Methods and systems for disrupting calcified walls of biological conduits and calcified lesions therein

Patent metadata

Field	Value
Publication number	US-10299820-B2
Application number	US-201615047174-A
Country	US
Kind code	B2
Filing date	Feb 18, 2016
Priority date	Feb 20, 2015
Publication date	May 28, 2019
Grant date	May 28, 2019

Abstract

The present system is directed in various embodiments to rotational atherectomy systems and methods generally. More specifically, a method for methodically softening and disrupting calcification within the wall of a biological conduit or lumen. This result is achieved by use of at least one eccentric head that, during high-speed rotation within the exemplary lumen, produces a combination of a low-frequency orbital motion comprising a force that is exerted against the lumen wall, with concomitant deflection of same, and a high-frequency pulsatile frequency, also with concomitant exertion of force against the lumen wall and deflection of same. These force-driven deflections produce shockwaves within the layers of the exemplary artery's wall layers, resulting in systematic disruptions of any calcification within the intimal and/or medial layers of the subject artery. In addition, any calcification within the occlusion is also softened and disrupted, increasing compliance of the vessel and/or lesion.

First claim

What is claimed is:

1. A method for softening and/or disrupting calcium deposits within the intimal and medial layers of a wall of a biological lumen, comprising:
generating a series of circumferentially-delivered, pulsatile low-frequency forces against the conduit or lumen wall, the low-frequency forces sufficient to cause a deflection of the lumen wall and produce low-frequency energy waves within the intimal and medial layers of the lumen wall;
simultaneously generating a series of circumferentially-delivered, pulsatile high-frequency forces against the conduit or lumen wall, the high-frequency forces sufficient to cause a deflection of the lumen wall and produce high-frequency energy waves within the intimal and medial layers of the lumen wall, thereby creating a combination of low-frequency and high-frequency wall forces;
producing a resulting combination of low-frequency and high-frequency energy waves within the intimal and medial layers of the lumen wall;
thereby targeting a combination of low-frequency wall forces, high-frequency wall forces, low frequency energy waves and high-frequency energy waves to the intimal and medial layers of the wall of the lumen;
wherein the generated low-frequency and high-frequency forces comprise initial magnitudes that are increased at least once; and
softening and/or disrupting the calcium deposits within the intimal and medial layers of the wall of the biological lumen as the generated low-frequency and high-frequency forces are increased.

2. The method of claim 1 , wherein the low-frequency forces and the high-frequency forces are generated by mechanical and/or non-mechanical means.

3. The method of claim 1 , wherein the combination of low-frequency forces, high-frequency forces, low-frequency energy waves and high-frequency energy waves disrupt the calcification within the intimal and medial layers.

4. The method of claim 3 , wherein the softening and/or disrupting of the calcification increases the compliance of the intimal and medial layers of the biological conduit or lumen.

Assignees

• Cardivascular Systems

Inventors

• Kohler Robert E
• Martinsen Brad J
• Yang Michael X
• Zheng Yihao
• Shih Albert
• Deokar Rohit

Classifications

• A61B17/320068 Primary

  using mechanical vibrations, e.g. ultrasonic (A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745) · CPC title

• A61B17/320758 Primary

  with a rotating cutting instrument, e.g. motor driven (A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002) · CPC title

• A61B2017/320766

  eccentric · CPC title

• A61B2017/320004

  abrasive · CPC title

• A61B2017/22011

  Combined types of vibration, e.g. ultrasonic and electrohydraulic · CPC title