WO2021183964A2 - Guidewire-management devices and methods thereof - Google Patents

Guidewire-management devices and methods thereof Download PDF

Info

Publication number
WO2021183964A2
WO2021183964A2 PCT/US2021/022226 US2021022226W WO2021183964A2 WO 2021183964 A2 WO2021183964 A2 WO 2021183964A2 US 2021022226 W US2021022226 W US 2021022226W WO 2021183964 A2 WO2021183964 A2 WO 2021183964A2
Authority
WO
WIPO (PCT)
Prior art keywords
guidewire
sleeve
management device
handle
conduit
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.)
Ceased
Application number
PCT/US2021/022226
Other languages
English (en)
French (fr)
Other versions
WO2021183964A3 (en
Inventor
Glade H. Howell
Kyle G THORNLEY
Juan SEPULVEDA
Kevin Lloyd
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.)
Bard Access Systems Inc
Original Assignee
Bard Access Systems Inc
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 Bard Access Systems Inc filed Critical Bard Access Systems Inc
Priority to KR1020227035297A priority Critical patent/KR102937628B1/ko
Priority to AU2021236392A priority patent/AU2021236392B2/en
Priority to BR112022017351A priority patent/BR112022017351A2/pt
Priority to EP21716910.1A priority patent/EP4117765A2/en
Priority to JP2022554837A priority patent/JP7759334B2/ja
Priority to CA3172383A priority patent/CA3172383A1/en
Priority to MX2022011216A priority patent/MX2022011216A/es
Publication of WO2021183964A2 publication Critical patent/WO2021183964A2/en
Publication of WO2021183964A3 publication Critical patent/WO2021183964A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/002—Packages specially adapted therefor ; catheter kit packages
    • 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
    • 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
    • A61M25/09041—Mechanisms for insertion of guide wires
    • 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
    • A61M2025/09116—Design of handles or shafts or gripping surfaces thereof for manipulating guide wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M2025/09175—Guide wires having specific characteristics at the distal tip

Definitions

  • a catheter is typically placed in a blood vessel of a patient using the Seldinger technique, which involves inserting a hollow needle into the blood vessel, inserting a guidewire into the needle, advancing the guidewire into the blood vessel, and removing the needle from the blood vessel leaving the guidewire in place.
  • the catheter is then advanced over the guidewire until it is suitably placed with the patient’s vasculature.
  • the guidewire is then removed from the patient.
  • Guidewires for use in accordance with the Seldinger technique are typically packaged in a coiled-tube dispenser to keep the guidewires sterile and make handling the guidewires less cumbersome.
  • inserting such a guidewire from a dispenser into a hollow needle requires two hands. In particular, one hand is required to hold both the needle and an engagement piece configured to guide the guidewire into the needle, while another hand is required to grip the guidewire and direct the guidewire from the dispenser into the needle. The more the guidewire is handled, the more opportunity for contamination or damage to the guidewire.
  • there is a need for better guidewire management in medical procedures such as those requiring the Seldinger technique there is a need for better guidewire management in medical procedures such as those requiring the Seldinger technique.
  • a guidewire-management device including, in some embodiments, a connecting step of connecting a first sleeve of the guidewire- management device to a hub of a medical device inserted into an insertion site of a patient.
  • the first sleeve is configured as a male connector with a Luer taper.
  • the method further includes an advancing step of advancing a guidewire of the guidewire-management device from the first sleeve through the hub of the medical device and into the insertion site of the patient.
  • the guidewire is disposed within a sterile barrier configured to maintain sterility of the guidewire until being fed into the first sleeve.
  • the method further includes a withdrawing step of withdrawing the guidewire from the insertion site of the patient through the hub of the medical device and into the first sleeve.
  • a bore in a proximal portion of the first sleeve includes a metering-mechanism configured to meter the sterile barrier out of the bore to recover the guidewire when withdrawing the guidewire from the insertion site of the patient
  • the advancing step includes pinching the guidewire within the sterile barrier and advancing the guidewire into the first sleeve by hand.
  • the sterile barrier is a pleated bag or a bellowed boot.
  • the advancing step includes pressing the guidewire within the sterile barrier onto a thumb wheel and rolling the thumb wheel to advance the guidewire into the first sleeve, the sterile barrier being a pleated bag.
  • the method further includes a ceasing step of ceasing to advance the guidewire into the insertion site of the patient when a ball end of a proximal portion of the guidewire is captured in a constriction of a bore in a proximal portion of a second sleeve of the guidewire-management device.
  • a seal in the first sleeve blocks fluid from entering or escaping the guidewire-management device when withdrawing the guidewire from the insertion site of the patient through the hub of the medical device and into the first sleeve.
  • a distal portion of the guidewire includes a T -shaped tip configured to straighten as the tip of the guidewire enters the first sleeve when withdrawing the guidewire from the insertion site.
  • the method further includes ceasing to withdraw the guidewire from the insertion site of the patient when a proximal end of the guidewire abuts a plug in a proximal portion of a guidewire conduit of the guidewire-management device.
  • a guidewire-management device including, in some embodiments, a handle, a guidewire, a first sleeve formed in a distal portion of the handle, a second sleeve formed in a proximal portion of the handle, a wheel disposed under the guidewire between the first sleeve and the second sleeve configured to grip the guidewire when the wheel is turned, and a knob coupled to the wheel.
  • the guidewire extends between the first sleeve and the second sleeve disposed within a capsule to maintain sterility of the guidewire.
  • the knob is configured to assist in distally feeding the guidewire out of the guidewire-management device by way of the first sleeve when the knob is rotated clockwise.
  • the knob is also configured to assist in proximally feeding the guidewire into the guidewire-management device by way of the first sleeve when the knob is rotated counterclockwise.
  • the first sleeve has a distal portion configured as a male connector with a Luer taper for connecting the first sleeve to a complementary female connector.
  • the first sleeve is configured to straighten a T-shaped tip in a distal portion of the guidewire as the tip of the guidewire enters the first sleeve when proximally feeding the guidewire into the guidewire-management device.
  • the second sleeve has a proximal portion including a bore with a constriction configured to capture a ball end of the guidewire and stop the guidewire from completely passing through the second sleeve.
  • the guidewire-management device further includes a guidewire conduit coupled to the second sleeve.
  • the guidewire conduit is configured to distally feed the guidewire into the guidewire-management device by way of the second sleeve.
  • the guidewire conduit is configured to maintain sterility of the guidewire outside of the first sleeve, the capsule, and the second sleeve.
  • the handle includes a channel configured to hold the guidewire conduit therein when the guidewire conduit is in a coiled configuration.
  • a guidewire-management device including, in some embodiments, a handle, a guidewire, a first sleeve formed in a distal portion of the handle, a second sleeve formed in a proximal portion of the handle, and a gapped guidewire conduit coupled to the second sleeve. At least a length of the guidewire extends between the first sleeve and the second sleeve disposed within a sterile barrier configured to maintain sterility of the guidewire. A gap in the gapped guidewire conduit is configured to allow the guidewire to be grasped and distally fed into the guidewire-management device by way of the second sleeve.
  • the first sleeve has a distal portion configured as a male connector with a Luer taper for connecting the first sleeve to a complementary female connector.
  • the first sleeve is configured to straighten a T-shaped tip in a distal portion of the guidewire as the tip of the guidewire enters the first sleeve when proximally feeding the guidewire into the guidewire-management device.
  • the second sleeve has a proximal portion including a bore with a constriction configured to capture a ball end of the guidewire and stop the guidewire from completely passing through the second sleeve.
  • the sterile barrier is a pleated bag over an entirety of the guidewire excepting that within or distal to the first sleeve.
  • the bag is configured to pleat as the bag is inserted into a bore in a proximal portion of the first sleeve while distally feeding the guidewire out of the guidewire-management device.
  • the sterile barrier is a splittable casing over an entirety of the guidewire excepting that within or distal to the first sleeve.
  • the splittable casing is configured to split off the guidewire while distally feeding the guidewire out of the guidewire- management device.
  • the guidewire-management device further includes a first split sleeve in the distal portion of the handle.
  • the first split sleeve is configured to discharge the splittable casing while distally feeding the guidewire out of the guidewire- management device.
  • a guidewire-management device including, in some embodiments, a handle, a guidewire, a first sleeve formed in a distal portion of the handle, a second sleeve formed in a proximal portion of the handle, a guidewire conduit coupled to the second sleeve, and a tether coupled to a proximal portion of the guidewire and disposed in the guidewire conduit along with the guidewire.
  • the guidewire extends between the first sleeve and the second sleeve optionally disposed within a capsule to maintain sterility of the guidewire.
  • the guidewire conduit is configured to distally feed the guidewire into the guidewire-management device by way of the second sleeve.
  • the guidewire conduit is configured to maintain sterility of the guidewire outside of the first sleeve, the capsule, and the second sleeve.
  • the tether is configured to assist in distally feeding the guidewire out of the guidewire-management device by way of the first sleeve when the tether is pulled away from the guidewire-management device.
  • the first sleeve has a distal portion configured as a male connector with a Luer taper for connecting the first sleeve to a complementary female connector.
  • the first sleeve is configured to straighten a T-shaped tip in a distal portion of the guidewire as the tip of the guidewire enters the first sleeve when proximally feeding the guidewire into the guidewire-management device.
  • the second sleeve has a proximal portion including a bore with a constriction configured to capture a mass about a proximal portion of the guidewire and stop the guidewire from completely passing through the second sleeve.
  • the handle includes a guidewire-conduit channel configured to hold the guidewire conduit therein when the guidewire conduit is in a coiled configuration.
  • the handle includes a tether channel extending through a portion of the handle.
  • the tether is disposed in the tether channel without the guidewire.
  • the tether wire has a stiffness sufficient for proximally feeding the tether wire into the guidewire-management device along with the guidewire.
  • the guidewire-management device further includes a thumb wheel configured to assist in distally feeding the tether wire out of the guidewire- management device.
  • the tether wire is coupled to a slider disposed in a slot of the handle.
  • the slider configured to provide a user interface for at least distally feeding the guidewire out of the guidewire-management device.
  • the guidewire-management device is configured such that the tether wire never contacts the guidewire except for a coupling that couples proximal ends of the tether wire and the guidewire together.
  • the guidewire is disposed in a splittable casing in at least the guidewire conduit. Any portion of the splittable casing that splits off of the guidewire forms a tether line configured to provide a user interface for at least distally feeding the guidewire out of the guidewire-management device.
  • a guidewire-management device including, in some embodiments, a handle, a guidewire, a first sleeve formed in a distal portion of the handle, a second sleeve formed in a proximal portion of the handle, a guidewire conduit coupled to the second sleeve, and a combination of a thumb wheel, a guidewire-gripping wheel coupled to the thumb wheel, and a compression wheel between the first sleeve and the second sleeve.
  • the guidewire is concealed in the handle between the first sleeve and the second sleeve to maintain sterility of the guidewire.
  • the guidewire conduit is configured to distally feed the guidewire into the guidewire-management device by way of the second sleeve, as well as maintain the sterility of the guidewire in combination with the handle.
  • the guidewire is disposed between the guidewire-gripping wheel and the compression wheel such that the guidewire is distally fed out of the guidewire-management device by way of the first sleeve or proximally fed into the guidewire-management device by way of the first sleeve in accordance with turning the thumb wheel.
  • FIG. 1 provides an isometric view of a first guidewire-management device in accordance with some embodiments.
  • FIG. 2 provides a longitudinal cross section of the first guidewire-management device in accordance with some embodiments.
  • FIG. 3 provides an isometric view of a second guidewire-management device in accordance with some embodiments.
  • FIG. 4 provides a longitudinal cross section of the second guidewire- management device in accordance with some embodiments.
  • FIG. 5 provides a detailed view of a ball end of a guidewire distal to a plug in a guidewire conduit in accordance with some embodiments.
  • FIG. 6 provides a side view of a third guidewire-management device in accordance with some embodiments.
  • FIG. 7 provides an isometric view of a handle of a fourth guidewire- management device in accordance with some embodiments.
  • FIG. 8 provides a longitudinal cross section of the fourth guidewire- management device in accordance with some embodiments.
  • FIG. 9 provides a side view of a fifth guidewire-management device in accordance with some embodiments.
  • FIG. 10 provides a longitudinal cross section of the fifth guidewire-management device in accordance with some embodiments.
  • FIG. 11 provides a top view of the sixth guidewire-management device in accordance with some embodiments.
  • FIG. 12 provides a side view of a seventh guidewire-management device in accordance with some embodiments.
  • FIG. 13 provides a side view of an eighth guidewire-management device in accordance with some embodiments.
  • FIG. 14 provides a side view of a ninth guidewire-management device in accordance with some embodiments.
  • FIG. 15 provides a side view of a tenth guidewire-management device in accordance with some embodiments.
  • FIG. 16 provides a side view of an eleventh guidewire-management device in accordance with some embodiments.
  • FIG. 17 provides a top view of a handle of the eleventh guidewire-management device in accordance with some embodiments.
  • FIG. 18 provides a side view of a twelfth guidewire-management device in accordance with some embodiments.
  • FIG. 19 provides a longitudinal cross section of the twelfth guidewire- management device in accordance with some embodiments.
  • FIG. 20 provides a top view of a handle of the twelfth guidewire-management device in accordance with some embodiments.
  • FIG. 21 provides a detailed view of a proximal portion of the handle of the twelfth guidewire-management device in accordance with some embodiments.
  • FIG. 22 provides a detailed view of the proximal portion of the handle of the twelfth guidewire-management device without a guidewire conduit in accordance with some embodiments.
  • FIG. 23 provides a detailed view of the proximal portion of the guidewire conduit of the twelfth guidewire-management device in accordance with some embodiments.
  • FIG. 24 provides an isometric view of a thirteenth guidewire-management device in accordance with some embodiments.
  • proximal portion or a “proximal end portion” of, for example, a catheter disclosed herein includes a portion of the catheter intended to be near a clinician when the catheter is used on a patient.
  • proximal length of, for example, the catheter includes a length of the catheter intended to be near the clinician when the catheter is used on the patient.
  • proximal end of, for example, the catheter includes an end of the catheter intended to be near the clinician when the catheter is used on the patient.
  • the proximal portion, the proximal end portion, or the proximal length of the catheter can include the proximal end of the catheter; however, the proximal portion, the proximal end portion, or the proximal length of the catheter need not include the proximal end of the catheter. That is, unless context suggests otherwise, the proximal portion, the proximal end portion, or the proximal length of the catheter is not a terminal portion or terminal length of the catheter.
  • a “distal portion” or a “distal end portion” of, for example, a catheter disclosed herein includes a portion of the catheter intended to be near or in a patient when the catheter is used on the patient.
  • a “distal length” of, for example, the catheter includes a length of the catheter intended to be near or in the patient when the catheter is used on the patient.
  • a “distal end” of, for example, the catheter includes an end of the catheter intended to be near or in the patient when the catheter is used on the patient.
  • the distal portion, the distal end portion, or the distal length of the catheter can include the distal end of the catheter; however, the distal portion, the distal end portion, or the distal length of the catheter need not include the distal end of the catheter. That is, unless context suggests otherwise, the distal portion, the distal end portion, or the distal length of the catheter is not a terminal portion or terminal length of the catheter.
  • a tether disclosed herein includes a tether mechanism including any tether line, tether handle, slider or other elements directly or indirectly coupled to a guidewire configured to advance or withdraw the guidewire respectively out or into a guidewire-management device.
  • FIGS. 1-23 illustrate various guidewire-management devices, namely guidewire-management devices 100, 300, 600, 700, 1700, 2000, 2100, 2200, 2300, 2400, and 2600.
  • guidewire-management devices 100, 300, 600, and 700 are initially described below with an emphasis on features in common with each other and many other guidewire management devices set forth herein.
  • Such features can be identified among the various guidewire-management devices by identical reference numbers (e.g., guidewire 102), similar reference numbers (e.g., first sleeve 110, first sleeve 610, first sleeve 710, or the like, where the leading digits of the reference numbers are different to reflect the figures or embodiments associated with the features), description, or a combination thereof.
  • identical reference numbers e.g., guidewire 102
  • similar reference numbers e.g., first sleeve 110, first sleeve 610, first sleeve 710, or the like, where the leading digits of the reference numbers are different to reflect the figures or embodiments associated with the features
  • description or a combination thereof.
  • features in common among any group of guidewire-management devices of the various guidewire-management devices 100, 300, 600, 700, 1700, 2000, 2100, 2200, 2300, 2400, and 2600 can be similarly identified.
  • the guidewire-management devices 100, 300, 600, and 700 Subsequent to the initial description for the guidewire- management devices 100, 300, 600, and 700, the guidewire-management devices 100, 300, 600, 700, 1700, 2000, 2100, 2200, 2300, 2400, and 2600 are individually or collectively described below with respect to some of the unique features thereof.
  • the guidewire-management device 100, 300, 600, or 700 includes a guidewire 102, a first sleeve 110, 610, or 710, and a second sleeve 120, 620, or 720.
  • the first sleeve 110, 610, or 710 is configured with a lumen for distally feeding, or advancing, the guidewire 102 out of the guidewire-management device 100, 300, 600, or 700.
  • the first sleeve 110, 610, or 710 has a distal portion configured as a male connector with a Luer taper for connecting the first sleeve 110, 610, or 710 to a complementary female connector such as that of a hub of a hollow needle or a catheter.
  • the male connector is configured such that when coupled to such a complementary female connector of, for example, the foregoing catheter, the guidewire-management device 100, 300, 600, or 700 forms a single unit with the catheter, thereby enabling the single unit to be held with one hand for guidewire management (e.g., distally feeding the guidewire 102 out of the guidewire-management device 100, 300, 600, or 700. into the catheter).
  • guidewire management e.g., distally feeding the guidewire 102 out of the guidewire-management device 100, 300, 600, or 700. into the catheter.
  • the first sleeve 110, 610, or 710 has a proximal portion including a bore 112,
  • the bore 112, 612, or 712 is configured to house a distal portion of a sterile barrier 104 or 304 or collect the distal portion of the sterile barrier 104 when distally feeding the guidewire 102 out of the guidewire-management device 100, 300, 600, or 700.
  • the bore 112, 612, or 712 can include a metering mechanism such as a circumferential ridge of the bore 112, 612, or 712.
  • Such a circumferential ridge is configured to hold back portions (e.g., pleats) of the sterile barrier 104 in the bore 112, 612, or 712 distal of the circumferential ridge subsequent to collecting the distal portion of the sterile barrier 104 in the bore 112, 612, or 712.
  • the sterile barrier 104 is metered out of the bore 112, 612, or 712 in portions (e.g., one pleat at a time), which facilitates proximally feeding the guidewire 102 into the guidewire-management device 100, 300, or 700 by letting out only as much of the sterile barrier 104 as immediately needed in to recover the guidewire 102.
  • the first sleeve 110, 610, or 710 is also configured for proximally feeding, or withdrawing, the guidewire 102 into the guidewire-management device 100, 300, 600, or 700.
  • the first sleeve 110, 610, or 710 is configured to straighten the guidewire 102 such as a - shaped tip thereof when proximally feeding the guidewire 102 into the guidewire-management device 100, 300, 600, or 700. ( See FIGS.
  • the first sleeve 110, 610, or 710 can include a seal such as an O’-ring 114, 614 (not shown), or 714 configured to block fluid (e.g., blood) from entering the guidewire-management device 100, 300, 600, or 700 when proximally feeding the guidewire into the guidewire-management device 100, 300, 600, or 700.
  • a seal such as an O’-ring 114, 614 (not shown), or 714 configured to block fluid (e.g., blood) from entering the guidewire-management device 100, 300, 600, or 700 when proximally feeding the guidewire into the guidewire-management device 100, 300, 600, or 700.
  • the seal for example, the O’-ring 114, 614, or 714, is also configured to block fluid (e.g., air) from escaping the guidewire-management device 100, 300, 600, or 700 when proximally feeding the guidewire into the guidewire-management device 100, 300, 600, or 700, thereby minimizing or obviating risk of air embolism.
  • the first sleeve 110, 610, or 710 can include a guidewire lock configured to lock the guidewire 102 in place when, for example, proximally feeding the guidewire 102 into the guidewire-management device 100, 300, 600, or 700 and a desired depth of the guidewire 102 in a patient has been reached.
  • the guidewire lock can be configured to lock the guidewire 102 in place by rotating a distal-end piece of the first sleeve 110, 610, or 710 to compress the O’-ring 114 more tightly on the guidewire 102.
  • the guidewire lock can include a ball stopper configured to move along the guidewire-management device 100, 300, 600, or 700 and tighten, so that if a clinician only deploys the guidewire 102 halfway, the clinician could adjust the guidewire lock so that the guidewire 102 would never be deployed beyond halfway.
  • the second sleeve 120, 620, or 720 is proximal of the first sleeve 110, 610, or
  • the guidewire-management device 100, 300, 600, or 700 such that at least a length of the guidewire 102 extends between the first sleeve 110, 610, or 710 and the second sleeve 120, 620, or 720. At least the length of the guidewire 102 extending between the first sleeve 110, 610, or 710 and the second sleeve 120, 620, or 720 is disposed within the sterile barrier 104 or 304.
  • the second sleeve 120, 620, or 720 is configured with a lumen for feeding the guidewire 102 in concert with the first sleeve 110, 610, or 710 such as distally feeding the guidewire 102 out of the guidewire-management device 100, 300, 600, or 700.
  • the second sleeve 120, 620, or 720 has a proximal portion optionally including a bore 122 into which the lumen of the second sleeve 120, 620, or 720 opens.
  • the second sleeve 120 has the proximal portion including the bore 122
  • the second sleeve 620 or 720 has the proximal portion without such a bore.
  • the second sleeve 120, 620, or 720 further includes a constriction 124, a recess 724, or a similar stopping means for stopping an end of the guidewire 102 having a mass such as a ball or slug end thereof from completely passing through the second sleeve 120, 620, or 720 when distally feeding the guidewire 102 out of the guidewire-management device 100, 300, 600, or 700.
  • the constriction 124, the recess 724, or the similar stopping means is configured to stop the end of the guidewire 102 from completely passing through the second sleeve 120, 620, or 720
  • the constriction 124, the recess 724, or the similar stopping means is also configured to stop the guidewire from completely passing through the guidewire- management device 100, 300, 600, or 700 and into a patient where the guidewire 102 can be lost. That said, the mass can be configured to break off the end of the guidewire 102 when a threshold amount of tension is manually applied such as subsequent to the guidewire 102 reaching its proper depth in a patient when it is desired the guidewire be free of the guidewire- management device 100, 300, 600, or 700.
  • the second sleeve 120, 620, or 720 is also configured for proximally feeding the guidewire 102 into of the guidewire-management device 100, 300, 600, or 700 in concert with the first sleeve 110, 610, or 710.
  • the second sleeve 120, 620, 720 has a distal portion including a bore 126, 626 (not shown), or 726 into which the lumen of the second sleeve 120, 620, or 720 opens.
  • the bore 126, 626, or 726 is configured to house a proximal portion of the sterile barrier 104 or 304 or collect the proximal portion of the sterile barrier 104 or 304 when proximally feeding the guidewire 102 into of the guidewire-management device 100, 300, 600, or 700.
  • the guidewire 102 has a distal portion and a proximal portion.
  • the distal portion of the guidewire 102 can include a ‘ T-shaped tip configured to straighten as the tip of the guidewire 102 enters the first sleeve 110, 610, or 710 when proximally feeding the guidewire 102 into the guidewire-management device 100, 300, 600, or 700.
  • the T-shaped tip is configured to reform the T shape upon release from its constriction (e.g., the first sleeve 110, 610, or 710).
  • the tip of the guidewire 102 does not reform the T shape until the tip is distally beyond the needle such as in a blood vessel.
  • the proximal portion of the guidewire 102 can include a mass such as ball end of the guidewire 102 configured to stop the guidewire 102 from completely passing through the second sleeve 120, 620, or 720 on account of the constriction 124, the recess 724, or the similar stopping means when distally feeding the guidewire 102 out the guidewire- management device 100, 300, 600, or 700.
  • a mass such as ball end of the guidewire 102 configured to stop the guidewire 102 from completely passing through the second sleeve 120, 620, or 720 on account of the constriction 124, the recess 724, or the similar stopping means when distally feeding the guidewire 102 out the guidewire- management device 100, 300, 600, or 700.
  • the sterile barrier 104 or 304 is configured to maintain sterility of the guidewire
  • the sterile barrier 104 is a pleated bag.
  • the sterile barrier 104, or the bag 104 is configured to unpleat as it is drawn from the second sleeve 120, of the guidewire- management device 100 or pass through the second sleeve 620, or 720 of the guidewire- management device 600 or 700 while distally feeding the guidewire 102 out of the guidewire- management device 100, 600, or 700.
  • the bag 104 is also configured to pleat as it is inserted into the first sleeve 110, 610, or 710 while distally feeding the guidewire 102 out of the gui dewire-management device 100, 600, or 700. Likewise, the bag 104 is configured to unpleat as it is drawn from the first sleeve 110, 610, or 710 while proximally feeding the guidewire 102 into the guidewire-management device 100, 600, or 700.
  • the bag 104 is also configured to pleat as it is inserted into the second sleeve 120, 620, or 720 of the guidewire-management device 100 or pass through the second sleeve 620 or 720 of the guidewire-management device 600 or 700 while proximally feeding the guidewire 102 into the guidewire-management device 100, 600, or 700.
  • a combination of a length of the bag 104, a sealed (e.g., heat crimped) proximal end of the bag 104, and an attached distal end of the bag 104 is configured to provide a stop for the end (e.g., ball end) of the guidewire 102 when proximally feeding the guidewire 102 into the guidewire-management device 600 or 700. That is, the proximal end of the bag 104, itself, provides a stop when proximally feeding the guidewire 102 into the guidewire-management device 600 or 700 and the bag 104 reaches its maximum length from where it is attached to the guidewire-management device 600 or 700.
  • a method for distally feeding, or advancing, the guidewire 102 out of the guidewire-management device 100, 600, or 700 is set forth below.
  • a method for proximally feeding, or withdrawing, the guidewire 102 into the guidewire-management device 100, 600, or 700 is also set forth below.
  • the sterile barrier 304 is a bellowed boot.
  • the boot 304 is configured to iteratively stretch from an equilibrium state and relax back into the equilibrium state while distally feeding the guidewire 102 out of the guidewire-management device 300.
  • the boot 304 is configured to iteratively stretch from an equilibrium state and relax back into the equilibrium state while proximally feeding the gui dewire 102 into the guidewire-management device 300.
  • a method for distally feeding, or advancing, the guidewire 102 out of the guidewire-management device 300 is set forth below.
  • a method for proximally feeding, or withdrawing, the guidewire 102 into the guidewire-management device 300 is also set forth below.
  • the sterile barrier 104 or 304 can alternatively be a splittable casing 1204 ( see FIG. 12) over an entirety of the guidewire 102 or at least most of the guidewire 102, for example, excepting that within or distal to the first sleeve 110, 610, or 710.
  • the splittable casing 1204 is configured to split off the guidewire 102 while distally feeding the guidewire 102 out of a guidewire-management device.
  • Some of the foregoing guidewire-management devices are configured to insert the guidewire 102 into the splittable casing 1204 while proximally feeding the guidewire 102 into the guidewire- management devices.
  • the splittable casing 1204 can include graduated markings thereon configured to indicate a length of the guidewire 102 from the tip thereof.
  • the guidewire-management devices 100 and 300 include the guidewire 102, a frame 140 including a pair of tubular rails 142, a guidewire conduit 150 threaded through the pair of tubular rails 142, the first sleeve 110 mounted on struts between each rail of the pair of tubular rails 142, and the second sleeve 120 mounted on struts between each rail of the pair of tubular rails 142 proximal of the first sleeve 110. At least a portion of the guidewire 102 is disposed within the guidewire conduit 150.
  • the guidewire conduit 150 can be opaque or translucent depending upon a chosen polymeric material. When the guidewire conduit 150 is translucent, the guidewire conduit 150 is configured for viewing the guidewire 102 while distally feeding the guidewire 102 out of the guidewire-management device 100 or 300 or proximally feeding the guidewire 102 into the guidewire-management device 100 or 300. [0089] FIG. 5 illustrates the ball end of the guidewire 102 distal to a plug 152 in the guidewire conduit 150 in accordance with some embodiments.
  • the guidewire conduit 150 has a proximal portion including the plug 152 configured to stop the ball end of the guidewire 102 (or any similar mass at the end of the guidewire 102) from passing through what would otherwise be an opening in a proximal end of the guidewire conduit 150.
  • the plug 152 is simply a crimped portion of the guidewire conduit 150 with the same effect. Stopping the ball end of the guidewire 102 from passing through such an opening in the guidewire conduit 150 prevents the tip of the guidewire 102 from completely passing through the first sleeve 110 and reforming the ‘ J’ -shaped tip when proximally feeding the guidewire 102 into the guidewire-management device 100 or 300.
  • the guidewire-management device 600 or 700 includes a handle 640 or 740, the guidewire 102, the first sleeve 610 or 710 formed in a distal portion of the handle 640 or 740, the second sleeve 620 or 720 formed in a proximal portion of the handle 640 or 740, and a thumb wheel 642 or 742 disposed under the guidewire 102 between the first sleeve 610 or 710 and the second sleeve 620 or 720.
  • the handle 640 or 740 is ambidextrous in that it is configured to be held in either a right or left hand of a clinician.
  • the handle 640 or 740 is configured to be held in at least two different modes.
  • the first mode in which the clinician holds the handle 640 or 740 like a person might hold the handle of a hammer, is a general mode for handling the guidewire-management device 600 or 700.
  • the second mode in which the clinician repositions his or her thumb over the thumb wheel 642 or 742, is an operational mode for advancing the guidewire 102 out of the guidewire-management device 600 or 700 or withdrawing the guidewire 102 into the guidewire-management device 600 or 700.
  • some clinicians might find it comfortable to hold the handle 640 or 740 like a person might hold the barrel of a flashlight, thereby accessing both the first and second modes with less hand movement.
  • the handle 640 includes a channel 641 configured to hold a conduit therein.
  • the conduit can be a guidewire conduit, a guidewire-casing conduit, or the like.
  • a channel can hold a conduit in a coiled configuration, thereby packing an otherwise elongate conduit into a compact space.
  • the handle 640 is shown with any channels, the handle 740 can include a channel configured to hold a conduit.
  • the handle 640 need not include the channel 641.
  • the thumb wheel 642 or 742 can be rotatably mounted on an axle fixedly coupled to each side of the handle 640 or 740 such that the thumb wheel 642 or 742 rotates relative to both the axle and the handle 640 or 740.
  • the thumb wheel 642 or 742 can include the axle (e.g., as a unitary piece) or be fixedly mounted on the axle, which, in turn, is rotatably coupled to each side of the handle 640 or 740 such that a combination of the thumb wheel 642 or 742 and the axle rotates with respect to the handle 640 or 740.
  • the thumb wheel 642 or 742 is configured to assist in distally feeding the guidewire 102 out of the guidewire- management device 600 or 700 by way of the first sleeve 610 or 710.
  • the thumb wheel 642 or 742 is also configured to assist in proximally feeding the guidewire 102 into the guidewire- management device 600 or 700 by way of the first sleeve 610 or 710.
  • a method for distally feeding, or advancing, the guidewire 102 out of the gui dewire-management device 600 or 700 is set forth below.
  • a method for proximally feeding, or withdrawing, the guidewire 102 into the guidewire-management device 600 or 700 is also set forth below.
  • the guidewire-management device 1700 includes a handle 1740, the guidewire 102, a first sleeve 1710 formed in a distal portion of the handle 1740, a second sleeve 1720 formed in a proximal portion of the handle 1740, a guidewire gripping wheel 1742 disposed under the guidewire 102 between the first sleeve 1710 and the second sleeve 1720 configured to grip the guidewire when the guidewire-gripping wheel 1742 is turned, and a knob 1744 coupled to the guidewire-gripping wheel 1742.
  • the guidewire 102 extends between the first sleeve 1710 and the second sleeve 1720 but is disposed within a capsule 1746 functioning as a sterile barrier to maintain sterility of the guidewire 102 between the first sleeve 1710 and the second sleeve 1720.
  • the guidewire- management device 1700 includes a guidewire conduit 1750 coupled to the second sleeve 1720 configured to maintain sterility of the guidewire 102 outside of the first sleeve 1710, the capsule 1746, and the second sleeve 1720.
  • the handle 1740 is similar to the handle 640 set forth above. As such, the description set forth above for the handle 640 should be understood to extend to the handle 1740 as if the handle 1740 was included in the description of the handle 640. This includes the description for the channel 641 as the handle 1740 analogously includes a channel 1741.
  • the first sleeve 1710 is similar to the first sleeve 110, 610, or 710 set forth above. As such, the description set forth above for the first sleeves 110, 610, and 710 should be understood to extend to the first sleeve 1710 as if the first sleeve 1710 was included in the description of the first sleeves 110, 610, and 710.
  • the second sleeve 1720 is similar to the second sleeve 120, 620, or 720 set forth above. As such, the description set forth above for the second sleeves 120, 620, and 720 should be understood to extend to the second sleeve 1720 as if the second sleeve 1720 was included in the description of the second sleeves 120, 620, and 720.
  • a combination of the guidewire-gripping wheel 1742 and the knob 1744 is configured for distally feeding the guidewire 102 out of the guidewire-management device 1700 or proximally feeding the guidewire 102 into the guidewire-management device 1700.
  • the guidewire-gripping wheel 1742 includes an axle (e.g., as a unitary piece) fixedly coupled to the knob 1744 such that the guidewire-gripping wheel 1742 rotates with the knob 1744 when the knob 1744 is rotated relative to the handle 1740.
  • the knob 1744 includes an axle (e.g., as a unitary piece) and the guidewire-gripping wheel 1742 is fixedly coupled to the axle of the knob 1744 such that the guidewire-gripping wheel 1742 rotates with the knob 1744 when the knob 1744 is rotated relative to the handle 1740.
  • the guidewire-gripping wheel 1742 and the knob 1744 are independently fixedly coupled to an axle such that the guidewire-gripping wheel 1742 rotates with the knob 1744 when the knob 1744 is rotated relative to the handle 1740.
  • the combination of the guidewire- gripping wheel 1742 and the knob 1744 is configured to assist in distally feeding the guidewire 102 out of the guidewire-management device 1700 by way of the first sleeve 1710 such as when the knob 1744 is rotated clockwise.
  • the combination of the guidewire-gripping wheel 1742 and the knob 1744 can be configured to slip when a threshold amount of pressure is experienced while distally feeding the guidewire 102 out of the guidewire-management device 1700.
  • the combination of the guidewire-gripping wheel 1742 and the knob 1744 is also configured to assist in proximally feeding the guidewire 102 into the guidewire-management device 1700 by way of the first sleeve 1710 such as when the knob 1744 is rotated counterclockwise.
  • the guidewire-gripping wheel 1742 includes teeth configured to gently press the guidewire 102 against the capsule 1746 and grip the guidewire 102 using the resulting friction for distally feeding the guidewire 102 out of the guidewire-management device 1700 or proximally feeding the guidewire 102 into the guidewire-management device 1700.
  • the capsule 1746 extends between the first sleeve 1710 and the second sleeve
  • the capsule 1746 is configured to provide a backing against which the guidewire-gripping wheel 1742 gently presses the guidewire 102 in order to grip the guidewire 102 for distally feeding the guidewire 102 out of the guidewire- management device 1700 or proximally feeding the guidewire 102 into the guidewire- management device 1700.
  • the capsule 1746 can be translucent for viewing the guidewire 102 while it is either distally fed out of the guidewire-management device 1700 or proximally fed into the guidewire-management device 1700.
  • the capsule 1746 can be opaque as it is also possible to view the guidewire 102 in the guidewire conduit 1750 while it is either distally fed out of the guidewire-management device 1700 or proximally fed into the guidewire-management device 1700 if the guidewire conduit 1750 is translucent as set forth below.
  • the guidewire conduit 1750 is configured to distally feed the guidewire 102 into the guidewire-management device 1700 by way of the second sleeve 1720 while distally feeding the guidewire 102 out of the guidewire-management device 1700, as well as collect the guidewire 102 back in the guidewire conduit 1750 by way of the second sleeve 1720 while proximally feeding the guidewire 102 into the guidewire-management device 1700.
  • the guidewire conduit 1750 can be opaque or translucent depending upon a chosen polymeric material.
  • the guidewire-management device 1700 can further include one or more guidewire-conduit clips 1758 configured to hold different portions of the guidewire conduit 1750 therein.
  • the guidewire-conduit clips 1758 can hold the guidewire conduit 1750 in a coiled configuration, thereby packing the otherwise elongate guidewire conduit 1750 into a compact space.
  • the guidewire-management device 2000 or 2100 includes a handle 2040 or 2140, the guidewire 102, a first sleeve 2010 or 2110 formed in a distal portion of the handle 2040 or 2140, a second sleeve 2020 or 2120 formed in a proximal portion of the handle 2040 or 2140, and a gapped guidewire conduit 2050 or 2150 coupled to the second sleeve 2020 or 2120.
  • the handle 2040 or 2140 is similar to the handle 640 set forth above.
  • the description set forth above for the handle 640 should be understood to extend to the handle 2040 or 2140 as if the handle 2040 or 2140 was included in the description of the handle 640.
  • the handle 2040 or 2140 does not include a thumb wheel such as the thumb wheel 642 of the handle 640, so the description set forth above for the foregoing does not extend to the handle 2040 or 2140.
  • the handle 2040 or 2140 includes a ridge 2042 or 2142 between the first sleeve 2010 or 2110 and the second sleeve 2020 or 2120.
  • the ridge 2042 or 2142 can be arcuate and textured (e.g., transversely grooved) as shown, which ridge 2042 or 2142 is configured to provide a tactile sense of place should a clinician choose to gently press the guidewire 102 into the ridge 2042 or 2142 with his or her thumb and use the resulting pressure to distally feed the guidewire 102 out of the guidewire-management device 2000 or 2100 or proximally feed the guidewire 102 into the guidewire-management device 2000 or 2100.
  • the first sleeve 2010 or 2110 is similar to the first sleeve 110, 610, or 710 set forth above. As such, the description set forth above for the first sleeves 110, 610, and 710 should be understood to extend to the first sleeves 2010 and 2110 as if the first sleeves 2010 and 2110 were included in the description of the first sleeves 110, 610, and 710.
  • the second sleeve 2020 or 2120 is similar to the second sleeve 120, 620, or 720 set forth above.
  • the description set forth above for the second sleeves 120, 620, and 720 should be understood to extend to the second sleeves 2020 and 2120 as if the second sleeve 2020 and 2120 were included in the description of the second sleeves 120, 620, and 720.
  • the gapped guidewire conduit 2050 or 2150 includes a gap 2056 or 2156 in the gapped guidewire conduit 2050 or 2150 proximal of the second sleeve 2020 or 2120.
  • the gap 2056 or 2156 is configured to expose the guidewire 102 in the gapped guidewire conduit 2050 or 2150 such that the guidewire 102 can be grasped (e.g., between a thumb and index finger) and distally fed into the guidewire-management device 2000 or 2100 by way of the second sleeve 2020 or 2120.
  • the guidewire 102 When the guidewire 102 is distally fed into the guidewire-management device 2000 or 2100 by way of the second sleeve 2020 or 2120, the guidewire 102 is also distally fed out of the guidewire-management device 2000 of 2100 by way of the first sleeve 2010 or 2110.
  • the gap 2056 or 2156 is also configured to expose the guidewire 102 in the gapped guidewire conduit 2050 or 2150 such that the guidewire 102 can be grasped (e.g., between a thumb and index finger) and proximally fed into the gapped guidewire conduit 2050 or 2150 by way of the second sleeve 2020 or 2120.
  • the guidewire 102 When the guidewire 102 is proximally fed into the gapped guidewire conduit 2050 or 2150 by way of the second sleeve 2020 or 2120, the guidewire 102 is also proximally fed into of the guidewire-management device 2000 of 2100 by way of the first sleeve 2010 or 2110.
  • Proximally or distally feeding the guidewire 102 by way of the guidewire 102 exposed by the gap 2056 or 2156 is useful for feeding the guidewire 102 in large or small bits for rough or fine adjustments of the guidewire 102, whereas a clinician might find proximally or distally feeding the guidewire 102 by way of the guidewire 102 over the ridge 2042 or 2142 as set forth above more suitable for proximally or distally feeding the guidewire 102 in small bits for fine adjustments of the guidewire 102.
  • the guidewire-management device 2000 or 2100 can further include one or more guidewire-conduit clips, for example, the guidewire-conduit clips 2058, configured to hold different portions of the gapped guidewire conduit 2050 therein. While the guidewire- conduit clips advantageously hold the gapped guidewire conduit 2050 or 2150 in a coiled configuration as set forth above with respect to guidewire-management device 1700, the guidewire-conduit clips further advantageously provide structural integrity to the gapped guidewire conduit 2050 or 2150 when placed on both sides of the gap 2056 or 2156.
  • an entirety of the guidewire 102 is disposed within a sterile barrier such as the bag 104 or the splittable casing 1204 excepting, for example, any portion of the guidewire 102 within or distal to the first sleeve 2010 or 2110.
  • the first sleeve 2010 or 2110 includes a bore such as the bore 112, 612, or 712 of the guidewire-management device 100, 600, or 700 in a proximal portion of the first sleeve 2010 or 2110 such that the bag 104 can pleat as the bag 104 is inserted into the first sleeve 2010 while distally feeding the guidewire 102 out of the guidewire-management device 2000 or 2100.
  • the splittable casing 1204 is configured to split off the guidewire 102 while distally feeding the guidewire out of the guidewire-management device 2000 or 2100.
  • the guidewire-management device 2000 or 2100 can be configured with or without a first split sleeve for discharging the splittable casing 1204 that splits off the guidewire 102 while distally feeding the guidewire 102 out of the guidewire-management device 2000 or 2100.
  • the guidewire-management device 2000 is shown without such a first split sleeve.
  • the splittable casing 1204 that splits off the guidewire 102 while distally feeding the guidewire 102 out of the guidewire-management device 2000 splits off the guidewire 102 between the first sleeve 2010 and the second sleeve 2020 and discharges off to a side of the handle 2040.
  • the guidewire-management device 2100 is shown with a first split sleeve 2111.
  • the first split sleeve 2111 is configured to discharge the splittable casing 1204 while distally feeding the guidewire 102 out of the guidewire-management device 2100.
  • a clinician might find it useful to distally feed the guidewire 102 by pulling on the splittable casing 1204 that splits off the guidewire 102 as if a tether. Indeed, the clinician might find distally feeding the guidewire 102 in such a way more suitable for distally feeding the guidewire 102 in large bits for rough adjustments of the guidewire 102.
  • the guidewire-management device 2200 or 2300 includes a handle 2240 or 2340, the guidewire 102, a first sleeve 2210 or 2310 formed in a distal portion of the handle 2240 or 2340, a second sleeve 2220 or 2320 formed in a proximal portion of the handle 2240 or 2340, a guidewire conduit 2250 or 2350 coupled to the second sleeve 2220 or 2320, and a tether such as the tether 2360 coupled to a proximal portion of the guidewire 102 and disposed in the guidewire conduit 2250 or 2350 along with the guidewire.
  • a handle 2240 or 2340 Adverting to FIGS. 14 and 15 to describe some of the unique features of at least the guidewire-management device 2200 or 2300, the guidewire-management device 2200 or 2300 includes a handle 2240 or 2340, the guidewire 102, a first sleeve 2210 or 2310 formed in a distal portion of the handle 2240
  • the handle 2240 or 2340 is similar to the handle 640 set forth above.
  • the description set forth above for the handle 640 should be understood to extend to the handle 2240 or 2340 as if the handle 2240 or 2340 was included in the description of the handle 640.
  • the first sleeve 2210 or 2310 is similar to the first sleeve 110, 610, or 710 set forth above. As such, the description set forth above for the first sleeves 110, 610, and 710 should be understood to extend to the first sleeve 2210 or 2310 as if the first sleeve 2210 or 2310 was included in the description of the first sleeves 110, 610, and 710.
  • the second sleeve 2220 or 2320 is similar to the second sleeve 120, 620, or 720 set forth above. As such, the description set forth above for the second sleeves 120, 620, and 720 should be understood to extend to the second sleeve 2220 or 2320 as if the second sleeve 2220 or 2320 was included in the description of the second sleeves 120, 620, and 720.
  • the guidewire-management device 2200 or 2300 can include a membrane 2206
  • the guidewire-management device 2200 or 2300 can further include a thumb wheel such as the thumb wheel 1242 set forth above with respect to the guidewire-management device 1200 or a ridge such as the ridge 2042 or 2142 set forth above with respect to the guidewire- management device 2000 or 2100.
  • the thumb wheel can be configured for at least proximally feeding the guidewire 102 into the guidewire-management device 2200 or 2300.
  • the ridge can be configured for at least proximally feeding the guidewire 102 into the guidewire-management device 2200 or 2300 as set forth above with respect to at least the guidewire-management device 2000 or 2100. If the guidewire-management device 2200 or 2300 includes the capsule 2246 or 2346, the guidewire- management device 2200 or 2300 can further include a knob coupled to a guidewire-gripping wheel.
  • the knob and guidewire-gripping wheel can be configured for at least proximally feeding the guidewire 102 into the guidewire- management device 2200 or 2300.
  • the guidewire conduit 2250 or 2350 is configured to maintain sterility of the guidewire 102 outside of the first sleeve 2210 or 2310, the membrane 2206 (not shown) or 2306 or the capsule 2246 (not shown) or 2346, and the second sleeve 2220 or 2320.
  • the guidewire conduit 2250 or 2350 is configured to distally feed the guidewire 102 into the guidewire-management device 2200 or 2300 by way of the second sleeve 2220 or 2320 while distally feeding the guidewire 102 out of the guidewire-management device 2200 or 2300, as well as collect the guidewire 102 back in the guidewire conduit 2250 or 2350 by way of the second sleeve 2220 or 2320 while proximally feeding the guidewire 102 into the guidewire- management device 1200 or 2300.
  • the guidewire conduit 2250 or 2350 can be opaque or translucent depending upon a chosen polymeric material.
  • the guidewire conduit 2250 or 2350 is translucent, the guidewire conduit 2250 or 2350 is configured for viewing the guidewire 102 while distally feeding the guidewire 102 into the guidewire-management device 2200 or 2300 or collecting the guidewire 102 back in the guidewire conduit 2250 or 2350 while proximally feeding the guidewire 102 into the guidewire-management device 2200 or 2300.
  • the guidewire conduit 2250 of the guidewire-management device 2300 can include an opening proximal of the second sleeve 2220 through which a tether line can be pulled.
  • the guidewire-management device 2200 or 2300 can further include one or more guidewire-conduit clips 2258 or 2358 configured to hold different portions of the guidewire conduit 2250 or 2350 therein.
  • the guidewire-conduit clips 2258 or 2358 advantageously hold the guidewire conduit 2250 or 2350 in a coiled configuration.
  • the guidewire 102 is disposed in the splittable casing 1204 while in the guidewire conduit 2350, and the tether line is the splittable casing 1204 split off the guidewire 102 that extends through the opening of the guidewire conduit 2250 proximal of the second sleeve 2220.
  • the tether is configured to distally feed the guidewire 102 out of the guidewire-management device 2200 by way of the first sleeve 2210 when the tether line is pulled out of the opening of the guidewire conduit 2250 and away from the guidewire-management device 2200.
  • additional splittable casing 1204 splits off the guidewire 102 before the guidewire 102 exits the first sleeve 2210.
  • Proximally feeding the guidewire 102 into the guidewire-management device 2200 by way of the first sleeve 2210 can be effectuated by the thumb wheel, the ridge, or the knob and guidewire-gripping wheel depending upon which feature the guidewire-management device 2200 includes, if any. Without any one of the thumb wheel, the ridge, or the knob and guidewire-gripping wheel, the guidewire-management device 2200 is configured for removing the guidewire 102 from a patient by hand.
  • the guidewire 102 is either bare or disposed in the splittable casing 1204 while in the guidewire conduit 2350.
  • a proximal portion of a tether line 2362 (e.g., a cord, a wire, etc.) is coupled to a proximal portion of the guidewire 102 in the guidewire conduit 2350.
  • the tether line 2362 is the splittable casing 1204 split off the guidewire 102 akin to that of the guidewire-management device 2200.
  • a distal portion of the tether line 2362 can extend from the guidewire conduit 2350, through the tether channel 2361 extending through the handle 2340, and out an opening in the handle 2340.
  • the distal portion of the tether line 2362 such as a distal end thereof can be coupled to a tether handle 2364 as shown.
  • the tether 2360 is configured to distally feed the guidewire 102 out of the guidewire-management device 2300 by way of the first sleeve 2310 when the tether line 2362 is pulled out of the opening in the handle 2340 and away from the guidewire-management device 2300.
  • the distal portion of the tether line 2362 is coupled to a slider disposed in a slot of the handle 2340, thereby providing an alternative user interface for at least distally feeding the guidewire 102 out of the guidewire-management device 2300.
  • the slider can include a bifurcated clip slidably disposed around the tether line 2362 such that when the slider is pressed into a narrowed slider channel of the handle 2340 inboard of the slot and simultaneously moved distally, the slider grips the tether line 2362 and distally feeds the guidewire 102 out of the guidewire- management device 2300 by way of the first sleeve 2310.
  • additional splittable casing 1204 splits off the guidewire 102 before the guidewire 102 exits the first sleeve 2310.
  • Proximally feeding the guidewire 102 into the guidewire-management device 2200 by way of the first sleeve 2310 can be effectuated by pushing the tether line 2362 of the tether 2360 into the tether channel 2361 if the tether line 2362 is sufficiently stiff (e.g., a wire) or pressing the slider into the narrowed slider channel of the handle 2340 and simultaneously moving the slider proximally.
  • proximally feeding the guidewire 102 into the guidewire-management device 2200 by way of the first sleeve 2310 can be effectuated by the thumb wheel, the ridge, or the knob and guidewire gripping wheel depending upon which feature the guidewire-management device 2300 includes, if any.
  • the guidewire-management device 2300 is configured for removing the guidewire 102 from a patient by hand.
  • the guidewire-management device 2400 includes a handle 2440, the guidewire 102 disposed in a sterile barrier (e.g., the bag 104 or the splittable casing 1204), a first sleeve 2410 formed in a distal portion of the handle 2440, a second sleeve 2420 formed in a proximal portion of the handle 2440, and a tether 2460 coupled to a proximal portion of the guidewire 102.
  • a sterile barrier e.g., the bag 104 or the splittable casing 1204
  • a first sleeve 2410 formed in a distal portion of the handle 2440
  • a second sleeve 2420 formed in a proximal portion of the handle 2440
  • a tether 2460 coupled to a proximal portion of the guidewire 102.
  • the handle 2440 is similar to the handle 640 set forth above. As such, the description set forth above for the handle 640 should be understood to extend to the handle 2440 as if the handle 2440 was included in the description of the handle 640.
  • the first sleeve 2410 is similar to the first sleeve 110, 610, or 710 set forth above. As such, the description set forth above for the first sleeves 110, 610, and 710 should be understood to extend to the first sleeve 2410 as if the first sleeve 2410 was included in the description of the first sleeves 110, 610, and 710.
  • the second sleeve 2420 is similar to the second sleeve 120, 620, or 720 set forth above. As such, the description set forth above for the second sleeves 120, 620, and 720 should be understood to extend to the second sleeve 2420 as if the second sleeve 2420 was included in the description of the second sleeves 120, 620, and 720.
  • the guidewire-management device 2200 or 2300 can include a membrane 2406 or a capsule 2446 extending between the first sleeve 2410 and the second sleeve 2420 over the guidewire 102, thereby maintaining sterility of the guidewire 102 between the first sleeve 2410 and the second sleeve 2420 subsequent to removal of the bag 104 or the splittable casing 1204, which occurs in the proximal portion of the handle 2440 in the bore 2422.
  • the guidewire-management device 2400 includes the membrane 2406, the guidewire-management device 2400 can further include a thumb wheel or a ridge such as the ridge 2042 or 2142 set forth above with respect to the guidewire-management device 2000 or 2100.
  • the thumb wheel can be configured for at least proximally feeding the guidewire 102 into the guidewire-management device 2400.
  • the ridge can be configured for at least proximally feeding the guidewire 102 into the guidewire-management device 2400 as set forth above with respect to at least the guidewire-management device 2000 or 2100.
  • the guidewire-management device 2400 includes the capsule 2446, the guidewire- management device 2400 can further include a knob coupled to a guidewire-gripping wheel such as the knob 1744 and the guidewire-gripping wheel 1742 set forth above with respect to the guidewire-management device 1700.
  • the knob and guidewire-gripping wheel can be configured for at least proximally feeding the guidewire 102 into the guidewire-management device 2400 as set forth above with respect to at least the guidewire-management device 1700.
  • a proximal portion of the tether line 2462 is coupled to a proximal portion of the guidewire 102.
  • a distal portion of the tether line 2462 extends from its point of attachment to the guidewire 102, through the tether channel 2461 extending through the handle 2440, and out an opening in the handle 2440.
  • the distal portion of the tether line 2462 such as a distal end thereof can be coupled to a tether handle 2464 as shown.
  • the tether 2460 is configured to distally feed the guidewire 102 out of the guidewire-management device 2400 by way of the first sleeve 2410 when the tether line 2462 is pulled out of the opening in the handle 2440 and away from the guidewire-management device 2400.
  • the distal portion of the tether line 2462 is coupled to a slider disposed in a slot of the handle 2440, thereby providing an alternative user interface for at least distally feeding the guidewire 102 out of the guidewire-management device 2400 as set forth above for the guidewire- management device 2400.
  • the guidewire 102 splits out of the bag 104 in the second sleeve 2420, propagates to the first sleeve 2410, and out of the guidewire-management device 2400 the by way of the first sleeve 2410, whereas the bag 104 pleats in the bore 2422 of the second sleeve 2420 at a time the guidewire 102 splits out of the bag 104.
  • Proximally feeding the guidewire 102 into the guidewire-management device 2400 by way of the first sleeve 2410 can be effectuated by pushing the tether line 2462 of the tether 2460 into the tether channel
  • tether line 2462 is sufficiently stiff (e.g., a wire) or pressing the slider into a narrowed slider channel of the handle 2440 inboard of the slot and simultaneously moving the slider proximally.
  • proximally feeding the guidewire 102 into the guidewire- management device 2400 by way of the first sleeve 2410 can be effectuated by the thumb wheel, the ridge, or the knob and guidewire-gripping wheel depending upon which feature the guidewire-management device 2400 includes, if any.
  • the guidewire-management device 2400 is configured for removing the guidewire 102 from a patient by hand.
  • tether line 2462 is the splittable casing 1204 split off the guidewire 102 akin to that of the guidewire- management device 2200.
  • a distal portion of the tether line 2462 extends from its point of attachment to the guidewire 102 (e.g., in the bore 2422), through the tether channel
  • the tether 2461 extending through the handle 2440, and out the opening in the handle 2440.
  • the distal portion of the tether line 2462 such as the distal end thereof can be coupled to the tether handle 2464 as shown.
  • the tether 2460 is configured to distally feed the guidewire 102 out of the guidewire-management device 2400 by way of the first sleeve 2410 when the tether line 2462 is pulled out of the opening in the handle 2440 and away from the guidewire-management device 2400.
  • additional splittable casing 1204 splits off the guidewire 102 in the second sleeve 2420 (e.g. in the bore 2422) before the guidewire 102 propagates to the first sleeve 2410, and out of the guidewire-management device 2400 the by way of the first sleeve 2410.
  • Proximally feeding the guidewire 102 into the guidewire-management device 2400 by way of the first sleeve 2410 can be effectuated by the slider, thumb wheel, the ridge, or the knob and guidewire-gripping wheel depending upon which feature the guidewire-management device 2400 includes, if any. Without any one of the thumb wheel, the ridge, or the knob and guidewire-gripping wheel, the guidewire-management device 2400 is configured for removing the guidewire 102 from a patient by hand.
  • the guidewire-management device 2600 includes a handle 2640, the guidewire 102, a tether line 2662 at least partially disposed in a sterile barrier 104 (e.g., the bag 104) and coupled to a proximal portion of the guidewire 102, a first sleeve 2610 formed in a distal portion of the handle 2640, a second sleeve 2620 formed in a proximal portion of the handle 2640, a third sleeve 2611 in the distal portion of the handle 2640 adjacent the first sleeve 2610, a fourth sleeve 2621 in the proximal portion of the handle 2640 adjacent the second sleeve 2620, a thumb wheel 2642 between the first sleeve 2610 and the second sleeve 2620, and a guidewire-tether conduit 2650 coupled to
  • the handle 2640 is similar to the handle 640 set forth above.
  • the handle 2640 is similar to the handle 1740 in that the guidewire 102 extends between the first sleeve 2610 and the second sleeve 2620 but is entirely disposed within the handle 2640 adjacent the tether channel 2661, which handle 2640 functions as an extension of the sterile barrier 104 to maintain sterility of the guidewire 102 between the first sleeve 1710 and the second sleeve 1720.
  • the description set forth above for the handles 640 and 1740 should be understood to extend to the handle 2640 as if the handle 2640 was included in the description of the handles 640 and 1740.
  • a proximal portion of the tether line 2662 is coupled to the proximal portion of the guidewire 102 by a slug 2666 or some other mass (e.g., a ball), to which the tether line 2662 and the guidewire 102 are fixedly attached (e.g., welded).
  • the proximal portion of the tether line 2662 is fixedly attached (e.g., welded) directly to the proximal portion of the guidewire 102.
  • the proximal portion of the tether line 2662 extends from the slug 2666 (or the like) or where it is directly coupled to the proximal portion of the guidewire 102, through the sterile barrier 104 in the guidewire-tether conduit 2650, through the tether channel 2661 extending through the handle 2640, and out an opening of the third sleeve 2611 such that the tether line 2662 never comes into contact with the guidewire 102 except for in embodiments where the proximal portion of the tether line 2662 is fixedly attached (e.g., welded) directly to the proximal portion of the guidewire 102.
  • the tether line 2662 is configured to distally feed the guidewire 102 out of the guidewire-management device 2600 by way of the first sleeve 2610 when the tether line 2662 is pulled out of the opening of the third sleeve 2611 and away from the guidewire-management device 2600.
  • the guidewire-tether conduit 2650 is configured to facilitate distally feeding the guidewire 102 out of the guidewire-management device 2600 by limiting the degrees of freedom the tether line 2662 and the guidewire 102 would otherwise have to such distal feeding (as well as proximal feeding.
  • the sterile barrier 104 in the guidewire-tether conduit 2650 pleats in a distal portion of the guidewire-tether conduit 2650.
  • the tether line 2662 is also configured to proximally feed the guidewire 102 into the guidewire-management device 2600 by way of the first sleeve 2610 when the tether line 2662 is pushed toward the guidewire-management device 2600 and into the opening of the third sleeve 2611.
  • the sterile barrier 104 in the guidewire-tether conduit 2650 unpleats from the distal portion of the guidewire-tether conduit 2650 and recovers the guidewire 102 to maintain sterility of the guidewire 102.
  • the first sleeve 2610 is similar to the first sleeve 110, 610, or 710 set forth above. As such, the description set forth above for the first sleeves 110, 610, and 710 should be understood to extend to the first sleeve 2610 as if the first sleeve 2610 was included in the description of the first sleeves 110, 610, and 710.
  • the second sleeve 2620 is similar to the second sleeve 120, 620, or 720 set forth above. As such, the description set forth above for the second sleeves 120, 620, and 720 should be understood to extend to the second sleeve 2620 as if the second sleeve 2620 was included in the description of the second sleeves 120, 620, and 720.
  • the third sleeve 2611 is configured with a lumen for distally pulling, or advancing, the tether line 2662 out of the guidewire-management device 2600. The lumen of the third sleeve 2611 is coincident with a portion of the tether channel 2661. The third sleeve 2611 is also configured for proximally feeding, or withdrawing, the tether line 2662 into the guidewire-management device 2600.
  • the fourth sleeve 2621 is configured with a lumen for distally pulling, or advancing, the tether line 2662 in concert with the third sleeve 2611 such as distally feeding the tether line 2662 out of the guidewire-management device 2600.
  • the lumen of the fourth sleeve 2621 is coincident with a portion of the tether channel 2661.
  • the third sleeve 2611 is also configured for proximally feeding, or withdrawing, the tether line 2662 in concert with the third sleeve 2611 such as proximally feeding the tether line 2662 out of the guidewire- management device 2600.
  • the thumb wheel 2642 is similar to the thumb wheel 642 or 742 set forth above. As such, the description set forth above for the thumb wheels 642 and 742 should be understood to extend to the thumb wheel 2642 as if the thumb wheel 2642 was included in the description of the thumb wheels 642 and 742. However, the thumb wheel 2642 is configured to assist in distally feeding the tether line 2662 (not the guidewire 102) out of the guidewire-management device 2600 by way of the third sleeve 2611 when the thumb wheel 2642 is used instead of pulling the tether line 2662.
  • the thumb wheel 2642 can provide more fine-tuned distal feeding of the tether line 2662 and, hence, the guidewire 102, over pulling the tether line 2662.
  • the thumb wheel 2642 is also configured to assist in proximally feeding the tether line 2662 into the guidewire-management device 2600 by way of the third sleeve 2611.
  • the gui dewire-tether conduit 2650 is configured to feed both the guidewire 102 and the tether line 2662 into the guidewire-management device 2600 while distally feeding the guidewire 102 out of the guidewire-management device 2600.
  • the guidewire-tether conduit 2650 can be opaque or translucent. When the guidewire-tether conduit 2650 is translucent, the guidewire-tether conduit 2650 is configured for viewing both the guidewire 102 and the tether line 2662 while feeding the guidewire 102 and the tether line 2662 into the guidewire-management device 2600.
  • the guidewire-tether conduit 2650 is configured to collect both the guidewire 102 and the tether line 2662 therein while proximally feeding the guidewire 102 into the guidewire-management device 2600.
  • the guidewire- tether conduit 2650 can be opaque or translucent.
  • the guidewire-tether conduit 2650 is configured for viewing both the guidewire 102 and the tether line 2662 while collecting the guidewire 102 and the tether line 2662 in the guidewire-tether conduit 2650.
  • the guidewire-management device 2700 includes a handle 2740, the guidewire 102, a first sleeve 2710 formed in a distal portion of the handle 2740, a second sleeve 2720 formed in a proximal portion of the handle 2740, and a combination of an exposed thumb wheel 2742 coupled to a concealed guidewire-gripping wheel 2744 between the first sleeve 2710 and the second sleeve 2720, the concealed guidewire-gripping wheel 2744 configured to grip the guidewire 102 and distally feed the guidewire 102 out of the guidewire-management device 2700 or into the guidewire-management device 2700 by way of the first sleeve 2710 when the exposed thumb wheel 2742 is turned.
  • the guidewire 102 extends between the first sleeve 2710 and the second sleeve 2720 but is disposed within the handle 2740, which functions as a sterile barrier to maintain sterility of the guidewire 102 between the first sleeve 2710 and the second sleeve 2720.
  • the guidewire-management device 2700 includes a guidewire conduit 2750 coupled to the second sleeve 2720 configured to maintain sterility of the guidewire 102 outside of the handle 2740 including the first and second sleeves 2710 and 2720. Because both the handle 2740 and the guidewire conduit 2750 are configured to maintain sterility of the guidewire 102, a sterile barrier such as the bag 104 or the splittable casing 1204 is not needed for the guidewire- management device 2700.
  • the handle 2740 is similar to the handle 640 set forth above, although the handle 2740 includes features akin to the handle 1740 in that handle 2740 is configured to maintain the sterility of the guidewire 102.
  • the handle 2740 might be better suited for use with a clinician’ s right hand in view of the extension of the exposed thumb wheel 2742 from a side of the handle 2740 that would be used by a left-handed clinician.
  • the description set forth above for the handle 640 should be understood to extend to the handle 2740 as if the handle 2740 was included in the description of the handle 640. This includes the description for the channel 641 as the handle 2740 analogously includes a channel 2741.
  • the first sleeve 2710 is similar to the first sleeve 110, 610, or 710 set forth above. As such, the description set forth above for the first sleeves 110, 610, and 710 should be understood to extend to the first sleeve 2710 as if the first sleeve 2710 was included in the description of the first sleeves 110, 610, and 710.
  • the second sleeve 2720 is similar to the second sleeve 120, 620, or 720 set forth above. As such, the description set forth above for the second sleeves 120, 620, and 720 should be understood to extend to the second sleeve 2720 as if the second sleeve 2720 was included in the description of the second sleeves 120, 620, and 720.
  • a combination of the exposed thumb wheel 2742 and the concealed guidewire gripping wheel 2744 is configured for distally feeding the guidewire 102 out of the guidewire- management device 2700 or proximally feeding the guidewire 102 into the guidewire- management device 2700.
  • the exposed thumb wheel 2742 includes an axle (e.g., as a unitary piece) disposed in the handle 2740 to which axle the concealed guidewire-gripping wheel 2744 is fixedly coupled such that the concealed guidewire-gripping wheel 2744 rotates with the exposed thumb wheel 2742 when the exposed thumb wheel 2742 is rotated relative to the handle 2740.
  • the concealed guidewire-gripping wheel 2744 includes an axle (e.g., as a unitary piece) disposed in the handle 2740 to which axle the exposed thumb wheel 2742 is fixedly coupled such that the concealed guidewire-gripping wheel 2744 rotates with the exposed thumb wheel 2742 when the exposed thumb wheel 2742 is rotated relative to the handle 2740.
  • the exposed thumb wheel 2742 and the concealed guidewire-gripping wheel 2744 are independently fixedly coupled to an axle disposed in the handle 2740 such that the concealed guidewire-gripping wheel 2744 rotates with the exposed thumb wheel 2742 when the exposed thumb wheel 2742 is rotated relative to the handle 2740.
  • the exposed thumb wheel 2742 and the concealed guidewire- gripping wheel 2744 are a unitary piece including an axle disposed in the handle 2740 such that the concealed guidewire-gripping wheel 2744 rotates with the exposed thumb wheel 2742 when the exposed thumb wheel 2742 is rotated relative to the handle 2740.
  • the combination of the exposed thumb wheel 2742 and the concealed guidewire-gripping wheel 2744 is configured to assist in distally feeding the guidewire 102 out of the guidewire- management device 2700 by way of the first sleeve 2710 such as when the exposed thumb wheel 2742 is rotated toward the first sleeve 2710.
  • the combination of the exposed thumb wheel 2742 and the concealed guidewire-gripping wheel 2744 is configured to assist in proximally feeding the guidewire 102 into the guidewire-management device 2700 by way of the first sleeve 2710 such as when the exposed thumb wheel 2742 is rotated toward the second sleeve 2720.
  • the concealed guidewire-gripping wheel 2744 includes teeth configured to gently press the guidewire 102 against a compression wheel 2746 and grip the guidewire 102 using the resulting friction for distally feeding the guidewire 102 out of the guidewire-management device 2700 or proximally feeding the guidewire 102 into the guidewire-management device 2700.
  • the guidewire conduit 2750 is configured to distally feed the guidewire 102 into the guidewire-management device 2700 by way of the second sleeve 2720 while distally feeding the guidewire 102 out of the guidewire-management device 2700, as well as collect the guidewire 102 back in the guidewire conduit 2750 by way of the second sleeve 2720 while proximally feeding the guidewire 102 into the guidewire-management device 2700.
  • the guidewire conduit 2750 can be opaque or translucent depending upon a chosen polymeric material.
  • the guidewire conduit 2750 is translucent, the guidewire conduit 2750 is configured for viewing the guidewire 102 while distally feeding the guidewire 102 into the guidewire-management device 2700 or collecting the guidewire 102 back in the guidewire conduit 2750 while proximally feeding the guidewire 102 into the guidewire-management device 2700.
  • the guidewire-management device 2700 can further include one or more guidewire-conduit clips configured to hold different portions of the guidewire conduit 2750 therein.
  • the guidewire-conduit clips can hold the guidewire conduit 2750 in a coiled configuration, thereby packing the otherwise elongate guidewire conduit 2750 into a compact space.
  • a method of the guidewire-management device 100, 300, or 600 includes a connecting step of connecting the first sleeve 110 or 610 of the guidewire-management device 100, 300, or 600 to a hub of a medical device (e.g., a hollow needle) inserted into an insertion site of a patient.
  • the method further includes an advancing step of advancing the guidewire 102 of the guidewire-management device 100, 300, or 600 from the first sleeve 110 or 610 through the hub of the medical device and into the insertion site of the patient.
  • the seal (e.g., the ⁇ ’- ring 114 or 714) in the first sleeve 110 or 610 blocks fluid (e.g., air) from escaping the guidewire-management device 100, 300, or 600 when advancing the guidewire 102 through the hub of the medical device and into the insertion site of the patient.
  • fluid e.g., air
  • the advancing step can include pinching the guidewire 102 within the sterile barrier 104 or 304 and advancing the guidewire 102 into the first sleeve 110 by hand.
  • the advancing can alternatively include pressing the guidewire 102 within the sterile barrier 104 onto the thumb wheel 742 and rolling the thumb wheel 742 to advance the guidewire 102 into the first sleeve 610.
  • the guidewire 102 can be advanced into the first sleeve 110 or 610 and out of the guidewire-management device 100 or 600 by pinching a combination of the guidewire 102 within the bag 104 or pressing the guidewire 102 within the bag 104 against the thumb wheel 742, advancing the guidewire 102 into the first sleeve 110 by hand or by rolling the thumb wheel 742, releasing the combination of the guidewire 102 within the bag 104, and repeating the foregoing as necessary.
  • the guidewire 102 can be advanced into the first sleeve 110 and out of the guidewire-management device 300 by pinching a combination of the guidewire 102 within the boot 304, advancing the guidewire 102 into the first sleeve 110 by hand, releasing the combination of the guidewire 102 within the boot 304, and repeating the foregoing as necessary.
  • the method can further include a ceasing step of ceasing to advance the guidewire 102 into the insertion site of the patient when the ball end of the guidewire 102 is captured in the constriction 124 of the bore 122 in the second sleeve 120 of the guidewire- management device 100 or 300.
  • the ceasing step can include ceasing to advance the guidewire 102 into the insertion site of the patient when the ball end of the guidewire 102 is captured in the recess 724 in the second sleeve 620 of the guidewire-management device 600.
  • the method further includes withdrawing the guidewire 102 from the insertion site of the patient through the hub of the medical device and into the first sleeve 110 or 610.
  • the seal e.g., the O’-ring 114 or 714 in the first sleeve 110 or 610 blocks fluid (e.g., blood) from entering the guidewire-management device 100, 300, or 600 when withdrawing the guidewire 102 from the insertion site.
  • the guidewire 102 can be withdrawn into the guidewire-management device 100 or 600 through the first sleeve 110 or 610 by pinching the combination of the guidewire 102 within the bag 104 or pressing the guidewire 102 within the bag 104 against the thumb wheel 742, withdrawing the guidewire 102 from the first sleeve 110 by hand or by rolling the thumb wheel 742, releasing the combination of the guidewire 102 within the bag 104, and repeating the foregoing as necessary.
  • the guidewire 102 can be withdrawn into the guidewire-management device 300 through the first sleeve 110 by pinching the combination of the guidewire 102 within the boot 304, withdrawing the guidewire 102 from the first sleeve 110 by hand, releasing the combination of the guidewire 102 within the boot 304, and repeating the foregoing as necessary.
  • the method can further include ceasing to withdraw the guidewire 102 from the insertion site of the patient when the proximal end or the ball end of the guidewire 102 abuts the plug 152 in the proximal portion of the guidewire conduit 150 of the guidewire- management device 100 or 300.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
PCT/US2021/022226 2020-03-13 2021-03-12 Guidewire-management devices and methods thereof Ceased WO2021183964A2 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
KR1020227035297A KR102937628B1 (ko) 2020-03-13 2021-03-12 가이드와이어 관리 디바이스 및 그 방법
AU2021236392A AU2021236392B2 (en) 2020-03-13 2021-03-12 Guidewire-management devices and methods thereof
BR112022017351A BR112022017351A2 (pt) 2020-03-13 2021-03-12 Dispositivos de gerenciamento de fio guia e métodos dos mesmos
EP21716910.1A EP4117765A2 (en) 2020-03-13 2021-03-12 Guidewire-management devices and methods thereof
JP2022554837A JP7759334B2 (ja) 2020-03-13 2021-03-12 ガイドワイヤ管理デバイスおよびその方法
CA3172383A CA3172383A1 (en) 2020-03-13 2021-03-12 Guidewire-management devices and methods thereof
MX2022011216A MX2022011216A (es) 2020-03-13 2021-03-12 Dispositivos y metodos de manejo de alambres de guia.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US202062989397P 2020-03-13 2020-03-13
US62/989,397 2020-03-13

Publications (2)

Publication Number Publication Date
WO2021183964A2 true WO2021183964A2 (en) 2021-09-16
WO2021183964A3 WO2021183964A3 (en) 2021-11-18

Family

ID=75396882

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2021/022226 Ceased WO2021183964A2 (en) 2020-03-13 2021-03-12 Guidewire-management devices and methods thereof

Country Status (10)

Country Link
US (2) US12186494B2 (https=)
EP (1) EP4117765A2 (https=)
JP (1) JP7759334B2 (https=)
KR (1) KR102937628B1 (https=)
CN (2) CN215608659U (https=)
AU (1) AU2021236392B2 (https=)
BR (1) BR112022017351A2 (https=)
CA (1) CA3172383A1 (https=)
MX (1) MX2022011216A (https=)
WO (1) WO2021183964A2 (https=)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4041362A4 (en) * 2019-10-25 2023-12-06 Bard Access Systems, Inc. Guidewire-management devices and methods thereof

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD1102594S1 (en) * 2018-11-22 2025-11-18 Bendit Technologies Ltd. Handle for steering tool
MX2022011216A (es) * 2020-03-13 2022-10-07 Bard Access Systems Inc Dispositivos y metodos de manejo de alambres de guia.
US12053195B2 (en) * 2020-09-18 2024-08-06 Olympus Medical Systems Corp. Method and device of inserting treatment device into hollow organ
CN115999016A (zh) 2021-10-21 2023-04-25 巴德阿克塞斯系统股份有限公司 导管放置系统
CN115999025A (zh) 2021-10-21 2023-04-25 巴德阿克塞斯系统股份有限公司 导管、其形成方法和形成用于其的远侧尖端结构的方法
JP2024536584A (ja) 2021-10-21 2024-10-04 バード・アクセス・システムズ，インコーポレーテッド カテーテル留置のためのガイドワイヤロッキングシステム
JP2024538334A (ja) 2021-11-04 2024-10-18 バード・アクセス・システムズ，インコーポレーテッド ローラー押出による強化型カテーテル先端
JP2024540440A (ja) 2021-11-18 2024-10-31 バード・アクセス・システムズ，インコーポレーテッド カテーテル留置システム用の分割可能な針
US20230293857A1 (en) 2022-03-21 2023-09-21 Bard Access Systems, Inc. Handheld, Untethered Catheter Containment System and Method
US20240075251A1 (en) * 2022-09-01 2024-03-07 Becton, Dickinson And Company Instrument Delivery Device with Curved Nested Housing
CN222828929U (zh) 2023-05-12 2025-05-06 巴德阿克塞斯系统股份有限公司 导管放置系统

Family Cites Families (263)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1013691A (en) 1911-07-10 1912-01-02 James A Shields Process of treating snap-bolls of cotton.
US3225762A (en) 1963-10-25 1965-12-28 Yolan R Guttman Intravenous stylet catheter
GB1273547A (en) 1968-07-22 1972-05-10 William Warne & Company Ltd Improvements relating to needle catheters
US3890976A (en) 1972-10-26 1975-06-24 Medical Products Corp Catheter tip assembly
US4051849A (en) * 1976-04-06 1977-10-04 Poncy Mark P Catheter feeding system
US4205675A (en) 1978-06-15 1980-06-03 Johnson & Johnson Catheter placement unit with needle removal provision and method of use
US4292970A (en) 1980-01-24 1981-10-06 Hession Jr William M Apparatus for intravenous catheter starter
SE426023B (sv) 1981-04-23 1982-12-06 Bengt Gustavsson Anordning bl a for inforande av katetrar i blodkerl
US4468224A (en) 1982-01-28 1984-08-28 Advanced Cardiovascular Systems, Inc. System and method for catheter placement in blood vessels of a human patient
US4525157A (en) 1983-07-28 1985-06-25 Manresa, Inc. Closed system catheter with guide wire
US4637404A (en) * 1983-10-20 1987-01-20 Gessman Lawrence J Method and apparatus for converting a catheter to a cardiac pacing electrode
US5040548A (en) 1989-06-01 1991-08-20 Yock Paul G Angioplasty mehtod
US5273042A (en) * 1987-10-28 1993-12-28 Medical Parameters, Inc. Guidewire advancement method
CA1330285C (en) 1987-12-22 1994-06-21 Geoffrey S. Martin Triple lumen catheter
US5057073A (en) 1988-04-21 1991-10-15 Vas-Cath Incorporated Dual lumen catheter
US5188593A (en) 1988-04-21 1993-02-23 Vas-Cath Incorporated Dual lumen catheter
US4840613A (en) 1988-04-27 1989-06-20 Menlo Care, Inc. Protective sheath for catheter assembly
US4935008A (en) 1988-07-20 1990-06-19 Lewis Jr Ronald L Double lumen introducing needle
US5017259A (en) 1988-10-13 1991-05-21 Terumo Kabushiki Kaisha Preparation of catheter including bonding and then thermoforming
US4995872A (en) 1989-10-04 1991-02-26 Ferrara Janice J Expandable catheter and bridge device
US5120317A (en) 1991-03-14 1992-06-09 Luther Medical Products, Inc. Vascular/venous access device and method of utilizing and forming the same
US5112312A (en) 1991-03-14 1992-05-12 Luther Medical Products, Inc. Vascular/venous access device and method of utilizing and forming the same
CA2038676C (en) 1991-03-20 1995-12-26 Geoffrey S. Martin Infusion catheter
US6821287B1 (en) 1991-05-24 2004-11-23 Advanced Cardiovascular Systems, Inc. Multi-mode vascular catheter system
US7074231B2 (en) 1991-06-13 2006-07-11 Advanced Cardiovascular Systems, Inc. Convertible mode vascular catheter system
CA2117088A1 (en) 1991-09-05 1993-03-18 David R. Holmes Flexible tubular device for use in medical applications
US5389087A (en) 1991-09-19 1995-02-14 Baxter International Inc. Fully exchangeable over-the-wire catheter with rip seam and gated side port
WO1993006878A1 (en) 1991-10-11 1993-04-15 Boston Scientific Corporation Catheter introducer sheath assembly
ES2071203T3 (es) 1991-12-11 1995-06-16 Schneider Europ Ag Cateter de balon.
US5263938A (en) 1992-01-28 1993-11-23 Becton, Dickinson And Company Guidewire introducer assembly
US5267958A (en) 1992-03-30 1993-12-07 Medtronic, Inc. Exchange catheter having exterior guide wire loops
US5380290A (en) 1992-04-16 1995-01-10 Pfizer Hospital Products Group, Inc. Body access device
JP2636504B2 (ja) 1992-07-27 1997-07-30 シュナイダー・（ユーエスエイ）・インコーポレーテッド 注入内腔を有する拡大カテーテル
US5328472A (en) 1992-07-27 1994-07-12 Medtronic, Inc. Catheter with flexible side port entry
US5282479A (en) 1992-10-13 1994-02-01 Boc Health Care, Inc. Guidewire introducer with guidewire grasp and release means
US5350358A (en) 1992-12-22 1994-09-27 Med-Pro Design, Inc. Bent co-axial catheter
US5295970A (en) 1993-02-05 1994-03-22 Becton, Dickinson And Company Apparatus and method for vascular guide wire insertion with blood flashback containment features
JP3635090B2 (ja) 1993-03-16 2005-03-30 ヴァス−カス インコーポレイテッド カテーテルおよびその製造方法
DE4330400C1 (de) 1993-09-08 1995-05-04 Braun Melsungen Ag Venenpunktionskanüle für die Katheterverlegung
US5363847A (en) 1993-10-27 1994-11-15 Cordis Corporation Guidewire having double distal portions
US5378230A (en) 1993-11-01 1995-01-03 Mahurkar; Sakharam D. Triple-lumen critical care catheter
US5443457A (en) 1994-02-24 1995-08-22 Cardiovascular Imaging Systems, Incorporated Tracking tip for a short lumen rapid exchange catheter
US5489271A (en) 1994-03-29 1996-02-06 Boston Scientific Corporation Convertible catheter
US5439449A (en) 1994-04-22 1995-08-08 E-Z-Em, Inc. Flow visualization needle system
BR9401085A (pt) 1994-05-17 1995-12-19 Hwang Ching Rong Dispositivo automático de confirmação da punção da veia central com mecanismo de introdução inicial rápida do cateter e acessório ancorador do catéter
US5420882A (en) 1994-06-08 1995-05-30 Reliant Technologies, Inc. Infrared CO2 laser with a blue-green aiming beam
CA2168615A1 (en) 1995-03-07 1996-09-08 Timothy J. Erskine Catheter-advancement actuated needle retraction system
US5693030A (en) 1995-06-28 1997-12-02 Lee, Lee & Beal, Inc. Catheter and method of introduction
US5913848A (en) 1996-06-06 1999-06-22 Luther Medical Products, Inc. Hard tip over-the-needle catheter and method of manufacturing the same
US5827202A (en) 1996-06-10 1998-10-27 Baxter International Inc. Guide wire dispenser apparatus and method
US5718678A (en) 1996-06-26 1998-02-17 Medical Components, Inc. Multi-lumen coaxial catheter and method for making same
US5921971A (en) 1996-09-13 1999-07-13 Boston Scientific Corporation Single operator exchange biliary catheter
US6606515B1 (en) 1996-09-13 2003-08-12 Scimed Life Systems, Inc. Guide wire insertion and re-insertion tools and methods of use
US5772636A (en) 1996-12-02 1998-06-30 Becton Dickinson And Company Catheter assembly with interlocking telescoping needle shield
US6524299B1 (en) 1997-04-09 2003-02-25 Target Therapeutics, Inc. Flow-directed catheter
US5895378A (en) 1997-05-29 1999-04-20 Target Therapeutics, Inc. Flow-directed catheter having multiple tapers and radio-opaque markers
US5947940A (en) 1997-06-23 1999-09-07 Beisel; Robert F. Catheter reinforced to prevent luminal collapse and tensile failure thereof
GB9719182D0 (en) 1997-09-09 1997-11-12 Boc Group Plc Guide wire introducer
US6475187B1 (en) 1998-03-04 2002-11-05 Scimed Life Systems, Inc. Convertible catheter incorporating distal force transfer mechanism
US6228062B1 (en) * 1998-09-15 2001-05-08 Becton, Dickinson And Company One piece lock for splittable sheath
US6123084A (en) 1998-12-18 2000-09-26 Eclipse Surgical Technologies, Inc. Method for improving blood flow in the heart
US6869440B2 (en) 1999-02-09 2005-03-22 Innercool Therapies, Inc. Method and apparatus for patient temperature control employing administration of anti-shivering agents
US6726659B1 (en) 1999-12-09 2004-04-27 John E. Stocking Catheter assembly having a fenestrated dilator
US6602207B1 (en) 2000-07-19 2003-08-05 Scimed Life Systems, Inc. Guide wire stiffness transition element
US6716228B2 (en) 2000-09-30 2004-04-06 Yale University Surgical access device
US8323228B2 (en) 2007-04-12 2012-12-04 Rex Medical L.P. Dialysis catheter
US6638245B2 (en) 2001-06-26 2003-10-28 Concentric Medical, Inc. Balloon catheter
AU2002320187A1 (en) 2001-06-29 2003-03-03 A.B. Korkor Medical, Inc. Catheter introducer having an expandable tip
WO2003008020A1 (en) 2001-07-17 2003-01-30 Yale University Tunneler-needle combination for tunneled catheter placement
US20030036712A1 (en) * 2001-08-15 2003-02-20 Heh Kok Boon Roller wheel assisted guidewire advancer
US20060009740A1 (en) 2001-08-28 2006-01-12 Michael Higgins Multiple lumen catheter having a soft tip
EP1458437B1 (en) 2001-12-26 2010-03-03 Yale University Vascular access device
WO2003066125A2 (en) 2002-02-05 2003-08-14 Yale University Single access dialysis needle
JP4229621B2 (ja) 2002-03-05 2009-02-25 修 加藤 薬液注入カテーテル
US7717934B2 (en) 2002-06-14 2010-05-18 Ev3 Inc. Rapid exchange catheters usable with embolic protection devices
AU2003249349A1 (en) 2002-06-21 2004-01-06 Becton Dickinson And Company Method of and apparatus for controlling flashback in an introducer needle and catheter assembly
US6999809B2 (en) 2002-07-16 2006-02-14 Edwards Lifesciences Corporation Central venous catheter having a soft tip and fiber optics
US7029467B2 (en) 2002-07-16 2006-04-18 Edwards Lifesciences Corporation Multiple lumen catheter having a soft tip
US8425549B2 (en) 2002-07-23 2013-04-23 Reverse Medical Corporation Systems and methods for removing obstructive matter from body lumens and treating vascular defects
US7819889B2 (en) 2002-09-20 2010-10-26 Codman & Shurtleff, Inc. Detachable introducer for a medical device deployment system
EP1585572A4 (en) 2002-09-20 2010-02-24 Flowmedica Inc METHOD AND APPARATUS FOR ADMINISTERING INTRA-AORTIC SUBSTANCE TO A BRANCHED VESSEL
US6819951B2 (en) 2002-09-24 2004-11-16 Mayo Foundation For Medical Education And Research Peripherally inserted central catheter with continuous central venous oximetry and proximal high flow port
US7534223B2 (en) 2002-10-08 2009-05-19 Boston Scientific Scimed, Inc. Catheter with formed guide wire ramp
JP4778234B2 (ja) 2002-10-18 2011-09-21 ウィルソン−クック・メディカル・インコーポレーテッド 医療用アクセスシステム
US7037293B2 (en) 2002-11-15 2006-05-02 Boston Scientific Scimed, Inc. Rapid exchange catheter with depressable channel
EP1575641A4 (en) 2002-12-04 2008-02-13 Angiodynamics Inc VENOUS ACCESS CATHETER WITH VARIABLE CHARACTERISTICS
JP4272905B2 (ja) 2003-03-06 2009-06-03 修 加藤 薬液注入装置
US7018358B2 (en) 2003-03-18 2006-03-28 Abbott Laboratories Vascular Enterprises Limited Catheter having an auxiliary lumen for use with a functional measurement wire
US7182745B2 (en) 2003-03-25 2007-02-27 Boston Scientific Scimed, Inc. Retaining stent
US7637920B2 (en) 2003-03-28 2009-12-29 Ev3 Inc. Double ended intravascular medical device
US7632288B2 (en) 2003-05-12 2009-12-15 Boston Scientific Scimed, Inc. Cutting balloon catheter with improved pushability
EP1638633B1 (en) 2003-07-02 2009-11-18 Cook Critical Care Incorporated Central venous catheter
US7594911B2 (en) 2004-03-18 2009-09-29 C. R. Bard, Inc. Connector system for a proximally trimmable catheter
US7708721B2 (en) 2004-04-05 2010-05-04 University Of Medicine & Dentistry Of New Jersey Vascular access needle
US9333321B2 (en) 2004-04-12 2016-05-10 Aegis Medical Technologies, Llc Multi-lumen catheter
JP2005312976A (ja) * 2004-04-30 2005-11-10 Cook Inc ワイヤーガイド装置
US9289576B2 (en) 2004-06-17 2016-03-22 W. L. Gore & Associates, Inc. Catheter assembly
US20060064036A1 (en) 2004-09-21 2006-03-23 Cook Incorporated Variable flexibility wire guide
JP4821947B2 (ja) 2004-10-19 2011-11-24 朝日インテック株式会社 薬液注入装置
US8954164B2 (en) 2004-10-21 2015-02-10 Arnold B. Vardiman Electrical stimulator line protector
EP1814610B1 (en) 2004-11-04 2020-05-06 Covidien AG Catheter insertion apparatus
US20060129130A1 (en) 2004-11-18 2006-06-15 Tal Michael G Sheath/catheter system with controlled hardness and flexibility
IES20040803A2 (en) 2004-12-01 2006-06-14 Medtronic Vascular Connaught Drug delivery device
ATE485760T1 (de) * 2005-02-02 2010-11-15 Medical Components Inc Führungsdraht-erweiterungsanordnung
JP2006223338A (ja) 2005-02-15 2006-08-31 Humed Co Ltd カテーテル
US8662081B2 (en) 2005-02-15 2014-03-04 Yale University Intrauterine device
JP5166239B2 (ja) 2005-03-30 2013-03-21 アクセス サイエンティフィック、インク． 血管アクセス
WO2006113868A2 (en) 2005-04-20 2006-10-26 Cook Incorporated Medical delivery apparatus having tapered components
WO2008005618A2 (en) 2006-07-06 2008-01-10 Vascular Pathways, Inc. Intravenous catheter insertion device and method of use
WO2007006055A2 (en) 2005-07-06 2007-01-11 Vascular Pathways Inc. Intravenous catheter insertion device and method of use
US7938820B2 (en) 2005-08-18 2011-05-10 Lumen Biomedical, Inc. Thrombectomy catheter
JP4868387B2 (ja) 2005-09-21 2012-02-01 朝日インテック株式会社 薬液注入装置
US20080058839A1 (en) 2006-02-07 2008-03-06 Nobles Anthony A Reverse tapered guidewire and method of use
US9889275B2 (en) 2006-06-28 2018-02-13 Abbott Laboratories Expandable introducer sheath to preserve guidewire access
GB0614507D0 (en) 2006-07-21 2006-08-30 Smiths Group Plc Apparatus
US7947019B2 (en) 2006-08-18 2011-05-24 Angio Dynamics, Inc Catheter retention assembly and method of use
US7857788B2 (en) 2006-09-11 2010-12-28 Custom Medical Applications Neural injection system and related methods
EP2061385B1 (en) 2006-09-13 2014-06-04 Vascular Insights LLC Vascular treatment device
JP5513116B2 (ja) 2006-09-13 2014-06-04 クック メディカル テクノロジーズ エルエルシー アクセスポートに応力集中部を備えて破断力を低減した医療用カテーテル
US8636715B2 (en) 2006-09-25 2014-01-28 Medtronic Vascular, Inc. High torque, low profile catheters and methods for transluminal interventions
US8029481B2 (en) 2006-10-17 2011-10-04 Matthew Dickson Reavill Apparatus and method of inserting an infusing catheter and determining catheter depth without a guidewire or direct contact with the catheter
US8073517B1 (en) 2006-11-30 2011-12-06 Dartmouth-Hitchcock Clinic System and method for measuring blood constituents using a catheter
US7922696B2 (en) 2007-01-24 2011-04-12 Access Scientific, Inc. Access device
EP2111192B1 (en) * 2007-02-02 2015-05-13 Boston Scientific Limited Medical systems and related methods
IL181760A0 (en) 2007-03-07 2007-07-04 Ran Carmeli Medical device
EP3093038B1 (en) 2007-04-18 2019-05-22 Access Scientific, Inc. Access device
EP2486880A3 (en) 2007-04-18 2013-01-16 Access Scientific, Inc. Access device
EP2146769A1 (en) 2007-04-23 2010-01-27 Interventional & Surgical Innovations, LLC Guidewire with adjustable stiffness
JP5139518B2 (ja) 2007-05-07 2013-02-06 バスキュラー・パスウェイズ・インコーポレイテッド 静脈カテーテル挿入装置
US7819844B2 (en) 2007-10-17 2010-10-26 Gardia Medical Ltd. Guidewire stop
CA2711593C (en) 2008-01-14 2017-04-25 Boston Scientific Scimed, Inc. Catheter with stable position during guide wire exchange
US8182432B2 (en) 2008-03-10 2012-05-22 Acclarent, Inc. Corewire design and construction for medical devices
USD601242S1 (en) 2008-03-14 2009-09-29 Access Scientific, Inc. Access device
AU2009223296A1 (en) 2008-03-14 2009-09-17 Access Scientific, Inc. Access device
WO2009114833A1 (en) 2008-03-14 2009-09-17 Access Scientific, Inc. Access device
US8900207B2 (en) 2008-08-29 2014-12-02 Barry F. Uretsky Apparatus and method for treatment of bifurcation lesions
USD600793S1 (en) 2008-09-10 2009-09-22 Access Scientific, Inc. Access device
USD601243S1 (en) 2008-09-10 2009-09-29 Access Scientific, Inc. Access device
WO2010048449A2 (en) 2008-10-22 2010-04-29 Access Scientific, Inc. Access device
WO2010056906A2 (en) 2008-11-12 2010-05-20 Access Scientific, Inc. Access device
WO2010083467A2 (en) 2009-01-16 2010-07-22 Access Scientific, Inc. Access device
US20100256487A1 (en) 2009-04-06 2010-10-07 Angiodynamics, Inc. Micro central line vascular access catheter and method of use
CN102802720B (zh) 2009-05-12 2015-11-25 埃克赛斯科技有限公司 带阀的进入装置
US20100305474A1 (en) 2009-05-27 2010-12-02 Cook Critical Care Incorporated Apparatus for dispensing a wire guide
US9180275B2 (en) 2011-01-31 2015-11-10 Robert E. Helm Catheter-dressing systems with integrated flushing mechanisms
US20110106057A1 (en) 2009-11-02 2011-05-05 Hamboly M Samy Ahmed Catheter guidewire advancement device
US20110152836A1 (en) 2009-12-08 2011-06-23 Board Of Supervisors Of Louisiana State University And Agricultural And Mechanical College Method and Apparatus for Arterial and Venous Cannulation
US10603466B2 (en) 2009-12-14 2020-03-31 Michael G. Tal Intravascular catheter with positioning markers and method of placement
JP6009943B2 (ja) 2010-02-08 2016-10-19 アクセス サイエンティフィック、インク． アクセス装置
US8440090B2 (en) 2010-04-29 2013-05-14 Abbott Cardiovascular Systems Inc. Apparatus and method of making a variable stiffness multilayer catheter tubing
US9950139B2 (en) 2010-05-14 2018-04-24 C. R. Bard, Inc. Catheter placement device including guidewire and catheter control elements
CA2798020C (en) 2010-05-19 2015-06-30 Tangent Medical Technologies, Inc. Integrated vascular delivery system with safety needle
US8641717B2 (en) 2010-07-01 2014-02-04 DePuy Synthes Products, LLC Guidewire insertion methods and devices
US10525234B2 (en) 2010-09-10 2020-01-07 C. R. Bard, Inc. Antimicrobial/haemostatic interface pad for placement between percutaneously placed medical device and patient skin
EP2618719B1 (en) 2010-09-22 2017-10-04 Acclarent, Inc. Apparatus for treating disorders of the sinuses
JP2012065871A (ja) 2010-09-24 2012-04-05 Nihon Covidien Kk ガイドワイヤ挿入補助具
US9585667B2 (en) 2010-11-15 2017-03-07 Vascular Insights Llc Sclerotherapy catheter with lumen having wire rotated by motor and simultaneous withdrawal from vein
US20120157854A1 (en) 2010-12-15 2012-06-21 Cook Incorporated System and method for gaining percutaneous access to a body lumen
WO2012154277A1 (en) 2011-02-25 2012-11-15 C.R. Bard, Inc. Medical component insertion device including a retractable needle
US20140025036A1 (en) 2011-04-01 2014-01-23 Access Scientific, Llc Access device
WO2012162183A1 (en) 2011-05-20 2012-11-29 Boston Scientific Scimed, Inc. Balloon catheter with improved pushability
JP2014519907A (ja) 2011-05-25 2014-08-21 アクセス サイエンティフィック， エルエルシー アクセスデバイス
US8585858B2 (en) 2011-06-06 2013-11-19 Alex M. Kronfeld Medical catheter with bump tubing proximal segment
US9884169B2 (en) 2011-08-17 2018-02-06 Access Scientific, Llc Access device with valve
US9402975B2 (en) 2011-08-31 2016-08-02 Becton, Dickinson And Company Systems and methods to increase rigidity and snag-resistance of catheter tip
US9861383B2 (en) 2011-08-31 2018-01-09 Smiths Medical Asd, Inc. Needle assembly
ES2552049T3 (es) 2011-11-08 2015-11-25 Poly Medicure Limited Aparato de catéter intravenoso
JP6247536B2 (ja) 2011-11-25 2017-12-13 テルモ株式会社 医療用チューブおよびカテーテル
US10118020B2 (en) 2011-12-07 2018-11-06 Traumatek Solutions B.V. Devices and methods for endovascular access and therapy
US9168352B2 (en) 2011-12-19 2015-10-27 Cardiacassist, Inc. Dual lumen cannula
WO2013138519A1 (en) 2012-03-14 2013-09-19 Access Scientific, Llc Flexible medical article and method of making the same
US9981113B2 (en) 2012-03-14 2018-05-29 Access Scientific, Llc Flexible medical article and method of making the same
EP3730103B1 (en) * 2012-04-19 2024-12-04 Alcon Inc. Delivery system for ocular implant
CN202526749U (zh) 2012-05-07 2012-11-14 张孙富 腹腔导管穿刺针
GB2503668B (en) 2012-07-03 2018-02-07 Univ Hospitals Of Leicester Nhs Trust Delivery apparatus
US8992480B2 (en) 2012-10-02 2015-03-31 The Queen's Medical Center Vascular access systems having a guidewire anti-migration feature
EP2934647B1 (en) 2012-12-21 2020-02-12 Volcano Corporation Distal catheter tips and formation thereof
US9554785B2 (en) 2012-12-21 2017-01-31 Essential Medical, Inc. Vascular locating systems and methods of use
CN104994778B (zh) 2012-12-22 2018-01-30 奥梅齐医疗有限公司 定位和组织感应装置和方法
ES2742386T3 (es) 2013-01-15 2020-02-14 A V Medical Tech Ltd Catéter de infusión con mecanismo de válvula de alambre guía
CN108607150B (zh) 2013-01-30 2021-01-12 血管通路股份有限公司 用于静脉穿刺和导管放置的系统和方法
US10010312B2 (en) 2013-03-06 2018-07-03 St. Jude Medical Puerto Rico Llc Distal rapid exchange for transluminal angioplasty device and methods
US9539411B2 (en) 2013-03-13 2017-01-10 W. L. Gore & Associates, Inc. Deconstructable endoluminal devices and related systems and methods
US9272121B2 (en) 2013-03-13 2016-03-01 Invatec S.P.A. Side lumen reentry catheters and related methods
US9566087B2 (en) 2013-03-15 2017-02-14 Access Scientific, Llc Vascular access device
US9713695B2 (en) 2013-05-30 2017-07-25 Intermountain Invention Management, Llc Devices for creation of multiple vascular access sites
ES2856475T3 (es) 2013-06-04 2021-09-27 Tal Michael Gabriel Catéter de hemodiálisis de doble punta
US20150045695A1 (en) 2013-08-06 2015-02-12 Abbott Cardiovascular Systems, Inc. Guide wire with core made from low-modulus cobalt-chromium alloy
US9205231B2 (en) 2013-10-17 2015-12-08 Arizona Medical Systems, LLC Over-the-needle vascular access guidewire
US10130269B2 (en) 2013-11-14 2018-11-20 Medtronic Vascular, Inc Dual lumen catheter for providing a vascular pressure measurement
US20150148595A1 (en) 2013-11-25 2015-05-28 Avent, Inc. Method of Placing a Drainage Catheter System
US9913585B2 (en) 2014-01-15 2018-03-13 Medtronic Vascular, Inc. Catheter for providing vascular pressure measurements
EP3096830B1 (en) 2014-01-20 2025-06-04 Boston Scientific Medical Device Limited Collapsible tip re-entry catheter
EP3099256B1 (en) 2014-01-29 2023-06-07 Boston Scientific Medical Device Limited Side-port catheter
US20150224287A1 (en) 2014-02-12 2015-08-13 Corvivo, Inc. Central Venous Catheter Kit
WO2015153619A1 (en) 2014-04-02 2015-10-08 Merit Medical Systems, Inc. Catheter with catheter tip and related methods
EP3174475B1 (en) 2014-07-29 2023-09-06 Vascular Barcelona Devices, S.L. Catheter devices and kits
US20160074628A1 (en) * 2014-09-11 2016-03-17 Cook Medical Technologies Llc Catheter clip
US9579484B2 (en) 2014-09-19 2017-02-28 Medtronic Vascular, Inc. Sterile molded dispenser
CN107106817A (zh) 2015-01-02 2017-08-29 威格米德公司 针头毂及包括该针头毂的iv导管系统
KR102557862B1 (ko) 2015-01-09 2023-07-20 애커러트 메디컬 테라퓨틱스 엘티디. 색전술 마이크로카테터
ES2975734T3 (es) 2015-01-29 2024-07-12 Becton Dickinson Co Catéter integrado de inserción rápida
PL3264997T3 (pl) 2015-03-02 2019-07-31 Accurate Medical Therapeutics Ltd. Cewniki z otworami bocznymi do modyfikowania i podawania zawiesin pacjentowi
US11027099B2 (en) 2015-04-30 2021-06-08 Smiths Medical Asd, Inc. Vascular access device
US11471648B2 (en) 2015-05-01 2022-10-18 Medline Industries, Lp Catheter insertion system and method
US11219740B2 (en) 2015-05-29 2022-01-11 Covidien Lp Catheter including tapering coil member
EP3316955B1 (en) 2015-07-02 2025-04-30 B. Braun Melsungen AG Catheter devices with integrated tubing management mechanism and related method of manufacture
US20170014599A1 (en) * 2015-07-14 2017-01-19 Smiths Medical Asd, Inc. Device for dispensing a flexible member
US20170035990A1 (en) 2015-08-04 2017-02-09 Kevin Swift Endoluminal fluid delivery device and method
US20170072165A1 (en) 2015-09-11 2017-03-16 Cathera, Inc. Catheter shaft and associated devices, systems, and methods
US9821146B2 (en) 2015-09-22 2017-11-21 Abiomed, Inc. Guidewire for cannula placement
US10271873B2 (en) 2015-10-26 2019-04-30 Medtronic Vascular, Inc. Sheathless guide catheter assembly
US10806901B2 (en) 2015-10-28 2020-10-20 Becton, Dickinson And Company Catheter adapter with distal inner diameter curvature providing kink resistance
CN108883251B (zh) 2016-01-15 2021-12-07 Tva医疗公司 用于推进金属丝的装置和方法
US20170273713A1 (en) 2016-01-21 2017-09-28 Amit Shah Intravenous access assist device
US10369330B2 (en) 2016-02-11 2019-08-06 Cook Medical Technologies Llc Drainage catheter hub with a semi-compressed suture seal
EP4353297A3 (en) 2016-02-18 2024-07-24 Smiths Medical ASD, Inc. Closed system catheter
CA3009202C (en) 2016-02-21 2025-03-11 Samuel S. Shields WINGUIDE TYPE GUIDE AND HOW TO USE IT
WO2017184535A1 (en) 2016-04-17 2017-10-26 Acantha Medical, Inc. Device and method for single-handed access and insertion of an article
WO2017197293A1 (en) 2016-05-13 2017-11-16 C.R. Bard, Inc. Peripherally inserted central catheter systems, devices, and methods thereof for pediatrics
US10617846B2 (en) 2016-07-21 2020-04-14 Redsmith, Inc. Guidewire advancing device and method
US10850071B2 (en) 2016-10-28 2020-12-01 Freudenberg Medical, Llc Expandable introducer assembly and method of using same
US11103276B2 (en) 2016-11-02 2021-08-31 510 Kardiac Devices, Inc. Dual lumen dilator for use in transseptal punctures
TW201840363A (zh) 2016-11-08 2018-11-16 美商陶氏科技投資有限公司 處理氫甲醯化催化劑溶液之方法
WO2018089275A1 (en) 2016-11-08 2018-05-17 Redsmith, Inc. Needle hub assembly for a medical device
WO2018089385A1 (en) 2016-11-08 2018-05-17 Redsmith, Inc. Needle cover apparatus
US11207504B2 (en) * 2017-01-17 2021-12-28 Medtronic, Inc. Shuttle apparatus and associated systems and methods
CA3059619C (en) 2017-04-13 2022-12-06 Teleflex Medical Incorporated Catheter insertion device
JP7071398B2 (ja) 2017-04-14 2022-05-18 スミスズ メディカル エーエスディー，インコーポレイティド 血管アクセスデバイス
WO2018213148A1 (en) 2017-05-13 2018-11-22 Redsmith, Inc. Safety device for retraction of a needle and guidewire for medical procedures and method of use
JP7237858B2 (ja) 2017-05-26 2023-03-13 パイパー・アクセス、エルエルシー カテーテル送達デバイス、システム、及び方法
US11027105B2 (en) 2017-07-13 2021-06-08 Biosense Webster (Israel) Ltd. Adjustable instrument for dilation of anatomical passageway
US10406326B2 (en) 2017-08-31 2019-09-10 I-V Access Technology, Inc. Methods and devices for vascular access
CN116269685A (zh) 2017-09-14 2023-06-23 阿比奥梅德公司 用于医疗装置导引器的集成可扩张通路
CN111405921A (zh) 2018-01-25 2020-07-10 朝日英达科株式会社 导管
US10836601B2 (en) 2018-03-07 2020-11-17 Ajibola George Akingba Guidewire management apparatus and method
US11260204B2 (en) 2018-04-11 2022-03-01 Smiths Medical Asd, Inc. Spring retract IV catheter
US11173277B2 (en) 2018-04-20 2021-11-16 Becton, Dickinson And Company Multi-diameter catheter and related devices and methods
US20220409275A1 (en) 2018-05-08 2022-12-29 Convergent Laser Technologies Surgical laser system
US11406795B2 (en) 2018-07-10 2022-08-09 Becton, Dickinson And Company Delivery device for a vascular access instrument
GB201814750D0 (en) 2018-09-11 2018-10-24 Univ Leuven Kath Manipulation device
AU2019351151B2 (en) 2018-09-28 2025-03-13 Velano Vascular, Inc. Devices and methods for phlebotomy through a closed system intravenous catheter
MX2022002691A (es) 2019-09-10 2022-04-07 Bard Access Systems Inc Cateter central insertado rapidamente y metodos del mismo.
JP7586900B2 (ja) 2019-09-24 2024-11-19 バード・アクセス・システムズ，インコーポレーテッド 患者の血管系にアクセスするためのカテーテルアセンブリ
JP7702390B2 (ja) 2019-10-18 2025-07-03 バード・アクセス・システムズ，インコーポレーテッド 迅速挿入型中心静脈カテーテル及びその方法
JP7729814B2 (ja) 2019-10-22 2025-08-26 バード・アクセス・システムズ，インコーポレーテッド 迅速挿入型中心静脈カテーテル
WO2021081434A1 (en) 2019-10-25 2021-04-29 Bard Access Systems, Inc. Guidewire-management devices and methods thereof
CA3157529A1 (en) 2019-10-27 2021-05-06 Bard Access Systems, Inc. Rapidly insertable central catheter and methods thereof
JP7611924B2 (ja) 2020-01-23 2025-01-10 バード・アクセス・システムズ，インコーポレーテッド 迅速挿入型中心静脈カテーテルシステム
MX2022011216A (es) * 2020-03-13 2022-10-07 Bard Access Systems Inc Dispositivos y metodos de manejo de alambres de guia.
CN113521490A (zh) 2020-04-20 2021-10-22 巴德阿克塞斯系统股份有限公司 包括导管组件的可快速插入的中央导管及其方法
JP7788397B2 (ja) 2020-04-23 2025-12-18 バード・アクセス・システムズ，インコーポレーテッド カテーテルアセンブリを備えた迅速挿入型中心静脈カテーテル
KR20230007433A (ko) 2020-04-27 2023-01-12 바드 액세스 시스템즈, 인크. 카테터 어셈블리들을 포함하는 신속 삽입 가능 중앙 카테터 및 그 방법 (rapidly insertable central catheters including catheter assemblies and methods thereof)
CA3181532A1 (en) 2020-05-21 2021-11-25 Bard Access Systems, Inc. Rapidly insertable central catheters including catheter assemblies
CN114099898B (zh) 2020-06-29 2026-03-17 巴德阿克塞斯系统股份有限公司 包括导管组件的可快速插入的中心导管及其方法
MX2023000019A (es) 2020-06-29 2023-04-11 Bard Access Systems Inc Catéteres centrales que se insertan rápidamente incluyendo ensamblajes y métodos de los mismos.
KR20230034345A (ko) 2020-07-01 2023-03-09 바드 액세스 시스템즈, 인크. 신속 삽입 가능한 중심 카테터 및 그 방법(rapidly insertable central catheters and methods thereof)
EP4185362A1 (en) 2020-07-31 2023-05-31 Bard Access Systems, Inc. Two-piece rapidly insertable central catheters, introducers therefor, and methods thereof
AU2021393463B2 (en) 2020-12-03 2025-11-27 Bard Access Systems, Inc. Needle tip blunting using a length of a guidewire
CN216986020U (zh) 2020-12-17 2022-07-19 巴德阿克塞斯系统股份有限公司 导丝和导管组件
CN115999016A (zh) 2021-10-21 2023-04-25 巴德阿克塞斯系统股份有限公司 导管放置系统
JP2024536584A (ja) 2021-10-21 2024-10-04 バード・アクセス・システムズ，インコーポレーテッド カテーテル留置のためのガイドワイヤロッキングシステム
EP4479118A1 (en) 2022-03-02 2024-12-25 Bard Access Systems, Inc. Guidewires and assemblies for automatic withdrawal of stylets from catheters

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4041362A4 (en) * 2019-10-25 2023-12-06 Bard Access Systems, Inc. Guidewire-management devices and methods thereof

Also Published As

Publication number Publication date
US20250121159A1 (en) 2025-04-17
CN113384799A (zh) 2021-09-14
US12186494B2 (en) 2025-01-07
KR20220153062A (ko) 2022-11-17
AU2021236392A1 (en) 2022-09-15
EP4117765A2 (en) 2023-01-18
CN215608659U (zh) 2022-01-25
CA3172383A1 (en) 2021-09-16
AU2021236392B2 (en) 2025-09-11
MX2022011216A (es) 2022-10-07
JP7759334B2 (ja) 2025-10-23
JP2023517342A (ja) 2023-04-25
BR112022017351A2 (pt) 2022-10-18
KR102937628B1 (ko) 2026-03-10
WO2021183964A3 (en) 2021-11-18
US20210283368A1 (en) 2021-09-16

Similar Documents

Publication Publication Date Title
US12186494B2 (en) Guidewire-management devices and methods thereof
EP4117764B1 (en) Guidewire-management devices and methods thereof
US20250121165A1 (en) Guidewire-Management Devices and Methods Thereof
EP4188219B1 (en) Aspiration syringes
US20200206462A1 (en) Medical puncture instrument
CN104470436B (zh) 整体式真空采血装置
CN204275252U (zh) 防污染外周血管内置导管助推装置
WO2009001430A1 (ja) 医療機器及びこの医療機器を有する医療システム

Legal Events

Date Code Title Description
WWE Wipo information: entry into national phase

Ref document number: 202217046491

Country of ref document: IN

ENP Entry into the national phase

Ref document number: 3172383

Country of ref document: CA

REG Reference to national code

Ref country code: BR

Ref legal event code: B01A

Ref document number: 112022017351

Country of ref document: BR

ENP Entry into the national phase

Ref document number: 2022554837

Country of ref document: JP

Kind code of ref document: A

ENP Entry into the national phase

Ref document number: 2021236392

Country of ref document: AU

Date of ref document: 20210312

Kind code of ref document: A

ENP Entry into the national phase

Ref document number: 20227035297

Country of ref document: KR

Kind code of ref document: A

WWE Wipo information: entry into national phase

Ref document number: 2021716910

Country of ref document: EP

ENP Entry into the national phase

Ref document number: 2021716910

Country of ref document: EP

Effective date: 20221013

NENP Non-entry into the national phase

Ref country code: DE

ENP Entry into the national phase

Ref document number: 112022017351

Country of ref document: BR

Kind code of ref document: A2

Effective date: 20220830

121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 21716910

Country of ref document: EP

Kind code of ref document: A2