CA2095814A1 - Guidewire for crossing occlusions in blood vessels - Google Patents

Guidewire for crossing occlusions in blood vessels

Info

Publication number
CA2095814A1
CA2095814A1 CA002095814A CA2095814A CA2095814A1 CA 2095814 A1 CA2095814 A1 CA 2095814A1 CA 002095814 A CA002095814 A CA 002095814A CA 2095814 A CA2095814 A CA 2095814A CA 2095814 A1 CA2095814 A1 CA 2095814A1
Authority
CA
Canada
Prior art keywords
guidewire
occlusion
tip portion
enlarged
penetrate
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.)
Granted
Application number
CA002095814A
Other languages
French (fr)
Other versions
CA2095814C (en
Inventor
John E. Abele
Kevin R. Heath
Mark S. Landman
Paul D. Mclaughlin
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Corp
Original Assignee
John E. Abele
Kevin R. Heath
Mark S. Landman
Paul D. Mclaughlin
Boston Scientific Corporation
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by John E. Abele, Kevin R. Heath, Mark S. Landman, Paul D. Mclaughlin, Boston Scientific Corporation filed Critical John E. Abele
Publication of CA2095814A1 publication Critical patent/CA2095814A1/en
Application granted granted Critical
Publication of CA2095814C publication Critical patent/CA2095814C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • A61B2017/22042Details of the tip of the guide wire
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • A61B2017/22042Details of the tip of the guide wire
    • A61B2017/22044Details of the tip of the guide wire with a pointed tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • A61M2025/09175Guide wires having specific characteristics at the distal tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/104Balloon catheters used for angioplasty
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material

Abstract

A guidewire (10) for penetrating an occlusion (62) within a duct or vessel, such as a blood vessel, has an elongated main guidewire body (20) of a small, first diameter. The guidewire is terminated at its distal end with an enlarged resilient tip portion (24) having a lubricious outer surface (22), and is shaped and constructed to penetrate the occlusion. The guidewire body is con-structed to be relatively flexible in the distal end corresponding to the enlarged tip and relatively stiffer in portions proximal thereof for manipulation of the wire from its proximal end to cause the distal tip portion to penetrate the occlusion and form a passage therein. Tn an embodiment, an outer sleeve (100, 206) is slid over the main body and butting against the proximal end of the enlarged tip portion contributes to axial stiffness of the combination to enable manipulation through the occlusion. After placement this sleeve is removed and a dilatation catheter (50) is slid over the main body, and enters the occlusion behind the-en-larged do portion.
CA002095814A 1990-11-09 1991-11-07 Guidewire for crossing occlusions in blood vessels Expired - Lifetime CA2095814C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US61129690A 1990-11-09 1990-11-09
US07/611,296 1990-11-09
PCT/US1991/008274 WO1992008510A1 (en) 1990-11-09 1991-11-07 Guidewire for crossing occlusions in blood vessels

Publications (2)

Publication Number Publication Date
CA2095814A1 true CA2095814A1 (en) 1992-05-10
CA2095814C CA2095814C (en) 2002-09-17

Family

ID=24448465

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002095814A Expired - Lifetime CA2095814C (en) 1990-11-09 1991-11-07 Guidewire for crossing occlusions in blood vessels

Country Status (7)

Country Link
US (2) US5303714A (en)
EP (1) EP0556316B1 (en)
JP (1) JPH06505646A (en)
CA (1) CA2095814C (en)
DE (1) DE69124395T2 (en)
ES (1) ES2098489T3 (en)
WO (1) WO1992008510A1 (en)

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US5385152A (en) 1995-01-31
WO1992008510A1 (en) 1992-05-29
ES2098489T3 (en) 1997-05-01
EP0556316B1 (en) 1997-01-22
US5303714A (en) 1994-04-19
CA2095814C (en) 2002-09-17
DE69124395T2 (en) 1997-08-28
EP0556316A4 (en) 1993-09-15
JPH06505646A (en) 1994-06-30
DE69124395D1 (en) 1997-03-06

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