Guide extension catheter
Guide extension catheters and related methods are disclosed. A guide extension catheter can comprise an elongate tube member and a lumenless push member. The push member can be eccentrically coupled to the tube member for slidably positioning the tube member within and partially beyond a distal end of a guide catheter. At least a proximal end portion of the push member can include a cross-section defined by an arcuate first surface and an opposing second surface. The first surface can engage an inner wall surface of the guide catheter along an arc length, and the second surface can be spaced furthest from the first surface at its center point. The first surface can have the same or substantially the same radius of curvature as the guide catheter's inner wall surface, and the second surface can be flat or substantially flat. This configuration of the push member can provide an advantageous blend of stiffness and flexibility, as well as space conservation through the guide catheter.
1. A guide extension catheter for use with a guide catheter, comprising:
an elongate tube member defining a lumen and having an outer diameter smaller than a lumen of the guide catheter; and
a push member eccentrically coupled relative to an axis of the tube member and extending proximal of the tube member for slidably positioning the tube member within and partially beyond a distal end of the guide catheter,
wherein at least a proximal end portion of the push member includes a cross-section defined by an arcuate first surface, which is configured to engage an inner wall surface of the guide catheter along an arc length defined by a guide catheter central angle of least 20 degrees, and a flat second surface, which is located opposite the first surface, the second surface having a center point at least 0.010 inches from a center point of the first surface and wherein the center point of the second surface is spaced furthest away from the first surface, and
wherein an intermediate portion or a distal end portion of the push member includes a rectangular cross-section defining an area less than an area of the cross-section of the proximal end portion of the push member.
2. The guide extension catheter of claim 1 , wherein the first surface of the push member's proximal end portion has the same radius of curvature as the guide catheter's inner wall surface.
3. The guide extension catheter of claim 2 , wherein the cross-section of the proximal end portion of the push member is further defined by third and fourth arcuate surfaces that connect the first and second surfaces,
the third and fourth surfaces having a radius of curvature less than the radius of curvature of the first surface.
4. The guide extension catheter of claim 3 , wherein the radius of curvature of the first surface is at least three times greater than the radius of curvature of the third and fourth surfaces.
5. The guide extension catheter of claim 1 , wherein the push member is solid.
6. The guide extension catheter of claim 1 , wherein the arc length of the first surface is greater than a length of the second surface.
7. The guide extension catheter of claim 1 , further comprising one or more bands along the length of the push member.
8. The guide extension catheter of claim 1 , wherein a diameter of the lumen of the tube member is not more than one French size smaller than a diameter of the lumen of the guide catheter.
9. The guide extension catheter of claim 1 , further comprising a concave track defining a partially cylindrical opening leading into the tube member.
10. The guide extension catheter of claim 9 , wherein a first segment of the concave track includes an arcuate cross-sectional shape.
11. The guide extension catheter of claim 10 , wherein a second segment of the concave track extends circumferentially 40% to 70%, inclusive, of a cross-sectional circumference of the tube member.
12. The guide extension catheter of claim 1 , wherein a proximal end of the tube member is at least partially radially flared.
13. The guide extension catheter of claim 1 , wherein a proximal end of the tube member is skived.
14. A guide extension catheter for use with a guide catheter, comprising:
an elongate tube member defining a lumen and having an outer diameter smaller than a lumen of the guide catheter; and
a lumenless push member eccentrically coupled to the tube member at a distal end portion and extending proximally therefrom to a proximal end portion for slidably positioning the tube member within and partially beyond a distal end of the guide catheter,
the proximal end portion of the push member including a cross-section defined by an arcuate first surface configured to engage an inner wall surface of the guide catheter, and an opposing flat second surface, the second surface spaced furthest away from the first surface at a center point of the second surface, and
both an intermediate portion and the distal end portion of the push member including a cross-section defined by opposing first and second surfaces and opposing third and fourth surfaces, each of the surfaces having a flat geometry.
15. The guide extension catheter of claim 14 , wherein the proximal end portion of the push member has a proximal stiffness and the distal end portion of the push member has a distal stiffness, which is less than the proximal stiffness.
16. The guide extension catheter of claim 14 , wherein the cross-section of the push member's proximal end portion transitions along the length of the push member to the cross-section of the push member's distal end portion.
17. The guide extension catheter of claim 14 , wherein the proximal end portion has a first flexibility, the distal end portion has a second flexibility that is higher than the first flexibility, and the intermediate portion has a third flexibility between that of the first flexibility of the proximal end portion and the second flexibility of the distal end portion.
18. The guide extension catheter of claim 14 , wherein the cross-section of the push member's proximal end portion is further defined by third and fourth arcuate surfaces that connect the first and second surfaces.
19. The guide extension catheter of claim 18 , wherein a distance change between center points of the first and second surfaces at the push member's proximal end portion to center points of the first and second surfaces at the push member's intermediate portion is less than a distance change between center points of the third and fourth surfaces at the push member's proximal end portion to center points of the third and fourth surfaces at the push member's intermediate portion.
20. The guide extension catheter of claim 14 , wherein a distance between center points of the first and second surfaces at the push member's proximal end portion is between 40%-60% of an arc length of the first surface at the push member's proximal end portion.