Guidewire extension system

• US 5,271,415 A
• Filed: 01/28/1992
• Issued: 12/21/1993
• Est. Priority Date: 01/28/1992
• Status: Expired due to Fees

• Current Assignee: Advanced Cardiovascular Systems Incorporated
• Original Assignee: Baxter International Inc.
• Inventors: Foerster, Seth, Higgins, Sheryl
• Primary Examiner(s): HINDENBURG, MAX F
• Application Number:
  US07/826,707
• Time in Patent Office: 693 Days
• Field of Search: 128/657, 128/772, 604/95, 604/164, 604/280-283, 403/43
• US Class Current: 600/585
• CPC Class Codes: A61M 25/0905 extendable, e.g. mechanisms for extension

Abstract

A guidewire extension system is disclosed for connecting an extension wire to a guidewire having a tubular outer body, a guidewire retention element, an extension wire retention element, a guidewire and an extension wire. The guidewire retention element and the extension wire retention element are fixed within the outer body and are preferably helically wound wires which form a right-handed groove and a left-handed groove. The guidewire and the extension wire each have tapered ends and a reduced diameter extension core each having a helically wound wire formed to adhere to the extension core. The guidewire is connected to the extension wire by inserting the extension core of the guidewire into the outer tube and inserting the helically wound wire into the right-handed groove and by inserting the extension core of the extension wire into the outer tube and inserting the helically wound wire into the left-handed groove. The outer body is then rotated clockwise to simultaneously pull the extension wire and guidewire together until the tapers of each abut and bear against the outside edge of the outer tube providing a mechanical lock and providing a connection having the same pushability and flexibility as the guidewire. The system provides an extension wire to be connected to a guidewire without rotating the extension wire or the guidewire and provides for a unitized system that has a smooth, outer diameter of the extension wire, guidewire and outer body.

Claims

1. A flexible small diameter connector for connecting a flexible extension wire to a flexible guidewire for the purpose of exchanging human vessel tracking devices, the connector comprising:

an elongated flexible outer body extending longitudinally;

said body including a wall defining an opening in each end of the body and defining a cavity extending longitudinally within the body;

a guidewire retention element located within the cavity of the outer body for mechanically locking an end of said guide wire wherein the guidewire retention is effected by rotating the outer body; and

an extension wire retention element located within the cavity of the outer body for mechanically locking an end of said extension wire wherein the extension wire retention is effected by rotating the outer body.

2. The connector of claim 1 wherein the outer body includes a tubular member for accepting an end of a guidewire and for accepting an end of an extension wire.

3. The connector of claim 2 wherein the guidewire retention element and the extension wire retention element include helically wound wires in the outer body.

4. The connector of claim 3 wherein the guidewire retention element is a right-handed helically wound element and the entension wire retention element is a left-handed helically wound element.

5. The connector of claim 3 wherein the guidewire retention element is a left-handed helically wound element and the extension wire retention element is a right-handed helically wound element.

6. The connector of claim 3 wherein the helical guidewire retention element and the helical extension wire retention element are brazed to the wall of the outer tube.

7. The connector of claim 1 wherein the inside portion of the wall of the outer body is tapered at each end to accept the end of an extension wire and the end of a guidewire.

8. The connector of claim 1 wherein when a reduced diameter connection end portion of said extension wire is mechanically locked in one end of the outer body and a reduced diameter connection end portion of said guidewire is mechanically locked in the other end of the outer body, the outer diameters of the extension wire, the connector and the guidewire are substantially the same.

9. The connector of claim 1 wherein the guidewire retention element and the extension wire retention element comprise helical threads formed on the wall of the outer body.

10. The connector of claim 9 wherein the guidewire retention element comprises right-handed helical threads and the extension wire retention element comprises left-handed helical threads.

11. The connector of claim 9 wherein the guidewire retention element comprises left-handed helical threads and the extension wire retention element comprises right-handed helical threads.

12. A flexible extension wire for connecting to a flexible guidewire for use in exchanging human vessel tracking devices, the extension wire comprising:

a flexible extension element; and

a flexible mechanical coupling at one end of the extension element, the mechanical coupling including;

a flexible tubular outer body extending longitudinally from the extension element, the tubular outer body having a wall defining an inside cavity and opening at each end of the outer body,

a left-handed wound helical wire formed to adhere to the inside wall of the tubular outer body for mechanically locking an end of the extension element engaging the helical element, and

a guidewire retention element for mechanically locking an end of a guidewire.

13. The extension wire of claim 12 wherein the guidewire retention element includes a helically wound wire.

14. The extension wire of claim 13 wherein the guidewire retention element is a right-handed wound element.

15. The extension wire of claim 12 wherein the guidewire retention element is a right-handed helically wound wire and the guidewire retention element is a left-handed helically wound wire.

16. The extension wire of claim 12 wherein the guidewire retention element is brazed to the inside wall of the tubular outer body.

17. The extension wire of claim 12 wherein the inside portion of the wall is tapered at the end of the outer body to accept the end of a guidewire.

18. The extension wire of claim 12 wherein when a guidewire is retained in the end of the outer body, the outer diameters of the extension wire and the guidewire are substantially the same.

19. The extension wire of claim 12 wherein the extension element has a connection end, the connection end being tapered to an extension core of a smaller diameter than the extension element, the extension core having a left-hand helically wound wire formed to adhere to its exterior wherein when the extension core is engaged to the helically wound wire of the outer body, the outer body is crimped to the extension core.

20. The extension wire of claim 12 wherein the guidewire retention element comprises helical threads formed on the wall of the tubular outer body.

21. The extension wire of claim 20 wherein the guidewire retention element comprises right-handed helical threads.

22. A guidewire extension system for use in exchanging human vessel tracking devices, the guidewire extension system comprising:

an elongate flexible tubular outer body extending longitudinally, the outer body having a wall defining an outer cavity and openings at each end of the outer body;

a flexible guidewire having a connection end;

a flexible extension wire having a connection end;

a guidewire retention element located within the cavity of the tubular outer body for mechanically locking an end of the guidewire; and

an extension wire retention element located within the cavity of the tubular outer body for mechanically locking an end of the extension wire;

wherein both the connection end of the guidewire is engaged to the guidewire retention element and the connection end of the extension wire is engaged to the extension wire retention element by rotating the outer body.

23. The guidewire extension system of claim 22 wherein the guidewire retention element is a right-handed helically wound wire defining a right-handed helical groove and the extension wire retention element is a left-handed helically wound wire defining a left-handed helical groove, and the connection end of the guidewire is tapered and has a flattened tip and the connection end of the extension wire is tapered and has a flattened tip, and the guidewire is connected to the outer body and the extension wire is connected to the outer body by engaging the flattened tip of the guidewire to the right-handed helical groove and by engaging the flattened tip of the extension wire to the left-handed helical groove and then rotating the outer body in a clockwise direction causing the flattened tip of the guidewire to pass along the right-handed helical groove and causing the flattened tip of the extension wire to pass along the left-handed helical groove.

24. The guidewire extension system of claim 22 wherein the guidewire retention element is a left-handed helically wound wire defining a left-handed helically wound wire defining a left-handed helical groove and the extension wire retention element is a right-handed helically wound wire defining a right-handed helical groove and wherein the connection end of the guidewire is tapered and has a flattened tip and the connector end of the extension has a flattened tip, and the guidewire is connected to the outer body and the extension wire is connected to the outer body by engaging the flattened tip of the guidewire to the left-handed helical groove and by engaging the flattened tip of the extension wire to the right-handed helical groove and then rotating the outer body in a counter-clockwise direction causing the flattened tip of the guidewire to pass along the left-handed helical groove and causing the flattened tip of the extension wire to pass along the right-handed helical groove.

25. The guidewire extension system of claim 22 wherein the inside portion of the wall is tapered at each end of the outer body to accept the connection end of the extension wire and the connection end of the guidewire.

26. The guidewire extension system of claim 22 wherein when the extension wire is mechanically locked in one end of the outer body and the guidewire is mechanically locked in the other end of the outer body, the outer diameter of the extension wire, the connector and the guidewire are substantially the same.

27. A connector for connecting an extension wire to a guidewire for use in exchanging vessel tracking devices, the connector comprising:

an outer body extending longitudinally;

a wall defining an opening in each end of the body and defining a cavity extending longitudinally within the body;

a guidewire retention element located within the cavity of the outer body for retaining an end of a guidewire wherein the guidewire retention is effected by rotating the outer body;

a extension wire retention element located within the cavity of the outer body for retaining an end of an extension wire wherein the extension wire retention is effected by rotating the outer body;

an extension wire having a tapered end connection portion and retained by the extension wire retention element; and

a guidewire having a tapered end connection portion and retained by the guidewire retention element;

wherein the tapered end connection portions of the extension wire and guidewire frictionally engage and thereby mechanically lock the end of the outer body wall when the outer body and the extension wire and the guidewire are fully engaged.

28. The connector of claim 27 wherein the guidewire retention element and the extension wire retention element comprise helical threads formed on the wall of the outer body.

29. A method of connecting a flexible small diameter extension wire to a flexible small diameter guidewire for the purpose of exchanging human vessel tracking devices, comprising:

coupling the extension wire to a connector;

coupling the guidewire to the connector;

rotating the connector to simultaneously pull the guidewire and extension wire together and to mechanically lock the extension wire and guidewire together; and

providing said connector and coupled portions of said wires with a flexibility such that with said wires connected to said connector a flexibility at said connector is provided which is substantially the same as the flexibility of said wires.

30. The method of claim 29 wherein the connector comprises a tubular outer body having a right-handed helically wound wire and a left-handed helically wound wire located within the outer body and wherein the guidewire and extension wires have a flattened tip at their ends.

31. The method of claim 29 wherein the connector comprises a tubular outer body having right-handed helical threads and left-handed helical threads formed on the outer body and wherein the guidewire and extension wires have a flattened tip at their ends.

32. A flexible extension wire for connecting to a flexible guidewire for use in exchanging human vessel tracking devices, the extension wire comprising:

a flexible extension element; and

a flexible mechanical coupling at one end of the extension element, the mechanical coupling including;

an elongate flexible tubular outer body extending longitudinally from the extension element, the tubular outer body having a wall defining an inside cavity and openings at each end of the outer body,

left-handed helical threads formed on the inside wall of the tubular outer body for mechanically locking an end of the extension element engaging the helical groove, and

a guidewire retention element for mechanically locking an end of a guidewire.

33. The extension wire of claim 32 wherein the guidewire retention element comprises helical threads formed on the wall of the tubular outer body.

34. The extension wire of claim 32 wherein the extension element has a connection end, the connection end being tapered to an extension core of a smaller diameter than the extension element, the extension core having left-handed threads formed thereon for engaging the helical threads of the outer body, wherein the outer body is crimped to the extension core.

35. A flexible coupling structure for securing together a small diameter flexible extension wire and a flexible guide wire of like diameter and transmitting both tension and pushing forces between the wires, said coupling structure comprising:

each of said guide wire and said extension wire including a respective elongate flexible connection end portion of reduced diameter, said connection end portions each including a tapering part defining a tapering surface section adjacent the remainder of each wire and said connection end portions also terminating at a respective tip surface, each of said connection end portions including a respective tip portion proximate to said tip surface, and said tip portions of each wire defining respective thread-engaging means of opposite hand;

an elongate flexible tubular body having a circumferential wall defining an outer diameter substantially like said guide wire and said extension wire, said wall defining opposite end openings to said body and a cavity extending between said openings, said tubular body at a central part thereof spaced from said end openings including thread-defining means having respective portions of opposite hand extending longitudinally of said body for threadably engaging said thread-engaging means of both said guide wire and said extension wire;

whereby said guide wire and said extension wire at said connection end portions thereof are each receivable into said tubular body to threadably engage said thread-engaging means of each with said thread-defining means of said body so that rotation of said body relative both said guide wire and extension wire simultaneously draws the connection end portions of the wires together to abut said tip surfaces with one another and frictionally engages said tapering surface sections of each connection end portion with said body at a respective end opening thereof, and said body and connection end portions together having a flexibility approximating the flexibility of said guide wire and extension wire.

36. The coupling structure of claim 35 wherein said end connection portions include an enlarged tip part defining said tip surface, and said thread-engaging means includes said enlarged tip parts being configured to threadably engage with said body at said thread-defining means thereof.

37. The coupling structure of claim 36 wherein said end connection portions include an elongate cylinderical portion of reduced diameter, and said thread-engaging means includes a helix of wire wound about and secured to said cylindrical portion.

38. The coupling structure of claim 35 wherein said body includes intermediate said central thread-defining portion and one end of said body, means for capturing a respective thread-engaging portion of one of said guide wire and extension wire therein, whereby said tubular body is received on said end connection portion of the respective one of said guide wire and said extension wire and permanently retained with said one respective wire by said capturing means.

39. The coupling structure of claim 38 wherein said means for capturing includes said body wall defining a protrusion extending radially inwardly thereof into said cavity and toward but short of said end connection portion, said protrusion being engageable by said thread-engaging means of said one wire for preventing said wire from withdrawal from said cavity.

40. The coupling structure of claim 39 wherein said protrusion is annular to define a collar capturing said tip portion in said cavity.

41. The coupling structure of claim 35 wherein said thread-defining means of said tubular body includes a helix of wire in said cavity and secured to said wall.