Guidewire devices having shapeable polymer tips
The present disclosure relates to guidewire devices having shapeable tips and effective torquability. A guidewire device includes a core having a proximal section and a tapered distal section. A tube structure is coupled to the core such that the tapered distal section of the core extends into and distally beyond the tube structure. The portion of the core extending distally beyond the tube forms a shapeable tip. A polymer covering encompasses the tip. The tip is configured to reduce the tendency of resilient forces from the tube structure to disrupt a customized shape of the tip.
1. A guidewire device having a shapeable tip, the guidewire device comprising:
a core having a proximal section and a distal section, at least a part of the distal section having a smaller diameter than the proximal section;
a tube structure fixedly coupled to the core at one or more attachment points such that the distal section of the core, including the part having a smaller diameter than the proximal section, passes into the tube structure and passes distally beyond the tube structure to form the shapeable tip;
a coil with a portion partially disposed within the tube structure and a portion extending distally beyond the tube structure; and
a braided material coupled to a distal end of the tube structure and extending distally from the tube structure, the braided material encompassing at least a portion of the shapeable tip; and
a polymer encompassing at least a portion of the shapeable tip.
2. The guidewire device of claim 1 , wherein the distal section of the core tapers from the proximal section of the core.
3. The guidewire device of claim 1 , wherein the shapeable tip extends distally beyond the tube a distance of about 0.5 cm to 5 cm.
4. The guidewire device of claim 1 , wherein the coil includes a portion disposed within the tube structure and a portion that extends distally beyond the tube structure, wherein the portion that extends distally beyond the tube structure is longer than the portion disposed within the tube structure.
5. The guidewire device of claim 1 , wherein the coil is formed from a radiopaque material.
6. The guidewire device of claim 1 , wherein the tube structure is formed from nitinol.
7. The guidewire device of claim 1 , wherein the core is formed from stainless steel.
8. The guidewire device of claim 1 , wherein the polymer includes a radiopaque material.
9. The guidewire device of claim 1 , wherein the braided material is embedded within the polymer.
10. The guidewire device of claim 1 , wherein the tube structure includes a plurality of fenestrations defining a plurality of axially extending beams coupling a plurality of circumferentially extending rings.
11. The guidewire device of claim 10 , wherein the plurality of fenestrations are arranged into one or more of a one-beam cut pattern, two-beam cut pattern, or three beam-cut pattern.
12. The guidewire device of claim 10 , wherein the fenestrations define a cut pattern having a rotational offset such that each successive segment along a length of the tube structure are circumferentially rotated from a previous segment.
13. The guidewire device of claim 10 , wherein the fenestrations define a cut pattern with cuts of increasing depth toward a distal end of the tube structure and/or with spacing between successive cuts that decreases toward a distal end of the tube structure.
14. The guidewire device of claim 1 , wherein the tube structure has a substantially constant inner diameter.
15. The guidewire device of claim 1 , wherein the braided material is directly coupled to the distal end of the tube structure and extends distally therefrom.
16. The guidewire device of claim 1 , wherein the coil is configured in size and shape to abut both an outer surface of the core and an inner surface of the tube structure.
17. The guidewire device of claim 16 , wherein the coil abuts an inner surface of the tube structure at a section of the tube structure adjacent the distal end of the tube structure.
18. A guidewire device having a shapeable tip, the guidewire device comprising:
a core having a proximal section and a distal section, the distal section having a smaller diameter than the proximal section;
a tube structure fixedly coupled to the core at one or more attachment points such that the distal section of the core passes into the tube structure and passes distally beyond the tube structure to form the shapeable tip, wherein the tube structure includes a plurality of fenestrations defining a plurality of axially extending beams and circumferentially extending rings;
a coil encompassing at least a portion of the distal section of the core, a portion of the coil being disposed between an outer surface of the core and an inner surface of the tube structure, and a portion of the coil extending distally beyond the tube structure to encompass at least a portion of the shapeable tip, wherein the portion of the coil extending distally beyond the tube structure is longer than the portion disposed between the outer surface of the core and the inner surface of the tube structure; and
a polymer coupled to a distal end of the tube structure and extending distally from the tube structure, the polymer encompassing the portion of the coil extending distally beyond the tube structure.
19. The guidewire device of claim 18 , further comprising a braided material embedded within the polymer and attached to the distal end of the tube structure, the braided material extending distally from the distal end of the tube structure and encompassing a portion of the core.
20. The guidewire device of claim 18 , wherein the coil is configured in size and shape to abut both an outer surface of the core and an inner surface of the tube structure, including at a section of the tube structure adjacent the distal end of the tube structure.
21. A method of using a guidewire device having a shapeable tip, the method comprising:
providing the guidewire device, the guidewire device including
a core having a proximal section and a distal section, the distal section having a smaller diameter than the proximal section,
a tube structure fixedly coupled to the core at one or more attachment points such that the distal section of the core passes into the tube structure and passes distally beyond the tube structure to form a shapeable tip, wherein the tube structure includes a plurality of fenestrations defining a plurality of axially extending beams and circumferentially extending rings,
a coil encompassing at least a portion of the distal section of the core, a portion of the coil being disposed between an outer surface of the core and an inner surface of the tube structure, and a portion of the coil extending distally beyond the tube structure to encompass at least a portion of the shapeable tip, wherein the portion of the coil extending distally beyond the tube structure is longer than the portion disposed between the outer surface of the core and the inner surface of the tube structure, and
a polymer covering coupled to a distal end of the tube structure and extending distally from the tube structure, the polymer covering encompassing the portion of the inner coil extending distally beyond the tube structure, shaping the shapeable tip by plastically deforming the shapeable tip; and routing the guidewire device into a patient's vasculature.