Rotational atherectomy system and methods of use

Abstract

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.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application is a continuation of U.S. patent application Ser. No. 10 / 178,933 filed Jun. 20, 2002; which is a divisional of U.S. patent application Ser. No. 09 / 592,218 filed Jun. 12, 2000, now U.S. Pat. No. 6,451,036; which is a continuation of U.S. patent application Ser. No. 09 / 398,241 filed Sep. 17, 1999, now U.S. Pat. No. 6,666,874; which is a continuation-in-part of U.S. patent application Ser. No. 09 / 260,199 filed Mar. 1, 1999, now U.S. Pat. No. 6,206,898; which is a continuation-in-part of U.S. patent application Ser. No. 09 / 058,513 filed Apr. 10, 1998, now U.S. Pat. No. 6,001,112, the entirety of each of which is hereby incorporated by reference.BACKGROUND OF THE INVENTION[0002]The present invention generally relates to medical devices and, more particularly, to atherectomy catheter devices.[0003]A variety of techniques and instruments have been developed to remove obstructive material in arteries or other body passageways or ...

AI Technical Summary

Problems solved by technology

If left untreated, such stenoses can so sufficiently reduce perfusion that angina, hypertension, myocardial infarction, strokes and the like may result.

While such devices provide for directional control in selection of tissue to be excised, the length of the portion excised at each pass of the atherectomy blade is necessarily limited to the length of the cavity in the device.

The length and relative rigidity of the housing limits the maneuverability and therefore also limits the utility of the device in narrow and tortuous arteries such as coronary arteries.

Such devices are also generally limited to lateral cutting relative to the longitudinal axis of the device.

However, not all atherosclerotic plaques are hardened, calcified atherosclerotic plaques.

Thus, one cannot always rely entirely on the differential cutting properties of such abrasives to remove atherosclerotic material from an arterial wall, particularly where one is attempting to remove all or almost all of the atherosclerotic material.

Indeed, lateral pressure by such healthy tissue against the abrading device is inherently required to keep the abrading device in contact with the remaining stenotic tissue on the opposite wall of the passageway.

Under these conditions, a certain amount of damage to the healthy tissue is almost unavoidable, even though undesirable, and there is a clear risk of perforation or proliferative healing response.

In some cases, the “healthy tissue” across from a stenotic lesion may be somewhat hardened by the interaction (i.e., it has diminished elasticity); under such circumstances, the differential cutting phenomenon described by Auth will also be diminished, resulting in a risk that this “healthy” tissue may also be removed, potentially causing perforation.

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