Wire guide for traversing body passages
View Patent ↗A wire guide for feeding a medical catheter through the body passage of a patient to a distant target site within the body has a variably flexible distal portion. The distal portion facilitates threading the guidewire in a tortuous path through acute bends at branch junctions in the body passages of the patient. The wire guide end is able to feed into very delicate vessels such as ventricles of the brain and the spinal canal without puncturing the wall or damaging organs.
1. A wire guide to access a body vessel of a patient comprising:
a cannula having a proximal end and a distal end, the cannula having a first lumen formed through the proximal and distal ends and having a plurality of cuts to allow the cannula to extend, defining variable rigidity;
a flexible portion comprising a covering and a plurality of members disposed in the covering, the covering having an open end extending to a closed end, the open end attached about the distal end of the cannula, the plurality of members including a first body attached to the distal end of the cannula and a second body disposed at the closed end of the covering, the distal end of the cannula being directly attached to an outer surface of the first body, the members having apertures defining a second lumen in axial alignment with the first lumen;
a core wire having a distal tip and being slidably disposed through the first lumen and the second lumen, the distal tip being attached to the second body.
2. The wire guide of claim 1 further comprising a first configuration having a first rigidity wherein the cuts are unextended.
3. The wire guide of claim 2 further comprising, a second configuration having a second rigidity wherein the cuts are extended, the second rigidity being less than the first rigidity.
4. The wire guide of claim 1 , wherein at least one of the plurality of members comprises a magnetically responsive material for magnetically accessing the body vessel of the patient, the magnetically responsive material being one of a permanent magnet, a paramagnetic material, and a diamagnetic material.
5. The wire guide of claim 1 wherein at least one of the plurality of members comprises a radiopaque material for imaging guidance.
6. The wire guide of claim 1 , wherein the first lumen has a first diameter, and the second lumen has a second diameter smaller than the first diameter.
7. An assembly for accessing a body vessel, the assembly comprising:
a wire guide comprising:
a cannula having a proximal end and a distal end, the cannula having a first lumen formed through the proximal and distal ends and having a plurality of cuts to allow the cannula to extend, defining variable rigidity;
a flexible portion comprising a covering and a plurality of members disposed in the covering, the covering having an open end extending to a closed end, the open end attached about the distal end of the cannula, the plurality of members including a first body attached to the distal end of the cannula and a second body disposed at the closed end of the covering, the distal end of the cannula being directly attached to an outer surface of the first body, the members having apertures defining a second lumen in axial alignment with the first lumen;
a core wire having a distal tip and being slidably disposed through the first lumen and the second lumen, the distal tip being attached to the second body;
an outer sheath having a proximal section extending to a distal section, the outer sheath having a sheath lumen formed therein through the proximal and distal sections, the wire guide being disposed within the sheath lumen and the outer sheath being configured to translate axially relative to the wire guide.
8. The assembly for accessing a body vessel of claim 7 further comprising a first configuration having a first rigidity wherein the cuts are unextended.
9. The assembly for accessing a body vessel of claim 8 further comprising, a second configuration having a second rigidity wherein the cuts are extended, the second rigidity being less than the first rigidity.
10. The assembly for accessing a body vessel of claim 7 , wherein at least one of the plurality of members comprises a magnetically responsive material for magnetically accessing the body vessel of the patient, the magnetically responsive material being one of a permanent magnet, a paramagnetic material, and a diamagnetic material.
11. The assembly for accessing a body vessel of claim 7 wherein at least one of the plurality of members comprises a radiopaque material for imaging guidance.
12. The assembly of claim 7 , wherein the first lumen has a first diameter, and the second lumen has a second diameter smaller than the first diameter.
13. A method of accessing a body vessel, the method comprising:
providing an assembly comprising:
a wire guide comprising:
a cannula having a proximal end and a distal end, the cannula having a first lumen formed through the proximal and distal ends and having a plurality of cuts to allow the cannula to extend, defining variable rigidity;
a flexible portion comprising a covering and a plurality of members disposed in the covering, the covering having an open end extending to a closed end, the open end attached about the distal end of the cannula, the plurality of members including a first body attached to the distal end of the cannula and a second body disposed at the closed end of the covering, the distal end of the cannula being directly attached to an outer surface of the first body, the members having apertures defining a second lumen in axial alignment with the first lumen;
a core wire having a distal tip and being slidably disposed through the first lumen and the second lumen, the distal tip being attached to the second body; and
an outer sheath having a proximal section extending to a distal section, the outer sheath having a sheath lumen formed therein through the proximal and distal sections, the wire guide being disposed within the sheath lumen and the outer sheath being configured to translate axially relative to the wire guide;
introducing the outer sheath to the body vessel;
inserting the wire guide through the outer sheath;
varying the rigidity of the cannula; and
navigating the wire guide through the body vessel to a treatment location.
14. The method of claim 13 wherein the varying comprises providing a first tension to the core wire such that the flexible portion is in a first configuration having a first rigidity wherein the cuts are unextended.
15. The method of claim 13 wherein varying further comprises providing a second tension, less than the first tension, to the core wire such that the flexible portion is in a second configuration having a second rigidity less than the first rigidity.
16. The method of navigating the wire guide of claim 13 further comprising locating with imaging guidance, the distal tip portion of the wire guide.
17. The method of claim 13 wherein the method further comprises navigating, with imaging guidance, the wire guide by manipulating the wire guide through the body vessel.
18. The method of claim 13 , wherein the method further comprises manipulating the wire guide through the body vessel by applying a magnetic field to the flexible portion of the wire guide; and wherein at least one of the plurality of members comprises a magnetically responsive material.
19. The method of claim 18 wherein the navigating comprises applying a magnetic field to the magnetically responsive material.
20. The method of claim 18 further comprising, advancing, with imaging guidance, the flexible distal tip by manipulating the magnetic field and by advancing the wire guide through the body vessel.