公开(公告)号：US6024749A

公开(公告)日：2000-02-15

申请号：US39732

申请日：1998-03-16

申请人： Leonid Shturman ,  Georgiy Morov

发明人： Leonid Shturman ,  Georgiy Morov

IPC分类号： A61B17/32 ,  A61B17/00 ,  A61B17/22 ,  F16D43/14

CPC分类号： F16D43/14 ,  A61B17/320758 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/00685 ,  A61B2017/00867 ,  A61B2017/320766

摘要： A rotational atherectomy device which includes a handle housing and an exchangeable drive shaft cartridge removably attachable to the handle housing. A rotatable prime mover is carried by a prime mover carriage disposed within the handle housing, the prime mover carriage being longitudinally movable with respect to the handle housing. The exchangeable cartridge includes a cartridge housing which is removably attachable to the handle housing, a longitudinally movable tube which is removably attachable to the prime mover carriage, and a rotatable flexible drive shaft which is removably attachable to the prime mover. The rotational atherectomy device includes a cartridge latch, which removably locks the cartridge housing to the handle housing, and a tube latch which selectively locks the longitudinally movable tube against longitudinal movement with respect to the cartridge housing. The exchangeable cartridge also includes a slide which is longitudinally movable with respect to the cartridge housing among at least three positions: a working position where the slide causes the tube latch to unlock the longitudinally movable tube, a neutral position where the slide causes the tube latch to lock the tube against longitudinal movement with respect to the cartridge housing, and a cartridge unlocked position where the slide causes the tube latch to maintain the longitudinally movable tube in its locked position and unlocks the cartridge latch, thereby permitting the cartridge housing to be removed from the handle housing.

摘要翻译： 一种旋切术装置，其包括手柄壳体和可拆卸地附接到手柄壳体的可更换驱动轴盒。 可旋转的原动机由设置在手柄壳体内的原动机托架承载，原动机托架相对于手柄壳体可纵向移动。 可更换的盒包括可移除地附接到手柄壳体的盒壳体，可移除地附接到原动机托架的可纵向移动的管以及可移除地附接到原动机的可旋转的柔性驱动轴。 旋转的粥样斑块切除装置包括可拆卸地将药筒壳体锁定到手柄壳体上的药筒闩锁，以及一个管闩锁，其可选择性地锁定纵向可移动的管，以防止相对于药筒外壳的纵向运动。 可交换盒还包括一个可在至少三个位置上相对于盒壳体纵向移动的滑动件：滑动件使得管闩解锁可纵向移动的管子的工作位置，滑动件导致管闩锁的中间位置 以锁定管相对于盒壳体的纵向运动，以及盒的解锁位置，其中滑动件使得管闩锁将纵向运动管保持在其锁定位置并解锁盒闩锁，从而允许盒壳体被移除 从手柄外壳。

公开(公告)号：US4770653A

公开(公告)日：1988-09-13

申请号：US66937

申请日：1987-06-25

申请人： Leonid Shturman

发明人： Leonid Shturman

IPC分类号： A61B18/20 ,  A61B17/00 ,  A61B17/22 ,  A61B18/24 ,  A61N5/06 ,  A61N1/30

CPC分类号： A61B18/245 ,  A61B2017/22051

摘要： Aimable catheters for laser angioplasty, including at its distal end a positioning means carrying a laser radiation transmission means and/or optical viewing means, the positioning means being rotatable about an axis spaced from that of the catheter.

摘要翻译： 用于激光血管成形术的适合导管，包括在其远端处具有携带激光辐射传递装置和/或光学观察装置的定位装置，所述定位装置可围绕与导管间隔开的轴线旋转。

公开(公告)号：US08500764B2

公开(公告)日：2013-08-06

申请号：US13412212

申请日：2012-03-05

申请人： Leonid Shturman

发明人： Leonid Shturman

IPC分类号： A61B17/22

CPC分类号： A61B17/320758 ,  A61B17/320725 ,  A61B2017/22051 ,  A61B2017/22052 ,  A61B2017/22054 ,  A61B2017/22068 ,  A61B2017/22069 ,  A61B2017/320004 ,  A61B2017/320008 ,  A61B2017/320766

摘要： A rotational atherectomy device for removing a stenotic tissue from a vessel of a patient is disclosed. The device comprises a rotatable, flexible, hollow drive shaft having an open distal end. The drive shaft comprising a fluid impermeable wall, an abrasive element mounted to the drive shaft proximal to and spaced away from its distal end, the fluid impermeable wall being formed from a torque transmitting coil and at least one fluid impermeable membrane which define a lumen for the antegrade flow of pressurized fluid through the drive shaft and into a distal fluid inflatable support element to inflate said fluid inflatable support element. The distal fluid inflatable support element is located at the distal end of the drive shaft and has an outer wall comprising an outflow opening.

摘要翻译： 公开了一种用于从患者的血管移除狭窄组织的旋转粥样斑块切除装置。 该装置包括具有敞开的远端的可旋转的，柔性的，中空的驱动轴。 所述驱动轴包括流体不可渗透壁，研磨元件安装到所述驱动轴上并且远离其远端，所述流体不可渗透壁由扭矩传递线圈和至少一个流体不可渗透膜形成，所述至少一个流体不可渗透膜限定用于 所述加压流体通过所述驱动轴并进入远端流体可充气支撑元件的顺行流动，以使所述流体可充气支撑元件膨胀。 远端液体充气支撑元件位于驱动轴的远端，并且具有包括流出开口的外壁。

公开(公告)号：US08388637B2

公开(公告)日：2013-03-05

申请号：US13344993

申请日：2012-01-06

申请人： Leonid Shturman

发明人： Leonid Shturman

IPC分类号： A61B17/22

CPC分类号： A61B17/320725 ,  A61B17/22 ,  A61B17/320758 ,  A61B2017/00557 ,  A61B2017/22052 ,  A61B2017/22054 ,  A61B2017/22068 ,  A61B2017/22071 ,  A61B2017/320004 ,  A61B2017/320032 ,  A61B2017/320766 ,  A61B2034/107 ,  A61B2217/005 ,  A61B2217/007 ,  A61M1/0084

摘要： A rotational atherectomy device for abrading a stenotic lesion from a vessel of a patient comprises a flexible drive shaft which extends towards a distal end of the device, a distal fluid inflatable support element located at a distal end of the drive shaft and an abrasive element mounted to the drive shaft proximal to and spaced away from the distal fluid inflatable support element. Both the abrasive element and the distal fluid inflatable support element are rotatable together with the drive shaft.

摘要翻译： 用于从患者的血管研磨狭窄病变的旋转粥样斑块切除装置包括朝向装置的远端延伸的柔性驱动轴，位于驱动轴的远端的远端液体可充气支撑元件和安装 靠近和远离远端液体可充气支撑元件的驱动轴。 研磨元件和远端液体可充气支撑元件都可与驱动轴一起旋转。

公开(公告)号：US20120179179A1

公开(公告)日：2012-07-12

申请号：US13344993

申请日：2012-01-06

申请人： Leonid Shturman

发明人： Leonid Shturman

IPC分类号： A61B17/22

CPC分类号： A61B17/320725 ,  A61B17/22 ,  A61B17/320758 ,  A61B2017/00557 ,  A61B2017/22052 ,  A61B2017/22054 ,  A61B2017/22068 ,  A61B2017/22071 ,  A61B2017/320004 ,  A61B2017/320032 ,  A61B2017/320766 ,  A61B2034/107 ,  A61B2217/005 ,  A61B2217/007 ,  A61M1/0084

摘要： A rotational atherectomy device for abrading a stenotic lesion from a vessel of a patient comprises a flexible drive shaft which extends towards a distal end of the device, a distal fluid inflatable support element located at a distal end of the drive shaft and an abrasive element mounted to the drive shaft proximal to and spaced away from the distal fluid inflatable support element. Both the abrasive element and the distal fluid inflatable support element are rotatable together with the drive shaft.

摘要翻译： 用于从患者的血管研磨狭窄病变的旋转粥样斑块切除装置包括朝向装置的远端延伸的柔性驱动轴，位于驱动轴的远端的远端液体可充气支撑元件和安装 靠近和远离远端液体可充气支撑元件的驱动轴。 研磨元件和远端液体可充气支撑元件都可与驱动轴一起旋转。

公开(公告)号：US20120165846A1

公开(公告)日：2012-06-28

申请号：US13411817

申请日：2012-03-05

申请人： Leonid Shturman

发明人： Leonid Shturman

IPC分类号： A61B17/22

CPC分类号： A61B17/320758 ,  A61B17/320725 ,  A61B2017/22062 ,  A61B2017/22067 ,  A61B2017/320004 ,  A61B2017/320716 ,  A61B2217/007

摘要： A rotational atherectomy device for removing a stenotic tissue from a vessel of a patient is disclosed. The device comprises a rotatable, flexible, hollow drive shaft having a fluid impermeable wall defining a lumen of the drive shaft and, an abrasive element mounted to a distal end portion of the drive shaft proximal to and spaced away from a distal support element formed at a distal end of the drive shaft. The distal support element is inflatable by pressurized fluid which flows in an antegrade direction through said lumen of the drive shaft and is least partially re-directed into the distal fluid inflatable support element. The distal fluid inflatable support element has an outer wall comprising an outflow opening.

摘要翻译： 公开了一种用于从患者的血管移除狭窄组织的旋转粥样斑块切除装置。 该装置包括可旋转的，柔性的，中空的驱动轴，其具有限定驱动轴的内腔的流体不可渗透的壁，以及安装到驱动轴的远端部分的研磨元件，所述研磨元件邻近并间隔开远侧支撑元件 驱动轴的远端。 远侧支撑元件可通过加压流体充气，该加压流体沿着顺行的方向流过驱动轴的内腔，并且至少部分地重新引导到远端液体可充气的支撑元件中。 远端液体充气支撑元件具有包括流出开口的外壁。

公开(公告)号：US08109955B2

公开(公告)日：2012-02-07

申请号：US12515524

申请日：2007-11-23

申请人： Leonid Shturman

发明人： Leonid Shturman

IPC分类号： A61B17/22

CPC分类号： A61B17/320725 ,  A61B17/22 ,  A61B17/320758 ,  A61B2017/00557 ,  A61B2017/22052 ,  A61B2017/22054 ,  A61B2017/22068 ,  A61B2017/22071 ,  A61B2017/320004 ,  A61B2017/320032 ,  A61B2017/320766 ,  A61B2034/107 ,  A61B2217/005 ,  A61B2217/007 ,  A61M1/0084

摘要： A rotational atherectomy device for abrading a stenotic lesion from a vessel of a patient comprises a flexible drive shaft (1) which extends towards a distal end of the device, a distal fluid inflatable support element (3, 3″) located at a distal end of the drive shaft and an abrasive element (5) mounted to the drive shaft proximal to and spaced away from the distal fluid inflatable support element. Both the abrasive element and the distal fluid inflatable support element are rotatable together with the drive shaft and the drive shaft comprises a torque transmitting coil (2) which defines a long lumen of the drive shaft. The distal fluid inflatable support element is formed from a fluid impermeable membrane (9, 9″) that crosses a longitudinal axis (x-x) common to the torque transmitting coil and the lumen of the drive shaft at the distal end of the device, thereby preventing pressurized fluid flowing along the lumen of the drive shaft from entering the vessel in the direction of said longitudinal axis so that fluid has to pass through the fluid inflatable support element, inflating said support element and exiting from the device through an outflow opening (66) in the fluid inflatable support element in a direction different from the direction of the longitudinal axis of the coil and the lumen.

摘要翻译： 用于从患者的血管研磨狭窄病变的旋转粥样斑块切除装置包括朝向装置的远端延伸的柔性驱动轴（1），位于远端的远端液体可充气支撑元件（3,3“） 以及安装到所述驱动轴的研磨元件（5），所述研磨元件靠近所述远端流体可充气支撑元件并与所述远端流体可充气支撑元件间隔开。 研磨元件和远端流体可充气支撑元件都可与驱动轴一起旋转，并且驱动轴包括限定驱动轴的长内腔的扭矩传递线圈（2）。 远端液体可充气支撑元件由不透水膜（9,9“）形成，该流体不透膜（9,9”）穿过扭矩传递线圈的共同的纵向轴线（xx）和在该装置的远端处的驱动轴的内腔，从而防止 沿着驱动轴的内腔流动的加压流体沿所述纵向轴线的方向进入容器，使得流体必须通过流体可膨胀的支撑元件，使所述支撑元件膨胀并通过流出开口（66）从装置排出， 在流体可充气的支撑元件中沿与线圈和管腔的纵向轴线的方向不同的方向。

公开(公告)号：US07174240B2

公开(公告)日：2007-02-06

申请号：US10272126

申请日：2002-10-16

申请人： Leonid Shturman ,  Georgy Vasilevich Morov ,  Vladimir Alekseevich Malgichev

发明人： Leonid Shturman ,  Georgy Vasilevich Morov ,  Vladimir Alekseevich Malgichev

IPC分类号： G05D7/00 ,  A61B17/22

CPC分类号： A61B17/320758 ,  A61B2017/00119 ,  A61B2017/00123 ,  A61B2017/00137 ,  A61B2017/00553 ,  A61B2017/00973 ,  A61M3/0258 ,  Y10T137/7793

摘要： A method for controlling fluid flow in a rotational atherectomy device. A source of fluid is provided through a pump to the rotational atherectomy device, wherein the pump maintains the fluid flow at a minimal rate during a time period when a drive shaft of the device is not rotating. A first control is activated to increase a rate of the fluid flow and second control is activated to initiate a rotation of the drive shaft during another time period when the fluid flow is at the increased rate.

摘要翻译： 一种用于控制旋转粥样斑块切除装置中的流体流动的方法。 流体源通过泵提供到旋转粥样斑块切除装置，其中在装置的驱动轴不旋转的时间段期间，泵以最小的速率保持流体流动。 激活第一控制以增加流体流量的速率，并且当流体流量处于增加的速率的另一时间段期间，第二控制被激活以启动驱动轴的旋转。

公开(公告)号：US20060249205A1

公开(公告)日：2006-11-09

申请号：US11431994

申请日：2006-05-11

申请人： Leonid Shturman ,  Georgy Morov ,  Vladimir Malgichev

发明人： Leonid Shturman ,  Georgy Morov ,  Vladimir Malgichev

IPC分类号： F16K31/36

CPC分类号： A61B17/320758 ,  A61B2017/00119 ,  A61B2017/00123 ,  A61B2017/00137 ,  A61B2017/00553 ,  A61B2017/00973 ,  A61M3/0258 ,  Y10T137/7793

摘要： A method for controlling fluid flow in a rotational atherectomy device. A source of fluid is provided through a pump to the rotational atherectomy device, wherein the pump maintains the fluid flow at a minimal rate during a time period when a drive shaft of the device is not rotating. A first control is activated to increase a rate of the fluid flow and second control is activated to initiate a rotation of the drive shaft during another time period when the fluid flow is at the increased rate.

摘要翻译： 一种用于控制旋转粥样斑块切除装置中的流体流动的方法。 流体源通过泵提供到旋转粥样斑块切除装置，其中在装置的驱动轴不旋转的时间段期间，泵以最小的速率维持流体流动。 激活第一控制以增加流体流量的速率，并且当流体流量处于增加的速率的另一时间段期间，第二控制被激活以启动驱动轴的旋转。

公开(公告)号：US06217595B1

公开(公告)日：2001-04-17

申请号：US09225370

申请日：1999-01-04

申请人： Leonid Shturman ,  Andrei Nevzorov

发明人： Leonid Shturman ,  Andrei Nevzorov

IPC分类号： A61B1700

CPC分类号： A61B17/320758 ,  A61B2017/00685 ,  A61B2017/320004 ,  A61B2090/3782

摘要： A method of forming an elongate, flexible drive shaft which has utility as a rotational atherectomy device. In accordance with this method, an inner helical coil having a lumen and a proximal end is formed by winding a plurality of wires about a forming mandrel. An outer helical coil having a lumen and a proximal end is formed by winding a single wire with a mandrel-less coil forming machine. The inner helical coil is positioned within the outer helical coil to define a drive shaft. The inner and outer helical coils are oriented such that the inner helical coil is wound in a direction opposite that in which the outer helical coil is wound.

摘要翻译： 一种形成细长的柔性驱动轴的方法，该驱动轴具有用作旋转地球切除装置的功能。 根据该方法，通过围绕成形心轴缠绕多条线来形成具有内腔和近端的内螺旋线圈。 具有内腔和近端的外螺旋线圈通过用无芯线圈成形机缠绕单线而形成。 内螺旋线圈位于外螺旋线圈内以限定驱动轴。 内螺旋线圈和外螺旋线圈被定向为使得内螺旋线圈沿与外螺旋线圈缠绕的方向相反的方向缠绕。