Medical device for removing an implanted object
Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically, the surgical device includes a handle, an elongate sheath and a circular cutting blade that extends from the distal end of the sheath upon actuating the handle. The circular cutting blade is configured to engage the tissue surrounding an implanted lead and cut such tissue in a coring fashion as the surgical device translates along the length of the lead, thereby allowing the lead, as well as any tissue remaining attached to the lead, to enter the device's elongate shaft. The surgical device has a barrel cam cylinder in the handle assembly that imparts rotation of the blade and a separate cam mechanism in the tip of outer sheath assembly that imparts and controls the extension and retraction of the blade. The barrel cam cylinder and cam mechanism cooperate to cause the blade to rotate in a first direction and extend from and retract in the outer sheath due to a first actuation of the handle and to rotate in a second direction and extend and retract in the outer sheath due to a second actuation of the handle.
1. A device for removing an implanted object from a body vessel, the device comprising:
a sheath assembly comprising an outer sheath assembly and an inner sheath assembly, and a pin;
the outer sheath assembly comprising an outer sheath and an outer band, the outer band coupled to the pin;
the inner sheath assembly comprising an inner sheath and a tip, wherein the tip has a cutting surface;
the inner sheath comprising a proximal end and a distal end, wherein the distal end of the inner sheath is coupled to the tip;
the tip comprising a cam slot for receipt of and cooperation with the pin; and
a handle assembly comprising a trigger and a barrel cam cylinder, the trigger comprising a trigger pin, the barrel cam cylinder comprising a barrel cam cylinder slot for receipt and cooperation with the trigger pin, wherein the proximal end of the inner sheath is coupled to the barrel cam cylinder such that:
(1) upon a first actuation of the trigger to proximally move the trigger pin in a longitudinal direction, the barrel cam cylinder rotates in a first direction, thereby causing the tip to rotate in the first direction while the tip moves longitudinally; and
(2) upon a second actuation of the trigger to proximally move the trigger pin in the longitudinal direction, the barrel cam cylinder rotates in a second direction, thereby causing the tip to rotate in the second direction while the tip moves longitudinally.
2. The device of claim 1 , wherein the outer sheath assembly is stationary and the inner sheath assembly is capable of rotating.
3. The device of claim 1 , wherein the pin couples the tip of the inner sheath assembly to the outer band of the outer sheath assembly.
4. The device of claim 1 , wherein the handle assembly further comprises a spring assembly coupled to the trigger.
5. The device of claim 4 , wherein the spring assembly is a constant force spring.
6. The device of claim 1 , wherein the tip extends from and retracts into the outer band while the barrel cam cylinder rotates in the first direction.
7. The device of claim 6 , wherein the tip extends from and retracts into the outer band while the barrel cam cylinder rotates in the second direction.
8. The device of claim 1 , wherein the tip extends from and retracts into the outer band while the barrel cam cylinder rotates in the second direction.