Introducer for endovascular implants
View Patent ↗An introducer assembly for introducing a stent-graft or other device into a vessel of a patient is provided with a dilator tip which is naturally curved, preferably to be substantially a U-shape. The dilator tip is flexible so as to be able to become substantially straight with a guide wire therein and yet to be able to curve back towards its natural curvature during deployment of an implant. The curvature of the dilator tip can ensure that the dilator tip does not cause damage to the vessel wall during deployment of an implant carried thereon, as can occur with straight dilator tips.
1. An endovascular introducer assembly, the introducer assembly comprising:
a guide wire catheter having a distal end, a dilator tip disposed at the distal end of the guide wire catheter and formed of a flexible material, the dilator tip having a distal end, a proximal end, a region between the distal end and the proximal end, and a natural curved condition between the distal end and the proximal end of the dilator tip;
a guide wire lumen formed within and extending through the dilator tip between the distal and proximal ends of the dilator tip; and
a guide wire disposable within the guide wire lumen comprising,
a distal region adjacent to the distal end,
a stiffer proximal region, and
an intermediate region adjacent to the distal region and the stiffer proximal region, where the intermediate region is more flexible than the distal region and stiffer proximal region,
wherein the dilator tip comprises,
a first condition where the stiffer proximal region of the guide wire is disposed in the guide wire lumen from the proximal end to the distal end of the dilator tip; and
a second condition where the intermediate region of the guide wire is disposed through the guide wire lumen from the proximal end to the distal end of the dilator tip, and the dilator tip is in a curved condition wherein the dilator tip is curved at least 90°.
2. The endovascular introducer assembly of claim 1 wherein the distal region of the guide wire is more flexible than the stiffer proximal region the guide wire.
3. The endovascular introducer assembly of claim 1 wherein the dilator tip is substantially straight when in the first condition.
4. The endovascular introducer assembly of claim 1 , wherein the dilator tip has a length of between 2 and 14 cm.
5. The endovascular introducer assembly of claim 1 wherein the distal region of the guide wire is at least 4 cm in length.
6. An endovascular introducer assembly, the introducer assembly comprising:
a guide wire catheter having a distal end, a dilator tip disposed at the distal end of the guide wire catheter and formed of a flexible material, the dilator tip having a distal end, proximal end, a region between the distal end and the proximal end, and a natural curved condition between the distal end and the proximal end of the dilator tip;
a guide wire lumen formed within and extending through the dilator tip between the distal and proximal ends of the dilator tip; and
a guide wire disposable within the guide wire lumen comprising,
a distal region having a length of at least 4 cm,
a stiffer proximal region, and
an intermediate region adjacent to the distal region and the stiffer proximal region, where the intermediate region is more flexible than the distal region and stiffer proximal region
wherein the dilator tip comprises,
a first condition where the stiffer proximal region of the guide wire is disposed in the guide wire lumen from the proximal end to the distal end of the dilator tip where the dilator tip is curved;
a second condition where the intermediate region of the guide wire is disposed through the guide wire lumen from the proximal end to the distal end of the dilator tip, and the dilator tip is in its natural curved condition wherein the dilator tip is curved at least 180°.
7. The endovascular introducer assembly of claim 6 wherein the dilator tip is curved by no greater than 180° when in the first condition.
8. The endovascular introducer assembly of claim 6 wherein the dilator tip has a generally U-shape when in the second condition.
9. The endovascular introducer assembly of claim 6 wherein the intermediate region of the guide wire is more flexible than the dilator tip.
10. The endovascular introducer assembly of claim 6 where the stiffer proximal region of the guide wire is less flexible than the dilator tip.
11. The endovascular introducer assembly of claim 6 wherein the intermediate region of the guide wire is at least as long as the dilator tip.
12. The endovascular introducer assembly of claim 11 wherein when in the first condition the dilator tip is substantially linear.
13. An endovascular introducer assembly, the introducer assembly comprising:
a guide wire catheter having a distal end, a dilator tip disposed at the distal end of the guide wire catheter and formed of a flexible material, the dilator tip having a distal end, a proximal end, a region between the distal end and the proximal end, and a natural curved condition between the distal end and the proximal end of the dilator tip;
a guide wire lumen formed within and extending through the dilator tip between the distal and proximal ends of the dilator tip; and
a guide wire disposable within the guide wire lumen comprising,
a distal region,
a stiffer proximal region, and
an intermediate region adjacent to the distal region and the stiffer proximal region, where the intermediate region is more flexible than the distal region and stiffer proximal region,
wherein the dilator tip comprises,
a first condition where the stiffer proximal region of the guide wire is disposed in the guide wire lumen from the proximal end to the distal end of the dilator tip; and
a second condition where the intermediate region of the guide wire is disposed in the guide wire lumen from the proximal end to the distal end of the dilator tip, wherein the dilator tip is curved at least 180°.
14. The endovascular introducer assembly of claim 13 wherein the dilator tip is curved by at least 270° when in the natural curved condition.