摘要:
A medical guidewire system comprising a first inner member having a first outer diameter, a second intermediate member having a second outer diameter larger than the first outer diameter, and a third outer member having a third diameter larger than the second outer diameter of the second member. The second member has a longitudinal extending opening to receive the first member for sliding movement with respect to the first member and the third outer member has a longitudinally extending opening to receive the second member for sliding movement with respect to the first and second member. The first member has a first stiffness, the third member has a third stiffness greater than the first stiffness, and the second member is movable to stiffen the guidewire system.
摘要:
A method of adjusting the stiffness and size of a guidewire without full withdrawal of the guidewire from a patient's vascular system comprising providing a guidewire system comprising an inner member having a first outer diameter and a first stiffness, an outer member having a third larger diameter and a third stiffness, and a stiffener positioned between the inner and outer members and having a second outer diameter larger than the first diameter and smaller than the third diameter. The method includes selectively changing the relative positions of the members to alter the pushability and stiffness of the guidewire system.
摘要:
A method of adjusting the stiffness and size of a guidewire without full withdrawal of the guidewire from a patient's vascular system comprising providing a guidewire system comprising an inner member having a first outer diameter and a first stiffness, an outer member having a third larger diameter and a third stiffness, and a stiffener positioned between the inner and outer members and having a second outer diameter larger than the first diameter and smaller than the third diameter. The method includes selectively changing the relative positions of the members to alter the pushability and stiffness of the guidewire system.
摘要:
A medical guidewire system comprising a first inner member having a first outer diameter, a second intermediate member having a second outer diameter larger than the first outer diameter, and a third outer member having a third diameter larger than the second outer diameter of the second member. The second member has a longitudinal extending opening to receive the first member for sliding movement with respect to the first member and the third outer member has a longitudinally extending opening to receive the second member for sliding movement with respect to the first and second member. The first member has a first stiffness, the third member has a third stiffness greater than the first stiffness, and the second member is movable to stiffen the guidewire system.
摘要:
A medical guidewire system including an inner member having an outer diameter and an outer member having an inner diameter, the inner diameter being larger than the outer diameter. The inner and outer members are relatively slidable to adjust a stiffness of the guidewire system. The lumen of the outer member forms a gap for fluid flow therethrough. A connector has a first end portion connected to the outer member, a second end portion connected to the inner member and a fluid infusion channel communicating with the gap for injection of fluid through the gap to exit a distal portion of the outer member.
摘要:
A medical guidewire system including an inner member having an outer diameter and an outer member having an inner diameter, the inner diameter being larger than the outer diameter. The inner and outer members are relatively slidable to adjust a stiffness of the guidewire system. The lumen of the outer member forms a gap for fluid flow therethrough. A connector has a first end portion connected to the outer member, a second end portion connected to the inner member and a fluid infusion channel communicating with the gap for injection of fluid through the gap to exit a distal portion of the outer member.
摘要:
A guide wire (1) extending between a distal end (3) and a proximal end (4) defines a central axis (5). A main tubular member (6) of the guide wire (1) terminates in a curvature controllable portion (15) adjacent the distal end (3) for facilitating inducing a curvature therein for offsetting the distal end (3) at an angle (α1,α2) relative to the central axis (5). A first member (19) of the curvature controllable portion (15) and a second member (21) thereof are secured to a bulbous tip (7) at the distal end (3), and the second member (21) is slideable in the direction of the arrows A and C relative to the first member (19) for inducing curvature in the curvature controllable portion (15) for in turn offsetting the distal end (3) in the direction of the arrows B and D, respectively, from the central axis (5). A connecting wire (35) terminating in an operating member (17) is connected to and extends from the second member (21) for facilitating urging of the second member (21) in the direction of the arrows A and C relative to the first member (19).
摘要:
A guide wire (1) for re-canalising a vascular occlusion comprises a core wire (5) which terminates at its distal end (4) in a terminal member (7) for opening the occlusion. A helical coil sleeve (10) extends around the core wire (5) from the terminal member (7) to a location (11) along the core wire (5). The terminal member (7) defines first and second planar surface portions (13,14) which converge towards a distal transversely extending leading edge portion (8). As the terminal member (7) is urged through the vascular occlusion, the first and second surface portions (13,14) act on the occlusion to form an opening therethrough. A distal portion (28) of the core wire (5) is of spade-like configuration for facilitating bending thereof for directing the terminal member (7) out of a central major plane (35) defined by the distal portion (28) for facilitating aligning of the terminal member (7) with a branched vessel of the vascular system.
摘要:
A guide wire (1) for use with a catheter comprises a core wire (3) terminating in a distal portion (18) of flat ribbon-like construction having respective opposite major surfaces (29,30). A spring (24) is brazed to a distal end (27) of the distal portion (18) and to the core wire (3) at a tapering portion (14). A reinforcing member (38) extends axially along the distal portion (18) from a proximal end (26) of the distal portion (18) to a location (40) for reinforcing the distal portion (18) for in turn increasing its torsional rigidity in order to minimise axial twisting of the distal portion (18). A guide portion (42) of the distal portion (18) between the location (40) and the distal end (27) is provided to be bent at a desired set curved configuration for offsetting a distal tip (9) of the guide wire (1) from a central axis (8) thereof, so that by rotating the guide wire (1) at its proximal end (5) the distal portion (18) is also rotated for aligning the distal tip (9) with a branched vessel into which it is desired to direct and urge the guide wire (1).
摘要:
A guide wire (1) for use with a catheter for accessing a remote site in the venal or other system of the body of a human or animal subject comprises a core wire (2) extending from a proximal end (5) to a distal end (6). The core wire (2) terminates at the distal end (6) in a distal portion (16) which is of rectangular transverse cross-section defining a pair of opposite major surfaces (18,19) and minor surfaces (20,21). The distal portion (16) also defines a central major plane (24) which lies between the major surfaces (18,19) and bisects the minor surfaces (20,21), and a central minor plane (25) which lies between the minor surfaces (20,21) and bisects the major surfaces (18,19). An alignment portion (27) for aligning the distal end (6) with a branched vessel of the vascular system is formed in the distal portion (16) by bending the distal portion (16) in the central major plane 24 to form a curved portion (28) from which the alignment portion (27) extends, the curved portion 28 and the alignment portion 27 lying in the central minor plane 24. By bending the distal portion (16) in its central major plane, the column strength of the guide wire (1) is such as to minimise the danger of buckling of the distal portion in the central minor plane (25).