| 摘要 |
New devices and methods for deflecting a catheter progressing within a lumen, into a preferred direction, typically in order to accomplish ablative removal of obstructive material within that lumen without the danger of uncontrolled catheter deflection risking perforation of the lumen. The catheter may ride on a guide wire, or it may be free riding down the lumen, limited by the passages available in the obstructive material, and generating its own passage by debulking the material within the lumen. The types of deflection required may be radial or lateral. A number of novel configurations are described, including improvements to the slotted wall catheter, by selection of the shape, spacing and location of the slots. Other implementations include a catheter with a novel spring configuration, which can release itself from a situation in which the catheter becomes stuck when widening an initial narrow bore in an obstructed vessel. |
