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WO1999048549A3 - Improved guidewire, catheter and method of crossing tight intravascular occlusions using same - Google Patents

Improved guidewire, catheter and method of crossing tight intravascular occlusions using same Download PDF

Info

Publication number
WO1999048549A3
WO1999048549A3 PCT/US1999/006498 US9906498W WO9948549A3 WO 1999048549 A3 WO1999048549 A3 WO 1999048549A3 US 9906498 W US9906498 W US 9906498W WO 9948549 A3 WO9948549 A3 WO 9948549A3
Authority
WO
WIPO (PCT)
Prior art keywords
catheter
guidewire
distal
section
shaft
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/US1999/006498
Other languages
French (fr)
Other versions
WO1999048549A2 (en
Inventor
Matthew R Selmon
Charles F Milo
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.)
Lumend Inc
Original Assignee
Lumend 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 Lumend Inc filed Critical Lumend Inc
Priority to AU34532/99A priority Critical patent/AU3453299A/en
Publication of WO1999048549A2 publication Critical patent/WO1999048549A2/en
Publication of WO1999048549A3 publication Critical patent/WO1999048549A3/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
    • A61M25/01—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
    • A61M2025/09008—Guide wires having a balloon
    • 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
    • A61M2025/09058—Basic structures of guide wires
    • A61M2025/09083—Basic structures of guide wires having a coil around a core
    • A61M2025/09091—Basic structures of guide wires having a coil around a core where a sheath surrounds the coil at the distal part
    • 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
    • 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
    • A61M2025/09183—Guide wires having specific characteristics at the distal tip having tools at the distal tip
    • 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
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
    • A61M2029/025—Dilators made of swellable material characterised by the guiding element

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

A guidewire includes a proximal section; a distal section; and a protruding section, the protruding section being integral with the guidewire and disposed between the proximal and distal sections. The protruding section tapers in the distal direction to smoothly join with the distal section. According to another aspect of the invention, an intravascular catheter includes a catheter shaft having a work element attached to a distal section thereof; a center shaft disposed axially within the catheter shaft, the center shaft having a guidewire lumen therethrough, and a guidewire slidably disposed within the guidewire lumen, the guidewire including an integral and tapered protruding section near the distal tip thereof. When the guidewire is fully proximally retracted, the proximal surface of the protruding section faces and abuts against a corresponding distal-most surface of the catheter shaft to present a gradual transition from the guidewire to the distal section of the catheter shaft. According to another aspect, the present invention provides a percutaneous transluminal coronary angioplasty balloon catheter including a catheter and center shaft, both of which include an axial lumen therethrough. An inflatable balloon is disposed near the distal end of the catheter shaft. The center shaft is disposed within the axial lumen of the catheter shaft. One or both of the catheter and center shafts include either a wire, a coil or a wire braid embedded therein or wound about an outer diameter thereof to enhance torqueability of the balloon catheter.
PCT/US1999/006498 1998-03-24 1999-03-24 Improved guidewire, catheter and method of crossing tight intravascular occlusions using same Ceased WO1999048549A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU34532/99A AU3453299A (en) 1998-03-24 1999-03-24 Improved guidewire, catheter and method of crossing tight intravascular occlusions using same

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US4712498A 1998-03-24 1998-03-24
US09/047,124 1998-03-24

Publications (2)

Publication Number Publication Date
WO1999048549A2 WO1999048549A2 (en) 1999-09-30
WO1999048549A3 true WO1999048549A3 (en) 1999-12-02

Family

ID=21947190

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1999/006498 Ceased WO1999048549A2 (en) 1998-03-24 1999-03-24 Improved guidewire, catheter and method of crossing tight intravascular occlusions using same

Country Status (2)

Country Link
AU (1) AU3453299A (en)
WO (1) WO1999048549A2 (en)

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6854467B2 (en) 2000-05-04 2005-02-15 Percardia, Inc. Methods and devices for delivering a ventricular stent
US6881199B2 (en) 1998-09-10 2005-04-19 Percardia, Inc. Left ventricular conduit with blood vessel graft
US6926690B2 (en) 1998-09-10 2005-08-09 Percardia, Inc. Transmyocardial shunt and its attachment mechanism, for left ventricular revascularization
US6949118B2 (en) 2002-01-16 2005-09-27 Percardia, Inc. Encased implant and methods
US6949080B2 (en) 1998-01-30 2005-09-27 Percardia, Inc. Left ventricular conduits to coronary arteries and methods for coronary bypass
US6976990B2 (en) 2001-01-25 2005-12-20 Percardia, Inc. Intravascular ventriculocoronary bypass via a septal passageway
US7008397B2 (en) 2002-02-13 2006-03-07 Percardia, Inc. Cardiac implant and methods
US7011095B2 (en) 1998-09-10 2006-03-14 Percardia, Inc. Valve designs for left ventricular conduits
US7033372B1 (en) 1999-08-04 2006-04-25 Percardia, Inc. Corkscrew reinforced left ventricle to coronary artery channel
US7347867B2 (en) 1998-09-10 2008-03-25 Wilk Patent And Development Corporation Designs for left ventricular conduit

Families Citing this family (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6409697B2 (en) 1999-05-04 2002-06-25 Heartstent Corporation Transmyocardial implant with forward flow bias
US6638237B1 (en) 1999-08-04 2003-10-28 Percardia, Inc. Left ventricular conduits and methods for delivery
NL1020427C2 (en) * 2002-04-18 2003-10-21 Univ Delft Tech Guide wire for guiding a catheter.
US7326219B2 (en) 2002-09-09 2008-02-05 Wilk Patent Development Device for placing transmyocardial implant
DE102005003632A1 (en) 2005-01-20 2006-08-17 Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. Catheter for the transvascular implantation of heart valve prostheses
US7896915B2 (en) 2007-04-13 2011-03-01 Jenavalve Technology, Inc. Medical device for treating a heart valve insufficiency
ES2903231T3 (en) 2008-02-26 2022-03-31 Jenavalve Tech Inc Stent for positioning and anchoring a valve prosthesis at an implantation site in a patient's heart
US9044318B2 (en) 2008-02-26 2015-06-02 Jenavalve Technology Gmbh Stent for the positioning and anchoring of a valvular prosthesis
US10856978B2 (en) 2010-05-20 2020-12-08 Jenavalve Technology, Inc. Catheter system
WO2011147849A1 (en) 2010-05-25 2011-12-01 Jenavalve Technology Inc. Prosthetic heart valve and transcatheter delivered endoprosthesis comprising a prosthetic heart valve and a stent
JP6563394B2 (en) 2013-08-30 2019-08-21 イェーナヴァルヴ テクノロジー インコーポレイテッド Radially foldable frame for an artificial valve and method for manufacturing the frame
JP6829692B2 (en) 2015-03-20 2021-02-10 イェーナヴァルヴ テクノロジー インコーポレイテッド Heart valve prosthesis delivery system and method for delivering the heart valve prosthesis through the introducer sheath
EP4403138A3 (en) 2015-05-01 2024-10-09 JenaValve Technology, Inc. Device and method with reduced pacemaker rate in heart valve replacement
US10596354B2 (en) 2015-09-25 2020-03-24 Mark Taber Guide wires, catheters, and guide wire catheter systems and methods
CN109475419B (en) 2016-05-13 2021-11-09 耶拿阀门科技股份有限公司 Heart valve prosthesis delivery systems and methods for delivering heart valve prostheses through guide sheaths and loading systems
US11197754B2 (en) 2017-01-27 2021-12-14 Jenavalve Technology, Inc. Heart valve mimicry
CN215780828U (en) * 2021-04-26 2022-02-11 上海申淇医疗科技有限公司 Medical device
JP2025538294A (en) 2022-11-09 2025-11-27 イエナバルブ テクノロジー インク CATHETER SYSTEM FOR SEQUENTIAL DEPLOYMENT OF EXPANDABLE IMPLANTS - Patent application

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0396074A1 (en) * 1989-05-03 1990-11-07 Sterimed Gesellschaft für medizinischen Bedarf mbH Device for vessel expansion
US5176661A (en) * 1988-09-06 1993-01-05 Advanced Cardiovascular Systems, Inc. Composite vascular catheter
US5364357A (en) * 1989-09-25 1994-11-15 Schneider (Usa) Inc. Small diameter dilatation catheter having wire reinforced coaxial tubular body
US5385152A (en) * 1990-11-09 1995-01-31 Boston Scientific Corporation Guidewire for crossing occlusions in blood vessels
US5454788A (en) * 1991-04-24 1995-10-03 Baxter International Inc. Exchangeable integrated-wire balloon catheter
US5465733A (en) * 1993-10-14 1995-11-14 Hinohara; Tomoaki Guide wire for catheters and method for its use

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5176661A (en) * 1988-09-06 1993-01-05 Advanced Cardiovascular Systems, Inc. Composite vascular catheter
EP0396074A1 (en) * 1989-05-03 1990-11-07 Sterimed Gesellschaft für medizinischen Bedarf mbH Device for vessel expansion
US5364357A (en) * 1989-09-25 1994-11-15 Schneider (Usa) Inc. Small diameter dilatation catheter having wire reinforced coaxial tubular body
US5385152A (en) * 1990-11-09 1995-01-31 Boston Scientific Corporation Guidewire for crossing occlusions in blood vessels
US5454788A (en) * 1991-04-24 1995-10-03 Baxter International Inc. Exchangeable integrated-wire balloon catheter
US5465733A (en) * 1993-10-14 1995-11-14 Hinohara; Tomoaki Guide wire for catheters and method for its use

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6949080B2 (en) 1998-01-30 2005-09-27 Percardia, Inc. Left ventricular conduits to coronary arteries and methods for coronary bypass
US6881199B2 (en) 1998-09-10 2005-04-19 Percardia, Inc. Left ventricular conduit with blood vessel graft
US6926690B2 (en) 1998-09-10 2005-08-09 Percardia, Inc. Transmyocardial shunt and its attachment mechanism, for left ventricular revascularization
US7011095B2 (en) 1998-09-10 2006-03-14 Percardia, Inc. Valve designs for left ventricular conduits
US7347867B2 (en) 1998-09-10 2008-03-25 Wilk Patent And Development Corporation Designs for left ventricular conduit
US7033372B1 (en) 1999-08-04 2006-04-25 Percardia, Inc. Corkscrew reinforced left ventricle to coronary artery channel
US6854467B2 (en) 2000-05-04 2005-02-15 Percardia, Inc. Methods and devices for delivering a ventricular stent
US6976990B2 (en) 2001-01-25 2005-12-20 Percardia, Inc. Intravascular ventriculocoronary bypass via a septal passageway
US6949118B2 (en) 2002-01-16 2005-09-27 Percardia, Inc. Encased implant and methods
US7008397B2 (en) 2002-02-13 2006-03-07 Percardia, Inc. Cardiac implant and methods

Also Published As

Publication number Publication date
WO1999048549A2 (en) 1999-09-30
AU3453299A (en) 1999-10-18

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