Expandable Atherectomy Head for Single-Pass Plaque Removal
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Solution Overview
Problem
Existing rotational atherectomy devices lack the ability to control and precisely expand the abrasive head, necessitating multiple axial passes for treating larger diameter vessels, prolonging the treatment procedure.
Innovation Solution
A rotational atherectomy device with a rotatable drive shaft and flexible shafts, featuring internal guiding tracks and an abrasive head that can move from a radially contracted to an expanded configuration, allowing controlled expansion and increased surface area treatment in a single pass.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If the abrasive head is offset towards one side of the vessel wall to treat larger diameter vessels, then the device can treat larger vessels, but the treatment procedure becomes longer and more complex requiring multiple axial passes
Solution Approach 1:
The abrasive head is made dynamically expandable from a contracted configuration during delivery to an expanded configuration during treatment. The flexible shafts allow the abrasive elements to move radially outward under centrifugal force, enabling the same device to adapt to different vessel sizes without requiring multiple axial passes, thus reducing treatment time while maintaining versatility.
2Productivity
If the abrasive head is made expandable to treat larger vessels, then the treatment efficiency improves, but the device complexity increases
Solution Approach 1:
Flexible shafts are used to connect the drive shaft to the abrasive elements, allowing the abrasive head to expand and contract smoothly. The flexible shafts act as thin-film-like structures that transmit rotational motion while accommodating radial movement, enabling expansion functionality without adding complex mechanical joints or actuators.
Solution Approach 2:
The abrasive head expands automatically under the centrifugal force generated during rotation. The flexible shafts and abrasive elements work together to convert rotational motion into radial expansion without requiring external control mechanisms, reducing device complexity while maintaining productivity.
3Productivity
If the abrasive head is expanded to increase surface area treatment, then fewer axial passes are needed, but the control precision of expansion is reduced
Solution Approach 1:
The expansion of the abrasive head is controlled by changing the radial position parameter of the flexible shafts. By adjusting the distal end position of the flexible shafts along the drive shaft, the abrasive elements can be precisely positioned at different radial distances, enabling controlled expansion to increase surface area treatment while maintaining precision through parameter adjustment.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
Enables precise and efficient plaque removal from blood vessels by allowing controlled expansion of the abrasive head, reducing treatment time and simplifying the procedure.
Implementation Method 1
the abrasive head comprises a number of abrasive elements which extend under the centrifugal force of the rotating drive shaft
Implementation Method 2
A rotational atherectomy device uses a rotating abrasive head to cut or grind the atherosclerotic plaque from the walls of the blood vessel
Implementation Method 3
The one or more abrasive elements may comprise a cutting surface. The one or more abrasive elements may comprise an abrasive surface.
Data Source
AI summary
A rotational atherectomy device for cutting or abrading tissue. The atherectomy device comprises a rotatable drive shaft (120) having a longitudinal axis and comprising one or more internal guiding tracks (121) extending along the length of the drive shaft (120). The rotational atherectomy device further comprises one or more flexible shafts (111, 113) arranged to be longitudinally moveable along a respective internal guiding track, and an abrasive head (110) disposed at the distal end of the one or more flexible shafts (111, 113). The abrasive head (110) comprises one or more abrasive elements (111), each abrasive element connected to a respective flexible shaft (111, 113). The one or more guiding tracks (121) are arranged such that distal movement of the one or more flexible shafts (111, 113) causes the abrasive head (110) to move from a radially contracted configuration to a radially expanded configuration.


