| 摘要 |
An ablation catheter is provided with an elongated member or shaft and a plurality of helically-shaped cutting wires attached to the shaft to form a cutting basket. Each of the cutting wires has a section formed as a circumferentially subscribing arc and together the wires present a circumferential cutting area of an essentially cylindrical configuration. Obstructing matter on the inner surface of a vessel cavity, such as a blood vessel or the like, is separated from the surface as the catheter is moved through the vessel. The catheter may be inserted in a vessel in a standard fashion using a wire guide which extends through a longitudinal passageway in the shaft and a hub interconnecting the basket wire. The shaft and basket together may be contained in an outer sheath to facilitate insertion. The outer sheath with the basket in a collapsed state in the outer sheath may be readily moved past an obstruction, and the sheath withdrawn to allow the basket to expand and come in contact with the interior surface of the vessel cavity. The proximal ends of the cutting wires extend from the shaft through a vibratory transducer, and the distal ends are connected together by a hub. Electrical current is applied to electrical terminals connected to the cutting wires at the proximal end of the shaft to heat the wires to facilitate separating obstructing matter from a vessel surface. Furthermore, the vibration transducer vibrates the cutting wires to further aid in separating plaque and obstructions from soft tissue such as the intima layer of the wall of a blood vessel.
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