GUIDEWIRE TORQUE HANDLE

1 . A device for gripping a guidewire, the device comprising:

an elongated handle defining a handle lumen extending from a distal handle end to a proximal handle end;

a cylindrical handle insert having a length and being configured to be inserted into the handle lumen, wherein a handle insert material is more compliant than a handle material, and wherein the handle insert defines a guidewire lumen configured to receive a guidewire; and

a cap configured to be advanced onto the handle and to compress the handle insert to grip the guidewire along the entire length of the handle insert.

2 . The device of claim 1 , comprising:

a distal handle insert configured to be inserted at least partially into the handle lumen, wherein the distal handle insert is disposed distally adjacent to the handle insert.

3 . The device of claim 2 , comprising:

a washer configured to he disposed between the handle insert and the distal handle insert.

4 . The device of claim 1 , comprising:

a proximal handle insert configured to be inserted into the handle lumen, wherein the proximal handle insert is disposed proximally adjacent to the handle insert.

5 . The device of claim 4 , wherein the proximal portion of the handle has a first lateral dimension and the distal portion of the handle has a second lateral dimension different from the first lateral dimension, and wherein a portion of the proximal handle insert is configured to extend from the distal portion of the handle to the proximal portion of the handle.

6 . The device of claim 1 , wherein a portion of the cap is configured to extend proximally into the handle lumen.

7 . The device of claim 1 , wherein the handle insert is cylindrical.

8 . The device of claim 1 , wherein the cap is configured to be disposed about a portion of an outer surface of the distal portion of the handle.

9 . A device for gripping a guidewire, the device comprising:

an elongated handle defining a handle lumen extending from a distal handle end to a proximal handle end, the handle lumen having a distal portion and a proximal portion, the distal portion having a first lateral dimension and the proximal portion having a second lateral dimension different from the first lateral dimension;

a first handle insert configured to be inserted into the handle lumen, wherein a portion of the first handle insert is configured to extend from the distal portion of the handle to the proximal portion of the handle;

a second handle insert configured to be inserted into the handle lumen, wherein the second handle insert is cylindrical and is disposed distally adjacent to the first handle insert;

a third handle insert configured to be inserted partially into the handle lumen, wherein the third handle insert is disposed distally adjacent to the second handle insert; and

a cap configured to be disposed about a portion of an outer surface of the distal handle end and about a distal portion of the third handle insert,

wherein the first, second, and third handle inserts each define a guidewire lumen, the guidewire lumen configured to receive a guidewire,

wherein a distal end of the cap is configured to receive the guidewire and direct the guidewire into the guidewire lumen,

wherein the second handle insert includes a material that is more compliant than a first handle insert material or a third handle insert material, and

wherein the second handle insert is configured to grip the guidewire.

10 . The device of claim 9 , comprising:

a washer configured to be disposed between the first handle insert and the second handle insert.

11 . The device of claim 9 , wherein the second handle insert is configured to compress and grip the guidewire along the entire length of the second handle insert.