Surgery – Means for introducing or removing material from body for... – With means for cutting – scarifying – or vibrating tissue
Patent
1997-07-19
1999-03-02
Yasko, John D.
Surgery
Means for introducing or removing material from body for...
With means for cutting, scarifying, or vibrating tissue
606167, A61B 1720
Patent
active
058763694
ABSTRACT:
An atherectomy device includes a catheter with a window at its distal tip for admitting tissue into a catheter compartment. A cylindrical cartridge in the compartment has a cutting edge that supports an electrically conductive cutting element, e.g. a band or wire. The cutting element and adjacent tissue can be heated to a selected temperature by generating an electrical current through the cutting element. The catheter is maneuverable to position its distal end near a lesion in an artery. The catheter incorporates a dilatation balloon or other feature to urge the catheter against the lesion, so that at least part of the lesion enters the compartment through the window. Then, the cartridge is manipulated from the catheter's proximal end to move the cutting edge across the window, severing the acquired tissue. According to alternative embodiments, the cartridge is either rotated or moved axially relative to the catheter, in either event closing the catheter window when the cut is complete. Further alternatives involve either placing an indifferent electrode on the patient and providing an RF signal via a single conductor to the cutting element for ohmic heating, or providing an RF (or a DC) current through the cutting element and two separate conductors for direct resistive heating of the cutting element.
Advanced Catheter Engineering
Mendez Manuel
Niebuhr Frederick W.
Yasko John D.
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