Pressure sensing guide wire

• US 5,964,714 A
• Filed: 03/07/1996
• Issued: 10/12/1999
• Est. Priority Date: 03/07/1996
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Lafontaine, Daniel M.
• Primary Examiner(s): O'Connor, Cary
• Assistant Examiner(s): WINGOOD, PAMELA LYNN
• Application Number:
  US08/614,774
• Time in Patent Office: 1,314 Days
• Field of Search: 600/585, 600/561, 600/587, 600/595
• US Class Current: 600/561
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/02158 provided with two or more sensor elements
• CPC Class Codes: A61B 5/6851 Guide wires
• CPC Class Codes: A61M 2025/09175 having specific characteristics at the distal tip
• CPC Class Codes: A61M 25/09 Guide wires

Abstract

A guide wire that is capable of sensing pressure at its distal. The guide wire contains a non-compliant path from its distal end to a pressure transducer, at its proximal end, that has a maximum signal rating of 10-1,000 times the nominal signal.

Claims

1. A medical guidewire comprising:

an elongate body having a proximal end, a distal end, a lumen extending between the proximal end of the elongate body and the distal end of the elongate body, the lumen surrounded by noncompliant material, and at least one hole near the distal end of the elongate body to provide pressure communication between the lumen and a pressure source external to the elongate body;

a noncompliant connector attached to the proximal end of the elongate body in fluid communication with the lumen; and

at least one pressure transducer adjacent the proximal end of the elongate body and directly attached to the noncompliant connector.

2. A medical guidewire as in claim 1, wherein the elongate body includes a metallic tube having a tapered distal section and a polymer coating surrounding the distal section.

3. A medical guidewire as in claim 1, wherein the elongate body comprises:

a first metallic tube having a tapered distal section; and

a second noncompliant tube attached to a portion of the distal section of the first metallic tube and extending distally of the first metallic tube.

4. A medical guidewire as in claim 3, wherein the first metallic tube includes stainless steel and the second noncompliant tube includes a shape memory alloy.

5. A medical guidewire as in claim 1, wherein the at least one pressure transducer is adapted to have a full scale pressure capability which is 10-10,000 times greater than the range of interest.

6. A medical guidewire as in claim 1, wherein the at least one hole is sealed by a valve which allows fluid to flow out of the lumen but not into the lumen and allows pressure to be communicated across the valve.

7. A medical guidewire as in claim 1, wherein the noncompliant connector has a first port adapted to connect to the distal end of the elongate body, a second port adapted to connect to at least one pressure transducer, and at least one additional port.

8. A method of measuring pressure changes across a vascular legion comprising:

inserting an elongate medical pressure sensing device into the vessel, the device having a proximal end, a distal end, at least two lumens therethrough, at least two laterally displaced sets of holes near the distal end, wherein at least one set of holes provides pressure communication between each of the lumens and a pressure source exterior of the elongate medical pressure sensing device, a noncompliant connector attached to the proximal end of the elongate medical pressure sensing device in fluid communication with the lumens therein, and at least two pressure transducers attached to the noncompliant connector wherein at least one pressure transducer is in fluid communication with each lumen;

advancing the elongate medical pressure sensing device through the vessel to a point where one set of holes is distal of the lesion and another set of holes is proximal to the site; and

then reading pressure from the distal side of the lesion and the proximal side of the lesion simultaneously.

9. An elongate medical device comprising:

an elongate body having a proximal end, a distal end, a lumen extending between the proximal end of the elongate body and the distal end of the elongate body, the lumen surrounded by noncompliant material, and at least one hole near the distal end of the elongate body to provide pressure communication between the lumen and a pressure source external to the elongate body;

a noncompliant connector attached to the proximal end of the elongate body in fluid communication with the non-compliant lumen;

at least one pressure transducer adjacent the proximal end of the elongate body and directly attached to the noncompliant connector; and

a one way valve which allows fluid to flow out of the at least one hole but not into the at least one hole and allows pressure to be communicated across the valve.