CA2168309C - Guide wire - Google Patents
Guide wireInfo
- Publication number
- CA2168309C CA2168309C CA002168309A CA2168309A CA2168309C CA 2168309 C CA2168309 C CA 2168309C CA 002168309 A CA002168309 A CA 002168309A CA 2168309 A CA2168309 A CA 2168309A CA 2168309 C CA2168309 C CA 2168309C
- Authority
- CA
- Canada
- Prior art keywords
- coil
- distal portion
- shaft
- guide wire
- proximal
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M2025/09058—Basic structures of guide wires
- A61M2025/09083—Basic structures of guide wires having a coil around a core
- A61M2025/09091—Basic structures of guide wires having a coil around a core where a sheath surrounds the coil at the distal part
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M2025/09166—Guide wires having radio-opaque features
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M2025/09175—Guide wires having specific characteristics at the distal tip
Abstract
The guide wire comprises an elongated flexible shaft 2 which is tubular. A helical coil assembly 4 of radiopaque material comprises a first coil 5 having a proximal portion 6 threadedly force fitted into the tubular portion 3 of shaft 2. A second coil 8 has a proximal portion 9 surrounding and threadingly engaging the distal portion 7 of the first coil, and a distal portion 10 terminating into a tip 15.
Description
This invention relates to guide wires comprising an elongated flexible shaft with a proximal portion and a distal portion, and a coaxial helical coil assembly at the distal portion of said shaft, said coaxial helical coil assembly comprising a first coil having a proximal portion and a distal portion, said first coil joined to the shaft, and a second coil having a proximal portion joined to the distal portion of the first coil and a distal portion terminating into a tip.
Guide wires are commonly used, for example for positioning catheters through blood vessels. Typically, a guide catheter may be inserted through the vasculature and the guide wire is inserted into a blood vessel via such guide catheter. A balloon catheter may then be pushed onto the guide wire for proper location into the blood vessel.
Usually, the distal end of the guide wire is shapeable to conform with the tortuous pathways of the blood vessels, and the shaft of the guide wire must have a good kink resistance to assure pushability of the guide wire and torque transmission thereto. A further requirement is that the distal end of the guide wire be radiopaque so that the guide wire may be easily tracked along the vasculature.
European Patent Application N~ 93810371.0 describes a guide wire comprising a flexible shaft with a proximal portion and a distal portion. This shaft is provided on its outside, with the exception of its distal portion, with a Teflon~ coating to reduce friction of the guide wire when moved within a guide catheter. A flexible helical coil assembly surrounds the distal portion of the shaft. This helical coil assembly has a radiographically visible distal helical coil and a proximal helical coil which is radiographically invisible. The proximal helical coil and the distal helical coil are attached to each other by a connecting helical coil one end of which is screwed into the proximal helical coil and the other end of which is screwed into the distal helical coil. The proximal end of the proximal helical coil is soldered to the shaft and the distal end of the distal helical coil is welded to the distal end of the shaft forming a rounded tip.
This configuration allows having different materials for the coiled distal portion of the guide wire with a three coil assembly behaving in its flexibility essentially like a helical coil wound from a single wire.
The document W0 92/19151 shows a catheter guide wire comprising a flexible torquable proximal wire section which is followed by a more flexible intermediate section and a most flexible distal end section. A wire core in the guide wire is formed of a flexible, torqueable wire filament material such as stainless steel. The segment of the core forming the proximal wire section has a substantially uniform diameter along its length. Within the intermediate section, the core is tapered from the proximal section diameter down to a reduced diameter and the wire core of the intermediate section is covered along its length by a flexible polymer covering the major function of which is to provide a low-friction surface along intermediate section and also to provide column support to the reduced diameter core of the intermediate section to reduce its tendency to buckle under axial compression.
Beneath t~ polymer covering, a radiopaque ribbon of metal is wound around the wire core, and this ribbon coil extehds from the tapered segment of the intermediate section to the distal junction of the intermediate section. The distal section of the guide wire is encased in a flexible sleeve made of a soft flexible helical coil which is formed conventionally as a winding of radiopaque wire strand. Attachment of this sleeve to the wire core is made by solder joints, one at the proximal junction of the end section and one at a rounded distal end junction of the end section.
According to a variant, a portion of the helical coil ribbon is replaced with an inner wire coil; in this variant, an inner wire coil extends from helical coil ribbon to the proximal junction of the end section which is joined by a solder joint to the wire core. This inner coil thus serves as an anchor point for the distal end of the helical coil ribbon and also as an anchor point for the polymer covering on the intermediate core section.
Guide wires are commonly used, for example for positioning catheters through blood vessels. Typically, a guide catheter may be inserted through the vasculature and the guide wire is inserted into a blood vessel via such guide catheter. A balloon catheter may then be pushed onto the guide wire for proper location into the blood vessel.
Usually, the distal end of the guide wire is shapeable to conform with the tortuous pathways of the blood vessels, and the shaft of the guide wire must have a good kink resistance to assure pushability of the guide wire and torque transmission thereto. A further requirement is that the distal end of the guide wire be radiopaque so that the guide wire may be easily tracked along the vasculature.
European Patent Application N~ 93810371.0 describes a guide wire comprising a flexible shaft with a proximal portion and a distal portion. This shaft is provided on its outside, with the exception of its distal portion, with a Teflon~ coating to reduce friction of the guide wire when moved within a guide catheter. A flexible helical coil assembly surrounds the distal portion of the shaft. This helical coil assembly has a radiographically visible distal helical coil and a proximal helical coil which is radiographically invisible. The proximal helical coil and the distal helical coil are attached to each other by a connecting helical coil one end of which is screwed into the proximal helical coil and the other end of which is screwed into the distal helical coil. The proximal end of the proximal helical coil is soldered to the shaft and the distal end of the distal helical coil is welded to the distal end of the shaft forming a rounded tip.
This configuration allows having different materials for the coiled distal portion of the guide wire with a three coil assembly behaving in its flexibility essentially like a helical coil wound from a single wire.
The document W0 92/19151 shows a catheter guide wire comprising a flexible torquable proximal wire section which is followed by a more flexible intermediate section and a most flexible distal end section. A wire core in the guide wire is formed of a flexible, torqueable wire filament material such as stainless steel. The segment of the core forming the proximal wire section has a substantially uniform diameter along its length. Within the intermediate section, the core is tapered from the proximal section diameter down to a reduced diameter and the wire core of the intermediate section is covered along its length by a flexible polymer covering the major function of which is to provide a low-friction surface along intermediate section and also to provide column support to the reduced diameter core of the intermediate section to reduce its tendency to buckle under axial compression.
Beneath t~ polymer covering, a radiopaque ribbon of metal is wound around the wire core, and this ribbon coil extehds from the tapered segment of the intermediate section to the distal junction of the intermediate section. The distal section of the guide wire is encased in a flexible sleeve made of a soft flexible helical coil which is formed conventionally as a winding of radiopaque wire strand. Attachment of this sleeve to the wire core is made by solder joints, one at the proximal junction of the end section and one at a rounded distal end junction of the end section.
According to a variant, a portion of the helical coil ribbon is replaced with an inner wire coil; in this variant, an inner wire coil extends from helical coil ribbon to the proximal junction of the end section which is joined by a solder joint to the wire core. This inner coil thus serves as an anchor point for the distal end of the helical coil ribbon and also as an anchor point for the polymer covering on the intermediate core section.
2 describes a dual coil guide wire with radiopaque distal tip having a shaft formed of a centrally located core wire about which is mounted a single outer helical coil spring. The core wire is longer than the outer helical coil spring, with the helical coil spring and core wire having common distal ends. The spring is brazed at both its distal and proximal ends to the core wire, the distal brazing of the core wire and helical coil spring being rounded. A
second small radiopaque helical coil spring is fitted in the distal end of the outer helical coil spring and brazed to the core wire and outer helical coil spring at a location proximal the helical coil spring distal end.
In a variant, an outer helical coil spring is brazed at two locations to the inner core wire and the radiopaque core is placed between these two brazing locations and between the helical coil spring and the core wire; the radiopaque coil may or may not be brazed directly to the core wire, preferably, the radiopaque coil is freely moveable between the two brazed locations of the outer helical coil spring to the inner core wire.
US Patent 4748986 relates to a floppy guide wire with opaque tip comprising a flexible elongate element which can be in the form of a wire-like hollow cylindrical element or a wire-like cylindrical core. The elongate element is adjoined by an intermediate tapered portion which in turn is adjoined by a distal flattened portion.
An elongate coil is coaxially disposed on the flexible elongate element and extends substantially from the proximal end thereof to the commencement of the tapered portion, this coil being tightly wound so that its turns butt each other. A coating of smooth material is provided on the coil. A second elongate coil of radiopaque material is provided to adjoin the first coil. The proximal portion of this second coil is formed with turns that butt each other while the turns at the distal portion thereof are stretched to provide flexibility. The proximal portion of the second coil is threaded into the distal portion of the first elongate coil to form a connection therebetween. Alternatively, the two coils can have these same ends butted together.
A safety ribbon is disposed internally of the second coil with its distal end brazed into a rounded protrusion brazed in the distal end of the second coil.
The distal extremity of the first elongate coil, the proximal extremity of the second coil, the proximal extremity of the safety ribbon and the tapered portion of the flexible elongate element are bonded into a unitary assembly by a brazing compound.
US Patent 4922924 also shows a two coil assembly in which the two coils are screwed into each other with the ends of the bifilar section being welded to each other and to the central shaft. As in the previous guide wire 216830g a safety wire connects a rounded tip at the distal extremity of the second coil to the shaft.
US Patents 5063935 and 5144959 both show a guide wire including a shaft having an outer helical coil attached to the distal region of the shaft and terminating in a tip weld. This outer coil is formed from a highly radiopaque wire. A smaller diameter inner helical coil formed from a larger diameter highly radiopaque wire is disposed within the outer coil and is attached at its proximal end to the distal end of the shaft and at its distal end to the tip weld.
EP-A1-0419277 shows a guide wire for use in measuring a characteristic of liquid flow in a vessel comprising a flexible elongate element in the form of a tube with a core wire provided therein the distal extremity of which is tapered and extends beyond the distal end of the tube. The tapered extremity of the core wire extends into a coil spring which is soldered to the tube. The coil spring is formed of two parts which are screwed together and the spring is bonded to the core wire by solder at the region where the two portions of the coil spring are screwed together. A safety wire extends from the joint of the two coils to the distal extremity of the coil spring where it is secured to a transducer carried by the distal end of the coil spring.
EP-A2-0318046 describes a medical guide wire consisting of a core having a body portion of a first diameter, a distal portion of a relatively smaller diameter, and a flat distal end disposed in the tip region and spaced proximally from a round tip element that defines the distal end of the guide wire. A first coil is joined to the core body and extends along the core to a termination point in the distal region, proximal of the end of the core. A relatively more flexible second coil made of a radiopaque material is joined at the proximal end to the first coil and joined at its distal end to the round tip element. The first coil and second coil are joined by removing wire material from the outer diameter of the first coil to a depth substantially equal to the diameter or thickness of the wire forming the second coil whereby a smooth flat surface is created on the first coil. The proximal end of the second coil is then disposed over the distal end of the first coil and the two are joined by solder or the like. The assembly is said to result in a joint of substantially uninterrupted flexibility.
The invention provides a guide wire comprising an elongated flexible shaft with a proximal portion and a distal portion, and a coaxial helical coil assembly at the distal portion of said shaft, said coaxial helical coil assembly comprising a first coil having a proximal portion and a distal portion, said first coil joined to the shaft, and a second coil having a proximal portion joined to the distal portion of the first coil and a distal portion terminating into a tip, characterized in that at least the distal portion of the shaft is tubular, and the proximal portion of the first coil is threadedly force-fitted into the tubular distal portion of the shaft, whereby the first coil makes a thread way into the tubular distal portion of the shaft.
The invention improves over the cited art by means of a guide wire which is easy to manufacture and highly versatile while having excellent qualities of pushability and shapeability.
6a Accordingly, the combination of at least the distal portion of the shaft being tubular with the proximal portion of the first coil being threadedly force-fitted into said tubular portion of the shaft creates a shape conforming assembly which has the configuration, safety and resistance of a threaded assembly, without the need to specifically machine a thread in the tubular portion of the shaft. As the first coil makes the thread way into the tubular portion of the shaft, the assembly is tolerance free. The shaft is free from any coil coverage which may require coatings of slippery materials and the shaft may be designed at will for best flexibility and kinking resistance, with the easiest choice in varying -' _ 21683~9 diameters for flexibility control. The shaft may be tubular only at its distal portion or it may be fully tubular, for instance for use in a pressure measuring equipment.
The proximal portion of the first coil may have adjacent windings which are spaced apart in order to facilitate the threadingly fitting into the tubular portion of the shaft. And this configuration also allows the sucking and full penetration of an adhesive into the proximal portion of the coil, which greatly facilitates the definite locking of the proximal portion of the coil in the distal portion of the shaft.
The proximal portion of the second coil may surround the distal portion of the first coil and the proximal portion of the second coil may have windings in threading engagement with windings of the distal portion of the first coil, which provides a simple, tolerance free assembly between the first and second coils which requires no particular grinding of the first coil.
Within this configuration, the proximal portion of the second coil may abut against the distal portion of the shaft, which locks the threading engagement and provides a continuity between the shaft and second coil. Where the proximal portion of the second coil is flush with the distal portion of the shaft, maximal continuity between shaft and coil is achieved without difficulty because the wire size and consequently the diameters of the second coil may be chosen at will, and there is still no need to grind or otherwise machine the distal portion of the first coil.
Core means may extend through the first coil, prefera~Ly with a proximal portion in flush engagement into the - _ 216830~
first coil. This provides a coil support which does not interfere with the shaft.
Where the core means have a proximal end in longitudinal abutment against the proximal end of the first coil and a distal end terminating into the tip of the distal portion of the second coil, a further safety is achieved for the assembly of the two coils which is stress free for the shaft structure and which leaves the shaft structure free of any obstruction proximally of the core assembly, for example for pressure measuring purposes.
These and other objects, features and advantages of the invention will become readily apparent from the following detailed description with reference to the accompanying drawing which shows, diagrammatically and by way of example only, a preferred but still illustrative embodiment of the invention.
Figure 1 is a cross sectional view of the distal portion of the guide wire.
The guide wire 1 comprises an elongated shaft 2 having a proximal portion (not shown) and a distal portion 3. As shown, this shaft is tubular.
Preferably, the shaft is made of an elastic Nickel Titanium alloy such as for instance Nitinol (Trade Name) or Tinel Alloy (Trade Name). Other materials are also possible, for example plastic materials.
A coaxial helical coil assembly 4 is arranged at the distal portion 3 of the shaft 2. This assembly 4 comprises a first coil 5 having a proximal portion 6 and a distal portion 7, and a second coil 8 having a " 216830g -proximal portion 9 and a distal portion 10 ending in a weld tip 15.
The proximal portion 6 of the first coil 5 comprises adjacent windings 11 which are spaced apart, and this proximal portion 6 is threadedly force fitted into the tubular distal portion 3 of shaft 2. Preferably, an adhesive (not shown) is injected between the windings 11 .
The first coil 5 is made of a high density metal, preferably Tungsten, in order to be highly radiopaque, and to create in the softer material of the distal portion 3 of shaft 2 a shape conforming way 12 in the form of a thread.
The second coil 8, also preferably made of a high density metal such as Tungsten for radiopacity purposes, has its proximal portion 9 surrounding the distal portion 7 of first coil 5 the windings 13 of which are in threading engagement with the corresponding windings 14 of second coil 8. Preferably the proximal portion of second coil 8 abuts against the distal portion 3 of shaft 2 and this proximal portion of the second coil 8 is flush with the distal portion of shaft 2.
A cylindrical core 16, for instance of stainless steel, extends through the first coil 5, said core having preferably a proximal portion 17 in flush engagement with the first coil. The proximal end 18 of core 16 is flattened so that the resulting enlargement abuts longitudinally against the proximal end 20 of the coil 5. The core 16 tapers into a flattened straight and narrow distal portion 19 which terminates by welding into the tip 15.
Variants are available without departing from the scope of the invention. For instance, the shaft 1 may be only tubular at its distal portion 3; it may also be made of compound materials whereby only the distal portion of the shaft would be made of a Nickel Titanium alloy or of a plastic material. The adjacent windings 11 of the proximal portion 6 of first coil 5 may be close to one another. The second coil may be aligned with the first coil, whereby the windings of the proximal portion of the second coil could be screwed into the windings of the distal portion of the first coil or otherwise joined thereto. The proximal end 20 of the core member may have a circular shoulder instead of being flattened for longitudinal abutment with the proximal end 20 of the first coil 5.
second small radiopaque helical coil spring is fitted in the distal end of the outer helical coil spring and brazed to the core wire and outer helical coil spring at a location proximal the helical coil spring distal end.
In a variant, an outer helical coil spring is brazed at two locations to the inner core wire and the radiopaque core is placed between these two brazing locations and between the helical coil spring and the core wire; the radiopaque coil may or may not be brazed directly to the core wire, preferably, the radiopaque coil is freely moveable between the two brazed locations of the outer helical coil spring to the inner core wire.
US Patent 4748986 relates to a floppy guide wire with opaque tip comprising a flexible elongate element which can be in the form of a wire-like hollow cylindrical element or a wire-like cylindrical core. The elongate element is adjoined by an intermediate tapered portion which in turn is adjoined by a distal flattened portion.
An elongate coil is coaxially disposed on the flexible elongate element and extends substantially from the proximal end thereof to the commencement of the tapered portion, this coil being tightly wound so that its turns butt each other. A coating of smooth material is provided on the coil. A second elongate coil of radiopaque material is provided to adjoin the first coil. The proximal portion of this second coil is formed with turns that butt each other while the turns at the distal portion thereof are stretched to provide flexibility. The proximal portion of the second coil is threaded into the distal portion of the first elongate coil to form a connection therebetween. Alternatively, the two coils can have these same ends butted together.
A safety ribbon is disposed internally of the second coil with its distal end brazed into a rounded protrusion brazed in the distal end of the second coil.
The distal extremity of the first elongate coil, the proximal extremity of the second coil, the proximal extremity of the safety ribbon and the tapered portion of the flexible elongate element are bonded into a unitary assembly by a brazing compound.
US Patent 4922924 also shows a two coil assembly in which the two coils are screwed into each other with the ends of the bifilar section being welded to each other and to the central shaft. As in the previous guide wire 216830g a safety wire connects a rounded tip at the distal extremity of the second coil to the shaft.
US Patents 5063935 and 5144959 both show a guide wire including a shaft having an outer helical coil attached to the distal region of the shaft and terminating in a tip weld. This outer coil is formed from a highly radiopaque wire. A smaller diameter inner helical coil formed from a larger diameter highly radiopaque wire is disposed within the outer coil and is attached at its proximal end to the distal end of the shaft and at its distal end to the tip weld.
EP-A1-0419277 shows a guide wire for use in measuring a characteristic of liquid flow in a vessel comprising a flexible elongate element in the form of a tube with a core wire provided therein the distal extremity of which is tapered and extends beyond the distal end of the tube. The tapered extremity of the core wire extends into a coil spring which is soldered to the tube. The coil spring is formed of two parts which are screwed together and the spring is bonded to the core wire by solder at the region where the two portions of the coil spring are screwed together. A safety wire extends from the joint of the two coils to the distal extremity of the coil spring where it is secured to a transducer carried by the distal end of the coil spring.
EP-A2-0318046 describes a medical guide wire consisting of a core having a body portion of a first diameter, a distal portion of a relatively smaller diameter, and a flat distal end disposed in the tip region and spaced proximally from a round tip element that defines the distal end of the guide wire. A first coil is joined to the core body and extends along the core to a termination point in the distal region, proximal of the end of the core. A relatively more flexible second coil made of a radiopaque material is joined at the proximal end to the first coil and joined at its distal end to the round tip element. The first coil and second coil are joined by removing wire material from the outer diameter of the first coil to a depth substantially equal to the diameter or thickness of the wire forming the second coil whereby a smooth flat surface is created on the first coil. The proximal end of the second coil is then disposed over the distal end of the first coil and the two are joined by solder or the like. The assembly is said to result in a joint of substantially uninterrupted flexibility.
The invention provides a guide wire comprising an elongated flexible shaft with a proximal portion and a distal portion, and a coaxial helical coil assembly at the distal portion of said shaft, said coaxial helical coil assembly comprising a first coil having a proximal portion and a distal portion, said first coil joined to the shaft, and a second coil having a proximal portion joined to the distal portion of the first coil and a distal portion terminating into a tip, characterized in that at least the distal portion of the shaft is tubular, and the proximal portion of the first coil is threadedly force-fitted into the tubular distal portion of the shaft, whereby the first coil makes a thread way into the tubular distal portion of the shaft.
The invention improves over the cited art by means of a guide wire which is easy to manufacture and highly versatile while having excellent qualities of pushability and shapeability.
6a Accordingly, the combination of at least the distal portion of the shaft being tubular with the proximal portion of the first coil being threadedly force-fitted into said tubular portion of the shaft creates a shape conforming assembly which has the configuration, safety and resistance of a threaded assembly, without the need to specifically machine a thread in the tubular portion of the shaft. As the first coil makes the thread way into the tubular portion of the shaft, the assembly is tolerance free. The shaft is free from any coil coverage which may require coatings of slippery materials and the shaft may be designed at will for best flexibility and kinking resistance, with the easiest choice in varying -' _ 21683~9 diameters for flexibility control. The shaft may be tubular only at its distal portion or it may be fully tubular, for instance for use in a pressure measuring equipment.
The proximal portion of the first coil may have adjacent windings which are spaced apart in order to facilitate the threadingly fitting into the tubular portion of the shaft. And this configuration also allows the sucking and full penetration of an adhesive into the proximal portion of the coil, which greatly facilitates the definite locking of the proximal portion of the coil in the distal portion of the shaft.
The proximal portion of the second coil may surround the distal portion of the first coil and the proximal portion of the second coil may have windings in threading engagement with windings of the distal portion of the first coil, which provides a simple, tolerance free assembly between the first and second coils which requires no particular grinding of the first coil.
Within this configuration, the proximal portion of the second coil may abut against the distal portion of the shaft, which locks the threading engagement and provides a continuity between the shaft and second coil. Where the proximal portion of the second coil is flush with the distal portion of the shaft, maximal continuity between shaft and coil is achieved without difficulty because the wire size and consequently the diameters of the second coil may be chosen at will, and there is still no need to grind or otherwise machine the distal portion of the first coil.
Core means may extend through the first coil, prefera~Ly with a proximal portion in flush engagement into the - _ 216830~
first coil. This provides a coil support which does not interfere with the shaft.
Where the core means have a proximal end in longitudinal abutment against the proximal end of the first coil and a distal end terminating into the tip of the distal portion of the second coil, a further safety is achieved for the assembly of the two coils which is stress free for the shaft structure and which leaves the shaft structure free of any obstruction proximally of the core assembly, for example for pressure measuring purposes.
These and other objects, features and advantages of the invention will become readily apparent from the following detailed description with reference to the accompanying drawing which shows, diagrammatically and by way of example only, a preferred but still illustrative embodiment of the invention.
Figure 1 is a cross sectional view of the distal portion of the guide wire.
The guide wire 1 comprises an elongated shaft 2 having a proximal portion (not shown) and a distal portion 3. As shown, this shaft is tubular.
Preferably, the shaft is made of an elastic Nickel Titanium alloy such as for instance Nitinol (Trade Name) or Tinel Alloy (Trade Name). Other materials are also possible, for example plastic materials.
A coaxial helical coil assembly 4 is arranged at the distal portion 3 of the shaft 2. This assembly 4 comprises a first coil 5 having a proximal portion 6 and a distal portion 7, and a second coil 8 having a " 216830g -proximal portion 9 and a distal portion 10 ending in a weld tip 15.
The proximal portion 6 of the first coil 5 comprises adjacent windings 11 which are spaced apart, and this proximal portion 6 is threadedly force fitted into the tubular distal portion 3 of shaft 2. Preferably, an adhesive (not shown) is injected between the windings 11 .
The first coil 5 is made of a high density metal, preferably Tungsten, in order to be highly radiopaque, and to create in the softer material of the distal portion 3 of shaft 2 a shape conforming way 12 in the form of a thread.
The second coil 8, also preferably made of a high density metal such as Tungsten for radiopacity purposes, has its proximal portion 9 surrounding the distal portion 7 of first coil 5 the windings 13 of which are in threading engagement with the corresponding windings 14 of second coil 8. Preferably the proximal portion of second coil 8 abuts against the distal portion 3 of shaft 2 and this proximal portion of the second coil 8 is flush with the distal portion of shaft 2.
A cylindrical core 16, for instance of stainless steel, extends through the first coil 5, said core having preferably a proximal portion 17 in flush engagement with the first coil. The proximal end 18 of core 16 is flattened so that the resulting enlargement abuts longitudinally against the proximal end 20 of the coil 5. The core 16 tapers into a flattened straight and narrow distal portion 19 which terminates by welding into the tip 15.
Variants are available without departing from the scope of the invention. For instance, the shaft 1 may be only tubular at its distal portion 3; it may also be made of compound materials whereby only the distal portion of the shaft would be made of a Nickel Titanium alloy or of a plastic material. The adjacent windings 11 of the proximal portion 6 of first coil 5 may be close to one another. The second coil may be aligned with the first coil, whereby the windings of the proximal portion of the second coil could be screwed into the windings of the distal portion of the first coil or otherwise joined thereto. The proximal end 20 of the core member may have a circular shoulder instead of being flattened for longitudinal abutment with the proximal end 20 of the first coil 5.
Claims (13)
1. A guide wire comprising an elongated flexible shaft with a proximal portion and a distal portion, and a coaxial helical coil assembly at the distal portion of said shaft, said coaxial helical coil assembly comprising a first coil having a proximal portion and a distal portion, said first coil joined to the shaft, and a second coil having a proximal portion joined to the distal portion of the first coil and a distal portion terminating into a tip, characterized in that at least the distal portion of the shaft is tubular, and the proximal portion of the first coil is threadedly force-fitted into the tubular distal portion of the shaft, whereby the first coil makes a thread way into the tubular distal portion of the shaft.
2. A guide wire according to claim 1, wherein the proximal portion of the first coil has adjacent windings which are spaced apart.
3. A guide wire according to claim 2, wherein an adhesive is sucked into the proximal portion of the first coil.
4. A guide wire according to any one of claims 1 to 3, wherein the proximal portion of the second coil surrounds the distal portion of the first coil, and wherein the proximal portion of the second coil has windings in threading engagement with windings of the distal portion of the first coil.
5. A guide wire according to claim 4, wherein the proximal portion of the second coil abuts against the distal portion of the shaft.
6. A guide wire according to claim 5, wherein the proximal portion of the second coil is flush with the distal portion of the shaft.
7. A guide wire according to any one of claims 1 to 6, further comprising core means extending through the first coil.
8. A guide wire according to claim 7, wherein said core means have a proximal portion in flush engagement with the first coil.
9. A guide wire according to claim 7 or 8, wherein said core means have a proximal end in longitudinal abutment against the proximal end of said first coil, and a distal portion terminating into the tip of the distal portion of the second coil.
10. A guide wire according to any one of claims 1 to 9, wherein at least the tubular distal portion of the shaft is made of an elastic nickel titanium alloy.
11. A guide wire according to any one of claims 1 to 9, wherein at least the tubular distal portion of the shaft is made of a plastic material.
12. A guide wire according to any one of claims 1 to 11, wherein the first and second coils are made of high density metal.
13 13. A guide wire according to claim 12, wherein the first and second coils are made of tungsten.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP95103006.3 | 1995-03-02 | ||
| EP95103006A EP0729765B1 (en) | 1995-03-02 | 1995-03-02 | A method for manufacturing a guide wire |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2168309A1 CA2168309A1 (en) | 1996-09-03 |
| CA2168309C true CA2168309C (en) | 1999-06-01 |
Family
ID=8219032
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002168309A Expired - Fee Related CA2168309C (en) | 1995-03-02 | 1996-01-29 | Guide wire |
Country Status (8)
| Country | Link |
|---|---|
| US (1) | US5706826A (en) |
| EP (1) | EP0729765B1 (en) |
| JP (1) | JP3403887B2 (en) |
| AT (1) | ATE193834T1 (en) |
| CA (1) | CA2168309C (en) |
| DE (1) | DE69517501T2 (en) |
| DK (1) | DK0729765T3 (en) |
| ES (1) | ES2148362T3 (en) |
Families Citing this family (65)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6673025B1 (en) | 1993-12-01 | 2004-01-06 | Advanced Cardiovascular Systems, Inc. | Polymer coated guidewire |
| US6039699A (en) * | 1996-01-22 | 2000-03-21 | Cordis Corporation | Stiff catheter guidewire with flexible distal portion |
| US6068623A (en) * | 1997-03-06 | 2000-05-30 | Percusurge, Inc. | Hollow medical wires and methods of constructing same |
| WO1998018516A1 (en) * | 1996-10-30 | 1998-05-07 | C.R. Bard, Inc. | Vascular guidewire with axisymmetric steering and spring forming elements |
| US6190332B1 (en) | 1998-02-19 | 2001-02-20 | Percusurge, Inc. | Core wire with shapeable tip |
| US6355016B1 (en) | 1997-03-06 | 2002-03-12 | Medtronic Percusurge, Inc. | Catheter core wire |
| US5924998A (en) * | 1997-03-06 | 1999-07-20 | Scimed Life System, Inc. | Guide wire with hydrophilically coated tip |
| EP0879616A1 (en) * | 1997-05-21 | 1998-11-25 | Schneider (Europe) GmbH | Guide wire |
| ATE237382T1 (en) * | 1997-05-21 | 2003-05-15 | Schneider Europ Gmbh | GUIDE WIRE WITH PRESSURE INDICATOR AND METHOD FOR PRODUCING SUCH A GUIDE WIRE |
| US7494474B2 (en) * | 1997-06-04 | 2009-02-24 | Advanced Cardiovascular Systems, Inc. | Polymer coated guidewire |
| DE19823414A1 (en) * | 1998-05-26 | 1999-06-17 | Epflex Feinwerktech Gmbh | Spiral wire guide tube made of two types of wire for surgical procedure |
| US6387060B1 (en) | 1998-06-17 | 2002-05-14 | Advanced Cardiovascular Systems, Inc. | Composite radiopaque intracorporeal product |
| US6402771B1 (en) * | 1999-12-23 | 2002-06-11 | Guidant Endovascular Solutions | Snare |
| US6575997B1 (en) * | 1999-12-23 | 2003-06-10 | Endovascular Technologies, Inc. | Embolic basket |
| US7097624B2 (en) * | 2000-10-05 | 2006-08-29 | Scimed Life Systems, Inc. | Multi-layer and multi-section coils for guide wire |
| US6652471B2 (en) | 2001-11-28 | 2003-11-25 | Scimed Life Systems, Inc. | Pressure-sensing guidewire having improved torque |
| US8668650B2 (en) * | 2001-12-20 | 2014-03-11 | Boston Scientific Scimed, Inc. | Pressure-sensing guidewire and sheath |
| JP4028245B2 (en) * | 2002-01-28 | 2007-12-26 | テルモ株式会社 | Guide wire |
| US7077811B2 (en) * | 2002-12-23 | 2006-07-18 | Scimed Life Systems, Inc. | Guidewire tip construction |
| US8377035B2 (en) * | 2003-01-17 | 2013-02-19 | Boston Scientific Scimed, Inc. | Unbalanced reinforcement members for medical device |
| US20040167439A1 (en) * | 2003-02-26 | 2004-08-26 | Sharrow James S. | Guidewire having textured proximal portion |
| US20040167438A1 (en) * | 2003-02-26 | 2004-08-26 | Sharrow James S. | Reinforced medical device |
| US7182735B2 (en) * | 2003-02-26 | 2007-02-27 | Scimed Life Systems, Inc. | Elongated intracorporal medical device |
| US8167821B2 (en) * | 2003-02-26 | 2012-05-01 | Boston Scientific Scimed, Inc. | Multiple diameter guidewire |
| US6875949B2 (en) * | 2003-03-19 | 2005-04-05 | Edison Welding Institute | Method of welding titanium and titanium based alloys to ferrous metals |
| US20040199052A1 (en) | 2003-04-01 | 2004-10-07 | Scimed Life Systems, Inc. | Endoscopic imaging system |
| JP4186689B2 (en) | 2003-04-18 | 2008-11-26 | ニプロ株式会社 | Guide wire |
| US7237313B2 (en) | 2003-12-05 | 2007-07-03 | Boston Scientific Scimed, Inc. | Elongated medical device for intracorporal use |
| US7844344B2 (en) | 2004-03-30 | 2010-11-30 | Medtronic, Inc. | MRI-safe implantable lead |
| US20070083132A1 (en) * | 2005-10-11 | 2007-04-12 | Sharrow James S | Medical device coil |
| US20080051860A1 (en) * | 2006-08-22 | 2008-02-28 | Wyk Johan D V | Cosmetic mask and method of using |
| US9044593B2 (en) | 2007-02-14 | 2015-06-02 | Medtronic, Inc. | Discontinuous conductive filler polymer-matrix composites for electromagnetic shielding |
| US8308658B2 (en) * | 2007-04-13 | 2012-11-13 | Neometrics, Inc. | Medical guidewire |
| US8483842B2 (en) | 2007-04-25 | 2013-07-09 | Medtronic, Inc. | Lead or lead extension having a conductive body and conductive body contact |
| US7841994B2 (en) * | 2007-11-02 | 2010-11-30 | Boston Scientific Scimed, Inc. | Medical device for crossing an occlusion in a vessel |
| US8636270B2 (en) * | 2007-12-19 | 2014-01-28 | Boston Scientific Scimed, Inc. | Structure for use as part of a medical device |
| US9462932B2 (en) * | 2008-01-24 | 2016-10-11 | Boston Scientific Scimed, Inc. | Structure for use as part of a medical device |
| US9037263B2 (en) | 2008-03-12 | 2015-05-19 | Medtronic, Inc. | System and method for implantable medical device lead shielding |
| WO2009120622A1 (en) * | 2008-03-24 | 2009-10-01 | Boston Scientific Scimed, Inc. | Flexible endoscope with core member |
| US20090292225A1 (en) * | 2008-05-21 | 2009-11-26 | Boston Scientific Scimed, Inc. | Medical device including a braid for crossing an occlusion in a vessel |
| US11406791B2 (en) | 2009-04-03 | 2022-08-09 | Scientia Vascular, Inc. | Micro-fabricated guidewire devices having varying diameters |
| CN105459189B (en) | 2008-12-08 | 2018-05-08 | 血管科学有限公司 | Multiple notch are formed to form the system and method for product along the length of stock |
| EP2821097B1 (en) | 2009-04-30 | 2017-10-04 | Medtronic Inc. | Termination of a shield within an implantable medical lead |
| JP2012005704A (en) * | 2010-06-25 | 2012-01-12 | Asahi Intecc Co Ltd | Balloon catheter |
| US8480598B2 (en) | 2010-09-14 | 2013-07-09 | Abbott Cardiovascular Systems Inc. | Guide wire with soldered multilayer coil member |
| WO2013136581A1 (en) * | 2012-03-16 | 2013-09-19 | テルモ株式会社 | Guide wire |
| US9463317B2 (en) | 2012-04-19 | 2016-10-11 | Medtronic, Inc. | Paired medical lead bodies with braided conductive shields having different physical parameter values |
| US9968762B2 (en) * | 2012-08-08 | 2018-05-15 | Cook Medical Technologies Llc | Wire guide with multiple tips |
| US9636485B2 (en) * | 2013-01-17 | 2017-05-02 | Abbott Cardiovascular Systems, Inc. | Methods for counteracting rebounding effects during solid state resistance welding of dissimilar materials |
| US9993638B2 (en) | 2013-12-14 | 2018-06-12 | Medtronic, Inc. | Devices, systems and methods to reduce coupling of a shield and a conductor within an implantable medical lead |
| EP3171931B1 (en) | 2014-07-23 | 2021-11-10 | Medtronic, Inc. | Methods of shielding implantable medical leads and implantable medical lead extensions |
| US10155111B2 (en) | 2014-07-24 | 2018-12-18 | Medtronic, Inc. | Methods of shielding implantable medical leads and implantable medical lead extensions |
| US10328250B2 (en) | 2015-07-02 | 2019-06-25 | Covellus Llc | Medical device adapter |
| US10814120B2 (en) | 2015-07-02 | 2020-10-27 | Covellus Llc | Modular medical device catheter system |
| US11660439B2 (en) | 2015-07-02 | 2023-05-30 | Covellus Llc | Modular medical device system |
| JP2017221562A (en) * | 2016-06-17 | 2017-12-21 | 朝日インテック株式会社 | Guide wire |
| US11207502B2 (en) * | 2016-07-18 | 2021-12-28 | Scientia Vascular, Llc | Guidewire devices having shapeable tips and bypass cuts |
| US11052228B2 (en) | 2016-07-18 | 2021-07-06 | Scientia Vascular, Llc | Guidewire devices having shapeable tips and bypass cuts |
| US11452541B2 (en) | 2016-12-22 | 2022-09-27 | Scientia Vascular, Inc. | Intravascular device having a selectively deflectable tip |
| JP6864910B2 (en) * | 2017-04-28 | 2021-04-28 | 株式会社北里コーポレーション | Fallopian tube stenosis improving tool |
| EP3842091B1 (en) | 2017-05-26 | 2023-09-13 | Scientia Vascular, Inc. | Micro-fabricated medical device having a non-helical cut arrangement |
| WO2019090320A1 (en) | 2017-11-06 | 2019-05-09 | Covellus Llc | Modular medical device catheter system |
| US11305095B2 (en) | 2018-02-22 | 2022-04-19 | Scientia Vascular, Llc | Microfabricated catheter having an intermediate preferred bending section |
| US11452533B2 (en) | 2019-01-10 | 2022-09-27 | Abbott Cardiovascular Systems Inc. | Guide wire tip having roughened surface |
| EP4176920A4 (en) * | 2020-07-03 | 2024-03-13 | Asahi Intecc Co Ltd | Guide wire |
Family Cites Families (28)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4545390A (en) * | 1982-09-22 | 1985-10-08 | C. R. Bard, Inc. | Steerable guide wire for balloon dilatation procedure |
| USRE33911E (en) * | 1983-07-13 | 1992-05-05 | Advanced Cardiovascular Systems, Inc. | Catheter guide wire with short spring tip and method of using the same |
| US4554929A (en) * | 1983-07-13 | 1985-11-26 | Advanced Cardiovascular Systems, Inc. | Catheter guide wire with short spring tip and method of using the same |
| US4538622A (en) * | 1983-11-10 | 1985-09-03 | Advanced Cardiovascular Systems, Inc. | Guide wire for catheters |
| US4748986A (en) * | 1985-11-26 | 1988-06-07 | Advanced Cardiovascular Systems, Inc. | Floppy guide wire with opaque tip |
| US4721117A (en) * | 1986-04-25 | 1988-01-26 | Advanced Cardiovascular Systems, Inc. | Torsionally stabilized guide wire with outer jacket |
| US4763647A (en) * | 1987-01-06 | 1988-08-16 | C. R. Bard, Inc. | Dual coil steerable guidewire |
| US5105818A (en) * | 1987-04-10 | 1992-04-21 | Cardiometric, Inc. | Apparatus, system and method for measuring spatial average velocity and/or volumetric flow of blood in a vessel and screw joint for use therewith |
| US5143085A (en) * | 1987-05-13 | 1992-09-01 | Wilson Bruce C | Steerable memory alloy guide wires |
| US4830023A (en) * | 1987-11-27 | 1989-05-16 | Medi-Tech, Incorporated | Medical guidewire |
| US5067489A (en) * | 1988-08-16 | 1991-11-26 | Flexmedics Corporation | Flexible guide with safety tip |
| WO1990005486A1 (en) * | 1988-11-23 | 1990-05-31 | Boston Scientific Corporation | Small diameter guidewires |
| US4922924A (en) * | 1989-04-27 | 1990-05-08 | C. R. Bard, Inc. | Catheter guidewire with varying radiopacity |
| US5063935A (en) * | 1989-04-27 | 1991-11-12 | C. R. Bard, Inc. | Catheter guidewire with varying radiopacity |
| CA2019063E (en) * | 1989-06-29 | 2000-01-04 | Brian L. Bates | Hydrophilically coated flexible wire guide |
| US5144959A (en) * | 1989-08-15 | 1992-09-08 | C. R. Bard, Inc. | Catheter guidewire with varying radiopacity |
| US5147317A (en) * | 1990-06-04 | 1992-09-15 | C.R. Bard, Inc. | Low friction varied radiopacity guidewire |
| JP3273255B2 (en) * | 1990-08-29 | 2002-04-08 | バクスター インターナショナル インコーポレーテッド | Dual coil guidewire with radiopaque peripheral tip |
| US5345945A (en) * | 1990-08-29 | 1994-09-13 | Baxter International Inc. | Dual coil guidewire with radiopaque distal tip |
| US5174302A (en) * | 1990-12-04 | 1992-12-29 | Cordis Corporation | Variable radiopacity guidewire with spaced highly radiopaque regions |
| AU1428792A (en) * | 1991-02-15 | 1992-09-15 | Mallinckrodt Medical, Inc. | Torsionally stable guidewire |
| ES2181963T3 (en) * | 1991-05-07 | 2003-03-01 | Target Therapeutics Inc | GUIDE WIRE FOR CATHETER. |
| US5333620A (en) * | 1991-10-30 | 1994-08-02 | C. R. Bard, Inc. | High performance plastic coated medical guidewire |
| US5259393A (en) * | 1992-05-13 | 1993-11-09 | Cordis Corporation | Guidewire having controlled radiopacity tip |
| US5287858A (en) * | 1992-09-23 | 1994-02-22 | Pilot Cardiovascular Systems, Inc. | Rotational atherectomy guidewire |
| ATE140159T1 (en) * | 1993-05-19 | 1996-07-15 | Schneider Europ Ag | GUIDE WIRE |
| US5421348A (en) * | 1993-11-29 | 1995-06-06 | Cordis Corporation | Rotating guidewire extension system with mechanically locking extension wire |
| US5606981A (en) * | 1994-03-11 | 1997-03-04 | C. R. Bard, Inc. | Catheter guidewire with radiopaque markers |
-
1995
- 1995-03-02 EP EP95103006A patent/EP0729765B1/en not_active Expired - Lifetime
- 1995-03-02 DE DE69517501T patent/DE69517501T2/en not_active Expired - Fee Related
- 1995-03-02 AT AT95103006T patent/ATE193834T1/en not_active IP Right Cessation
- 1995-03-02 DK DK95103006T patent/DK0729765T3/en active
- 1995-03-02 ES ES95103006T patent/ES2148362T3/en not_active Expired - Lifetime
- 1995-12-21 US US08/576,242 patent/US5706826A/en not_active Expired - Lifetime
-
1996
- 1996-01-29 CA CA002168309A patent/CA2168309C/en not_active Expired - Fee Related
- 1996-03-04 JP JP04622596A patent/JP3403887B2/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| DE69517501T2 (en) | 2001-03-08 |
| DK0729765T3 (en) | 2000-10-16 |
| ATE193834T1 (en) | 2000-06-15 |
| CA2168309A1 (en) | 1996-09-03 |
| JP3403887B2 (en) | 2003-05-06 |
| DE69517501D1 (en) | 2000-07-20 |
| JPH08243169A (en) | 1996-09-24 |
| ES2148362T3 (en) | 2000-10-16 |
| EP0729765B1 (en) | 2000-06-14 |
| EP0729765A1 (en) | 1996-09-04 |
| US5706826A (en) | 1998-01-13 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request | ||
| MKLA | Lapsed |