Abstract: An apparatus and method of operation are disclosed for using an expandable balloon catheter to perform a combination angioplasty and atherectomy procedure on a stenotic blood vessel. The expandable balloon has a plurality of atherotomes attached to its outer surface, and longitudinal, transverse, or rotational oscillatory motion is imparted to the atherotomes to assist in incising the stenotic tissue, prior to or during dilatation of the stenotic segment of the blood vessel.

Abstract: A hand held vibrating device for vibrating a guide wire used in angioplasty and atherectomy procedures. The vibrating device permits the guide wire to be more easily passed through a stenotic segment of a blood vessel. The vibrating device includes a case, an electric motor mounted within the case, and a clamp member coupled to the electric motor for releasably securing and vibrating the guide wire. In use, the guide wire is threaded through a blood vessel to the site of a stenosis. The guide wire can then be clamped to the vibrating device, which is selectively actuated and manipulated to vibrate and push the guide wire through the stenosis.

Abstract: An apparatus for manufacturing atherectomy torque tubes includes a mechanism for rotating a tube liner about its longitudinal axis at a rotational velocity. A carriage is translatably positioned along the longitudinal axis. A mechanism for winding a wire about the tube liner is mounted on the carriage. A mechanism for coating the tube liner with an epoxy material is also mounted on the carriage. In a preferred embodiment, wire is wound onto the tube liner inside a reservoir of urethane epoxy bath which is moved along the tube liner. A laser sensor measures the coated tube to provide a signal representative of the final outside diameter of the tube and a computer uses this signal to control the angular velocity of the rotating tube liner and the linear velocity of the carriage which moves the wire winding and coating mechanism along the tube.