# US 10,869,688 B2 · Device handle for a medical device > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,869,688 B2 - Document ID: US10869688B2 - Status: Granted - Kind: B2 - Application number: 15/335,910 - Filed: 2016-10-27 - Published: 2017-07-06 - Granted: 2020-12-22 - Earliest claimed: 2015-10-30 - Assignees: Terumo Kabushiki Kaisha - Applicants: Terumo Kabushiki Kaisha - Inventors: Taiga Nakano - Web page: https://patentgrep.com/patent/US10869688B2 ## CPC - A61B 17/320725: {with radially expandable cutting or abrading elements (A61B17/32075 takes precedence)} - A61B 17/320758: {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)} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A medical device is disclosed for cutting substances inside a body lumen, the medical device including a rotatable tubular drive shaft; an expandable cutting member arranged on distal side of the drive shaft; an axial moving shaft connected to a distal end of the drive shaft with the cutting member, the axial moving shaft configured to expand and contract the cutting member by axially moving of the axial moving shaft; a handle configured to retract the drive shaft and the axial moving shaft; and an operating member disposed on a different axis with respect to an axis of the axial moving shaft. ## Claims ### Claim 1 A medical device for cutting substances inside a body lumen, the medical device comprising: a rotatable tubular drive shaft having a wire inserted therethrough, the wire extending in a first direction; a cutting member arranged on a distal side of the drive shaft; a handle connected to a proximal portion of the rotatable tubular drive shaft; and a fixation unit attached to the handle, the fixation unit having a plurality of ridges that fix the wire, each of the plurality of ridges has a width parallel to the first direction and a length in a second direction perpendicular to the first direction when each of the plurality of ridges is positioned closest to the wire, and wherein each of the plurality of ridges of the fixation unit is separated and discontinuous from each other. ### Claim 2 (depends on 1) The medical device according to claim 1, comprising: an axial moving shaft connected to a distal end of the drive shaft with the cutting member, the axial moving shaft configured to expand and contract the cutting member by axially moving of the axial moving shaft; an operating member disposed on a different axis with respect to an axis of the axial moving shaft; wherein the operating member includes a locking member, the locking member comprising a locking ring and a locking base; and wherein the locking base has a plurality of holes or concavities configured to receive a movable pin on the locking ring, and the locking ring includes the movable pin configured to fit within a rotatable dial and has a generally round inner diameter and an oval outer diameter, such that an outer portion opposite a locking bearing on the locking ring extends beyond an outer diameter of the rotatable dial. ### Claim 3 (depends on 2) The medical device according to claim 2, wherein the outer portion is configured to rotate the dial by applying a force to the outer portion which can allow the rotatable dial to rotate providing a stepwise expansion and contraction of the blades of the cutting unit, and wherein the locking bearing includes a spiral spring, which is attached to the movable pin on the locking ring. ### Claim 4 (depends on 2) The medical device according to claim 2, wherein the operating member has a slidable knob configured to move the cutting member in a forward direction and backward direction during cutting of the substances inside the body lumen. ### Claim 5 (depends on 1) The medical device according to claim 1, wherein the fixation unit is configured to fix the wire between a contact pad and a base member, the fixation unit having a rotatable handle with a generally round lower portion and generally rectangular handle, the generally round portion including the plurality of ridges, the plurality of ridges configured to contact the pad and presses downward to fix the wire between a lower surface of the pad and an upper surface of the base member. ### Claim 6 (depends on 1) The medical device according to claim 1, comprising: an axial moving shaft connected to a distal end of the drive shaft with the cutting member, the axial moving shaft configured to expand and contract the cutting member by axially moving of the axial moving shaft; and a rotational bearing on the proximal portion of the axial moving shaft to allow the axial moving shaft to rotate and move axially. ### Claim 7 (depends on 1) The medical device according to claim 1, wherein the plurality of ridges is configured to contact different positions of the wire in a longitudinal direction. ### Claim 8 (depends on 1) The medical device according to claim 1, wherein the fixation unit has a plurality of grooves. ### Claim 9 (depends on 1) The medical device according to claim 1, wherein the fixation unit is configured to extend between a vertical position and a horizontal position relative to an axis of the handle. ### Claim 10 (depends on 9) The medical device according to claim 9, wherein the fixation unit is generally in an upright or a vertical position relative to the axis of the handle. ### Claim 11 (depends on 1) The medical device according to claim 1, wherein the fixation unit is rotatable. ### Claim 12 (depends on 1) The medical device according to claim 1, wherein the plurality of ridges each have a same length. ### Claim 13 A medical device for cutting substances inside a body lumen, the medical device comprising: a rotatable tubular drive shaft having a wire inserted therethrough, the wire extending in a first direction; a cutting member arranged on a distal side of the drive shaft; a handle connected to a proximal portion of the rotatable tubular drive shaft; a fixation unit attached to the handle, the fixation unit having a plurality of ridges that fix the wire; an axial moving shaft connected to a distal end of the drive shaft with the cutting member, the axial moving shaft configured to expand and contract the cutting member by axially moving of the axial moving shaft; an operating member disposed on a different axis with respect to an axis of the axial moving shaft; wherein the operating member includes a locking member, the locking member comprising a locking ring and a locking base; and wherein the locking base has a plurality of holes or concavities configured to receive a movable pin on the locking ring, and the locking ring includes the movable pin configured to fit within a rotatable dial and has a generally round inner diameter and an oval outer diameter, such that an outer portion opposite a locking bearing on the locking ring extends beyond an outer diameter of the rotatable dial. ### Claim 14 (depends on 13) The medical device according to claim 13, wherein the outer portion is configured to rotate the dial by applying a force to the outer portion which can allow the rotatable dial to rotate providing a stepwise expansion and contraction of the blades of the cutting unit, and wherein the locking bearing includes a spiral spring, which is attached to the movable pin on the locking ring. ### Claim 15 (depends on 14) The medical device according to claim 14, wherein the operating member has a slidable knob configured to move the cutting member in a forward direction and backward direction during cutting of the substances inside the body lumen. ### Claim 16 (depends on 13) The medical device according to claim 13, wherein the fixation unit is configured to fix the wire between a contact pad and a base member, the fixation unit having a rotatable handle with a generally round lower portion and generally rectangular handle, the generally round portion including the plurality of ridges, the plurality of ridges configured to contact the pad and presses downward to fix the wire between a lower surface of the pad and an upper surface of the base member. ### Claim 17 A medical device for cutting substances inside a body lumen, the medical device comprising: a rotatable tubular drive shaft having a wire inserted therethrough, the wire extending in a first direction; a cutting member arranged on a distal side of the drive shaft; a handle connected to a proximal portion of the rotatable tubular drive shaft; and a fixation unit attached to the handle, the fixation unit having a plurality of ridges that fix the wire, wherein the fixation unit is configured to fix the wire between a contact pad and a base member, the fixation unit having a rotatable handle with a generally round lower portion and generally rectangular handle, the generally round portion including the plurality of ridges, the plurality of ridges configured to contact the pad and presses downward to fix the wire between a lower surface of the pad and an upper surface of the base member. ### Claim 18 (depends on 17) The medical device according to claim 17, wherein the plurality of ridges is configured to contact different positions of the wire in a longitudinal direction. ### Claim 19 (depends on 17) The medical device according to claim 17, wherein the fixation unit has a plurality of grooves. ### Claim 20 (depends on 17) The medical device according to claim 17, wherein the fixation unit is configured to extend between a vertical position and a horizontal position relative to an axis of the handle.