CA2659888A1 - Medical devices including shape memory materials - Google Patents

Medical devices including shape memory materials Download PDF

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Publication number
CA2659888A1
CA2659888A1 CA002659888A CA2659888A CA2659888A1 CA 2659888 A1 CA2659888 A1 CA 2659888A1 CA 002659888 A CA002659888 A CA 002659888A CA 2659888 A CA2659888 A CA 2659888A CA 2659888 A1 CA2659888 A1 CA 2659888A1
Authority
CA
Canada
Prior art keywords
shape memory
memory polymer
catheter
conductive material
shape
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.)
Abandoned
Application number
CA002659888A
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French (fr)
Inventor
Tracee Eidenschink
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 Ltd Barbados
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of CA2659888A1 publication Critical patent/CA2659888A1/en
Abandoned legal-status Critical Current

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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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1006Balloons formed between concentric tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L29/00Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
    • A61L29/04Macromolecular materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L29/00Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
    • A61L29/08Materials for coatings
    • A61L29/085Macromolecular materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L29/00Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
    • A61L29/14Materials characterised by their function or physical properties, e.g. lubricating compositions
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C70/00Shaping composites, i.e. plastics material comprising reinforcements, fillers or preformed parts, e.g. inserts
    • B29C70/88Shaping composites, i.e. plastics material comprising reinforcements, fillers or preformed parts, e.g. inserts characterised primarily by possessing specific properties, e.g. electrically conductive or locally reinforced
    • B29C70/882Shaping composites, i.e. plastics material comprising reinforcements, fillers or preformed parts, e.g. inserts characterised primarily by possessing specific properties, e.g. electrically conductive or locally reinforced partly or totally electrically conductive, e.g. for EMI shielding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/01Filters implantable into blood vessels
    • A61F2/013Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2400/00Materials characterised by their function or physical properties
    • A61L2400/16Materials with shape-memory or superelastic properties
    • 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
    • A61M2025/09125Device for locking a guide wire in a fixed position with respect to the catheter or the human body
    • 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/02General characteristics of the apparatus characterised by a particular materials
    • A61M2205/0266Shape memory materials
    • 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
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M25/0054Catheters; Hollow probes characterised by structural features with regions for increasing flexibility

Abstract

Medical devices, such as catheters, including shape memory materials, are provided, as well as related methods of making and using such medical devices.

Description

MEDICAL DEV.tCES INCLL`DI.:~~~ SH:~PE MEMORY
MXF.ERIALS

3.,,'RO>_4,S R.5{,FE.RENCE'k'0 RER.,NIE.O AP1R1aICA.'F.8ON*g : 3.:s i?pp.i.='clk.E},I 6. ..T..s pd3Yhy tC.> App:iÃcLltC3#.? SoF #::`s.i Nx?, ? tr.s (S.E ~
,>.t.a; Ap.., t . 2 006, d ic t.1..:i'ir f'i`,i'#Ãe1its of 1.:11<,h 1a he:.eb4 :.Flwor};uE't:#ed .1y ':_ 'i.i 3.'i':=;... :.~.<.:.: a 'rC`. CHNY CAL 1<I :L:.!_,.D

Ti,.a<: `i,.~ mdx}?'? relates to %n.:d#.s,:t3l devices, stÃi:h aN
cil¾zhL'.iei's, #n4ii.:C ,I#g shape BACKÃ.rRO UND

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3.,?imna t. .`Z..=aS tt?2 SSeo condI.LVtvV la;rt.=A.aLi}i=h#LcJi point \J`l*+sti.= ,~1.}rk..ot?s s x :>,..>~<:; ;.,., i.,:;?.,..'.l3:Ã~;'., tr. ~.}1L S~~#F?~>.i.= t1?4~I'~=~t]TV' ~;?i):47nt;:1. is Ã..naa'.tEs= r i.eia and 1 , . .:c ;:#ib .#~ .' >i. ha 3t s #veE*y'' GL a# '<#~e portions {.?f fin~
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pE7ly:]:e<.1 t..i:n hf. #diiY:zirii ?1:~1s C.~i?. i;1 a.~i#iUl and :3.#i 0i1wx Iniw3`#.:bL`r of a ilt..#a: Mtõ'.} 3:`G=i N u~..~,.~~~'i. A~.i~,' .SS?~fl':ili~; ~.1:~ :4,,. iNi1~?, in e#li Ã.1 3~;t34~to1~ i. a vy i~~1 %a =e l~'.y ri#.ctiD: t::ic t.u,dn:'#~ ~. :3:id à ~= te 3i?n:i?:i#;a h?1 in4, a i i1.i#:diict#.ve layer thereon . ,t ..:4.:::xled, t hzvt:
4#? `,.ge At.iy?e to ui:)l~tad tt. L'+v('.=3` member s:-iÃ::, t#¾3``a theoif:e`.' i''a:3d. #..t...cF'.
,t?4i.'~:=d i:J t?,#::. {3.i#:2ffie7', increasing the sity"3C:sy t?? [tie catheter.

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tt. tt' E- :yrl ,Yi:.fT a ~,. ~. ~

iz)i,t1.: # j ,~ta . k?#. . ;v;~3lciii(`? t l?I' ~'itv %I:CR<)) 4~T`~bEI~ :f tiS ` ~:.. ? l1 shape t.:.:, i : L c:)i7.fi t;fz~=d .:5 i=t3lltcio one of an inner and i:'sL...ef' -,r .s ,f..?e-'~ ~ heii~-',F<,i.i:. "a zd ft) ct.n>wL : ?\. ;'>~~`e~' of the inner and outer ~]?t-1Tau t? I;~~L:>3 ...~.Ã..t~~xt~=i~, #.i=T_?~S n i.:a~'.:ii4= ~9F"i4 L)7 d2'>`~:~;7f tlli ff :.ta.~~ k~ it-i'`>ixt.:f. : ~'?i=
z.>c. ?Les pe.::i,. Ãr?e wEt.ctii? 3 ;3y 1I14' P11ySiCl<3>3 of having the catheters bf" lEsf.kcC3.

;> m?v1Mbl .3:.tr;te.i' 6t} d.i' i.#;3d ~r~.`Shag:)1hty, or i.Fnlt?ckL`d, poz``.lft:e.n~.y , _rmaT.~ ~~etbRhtT
?. :~i.:~:~ t..=i>~4#.:,.T,t .be i,.t}v;t,.s permAi steering ofiaC.afliekeiw ttn ou'i l.2t,i.}.#'L ~~ftF~+.'.=

.,;.f~ k.~:. . ..-tw~.ei.~i1Z:;{i .~+..~:i:. or {õ~.~j~L~~..',t~ and straightened. ty<,?`v. emi.t-,]..a.Ti:.i.z..l of ,.,\ihl?s4 p5 :.U+.a...s or cue<l.s of shape menlE.'sa"'S`
Lmhi'.:` rv..: si:34rlc z ~ )G z t?:>:i~i.~<i4~`
i ., ~' t! =.ai.,.;`\ ; ' tt 3t>>l] c' i ~ a:f:t~. C ~` ~'ll.e of zt.~?e.
~.tii`w~l;:. Bt= . ` #.3~,3~;ly :, ? ,.

S` 4.+'~.,.~.?.~ ;.: `~~:
: , ! L,.I.Y2e' _tt1Ci`F~k~* L~,.~'~. ~ ~; .f' i \ f i..::. f)la'"J t ~. r ~50 3<#{i~i 2:t. Trr~ ='L::~:L::~i-, : Et.t.c1i ,.L #a .. ~ ~.f.F~t'.~r'~:~t '\ ''~

..ta?14.: c i:= a vai#ct'Y s." f pi.1rp+)sG}4. Ad\+:a.f3t=lgC'muSl!r'ti th$.
\,:ce~ 1,b6.Jclr i$, iP:y ;tzj ?tl. ~' 31~`~Ãt .~:;'~~.<.
~~+ ti , ;'Y.}<:~ `'. t? >
...d i.;; !#.~#.a~:=c.s~. ~...õ.;)', ~ ~2` f(. ! ;2'3.i13;; tS f~;t.:slv if` t (.' ~44~ i~3s.~ll.< . v 3L#...t:}34 pi`e' Fl.t;r. {Ind viFr`_iTiÃs iIiLxp.<T:.tikv4=. accurate and >`s.:st t~,'~{.,.'hFl.cit3i;s c.l.k ;?t. used .z apply t<.ie 33'I~? Fk Fai3 ~t.S~ : tcF <3c3i..eti%o Pre(:#sL afvtÃi'ated ci7 ?figi.lFat;:o'{iS.

3.ie (.L` iss of one y; t3iorc 41..;) sl?:F'#i:nES of l4` F,".ivvl..iC}:. #
are `:o: `tk>.:.h ..# k.i:'5::
, accomlmnying t3i ;i3 }N,s :F`Fd ,hi' L,e>_ipbt#:}1 bdow: (Na.io' z 4,?L.4`'za, .:i~atLFFt.s.. :z%::;
:=l. r. ti' Ft. ~?k . ~ ..~ s.3{StF.4 dFe dC.ser`'.1pt.t)Il Fld dxs;wEelgs, :z.nEs the I.FiIti:
~~~ SCRUY`novi t~~ iDit.<~vv!.'`iC:is Ii~> e..d~ F`?irSp,~.Q,.kZi ifkZv of s3$1 ca`:..b5?dkr ,aFit of a sleoeL

Ã,.Ã:. _,i?, . y ',. tIr =1a?:., ~ li. F ' first ``,.` and ~ ~i ~t.a.4. ,.tlli.. ~~Il.i: B is ~ y`~4Ã's~>~: c"~.ii e Z'li:~ ~ ;),.a,:L shape ~~z ~ -L ~ I 3 A iÃ. ~ a?C.>_, i v~'<,( nd state.

. 1G. 2A :;i<a 4.E3S~ ? ~~ 3kl i L'ei4' of wti-l i.'{i;.?_3ti)6.{#.:_13:::;Il.. .5lk3 i3.?..1.,em G .z~i3.iE :F' #,.y..luee i .a ti..+F,"4 e :ile.:l:i?F`: pC?lt`k.nUF';, HU 2sZ.3 is a dtsWklE:d vi+:_y, (?.f f".#.; kd;C?Cif.: a .It.Fct4-i ._...Z, w .',h :31e. Zh<_}?i F..3o#=3'1o3 y pCSly m2'7' in a firsE x k.zl.Fe, .:.a[:Fk<.. 2C .4 a dL.~<3.F:E:^":>

iu;;; :ys di.L. :`...>. o.., L.a.s~.".wr of FIG 2A. 1v;:fl7: thU:.ih:..pc 1'k31:`=#x1i.2rt' pt sZ%t-k's4i . > _' tit:1'te.

1:1 F X>; .`A is a d..,.,:`::loj; 'r'.Ã"F?ss Sos":.tik,3i3~:Fl view C3i an eInbi?dlnIe.ifi of a i..il?C?;::

~~~ shape "r ~, 1 1A~ t in r _ {u and f t~-; {v' ;\..
f ,kk::a~UF'Z ~..c..4i'iaS.:~.F-~#. a .F~:'~ ~ki,~..iaa~a ~~.F3.>. ,.~:~.i t..
a ~.:Fl a:
< o '3~E.~iF>,. ti3:.Fll~.Y.`Fa catheter of ~".~~.3 waAl.. `~~'"'k~;3 the shape .F`mnt?#y ;3. ,pFi:`= `. in a 1ii: 4A ,.s a de.i`a1lt d v7C.w of e..F:. L#:'3bodl.nw..1l of c`, b.+;ux?Fc 20 ~.:..,~:..: i st#.<+L ...~#+..>.lt`37_~` ~7E)i4Fk:1::~r in a {kk~s..
Siatto> :aÃC~t ~ E~_ ~2~~ a 4 :~` ~
sLc zo,n.zl Z.:v:Z 4i-:hc b..~~li-.?i.?#.: 5::~.tht;tor of FIG. 4A; iX?It.3 thC . J.3:epeFF,euk4.3z. y p<t:Z,f2vr in "t;:tE_`..

F& .?Ai.i :t detailed, cross-sectional C'~~woi, aS.i emboMm.,`,l. of a bO3..fwei .. . ~ .. . ~ S. l~i SL state; a.~;~i F.{ F ~Z.3, ~`'~. : 4,rL).-y..'+
~..L .. .t:L==;t 3~ :~' a aa.,:s,_ ..T? >z#.i3 ~` ^~E?lykdi4Ã in a ( .' ` ..
..

~';~ ~~>~.'Z~ of :~:~. ?.a;~.'iss..k of 1' J.:i: `?A.; MEh the shape njL:no""S
p(.`s3f F#.`.t.,' rÃ3 tiLvi.?d a.c. .. `.,:tt.=
f , .Z.i, 6A is r, i~z 1;_F#i~+ ~. ?S ~t ~=~F'l?kic~~ tFC;LZ' of ca.Fl e.'.iibtydT.Ã".t.'.t#.: i>l- s. ..al..i3S?`!e ....`.~.hc:i.. : a shape #, t,',F>i(>iY' pE)iyme?":iSl a first it.3tG'3 ,_Fl.d F'3G 6 .{ ~ c.

t,f the. bc?1::: trF c._Fthete3"i7f FK.Ã. 6A, Lx,.zYh the shape ,,;lL,iks3Ã, polymer On a `ois3,F:i zi~`":::.

. >:>. . 4 is sl dw...:Ãi.d. :..a_~'t: ?3; s::=cIlt}n:kl ;4C.s, of .AF., e3i'.b<. }dfi,?w.x: o'f .. s.:.'?w, #.kL i.ai; 3`T t ,c1.t <~kc:~?Z`kZ polymer s71 a first ~^~.cl.~~f'~; i`z~~.
~.~'~ is a u"C3s;~ `si t ~.t?.k:::.. L`ri IS ~at , >,,.L. ...:3.. .,. St>. N.L:: A s t:x..k11 .k>i?h..El.['I. 7B'73; and FIG: rC
is a oeO3s`>-ticC.t.li?jia v:i'.t=S,"

O.. tth . 1. ...~ oLo <.`, x`KY 7 .:y.t whh".he 4h23.pe i~?d.iUlL3# y pE}I
yInC:1 in a ioi.j4.n'n.: yt a W.

14G, :?A is ~l dos zlcZ~a, i'i?ssN sectiC?.i3al view of ci#': embod:1menv+.,&
c3 L=c.'>ht.~':.:.s a shape ;:tlL;mi?#'y ~.tE.:ili'1?'iel' i>3 a hrst stati,:; at3d a'IG, 8B 3a ..
t (:.? f...~. ~:,.i'~.i..fe <:' C~ ~~~ ,' S: ~., ii 3~;i the shape FsnE:=F'i`Foi"y pf?. } F.:el d."1 sQc.5.ft. s$c?I.e:
<~
> ^ti a k~z.H.3~L .. ~'fC.3S' of an C:Ti"3b`~1.:nG''?: C.`?- ,. C,..thf ;e;' :.~i > ~,'.i< v 3 i.
i:.e,~~~zi #~~ ~F"3E:,~' al3 ~ ` f..i'tiy:~ s~. l ilri`~.'~Ysle.St :`~i~. ~~Bis a t.~~?~'RtSti.:;t::.#:~~;:il , #k, 4,s i-?: Mc c<3i>..:..;' s.},. FRI ;: A, w:ih tht s}?aA:}e 3:3em.)iZ' p;?l' nle!' #ia .a .r?,=t om:;: ~tatc:

: >.\:`, i .+, a is a S.f4.w:; ri.i, v.rot.=\ seotio.nal vi4 rv oS. Cv~i e.i#.bodii..w.nroa a c 3th4'Soi.
t:
. ~ , and 'ui~iLo ;
i't# al.~..ui:., k... ~< ~~ ~,y3~:= ei,7C?i',i: ~ yi?ii%I1~9,.i in a 3'#e:~t stz~~i.',, ~'. ;, e 4 ~ ~ _~s i = ~
#s~
a +~.,i}5 i.:~Ik.
w. , .

i #...w of ha:= cw.lieEcr of FK. aiO:''4,. '4v:di the shape l1.t:,#nia.a~"pl`i~-,neE d.`? . ~Gs.oi,.i:i a$iit+;,:.
. a\. `x. i M I I B, :i1.L 11, C are z:;'os4-St'C.Ã1o#"Ea? 4 sc' l ti s a?

.L, nZ.:i:. sl+"1tL-mdr~ri'.l%'k, iTi a body fe.~isep..

12 is a f ~s.~4 t:i ~ I7$~?t7(~1i3~viit f3z i `.~7cF:~?l?~~ fs:3i if'i~`s, iEn shape ~~ ' iS.~;3<.=.i .:~ ]:';.~'.; . ~:~'.i;~~'~L i:Twx~'zC3#'i' ~ ~~t.',i'ii~~.

DET.,A]l, ED DESCR.t.VIAON
.
::3 = ,~E#ty.. ; .:"_ikkd . : `;:i# li3TG~ ti'it2:~~ :1.ci.vo one or :Ilf}?"e poI.#E1::l:i a,#zz4.iddn:.',a shape ni.. y1?.r> 4 i.d:i:Wi?ci.at >'l .inw t"T: be selectively iEa:;ii?t1i.:ed to cl>s..I.i7:L E:}:ie or 1:_:sf,='?¾', ``.+.t.f..t.... . i. c.n~.>..s..~~.. V . . . M~.iLi.~,F:~2 , ,. .~ r .
~f;

20 W,.'=:;' K:. to t . G^. I A :3f d 113. a +hilIli' 111i'..T]OE>' P.01~'#
Tt4:.'i' (YVIF ) is.tt..#fe:

,`~ ti~#:' o; a s,. LZ ~= ) .#:I.'.~?.f..=ti :~',.E1bi3#' i:I7it.i 9 and a ~:;~3i7.i~.~.:~::~.#.~=e ~~it re, or iouiz3i,,,,, (as .
# ?:, t;: :Z.? 'Rs, a`v'd to an om::'i1`rE f3r5; portion 3 of fl.i. Ãu::) ila."r" .~',?1C':i#bci.

rt 7 ys ~?L f ' ...:i...~it>s=y;L? .~., is Il~A~~~4fs of) s~'.. S:~:S`C~.~`}', #;~L.'i'd~~S~~''.~?~?i~#.:~'i~ f `v { r ~`~`d w.i ?v:? f o t}i..i is ,.;apAtA=.., L3f tians.tioN#.d fra:#i a first shapL :o a se+. oai.: ;
^T
?f ~ z ~#:ii -. t .<?~a T shape ~3~.:C,:#. ~' ~ ~ -; ~k#~`c3: e A~ }
.t~"4a'ia?t.':r<7 ,_ ~.~. i,i~:~.a ~.y;,'='tii#t0= s C .l~, a Si _ir~"1(i~~~ti,. ~:i~...3 as liC' t. .

tli.irki '(,to`k"i#i;l: 6 oii w3iidi LZ?3?if.i#.e.`ve lc3fi '.j. 4 2 iJi#S2 't3 d \ i.o < .3p.';: :<>. llyui- 4 i 6 Z?lii7em+ d by ',? iIE 5 8 to ii1. Lt14# hl`
:,`. .xi c 5 (`::ii.h, <
<_ t? i= .,3`. ..i>.:. _~a.,E`ti~ ~~~.>:: ~ ~ that is capable of delit'wl.in~.; C :C.i:s;y to fl."Ã= ,.L`nE`ai.lc'tiS'e ~ ?: =;~ .# f is LpAN4 of heating L:.C-#.ldt:#.Glavb'. layer 4õ which fin wr':i can heat 3;r*.>
9 ' change shape : : + #il~4'~i~i.i :~-~:#., ~;Fat;:' ..#..:~{
3.t;s .? . l. #., .i~ . . ..F %i? cis.w.`i1 ~,.#. ~:. E
u ?~, t}

s L { I .S f IC.3. B~. SC::1,:i}',.~,l.F p{3i¾ion 2 and th`..C.dt p'LJikioi` 6, ..i~~~,~.:.; f?. ~s. . Ad {~C3~3. ~~. second ;~i~ci~.3<.(:~' ct..#c:#?'~ le.#yi=i''-~õ ~~~3 not yUi31~.:.i~#:.~.l#~ ~~'~l:tw;~' in t>;..r~. 3:#i, :.ab,.>..l` ..3..nr=t. ,. :se3''i'.~(iC:d pCZi'ti.d:iti (45I' pi?l: .o#is ..s dc;ic,ibiA hdt`vv) 7" c>p ,~'\.L.ti'Li1vl''"ly, and one E?x'?F.caf:'. por;.1ow ~ilc.E CiCrvs n?:?x La?e-{r.";"?.'+"
~
131' ri?P.Itm~g z (7:i]i>t..t a#S%;' :clyi:' 4 to predetermined pL>.'i#.t3a?J' ' af.:;z:3'Llti \ti ~: E:I cj :i7:# Lm, be t.s~~cl.wd to ,lt;hle4 ' a 3'r.3:rYay of purposes.
As t.:e:*c?`, bt.=ts below, 54r#..\3j;la <.Sa Such s.C.r Z e ? , can b?->'. applied to ni:.Li.lcrll de't=~.L.C'.s tC'> 6.Ia.t<`'!:i'...t, flnC`>

t i~:i?i"......#.\= . t?, ~,..t i~3a=~ %4~ ~, For exi33aplt`., the shape 1.?:eI`:'.iC32',Y` pf3l? ii.e# :~.. a~F:3s4S i'.:a,#?
t..:~i:?r~~ ati:t~'1ett'#ti 3IE ~IC=i.#i: 3G~Le~r:# >s??F... .i:S;' siLi~ #.i <?:

~.,::`f1#.d,t4,h a Z s.., ss\:l anatomy, aI1d. in fi3tÃ.'is fC?I fi~~,.ti 3Ii;.`; fluids .?#F, bi3di, . ..i`?: ,A,, 213, and 2C shom' a balloon catheter 50 ?.1>S.:lEa.tiinN .lot vt?: which serves os , `='i:s.E;~~ia'~.~.:ifsI?~. :C`, `v.~:.t.i?t ..'~lZ` ~:~!2;3C
ti:~I?~;.~ : of ri1't_ t,=1 .s '~, :. s ~C ` the . 4Ãe'r.
B ; s.,... ?i; #.,w>I:?d.., .' ::.,., t1.',i iTieli,bt;;r :?0, an . ?.: . ?
i:1`:1hc. `?2 at .k,'asi 'sa. ; ;. . . ` .t..? a the is..... 7iwntt3`, and i:iFl t<xpa.EdaAESlE.
b:.klif? `Y. f's ` Wt> I=v, 62, As sk3.lfwn. sleeve { is tit 't.L1I'E:d Im S.3\3tc:; il>e.II?t?'t'.>' 60 # (a `? i`; n~i' b:):,d=, g tm' adhesive bi:EÃ1d111g, ~ proximally of baflÃxC:t31 63 and b.`~h-v:'=<:#:l ~
#::i`:ta.#t k`~: f?`t~a :?. Sleeve I can #Il certain : mboszirt?.eni` t4 e :1 ~Ã.z#. C?~L. ..?i. #~= ~i :~Y e :>~FL =:) .ttomF i3ln 1.i1ti.F'fif:?'"eF..t e -fit within S`+#.#tei nn5:1'a#b.:x 60 .F.#`,d. not to the !:)'#.acz member 60. Conductive lt#yr:: 4 of slot.4c: 11 Al.;..?A

\ t ~ i:?~... \;^ia#af.a3 #IL ~~:~3I? vti .th (:Isi:t"`'.,.y source 5 (nt3t by wires (m): shL3w1:).

:'f; e:lLet`l k?-."i)a{~,?,,,;-ly betti?E'cL31 il4" o1.etd'.r ai1i:t .Fn-nc.#` m:?I2Eh>..s 605 62 t3i3"iL'i?x.
na. or i:3of: of LhS; t`.13:ted' and #I).neI' members 60, 62.

~}.'t~', t: I is 4<.1p.,bi..= ('rf Che, 1gilxg fTt,?I3:1 <2 ii9 cl :ieC.t?nd s.hwpe to chi:lagQ
.. faCe3jiY. r~..~f',FI. ~wal'~ M ~. .<'} -:;, S r+- #ri t \i . ~!'~i.. ? ~\3 .. i~t`..~
~?fCi.ta the A,2, L kc #: t? k ~ tt.2 ?~R ;:~.~. at]t.,~~2(.~,. .'g ~_1. ~~'i w...t...r.\Ld:>h#.pe a.i <..M.i,E?o: su.*.iE:`\'. % of sleeve I abuts an xnai.f:.".3s.?.T. 1#aafwx 61 of t}tft-a' 25 ",. (t \ \jt?t:~` #~l3{ `{` 1f-x 4~4.)~i(LL~~t inner t]} F.~[SN{Nh~~i?e)' 62. ~.J1#'T.t.r \}< a ~5a!
'i..#.a.:# ( 1~~~#,4i~.~i the t.~\:S 2. 4..nl.}.ci t.,w,..<,~. ~..} `s ,: +.,1..#, 62 ;.i`e ua.t:.. t\t ' z ;l~#t#l:t catheter '`:? is Y
. ;~ 3?r ~ r.. ~~.1~ Z~<~ 3~:~~~.Ãi't,ty l:i' :.bxi: st. that ii a xt; i;~;. {r_ ~ a a t t`.x=~r~'tSw#F; : f? * t a :~'i L::" 4 Z.cz,t, ... . . ~#~-i?)il;~ }~?~.a.:}. ,wi,.;~~##~1~ ~:(? ~ ~~..3. ._~...
,_r3f} , `i (, #.~aE i;
..":>.E. ~~?
.:;..'? .t.L.:~ :apZ' n t,,;so2 y '~t5 ':a~? it~ first ~74:#Tt:i?:il 3 ~:~I:aFig~.`~ ti,? :i w.,\,~:3?'.~~F;
. ~. .. ..

# ._L`en+....i`in: d shape 111 which the pi'1lL'.i71oT reduces :l &st3`.F1cte?` 3a.iF.C.#, a3'? #õ3i.,`'ii:?Ã' W hE,., :tt\:~ ?. of ~ I4c: ;3l? . Ef:'1 3 ~a::~"#] , contacts an t=x~.c.E',E)3' s:#3.'f3E.o 63 <.?. #:i:aLt~ :r<a1.3t Wi :? 2.
.is, a :' `4t.... 4,LC.`<: vL3?.1il,es or locks the mltf r ?`ner1'sbE;=#.' 60 to the li.'frw:` nn4.21bt.,. 62 t't:ki;
?'s,tS.i::-:,~ #.:~i~:.i.ls.Ei~. +. i ;~3C:: t il~~.: a~1~~';I2~~S~.4 l"+.~':3~] ~ .;oz :.'s~: L??ii.i~~ ::3.i;';;T~~34`.: ,C?..~+iÃ:~= i~{a;~.'#' #`S 60 L? t :~il?' ~Ã"'.i.3~i?icf`stil;?:>1~1 and 6 #?.<s.t> ` .,.. a.,.f .<i..#.L.+:,s .."\ pE.iShzi "Ohy of tL F:F.?:lh, s3X..
C.ikhe.e?` '4i..:`h, ?s SF1J#s,._ ocs.rt'F': sI\.. w ..#. the Zcd..3'3S`#F cai.E::S;ts-:1s pushed thF'(}u_h a nm[`I'i?`i'Y c.'t4>izntP s.a..E;`v~'~' m; :C: r,d:ti a1f b:x.:, i~:'F`: Lmi2:'LCF' 50 ti? be to CTft.;:1L=o i.hL=
cCCItF-p,LF g or lf?ck.i#:3,? }'5etv5''S."W:.:~ outer ...;<1 .I`.Est:= FF.L#....b4.s `t.`. i..'.., ~~,. .Fiilc~:"`t3.s i{23 tubular i?1Z"
?~If~I'`~ sza3t~.~3a F#i#F#<#' F~.L'#la})eF i?2 sC.lt.iatt., i i.a:t ;F.Z.ecStiL j~,'art t : l~t"f~;~.Tl~'+l.o. w'' 9 the <' i :Ã`,e:t,t.i, ~t.)t~Lxi.C:l~ ~~~~: ~F..~3~F~~' ,...~~ ,Fa;~#' t~.~:,.'.;Fe.
6~. }.
.
of gl1 ffi4ttt;Iz mu.4F;c3ls ini:=lL?de low du3\Ameti:=t' ny:'i;i3 ., taÃ'i:fh<i.F?c`. and Yt . ....t f: t . ..~." 7 ~~_.~~.~..i ~ 9 m3#
~,\.. block .?,:ti..~~ i ~?~?l~=1I7(r',:s}. The ~1e~3..l:3; .#C:>~}?ÃY >
' .>

.`... ` ` # ~34'' , t E 3b!'4 yr i~, of ttI" ! `:~' high ~{y~ ]rett 4.(1b'F.~~i{.J l j-~5yliJn [L `.~~L~. {}~.l~A ~?i. ~ t:YL IF.1 ty t \) ) :L.A1..1..=4. ., 4'4t.. ~.'\..S..~L K- a~~.i4~.'i.afiii :. a.cz.c???s i3#, x. C 4">? l L~? a:?:i i~xit< or I71C)'# L i'~?#.li Ea i i Fl z,Et ?-4 of the ~F bF..:F F 3e,:ib i i' f1`
r "Fd;`:?' ` ~.:` Y
Fa ~:3'~3'iL:F~i}i','r 62, ? b?~..1.F Z;ii~l~t?C3iia \} iJ ~?\ SN'~~5#IFG~~#F. . ta.Si.~zgtF#?i~
ti?.#.i'; cz\;}F"li:F. F?t' t x lt'::'#' <.F}`F..Foi;. W i 3~rF~ ~# t 3.L' po.i'ion so thal more th%dF.i i?.} ,3s."3aAF<?i> caF# sw1L:'d chi.tnae ss i?`.,, i ;??,' exa.F?:?:?lz.:. i-~Ii_3S. 3A i?il:d. ?.B-:>hC?w ,SF
slUC.v+. :'L? in a bitl_3at?3~; catheter : ? S,i. 70 hFcladGs an SMP Wbulw rTwn.t?e.;. , .:,Fv# ag .

.t=`
>ct,.~ \i~ 4. ~S~ ~"~ \ ~t~~ d i~ ~ ~3t.:f T`11 ~.t37 5?
. v ;.?(?:`:#+'3?3 i ~.. ~ .}~.~~ ; =. i\ \ ~: .1~. :3 74. ,:-~ sP~t .i~ a t~FIF3.1 ~s~

.F i..#`:t.>. to SZ3..Q ..:S.:m:#cE' 60. :"`3lF,=Lv"e. 70 ftFfth4r S.izi:lud`L.':''3 a Lond:dLlavc sa'.Z,.? v5 ,,iaLe 79 of first . `.-.J ;:h rd pC?Fls 72, 76. Ei3 a first, Ãaa`.l.?Z.ke :?Z?hiuS3T .s:i 78 of s:et.-y\.d lti abuts :1F1 intS.`.:Fik?r sufl,.F\'. (il of f?i:aL"?".F7.w#?.i7Cz160, and the do1.-" .FS.fit c~I.Ata'2.}. .`'.nneF i.nVmi94.i. 62. U."pon, 4a=i:fi vati;.15EvFa Z_oa4JLwfi ve iar c~F' /l~.? '\ A<F ?:El:4 sxeF:~; : '<I:3C
'f, :ai sFiiiF?i. F,..~ ? :;\..=i t'f ~.?"1: :?r1?[a ~i:~A1,rL~i x?C)>~.t aI'Fs 72, ..__ . `
, .. .. . .

? et....i:i..` ..? \o _' ~ ' ¾ ,.I'E.:l .~'1~~. :C'r.~a,:~1:' S. t<3.'J'=i i5 contacts \.`..I':ii~r s~'aI:f:3\.i; '_~ x?f.Y?I.`av"
F.....t;`=a t.;'.:)i 2 hw.c~:`.4 ..?ck:F3 F outer and inner F??6.mi]eF"s 60, 62 and e1.raal'.F\ ii?cs U~w F Fgpi#i f %? ~ x#.;:t3<?~, ~ =:~. ~~ ~i >: ~ :.

TS :';i1\. 70 # ui' a conductive laY'"ea that i'x.`te-nd; .,.ifnnp~~z4E.ely i1rc?1sF"#.:'A
~? t ,.~... t,~')\. ~4~ f}~12~L~t~~.-\, the <:.a.azC't ~1C., layer i.c34'3-3:i:t the p.F: +E:=: C.i t .>~i. _. t ` xr ` .. ~ 1..~~ r ei f:'.F~`i.. `}~
ii~4:~: fi e?..'l`~.~Fa; the :~L'#`~.@~~.t:~4~` of t~'.f. `~fC.'C"'S, ~'~.fS. `~-f~.
,;f3\~ -#~:4 se'?C:iS' a `~L.y 15 .. "I.,\~: s ax~., :'.: ~'~.~z li3~ eÃSS\ ".e#Ct$~' ft~; 10 7 f. c. ilC
..F.tt..t:c,F .~.Fi.'.,?~.i ^.= i ~3#.\.. ; ~t ,. ;F.' :.t3l#" L~+: F '~:' t,. ,F~:is..,..

'.~. tubular mC`.F:#~"3~~1`a'.F'. CoÃ3&ifcfiS.i: >:ir>L# S i are spaced .'~:i ;
.emb\. c~ 8 ~. ,.nC:i.Fd?'~~
,?~..~t , along the t}u~I,a:?~t~.~'~" ft:f ..i\:.L~''~. :~{.. t~">:Ylc3Y I?_ s\ i,Fzt: portions 87 ?.S~fwil<iF1.u; 3Y?F143tf1Illctll?y ii-lilt do not hiF Y
S conductive ?.x2F.tG3 #.c3i S~' ~-i à .t,. i :3 tI t.\.I~,w ; s i.:i': `i~.t;lÃ-#~i;ci to the i~iTla".'.F ..'1.'iaitl?swz 6~.r'. ~. ~;" fi.:~E. L's#~.i?~<'.i~
\.' i .3Qi.~v. 3> .sE;3a:Lt_fa i:i? <1.il.d in t.C?fiEaLt `Jsr1:Ã:b d:ie ;iua+.'z mi.'.mbc.." 62 (, sC> 4A).

W IS.:n, t ? #?~ is pTs~vidfi..(. Ã+_: :=oi]duCt1ve lay!vl`s 88, Ã.l:,.c S:3a-p:: .i'f143'ilft r' tlt fi:';FÃ:
tit5 i1 k <it and ~ tos1 v-" a~1" s ~. Ãu1~: .. . s3iitx ~. ,.,v,..,. {. . ..4 ~~:~'c 4~ ta:3~: > ~`i1F~f~s to ~:'i)Il~.sl~:~. the i.I~.2 1e~ >r~ 61 i ..,w?r,:xt ` {:; ; `;K.:. 413~ locFi.C~lnf.h the oui.eF" :F?d. inner iF%L,mbels :' f?no ^y t a t~F.i~ .zi~:F~
~amt?.3:e. iõa:ia.,:s:-ks 95, 96 li4i f~l'.4:#i3 to pass .Z3$?oti.i~ >.:: <f .
~' t4M<?i#~~ .. ~

9:3 1.:'3zsv.ui3 the .f:;i aÃid ?.7.:#:' :I1c#'?iber:> E30. 62.

cc;3i 4hc1n4fs:; Ão t?M, r sh<I:~.?en F?. <:xaÃ?lp#o, FIGS. 3A <.vl~
5B st ,<.cve 185 '.aa:* 1`3g E;'st g3okoÃ;.s 186 cMt,nt3w` c ... =t`zf<. L. ~:Ã7Ã; :
~"i' ii ~~i and a ~.::i3.:lFF~~i ~' lexF'SI' 188 on the ii%'yt ~3W3~"E1t7'a;,^..

ÃC, >, ;iaf: :EPoly#;''ofF`s13 v3 smy Sod,:tdCi'Il%.i~ sh'<Pi.. 4:`e4 mioL'vm a ;ii;EFa.S: a:i.:Fa.9eci .,.FO:?S `\.kw.? r 2,`om, <aL.fivc3 ii,n, w iS.9i the corners PJ`-~ co.i?tx:S:
tingihl.` ..)t4,r3?.r sa.i2 #4?a.4 61 e y_ Other .?3a~~f~.?MZ~?~~ \t't.S.'F., x f 85 [).ai'}nAjFii) w`i~i+.Zi..[4~:
t''?,. , t;..i.:~:=~>.:i.'.

}.w. .'>, i,.i#. :.n contact .v,.Uh ?,ili?Lr oati1e1e1"62. As c3 :~~~v'~Lie-185 is a.t3,Z..b..e of .+,wi{::t`t the i;,3.e3'aÃ.d .mn:-` i-i35n-2bv e'S 60, 62 ti1gofi'.i`s.?F' while leaving che.F.l"lt,L..4 195 fi3;' ?,; O9F`.d to pass l. n{c :ÃatF,11.,::;r Ãi7i'ouSfh ImnCn 1 98 bdwt,',mi Q
t?s2xi;:r and in.is:~-a mei2.;3e1's f:0, i'`~
.`.:..

: .>i~'L=.. 'w'I#~~v.i~?i#'...`~, tlits ?.21F7L'..i' #TaS,;.II~~~F?t..#' .t:t~i.L E?.F''rs..~;:~' outer f`.~~..Ã~'ii~.A `Ã3.z:;.#~~'vs ~:i sec"R.?t, iYC~ `t;: :i 1[?L ..3i4i1>i t' pf:>lyi71er and a c4..1..ducUv:, f;wd?c?dF:g that ~.?<'.nF:.>Ã'k loc' a.I s E'~ .,:e, ,.. s ")`.iti.., to val:h C'1ti3t:-#" wI. htbz..Ã' fl.5:' need Ã61 a s`paaatt:- 4xi.QZ'E;~;

> .{, iS. ?, ~ and 5z-_ '-..2',>.... .v- a +:ii'.~'F:A~ sy4ÃC:~Fi 1~rl~ :l~t~
~#..G=~i ,.o-...#~~r=:`4 a.,lt;ia':C`.

102 and :mn.,i= m`aLii?.ber 100 Inner FT1L.Inbr.e 104 has a locking S
LE#[."s;.. 106 ~e~li .i:
"nS.mE?:y po. )':nm% L3_?4kiFig selat'#ff.a 106 has a .ta3 s. portion 1 i 0', a tiGc;3x::d 4t# '`..# 11 2 ,i#.Ea a ....# .: pE'>, :.i+?n 114. Sec'ond portion , 12 h1.~. a ct3i1dt::Ã,:Ã'`t'e .~ ~
ye_. 21? i.hci..c?i.:. '+V. ..?o. ;f.t;Ã..` t=awd #i:inf::F' g.'ei:1bs.=F 104 .,1.:1Ãb:.s s{::t#.fea}-d tu.?ii :ir Y >,vi 3.e t 7;-: i.ap9~: ~t..z. di<`u:'s f`s::Ã zSS,A. <:~.t ~?.r;';' f~bk..i 1~~.:l >.
?+=v ~l .i.. ~=~i.a~_$ is t ~:~rt?. ~liaÃ.t. ?A> le ,.v>nti:}.[ .. i i . .= yE'.: 121 the '`hw ?e mC:1t'E()F"G' polymer of the second pa.?` : s.: ; 12 is ~ .. ;;..v.,., .3.'} v ;i~3t:i.~ : t..:~.,'';~:t ~l.il. inner ':LiÃ'.~t.ld`~i?
14;~ of E~`IS. .?E.[i4'F .,~t..3?>i."~+..F :i.3'~f, t.wF.F-:C?i ~t S i3: the inner and t.?llÃ.ei' mei7:il]C:"1'i 1Ã32, 104 Ã:() each of.1ei in a i?.>Ã' fla;"

` .` .,?F i +,.t:4i:S`.i.,3e:f above. Altem<3titi'ClZ' f3ra'a'w,Ã'iE:fflcMy, dh>=_, f?.#.Ã,t:3 .F.`"E.>ili;?C.F 102 an :~...:, ~~.'F~~Z::t~?I. .j':1li a i:%~r}i`.r.i~.i.it..Ã.;:F''`v ~i~'t:~` Ã
?~i~. is i,.i3~~<~~?,.f: of ~zio1$I:g tmR=~:#xi{lc to . F Et: 3t `iiF >.-. nua:#b:I~ 104.

i;;...3 o.>xr e.ilibZ?ti:i...\IU:} can bU l'4}T71.iS-Vd. F._?ia l;p.5..
'c#:ki. k3INIP 4h.t,~,`e e.xnxd:ivti' 3 wi}?~3r~ .f~( :~:'~, }.~.?f1> l~'.~`,._.. ~,.=:~~.t?#..te#.1.:=G the ii3"ae~. tiF::F 3c#4:=~`.'. le. ¾".: outer i~:IS.'?~l.~E:i` 3~`~'a~
t. ..

\

:F :'iIt ~. ,k;:(a uhs~ other of Ii 3'?.'i:.h- can contact tt3`!.. Z3utt:r salT`..cC. of an :nnoi :T1i>=a1-.bs ;

b,.S.:l;. s-a :.t.ltt..l#"; aIl SNiP 4li.L,'4''Ã3 Ã?i E . include portions & fiYL sz:?S.; w,vi;n. e3x;ht, 3iIIlf{, ii tG`lio"r:norE. peff'tdt3f t? :n whib t7 ti t +a# ' ~ s..ifl?; szc L'3: i ~:~~ ` ~ ; ~ ~' :r ~;t ~...a Um ' i tS I i v..=a,~Ã?~3ti$t'a'4= I ~':'..F' applied .~i' ..z:[.fi >.it:=~`t `t~.., t, .::12 ,iA , . .

`'.'<'3\., nl ::a3,b+.'.7' is contacted at aIlua11bk~C.'r of pfxII1ts to InE:=1'4c3s.t+.' ti..6: nadI:ll # ,Cif~Ã and .. ._3.iAt"3taiTP the Ã%at:Faf =tt:r m a non G-ofls:psÃ.k7 wn&
ts: afi.?.~-i t`r < .#n' .1.~:::t'r i .>:;; ~` .L:= # ,::il. :?r<:54i.irf:'.

le :'i cspk ?:# a,iCZa}y l >YlynnGr sleeves c:a)i have a a:~i#152+.. \)f ...+, w :p .~ ~ `:`~ ~ ut.i. :
.:?.,t~:~~ ,~..> }. `'~.~` .,ii,?Ãz (01, a El.'a ShapC:) caIa, c,g h21vs.. a l#::n4f 2 ..., firt:>.17;
;:} about .. 3 > . to s t 3~` `E!. 75 #:z".., , an i?(.EE:~i' Lfiai3i`~EG'.E' OD ` ~#'> %Eft. ~ ; .? ~'"" <#.t:.. ~.`t 20 `?.. i3 ~.= # f: ~'<3 Sf. #i~ ?a- ~. ~ 3F1:;'.. Z

li?t. i:#.t,z, c. .:=4' ., taai~~iaa.,~;:i? z ;' : of ii=J~'11 i~.~'3Crtit ~i.z`.E)~~=>~ 1A7?#, .c? c.3f~<.'3~1~ ~,.f~ ;'F?I71. ~~ 3ti1:'~1 4 f ~ } the A.: ~ ~ ~;i~ \~~. the 4~4~~1!L. 's L:~ iy x Z ~ft.~i~~'2~,~i (fti the a shape i~T~1.J.~~. =v ~ ! ~L ~~t'_ ; ~~ ~ '..^.a s_.f.=v~ in ` s f .a ;.~..a:.'vr. ,~i3::. 3 z=~~:~iLa ~.= ca~
i2,, . C's\i ~ 1~3-~2 f,f.'SC7i.
L !) t 3 rk , }, a s. l : t;+'~t% ~s~1..lE~fPt ii~i~., f ~.,=.' F.i~v E_ c~~3.lZ~.fryr Ã;~,i z ~ ~ ~ L

a2?tZt,e . b i ?t s 3 x C?~~ . <#~3~~ .x d~la[:~.1'1~:.~'.i W2 .tC?f.'3 t;~3.?t#ti `...~' x W
11, i131~'~f:ni~+i#Tle#1tti,, afte; ,.w1hi.# `\.'.:tp<nsit+n.
a sZõ: . ~.3. ~~., 2~.,~, .,.~ ~` ;.. '##';Ã:: ~ L.x _ ~~: ;-~~.3l~i~:~.1~ 3T
sleeve in a ,`~:E~\ fl.~.. i' r~ i Z:t~?a.i~E.{~..: a t 2 ,"\3E...,`'#t.t'~
1.l: (f.=#::,?. w e e~..e:.t~#rt . i~s:

d3drd s3 1 'wi `tx c, a..aYO''e i[n outer (hi;1nct'4'`=#` OD3 ft'+,?nl about I.2.+,0DZ to abi?uk 3x"

# ~~ ! ~~2 ~ e ~, f~ a i`,~. i ~ l iL ~ kV, 0.5 ~ x W2 rr` \ i.t :~i}Lf~ :,::
:..IL, E ~a= ~t,3~t,~} :ti< ~ ~~i f~~~i3 ~`x~.Ã.l~Ik ~~~~:::;

:''2re-ring sjL'c3='i'.S

=~r ~~ z ~Y T : : < ti-nc? ~'+~u m`tSp 3y =t14~r+} ~.ka ~'~>:CF 1=y S
\.f.2~i..s-.C._. v; ~.L:i S 6.c }~=~ 'bl ~~y .3 'a4==~i~1 :2(.~ ~ i~. ~." t~.1.l1`:' ..ik~4'~t.a~.. .2~.~.~C..f...~.. : ":\.=S..:tl. F ~= Jf.

3 2d..5v\} ~^> ' ~f{ ~~=,2I:
i [~: (`
o=, z".U\ <',;..? .^\.. .td r?a3't,s x3s. the shape iliemtyry P.'}'~~.)i~ Z.-.
i..2 .,\< .\=' ;:...i;. . , ,.(.S, .. :eEnd 713 sh(1F~, a S+tz's:.tabi4 .;ad#L tvr .Y f`?ci d4F:'\. ;-f n ~. r a ,.4.. i:?i'rti1:i 204. A shape n?t.n,fbF`y p(f2Z'mG`_ :s.:i..f`s e 20'S
, ;ou#.`d.. :.:i'. d,ao-..tptzdVn. 04f3f.TnonbL:-rNO2.

25 m. it:Z \ (\.. g, \ i> at.0 ) eL '+1.3:,.a+.., ii 212 f5f,4hi:1p'F.:
MemÃi'~~'si' Pi)lyYne, s:'L'.ove 2`.)8 .t~-la, .Ãia10 i ÃstI~ T~~i..'= S~.~3~.`:C:=~~~~Lti~eFÃ``Y ,~ 33~`.t,`.;g' ~aÃ`~ h~.: ~t~~; ~.. a sI.evs:: ` FS extends around only a pozfioa: o, s-hape m=i>:.y .. . . . . ~ 5 ~'C.'.. n~,_:. a, :<3 7f j.~.i3iz... .v`,#''.~'~'. ~,.5:,ii~#.IQ.1~`~' +i~~ `i~i 2 .~~~Ã is to +lia ~'~ ' ~ ~:

=.~~.\...;` ..\.; y..l.t' to a 1."nlwil YsaLi'?.t. F'J T=
~V't.~i 4J24.1h #s a7Cf~v}f..}1od to t114' [.\A?\.YwA3ve3i? tk\\.. i;?.
reg}i'ien>?a, .ha..i: overlaid 1?sl conductive layer 210 f>5..tt.,~-ated'aiFd Q.'h _ s iv. =rl1c ai.tt's=''itbÃ?-n is of ;iulis..ÃC=::1: tw''.:'. t< steer thi:=
C.ltifr:1?. of the n#\..mber 202 a3-t a direction oj'~Po:`ite :.Flw'.f 3 t, iC:'. ..a ``':nent sS E.,u;:T T\, t,L.i v.itt.i;, as .fl'i:3sticlted $1F FIG, ;'(:, In +.:c1t.:..Tt :z7ibC?dnai.Ã1t G iffic `~~,~rlkaE.I`:~ t`='s~Ã'z ,#.s~ :. .. s,.*=:p~ .>. its i.,4;F-iel? y ..r a.t~ would rd.ndt in E.3'#:diE.=LAt=4LF being s k,:f':#-~.f., in Rf# M.\ ~FZ ,:?,:> 3,.i4 '~4 aen"~
! 4;.\

?_; d~ati:Y C'# at~E>Ã:ii#a.\F:t ?, ffid' i:CSI'#_dl.id,>tI-4C. layer 210 G.?:tt:a'ti?5 n`+." F3^:i`Fc dii?a^: c3.i:)oF:.#
90 t ,?rs u#.eE ..Fii:A31....:3:.eLr (e , 4F?e c:_FrZ.:urnf,4.ri=nce, when the sfi'-b1ee 208 ? .'iFn `::E#.e :. .bI#:, of . :Fy,.F,#..,F?cw E':El"3: ) , ftbe shape tu`4'FmC?ry Pt?lST.atei' slZ.c';'.; ' X (Ã: . E;Ãt Ilaf}F-S;
than z:._ o,F. ni mC?ro ,,:....,. about 700 no .J~(1rL= than .a:?o:.#i no F.,3.'.F'd;; fl-#.i?a3 t.bm 501tt, d13' :7it i:#,'w4_'. e.3iiSiF~ 405u i1I'ou13cE :.hi: pd,.`# in-1.cF.C:F" of d,~.~.. s.a:zap\ .iwiF:f3F"y (ii\)(dfAd the ped:1lVWioi 1hi.~.7h,sipt.

,n,.r?o s ;`t?.:y, ;e, k.G. <'6 . (L g, ?"s i}'za'n about 40xi. sic) less ti~..:.n.A..t?ot . '54rz%,?'1#:F less 30 ,,ac,.1 ~i ~ ~ ~ ^ ;iF \...,t M),s, u) less ~ .. :3.T. L~ ~ 2 ~t ' "'SY
about 8011 ~
.#:A`Fi~A~~.~~~:=
:~.~. ryi..t~`x' c. or no ~~:5~ ; i.~~w t a'. a_.. ?f, 4~ 4.:-ii2~.L.~ ~ r~' ~F ,{ ;t t i t~t?ttS.~x .C,. ..:~ \. Z ~ . :~~~.~~F f? \ ~yF~~Er~s 4# ~ia~`v~G~~. Etl ~?iF~.:?C~#,~..~iL;d~...~x~'~a :\ o Y \ i ~~i 0 , C::~?: ~., about 'tz )r'. around ~iFS.' \ .G~: ~\
s': ,, i., . . ~ ~Z'3~FS.<i:?~#. {~ ~3C..~F"f:~? of w tihapi'.
.nL.n.i_ #= ~3fi:~~y.#.\.)t' i~,.;..~\.^~~4.. . ., ~'x0\. t~ ~~~ t ~r iiu 4 `
~} i+i~{ ~~'~tC sa?\~.~..\: ~'~. stit~ i the \ .. ^i 4'J. #2y-t Ft.T t F.~ LF~'46~~V ' ,V S~L~ '2~`F. \.}.~,y k4'v~~'t~ ~.W
he sh \ipo n\.,., ..cit l i ~`.[.,,~i?.: :L: --~ir ~~ x :9 ~_ C: ? xi i ~7'~:.zSC.= i:;i? ~''~YEa:tI'a~F Y `~ .?
r~
tix..\. ~:'C`{.~ :.i31~>~t~, or i?E~Fi<i<~t, F

'.:' Chf,'gw ii-3:: d:tr t'ii(.> 3of [?'4e >cti3?<<ter.

~~a ) ylt}~d~'f.~.~).:4~.1F.Y\ y~t.`~ of t { f,>V~ ,t ~LG'4i L~q}1~Y i 1 -S j~
~A~rld.rs can ,}~~-=.E~\~#twiSlEZ+~.~n For ;.:xi\t1~,, FS~~.Y+~.
. F,,:)4'S ~.:i.iY fC..` ivL~~t ~'~SC? y)y. CF=F?~.i..).

? Y ~t' }Y t .x ~ ~ 4 z "~ f ~ . Y t ~=- i ~~',? ~ t i \ , a s.~.i::;l ~. e.iilY. .} ~..,.>'` i~ s.:t,,: :? \. t.:.<:~#d.~C.F` ,.:.y #.i"~~;.~IiLiinr.,.i a31::~1~it : ~.tZ'' Ã

?od##'}. .j...)". . A .`gFa't'3p. ,..+.. `tr`Ory P{yiy"Fnor sfi.cv'v' 230 ,.urroEA'a:'Cis the distal pZ?f:l:;.'.n 229 of the .,%I, ..,>.tx'.k 22., , Shape ;;.4i?w3"y pi7l\.-a11eT" sleeve 2.'..() is i;o.? 3. ;3;3 t..$. ?lf.>: \ .1 l;ka,.' a w`
2,0 i? ;? ? LiFi{i:iii. ' A l:.yt;.i`..,~4{.F ~3~'4Il<~R'4 kL ~ , Gi~tl~k~ a :~dw'`:Fi;:..~'I?F 232 oi :h`..'~
230 Y~ ~~ ~ $ 'i . t> t " *~ s' 3c ` the #. yS .t:F' st .L\r;G L. ~,1eL~ # ?~~'i;l ~S A43F`14~~.~i~2>7<3~e ' \-~' ~
:~.aFla~f~~~l ]^
=.Z.:

.:14 shctr'?c `.':i?:,.,?.'?oi :% r1i?ly7F,xS;.Y' wiL.`:vE: 230 i:lilit extends d.=iai.dFF..ferC ?$';.u.lly ,3.it?F.aid t2`.?3.4' a P,. , Of `i.,3e shape xo?\ ,.?i?3'y poly~#1zeF" 4iG4L'>. 230.
NkfheF3 4'noF E> 1= is p:EfVFd61 to thC3 cr.F_:i.u<.t. + \ . yep C ;.anm:a 232 sSF:.E: is i5veda3d by `+v'2KF.S.:^tialve . `s:y4`. 240 is .F.f...i~='. aked i } such '}': .#.s, i<:= <t ,~.s tA. ,.L;..it. ~.,~t 4t.~ `tiL3~~.:\:l3 }~i' st$'ill;..:~i~t SE7i3~.'~G` !~.#~:>~. this ..ti:t +,....?mxFõ,. i.L;=7,3. are to a l~.its,,. ~~ ~i4~ ;~E:~~FY ci~ai?'~i is f3#~S..#f .FL'#L 3: ,x ~, .Y ~[.~
the v,~ ~ckt d=`f..T .r\ ~F>aC.~F~. 2;~~w .,? ;^ >.:# v 229 E. .... ~ .,....1 ~,S.: F 227 a~17 'st Ãx9li'ij~'~ai.I7.
C?~.., t . t c v~L de.
~ ,`.r..F,. .ti..;., i "t Z ~ ? ? ya s .~Fi'-~ ~,r 3 tvh,,t;.h s .......~ .',..~:-.,. as #.?E`;st,.a.tC'ci ia?FIG, e*~iR, ESa.V:i>
~'x ..l#..;-a:<.dl1:i.Etu.t. t}itiad:= (f.'F'tp>`F.1' side of O,.:.~ sht..`G^ Iz?mo> S pi3l~,'TixÃ:T Ocf.Li:. 230 is E23.
..d..itaJ.I"a t4``mKAfi# w-I;z~ ~,~&, i4.1.fl'~' 'a:.3 fl.L.x.`Y.\. to ibrdw.?"t,t #:iug'i; C, 1:3`l.Ii?I cÃ'{.l 'stS4:l.i.
i3nC3 e>fd,'z:,`~i-vel1; Cht,F:e#.'s?I#.oveT:{ii .oF..gb, . kaE":`.; }.;t,.Fv {; flac #Iiomb4:#. 227. IF"I 'x;ertaFn e.i;.'.bttiili3]C`?._s, thi::~

y õ .i t t in i.4.3 wi! ] ip y '^~Y^Z:?~F~..~L~' y}y ` Y (=~
\ 1.=Y S . \ a ~~.t,~~it~.~ ~i1i~~- >~.ijf i~" A ..: Y ..t`~ + : )t?~
L...s ... . :~.s ~L Yx ..~'EF.~{.;`s`a~._~ t.._. : `uwi:.a.,.'S.~i.\.=s. õ~t-, e.s;
F
tt g ~~h IF~:~>
'.# i..:C: d..\),i:i~i#il ~:'..

.~~~i.` shape :1> .,1:\?r 3a3}y:'11.ea sleeve 230 :S}:i ci'rta:
ei};:?<)kl:nicn,,. c,..3 ..o w?;I w..r.,v11, to f.,...l.:tate pv_`"r:l} curvature of $lic, s~~:et:v:...R>4. e?e.i3;7pA br t34}in}ttrt:n4 ..i : ..; ;j.? ,` ...? .#:.c. eL}`.af:.`. i....d :7; decrease in aFtnWt#.1ie#i'.f~ len..;th, i'o:= fi:?<....','yw. tile aa!\Y' o}.i+oS?tl i.lc2iNle 6 :i::'va d #SSv2i+,i v:~ta \~.E~ 7..1~: r~ \.I .:1.t` E~-.F~. ~, f ~Y`~
~,. ,. .. ~ all ~ {.. '}'~ .~:+.. J,C:e: wf s::I::
Acs can `.:;<,vz, senc s ?:?f:~Ãit nc, to aIii:gw ft>i' fltix#C? 7, :n \:4:,.:~.at~. ~'?3l llli:l lifC=~ a ti ~C:}' i I~~ \LraS~ <:ia~:, .~i?\s:.E~:::{.~ t3. or ,ll.y,. i zti:;1. tip of :~.L z?`.ila=.oI, f4i }i .ndlEde a }opfi' m5'11?L3.i y po,4tn'. h,..4 i>rE' a t.{3}:+;t#:3cd E4 i i: ~u i.i.~v '~~~t~ a longitudinally {]CxaTi[Y ,., I {~
>;fL t..'~`iC.>. )Z <.~ > ., ~t, vC. c) ,~t1~,:" i::S.~=}~azi:,~. :; ,: {,~~~~.~ 5.::~.Tt.. .,~~ I:~~~
at v n } #}.~=
} .
ce~ r~1e....t but },f: t #.a'tf3 +~iTi'.:~~11 i~ d`~:i'}.i>~: of the szi-.`e;'7I?.~s si:r 3~,+.:z'~:.. I
:F.c.?: :n.~#:x{,} \ ~~{5 IT?L~ ~ ?t 4..~:` }t'~#3l ClCi1S'f#.tal, fY:i:}h1i7.g ;+.f t3nw. õffka.ioi' i,'?f tht.
\... ., :i..\ . crice ,~.#ti,~#C... +{F ipo:? c'{1.+.:.vat;.t:1}.i and at3 ..~~L~;t t., ~i5.% . ti?G~ t.`itrtS..r in a l i? ~.i<?.~Y
._~ .. ,... . . . . . ~.~ .~C..~., , op,?t.t:. to that of the portion. For i4.? a:#21ple, FIl3S. 9A i.3,e..i t B
s3:?C?w. a .;Ã...`; .3h .ala{..x 250 ha'1 ti. = a d1s~.<'1l portion 25-4 t.E .nd:d{k:s a yha..ps.'>...omt;ry 15 pu. y..`>;L.. A..o,.v.<::.#i.=.iZi:::}":'#LGvr 260 Zlt'ti:=i,-ia'`rs Qg, coats) a s L.?,i. 2ena 256 i.& .ho.a.fx' ?. i,..o ..., .,34=, y ~v <>_ the ` s..,, ;,~. ~'~I ~" \s 4_, y t ^, isa Ã.~.a,1..rv;;E3. .s .:~st?}`? :, "3~'~ E.~1~t~ ~.:4::t;=~.~, sl:

i t . ^i..; .; [, dIst:;~ po;t}3`. 254;.#'td t:?tC?ids F3.i=31it1d less E4't#.txa tiS.l. .J;.r.;E,.?.# ie,t:.6; of the Wti\ 3., ?;3: iZ.:f. 251 Mt...3 v}>er gy is ~."t`"ov1#..ieL~ to $h'=
(:=C`,uduLb`v+ .,.} : et gmenf :756 s ~~~i the 'a~r=;, 7~ Eõ its i ~.,.t3. ;:.-', ~ ~ ..a.Ai> i i~SS=' ~,?i:'.#taL~2.~.~ i'C. ~t:#~m,.~~ is i~Fv~~ ~ \'[~~+.~f:tizr',i.e E:3ziis2~4''=ti ! ,.(f :,h`;E~.a::a'~Z'.:u}':''w:d 20 st3i?e. . ,.t 250 <i a ducch<?,i opp;'tsi`.k dh,..; ~f1he segment whi4 .3 f.;5 ÃÃct.
t'_Eei:;. as .i;
FIG. 911 33: i ..#"Lai.:? `>.'.E:3b3. ..3..Laat' t'+.`xC' sL:=g#rit1it C:ia:3. have i. ehqp?:: >41 .t:i ?nt {3:1?s'Z i.hzl:
wz?ulf:..i.5ot i>. the x.3.}ho{..i #:C1; `it.!f,'::'4.'d hntL`Ee dir:..ii+.?#:: that thZ'. '^4. t.{i,d.\ F.C:.s.

The Cm.t.,f;..:C'.dv~.. layer in {.o " iiI1. C'.Fnbf>d}:I3'w3'1t,. extends no 1rif` flh.a.i A.Z.,. 90 s 25 ?t fi`='?3,,3#2\. ; , ~3t'.i"}Fs3..t4F w;; ~.L; E.~3:*.~i3l ~~1i31 Ãi(>ii (G=.g. no more ti]:2:[;: ;i;#?1.t 801 -:E .3..orZ-' t..,m=`. ;:b.3u3. `.." c.. .`.1ori thti.3 <%bo:.ii 6M Uv f3?,) more E.Yil.l'}.
about :?0~ ..3, or a,L1 I?'wai. :htti:1 =i f. ~:' t A 4 r`5 2~2\i~~t z lnti.~'=L~. ~3., less ~.~;<~..: ...~3f'.?z ~~r .) .,;iE?:.;. . .... , .?... the i, ~:'.:?.` ,.~.,.f. of : ~#~~ {~?`~`1'"s':i;', ~f a r <) around t> `?i,. #..V,7ew, o{ = ,z;.fi. 4..1:.ii3l portion (~=1..<s. no l{.4s `..~3::~= about i '?'s3õ ,>i~ less ~~1..>,e .

about 501, ..5. .:s4= ,`t...a ;gEi$~;r. I3o k.k;'i i.hiZj3 about 70i's). or I'\? assv.:; ?b<3n ,:x%-~6:Y#Ii.
30 8011 .;3 .`...:.?t> ?.xS, pua#?,.e::w_# \'.f ,.:IS:, a?..4W ",]t`rrditl'1y I1`ri oti?<:I" se;.`-Lo('.d{:.? \ ;',y.., :..~ O+,:}n i ;tt .:?d ...b4Yi.{t 10051 "s$r437nCi #
h` pt3:I-I3C tei C?.i ":[i{, i ist;:il t4 ~~I. .t~;#s 2. i..ar .., ~..s T v +~ ~s a E~ v' ~~ '~ ~C.1` . . . e ` ~s ~,taylt,.. {:'~k:~'a3C31"~~ iR~'iI~f::.i', 3 ~.atL<h`.`. is ~..,,l:~.~;t.~ by <i'>.:?R {Fl,,i.?, iA3~4;
~. , .~ i,tZ:

m.`.,Lii ..._ +;: c. .,.. '.;? ;?i ;..L?a3o3 v pC3lyT.F#.C>i' 1.F t EiiG
distal pi?T`tlà tE` 254. bc :.t., rs,.:, t33ts i Iid, ... . ;;: F"t:.:i to x"haf'?ti:. the direction of the oift3.3ati;:F'.

~t S , t>?'i: ?fld' 01.> .:lt} w ai3.:3ti3t`# s t?:t~C~3k31A~`.F3~ of ~. ~~Ã
~=i41z?~E ~"<1:~.~ :4 : 270 ....i's u t3 p;? il},1 274 t indudes a shape #tit:lno'y ??3l?'1`I3ef Ah:t,t d..i~_ta~'#'.
3.?m e#3.t 276 of the [.~`.?;^:tal p'{),'t.Fo;3 .' = 4 :" :r. t.xtet`i~S

i;..E,Ã..#...,:1 y fd} t1h4 lL11gd: of Me[ fY;3{iion 274 and e;Yi;f?t3zs around than a 3: i>. +,..:'i:#.tlt..a.bF'e.ii.:te of ii#.:"itit.4.f p3i-tft)13 274.
>3S=he3? energy : Z ;:F'^':t t ,t3ed Ti`, IE'::e i4'~ _ `~ the ~#: , ~ ~ 1 <:~ ~ ~r\
Fi:,~:~. . ~.'s- :ifi~{Six?~:i ..,' 6 that 3^. (u t>3C;t ''#i 1`
~.i~#i`.tri#.~1.~e-w.tisv"lc-'C v'a '7 .~ . is iFF_..:vi:#t+:de.:#Iz.; ::3s.
.:,C,;i ,:, _v:s ;.'stL?Ai:d sh:;?i:, `,vhit',h 1~ t,:C}:r3tiY.S~t3f.k, \uE;=Il 1 h"A .'tt V"x i t #b:'i_t y r' if.fw.#F'd.> >t,V?3 276 3..i:1n:t.'n Mite$' i'f31~'' having rC2n<~.iÃC +` :"E lc 3E 3s t.f~d3blt:
S.. ..i:';..tLs #Ã.tilad%v3:~ ~h%13<: Ilit mF~:y pt)l1 !' of <.r.:i .?;; .LI..:#::.t, t>itM. ; of the s+-f23:pt.'. n3.ta3loI'y polymer can =i1,l4.; bt. F.fse . :+'_? iSrF'?A3.
s . . . . ,~ 300 ....3,\:.; \. : :,t, as illiFS~.7't3ti.Ãi'~ '{1'3. ~~' 3~~~ . : 3 L.u:, a ~:af?'~et.. ;.~tt'f ~ i'LStf 3:~~:: a .,t:: ip, ;::iu3o:`r' ;t'i\`glaci ~=.ilÃ:4=i: t:ti?c 310 ba}x?1g a fir~t pttztzoIl 312 ;4'#i~;

t,o..3d:;c6v4.; 3:13t ` .`.:'.G E?#;. an oraL=r surface 313 ViC'I'ef?.~, and a st`+.S:si'ld p:S:fiIo.'. 314 ..?t.hn? a cf`>m.t>4k'a.' a :oi , n ,N ou=:k`.'=F` m#1'R?l:f.31`_?: .kt least the .F `at p+.?doFA3>2 iZ::
~t ~~ ~ ~`;,. r ;~. ~ o- . ' M -{ '~ ~.3.~ ~Gt_.. ,~~t, l =t : 2' i:~F~:e ' r~tF. c ..:Ã. :~s3z : iL ~ ~ '~ ...~ie`=f F.~E:#~; '. `~ ~~S a i L.S3I3~1~:;S3a ~~3tY~
.~. :: '~ ,.~. st For L.'ce.FtI`_p..., li. h#"Sf p.s; i:Ã?: # 312 [sL the shtEp#.: ia:e=.~...
t `.; ~

pt\='Apiw. .<J.?.'\-'r wb'#..= .` 10 Z,an .le Ib#in4'd i)tLo a iTcx'E..in7, f31osIb: C%. other oon:[N 'iaS..o2.t.

i c.o- . aphas th';' t?. ,.;t'.+mt1 tgit3'E?I-#ghwh3C:bBsIde-aF''.+ fii},V, .
~ ilt L? T~ #:r 1 S ~ i3x? ~:f Ã..3.i?od:Ãi.fi.`.ra` .?e no i3.C'=f' thillrt i3i3C?at 60 p.l:I3 ` & nm :3#;gt.r thm#:i wbÃfb'.t 5e, llr3:i, 'i r1 a..::?i3~3t 4;3 aF.;?. or no lf3f'gL',#" ~=~'?:i~Ã'? about .?Lr gil"f across) snd;oi x3ff sr.3aHfNi' < ~i ."s ; .#L3 ti1Ti#.3~r4=f' t~i3:'xf ciE~ifÃFt ~ .~\i no :aa3t..~le?'~
f.~...'~ :1~3t?L#: ~~f,~
, .~!. ..,..F_ ;;} t3Lia ~;

~~
25 lo, 3. .3. :'f'. .t x `:#,eF ..z"i.ut 5:. ~F..T: across). The shape r'nmnL_3"4' } tt. g"ki`t `:ltCa: tu :?c i-F 330 , E { 1~~L#\ i%~Ew: a GS iFQS 24Yi:3~ 332 5i .. 2{ < $ ,}= )_ .?.. a 4<J.F.t:..F.~.+. .}.~t~ ~~..t.' ]t}~Y'1 l'~.~A~ ~~YKi,\-!..C#
4~1.:h,~.=Ã.. idt.u:{iL4'}.t).5 ~. .h\3\.v.~ ik`j}..i { ~ ~ .b.=c. t Sci:#? MSS~
3 Y t\
~..# i<F.3 :i k#.:~a z~~ 41~1 F` i.} ,.Y:si3Fx.~E'wii i [ ~u~.~ ` .x i:! a x.xt ., z, t~.~.?:l::i3~~~#3 I l'#lA~~, b.= ri.._,..,~ii)~;
~.~~'~'=C.i3.i'#3,,x'{? ~Ã,~>- 'f\ of ~:1a4~
Y ') , f~S il : t : 3 c~ ` #1. F
, of :3..a!#E FZ`s, i`t~,?t <3n? 4},35t~~t#.E:~4C?i7 350 in 342 (~:` ~~,~, z I .
~)Upon T':S ti.t F,\ i.3t)'.fkS3 a n :F:= E:aF:i . e. pro-yiF<t~,'d to the L:.;Fjxf.1hoS:::tivLz :YQF iM t t 4f by t '.e t ; M T t ; of r 1 ~' : ~~ i'~?::4? $
Ã'.a. ... . ...a F 3i ,.1 ~ ~74?t'~it:.#: 312 . Ea1L ``=", t} ~" Ã:F~=F 3~. i ~ .

s....:3e3 3 >. .-rii. 1 #:;;t:Fe .tst ~L.:::,~E?a... 3:~~~~~ ~Ls'~3,~.3d~~#':
.3i.1t~t:.sfrLl4` :;,3.s.? ~3.i';3t .3+>~~ >_.t?,.~#Ã:=~.~ ~sE:=i-3.~`.:-:~
#

A. l , . ; Iti. 1113, 7=;'I,.>c the second 2)i)rÃ:Ef3n.314 rcn'r<1iF..ti #.z:x .+: Ã.:?G f,affi:.Ãt... 33i.?.
ti:: e holes Id; first p()r{tlol, " 12 cW the s}~ aaZ+;. #:ur".%m:3 Z
y?t?::y#'?w.' :.,Wr ` zc 3 10. O;)"#.z}.i,dRSa i':3.., 360 h<:d)`E;'-, a distal tip 362 (4=.g . 4i:"i?IafLEF"Ci> if) be 1610 to bore i l` o.iõ,',h i bst3`uC$ii;f'; 350;# can i?e i'#I.'Z?di:tcC.'d into the { .a.~lo~t;i=
330 i ; ` :'S.:\.Y ~ t.1 \. ~itt}.i~~~ ~4 to ` \ =~.1~,.}d t){ t f.{
l.kisvL'~5 ~~ ~ C4..~.
~ ~:.~Gn?\)i: e . : ~7. ~ a vaF.f.~ ??~ >>~ t:.~ti..' ,330, ~~'..)'w.~ 1Cf ~
r~.,:
a..s :i f3 bZ'. 'mf_,. F_d1 bore t,Y ~: {f~ t i == ,Tf}1~~ 5'~: ~+')< a. `
the ,sL~i~ ` ~r .~ .. 1,>C, "+?i~C)a ~
~. , . ~ . . . _ . ~ '.i^.~#'l~iC:Ã. _i.. ...'caÃ'4~. ~i'~'?.y a~

E".. Y'cts .t,T .: t.>..., ==. \lfF<:. ib f r T¾ pus 354 Ãl `lii t .
'`....,~:.~~~~t: ~~ pass ~1{.'.~G ~ ~r~ ~,,{?[3 .t3 t# t311Ãõh i.,.S, hos1.. ,,. W <\.s:ape snSimEi?`tirp>\pmer iflÃ:~~~ tu[)<a.

~l. ~w d \e "s. ..~..\,.,v.... L.1.4'y iia > ;~ =~ `:.' ~ ` :' ;..is been c, G. .+,tr of ;=t3OR:lt.#it s3fc. Ão peI'tx3dE a . le.nt deBt:?'y de.s=ki`= to be .?. e.: ..Fa.f :~.t i`. 1i.I ~~.41i1 w.E ilar'~}lvl' iTft#~~:i~4I?t of t.i?i ?
t t l, t~3M ~3.<3~ f: 34.) ,= i`L
~

~ . ~ .~.~, \~~_= can ; . i:~..$ti$:'~~, i3i1(a ~ a `sLLil~')i,'==. ^ i~)sar , \ pol i ,,. S.~s::~F.,...i.,. ~. ~cf_ <:.< _ ' ._. .r3 t.:~ a .Fn~i,' o'z.C~:~s~~} ~
tri,. ).s_.

r Ilt.`f s,t.`t`w.?, can be o1M.7vaL r. to change the lmm2:n Elm 4`',Meizi: 1-3n.Ef k.

t ;,if# ; `.z)t: ;.. E.,:. .t; \`.?stmE..E)t.4i'> p.iTt.cac,~ 3 54= as tl;Lt, Ã_atL=t3 FIa.,. 111 15 . LU_,a.:F. i...ei' s:g. iF 300. along vdY~~ the f.'.na[appt;ct (1bJii L1i: it._?w. pc`a.'fti,:.e4 `5'`t, R:an then ~
Ã'i:'t irt~x3: Ã')~ \';õssl i1,)~.~.,'i ~~'~[}.
;sf;s2ps :'hU i;ev:.ci.'.S Ãimm"nGd" fiem13? utilize aShap<% :~7t;mi3i~ po;,2) <:', :s,.z.hi5 polySni.s,,.. .:i'aca.e..al ti,:.it c=c'xz# bi: if) rl first Shi1peand om be e.lt à bcaÃ~ ~ b2 ~'-õ E. <-: gy aC?, as :hmti).:3 ?fT of e,:f.'t tsy '?'3 .,s2:Ã.,õaf.. .., seG=L?dib> >hapf'., Ii-l Ri3TI1e C~t.''~

is E.1c'.:'?.,).;, :a,Z g-y: :et I)Leeby s)o polymer has a il.z.`it s.isc3pE:
aià a first Ãt'') ;e:3s`-;ra:FF"c, e>I>d can be ..sr,, ..li;d t3aJs'w,.r1.t. a ts:ffC::Ã"elit. ~Ccond \hiape upon hf,.t1:Ã:ig to a .,.i certain eia,bodÃm+t;1:s5s Ãhe i71kitF.:.'iiEl {:..?.4? further <3s:umke .
a zr.3.erx`'z shape `.pt)..,, to a tMrL> t4mpeY~~awre_E).i4k?'i.~ emm thl..st.C.i1nd ÃC.'L?.fptifatw,ci:".
;Sf..l 1~.~i {..~);~:i:~tL\fi:':~5+.;iss~a be .{):a.t oi`'~.3 :`La~Ã~f~C.L:, Z).. a fZ:Z),'~.~~~Ã~::Y x.) f ,~,:e['.~:ti.s s~l?~~1.:) ,. .

~ t \ Cii3st:
..
yi#~~, f-il;' ~7.llL~,) r.3.. i'1L .~ 'c2tii~ t~ ~, i~ :,:.a.~~.'\ a ~.,.. ~s:1~~.)~>Zd õ
s: ,..~#

)i+VP.= . l..g.f.;n, irluÃl.=na sf:::um,afbu'tnii?, ytari:::i.l..>::#. ds.-xt;':i2n <:~~:a~t?45:.C >~~c3ts~f::
.r ra3::>,.i.frws of these PO: Y?--nf.;,:s. hn some embC7dtmeI'.itsz the pt`'iL-me. #e ",.2tw,orf.al a t,.Ai~>i.: ; t t Z. .} Y <~~~t \.ar ~~*4F iZ~i)~''~ < \k..F3'~ ft3l~:3~.I3 ~:=.`~i3C."Y'...~ t7e ' 1G;.~3 2 ==;~S c1~t.. ~ w i. :.ivcS.~ derivatives ., ~~ .
i.'--t7~ , C. ~=

r i ~~:=,~ ..~av4ti Y i w~ L.` { y~
d'l.>:~
3,i.,L.~C,~~> . t?~~-`.~, ~sZ)Ei~~'v~`~a, o c< S ..a.:'` ol{, 2.lkt .en i?olyacP'X'l3r'iFidC'.s1 pt)"ML'llt;:ilt `f?Z'L& , .;"Ji',d.ic `~.?ini'`< Fs.~":,~~~\:C:.Ã~t. ÃZ..:5:'a~..:.~':,<a::.~ '...~,.~!?a-b'~c1.'~_a'~'$ LLt.:~~~;'`a`?, ,"~.)~3~~~`t ia~'~.4\iLLMi.?=,.`3 t :Z'~:#Sl:t . , . . _ . , ' i ,,.d~.LSC~r ~.::i;y i # ~~;~'. { _ , if$t73~::;. ~?t~I 4.~;~1~'i"5, ~.~L`~'.~"cLi~i7.^ I .'. ,~;t.lZ'~.31+.:~.s,- ~3<3l~'5:~tc~; ~.Ã1~:3.k~FQ:St.
?q:xY,",Xd:1dLti pi<` ' L='si?`bt.3n,,,.L'.4 pi'?'v'i?d'thZ?F'.Stri's..
Ã?<?l1 acCiE L.s--> p s ! `l'g'LC A.<F3('~M, 'o.,t 5:.,? 5.`fo 1 ' ,..of:im QS, 41.RF33.:S('t:'.`~i; d 1.'=d A=`ah}'e;i or i1::i xt.#ri.s of these pLI Z'niVr`. M, C'r: ~ z ,.?i =L:.,.~,{ .3;4 p5i>yta:C,Ã:%i: Ã??.c#ti'?"Ii3e 1:3c-lLliaes mixtures of natural and : 4i1#E.kS t.:c :? a 1 ytm <.,~ .,t 4 i'Ã`:.4 +^ x2:'i c.i..c::?ls, !E?C::
podymGn4.`=:~i.'<..L...al.sc.#.}s\ ,h..\<"d, 3 i: ;, <:?us can L.i".imp`.',., sL:leLud fÃC,na pfkly.i3C)ibt ii;:8:no..

r-z #jt~ ~L`.= .~3. e,,~.:~ dt~,}`~'; j'3cdZ._:?e` ~`_ ~~it?3i4, Al~.Ãl~=tr}"L'l(10..Ãc:r:r~C. '~_~}~~4s) ~~;:' t"~ Y`?i i#.i,'r..~
= _ ~:ilt~.. 3~ .~'~: <.

Xrfs:'=.r , ~.?.>~%'.i: 6lLbe::'n '~ it?1~`.~`~1`3.:~~
:C.iu~i.L':?~~tPl't~'=#~~~?lifr.fiiii.'="~i~ '2) Zt~1C~(v?;.':.~s S?~'t%?~f"~~
~4=, t, ,dt:nds ?,. 11 l,,'s.cVi?'Vi) : `p:?3 :,#ethyl1 ni:1ha c;'y~ate à PNAANMi.
s`ai`iz:'Ã1e ~tlti I*C3~;~L>1C:, bIw'#;'a&,~+. f>f pi3lS>i.ap;f?lt,tLtt?,.#L. .a:3d ~l1e first '~i:~.ti~9c t~ie#1~'E, is about xi?z?:71 i a:

f>.'fi~n , };3 .. 15 W to about 25 C or Ex'i?;.il abCFw 18 T' to about 21 'C"
f, t110 RG,t,M
#...>3~.c...L+:~ . .#i i?Ã about .` . t~_, to about 55 co~ S~ ~=. f~~Ã~#`z#i ~~i.Y=1?~t:t 42 ?~~ ~ti :'e~`.tc:.~~ 50 f' ? ' . ;Ã`
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.,;:I,. ." 7 2#?d.;? .I:i.y of the c(5F?lF.IC:1,ve lr:eyei'.

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.:(: .... i:i.:
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polymer ?E' 1?i tt2'G ~:E 3 ` a3t ?A :~:, i l4~:L and .~i " need not 7t_ 2~; '~a +.. t3z, k`' , r~

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C ' .V.^,{ .< ,Z, sides c" )m. ~ie ~ ~ Y Yw'~ :~~.e,:st : t .~<iv~Ãa,; a C.~_.;>>.Ãv~li~fa layer. For +:'ilIir~:C:, ..~:~ ~?:~~.~ ..a,Ef`=#t.0(A. as .4. ._ iouQ K fffl?Z.f~s .,..ii Y : . Ã.`;4= ~ icteT:i d`a'scdbe~.'1 above) can t:%Ive a ``:n: , 1a;3.. 4ibi3i.`-v`d Y
0 1r ..?.. , . r s. o>.d..Ã..I; t li3yf ,, <.:;ld a sei:t?F?d. E3,pt sislg side coated with a w4.c,.`#-..d i. ~ .~ .~"'.a~.h`,. .L ~~' T~,~{+.. .i..~;~ ?t'r. sLci~$~.~~4:
c(?J?tE:iLSG.~~Z~;" l::b~1~f-~rs i;~i2..~ ~1r:~ :+~..lLk:t.i~~~i.:`a i~4~t.4 x..~.~s.i:
~: C ~.. ~.... .a. .. , to >_j#:l:[`g..t,?v SM: wtlt_.i,u:`4. .I':iEll a first RhiS:pc to a second shape, ,l.#.., b{3<.k i`.'fs,m tk, . ~ con'i \hc.}ie to the k:>t shape.

c tr t C".,.i: f.:~~.;k,.: C':~ix?.~f .~.E;.~"i.~...x:? <~.~ti+ ~'~='.pi:4~i~~i~
L~nf:: :1~%7,~~)t<~ ~?~ Lw~.i; a;i3?i7w ng:ifa.i![`.
2i)

Claims (29)

1. A medical device comprising:
a shape memory polymer; and a conductive material on at least portion of the shape memory polymer wherein the conductive material is not a shape memory material.
2. The device of claim 1, wherein the conductive material is configured to activate less than 100% of the shape memory polymer.
3. The device of claim 1, wherein the conductive material is configured to activate less than 50% of the shape memory polymer.
4. The device of claim 1, wherein the conductive material extends along an entire length of the shape memory polymer.
5. The device of claim 1, wherein the conductive material extends around a perimeter of a structure comprising the shape memory polymer.
6. The device of claim 1, wherein conductive material is selected from the group consisting of metals, alloys, ceramics, and praphite.
7. The device of claim 1, wherein the conductive material is selected from the group consisting of gold, silver, platinum, tungsten, stainless steel, an alloy of gold, an alloy of silver, an alloy of platinum, an alloy of tungsten, and combinations thereof.
8. The device of claim 1, wherein the shape memory polymer comprises a polymer that is selected from the group consisting of natural polymers, zein, casein gelatin, gluten, serum albumin, collagen, polysaccharides, polyhyaluronic acid, poly(3-hydroxyalkanoate)s, alginate, dextran, cellulose, collagen, synthetic polymers, chemical derivatives of collagen, chemical derivatives of cellulose, polyphosphazenes, poly(vinyl alcohols), polyamides, polyacrylates, polyalkylenes, polyacrylamides, polyalkylene glycols, polyalkylene oxides, polyalkylene terphthalates, polyvinyl ethers, polyvinyl esters, polyvinyl halides, polyvinylpyrrolidone, polyesters, degradable polymers, polyester amides, polyanhydrides, polycarbonates, polyorthoesters, polylactides, polyglycolides, polysiloxanes, polyurethanes, cellulose derivatives, and mixtures thereof.
9. The device of claim 1, wherein the shape memory polymer comprises a polymer that is selected from the group consisting of polynorbornene, polycaprolactone, polyenes, nylons, polycyclooctene (PCO), blends of PCO and styrene-butadiene rubber, polyvinyl acetate/polyvinylidinefluoride (PVAc/PVDF), blends of PVAc/PVDF/polymethylmethacrylate(PMMA), polyurethanes, styrene-butadiene copolymers, polyethylene, trans-isoprene, blends of polycaprolactone and n-butylacrylate, and blends thereof.
10. The device of claim 1, wherein the shape memory polymer comprises polycyclooctene.
11.The device of claim 1, wherein the shape memory polymer has a first glass transition temperature of less than 100°C.
12. The device of claim 11, wherein the shape memory polymer has a second glass transition temperature that is lower than the first glass transition temperature.
13. The device of claim 12, wherein the second glass transition temperature is at least about 10°C less than the first glass transition temperature.
14. The device of claim 11 wherein the second glass transition temperature is between about 37°C and about 55°c and the second glass transition temperature is between about 15°C to about 25°C.
15. The device of claim 1, wherein the shape memory polymer comprises a first portion, a second portion longitudinally adjacent the first portion, and a third portion longitudinally adjacent the second portion, wherein the conductive material is on the second portion only.
16. The device of claim 1, wherein the shape memory polymer comprises a first portion, a second portion longitudinally adjacent the first portion, and a third portion longitudinally adjacent the second portion, wherein the conductive material is on the first portion, the third portion, and a strip between the first and third portions.
17. The device of claim 1, wherein at least a portion of the shape memory polymer is substantially circular in transverse cross-section at a first temperature and non-circular in transverse cross-section at a second temperature.
18. The device of claim 1, further comprising a conductor connected to the conductive material.
19. The device of claim 1, wherein the shape memory polymer has a first surface and a second surface, and the conductive material is on the first and second surfaces.
20. A catheter having a distal portion comprising a shape memory polymer and a conductive material on at least a portion of a surface of the shape memory polymer.
21. The catheter of claim 20, wherein the shape memory polymer is configured to change the distal portion of the catheter to a first shape at a first predetermined temperature.
22.The catheter of claim 21, wherein the shape memory polymer is configured to change the distal portion of the catheter to a second shape different than the first shape at a second predetermined temperature.
23. The catheter of claim 20, wherein the conductive material overlays a segment of the shape memory polymer that extends longitudinally along the catheter and extends circumferentially around only a portion of the catheter.
24. The catheter of claim 23, wherein the conductive material extends circumferentially around no more than 50% of the catheter.
25. The catheter of claim 20, wherein the shape memory polymer is coated onto a surface of the distal portion of the catheter.
26. The catheter of claim 23, wherein the shape memory polymer is configured to be substantially straight longitudinally at a first temperature and fold into corrugations at a second temperature.
27. A catheter comprising:
an outer member;
an inner member; and a structure located between the outer and inner members, the structure comprising a shape memory polymer and a conductive material on the shape memory polymer.
28. The catheter of claim 27, wherein the structure is configured to be spaced from one of the outer member or the inner member at a first temperature, and to contact both the inner and outer members at a second temperature.
29. The catheter of claim 27, wherein the conductive member is connected to a conductor.
CA002659888A 2006-04-13 2007-04-09 Medical devices including shape memory materials Abandoned CA2659888A1 (en)

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US11/403,615 US8034046B2 (en) 2006-04-13 2006-04-13 Medical devices including shape memory materials
PCT/US2007/066215 WO2007121131A2 (en) 2006-04-13 2007-04-09 Medical devices including shape memory materials

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