Abstract: A directional cutting balloon for incising an eccentric lesion in a body conduit includes an inflatable balloon having a distal end and a proximal end. The distal balloon end is attached to a distal tube and the proximal balloon end is attached to a proximal tube. The distal tube is formed with a guidewire lumen and substantially centered along a guidewire axis. The balloon, which is typically formed with a cylindrical working section that defines a balloon axis, is offset from the guidewire axis. Specifically, when the balloon is inflated, the balloon axis is aligned parallel to and offset from the guidewire axis. One or more elongated incising elements are mounted longitudinally on the balloon. During a balloon inflation, the balloon expands eccentrically relative to the guidewire axis to thereby advance the incising element in a pre-selected direction and into an eccentric lesion.

Abstract: A directional cutting balloon for incising an eccentric lesion in a body conduit includes an inflatable balloon having a distal end and a proximal end. The distal balloon end is attached to a distal tube and the proximal balloon end is attached to a proximal tube. The distal tube is formed with a guidewire lumen and substantially centered along a guidewire axis. The balloon, which is typically formed with a cylindrical working section that defines a balloon axis, is offset from the guidewire axis. Specifically, when the balloon is inflated, the balloon axis is aligned parallel to and offset from the guidewire axis. One or more elongated incising elements are mounted longitudinally on the balloon. During a balloon inflation, the balloon expands eccentrically relative to the guidewire axis to thereby advance the incising element in a pre-selected direction and into an eccentric lesion.

Abstract: An atherectomy catheter device includes a housing at the distal end of a substantially round housing torque cable. A cutter torque cable is disposed within the housing and includes a rotatable and translatable cutter at its distal end. The housing includes a window into which an atheroma protrudes. The cutter severs the atheroma. A nose cone attached to the distal end of the housing collects and stores severed atheroma. A stabilizing member is attached to the exterior of the housing opposite the window. A stabilizing member is disclosed including a balloon having an inflation lumen disposed within the housing. A mechanical stabilizing member is disclosed including a distal end attached to the distal end of the housing or to the nose cone, and a proximal end coupled to a stabilizing cable disposed within a cable lumen of the housing torque cable.