Step feature for steerable guidewires

1. A step feature guidewire traversing previously disposed stent struts, comprising:

a guidewire comprising a proximal end, a distal end, and a diameter;

a self-expanding element disposed approximate to the distal end of the guidewire and having a contracted diameter and an expanded diameter, comprising a plurality of leaves that are non-intersecting with each other; and

a bump disposed on the guidewire under the self-expanding element,

wherein the self-expanding element is slideable along the guidewire,

wherein the bump limits a slidability of the self-expanding element,

wherein when the self-expanding element has the expanded diameter, a length of the self-expanding element decreases, and the bump limits the decrease in length and the expanded diameter,

wherein the self-expanding element being expandable under inherent properties,

wherein the expanded diameter is approximately 70% to 280% of the guidewire diameter, and

wherein the self-expanding element forms a ramp with the non-intersecting leaves at the expanded diameter configured to pass over the previously disposed stent struts.

2. The step feature guidewire of claim 1 , wherein the expanded diameter is less than a body lumen diameter.

3. The step feature guidewire of claim 1 , wherein the self-expanding element is at least one of pear shaped, ovoid, and elliptical when at the expanded diameter.

4. A steerable catheter and guidewire system for passing over obstacles previously disposed in a body lumen, comprising:

a catheter having a catheter inner diameter forming a guidewire lumen and a catheter outer diameter;

a guidewire comprising a proximal end, a distal end, and a guidewire diameter; and

a self-expanding element disposed approximate to the distal end of the guidewire, and comprising individual non-intersecting leaves,

wherein when the self-expanding element is disposed within the catheter, the self-expanding element has a contracted diameter,

wherein when the self-expanding element is completely disposed outside the catheter, the self-expanding element has an expanded diameter,

wherein the self-expanding element being expandable under inherent properties,

wherein the self-expanding element forms a ramp from the leaves within all or part of a space between the guidewire and the catheter outer diameter at the expanded diameter, and

wherein the ramp is configured to be proximate the distal end of the catheter and to allow both the guidewire and the catheter to be advanced to pass over the previously disposed obstacles.

5. The steerable catheter and guidewire system of claim 4 , wherein the expanded diameter is approximately 5% to 10% larger than the catheter outer diameter.

6. The steerable catheter and guidewire system of claim 4 , wherein the expanded diameter is less than a body lumen diameter.

7. The steerable catheter and guidewire system of claim 4 , wherein the self-expanding element is at least one of pear shaped, ovoid, and elliptical when at the expanded diameter.

8. The steerable catheter and guidewire system of claim 4 , wherein the self-expanding element contracted diameter permits the guidewire to be completely removed from the catheter.

9. The steerable catheter and guidewire system of claim 4 , further comprising a plurality of bumps disposed on the guidewire under the self-expanding element,

wherein the self-expanding element comprises ends slideable along the guidewire;

wherein the plurality of bumps limit a slidability of the ends of the self-expanding element;

wherein when the self-expanding element has the expanded diameter, a length of the self-expanding element decreases, and the bumps limit the decrease in length and the expanded diameter.

10. A method of advancing a steerable guidewire through a body lumen having a previously disposed stent strut, comprising the steps of:

providing a steerable guidewire having a proximal end, a distal end, and a guidewire diameter;

providing a self-expanding element disposed proximate the distal end, having a contracted and an expanded diameter; and

expanding the self-expanding element to the expanded diameter;

wherein the expanded diameter is approximately 70% to 280% of the guidewire diameter;

providing a catheter comprising a catheter inner diameter forming a guidewire lumen and an outer diameter;

advancing the steerable guidewire through the guidewire lumen;

disposing the self-expanding element in the catheter with the contracted diameter;

wherein the expanding step further comprises the step of:

disposing the self-expanding element completely outside the guidewire lumen with the expanded diameter and forming a ramp with non-intersecting leaves of the self-expanding element within all or part of a space between the guidewire and the catheter outer diameter and,

using the ramp to prevent all or part of the space from catching the previously disposed stent strut disposed in the body lumen.

11. The method of claim 10 , wherein the expanding step further comprising the step of providing the expanded diameter less than a diameter of a body lumen.

12. The method of claim 10 , further comprising the step of retracting the self-expanding element into the guidewire lumen changing the expanded diameter to the contracted diameter.