# US 11,298,149 B2 · Medical device > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,298,149 B2 - Document ID: US11298149B2 - Status: Granted - Kind: B2 - Application number: 16/578,603 - Filed: 2019-09-23 - Published: 2020-01-16 - Granted: 2022-04-12 - Earliest claimed: 2017-03-24 - Assignees: Terumo Kabushiki Kaisha - Applicants: Terumo Kabushiki Kaisha - Inventors: Yuichi Tada; Mizuho Hirao - Web page: https://patentgrep.com/patent/US11298149B2 ## CPC - 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 2017/00685: {Archimedes screw} - A61B 2017/00778: {Operations on blood vessels (A61B2017/22097, A61B2017/320741 take precedence)} - A61B 2017/22039: {eccentric} - A61B 2017/22045: {fixed to the catheter; guiding tip} - A61B 2017/22079: {with suction of debris} - A61B 2017/320775: {Morcellators, impeller or propeller like means} - A61B 2090/08021: {of the patient or his organs} - A61B 2217/005: with suction drainage system - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A medical device is disclosed that can help prevent an object existing in a body lumen from clogging a lumen of an elongated member. The medical device including an elongated member having a lumen extending in an axial direction; an insertion member inserted in the lumen of the elongated member on a distal side of the lumen; and a breaking member fixed on an inner surface of the elongated member such that a gap is formed between the insertion member and the breaking member in the lumen of the elongated member on the distal side, and wherein the breaking member exerts a shearing force to the object by rotating relative to the insertion member while the object is between the insertion member and the breaking member. ## Claims ### Claim 1 A medical device for transporting an object that exists in a body lumen, the medical device comprising: an elongated member having a lumen extending in an axial direction; an insertion member inserted in the lumen of the elongated member on a distal side of the lumen, and wherein the insertion member is only partially inserted in the lumen of the elongated member; and a breaking member fixed on an inner surface of the elongated member such that a gap is formed between the insertion member and the breaking member in the lumen of the elongated member on the distal side, and wherein the breaking member exerts a shearing force to the object by rotating relative to the insertion member while the object is between the insertion member and the breaking member. ### Claim 2 (depends on 1) The medical device according to claim 1, wherein a distal portion of the breaking member is bent in a predetermined direction. ### Claim 3 (depends on 1) The medical device according to claim 1, wherein a distal end of the distal portion of the breaking member tapers to a point. ### Claim 4 (depends on 1) The medical device according to claim 1, wherein the breaking member is a helically extending plate-shaped member. ### Claim 5 (depends on 1) The medical device according to claim 1, wherein the distal portion of the breaking member has a cross-sectional shape that is non-circular. ### Claim 6 (depends on 5) The medical device according to claim 5, wherein the distal portion of the breaking member has a convex shape toward a center side of a rotational direction of the breaking member rather than a circumferential direction side along the rotational direction. ### Claim 7 (depends on 1) The medical device according to claim 1, wherein the breaking member extends over a predetermined range from a distal side of the lumen to a proximal side of the lumen. ### Claim 8 (depends on 1) The medical device according to claim 1, further comprising: a rotating body that rotates along with rotation of the elongated member on a distal portion of the elongated member; the insertion member being configured in a non-rotational state such that the insertion member does not rotate in conjunction with the rotation of the elongated member; and the breaking member is fixed to the elongated member and/or the rotating body, and the breaking member is configured to rotate along with the rotation of the elongated member. ### Claim 9 (depends on 8) The medical device according to claim 8, wherein the rotating body has a cutting unit configured to apply a cutting force with rotation of the rotating body. ### Claim 10 (depends on 1) The medical device according to claim 1, wherein a distal portion of the insertion member is a plate-shaped member. ### Claim 11 (depends on 10) The medical device according to claim 10, wherein the distal portion of the insertion member has a cross-sectional shape along a direction orthogonal to the axial direction, and wherein the cross-sectional shape is curved in a crescent shape. ### Claim 12 (depends on 1) The medical device according to claim 1, wherein a cross-sectional shape of the insertion member along a direction orthogonal to the axial direction is non-circular. ### Claim 13 (depends on 1) The medical device according to claim 1, further comprising: a covering member; the elongated member configured to accommodate the covering member; and wherein the insertion member is connected to the covering member. ### Claim 14 (depends on 13) The medical device according to claim 13, wherein the insertion member includes a distal member and a proximal member, and the covering member connects the distal member of the insertion member, a distal portion of a connection member, and a proximal portion of a guide wire insertion portion to each other. ### Claim 15 A medical device for transporting an object that exists in a body lumen, the medical device comprising: an elongated member having a lumen extending in an axial direction; a rotating body that rotates along with rotation of the elongated member on a distal portion of the elongated member; an insertion member partially inserted in the lumen of the elongated member on a distal side of the lumen, the insertion member being configured in a non-rotational state such that the insertion member does not rotate in conjunction with the rotation of the elongated member; and a breaking member fixed on an inner surface of the elongated member and which forms a gap between the insertion member and the breaking member in the lumen of the elongated member on the distal side, and wherein the breaking member exerts a shearing force to the object by rotating relative to the insertion member while the object is between the insertion member and the breaking member, the breaking member being fixed to the elongated member and/or the rotating body, and wherein the breaking member is configured to rotate along with the rotation of the elongated member. ### Claim 16 (depends on 15) The medical device according to claim 15, wherein a distal portion of the insertion member is a plate-shaped member, and the distal portion of the insertion member has a cross-sectional shape along a direction orthogonal to the axial direction, and wherein the cross-sectional shape is curved in a crescent shape. ### Claim 17 (depends on 16) The medical device according to claim 16, wherein the distal portion includes a plurality of groove portions configured to allow an inside of the crescent shaped distal portion to communicate with an outside of the of the crescent shaped distal portion. ### Claim 18 A method for exerting a shearing force to an object from a stenosed site in a body lumen, the method comprising: inserting a medical device into the body lumen, the medical device including an elongated member having a lumen extending in an axial direction, an insertion member inserted in the lumen of the elongated member on a distal side of the lumen, and a breaking member fixed on an inner surface of the elongated member such that a gap is formed between the insertion member and the breaking member in the lumen of the elongated member on the distal side; and exerting a shearing force to the object by rotating the breaking member relative to the insertion member while the object is in the gap between the insertion member and the breaking member in the lumen of the elongated member on the distal side; separating the object of the stenosed site in the body lumen by exerting tension to the part of the stenosed site with a part of the stenosed site in the gap between the insertion member and the breaking member; and exerting a cutting force to the stenosed site via a cutting unit on a distal portion of the elongated member. ### Claim 19 (depends on 18) The method according to claim 18, further comprising: exerting a shearing force in a state where the part of the stenosed site is hooked with a claw-like portion formed in a distal portion of the breaking member; and/or exerting a cutting force to the part of the stenosed site with a distal end of the distal portion of the breaking member, the distal end tapering to a point. ### Claim 20 (depends on 18) The method according to claim 18, further comprising: transporting the object, which is broken and/or severed in a state of being sandwiched in the gap between the insertion member and the breaking member to a proximal side of the elongated member via a plurality of gaps formed between the insertion member and the breaking member; and/or after removing the medical device from the living body, transporting debris stored inside the elongated member in a distal direction to discharge to a distal side of the breaking member by driving the breaking member in a rotational direction opposite to a direction when cutting the stenosed site.