Guide wire insertion and re-insertion tools and methods of use

• US 6,606,515 B1
• Filed: 05/14/1999
• Issued: 08/12/2003
• Est. Priority Date: 09/13/1996
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Carrillo, Oscar Jr., May, Norman C., Evans, Stephen C., Windheuser, James E., Allman, Robert C., Yearick, James, Alvarez de Toledo, Fernando
• Primary Examiner(s): KENNEDY, SHARON E
• Application Number:
  US09/312,438
• Time in Patent Office: 1,551 Days
• Field of Search: 604/165.01, 604/53, 604/103.04, 604/117, 604/159, 604/165.04, 604/166.01, 604/208, 604/220, 604/523, 604/533, 604/535, 604/539, 600/434, 600/585
• US Class Current: 600/434
• CPC Class Codes: A61M 2025/0183 Rapid exchange or monorail catheters
• CPC Class Codes: A61M 2025/09125 Device for locking a guide wire in a fixed position with respect to the catheter or the human body
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10
• CPC Class Codes: A61M 25/0169 Exchanging a catheter while keeping the guidewire in place
• CPC Class Codes: A61M 25/0172 Exchanging a guidewire while keeping the catheter in place
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body
• CPC Class Codes: A61M 25/09041 Mechanisms for insertion of guide wires

Abstract

An insertion tool and method for easily inserting a guide wire into a guide wire lumen of a catheter, particularly a rapid exchange catheter, for use in an endoscope. The insertion tool includes a main body having a main lumen and a funnel-shaped extension having a funnel lumen that merges with the main lumen. The funnel lumen has a first large opening and a second smaller opening aligned with the guide wire lumen of the catheter such that, when the catheter is disposed in the main lumen, the guide wire may be easily inserted into the large opening of the funnel-shaped extension and into the guide wire lumen of the catheter. The insertion tool may include a tongue or key disposed in the main lumen that is sized to fit in a slot of the catheter to thereby maintain alignment between the funnel lumen and the slot of the catheter. The insertion tool may alternatively include a non-round surface disposed in the main lumen that engages a non-round surface on the exterior of the catheter to thereby maintain alignment between the funnel lumen and the slot of the catheter. The insertion tool may further include a longitudinal slot in the funnel-shaped extension and/or main body to allow removal of the guide wire from the insertion tool while the guide wire remains in the guide wire lumen of the catheter.

Claims

1. An insertion tool for use in inserting a guide wire into a guide wire lumen of a catheter for use in a lumen of an endoscope, the insertion tool comprising:

a main body having a first opening, a second opening, and a main lumen extending therethrough, the main lumen sized to accommodate the catheter therein, and

a funnel-shaped extension connected to and disposed adjacent to the main body, the funnel-shaped extension having a proximal opening and a funnel lumen extending therethrough, wherein the funnel lumen has a distal end, the proximal opening sized larger than the guide wire, the distal end of the funnel lumen positioned and sized to communicate with the guide wire lumen of the catheter when the catheter is disposed in the main lumen such that the guide wire may be easily inserted into the proximal opening of the funnel lumen and into the guide wire lumen of the catheter, wherein the main body and the funnel-shaped extension each includes a distal portion, and wherein the distal portion of the funnel-shaped extension merges with the distal portion of the main body to define a merged section, the merged section sized to fit in the lumen of the endoscope.

2. An insertion tool as in claim 1, wherein the insertion tool is adapted for use with a catheter having a longitudinal slot providing access to the guide wire lumen, the insertion tool further comprising a means for maintaining alignment between the funnel lumen and the slot of the catheter.

3. An insertion tool as in claim 2, wherein the alignment means comprises a tongue.

4. An insertion tool as in claim 2, wherein the alignment means comprises a non-round surface.

5. An insertion tool as in claim 2, wherein the main body is sized to fit in the lumen of the endoscope.

6. An insertion tool for use in inserting a guide wire into a guide wire lumen of a catheter for use in a lumen of an endoscope, the insertion tool comprising;

a main body having a first opening, a second opening, and a main lumen extending therethrough, the main lumen sized to accommodate the catheter therein; and

a funnel-shaped extension integrally formed with and disposed adjacent to the main body, the funnel-shaped extension having a proximal opening and a funnel lumen extending therethrough, the funnel lumen having a distal end merging with the main lumen, the proximal opening being larger than the guide wire and the distal end of the funnel lumen aligned with the guide wire lumen of the catheter, such that, when the catheter is disposed in the main lumen, the guide wire may be easily inserted into the proximal opening of the funnel lumen and into the guidewire lumen of the catheter, wherein the main body and the funnel-shaped extension each include a distal portion, and wherein the distal portion of the funnel-shaped extension merges with the distal portion of the main body to define a merged section, the merged section sized to fit in the lumen of the endoscope.

7. An insertion tool as in claim 6, wherein the insertion tool is adapted for use with a catheter having a longitudinal slot providing access to the guide wire lumen, the insertion tool further comprising a tongue disposed in the main lumen, the tongue sized to fit in the slot of the catheter such that the tongue maintains alignment between the funnel lumen and the slot of the catheter.

8. An insertion tool as in claim 6, wherein the insertion tool is adapted for use with a catheter having a longitudinal slot providing access to the guide wire lumen, the insertion tool further comprising a non-round surface in the main lumen, the non-round surface engaging a non-round surface extending along a portion of the catheter such that the engaging surfaces maintain alignment between the funnel lumen and the slot of the catheter.

9. An insertion tool as in claim 6, further comprising a longitudinal slot in the main body to allow removal of the guide wire from the insertion tool while the guide wire remains disposed in the guide wire lumen of the catheter.

10. An insertion tool as in claim 6, further comprising a longitudinal slot in the funnel-shaped extension to allow removal of the guide wire from the insertion tool while the guide wire remains disposed in the guide wire lumen of the catheter.

11. An insertion tool as in claim 6, wherein the insertion tool is adapted for use with a catheter having a longitudinal slot providing access to the guide wire lumen, the insertion tool further comprising a means for maintaining alignment between the funnel lumen and the slot of the catheter.