Rotational atherectomy device with electric motor

摘要

An atherectomy device is disclosed, which is rotationally driven by an electric motor. In some designs, the device includes features unavailable on gas turbine-driven systems, such as the storing in memory of low/medium/high preset rotation speeds for particular models of handle, calculations of the amount of saline left in the IV and associated warnings when it gets sufficiently low, and automatic adjustment of the IV pump rate to a predetermined or calculated level when the rotational speed of the motor is changed. The electric motor has far more rotational inertia than a comparable gas turbine, so the system includes a control mechanism that helps prevent damage from excessive torque being applied to the distal end of the drive shaft. When an obstruction at the distal end is detected, by a drop in the motor rotational speed, the motor is released and is allowed to spin freely as a flywheel. The freely-spinning motor allows the large angular momentum of the system to dissipate rapidly and safely, without excessive torque to the drive shaft.

主权项

1. A rotational atherectomy system, comprising:
an elongated, flexible drive shaft having a distal end for insertion into a vasculature of a patient and having a proximal end opposite the distal end remaining outside the vasculature of the patient; an abrasive element attached to the drive shaft proximate the distal end of the drive shaft; an electric motor coupled to the proximal end of the drive shaft; and control electronics for:
supplying electrical power to the motor for rotating the motor in a first direction and applying an electrical-power-induced torque at the proximal end of the drive shaft whereby the drive shaft is rotated in the first direction;monitoring a rotational speed of the motor; andlimiting the electrical-power-induced torque applied at the proximal end of the drive shaft; wherein,
when the distal end of the drive shaft encounters an obstruction and stops rotating, the control electronics continue to supply electrical power to the motor for continuing the rotation of the motor in the first direction and continuing the application of the electrical-power-induced torque at the proximal end of the drive shaft whereby the drive shaft begins to wind up and decreases the rotational speed of the motor;when the rotational speed of the motor in the first direction decreases below a threshold, the control electronics releases the motor by interrupting the electrical power supplied to the motor whereby:
no electrical-power-induced torque is applied at the proximal end of the drive shaft; andthe motor is enabled to spin freely as a fly wheel in the first direction and in a second direction opposite the first direction; andwhen the drive shaft is most tightly wound, the rotational potential energy is converted into rotational kinetic energy whereby the kinetic-energy-induced torque rotates the drive shaft and the released free-spinning motor in a second direction opposite the first direction until the drive shaft unwinds and stops rotating in the absence of any torque being applied at its proximal end.