Intravascular catheter having an expandable incising portion
An intravascular catheter device includes an expandable portion secured to a flexible catheter tube. The expandable portion is slidable relative to a sheath to selectively expose a plurality of struts for outward bowing movement and compression within said sheath. An incising element associated with one of the struts is configured to incise atherosclerotic material when the intravascular catheter device is placed within a blood vessel, the struts are exposed for outward bowing movement, and the expandable portion is retracted along the blood vessel.
1. An intravascular catheter device for incising tissue located within a blood vessel, said intravascular catheter device comprising:
a flexible catheter tube;
a sheath;
an expandable portion secured to the flexible catheter tube and comprising a plurality of struts, each comprising a flattened surface, a first common end portion and a second common end portion, wherein each of said plurality of struts extend and span a distance between said first common end portion and said second common end portion, where said first and second common end portions interconnect said plurality of struts, wherein said expandable portion is moveable relative to said sheath so as to selectively expose said expandable portion for movement into a first position where at least a mid-portion of each of said plurality of struts is moved outward so as to extend beyond an outer surface of said sheath and selectively cover each of said plurality of struts when said plurality of struts are in a second position where said plurality of struts are moved inward; and
one or more incising elements, each respective one of said one or more incising elements located at a respective one of the plurality of struts and extending outward from an outer surface thereof when the expandable portion is in the first position and the second position such that said flattened surface of the respective one of the plurality of struts extends laterally on both sides of said respective one of the one or more incising elements, where each of said one or more incising elements is oriented to extend longitudinally in a non-curved fashion along a longitudinal axis of the respective one of the plurality of struts so as to incise said tissue when said intravascular catheter device is placed within said blood vessel, said expandable portion is placed in said first position, and said expandable portion is retracted along the blood vessel;
wherein at least said first common end portion, said second common end portion, and each of said plurality of struts are integrally formed;
wherein said flattened surfaces of said plurality of struts collectively form a longitudinally extending slot between each of said plurality of said struts when said expandable portion is placed in the second position.
2. The intravascular catheter device of claim 1 wherein:
the expandable portion is biased in the first position.
3. The intravascular catheter device of claim 1 further comprising:
an inner sleeve extending within the flexible catheter tube and interior to each of said plurality of struts, wherein each of said plurality of struts are connected to said inner sleeve and said catheter tube, and wherein each of said plurality of struts extend linearly along a longitudinal axis of said inner sleeve when said expandable portion is in said second position; and
a tip member forming part of said second common end portion connecting each of said plurality of struts to said inner sleeve, wherein said first common end portion is connected to said catheter tube, thereby connecting each of said plurality of struts to said catheter tube.
4. The intravascular catheter device of claim 3 further comprising:
a handle assembly; and
a control member located at said handle assembly and connected to said inner sleeve.
5. The intravascular catheter device of claim 4 wherein:
a portion of said control member extends within a slot formed in a body of said handle assembly for connection to said flexible catheter tube such that movement of said control member is configured to translate to movement of said struts relative to said sheath so as to move said expandable portion between said first position and said second position.
6. The intravascular catheter device of claim 4 wherein:
said catheter tube and said sheath are fixed relative to said handle assembly; and
said inner sleeve is moveable relative to said sheath and said catheter tube.
7. The intravascular catheter device of claim 1 wherein:
said inner sleeve and said tip member are configured to accommodate a guide wire.
8. The intravascular catheter device of claim 1 further comprising:
a handle assembly; and
a control member located at said handle assembly and connected to said flexible catheter tube.
9. The intravascular catheter device of claim 1 wherein:
each of said one or more incising elements extends only along at a proximal portion half of said respective one of the plurality of struts.
10. The intravascular catheter device of claim 9 wherein:
each of said one or more incising elements includes an upper edge which extends longitudinally in a straight line along the longitudinal axis of said respective one of the plurality of struts.
11. The intravascular catheter device of claim 10 wherein:
each of said one or more incising elements extends lengthwise along a midline of said respective one of the plurality of struts.
12. The intravascular catheter device of claim 1 wherein:
each of the struts are fixed on both ends thereof; and
said struts bow outwardly when said expandable portion is in said first position.
13. The intravascular catheter device of claim 1 wherein:
each of the one or more incising elements comprises a cuboid-shaped, straight-line member.
14. An intravascular catheter device for treating tissue located within a blood vessel, said intravascular catheter device comprising:
a handle assembly comprising a body and a control member having a first portion extending within said body and a second portion extending outside said body;
a flexible catheter tube having a proximal end portion attached to said first portion of said control member;
a sheath fixed relative to said handle assembly;
an expandable portion secured to a distal end portion of said flexible catheter tube and comprising a plurality of struts, each fixed at a proximal common end portion and a distal common end portion thereof and having a flattened surface extending and spanning a distance therebetween, wherein said expandable portion is slidable relative to said sheath upon user actuation of said second portion of said control member so as to selectively expose said expandable portion for movement into a first position where at least a mid-portion of each of said plurality of struts is forced outward to extend beyond an outer surface of said sheath and selectively cover each of said plurality of struts in a second position where said plurality of struts fit within said sheath, and wherein at least said proximal common end portion, said distal common end portion, and each of said plurality of struts are integrally formed; and
incising elements, each extending, and having an upper edge extending, lengthwise in a straight line along a longitudinal midline of at least an underlying portion of the flattened surface of a respective with one of the plurality of struts, and outward therefrom when the expandable portion is in the first position and the second position, such that one of the incising elements is provided at each of the struts and the flattened surface extend laterally on either side thereof so as to facilitate incision of said tissue when said intravascular catheter device is placed within said blood vessel, said expandable portion is placed in said first position, and said expandable portion is retracted axially along the blood vessel;
wherein the flattened surfaces of said plurality of struts, collectively, encircle a centerline of the expandable portion except for longitudinally extending slots extending between each of the flattened surfaces of said plurality of struts and along the centerline of the expandable portion.
15. An intravascular catheter device for incising tissue located within a blood vessel, said intravascular catheter device comprising:
a flexible catheter tube;
a sheath;
an expandable portion secured to the flexible catheter tube and configured for sliding movement relative to said sheath so as to selectively expose said expandable portion for movement into a first position where at least a mid-portion of flattened outer surfaces of said expandable portion extending and spanning a distance between a first common portion and a second common portion are moved outward so as to extend beyond an outer surface of said sheath and selectively cover said expandable portion so as to said expandable portion into a second position where said flattened surfaces are compressed to fit within said sheath, wherein an entirety of said expandable portion is integrally formed, including said flattened surfaces and said common portions; and
an incising element provided at the flattened outer surface of the expandable portion and extending in a non-curved fashion outward from and in a non-curved fashion along at least a portion of a longitudinal axis of the flattened outer surface of the expandable portion such that said flattened outer surface extends on each lateral side of the incising element, said incising element extends outward from the flattened outer surface of the expandable portion when the expandable portion is in the first position and the second position, and an upper edge of the incising element extends along at least the portion of the longitudinal axis of the flattened outer surface of the expandable portion, so as to incise said tissue when said intravascular catheter device is placed within said blood vessel, said expandable portion is placed in said first position, and said expandable portion is retracted along the blood vessel;
wherein said flattened outer surfaces, collectively, extend about a centerline of said expandable portion with longitudinally extending slots provided between each of the flattered surfaces and extending and spanning a distance between said common portions.
16. The intravascular catheter device of claim 15 wherein:
said expandable portion comprises a plurality of struts, each forming one of the flattened surfaces; and
each of said struts extends along the longitudinal axis of the expandable portion.
17. The intravascular catheter device of claim 16 further comprising:
an inner sleeve configured for sliding movement within said catheter tube;
a tip member connected to a distal end of said inner sleeve and forms part of one of the common portions, wherein each of said struts is attached to said catheter tube at a first end thereof and said tip member at a second end thereof;
each of said struts includes an upper edge which extends longitudinally in a straight line along the longitudinal axis of an associated one of the struts.