Easily cleaned atherectomy catheters and methods of use
View Patent ↗An atherectomy catheter is provided having a tissue collection chamber capable of being cleaned out in a simple, fast and effective way, and also provides methods of using said catheter to remove material from a blood vessel lumen. In one embodiment the tissue collection chamber has an expandable tip having a first closed position capable of retaining material in the chamber and having a second open position that may allow expulsion of material from the chamber. In a second embodiment the tissue collection chamber has a displaceable tip having a first closed position to retain material in the chamber and having a second open position to allow expulsion of material from the chamber.
1. An atherectomy catheter comprising: a body;
a cutting element coupled to the body and configured for cutting tissue; a tissue collection chamber coupled to the body and comprising:
a sheath having a length, a lumen extending lengthwise, and an expulsion opening in communication with the lumen, at least a portion of the sheath being distal of the cutting element for receiving cut tissue cut by the cutting element; and
a distal tip coupled to the sheath, the distal tip being movable relative to the expulsion opening and lengthwise of the sheath between a closed position, in which the distal tip inhibits cut tissue from exiting the sheath through the expulsion opening, and an open position, in which the distal tip allows expulsion of the cut tissue through the expulsion opening,
wherein the distal tip remains coupled to the sheath in the closed and open positions.
2. The atherectomy catheter set forth in claim 1 , wherein the distal tip is movable distally from the closed position to the open position, and is movable proximally from the open position to the closed position.
3. The atherectomy catheter set forth in claim 2 , wherein the distal tip has a proximal portion that is slidably received in the lumen of the sheath.
4. The atherectomy catheter set forth in claim 3 , wherein the proximal portion of the distal tip has a reduced diameter.
5. The atherectomy catheter set forth in claim 4 , wherein the tissue collection chamber further comprises a guidewire lumen, the guidewire lumen having a first portion on the sheath and a second portion on the distal tip.
6. The atherectomy catheter set forth in claim 5 , wherein the first and second portions of the guidewire lumen are spaced apart lengthwise of the sheath a first longitudinal distance when the distal tip is in the closed position and a second longitudinal distance when the distal tip is in the open position, wherein the second longitudinal distance is greater than the first longitudinal distance.
7. The atherectomy catheter set forth in claim 1 , wherein the distal tip has a proximal portion that is slidably received in the lumen of the sheath for moving the distal tip between the open and closed positions.
8. The atherectomy catheter set forth in claim 7 , wherein the proximal portion of the distal tip has a reduced diameter.
9. The atherectomy catheter set forth in claim 1 , wherein the tissue collection chamber further comprises a guidewire lumen, the guidewire lumen having a first portion on the sheath and a second portion on the distal tip.
10. The atherectomy catheter set forth in claim 9 , wherein the first and second portions of the guidewire lumen are spaced apart lengthwise of the sheath a first distance when the distal tip is in the closed position and a second distance when the distal tip is in the open position, wherein the second distance is greater than the first distance.
11. The atherectomy catheter set forth in claim 1 , wherein the expulsion opening extends through a distal end of the sheath.
12. The atherectomy catheter set forth in claim 1 , further comprising a rotatable shaft coupled to the body, the rotatable shaft being rotatable about a longitudinal axis of the shaft.
13. The atherectomy catheter set forth in claim 1 , wherein the cutting element is movable between a stored position and a cutting position.
14. A method of using the atherectomy catheter set forth in claim 1 , the method comprising:
inserting the atherectomy catheter in a body lumen when the distal tip is in the closed position;
cutting tissue in the body lumen using the cutting element so that cut tissue is received in the lumen of the sheath;
withdrawing the atherectomy catheter from the body lumen after said cutting tissue; moving, after said withdrawing the atherectomy catheter, the distal tip from the closed position to the open position; and
removing the cut tissue from the lumen of the sheath through the expulsion opening after said moving the distal tip from the closed position to the open position.
15. The method set forth in claim 14 , wherein said moving the distal tip from the closed position to the open position comprises distally moving the distal tip lengthwise of the sheath.
16. The method set forth in claim 15 , wherein said moving the distal tip from the closed position to the open position comprises sliding a proximal portion of the distal tip in the lumen of the sheath.
17. The method set forth in claim 14 , further comprising:
moving, after said removing the cut tissue from the lumen of the sheath, the distal tip from the open position to the closed position; and
reinserting, after said moving the distal tip from the open position to the closed position, the atherectomy catheter in the body lumen.
18. The method set forth in claim 17 , further comprising:
cutting, after said reinserting the atherectomy catheter, tissue in the body lumen using the cutting element so that cut tissue is received in the lumen of the sheath.
19. The method set forth in claim 17 , wherein said moving the distal tip from the open position to the closed position comprises sliding a proximal portion of the distal tip in the lumen of the sheath.
20. The method set forth in claim 14 , wherein said removing the cut tissue from the lumen of the sheath comprises moving the cutting element distally in the lumen of the sheath to expel cut tissue from the lumen through the expulsion opening.