Hydrodynamic eccentrically pivoting catheter

1. A thrombectomy catheter, comprising:

a tubular member including a proximal portion, a distal portion and a lumen extending therein;

a tapered distal tip positioned along the distal portion of the tubular member, the distal tip including an aperture in communication with the lumen of the tubular member;

an inflow orifice positioned at a first location along the distal portion of the tubular member;

an outflow orifice positioned at a second location along the distal portion of the tubular member;

a fluid jet emanator positioned within the lumen of the tubular member, the fluid jet emanator including one or more jet orifices, the one or more jet orifices configured to direct one or more fluid jets in a proximal direction; and

a guidewire passageway formed in the sidewall of the tapered distal tip, the guidewire passageway including a proximal guidewire opening that is open to the outer surface of the tubular member and a distal guidewire outlet, the passageway positioned distal of the inflow orifice, the outflow orifice and the fluid jet emanator, the guidewire passageway configured to orient the catheter such that it forms an eccentric path of travel when the catheter is rotated about a guidewire extending through the guidewire passageway;

wherein the proximal guidewire opening defines the proximalmost guidewire opening of the guidewire passageway, and wherein the proximal guidewire opening is distal of both the inflow orifice and outflow orifice.

2. A hydrodynamic catheter, comprising:

a catheter body including a catheter lumen extending from a proximal catheter portion to a distal catheter portion;

an infusion tube extending within the catheter body;

an inflow orifice positioned along a catheter body;

an outflow orifice positioned proximal the inflow orifice;

a fluid jet emanator in fluid communication with the infusion tube, the fluid jet emanator including one or more jet orifices, the one or more jet orifices configured to direct one or more fluid jets through the catheter lumen from near the inflow orifice toward the outflow orifice; and

a pivot cylinder extending through a sidewall of the catheter body, the pivot cylinder including a pivot cylinder inlet that is open to the outer surface of the tubular member, the pivot cylinder inlet positioned proximal a pivot cylinder outlet, and wherein the pivot cylinder inlet is positioned distal the inflow orifice and the outflow orifice; and

wherein the inflow and outflow orifices are rotatable around the pivot cylinder between at least first and second rotated positions:

in the first rotated position the inflow and outflow orifices are directed in a first direction, and the inflow and outflow orifices are positioned in close proximity to a first portion of a vessel, and

in the second rotated position the inflow and outflow orifices are directed in a second direction different from the first direction, and the inflow and outflow orifices are positioned in close proximity to a second portion of a vessel different from the first portion of the vessel.

3. The hydrodynamic catheter of claim 2 , wherein the pivot cylinder inlet is radially spaced around the catheter body from the inflow orifice and the outflow orifice.

4. The hydrodynamic catheter of claim 3 , wherein the catheter lumen terminates at a termination point, the termination point proximal relative to a distal tip of the catheter body.

5. The hydrodynamic catheter of claim 2 , wherein the pivot cylinder outlet is at a non-parallel orientation to the pivot cylinder inlet.

6. The hydrodynamic catheter of claim 2 , wherein the pivot cylinder is configured to direct a guidewire from a position inside the catheter lumen to a position outside the catheter body.

7. The hydrodynamic catheter of claim 2 , wherein the catheter body rotates around the pivot cylinder so as to create a treatment area having a cross-sectional footprint area larger than a cross-sectional area of the catheter body.

8. The hydrodynamic catheter of claim 2 , wherein the catheter body rotates around the pivot cylinder so as to create a treatment area having a circular cross-sectional footprint area having a footprint diameter approximately twice as large as an outer diameter of the catheter body.

9. The hydrodynamic catheter of claim 2 , wherein the pivot cylinder is eccentrically spaced from a longitudinal axis of the catheter body.