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    • 1. 发明公开
    • EXPANDABLE ATHERECTOMY BURR
    • 可扩展的Atherctomy BURR
    • EP1304965A2
    • 2003-05-02
    • EP01954728.0
    • 2001-07-17
    • Boston Scientific Limited
    • WYZGALA, Mark, H.HAMILTON, Eric B.HIBLAR, Thomas, L.WANG, LixiaoCHEN, John, J.NAZAROVA, IrinaHAIG, Nancy, L.ZHONG, Sheng-Ping
    • A61B17/22
    • A61B17/320758A61B17/320725A61B2017/00557A61B2017/320004A61B2017/320733
    • An atherectomy burr (428) has an operating diameter has is larger than the diameter of a catheter in which the burr is routed. The burr may include a polymeric balloon (440) that is coated with an abrasive (436) and expands when the burr (428) is rotated. When the burr (428) is rotated, the polymeric tube expands by centrifugal force. The maximum expansion of the burr (428) is controlled by an expansion mechanism. Various mechanisms are disclosed for controlling the maximum diameter of the burr (428) thus preventing the burr (428) from over expanding. In addition, the present invention includes a system for preventing the loose ablated particular from reembolizing in the distal vasculature. The system includes an ablation burr (428) that has abrasive (436) disposed on the proximal end that is pulled back toward the guide catheter to ablate the lesion (410). The burr (428) creates a seal when expanded to block the ablated particulate so that the aspiration system can remove the particulate from the patient vessel or stent. Alternatively, the burr system may include a self expanding seal that is deployed out of the aspiration sheath so that a slight vacuum can remove the large loose particulate form, the patient's vessel or stent.
    • 斑块旋转毛刺(428)的操作直径大于导引毛刺的导管的直径。 毛刺可以包括涂有研磨剂(436)并在毛刺(428)旋转时膨胀的聚合物气囊(440)。 当毛刺(428)旋转时,聚合物管因离心力而膨胀。 毛刺(428)的最大扩张由扩张机构控制。 公开了用于控制毛刺(428)的最大直径从而防止毛刺(428)过度膨胀的各种机构。 另外,本发明包括一种用于防止松散消融的特定物质在远端脉管系统中重新栓塞的系统。 该系统包括消融毛刺(428),该消融毛刺(428)具有设置在近端上的磨料(436),该磨料被拉回到引导导管以消融病变(410)。 毛刺(428)在膨胀时形成密封以阻塞消融的颗粒,使得抽吸系统可以从患者血管或支架中去除颗粒。 或者,毛刺系统可以包括自膨胀密封件,该自膨胀密封件从抽吸套管中展开,使得轻微的真空可以去除大的松散颗粒形式,患者的血管或支架。