# US 9,750,526 B2 · Rotational atherectomy device with exchangeable drive shaft and meshing gears

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- Number: US 9,750,526 B2
- Document ID: US9750526B2
- Status: Granted
- Kind: B2
- Application number: 14/535,751
- Filed: 2014-11-07
- Published: 2015-06-18
- Granted: 2017-09-05
- Earliest claimed: 2013-07-25
- Assignees: Cardiovascular Systems, Inc.
- Applicants: Cardiovascular Systems, Inc.
- Inventors: Joseph P. Higgins; Nicholas W. Rydberg
- Web page: https://patentgrep.com/patent/US9750526B2

## 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 90/98: using electromagnetic means, e.g. transponders
- A61B 2017/0046: {with a releasable handle; with handle and operating part separable}
- A61B 2017/00473: {Distal part, e.g. tip or head (A61B2017/00464 takes precedence)}
- A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)}
- A61B 2017/00991: {Telescopic means}
- A61B 2217/007: with irrigation system
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

An atherectomy device with an exchangeable drive shaft is disclosed, having a drive shaft gear at a distal end of the exchangeable drive shaft for meshing engagement with a prime mover gear on the output shaft of the prime mover. The exchangeable drive shaft is inserted into an opening at the distal end of the handle housing and moved axially in a proximal direction. Surface features on at least the prime mover housing and the engageable drive shaft help to align the drive shaft gear with the prime mover gear for meshing engagement.

## Claims

### Claim 1

A device, comprising:
a handle, comprising:
a proximal section;
a distal section comprising a channel within an interior thereof, the channel extending proximally from an opening at a distal end of the handle; and
an elongated hollow intermediate section between the proximal and the distal sections, the intermediate section comprising:
an opening to the channel in the distal section; and
an elongated slot through a wall of the handle, the slot extending into the hollow of the intermediate section;
a prime mover carriage disposed within the hollow of the intermediate section, the prime mover carriage comprising:
a prime mover; and
a gear assembly, comprising:
a prime mover gear fixedly attached to a shaft of the prime mover; and
a drive shaft gear rotatably coupled with the prime mover gear; and
a drive shaft cartridge, comprising:
a nosecone, comprising:
an opening at a proximal end thereof; and
a hollow extending distally from the opening at the proximal end of the nosecone;
a telescoping lumen extending proximally from an opening at a distal end of the nosecone and through the opening at the proximal end of the nosecone, the telescoping lumen comprising a proximal end configured for removable coupling with the drive shaft gear;
an elongated support member coupled with at least a portion of the telescoping lumen, the support member comprising a distal section configured for insertion into the hollow of the nosecone and for removable coupling with the nosecone; and
an elongated flexible drive shaft comprising a proximal end fixedly attached to the proximal end of the telescoping lumen and extending distally therefrom through the telescoping lumen and through the opening at the distal end of the nosecone;
wherein, the hollow of the intermediate section and the prime mover carriage are configured for enabling longitudinal displacement of the prime mover carriage within the intermediate section.

### Claim 2 (depends on 1)

The device of claim 1, comprising a first connector for removably coupling the nosecone and the support member, the first connector comprising complementary first and second sections, wherein:
the first section is integrally formed with the nosecone; and
the second section is integrally formed with the support member.

### Claim 3 (depends on 2)

The device of claim 2, comprising a first release mechanism for uncoupling the nosecone and the support member.

### Claim 4 (depends on 3)

The device of claim 3, comprising:
a second connector for removably coupling the drive shaft gear and the proximal end of the telescoping lumen, the second connector comprising complementary first and second sections, wherein:
the first section of the second connector is integrally formed with the drive shaft gear; and
the second section of the second connector is integrally formed with the telescoping lumen;
a second release mechanism for unlocking the prime mover carriage from a locked state and enabling displacement thereof within the intermediate section when the drive shaft gear and the telescoping lumen are coupled; and
a third connector for removably coupling the distal end of the handle and the proximal end of the nosecone, the third connector comprising complementary first and second sections, wherein:
the first section of the third connector is integrally formed with the distal end of the handle; and
the second section of the third connector is integrally formed with the proximal end of the nosecone.

### Claim 5 (depends on 4)

The device of claim 4, wherein the first release mechanism uncouples the nosecone and the support member when the handle and the nosecone are coupled.

### Claim 6 (depends on 5)

The device of claim 5, wherein:
displacement of the prime mover carriage in a proximal direction:
extends the telescoping lumen; and
retracts a distal end of the drive shaft; and
displacement of the prime mover carriage in a distal direction:
collapses the telescoping lumen; and
advances the distal end of the drive shaft.

### Claim 7 (depends on 4)

The device of claim 4, comprising a third release mechanism for uncoupling the drive shaft gear and the telescoping lumen when the handle and the nosecone are uncoupled.

### Claim 8 (depends on 7)

The device of claim 7, wherein activation of the third release mechanism locks the prime mover carriage in the locked state.

### Claim 9 (depends on 4)

The device of claim 4, wherein the locked state is at a location proximate the distal section of the handle.

### Claim 10 (depends on 1)

The device of claim 1, comprising a control knob having at least a portion thereof extending through the slot and operationally coupled with the prime mover carriage such that a longitudinal displacement of the control knob longitudinally displaces the prime mover carriage, the control knob comprising:
an unlocked state for enabling the displacement of the prime mover carriage; and
a locked state for inhibiting the displacement of the prime mover carriage.

### Claim 11

A device, comprising:
a handle, comprising:
a proximal section;
a distal section comprising a channel within an interior thereof, the channel extending proximally from an opening at a distal end of the handle; and
an elongated hollow intermediate section between the proximal and the distal sections, the intermediate section comprising:
an opening to the channel in the distal section; and
an elongated slot through a wall of the handle, the slot extending into the hollow of the intermediate section;
a prime mover carriage disposed within the hollow of the intermediate section, the prime mover carriage comprising:
a prime mover; and
a gear assembly, comprising:
a prime mover gear fixedly attached to a shaft of the prime mover; and
a drive shaft gear rotatably coupled with the prime mover gear; and
a drive shaft cartridge, comprising:
a nosecone, comprising:
an opening at a proximal end thereof; and
a hollow extending distally from the opening at the proximal end of the nosecone;
a telescoping lumen extending proximally from an opening at a distal end of the nosecone and through the opening at the proximal end of the nosecone, the telescoping lumen comprising a proximal end configured for removable coupling with the drive shaft gear; and
an elongated flexible drive shaft comprising a proximal end fixedly attached to the proximal end of the telescoping lumen and extending distally therefrom through the telescoping lumen and through the opening at the distal end of the nosecone;
wherein, the hollow of the intermediate section and the prime mover carriage are configured for enabling longitudinal displacement of the prime mover carriage within the intermediate section.

### Claim 12 (depends on 11)

The device of claim 11, comprising a first connector for:
releasably coupling the nosecone and at least a portion of the telescoping lumen; and
inhibiting telescoping of the telescoping lumen.

### Claim 13 (depends on 12)

The device of claim 12, comprising a first release mechanism for uncoupling the nosecone and the telescoping lumen.

### Claim 14 (depends on 13)

The device of claim 13, comprising:
a second connector for removably coupling the drive shaft gear and the proximal end of the telescoping lumen, the second connector comprising complementary first and second sections, wherein:
the first section of the second connector is integrally formed with the drive shaft gear; and
the second section of the second connector is integrally formed with the telescoping lumen;
a second release mechanism for unlocking the prime mover carriage from a locked state and enabling displacement thereof within the intermediate section when the drive shaft gear and the telescoping lumen are coupled; and
a third connector for removably coupling the distal end of the handle and the proximal end of the nosecone, the third connector comprising complementary first and second sections, wherein:
the first section of the third connector is integrally formed with the distal end of the handle; and
the second section of the third connector is integrally formed with the proximal end of the nosecone.

### Claim 15 (depends on 14)

The device of claim 14, wherein the first release mechanism uncouples the nosecone and the telescoping lumen when the handle and the nosecone are coupled.

### Claim 16 (depends on 15)

The device of claim 15, wherein:
displacement of the prime mover carriage in a proximal direction:
extends the telescoping lumen; and
retracts a distal end of the drive shaft; and
displacement of the prime mover carriage in a distal direction:
collapses the telescoping lumen; and
advances the distal end of the drive shaft.

### Claim 17 (depends on 14)

The device of claim 14, comprising a third release mechanism for uncoupling the drive shaft gear and the telescoping lumen when the handle and the nosecone are uncoupled.

### Claim 18 (depends on 17)

The device of claim 17, wherein activation of the third release mechanism locks the prime mover carriage in the locked state.

### Claim 19 (depends on 14)

The device of claim 14, wherein the locked state is at a location proximate the distal section of the handle.

### Claim 20 (depends on 11)

The device of claim 11, comprising a control knob having at least a portion thereof extending through the slot and operationally coupled with the prime mover carriage such that a longitudinal displacement of the control knob longitudinally displaces the prime mover carriage, the control knob comprising:
an unlocked state for enabling the displacement of the prime mover carriage; and
a locked state for inhibiting the displacement of the prime mover carriage.

### Claim 21

A device, comprising:
a handle, comprising:
a proximal section;
a distal section comprising a channel within an interior thereof, the channel extending proximally from an opening at a distal end of the handle; and
an elongated hollow intermediate section between the proximal and the distal sections, the intermediate section comprising:
an opening to the channel in the distal section; and
an elongated slot through a wall of the handle, the slot extending into the hollow of the intermediate section;
a prime mover carriage disposed within the hollow of the intermediate section, the prime mover carriage comprising:
a prime mover; and
a gear assembly, comprising:
a prime mover gear fixedly attached to a shaft of the prime mover;
a drive shaft gear rotatably coupled with the prime mover gear; and
a lumen coupler;
wherein, the drive shaft gear and the lumen coupler are coaxial;
a drive shaft cartridge, comprising:
a nosecone, comprising:
an opening at a proximal end thereof; and
a hollow extending distally from the opening at the proximal end of the nosecone;
a telescoping lumen extending proximally from an opening at a distal end of the nosecone and through the opening at the proximal end of the nosecone; and
an elongated flexible drive shaft comprising a proximal end extending proximally of a proximal end of the telescoping lumen, the drive shaft extending distally through the telescoping lumen and through the opening at the distal end of the nosecone;
wherein:
the hollow of the intermediate section and the prime mover carriage are configured for enabling longitudinal displacement of the prime mover carriage within the intermediate section;
the lumen coupler and the proximal end of the telescoping lumen are configured for removable coupling;
the drive shaft gear and the proximal end of the drive shaft are configured for removable coupling;
a first connector for:
releasably coupling the nosecone and at least a portion of the telescoping lumen; and
inhibiting telescoping of the telescoping lumen; and
a first release mechanism for uncoupling the. nosecone and the telescoping lumen.

### Claim 22 (depends on 21)

The device of claim 21, comprising:
a second connector for removably coupling the drive shaft gear and the proximal end of the drive shaft, the second connector comprising complementary first and second sections, wherein:
the first section of the second connector is integrally formed with the drive shaft gear; and
the second section of the second connector is integrally formed with the drive shaft;
a third connector for removably connecting the lumen coupler and the proximal end of the telescoping lumen, the third connector comprising complementary first and second sections, wherein:
the first section of the third connector is integrally formed with the lumen coupler; and
the second section of the third connector is integrally formed with the telescoping lumen;
a second release mechanism for unlocking the prime mover carriage from a locked state and enabling displacement thereof within the intermediate section when:
the drive shaft gear and the drive shaft are coupled; and
a fourth connector for removably coupling the distal end of the handle and the proximal end of the nosecone, the fourth connector comprising complementary first and second sections, wherein:
the first section of the fourth connector is integrally formed with the distal end of the handle; and
the second section of the fourth connector is integrally formed with the proximal end of the nosecone.

### Claim 23 (depends on 22)

The device of claim 22, wherein the first release mechanism uncouples the nosecone and the telescoping lumen when the handle and the nosecone are coupled.

### Claim 24 (depends on 23)

The device of claim 23, wherein:
displacement of the prime mover carriage in a proximal direction retracts a distal end of the drive shaft; and
displacement of the prime mover carriage in a distal direction advances the distal end of the drive shaft.

### Claim 25 (depends on 24)

The device of claim 24, wherein:
displacement of the prime mover carriage in the proximal direction extends the telescoping lumen; and
displacement of the prime mover carriage in the distal direction collapses the telescoping lumen.

### Claim 26 (depends on 22)

The device of claim 22, comprising a third release mechanism for uncoupling the drive shaft gear and the drive shaft and locking the prime mover carriage in the locked state when the handle and the nosecone are uncoupled.

### Claim 27 (depends on 26)

The device of claim 26, wherein the third release mechanism uncouples the lumen coupler and the telescoping lumen.

### Claim 28 (depends on 22)

The device of claim 22, wherein the locked state is at a location proximate the distal section of the handle.

### Claim 29 (depends on 22)

The device of claim 22, wherein the prime mover carriage is unlocked when the lumen coupler and the telescoping lumen are coupled.

### Claim 30 (depends on 21)

The device of claim 21, comprising a control knob having at least a portion thereof extending through the slot and operationally coupled with the prime mover carriage such that a longitudinal displacement of the control knob longitudinally displaces the prime mover carriage, the control knob comprising:
an unlocked state for enabling the displacement of the prime mover carriage; and
a locked state for inhibiting the displacement of the prime mover carriage.