Guidewire for a free standing intervascular device having an integral stop mechanism

• US 6,939,361 B1
• Filed: 09/21/2000
• Issued: 09/06/2005
• Est. Priority Date: 09/22/1999
• Status: Expired due to Fees

• Current Assignee: WL Gore and Associates Incorporated (W.L. Gore and Associates)
• Original Assignee: NMT Medical Incorporated
• Inventors: Kleshinski, Stephen J.
• Primary Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US09/666,452
• Time in Patent Office: 1,811 Days
• Field of Search: 606/200, 606/113, 606/114, 606/127, 623/1.11, 604/104, 600/127, 600/434, 600/585
• US Class Current: 606/200
• CPC Class Codes: A61F 2/011 Instruments for their placement or removal
• CPC Class Codes: A61F 2002/015 Stop means therefor
• CPC Class Codes: A61F 2002/018 made from tubes or sheets of material, e.g. by etching or laser-cutting
• CPC Class Codes: A61F 2230/005 Rosette-shaped, e.g. star-shaped
• CPC Class Codes: A61F 2230/0067 conical

Abstract

An elongate guidewire for use with a free, unsecured, intervascular device having an elongate, enclosed, open ended channel for receiving the guidewire. The guidewire includes an elongate, flexible body having an outer dimension which is less than the inner dimension of the channel and an expandable and contractable stop member mounted on the guidewire body for movement between a first contracted position and a second expanded position. The expandable and contractable stop member is dimensioned in the first contracted position to move through said channel and in the second expanded position to preclude movement of said stop member through the channel.

Claims

1. A medical apparatus comprising:

an intervascular device comprising a contracted configuration and an expanded configuration, said intervascular device comprising an elongate wire receiving unit having an open ended channel extending therethrough for receiving a guidewire; and

said guidewire comprising an elongate body extending along a longitudinal axis between a proximal end and a distal end and an expandable and contactable stop member mounted thereon which is movable between a first contracted position and a second expanded position, said expandable and contractable stop member being dimensioned to pass through said channel in the first contracted position and being dimensioned in the second expanded position thereof to have an outer dimension which is greater than the inner dimension of said channel but less than the outer dimension of said intervascular device in the expanded configuration thereof, and said elongate body comprising an outer dimension which is less than the inner dimension of said channel to permit free movement of said guidewire relative to said intervascular device within said channel in opposite directions along the longitudinal axis of said guidewire.

2. The apparatus of claim 1 wherein said expandable and contractable stop member is spaced from both the proximal and distal ends of said guidewire body.

3. The apparatus of claim 1 wherein said expandable and contractable stop member comprises a thin walled body member mounted upon and surrounding said guidewire and dimensioned to pass with said guidewire through said channel in the first contracted position of said contactable stop member, said thin walled body member comprising a body member distal end portion secured to said guidewire and a sliding portion extending toward the proximal end of said guidewire, said sliding portion being longitudinally slidable relative to said guidewire toward the distal end of said guidewire to cause the thin walled body member to bow outwardly from said guidewire adjacent to the body member distal end portion to form the second expanded position of said expandable and contractable stop member.

4. The apparatus of claim 1 wherein said guidewire is formed with an internal chamber extending from the proximal end of said guidewire toward said distal end thereof, and a stop member operating mechanism is mounted in said internal chamber to move said expandable and contractable stop member between said first contracted and second expanded positions.

5. The apparatus of claim 4 wherein said guidewire body comprises at least one opening formed to extend into said internal chamber, said expandable and contractable stop member comprising at least one stop unit retractable through said opening into said internal chamber to the first contractable position of said expandable and contractable stop member and extendable outwardly through said opening to the second expanded position of said expandable and contractable stop member.

6. The apparatus of claim 5 wherein said at least one stop unit comprises a boss element which extends through said opening and a mounting arm secured within said internal channel to said boss element and to said guidewire body.

7. The apparatus of claim 6 wherein said stop member operating mechanism comprises an elongate cam actuator movable within the integral chamber to engage said stop unit and force said boss element to move outwardly through the opening in said guidewire body to the second expanded position of said expandable and contractable stop member.

8. The apparatus of claim 7 wherein said mounting arm is formed to bias said boss unit into said internal chamber.

9. The apparatus of claim 7 wherein said guidewire body comprises tow opposed openings into said internal chamber, and said expandable and contractable stop member comprises a boss element extending through each said opening, each said boss element being secured within internal chamber to a separate mounting arm secured to said guidewire within said internal chamber.

10. The apparatus of claim 9 wherein said elongate cam actuator is movable between said boss elements to engage and force said boss elements outwardly through said openings.

11. The apparatus of claim 10 wherein the mounting arm for each boss element is formed to bias boss element into said internal chamber.

12. The apparatus of claim 5 wherein said expandable and contractable stop member comprises at least one elongate strip of material which engages said stop member operating mechanism within said internal chamber and is extendable thereby through said at least one opening in said guidewire.

13. The apparatus of claim 12 wherein said strip of material is spring metal.

14. The apparatus of claim 12 wherein said strip of material is formed of temperature responsive shape memory material.

15. The apparatus of claim 4 wherein said expandable and retractable stop member comprises at least one barb having a first end secured externally to said guidewire body, said barb being formed normally extend from said first end angularly outward from said guidewire to a second end of said barb, said guidewire body comprising at least one opening formed to extend into said internal chamber, and said stop member operating mechanism comprising an elongate tether connected to the second free end of said barb and extending through said opening into said internal chamber.

16. The apparatus of claim 15 wherein said barb is formed of flexible material which biases said barb angularly outward from said guidewire body, said tether operating to draw the second end of said barb against the bias toward said guidewire body.

17. The apparatus of claim 1 wherein said guidewire body is formed with an internal chamber extending from the proximal end of the guidewire body toward the distal end thereof, said expandable and contractable stop member comprising an inflatable unit secured externally to said guidewire body, said guidewire body comprising at least one opening connecting said internal chamber to said inflatable unit.

28. The apparatus of claim 5 wherein said stop member comprises at least one grappling hook.

18. An elongate guidewire for use with a free, unsecured intervascular device comprising an expanded configuration for contact with the inner wall of a blood vessel and an elongate, enclosed, open ended channel comprising a channel inner dimension for receiving said guidewire, said guidewire comprising:

an elongate, flexible body extending along a longitudinal axis between a proximal end and a distal end, said flexible body comprising and outer dimension which is less than the inner dimension of said channel to permit free movement of said guidewire relative to said intervascular device within said channel along the longitudinal axis of said guidewire, and

an expandable and contractable stop member mounted on said guidewire body for movement between a first contracted position and a second expanded position, said expandable and contractable stop member being dimensioned in the first contracted position to move through said channel and being dimensioned in the second expanded position thereof to comprise an outer dimension which is greater than the inner dimension of said channel but less than an outer dimension of said intervascular device in the expanded configuration thereof.

19. The guidewire of claim 18 wherein said expandable and contractable stop member comprises a thin walled body member mounted upon and surrounding said guidewire and dimensioned to pass with said guidewire through said channel in the first contracted position of said contractable stop member, said thin wall body member comprising a body member distal end portion secured to said guidewire and a sliding portion extending toward the proximal end of said guidewire, said sliding portion being longitudinally slidable relative to said guidewire toward the distal end of said guidewire to cause the thin walled body member to bow outwardly from said guidewire adjacent to the body member distal end portion to form the second expanded position of said expandable and contractable stop member.

20. The guidewire of claim 18 wherein said guidewire is formed with an internal chamber extending from the proximal end of said guidewire toward said distal end thereof, and stop member operating mechanism is mounted in said internal chamber to move said expandable and contractable stop member between said first contracted and second expanded position.

21. The guidewire of claim 20 wherein said guidewire body comprises at least one opening formed to extend into said internal chamber, said expandable and contractable stop member comprising at least one stop unit retractable through said opening into said internal chamber to the first contractable position of said expandable and contractable stop member and extendable outwardly through said opening to the second expanded position of said expandable and contractable stop member.

22. The guidewire of claim 21 wherein said at least one stop unit comprises a boss element which extends through said opening and a mounting arm secured within said internal channel to said boss element to said guidewire body.

23. The guidewire of claim 22 wherein said stop member operating mechanism comprises an elongate cam actuator movable within the internal chamber to engage said stop unit and force said boss element to move outwardly through the opening in said guidewire body to the second expanded position of said expandable and contractable stop member.

25. The guidewire of claim 21 wherein said expandable and contractable stop member comprises at least on elongate strip of material which engages said stop member operating mechanism within said internal chamber and is extendable thereby through said at least one opening in said guidewire.

26. The guidewire of claim 20 wherein said expandable and retractable stop member comprises at least one barb having a first end secured externally to said guidewire body, said barb being formed to normally extend from said first end angularly outward from said guidewire to a second end of said barb, said guidewire body comprising at least one opening formed to extend into said internal chamber, and said stop member operating mechanism comprising an elongate tether connected to the second free end of said barb and extending through said opening into said internal chamber.

27. The guidewire of claim 26 wherein said barb is formed of flexible material which biases said barb angularly outward from said guidewire body, said tether operating to draw the second end of said barb against the bias toward said guidewire body.

29. The guidewire of claim 18 wherein said stop member comprises at least one grappling hook.

24. The guidewire of claim 24 wherein said mounting arm is formed to bias said boss unit into said internal chamber.

30. A guidewire for introducing an intervascular device in a patient'"'"'s body, comprising:

an elongate body along a longitudinal axis between a proximal end and a distal end; and

an expandable and contractable stop member mounted thereon which is movable between a first contracted position and a second expanded position, said expandable and contractable stop member being dimensioned to pass through a channel in said intervascualr device in the first contracted position and being dimensioned in the second expanded position to comprise an outer dimension of said intervasuclar device in an expanded configuration thereof, and said elongate body comprising an outer dimension which is less than inner dimension of said channel to permit free movement of said guidewire relative to said intervascular device within said channel in opposite directions along the longitudinal axis of said guidewire.

31. The guidewire of claim 30 wherein said expandable and contractable stop member is spaced from both the proximal and distal ends of said guidewire body.

32. The guidewire of claim 30 wherein said expandable and contractable stop member comprises a thin walled body member mounted upon and surrounding said guidewire and dimensioned to pass with said guidewire through said channel in the first contracted position of said contractable stop member, said thin walled body member comprising a body member distal end portion secured to said guidewire and a sliding portion extending toward the proximal end of said guidewire, said sliding portion being longitudinally slidable relative to said guidewire toward the distal end of said guidewire to cause the thin walled body member to bow outwardly from said guidewire adjacent to the body member distal end portion to form the second expanded position of said expandable and contractable stop member.

33. The guidewire of claim 30 wherein said guidewire is formed with an internal chamber extending from the proximal end of said guidewire toward said distal end thereof, and a stop member operating mechanism is mounted in said internal chamber to move said expandable and contractable stop member between said first contracted and second expanded positions.

34. The guidewire of claim 33 wherein said expandable and retractable stop member comprises at least one barb having a first end secured externally to said guidewire body, said barb being formed to normally extend from said first end angularly outward from said guidewire to a second end of said barb, said guidewire body comprising at least one opening formed to extend into said internal chamber, and said stop member operating mechanism comprising an elongate tether connected to the second free end of said barb and extending through said operating into said internal chamber.

35. The guidewire of claim 34 wherein said barb is formed of flexible material which biases said barb angularly outward from said guidewire body, said tether operating to draw the second end of said barb against the bias toward said guidewire body.

36. The guidewire of claim 33 wherein said guidewire body comprises at least one opening formed to extend into said internal chamber, said expandable and contractable stop member comprising at least one stop unit retractable through said opening into said internal chamber to the first contractable position of said expandable and contractable stop member and extendable outwardly through said opening to the second expanded position of said expandable and contractable stop member.

37. The guidewire of claim 36 wherein said expandable and contractable stop member comprises at least one elongate strip of material which engages said stop member operating mechanism within said internal chamber and is extendable thereby through said at least one opening in said guidewire.

38. The guidewire of claim 37 wherein said strip of material is spring metal.

39. The guidewire of claim 37 wherein said strip of material is formed of temperature responsive shape memory material.

40. The guidewire of claim 36 wherein said at least one stop unit comprises a boss element which extends through said opening and a mounting arm secured within said internal channel to said boss element and to said guidewire body.

41. The guidewire of claim 40 wherein said stop member operating mechanism comprises an elongate cam actuator movable with the internal chamber to engage said stop unit and force said boss element to move outwardly through the opening in said guidewire body to the second expanded position of said expandable and contractable stop member.

42. The guidewire of claim 41 wherein said guidewire body comprises two opposed openings into said internal chamber, and said expandable and contractable stop member comprises a boss element extending through each said opening, each said boss element being secured within said internal chamber to a separate mounting arm secured to said guidewire within said internal chamber.

43. The guidewire of claim 42 wherein said elongate cam actuator is movable between said boss elements to engage and force said boss elements outwardly through said openings.

44. The guidewire of claim 43 wherein the mounting arm for each boss element is formed to bias boss element into said internal chamber.

45. The guidewire of claim 41 wherein said mounting arm is formed to bias said boss unit into said internal chamber.

46. The guidewire of claim 30 wherein said guidewire body is formed with an internal chamber extending from the proximal end of the guidewire body toward the distal end thereof, said expandable and contactable stop member comprising an inflatable unit secured externally to said guidewire body, said guidewire body comprising at least one opening connecting said internal chamber to said inflatable unit.

47. The guidewire of claim 30 wherein said stop member comprises at least one grappling hook.