WO2004065062A1 - Method for producing a guidewire - Google Patents
Method for producing a guidewire Download PDFInfo
- Publication number
- WO2004065062A1 WO2004065062A1 PCT/US2004/001202 US2004001202W WO2004065062A1 WO 2004065062 A1 WO2004065062 A1 WO 2004065062A1 US 2004001202 W US2004001202 W US 2004001202W WO 2004065062 A1 WO2004065062 A1 WO 2004065062A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- shaft
- orientation
- twist
- grinding
- twist orientation
- Prior art date
Links
Classifications
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B21—MECHANICAL METAL-WORKING WITHOUT ESSENTIALLY REMOVING MATERIAL; PUNCHING METAL
- B21F—WORKING OR PROCESSING OF METAL WIRE
- B21F99/00—Subject matter not provided for in other groups of this subclass
-
- 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
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B21—MECHANICAL METAL-WORKING WITHOUT ESSENTIALLY REMOVING MATERIAL; PUNCHING METAL
- B21F—WORKING OR PROCESSING OF METAL WIRE
- B21F7/00—Twisting wire; Twisting wire together
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B24—GRINDING; POLISHING
- B24B—MACHINES, DEVICES, OR PROCESSES FOR GRINDING OR POLISHING; DRESSING OR CONDITIONING OF ABRADING SURFACES; FEEDING OF GRINDING, POLISHING, OR LAPPING AGENTS
- B24B1/00—Processes of grinding or polishing; Use of auxiliary equipment in connection with such processes
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B24—GRINDING; POLISHING
- B24B—MACHINES, DEVICES, OR PROCESSES FOR GRINDING OR POLISHING; DRESSING OR CONDITIONING OF ABRADING SURFACES; FEEDING OF GRINDING, POLISHING, OR LAPPING AGENTS
- B24B5/00—Machines or devices designed for grinding surfaces of revolution on work, including those which also grind adjacent plane surfaces; Accessories therefor
- B24B5/02—Machines or devices designed for grinding surfaces of revolution on work, including those which also grind adjacent plane surfaces; Accessories therefor involving centres or chucks for holding work
- B24B5/04—Machines or devices designed for grinding surfaces of revolution on work, including those which also grind adjacent plane surfaces; Accessories therefor involving centres or chucks for holding work for grinding cylindrical surfaces externally
-
- 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
- A61M2025/09108—Methods for making a guide wire
-
- 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
- A61M2025/09191—Guide wires made of twisted wires
Definitions
- the present invention relates to improved medical devices and methods of making the same. More particularly, the invention relates to improved methods of grinding an elongate shaft for use in medical devices such as guidewires or core wires in catheters.
- a common medical device having an elongate shaft is a guidewire.
- Guidewires are commonly used for intraluminal procedures to provide and define a pathway to a body site for treatment such as intravascular access to a blockage in a coronary artery, access to the biliary tree to sample tissue, or access to cerebral vasculature for treatment of an aneurysm.
- the guidewire defines and maintains the pathway to the treatment site to allow other treatment devices, such as balloon catheters or stent delivery catheters, to be routed quickly over the guidewire to the treatment site and continues to maintain the pathway during exchange of devices.
- Certain balloon catheters also incorporate an elongate shaft as a core wire to provide stiffening over a portion of the catheter's length.
- the core wire may be ground to include a taper to adjust or change the flexibility in that region.
- the wire used for form the guidewire or core wire must meet stringent specification with respect to size and straightness. Further, a change in profile may be desired over the wire's length in order to vary the flexibility of the device. Procedures have been developed to improve straightness and to create a desire profile. However, there is a need for improvement in these techniques to achieve tighter control over size, profile, and manufacturing costs.
- the invention provides design, material and manufacturing method alternatives for producing wire having desired straightness and profile.
- the wire for the shaft is twist-straightened.
- the medical devices include an elongate shaft that is at least partially ground, for example, adjacent the distal end. Grinding may be accomplished using an appropriate grinding apparatus such as a centerless grinding apparatus. Improved control over profile, both in a constant diameter and in tapered regions, is achieved by aligning the twist orientation of the twisted shaft with the spin direction of the grinding apparatus.
- Figure 1 is plan view of a portion of an elongate shaft that has been twist- straightened
- Figure 2 is a perspective end view of a portion of the elongate shaft of Figure l;
- Figure 3 is a perspective view of a grinding apparatus
- Figure 4 is a plan view of a portion of an elongate shaft that is at least partially ground to a desired profile
- Figure 5 is a partial cross-sectional view of a distal portion of a guidewire depicting a tapered profile core
- Figure 6 is a partial cross-sectional view of another example medical device.
- portions of a medical device may be ground to precisely control diameter, smooth the transition between adjoining regions, smooth a surface, taper a region, and the like. Due to the precise manufacturing specifications and time required to construct a medical device, the ability to grind precisely, reproducibly and in a time-effective manner is desirable.
- the invention includes refinements to medical devices and methods of making and/or grinding components thereof.
- a medical device may include an elongate shaft 10.
- shaft 10 may comprise a generally solid wire.
- shaft 10 may be generally tubular or include one or more lumens. These embodiments may be used, for example, to form a guidewire, catheter, or other suitable medical device.
- straightening techniques include passing shaft 10 through a tortuous path, stretching, twist- straightening, and the like. Of these, twist-straightening (axially induced symmetric cold work) is preferred as it imparts desirable benefits in torsional rigidity not achieved in competing processes.
- processing nitinol wire to be used in a device can require twisting to impart desired properties.
- shaft 10 When shaft 10 is twisted, two primary twist orientations are physically possible: left-handed or right-handed. Twisting generally results in a twist-induced “groove” or “flight” (indicated by reference number 12 in Figure 1) generally disposed between individual turns of shaft 10. These grooves and flights are generally not visible to the naked eye, but can be seen at adequate magnification. Groove 12 traces the outside surface of shaft 10 and wraps in a helical manner about shaft 10. The twist orientation can then be determined in one of two ways. The first is to look at shaft 10 from a side view or longitudinal perspective and observe which direction groove 12 appears to be pointed when following groove 12 from the top to the bottom of shaft 10.
- groove 12 falls to the left (from the top of shaft 10 to the bottom of shaft 10) and, thus, shaft 10 has a left-handed twist orientation. It can be appreciated that groove 12 would fall to the right in embodiments of the invention that include the use of shaft 10 having a right-handed twist orientation.
- groove 12 would turn about shaft 10 in a clockwise direction in embodiments of the invention that include the use of shaft 10 having a right-handed twist orientation.
- shaft 10 having a right-handed twist orientation may initially appear that the differences between left- and right- handed twist orientations are insignificant or unimportant, it can be appreciated that real structural differences exist between these two orientations.
- one cannot alter the twist orientation by simply changing the perspective from which shaft 10 is viewed, for example by "flipping" shaft 10 lengthwise or 180 degrees.
- shaft 10 with a left-handed twist orientation has the same general twist orientation regardless of which side or end that shaft 10 is viewed from.
- the left- and right-handed twist orientations are actually non-superimposable mirror images of one another.
- FIG. 10 A practical illustration of the structural difference between left- and right- handed twist orientations can be realized by considering the manufacturing and use of screws or bolts.
- the screw has threads that turn about the central axis in a manner similar to how groove 12 turns about shaft 10.
- the threads of most, typical screws have a right-handed orientation so that the screw can mate with a typical nut or other receiving device. If an otherwise identical second screw with a left-handed orientation is substituted for the first one, the second screw will not be able to mate with the nut.
- shaft 10 having a left-handed twist orientation is structurally different from an alternative embodiment of shaft 10 having a right-handed twist orientation in a manner similar to how a left-handed screw is structurally different from a right-handed screw.
- twist orientation is determined by the unspecified rotation resulting from the electric motor and gearing used to construct the machinery.
- parts having a singular twist orientation may be mixed with one another during the manufacturing process.
- bathches of medical devices are often constructed that manufacture parts derived from a stock of mixed left- and right-handed work pieces.
- a manufacturing step may include (in addition to or as an alternative to grinding) drilling, honing, polishing, burnishing, and the like.
- the grinding step itself can also be thought to have a left- or right-handed orientation. It can be appreciated, however, that the spirit of the invention can be applied to any of the processes or other suitable processes.
- shaft 10 may be placed on the infeed rail 16 of an example centerless grinding apparatus 18.
- any suitable grinding apparatus may be used, for example an O.D. grinding apparatus, or the like, or others.
- Grinding apparatus 18 can include a base member 20, a work wheel 22, a regulating wheel 24, and a work piece support 26.
- grinding apparatus 18 can also have a left-handed or right-handed orientation. The convention used to define the orientation of grinding apparatus 18 is described in more detail below. It should be noted that grinding apparatus 18, as shown in Figure 3, has a left-handed orientation.
- the orientation of grinding apparatus 18 is determined by observing the direction and spin of work wheel 22, regulating wheel 24, and shaft 10.
- spin orientation is determined by observing the direction and spin of work wheel 22, regulating wheel 24, and shaft 10.
- the spin of work wheel 22 and regulating wheel 24 are orientated in the clockwise direction as indicated by arrows adjacent each wheel 22/24.
- the direction of wheel 22/24 unlike the twist orientation of shaft 10, is dependent on the perspective from which the spinning is observed.
- a clockwise spin from the perspective of shaft 10 i.e., from the side where infeed rail 16 approaches wheels 22/24) would be seen as spinning in the counter-clockwise direction when viewed from the opposite side of base member 20.
- the collective spins of wheels 22/24 (being oriented in a clockwise direction from the perspective of infeed rail 16 side) and shaft 10 (being oriented in a counterclockwise direction from the perspective of the infeed rail 16 side) define grinding apparatus 18 as having a left-handed spin orientation. It can be appreciated that alternative embodiments of grinding apparatus 18 can be configured to have a right- handed spin orientation. In these embodiments, the spin direction of wheels 22/24 would be counter-clockwise and the spin of shaft 10 would be clockwise, both from the perspective of the infeed rail 16 side.
- shaft 10 having a left- handed twist orientation being ground by grinding apparatus 18 having a left-handed spin orientation
- shaft 10 having a left-handed twist orientation being ground by grinding apparatus 18 having a right-handed spin orientation
- shaft 10 having a right- handed twist orientation being ground by grinding apparatus 18 having a left-handed spin orientation
- shaft 10 having a right-handed twist orientation being ground by grinding apparatus 18 having a right-handed spin orientation
- shaft 10 having a right-handed twist orientation being ground by grinding apparatus 18 having a right-handed spin orientation.
- Tracing or following groove 12 is understood to mean that as shaft 10 is spun (counter-clockwise) and advanced through grinding apparatus 18, the grinding tends to follow the same path about shaft 10 as groove 12.
- the interaction between work wheel 22 and shaft 10 is analogous to the mating relationship between a screw and its proper mating nut. It can be appreciated that a similar interaction occurs between right-hand twist oriented embodiments of shaft 10 and right-hand spin oriented embodiments of grinding apparatus 18.
- work wheel 22 (of left-hand spin oriented grinding apparatus 18) will not trace or follow groove 12 of a right-hand twist oriented embodiment of shaft 10. Instead, work wheel 22 will tend to grind and drag across grooves 12 and regions between grooves 12. This interaction is analogous to the interaction between a screw and an oppositely oriented nut, similar to trying to cross-thread the screw. It can be appreciated that a similar interaction occurs between left-hand twist oriented embodiments of shaft 10 and right-hand spin oriented embodiments of grinding apparatus 18.
- shaft 10 and grinding apparatus 18 it has been found desirable to configure shaft 10 and grinding apparatus 18 so that the twist orientation and the spin orientation have the same handedness or direction. For example, aligning the spin and twist orientations tends to result in a more consistent, smooth, regular, and predictable grind on shaft 10. In contrast, if the twist and spin orientations are opposite to one another, shaft 10 tends to bounce and feed non-uniformly through grinding apparatus 18. This can result in strain-induced micro-cracking, poor surface finish, accelerated wear on grinding apparatus 18 and components thereof, increased time required to grind, increased manufacturing costs, etc. Micro-cracks, for example, can exacerbate notch sensitivity of certain materials (including nickel-titanium alloys) and can result in low tensile breaks. Aligning the twist orientation and spin orientation can also reduce the internal stresses associated with mechanical working of shaft 10, which can also reduce micro-cracks.
- left-hand twist oriented embodiments of shaft 10 could be ground about 7-33% faster than right-hand twist oriented embodiments of shaft 10. It was also found that the amount of grinding time saved was generally greater when pairing left-hand twist oriented embodiments of shaft 10 ground with left-hand spin oriented grinding apparatuses 18 than when pairing right-hand twist oriented shafts 10 with left-hand spin oriented grinding apparatuses 18.
- configuring twist and spin orientation in the same direction can save valuable manufacturing time, which can lower manufacturing costs (for example, up to and in excess of 20%) and lower wear on the machinery used and that these features can be potentiated by using same- handed twist of shafts and spin orientation devices.
- the present invention generally includes a method of manufacturing medical devices that includes a grinding step and wherein the twist orientation of shaft 10 has the same handedness or direction as the spin orientation of grinding apparatus 18. It can be appreciated that this method can be utilized in the manufacturing of essentially any medical device grinding or similar processes are utilized such as guidewires, catheters (e.g., therapeutic, diagnostic, or guide catheter), endoscopic devices, laproscopic devices, embolic protection devices, orthodontic wires, orthopedic prosthesis components, or any other suitable device.
- guidewires e.g., catheters (e.g., therapeutic, diagnostic, or guide catheter), endoscopic devices, laproscopic devices, embolic protection devices, orthodontic wires, orthopedic prosthesis components, or any other suitable device.
- shaft 10 may include a proximal region 28, a distal region 30, and an intermediate region 32. Each region can be ground to a desired diameter and profile utilizing the methods of the present invention.
- the shaft can be made of any suitable materials including metals, metal alloys, polymers, or the like, or combinations or mixtures thereof.
- suitable metals and metal alloys include stainless steel, such as 304v stainless steel; nickel-titanium alloy, such as nitinol, nickel-chromium alloy, nickel-chromium-iron alloy, cobalt alloy, or the like; or other suitable material.
- Radiopaque materials are understood to be materials capable of producing a relatively bright image on a fluoroscopy screen or another imaging technique during a medical procedure. This relatively bright image aids the user of the medical device and/or shaft 10 in determining its location.
- Some examples of radiopaque materials can include, but are not limited to, gold, platinum, palladium, tantalum, tungsten alloy, plastic material loaded with a radiopaque filler, and the like.
- the entire shaft 10 can be made of the same material, or in some embodiments, can include portions or sections made of different materials.
- the material used to construct shaft 10 is chosen to impart varying flexibility and stiffness characteristics to different portions of shaft 10.
- proximal region 28 and distal region 30 may be formed of different materials, for example, materials having different moduli of elasticity, resulting in a difference in flexibility.
- the material used to construct proximal region 28 can be relatively stiff for pushability and torqueability
- the material used to construct distal region 30 can be relatively flexible by comparison for better lateral trackability and steerability.
- proximal region 28 can be formed of straightened 304v stainless steel wire or ribbon
- distal region 30 can be formed of a straightened super elastic or linear elastic alloy, for example, a nickel-titanium alloy wire or ribbon.
- the different portions can be connected using any suitable connecting techniques.
- the different portions of the core wire can be connected using welding, soldering, brazing, adhesive, or the like, or combinations thereof.
- some embodiments can include one or more mechanical connectors or connector assemblies to connect the different portions of the core wire that are made of different materials.
- the connector may include any structure generally suitable for connecting portions of a medical device.
- a suitable structure includes a structure such as a hypotube or a coiled wire which has an inside diameter sized appropriately to receive and connect to the ends of the proximal portion and the distal portion.
- proximal portion 28 may have a length in the range of about 20 to about 300 centimeters and distal portion 30 may have a length in the range of about 3 to about 50 centimeters.
- shaft 10 can have a solid cross-section as shown, but in some embodiments, can have a hollow cross-section.
- shaft 10 can include a combination of areas having solid cross-sections and hollow cross sections.
- shaft 10, or portions thereof can be made of rounded wire, flattened ribbon, or other such structures having various cross-sectional geometries.
- the cross-sectional geometries along the length of shaft 10 can be constant or can vary.
- a guide catheter is generally characterized as having a multi-layer tubular member construction.
- This tubular member includes at least a single lumen extending the length of shaft 10.
- the lumen within the guide catheter possesses an inner diameter capable of receiving a guidewire or another catheter, such as a balloon catheter. Since many catheters have outer diameters in the range of 5F-L0F, a guide catheter must either accommodate the largest diagnostic catheter, or identify those catheter sizes the guide catheter may receive.
- the dimensions of guide catheters are well known in the art.
- shaft 10 may include one or more tapered regions 31,33, for example, between proximal region 28, intermediate region 32 and distal region 30, as shown in Figure 4.
- distal region 30 may be tapered and have an initial outside size or diameter that can be substantially the same as the outside diameter of the proximal region 28, which then tapers to a reduced size or diameter.
- the distal region 30 can have an initial outside diameter that is in the range of about 0.010 to about 0.020 inches, that tapers to a diameter in the range of about 0.001 to about 0.005 inches.
- Tapered regions 31,33 may be linearly tapered, tapered in a curvilinear fashion, uniformly tapered, non-uniformly tapered, or tapered in a step-wise fashion.
- the angle of any such tapers can vary depending upon the desired flexibility characteristics.
- the length of the tapers may be selected to obtain a more (longer length) or less (shorter length) gradual transition in stiffness.
- Figure 4 depicts particular tapered regions, it can be appreciated that essentially any portion of shaft 10 may be tapered and the taper can be in either the proximal or the distal direction.
- tapered region 32 may include one or more portions where the outside diameter is narrowing, for example, the tapered portions, and portions where the outside diameter remains essentially constant, for example, constant diameter portions.
- the number, arrangement, size, and length of the narrowing and constant diameter portions can be varied to achieve the desired characteristics, such as flexibility and torque transmission characteristics.
- the narrowing and constant diameter portions as shown in Figure 4 are not intended to be limiting, and alterations of this arrangement can be made without departing from the spirit of the invention.
- the tapered and constant diameter portions of tapered region 31,33 may be formed by any one of a number of different techniques, for example, by the centerless grinding method that is described above.
- a centerless grinding technique may utilize an indexing system employing sensors (e.g., optical/reflective, magnetic) to avoid excessive grinding of the connection.
- the centerless grinding technique may utilize a CBN or diamond abrasive grinding wheel that is well shaped and dressed to avoid grabbing shaft 10 during the grinding process.
- shaft 10 is centerless ground using a Royal Master HI- AC centerless grinder.
- the spin orientation of the grinding technique is coordinated with the twist orientation of shaft 10 so that both have the same handedness or direction as described above.
- FIG. 5 An example medical device 34 is illustrated in Figure 5 that includes shaft 10 ground according to the methods described above. It can also be seen in Figure 5 that device 34 may also include an outer member or sheath 36 and a distal shaping ribbon 38 that may extend, for example, from distal region 30 to a distal solder ball tip 40. Sheath 36 may be disposed over at least a portion of shaft 10, for example over distal region 30. Sheath 36 may be made with materials such as polymers, metals, metal alloys, metal-polymer composites, or other suitable materials.
- suitable polymers may include PTFE, fluorinated ethylene propylene (FEP), polyurethane, polypropylene (PP), polyvinylchloride (PNC), polyether-ester (for example, a polyether-ester elastomer such as AR ⁇ ITEL® available from DSM Engineering Plastics), polyester (for example, a polyester elastomer such as HYTREL® available from DuPont), polyamide (for example, DURETHA ⁇ ® available from Bayer or CRISTAMID® available from Elf Atochem), elastomeric polyamides, block polyamide/ethers, polyether block amide (PEBA, for example, available under the trade name PEBAX®), silicones, polyethylene, Marlex high- density polyethylene, linear low-density polyethylene (for example, REXELL®), polyetheretherketone (PEEK), polyimide (PI), polyetherimide (PEI), other suitable materials, or mixtures, combinations, or copolymers thereof.
- PEBA polyether
- sheath 36 can include a liquid crystal polymer (LCP) blended with other polymers to enhance torqueability.
- LCP liquid crystal polymer
- a coating for example, a lubricious, a hydrophilic, a protective or other type of coating may be applied over portions or all of sheath 36, shaft 10 or other portions of device 34.
- Hydrophobic coatings such as fluoropolymers, provide a dry lubricity which improves guidewire handling and device exchanges. Lubricious coatings improve steerability and improve lesion crossing capability.
- Suitable lubricious polymers are well known in the art and may include silicone and the like, hydrophilic polymers such as polyarylene oxides, polyvinylpyrolidones, polyvinylalcohols, hydroxy alkyl cellulosics, algins, saccharides, caprolactones, and the like, and mixtures and combinations thereof. Hydrophilic polymers may be blended among themselves or with formulated amounts of water insoluble compounds (including some polymers) to yield coatings with suitable lubricity, bonding, and solubility. Some other examples of such coatings and materials and methods used to create such coatings can be found in U.S. Patent ⁇ os. 6, 139,510 and 5,772,609, which are incorporated herein by reference.
- Figure 6 illustrates an alternative medical device 134.
- Device 134 is essentially the same in form and function as device 34 except that outer member 136 comprises a coil or coiled region.
- Coil 136 can be disposed about at least a portion of shaft 10.
- coil 136 is disposed about the shaft 10 such that at least a portion of coil 136 has an inner surface having a size or diameter that is greater than the size or diameter of at least a portion of the outer surface of the elongated shaft 10.
- coil 136 may be disposed about distal region 30 and can include a portion disposed about one or more of the tapered regions. As such, a space or gap is formed between at least a portion of the coil 136 and at least a portion of the shaft 10.
- the coil 136 can be made of any or a variety of suitable materials, including, for example, metals, metal alloys, polymers, metal-polymer composites, and the like. Some examples of materials include stainless steel, nickel-chromium alloy, nickel- chromium-iron alloy, cobalt alloy, platinum, or other suitable materials, and the like. Some additional examples of suitable materials include straightened super elastic or linear elastic alloy (e.g., nickel-titanium) wire, or alternatively, a polymer material, such as a high performance polymer. In some embodiments, coil 136 can be made of, in full or in part, coated with, or doped with a radiopaque material.
- suitable materials include stainless steel, nickel-chromium alloy, nickel- chromium-iron alloy, cobalt alloy, platinum, or other suitable materials, and the like. Some additional examples of suitable materials include straightened super elastic or linear elastic alloy (e.g., nickel-titanium) wire, or alternatively, a polymer material, such as a high
- Coil 136 may be formed of round wire or flat ribbon ranging in dimensions to achieve the desired characteristics, such as flexibility, and be wrapped in a generally helical fashion by conventional winding techniques.
- the pitch of adjacent turns of coil 136 may be tightly wrapped so that each turn touches the succeeding turn, or the pitch may be set such that coil 136 is wrapped in an open fashion.
- the pitch of the coil can be varied along the length device 10.
- a coating for example a lubricious (e.g., hydrophylic) or other type of coating, may be applied over portions or all of coil 136.
- Some examples of such coatings include those discussed below with regard to coatings that can be used on the support member 12.
- the thickness of the coil may be varied along the longitudinal axis of the device 10.
- Coil 136 may include a proximal end that is coupled to or otherwise attached to shaft 10.
- the coil 136 can be attached using suitable attachment mechanism, for example a solder joint or other suitable attachment means such as adhesives, thermal bonding, mechanical bonding, and the like.
- a distal end of coil 136 may be coupled to shaft 10, for example, by a distal solder ball tip or other suitable connection.
- device 134 may include some of the other structural features of guidewires.
- device 134 may include a proximal connector.
- coil 136 may taper inward toward shaft 10.
- coil 136 may define the outside diameter of a portion of device 134, and the outside diameter may be greater near the proximal end of coil than at the distal end of coil 136.
- Shaft construction details have been described in particular to wires used to make guidewires. However, the methods described are equally applicable to any medical device incorporating an elongate shaft for which stringent specifications are required for straightness and profile. Exemplary uses would include a wire used as a core wire in a balloon catheter or a wire used to form a stylet for a catheter or introducer.
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- Engineering & Computer Science (AREA)
- Mechanical Engineering (AREA)
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Grinding Of Cylindrical And Plane Surfaces (AREA)
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- Surgical Instruments (AREA)
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2006500998A JP4728946B2 (en) | 2003-01-17 | 2004-01-16 | Guide wire manufacturing method |
EP04703012A EP1583636A1 (en) | 2003-01-17 | 2004-01-16 | Method for producing a guidewire |
CA002513235A CA2513235A1 (en) | 2003-01-17 | 2004-01-16 | Method for producing a guidewire |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/346,698 US8113916B2 (en) | 2003-01-17 | 2003-01-17 | Straightening and centerless grinding of wire for use with medical devices |
US10/346,698 | 2003-01-17 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2004065062A1 true WO2004065062A1 (en) | 2004-08-05 |
Family
ID=32712213
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2004/001202 WO2004065062A1 (en) | 2003-01-17 | 2004-01-16 | Method for producing a guidewire |
Country Status (5)
Country | Link |
---|---|
US (1) | US8113916B2 (en) |
EP (1) | EP1583636A1 (en) |
JP (1) | JP4728946B2 (en) |
CA (1) | CA2513235A1 (en) |
WO (1) | WO2004065062A1 (en) |
Families Citing this family (36)
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US7914467B2 (en) * | 2002-07-25 | 2011-03-29 | Boston Scientific Scimed, Inc. | Tubular member having tapered transition for use in a medical device |
US8377035B2 (en) | 2003-01-17 | 2013-02-19 | Boston Scientific Scimed, Inc. | Unbalanced reinforcement members for medical device |
US7182735B2 (en) * | 2003-02-26 | 2007-02-27 | Scimed Life Systems, Inc. | Elongated intracorporal medical device |
US7237313B2 (en) * | 2003-12-05 | 2007-07-03 | Boston Scientific Scimed, Inc. | Elongated medical device for intracorporal use |
US7824345B2 (en) | 2003-12-22 | 2010-11-02 | Boston Scientific Scimed, Inc. | Medical device with push force limiter |
US7747314B2 (en) | 2003-12-30 | 2010-06-29 | Boston Scientific Scimed, Inc. | Distal assembly for a medical device |
US7850623B2 (en) | 2005-10-27 | 2010-12-14 | Boston Scientific Scimed, Inc. | Elongate medical device with continuous reinforcement member |
US7651578B2 (en) * | 2006-06-08 | 2010-01-26 | Boston Scientific Scimed, Inc. | Guidewire with polymer jacket and method of making |
US8728010B2 (en) * | 2006-08-24 | 2014-05-20 | Boston Scientific Scimed, Inc. | Elongate medical device including deformable distal end |
US8551020B2 (en) | 2006-09-13 | 2013-10-08 | Boston Scientific Scimed, Inc. | Crossing guidewire |
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Also Published As
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EP1583636A1 (en) | 2005-10-12 |
CA2513235A1 (en) | 2004-08-05 |
JP2006516424A (en) | 2006-07-06 |
JP4728946B2 (en) | 2011-07-20 |
US20040142643A1 (en) | 2004-07-22 |
US8113916B2 (en) | 2012-02-14 |
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