedures: some tumors have different electrical properties than healthy tissue but the in-situ measurement of these properties is complicated by the fact that the voids left in the process of tissue removal are being filled with fluids which affect the measurements.
Since the plaque can be softer or harder than the vessel wall, it is very difficult to rely on such “self steering” methods.

Method used

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Examples

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Embodiment Construction

[0015]Referring to FIG. 1, a blood vessel 1 having a wall 2 contains undesired plaque 3 as well as blood 4. A. atherectomy tool 5 is introduced using catheter tube 6. The tool is driven by air motor 8 via flexible rotating cable 7. No further details of the atherectomy system are given, as these are well known commercial systems such as the Rotablator™ system. An electrical contact 9 measures the electrical impedance between cable 7 and the return path which is ground (the patient is electrically grounded). The discriminator 10 measures the complex impedance to ground by measuring the In-Phase current (I) and the Quadrature, or 90 deg out of phase current (Q). From these measurements the conductivity and permittivity of the tissue can be computed, based on the well known methods of electrical impedance measurements. A full explanation is given later. Based on the measured value, the type of tissue is determined by computer 12 and the catheter is automatically steered by hydraulic ac...

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Abstract

An automatic atherectomy system uses the rotary burr at the tip of a catheter as a sensing device, in order to measure both the electrical conductivity and permittivity of the surrounding tissue at multiple frequencies. From these parameters it is determined which tissue lies in the 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 tip can be replaced with any desired tool and the system can be used to automatically steer the catheter to the desired position. The steering is done hydraulically, by pressurizing miniature bellows located near the catheter tip.

Description

FIELD OF THE INVENTION[0001]The invasion relates to medical devices and in particular to procedures in which an undesired tissue has to be removed without harming an adjacent desired tissue, such as in atherectomy.BACKGROUND OF THE INVENTION[0002]In many medical procedures an undesirable tissue is adherent or touching a desired tissue and the removal of the undesired tissue has to be done with extreme caution in order not to harm the desired tissue. A well known example is atherectomy, the process of removing plaque from blood vessels. The most common method of atherectomy is based on the use of a high speed rotary burr, mounted at the end of a very flexible catheter. The burr pulverized the plaque into such fine particles that they can be left in the blood stream. A well known system is manufactured by the Boston Scientific company (www.bostonscientific.com) under the name Rotablator™. No further data is given here about this system as it is a well known commercial system. Other po...

Claims

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Application Information

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IPC IPC(8): A61B5/05
CPCA61B5/053A61B5/0538A61B17/320758A61B2017/00022A61B2017/320004A61B2017/00084A61B2017/003A61B2017/00539A61B2017/00026
Inventor GELBART, DANIELLICHTENSTEIN, SAMUEL VICTOR
Owner KARDIUM
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