Medical device including structure for crossing an occlusion in a vessel

• US 9,375,234 B2
• Filed: 10/15/2013
• Issued: 06/28/2016
• Est. Priority Date: 12/15/2006
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Vrba, Anthony C.
• Primary Examiner(s): Eastwood, David C
• Assistant Examiner(s): NGUYEN, TIN DUC
• Application Number:
  US14/054,404
• Publication Number:
  US 20140039532A1
• Time in Patent Office: 987 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61B 2017/22042 Details of the tip of the guide wire
• CPC Class Codes: A61B 2017/22044 with a pointed tip
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing
• CPC Class Codes: A61M 2025/09133 having specific material compositions or coatings; Materials with specific mechanical behaviours, e.g. stiffness, strength to transmit torque
• CPC Class Codes: A61M 2025/0915 having features for changing the stiffness
• CPC Class Codes: A61M 2025/09175 having specific characteristics at the distal tip
• CPC Class Codes: A61M 25/00 Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/008 Strength or flexibility characteristics of the catheter tip
• CPC Class Codes: A61M 25/09 Guide wires

Abstract

A medical device, such as a guidewire, catheter, or the like, that includes an elongated tubular member that includes a plurality of angled slots defined in at least a distal section thereof. The plurality of angled slots can form a generally spiral shaped pattern about the longitudinal axis of the tubular member, and can be useful, for example, in aiding a user of the device in crossing an occlusion in a vessel of a patient. In some embodiments, the distal section of the tubular member may have an outer diameter that is greater than the outer diameter of a proximal section of the tubular member. In some embodiments, a proximal section of the tubular member may include a plurality of slots defined therein, for example, that may be configured to increase the lateral flexibility of the tubular member.

Claims

1. A method for crossing an occlusion in a vessel lumen of a patient, the method comprising:

inserting a medical device into the vessel, the medical device including an elongated tubular member extending along a longitudinal axis and defining an inner lumen and having an outer surface, the elongated tubular member including a proximal section, a distal section, a proximal end, and a distal end, the distal section including a plurality of angled discontinuous slots disposed non-normal to the longitudinal axis defined therein, wherein the plurality of angled discontinuous slots form a generally spiral shaped pattern about the longitudinal axis, the spiral shaped pattern defined by the plurality of angled discontinuous slots generally defining one or more generally spiral shaped structures remaining as a part of the distal section of the elongated tubular member, the distal section having an outer diameter that is greater than an outer diameter of the proximal section;

wherein the elongated tubular member includes a distal tip member attached at the distal end such that the inner lumen has a closed distal end;

navigating the medical device to the occlusion such that the distal end of the elongated tubular member engages the occlusion;

applying a rotational force to the medical device such that the one or more spiral shaped structures or the plurality of angled discontinuous slots engages the occlusion and pulls at least a portion of the medical device through the occlusion.

2. The method of claim 1, wherein the elongated tubular member is a non-coiled tubular member.

3. The method of claim 1, wherein the elongated tubular member includes two or more separate tubular components that are attached together to form the elongated tubular member.

4. The method of claim 3, wherein the proximal section is a first discrete tubular component and the distal section is a second discrete tubular component.

5. The method of claim 1, wherein the proximal section and the distal section of the tubular member are of monolithic construction.

6. The method of claim 1, wherein proximal section includes a plurality of slots defined in at least a portion thereof.

7. The method of claim 6, wherein the plurality of slots defined in the proximal section is disposed at an angle relative to the longitudinal axis that is different from the plurality of angled discontinuous slots defined in the distal section.

8. The method of claim 1, wherein each of the plurality of angled discontinuous slots defined in the distal section includes a center line that extends both laterally along and radially about the longitudinal axis such that each slot makes less than one full revolution about the longitudinal axis.

9. The method of claim 1, wherein the medical device includes a core wire attached to the tubular member, the core wire including a distal section and a proximal section, wherein at least a portion of the distal section of the core wire is disposed within the lumen of the elongated tubular member.

10. A method for crossing an occlusion in a vessel lumen of a patient, the method comprising:

inserting a medical device into the vessel, the medical device including an elongated tubular member extending along a longitudinal axis and defining an inner lumen and having an outer surface, the elongated tubular member including a proximal section, a distal section, a proximal end, and a distal end, the distal section including a plurality of first discontinuous slots defined therein, the plurality of first discontinuous slots being disposed at a non-normal angle relative to the longitudinal axis such that the plurality of first discontinuous slots forms a generally spiral shaped pattern about the longitudinal axis, the spiral shaped pattern defined by the plurality of first discontinuous slots generally defining one or more generally spiral shaped structures remaining as a part of the distal section of the elongated tubular member;

wherein the elongated tubular member includes a distal tip member attached at the distal end such that the inner lumen has a closed distal end;

navigating the medical device to the occlusion such that the distal end of the elongated tubular member engages the occlusion;

applying a rotational force to the medical device such that the one or more spiral shaped structures or the plurality of first discontinuous slots engages the occlusion and pulls at least a portion of the medical device through the occlusion.

11. The method of claim 10, wherein the proximal section includes a plurality of second discontinuous slots defined therein that are configured to increase the lateral flexibility of the elongated tubular member, the plurality of second discontinuous slots being disposed at an angle relative to the longitudinal axis that is different from the plurality of first discontinuous slots.

12. The method of claim 10, wherein the elongated tubular member is a non-coiled tubular member.

13. The method of claim 10, wherein the proximal section and the distal section of the tubular member are of monolithic construction.

14. The method of claim 13, wherein the tubular member has a constant outer diameter.

15. The method of claim 10, wherein the proximal section includes a plurality of slots defined in at least a portion thereof.

16. The method of claim 15, wherein the plurality of slots defined in the proximal section is disposed at an angle relative to the longitudinal axis that is different from the plurality of first discontinuous slots defined in the distal section.

17. The method of claim 10, wherein the medical device includes a core wire attached to the elongated tubular member, the core wire including a distal section and a proximal section, wherein at least a portion of the distal section of the core wire is disposed within the lumen of the elongated tubular member.

18. The method of claim 10, wherein each of the plurality of first discontinuous slots includes a center line that extends both laterally along and radially about the longitudinal axis such that each slot makes less than one full revolution about the longitudinal axis.