This application relates generally to medical devices and methods of making and using medical devices to treat diseases. Particularly, various embodiments of a guidewire device and a method of making the same are described.
Guidewires are widely used in the medical field for guiding a device to a particular location in a patient's body to perform delicate procedures e.g., guiding a catheter deep in the vasculature of the body. Guidewires often require a variable stiffness profile, typically with the most flexible section at the distal end while maintaining good torque transmission for trackability and delivery in tortuous anatomy. It is important to ensure that the tip of a guidewire can be bent to a tight radius to impart a curved shape that assists with vessel selection.
A guidewire generally includes a core wire, which may have a tapered distal section reinforced with a structure joined to an atraumatic tip. Traditionally, metal coils are used as guidewire reinforcement. As micro-machining technology has evolved, micro-machined hypotubes also entered the field as device components. However, micro-machining techniques are limiting in processing speed, cutting geometries and lengths that can be imparted on the hypotube due to the size and shape of the cutting element.
Therefore, while advancement has been made in the field of guidewire devices, there is still a general need for improvement to overcome these and other problems experienced by the conventional techniques. It would be desirable to provide a new technique to attain cutting geometries on a guidewire device that can balance the complex requirements of bending flexibility, tensile strength, and torque transmission for various medical applications, and allow the guidewire tip to reach a tight bending radius without kinking.
In one aspect, embodiments of the disclosure feature a guidewire device. In general, an embodiment of the guidewire device comprises an elongate core wire and a tube member over the distal section of the elongate core wire. The tube member comprises a plurality of transverse cuts at a plurality of axial locations of the tube member, forming a plurality of circumferentially extending rings joined by a plurality of beams. The plurality of transverse cuts comprises a tapered geometry with a cut width at the outer surface of the tube member being greater than a cut width at the inner surface of the tube member.
In various embodiments of the aspect, the tapered geometry of at least one of the plurality of transverse cuts comprises a taper angle (X) that satisfies the following equation:
wherein c represents the cut width of the at least one of the plurality of the transverse cuts at the inner surface, r represents an inner radius of the tube member, and b represents a beam height of the beam adjacent to the at least one of the plurality of the transverse cuts.
In various embodiments of the aspect, the tapered geometry of at least one of the plurality of transverse cuts forms chamfered inside faces of a pair of circumferentially extending rings adjacent to the at least one of the plurality of transverse cuts, wherein the chamfered inside faces meet flush when the tube member bends at an angle.
In various embodiments of the aspect, the tapered geometry of at least one of the plurality of transverse cuts comprises a taper angle (X) ranging from about 8 degrees to about 25 degrees.
In various embodiments of the aspect, the cut width at the inner surface of the tube member is equal to or less than 30 microns. In an embodiment, the cut width at the inner surface of the tube member is equal to or less than 10 microns. In an embodiment, the cut width at the inner surface ranges between 10 microns and 30 microns.
In various embodiments of the aspect, the cut width at the outer surface of the tube member is equal to or less than 47 microns. In an embodiment, the cut width at the outer surface of the tube member is equal to or less than 15 microns. In an embodiment, the cut width at the outer surface ranges between 15 microns and 47 microns.
In various embodiments of the aspect, the plurality of transverse cuts extend in a plane substantially perpendicular to a longitudinal axis of the tube member.
In various embodiments of the aspect, the plurality of transverse cuts comprise a one-beam cut pattern.
In various embodiments of the aspect, the plurality of transverse cuts comprise a two-beam cut pattern.
In various embodiments of the aspect, the plurality of transverse cuts comprise a three-beam cut pattern.
In various embodiments of the aspect, the tube member comprises a metallic tube.
In various embodiments of the aspect, the tube member comprises a polymeric tube.
In various embodiments of the aspect, the guidewire device further comprises a radiopaque coil between the tube member and the elongate core wire.
In another aspect, embodiments of the disclosure feature a method of making a guidewire device. In general, an embodiment of the method comprises the following steps:
In various embodiments of the aspect, the tapered geometry of at least one of the plurality of transverse cuts comprises a taper angle (X) that satisfies the following equation:
wherein c represents the cut width of the at least one of the plurality of the transverse cuts at the inner surface, r represents an inner radius of the tube member, and b represents a beam height of the beam adjacent to the at least one of the plurality of the transverse cuts.
In various embodiments of the aspect, the tapered geometry of at least one of the plurality of transverse cuts comprises a taper angle ranging from about 8 degrees to about 25 degrees.
In various embodiments of the aspect, the laser is configured to provide a beam pulse having a focal angle equal to, or within 5 degrees greater or less than, the taper angle of the at least one of the plurality of transverse cuts.
In various embodiments of the aspect, the cut width at the inner surface of the tube member is equal to or less than 30 microns. In an embodiment, the cut width at the inner surface of the tube member is equal to or less than 10 microns. In an embodiment, the cut width at the inner surface ranges between 10 microns and 30 microns.
In various embodiments of the aspect, the cut width at the outer surface of the tube member is equal to or less than 47 microns.
In various embodiments of the aspect, the cut width at the outer surface of the tube member is equal to or less than 22 microns. In an embodiment, the cut width at the outer surface ranges between 15 microns and 47 microns. In an embodiment, the cut width at the outer surface ranges between 15 microns and 25 microns. In an embodiment, the cut width at the outer surface in a section of the tube member ranges between 23 microns and 47 microns.
In another aspect, embodiments of the disclosure feature a tube member for use in a medical device. In general, an embodiment of the tube member comprises a plurality of transverse cuts at a plurality of axial locations of the tube member, forming a plurality of circumferentially extending rings joined by a plurality of axially extending beams, wherein the plurality of transverse cuts comprises a tapered geometry with a cut width at the outer surface of the tube member being greater than a cut width at the inner surface of the tube member.
In various embodiments of the aspect, the tapered geometry of at least one of the plurality of transverse cuts comprises a taper angle (X) that satisfies the following equation:
wherein c represents the cut width of the at least one of the plurality of the transverse cuts at the inner surface, r represents an inner radius of the tube member, and b represents a beam height of the beam adjacent to the at least one of the plurality of the transverse cuts.
In various embodiments of the aspect, the tapered geometry of at least one of the plurality of transverse cuts forms chamfered inside faces of a pair of circumferentially extending rings adjacent to the at least one of the plurality of transverse cuts, wherein the chamfered inside faces meet flush when the tube member bends at an angle.
In various embodiments of the aspect, the tapered geometry of at least one of the plurality of transverse cuts comprises a taper angle (X) ranging from about 8 degrees to about 25 degrees.
In various embodiments of the aspect, the cut width at the inner surface of the tube member is equal to or less than 30 microns. In an embodiment, the cut width at the inner surface of the tube member is equal to or less than 10 microns. In an embodiment, the cut width at the inner surface ranges between 10 microns and 30 microns.
In various embodiments of the aspect, the cut width at the outer surface of the tube member is equal to or less than 47 microns. In an embodiment, the cut width at the outer surface of the tube member is equal to or less than 22 microns. In an embodiment, the cut width at the outer surface ranges between 15 microns and 47 microns. In an embodiment, the cut width at the outer surface ranges between 15 microns and 25 microns. In an embodiment, the cut width at the outer surface in a section of the tube member ranges between 23 microns and 47 microns.
In various embodiments of the aspect, the plurality of transverse cuts extend in a plane substantially perpendicular to a longitudinal axis of the tube member.
In various embodiments of the aspect, the plurality of transverse cuts comprise a one-beam cut pattern.
In various embodiments of the aspect, the plurality of transverse cuts comprise a two-beam cut pattern.
In various embodiments of the aspect, the plurality of transverse cuts comprise a three-beam cut pattern.
In various embodiments of the aspect, the tube member comprises a metallic tube.
In various embodiments of the aspect, the tube member comprises a polymeric tube.
This Summary is provided to introduce selected aspects and
embodiments of this disclosure in a simplified form and is not intended to identify key features or essential characteristics of the claimed subject matter, nor is it intended to be used as an aid in determining the scope of the claimed subject matter. The selected aspects and embodiments are presented merely to provide the reader with a summary of certain forms the invention might take and are not intended to limit the scope of the invention. Other aspects and embodiments of the disclosure are described in the section of Detailed Description.
These and various other aspects, embodiments, features, and advantages of the disclosure will become better understood upon reading of the following detailed description in conjunction with the accompanying drawings.
With reference to the figures, various embodiments of a guidewire device and method of making guidewire devices will now be described. The figures are intended to facilitate description of embodiments of the disclosure and are not necessarily drawn to scale. Certain specific details may be set forth in the figures to provide a thorough understanding of the disclosure. It will be apparent to one of ordinary skill in the art that some of these specific details may not be employed to practice embodiments of the disclosure. In other instances, structures, components, systems, materials, and/or operations often associated with known medical procedures may not be shown or described in detail to avoid unnecessarily obscuring description of embodiments of the disclosure.
Embodiments of the disclosure provide a guidewire device comprising a tube member coupled to a distal section of an elongate core wire for reinforcement and improvement of performance. The tube member includes a plurality of transverse cuts with a pattern and/or geometry that provides the guidewire device with a desirable balance between bending flexibility, torsional rigidity, and tensile strength while still allowing the distal section of the guidewire device to achieve a tight bending radius without kinking. Embodiments of the disclosure also provide a method of making guidewire devices using laser to achieve a new cut geometry and processing speed unattainable by conventional techniques.
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According to embodiments of the disclosure, the cut width of a plurality of transvers cuts at the outer surface (CW1) is equal to or less than 47 microns, or equal to or less than 22 microns. In some embodiments, the cut width at the outer surface (CW1) is equal to or less than 55 microns. According to embodiments of the disclosure, the cut width at the outer surface (CW1) ranges between 15 microns and 47 microns, or between 15 microns and 25 microns. In an embodiment, the cut width at the outer surface in a section of the tube member ranges between 23 microns and 47 microns. The cut width at the outer surface (CW1) can be substantially constant along the cut.
According to embodiments of the disclosure, the cut width of a plurality of transvers cuts at the inner surface (CW2) is equal to or less than ______ (suitable for guidewire applications). In some embodiments, the cut width at the inner surface (CW2) is equal to or less than 30 microns. According to embodiments of the disclosure, the cut width at the inner surface (CW2) ranges In an embodiment, the cut width at the inner surface ranges between 10 microns and 30 microns. The cut width at the inner surface (CW2) can be substantially constant along the cut.
According to embodiments of the disclosure, a plurality of transverse cuts 210 with a tapered geometry are formed in a one-beam cut pattern. In a one-beam cut pattern, a single axially extending beam 214 joins a pair of adjacent circumferentially extending rings 212.
According to embodiments of the disclosure, a plurality of transverse cuts 210 with a tapered geometry are formed in a two-beam cut pattern. In a two-beam pattern, two axially extending beams 214 are formed between a pair of adjacent circumferentially extending rings 212.
According to embodiments of the disclosure, a plurality of transverse cuts 210 with a tapered geometry are formed in a three-beam cut pattern. In a three-beam cut pattern, three beams 214 (“beam group”) are formed between a pair of adjacent circumferentially extending rings 212.
Embodiments of the disclosure provides a method of making guidewire devices. The method utilizes laser to cut a tube member in a pattern and/or geometry unattainable by the conventional techniques. The novel cutting pattern and/or geometry provides the guidewire device with a desired balance between bending flexibility, torsional rigidity, and tensile strength. Beneficially, the cutting geometry allows the inside faces of adjacent circumferentially extending rings to meet flush when being flexed, thereby allowing the guidewire device to bend at a tighter radius without kinking or deformation.
The core wire may have a length sufficient for reaching to a target site within the patient. Generally, the length of the core wire ranges between 200 cm and 320 cm. The distal section of the core wire may be tapered towards the distal end to provide more bending flexibility. The tapered distal section of the core wire may have a round, rectangular, or other regular or irregular cross-sectional shape. The proximal section of the core wire may have an increased diameter to maintain pushability and torsional rigidity of the guidewire device. Alternatively, the core wire has a circular cross-section and/or a constant diameter.
In some embodiments, the distal section of the core wire is wound with a radiopaque coil for fluoroscopy imaging. Suitable materials for the radiopaque coil include platinum, gold, or other heavy metals.
At step 304, a tube member is provided. The tube member may be made of a metal, metal alloy, polymer, metal-polymer composite, or any combination thereof. Suitable metals and metal alloys for the tube member include stainless steel, nickel-titanium alloy or Nitinol, or other nickel alloys such as cobalt-chromium alloys, nickel-molybdenum alloys, nickel-copper alloys, nickel-cobalt alloys, other nickel-iron alloys, nickel-tungsten alloys, cobalt-chromium-molybdenum alloys, and so on. Suitable polymers for the tube member include polytetrafluoroethylene (PTFE), fluorinated ethylene propylene (FEP), and other suitable polymeric materials.
The tube member may have a length suitable as a component to be coupled to the distal section of the core wire of the guidewire device. For example, the tube member may have a length ranging e.g., from 10 cm to 55 cm for application in a guidewire device. It should be noted that embodiments of the disclosure can find applications in making other medical devices such as a catheter device, which can have a length suitable for application as a catheter device.
The tube member may have an outer diameter, an inner diameter, and a wall thickness selected to provide one or more desired base properties, such as rigidity, flexibility, tensile strength, torque response etc. for a particular application. In general, if the outer diameter of the tube member is increased while the wall thickness is decreased, the tube member can have the same bending stiffness with an increased torque response, at the cost of some mechanical strength. In another example, if the outer diameter of the tube is decreased while the wall thickness is increased, the tube member can have increased axial rigidity with the same bending stiffness, at the cost of reduced torque response.
At step 306, a plurality of transverse cuts or slots are formed in the tube member at a plurality of axial locations of the tube member. The plurality of transverse cuts formed in the tube member create a plurality of circumferentially extending rings joined by a plurality of axially extending beams.
According to embodiments of the disclosure, laser is used to form the plurality of cuts or slots in the tube member. Laser beams or pulses can cut or remove materials from a thin tubular part or tube member with high precision and resolution, creating no mechanical deformation or burrs. According to embodiments of the disclosure, micron- or submicron-sized patterns and/or geometries are formed with laser pulses. The laser cutting process can be automated or configured with a computer software for efficient high-speed processing.
Various types of lasers are available in the art and can be selected for use in the method of making guidewire devices of the disclosure. According to embodiments of the disclosure, a gas-assist laser is used to cut the tube member in which a pressurized gas jet or assist gas, is utilized to blow away molten material, cools the material, and prevents it from warping or re-solidifying to improve the quality and efficiency of the cutting process.
The duration, frequency, shape, and other parameters of the laser pulses can be set or selected based on the cut dimensions, geometries, and cutting speed, etc. If the tube member is thin, a high pulse frequency and short pulse duration can be used. Pulse duration is the elapsed time between the beginning and the end of a single pulse of energy, measured in seconds. The shorter the pulse duration, the greater the effectiveness of the cut, with fewer burrs or defects, such as heat-affected zones. Ultrashort pulses ranging from tens of picoseconds to femtoseconds can be used in embodiments of the disclosure.
A stage can be used to hold and/or move the tube member during the cutting process. The stage can be controlled by a precision motor system, which can translate and/or rotate the tube member at a micron or sub-micron precision level. For example, in the cutting process the tube member can be held and/or moved by the stage while beam pulses from a laser source are aimed at and deposited on the tube member. In some embodiments, the laser source including a chain of optics which can be controlled and/or adjusted during the cutting process while the tube member is being held and/or moved by the stage.
In an embodiment, the tube member is held at a fixed axial location. A laser source can be actuated to deposit pulses of beams on to the tube member while the tube member is being rotated or turned at the fixed axial location, forming a cut with a predetermined cut width and/or length. The cut can be a transverse cut formed in a plane normal to the longitudinal axis of the tube member, or in a plane at an angle to the plane normal to the longitudinal axis of the tube member. After the desired length of a cut (as measured by degrees) is achieved, the laser source can be turned off.
In an embodiment, the tube member is held at a first axial location. Pulses of laser beam can be deposited to the tube member while the tube member is being rotated at the first axial location. A first transverse cut is formed at the first axial location of the tube member. Then, the tube member is translated to a second axial location. Pulses of laser beam can be deposited to the tube member while the tube member is being rotated at the second axial location. A second transverse cut is formed at the second axial location of the tube member. In this manner, a plurality of transverse cuts can be formed in the tube member at a plurality of axial locations.
In an embodiment, the tube member is translated from a first axial location to a second axial location and rotated during the translation. Pulses of laser beam can be deposited to the tube member while the tube member is being translated and rotated simultaneously. In this manner, a helical cut can be formed in the tube member extending between the first axial location and the second axial location of the tube member. The laser source can be turned on and off while the tube member is being translated and rotated simultaneously to form a plurality of helical cuts.
In an embodiment, the laser source can be configured to provide pulses of beam suitable for cutting the tube member with a tapered geometry. For example, the laser source can be configured to deposit pulses of beam having a suitable focal point, allowing more tube material to be removed at the outer surface than at the inner surface of the tube member, thereby forming a cut having a tapered geometry with the cut width at the outer surface being greater than the cut width at the inner surface.
A cut with a tapered geometry is beneficial as the inside faces or surfaces of adjacent circumferentially extending rings can meet in a flush manner, thus allowing the tube member to bend with a tighter bending angle without kinking or deformation.
With reference to
wherein X represents the taper angle, c represents the cut width at the inner surface of the tube member, r represents an inner radius of the tuber member, and b represents the height of the beam adjacent to the cut. Once the taper angle (X) is determined based on the desired cut width (c) and a beam height (b) on a given tube member (r) according to the above equation, it can be used as a target or guide to select or configure the chain of optics in the laser source to provide pulses of laser beam having a proper focal angle to perform the cutting.
According to embodiments of the disclosure, the optics of the laser source can be arranged or selected to provide a laser beam with a focal angle (θ) substantially equal to the taper angle (X) of the cut to be formed in the tube member. According to some embodiments of the disclosure, the optics of the laser source can be arranged or selected to provide a laser beam with a focal angle (θ) within five degrees greater or less (+/−) 5° than the taper angle (X) of the cut to be formed in the tube member, to accommodate to the variance in focus and cutting power of the laser beam.
According to embodiments of the disclosure, the chain of optics of the laser source are arranged or configured to provide pulses of laser beam to form cuts with a taper angle (X) ranging from about 8 to about 25 degrees.
According to embodiments of the disclosure, the chain of optics of the laser source are arranged or configured to provide pulses of laser beam to form cuts in the tube member with a cut width at the outer surface equal to or less than 47 microns. In some embodiments, the cut width at the outer surface is equal to or less than 22 microns. In an embodiment, the cut width at the outer surface ranges between 15 microns and 47 microns. In an embodiment, the cut width at the outer surface ranges between 15 microns and 25 microns. In an embodiment, the cut width at the outer surface in a section of the tube member ranges between 23 microns and 47 microns.
According to embodiments of the disclosure, the chain of optics of the laser source are arranged or configured to provide pulses of laser beam to form cuts in the tube member with a cut width at the inner surface equal to or less than 30 microns. In some embodiments, the cut width at the inner surface is equal to or less than 10 microns. According to embodiments of the disclosure, the cut width at the inner surface ranges between 10 microns and 30 microns.
Returning to
The cutting process can be automated with a computer software, which can be configured or programmed to control the movement of the stage supporting the tube member and/or the operation of the laser source providing beam pulses.
A laser source commercially available was used to cut a tube member supported by a stage controlled by a system of motors. The tube member had an outer diameter of 0.013 inches, an inner diameter 0.0096 inches, and a length of 35 cm. A series of cuts were formed in the tube member, with a cut width of 31 microns at the outer diameter and a cut width of 14 microns at the inner diameter. The cuts have a tapered geometry with a taper angle of 22°. The cut length ranges from about 160° at the tip end where a tight bending radius was desired, to about 63° at the other end. Over 5000 cuts were created in the tube member, in which 616 cuts were within the section of 1 cm from the tip end where a tight bending radius was desired.
Various embodiments of a guidewire device and a method of making guidewire devices have been described with reference to figures. It should be noted that an aspect described in conjunction with a particular embodiment is not necessarily limited to that embodiment and can be practiced in any other embodiments. The figures are intended for illustration of embodiments but not for exhaustive description or limitation on the scope of the disclosure. Alternative structures, components, and materials will be readily recognized as being viable without departing from the principle of the claimed invention. Further, while some embodiments of the disclosure are described in conjunction with a guidewire device, this is not intended to be limiting. For example, the tube member including transverse cuts with a tapered geometry can be configured or used as a catheter device, and/or as a component for other interventional devices.
All technical and scientific terms used herein have the meaning as commonly understood by one of ordinary skill in the art unless specifically defined otherwise. As used in the description and appended claims, the singular forms of “a,” “an,” and “the” include plural references unless the context clearly dictates otherwise. The term “or” refers to a nonexclusive “or” unless the context clearly dictates otherwise. The term “proximal” and its grammatically equivalent refers to a position, direction or orientation towards the user or physician's side. The term “distal” and its grammatically equivalent refers to a position, direction, or orientation away from the user or physician's side. The designations “rearward,” “forward,” and the like are not meant to limit the referenced component to a specific orientation. It will be appreciated that such designations refer to the orientation of the referenced component as illustrated in the Figures; the systems and devices of the disclosure can be used in any orientation suitable to the user. The term “first” or “second” etc. may be used to distinguish one element from another in describing various similar elements. It should be noted the terms “first” and “second” as used herein include references to two or more than two. Further, the use of the term “first” or “second” should not be construed as in any particular order unless the context clearly dictates otherwise. The order in which the method steps are performed may be changed in alternative embodiments. One or more method steps may be skipped altogether, and one or more optional steps may be included. All numeric values are provided for illustration and assumed to be modified by the term “about,” whether explicitly indicated or not. The term “about” generally refers to a range of numbers that one of skill in the art would consider equivalent to the recited value e.g., having the same function or result. The term “about” may include numbers that are rounded to the nearest significant figure. The recitation of a numerical range by endpoints includes all numbers within that range.
Those skilled in the art will appreciate that various other modifications may be made. All these or other variations and modifications are contemplated by the inventors and within the scope of the invention.
This application claims priority to U.S. provisional patent application No. 63/610,697 filed Dec. 15, 2023 entitled “Guidewire and Medical Device including Laser Cut Tube,” the disclosure of which is hereby incorporated by reference in its entirety.
| Number | Date | Country | |
|---|---|---|---|
| 63610697 | Dec 2023 | US |