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    • 10. 发明授权
    • Therectomy device having a light weight drive shaft and an imaging device
    • 动脉粥样硬化切除装置具有重量轻的驱动轴和成像装置
    • US06497711B1
    • 2002-12-24
    • US09639873
    • 2000-08-16
    • Mark PlaiaRobert L. BarryDaniel M. Lafontaine
    • Mark PlaiaRobert L. BarryDaniel M. Lafontaine
    • A61B1722
    • A61B17/320758A61B17/221A61B17/320725A61B90/37A61B2017/320004A61B2017/320733A61B2090/378
    • An atherectomy device having the ability to create variably sized lumens in a vessel. An ablation burr rotated by a drive shaft is routed through a control shaft having a bend in its distal end. The control shaft is in turn routed through a surrounding guide catheter. By extending or retracting the bend of the control shaft into the distal end of the guide catheter, the lateral displacement of the ablation burr is varied. A lumen in a vessel is created by rotating the control shaft within the surrounding guide catheter. In addition, the atherectomy device may include an integrated imaging sensor contained within a separate lumen of the catheter surrounding the drive shaft. The imaging sensor provides images of the interior of the vessel wall to determine if an occlusion has been removed by operation of the ablation burr. The catheter may include a self-expanding stent at its distal end to force the ablation burr against a vessel wall in order to create various sized lumens in a patient's vasculature. Finally, the drive shaft that rotates the ablation burr is made of a lightweight polymeric material such as a liquid crystal polymer having fibers that are braided to provide desired torque and flexibility characteristics of the drive shaft.
    • 具有在血管中产生可变大小的腔的能力的粥样斑块切除装置。 由驱动轴旋转的消融毛刺通过其远端具有弯曲部的控制轴布置。 控制轴又穿过周围的引导导管。 通过将控制轴的弯曲部延伸或缩回到导向导管的远端,消融毛刺的横向位移变化。 通过在周围的引导导管内旋转控制轴来产生容器中的内腔。 另外,粥样斑块切除装置可以包括集成的成像传感器,其包含在围绕驱动轴的导管的分开的内腔内。 成像传感器提供血管壁内部的图像,以确定是否通过消融毛刺的操作去除了闭塞。 导管可以在其远端包括自扩张支架,以迫使消融毛刺抵靠血管壁,以在患者的脉管系统中产生各种尺寸的腔。 最后,旋转消融毛刺的驱动轴由轻质的聚合物材料制成,例如具有编织纤维的液晶聚合物,以提供驱动轴的期望的扭矩和柔性特性。