The present invention relates to a sensor guide wire for intravascular measurements of physiological variables in a living body, according to the preamble of the independent claim, and in particular to a sensor guide wire for intravascular pressure measurements having a divided core wire.
In many medical procedures, various physiological conditions present within a body cavity need to be monitored. These physiological conditions are typically physical in nature—such as pressure, temperature, rate-of-fluid flow, and provide the physician or medical technician with critical information as to the status of a patient's condition.
One device that is widely used to monitor conditions is the blood pressure transducer. A blood pressure transducer senses the magnitude of a patient's blood pressure, and converts it into a representative electrical signal that is transmitted to the exterior of the patient. For most applications it is also required that the sensor is electrically energized.
Some means of signal and energy transmission is thus required, and most commonly extremely thin electrical cables, sometimes called microcables, are provided inside a guide wire, which itself is provided in the form of a tube, which often has an outer diameter in the order of 0.35 mm, and oftentimes is made of steel. In order to increase the bending strength of the tubular guide wire, a core wire is positioned inside the tube. The core wire also helps to improve “pushability” and “torquability” of the guide wire. The mentioned electrical cables are e.g. positioned in the space between the inner lumen wall and the core wire.
A potential problem with this kind of guide wire mounted sensors is the occurrence of so-called bending artefacts. A bending artefact is a change in the output signal from the sensor that is induced by a bending of the guide wire, rather than being induced by a change in the physical environment surrounding the sensor.
To achieve the desired resistance against bending artefacts, the sensor may be designed and mounted in different ways, the common feature being that it is a cantilevered mounting arrangement that provides the desired resistance against bending artefacts.
The term “cantilevered” means that one end of a structure is rigidly mounted, and the opposite end of the structure protrudes from the site of the mounting into a medium that is substantially less rigid than that at the mounting site.
Several different designs of sensor guide wires are known in the prior art, and examples of such sensor guide wires are disclosed in U.S. Pat. No. 6,167,763 B1, which describes the cantilevered mounting of the sensor element, U.S. Pat. No. RE39,863 E1, which discloses the sensor element and U.S. Pat. No. 6,248,083 B1, showing the complete sensor guide wire assembly, which all are assigned to the same assignee as in the present application, and which are hereby all incorporated by reference for the devices and methods claimed therein.
The cantilevered mounting of the sensor, however, requires extra machining or wire forming of the core wire at the site where the sensor chip is placed. The careful machining of the core wire into different diameters at different portions of the guide wire is a time-consuming process and may be a source of manufacturing mistakes, leading to loss of time and material in the manufacturing process.
Furthermore, in sensor guide wires used today, the sensor chip is often arranged in a short tube, also referred to as a jacket or a sleeve. The jacket is hollow and accommodates besides the sensor chip also a portion of a core wire and often at least one microcable. According to the prior art, the jacket is mainly used to protect the sensor chip.
Thus, there is a need for a sensor guide wire wherein the mounting of the sensor does not involve extra machining or wire forming, which thereby is easier and less expensive to manufacture.
The above-mentioned objects are achieved by the present invention according to the independent claim.
Preferred embodiments are set forth in the dependent claims.
Thus, according to the present invention a sensor guide wire is provided which is less expensive to manufacture, quicker to assemble and in which the jacket serves a more structural role than in the prior art.
These objects of the present invention are achieved by a sensor guide wire having a divided core wire in the sensor region, and a jacket which connects a proximal region of the sensor guide wire with a tip region.
The sensor guide wire for intravascular measurements of physiological variables in a living body, in accordance with the present invention, has a proximal region, a distal sensor region and a tip region. The sensor guide wire comprises a core wire member, a sensor element, which has a sensor portion, for measuring the physiological variable and to generate a sensor signal in response to said variable, and a jacket, accommodating at least a part of said sensor element. The sensor portion is sensitive to one or many of the physiological variables pressure, temperature, and flow. The core wire member comprises two spatially separated parts, a first core wire part and a second core wire part, wherein a distal end of said first core wire part is attached to said jacket proximally said sensor portion and a proximal end of said second core wire part is attached to said jacket distally to said sensor portion.
Throughout the figures same reference signs designate the same, or essentially the same features.
Throughout the application the word distal refers to the part located furthest away in respect of the operator, and the word proximal refers to the part located closest in respect of the operator.
In
Furthermore, the sensor guide wire 17 comprises a coil 16 arranged in the tip region 10 and a hollow tube 12, as shown in
The core wire member 11 comprises two spatially separated parts, a first core wire part 19 and a second core wire part 20, as illustrated in
As an obvious construction variation, the distal end 21 of the first core wire part 19 is attached to the jacket 13 proximally the entire sensor element 14.
A sensor guide wire 17 comprising a core wire member 11 having separate parts in the sensor region 9 is advantageous since no extra machining or wire shaping of the core wire member 11, at the site where the sensor element 14 is mounted, is needed.
The sensor is mounted in a cantilevering fashion such that an end comprising the sensor portion of the sensor does not contact any structure other than its mount. This prevents forces (bending artefacts) from being exerted on the sensor, which could otherwise interfere with measurements. Thus, the entire mounting structure provides a free space surrounding the distal part of the sensor element 14, this free space allowing air or blood or other e.g. pressure exerting media to enter the interior and to act on the sensor, which in its turn delivers a signal representative of the exerted pressure, the flow, and/or the temperature.
The length of the cantilevered portion 25 of the sensor element 14 (see
As discussed above, by using the jacket 13 to connect the proximal region 8 and the tip region 10 has several advantages, for example, the sensor guide wire becomes less expensive to manufacture and quicker to assemble, and in addition it reduces the potential risk that bending artefacts of the core wire may influence the measurements.
In
In a preferred embodiment of the present invention, said distal and proximal ends (21, 22) of said first and second core wire parts (19, 20) are attached to said jacket 13 by means of welding.
According to another preferred embodiment of the present invention, said distal and proximal ends (21, 22) of said first and second core wire parts (19, 20) are attached to said jacket 13 by means of soldering.
According to yet another preferred embodiment of the present invention, said distal and proximal ends (21, 22) of said first and second core wire parts (19, 20) are attached to said jacket 13 by means of gluing. However, other suitable techniques may also be used in order attach the proximal and distal ends (21, 22) to the jacket 13. For example, the jacket 13 may be provided with a plurality of throughgoing holes, through which said distal and proximal ends (21, 22) of said first and second core wire parts (19, 20) and said jacket 13 is welded or soldered together.
As illustrated in
As illustrated in
The present invention is not limited to the above-described preferred embodiments. Various alternatives, modifications and equivalents may be used. Therefore, the above embodiments should not be taken as limiting the scope of the invention, which is defined by the appending claims.
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/EP2010/054242 | 3/30/2010 | WO | 00 | 10/21/2011 |
| Number | Date | Country | |
|---|---|---|---|
| 61202743 | Mar 2009 | US |