Medical device with changeable tip flexibility

• US 7,044,921 B2
• Filed: 02/03/2003
• Issued: 05/16/2006
• Est. Priority Date: 02/03/2003
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Reynolds, Brian, Asmus, Bruce
• Primary Examiner(s): Peffley, Michael F
• Assistant Examiner(s): Johnson, III, Henry M
• Application Number:
  US10/357,132
• Publication Number:
  US 20040152941A1
• Time in Patent Office: 1,198 Days
• Field of Search: 128/898, 606 1- 51, 600/585, 604 9501- 96, 604523-539
• US Class Current: 600/585
• CPC Class Codes: A61B 2017/00469 for insertion of instruments, e.g. guide wire, optical fibre
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/22042 Details of the tip of the guide wire
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61M 2025/09083 having a coil around a core
• CPC Class Codes: A61M 2025/09175 having specific characteristics at the distal tip
• CPC Class Codes: A61M 25/09 Guide wires

Abstract

A medical device with a changeable flexibility and a method of using the same. The medical device may include a core member, a tip member, and a tie member. The tip member may be configured to longitudinally shift relative to core member, which may alter the flexibility of the medical device.

Claims

1. A medical device, comprising:

an elongate shaft including a core member, a distal tip member, and a tie member;

the core member including a proximal region and a distal region;

the distal tip member including a coupling member and a distal end, the coupling member coupled to the core member adjacent the distal region such that the distal tip is selectively longitudinally movable relative to the core member, and wherein the core member extends proximally from the distal tip member, and the distal tip member extends distally from the core member; and

the tie member being disposed over at least a portion of the distal tip member, wherein the tie member is coupled to both the core member and the distal tip member.

2. The medical device of claim 1, wherein the core member includes one or more tapers adjacent the distal region.

3. The medical device of claim 1, wherein the core member is tubular.

4. The medical device of claim 1, wherein the distal region of the core member includes a distal stop.

5. The medical device of claim 1, wherein the distal region includes a plurality of radial flanges.

6. The medical device of claim 5, wherein the radial flanges are formed by outward deflections formed within the distal region.

7. The medical device of claim 5, wherein the coupling includes one or more mating projections adapted for being disposed between two radial flanges.

8. The medical device of claim 5, wherein the coupling is longitudinally slidable along the distal region.

9. The medical device of claim 5, wherein the radial flanges are defined by successive winding of a helical groove disposed about the distal region.

10. The medical device of claim 9, wherein the coupling includes a mating flange adapted to be disposed within the helical groove.

11. The medical device of claim 1, wherein the distal tip includes a wire or ribbon extending between coupling and the distal end.

12. The medical device of claim 1, wherein the tie member includes a sheath.

13. A medical device, comprising:

an elongate shaft including a core member, a distal tip member, and a tie member;

the core member including a proximal region and a distal region;

the distal tip member including a coupling member and a distal end, the coupling member coupled to the core member adjacent the distal region such that the distal tip is selectively longitudinally movable relative to the core member, and wherein the core member extends proximally from the distal tip member, and the distal tip member extends distally from the core member; and

the tie member being disposed over at least a portion of the distal tip member, wherein the tie member includes a coil.

14. The medical device of claim 13, wherein the coil includes a proximal end and a distal end, and wherein the distal end of the coil is attached to the distal tip and the proximal end of the core member.

15. A medical device, comprising:

a core member having a proximal region, a distal region, and a distal stop;

a longitudinally adjustable distal tip coupled to the outer surface of the core member adjacent the distal region, the longitudinally adjustable distal tip including a distal end disposed distally of the core member and a coupling member coupled to the outer surface of the distal region of the core member; and

the distal tip being configured to be selectively adjustable between a first generally elongated position wherein the coupling member is disposed adjacent the distal stop, and a second generally shortened position wherein the coupling member is disposed a distance proximally of the distal stop.

16. The medical device of claim 15, wherein the core member is tubular.

17. The medical device of claim 15, further comprising a tie member coupled to the longitudinally adjustable distal tip.

18. The medical device of claim 17, wherein the distal tip shifts between the first and second positions by longitudinally moving the core member while maintaining the position of the tie member relative to the core member.

19. The medical device of claim 17, wherein the tie member includes a coil.

20. The medical device of claim 19, wherein the coil includes a proximal end and a distal end, and wherein the proximal end is attached to the core member and the distal end is attached to the distal tip.

21. The medical device of claim 19, wherein the coil has a first pitch when the distal tip is in the first position and a second pitch when the distal tip is in the second position, the first pitch being greater than the second pitch.

22. The medical device of claim 17, wherein the tie member includes a tube.

23. A medical device, comprising:

a core member having a proximal region, a distal region, and a distal stop, wherein the distal region includes a plurality of radial flanges;

a longitudinally adjustable distal tip coupled to the core member adjacent the distal region, the longitudinally adjustable distal tip including a distal end and a coupling member coupled to the distal region of the core member; and

the distal tip being configured to be selectively adjustable between a first generally elongated position wherein the coupling member is disposed adjacent the distal stop, and a second generally shortened position wherein the coupling member is disposed a distance proximally of the distal stop.

24. The medical device of claim 23, wherein the radial flanges are formed by outward deflections formed within the distal region.

25. The medical device of claim 23, wherein the coupling member includes one or more mating projections adapted for being disposed between two radial flanges.

26. The medical device of claim 23, wherein the radial flanges are defined by successive winding of a helical groove disposed about the distal region.

27. The medical device of claim 26, wherein the coupling member includes a mating flange adapted to be disposed within the helical groove.

28. A medical device, comprising:

a core member having a proximal region, a distal region, and a distal stop;

a longitudinally adjustable distal tip coupled to the core member adjacent the distal region, the longitudinally adjustable distal tip including a distal end and a coupling member coupled to the distal region of the core member; and

a tie member coupled to the longitudinally adjustable distal tip;

wherein the distal tip being configured to be selectively adjustable between a first generally elongated position wherein the coupling member is disposed adjacent the distal stop, and a second generally shortened position wherein the coupling member is disposed a distance proximally of the distal stop, and

wherein the distal tip shifts between the first and second positions by rotating the core member while maintaining the position of the tie member relative to the core member.

29. A medical device, comprising:

a core member having a proximal region and a distal region; and

a longitudinally adjustable distal tip member non-releasably coupled to the core member adjacent the distal region, the distal tip member being configured to reversibly shift between a first generally elongated position and a second generally shortened position, wherein the core member extends proximally from the distal tip member, and the distal tip member extends distally from the core member.

30. The medical device of claim 29, further comprising means for shifting the distal tip member between the first and second positions.

31. A medical device, comprising:

a core member having a proximal region and a flanged region;

a longitudinally adjustable distal tip member disposed adjacent the flanged region, the distal tip member being configured to selectively shift between a first generally elongated position and a second generally shortened position, wherein the core member extends proximally from the distal tip member, and the distal tip member extends distally from the core member;

means for coupling the distal tip member to the flanged region; and

means for shifting the distal tip member between the first and second positions, wherein the distal tip member is non-releasably coupled to the core member.

32. A method of altering the length of a portion of a medical device, the method comprising:

providing a medical device including a core member having a proximal region, a distal region, and a distal stop;

a longitudinally adjustable distal tip member coupled to the core member adjacent the distal region, the longitudinally adjustable distal tip member including a distal end and a coupling member coupled to the distal region of the core member; and

the distal tip member being positioned in a first position and being configured to selectively shift between the first position and a second position;

advancing the medical device through a body lumen to a target location;

advancing a gripping member over the medical device so that gripping member is positioned adjacent the distal tip member;

gripping the medical device with the gripping member adjacent the distal tip member; and

altering the position of the core member such that the distal tip shifts from the first position to the second position.

33. The method of claim 32, wherein the gripping member includes an inflatable member coupled to a catheter, and wherein the step of gripping the medical device with the gripping member includes inflating the inflatable member.

34. The method of claim 32, wherein the step of altering the position of the core member such that the distal tip shifts from the first position to the second position includes rotating the core member.

35. The method of claim 32, wherein the step of altering the position of the core member such that the distal tip shifts from the first position to the second position includes longitudinally pushing or pulling the core member.

36. A medical device, comprising:

an elongated core member including a proximal region and a distal region; and

a distal tip member including a distal end and a non-releasable coupling coupled to the core member adjacent the distal region of the core member for selective longitudinal adjustment of the positioning of the non-releasable coupling along the distal region of the core member, wherein the core member extends proximally from the distal tip member, and the distal tip member extends distally from the core member.

37. The medical device of claim 36, wherein selective adjustment of the longitudinal position of the coupling along the distal region of the core member selectively adjusts the length of the medical device.