U.S. patent number 3,731,671 [Application Number 05/191,186] was granted by the patent office on 1973-05-08 for low-friction catheter guide.
This patent grant is currently assigned to Cordis Corporation. Invention is credited to Nelson H. Mageoh.
United States Patent |
3,731,671 |
Mageoh |
May 8, 1973 |
LOW-FRICTION CATHETER GUIDE
Abstract
A low-friction catheter guide for facilitating the insertion of
catheters into the vascular system of human beings or animals,
especially where insertion through relatively long lengths of blood
vessels is involved. Friction is minimized by forming a catheter
guide over which the lumen of the enclosing catheter passes and
contact between the two is reduced to a series of point contacts.
The guide is formed in such a fashion that a series of radial
extensions or protuberances constitute the contact areas. A
preferred method of forming the guide is by winding a wire upon a
non-circular mandrel and permitting the coil to unwind slightly
after it is removed from the mandrel. The unwinding or springback
results in adjacent convolutions of the coil being rotated slightly
with respect to each other.
Inventors: |
Mageoh; Nelson H. (N/A,
FL) |
Assignee: |
Cordis Corporation (Miami,
FL)
|
Family
ID: |
22704463 |
Appl.
No.: |
05/191,186 |
Filed: |
October 21, 1971 |
Current U.S.
Class: |
600/585;
604/95.01 |
Current CPC
Class: |
A61M
25/09 (20130101); A61M 2025/09075 (20130101) |
Current International
Class: |
A61B
5/02 (20060101); A61B 17/00 (20060101); A61M
23/00 (20060101); A61m 023/00 (); A61b 005/02 ();
A61b 017/00 (); A61b 005/10 () |
Field of
Search: |
;128/2.5R,127,348,349R,303,2,2M |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Medbery; Aldrich F.
Claims
I claim
1. A low-friction catheter guide comprising a length of wire formed
into a coil of non-circular cross-section the successive
convolutions of which are axially disoriented from its adjacent
convolution.
2. A low-friction catheter guide as defined in claim 1 wherein said
coil is formed of a plurality of turns, each of said turns being of
similar non-circular configuration, and being progressively axially
rotationally displaced relative to its adjacent turns.
3. A low-friction catheter guide as defined in claim 1 wherein said
coil comprises turns of wire of generally oval cross-section.
4. A low-friction catheter guide as defined in claim 3 wherein
adjacent ones of said turns of oval cross-section are rotationally
displaced relative to each other.
5. In combination with a catheter having a lumen, a catheter guide
over which said catheter may be passed, said guide being formed
with a successive series of longitudinally spaced radially offset
protuberances, said lumen being in contact only with said spaced
protuberances.
6. In a combination as defined in claim 5, a catheter guide
comprising a length of wire formed into a coil of non-circular
cross-section, said protuberances comprising the radial extremities
of said coil.
7. In a combination as defined in claim 6, a catheter guide in
which each turn of said coil has a generally oval cross-section,
adjacent turns being rotationally displaced from one another.
Description
BACKGROUND OF THE INVENTION
Catheterization of human beings or animals has become relatively
common in certain diagnostic techniques such as angiography. These
techniques involve the insertion of a catheter into the vascular
system and it was early learned that ease of insertion and greater
control of direction is possible if a flexible guide is first
inserted. The catheter itself may then be passed over the guide.
However, friction between the lumen of the catheter and the guide
is unavoidable and the greater the length of insertion, the greater
the friction becomes. Several obvious steps have been taken to
reduce the friction such as coating the guide with plastic
materials. A commonly used friction-reducing material is the
well-known fluorocarbon Teflon.
Further to reduce friction and to provide greater flexibility and
control, it has been the practice to employ a fine wire wound in a
tightly coiled helix rather than a simple relatively large solid
wire as the guide. Obviously, such a helix not only is more
flexible than a solid wire but also has less areal contact with the
lumen of the enclosing catheter.
Helical catheter guides are formed in a conventional manner,
generally by winding a wire upon a circular mandrel or by utilizing
a coil-forming machine which forms a helical coil without need of a
mandrel. Conventionally, a guide generally also includes a central
axial wire and a smooth end tip to which both the wire and coil are
connected.
GENERAL DESCRIPTION OF THE INVENTION
The present invention has as its major object further reduction of
the friction between a catheter lumen and the flexible guide over
which it is designed to pass. That object is preferably obtained by
utilizing a non-circular mandrel. If, for example, a flattened or
oval mandrel is utilized, a flattened or oval coil can be wound.
When the mandrel is removed from such a coil, springback occurs and
the coil unwinds to some degree. The resulting guide coil becomes
one in which adjacent turns of the coil are rotationally displaced
relative to each other. Stated otherwise, the major axis of the
ellipse formed by each turn of the coil is rotated slightly from
that of its adjacent turn. Thus, when a catheter is passed over the
guide, contact between the lumen of the catheter and the guide
itself occurs only at a series of relatively widely spaced points.
Friction between the guide and the lumen is radically decreased as
the catheter is moved with respect to the guide.
For a better understanding of the present invention, together with
other and further features thereof, reference should be made to the
following detailed description of a preferred embodiment of the
invention as shown in the drawing in which:
FIG. 1 is an elevation, partly in section, and partly cut away
showing a guide in the process of being wound upon a non-circular
mandrel.
FIG. 2 is a cross-section of the guide and mandrel shown in FIG.
1.
FIG. 3 is an elevation, partly in section, illustrating the passage
of a catheter over a guide from which the mandrel has been
withdrawn, and
FIG. 4 is a cross-section taken along the lines 4--4 of FIG. 3.
DESCRIPTION OF THE PREFERRED EMBODIMENT
As noted above, achievement of the purposes of the invention is
facilitated by utilizing a non-circular mandrel upon which a wire
is tightly wound. In FIG. 1, a mandrel 12 in the form of a
flattened or oval wire is illustrated. Tightly wound upon the
mandrel 12 is a coil 14 composed preferably of stainless steel wire
of much smaller diameter than that of the mandrel. Relative sizes
and shapes may be better appreciated and understood by reference to
FIG. 2.
In the fabrication of a practical guide, of course, many feet of
wire 14 are wound upon the mandrel 12 after which the mandrel is
withdrawn from the formed coil, the coil itself being several feet
or more in length. In the winding process, a slight amount of
tension is imparted to the wire 14 and, upon withdrawal of the
mandrel, springback occurs. This springback causes a slight
unwinding of the coil to take place and adjacent turns or
convolutions of the coil rotate slightly with respect to each
other. With the type of oval or elliptical mandrel here under
consideration, the coil which results is one in which the major
axis of the ellipse formed by each convolution is rotated slightly
from its neighboring turn.
In FIGS. 3 and 4, the coil of wire 14 may be seen in plan and
section in relation to a catheter 16. Rather than the continuous
peripheral contact that would exist between a conventional helical
coil and the lumen of the catheter, contact is reduced to a series
of points and these points are relatively widely spaced from one
another along the length of the catheter as well as around its
internal surface.
Although the preferred construction of the catheter guide is as
described and shown, other embodiments of the invention are also
feasable, the basic concept being the reduction of contact between
lumen and guide to a series of points. Also, mandrels of
cross-section other than oval may also be used, of course. For
example, a triangular mandrel might well be used and, again,
contact between catheter wall and guide would be considerably
reduced as compared to that where a straight helix is utilized.
Basically, a guide of non-circular cross-section is contemplated
and the presently preferred embodiment involves the use of an oval
guide in which adjacent turns are rotated relative to each
other.
* * * * *