The present invention relates generally to devices for manual manipulation of a guidewire in medical applications.
The following patents are believed to represent the current state of the art: U.S. Pat. Nos. 7,186,224; 6,949,104; 6,916,293; 6,746,466; 6,533,772; 6,511,470; 6,485,466; 6,190,333; 6,059,484; 6,039,722; 5,851,189; 5,634,475; 6,507,300; 5,392,778; 5,219,332; 5,161,534; 5,137,517; 5,137,288; 4,957,117 and 4,726,117 and European Patent 0534747.
The present invention seeks to provide an improved device for manual manipulation of a guidewire in medical applications.
There is thus provided in accordance with a preferred embodiment of the present invention a device for manual manipulation of a guidewire including a generally cylindrical, integrally formed, compressible element arranged along a longitudinal axis and being compressible transversely to the longitudinal axis and having first, second and third, respectively uncompressed, fully compressed and partially compressed operative orientations, the element in the fully compressed operative orientation defining an axial slot adapted for side mounting of the element onto a guidewire and the element in the partially compressed operative orientation being adapted for tightly engaging a guidewire in the slot such that axial and rotational movement of the element produces corresponding axial and rotational movement of the guidewire.
In accordance with a preferred embodiment of the present invention the element includes first and second tooth bearing side portions each having a plurality of mutually spaced teeth, the mutually spaced teeth each having forward and back portions separated by a gap.
Preferably, first and second end portions are integrally formed with the first and second tooth-bearing side portions, the first and second end portions defining respective first and second notches which are mutually aligned along the longitudinal axis.
In accordance with a preferred embodiment of the present invention the first and second tooth-bearing side portions are arranged so as to be displaceable towards each other in directions transverse to the longitudinal axis, such that the element assumes the fully compressed operative orientation wherein the teeth of the first and second tooth-bearing side portions are interdigitated such that the gaps of the plurality of mutually spaced teeth on both of the first and second tooth-bearing side portions are aligned along the longitudinal axis to define the slot extending between the first and second notches along the longitudinal axis and displaceable away from each other in directions opposite to the directions transverse to the longitudinal axis when a guidewire is located in the slot, such that the element assumes the partially compressed operative orientation wherein the teeth of the first and second tooth-bearing side portions grip the guidewire along the longitudinal axis, whereby axial and rotational movement of the element is effective to produce corresponding axial and rotational movement of the guidewire.
Preferably, the first and second tooth-bearing side portions each include an outwardly facing back surface having an elongate rib and a pair of transverse end ribs and the first and second tooth-bearing side portions also include relatively flexible portions extending longitudinally outwards from each of the transverse end ribs and coupling the first and second tooth-bearing side portions to the first and second end portions.
Preferably, the first and second end portions each include two exterior side portions joined to the relatively flexible portions and being bent inwardly to define an axially facing opening having a v-shaped cross section.
Preferably, the first and second end portions are identical.
Preferably, the forward and back portions of the mutually spaced teeth are joined by a transverse bottom portion.
Preferably, the forward and back portions extend parallel to each other and perpendicular to the longitudinal axis.
Preferably, adjacent ones of the mutually spaced teeth are spaced by a separation, the separation being equal to a width of each of the mutually spaced teeth.
Preferably, the mutually spaced teeth of the first tooth-bearing side portion are offset in a direction along the longitudinal axis with respect to the mutually spaced teeth of the second tooth-bearing side portion by the width of each of the mutually spaced teeth, such that when the element is in the uncompressed orientation the forward portions of the mutually spaced teeth of the first and second tooth-bearing side portions are interdigitated along the longitudinal axis and when the element assumes the fully compressed operative orientation, the forward portions of the mutually spaced teeth are fully or nearly fully seated in the separations.
Preferably, the first and second tooth-bearing side portions are linearly offset mirror images of each other.
Additionally or alternatively, the element assumes an overall circular cross section when the element is in the fully compressed orientation.
Preferably, the element is integrally formed of an elastic material.
In accordance with another preferred embodiment of the present invention the guidewire may be axially and rotationally moved by a user without producing corresponding axial and rotational movement of the element, when the element is in the partially compressed operative orientation.
There is further provided in accordance with another preferred embodiment of the present invention a device for manual manipulation of a guidewire including a generally cylindrical, integrally formed, compressible element arranged along a longitudinal axis and being compressible transversely to the longitudinal axis and having at least fully compressed and partially compressed operative orientations, the element in the fully compressed operative orientation defining an axial slot adapted for slidable side mounting of the element onto a guidewire and the element in the partially compressed operative orientation being adapted for tightly engaging a guidewire in the slot such that axial and rotational movement of the element produces corresponding axial and rotational movement of the guidewire.
In accordance with a preferred embodiment of the present invention the element includes first and second tooth bearing side portions each having a plurality of mutually spaced teeth, the mutually spaced teeth each having forward and back portions separated by a gap.
Preferably, first and second end portions are integrally formed with the first and second tooth-bearing side portions, the first and second end portions defining respective first and second notches which are mutually aligned along the longitudinal axis.
In accordance with a preferred embodiment of the present invention the first and second tooth-bearing side portions are arranged so as to be displaceable towards each other in directions transverse to the longitudinal axis such that the element assumes the fully compressed operative orientation wherein the teeth of the first and second tooth-bearing side portions are interdigitated such that the gaps of the plurality of mutually spaced teeth on both of the first and second tooth-bearing side portions are aligned along the longitudinal axis to define the slot extending between the first and second notches along the longitudinal axis and displaceable away from each other in directions opposite to the directions transverse to the longitudinal axis when a guidewire is located in the slot, such that the element assumes the partially compressed operative orientation wherein the teeth of the first and second tooth-bearing side portions grip the guidewire along the longitudinal axis, whereby axial and rotational movement of the element is effective to produce corresponding axial and rotational movement of the guidewire.
Preferably, the first and second tooth-bearing side portions each include an outwardly facing back surface having an elongate rib and a pair of transverse end ribs and the first and second tooth-bearing side portions also include relatively flexible portions extending longitudinally outwards from each of the transverse end ribs and coupling the first and second tooth-bearing side portions to the first and second end portions.
Preferably, the first and second end portions each include two exterior side portions joined to the relatively flexible portions and being bent inwardly to define an axially facing opening having a v-shaped cross section.
Preferably, the first and second end portions are identical.
Preferably, the forward and back portions of the mutually spaced teeth are joined by a transverse bottom portion.
Preferably, the forward and back portions extend parallel to each other and perpendicular to the longitudinal axis.
Preferably, adjacent ones of the mutually spaced teeth are spaced by a separation, the separation being equal to a width of each of the mutually spaced teeth.
Preferably, the mutually spaced teeth of the first tooth-bearing side portion are offset in a direction along the longitudinal axis with respect to the mutually spaced teeth of the second tooth-bearing side portion by the width of each of the mutually spaced teeth, such that when the element is in the uncompressed orientation the forward portions of the mutually spaced teeth of the first and second tooth-bearing side portions are interdigitated along the longitudinal axis and when the element assumes the fully compressed operative orientation, the forward portions of the mutually spaced teeth are fully or nearly fully seated in the separations.
Preferably, the first and second tooth-bearing side portions are linearly offset mirror images of each other.
Additionally or alternatively, the element assumes an overall circular cross section when the element is in the fully compressed orientation.
Preferably, the element is integrally formed of an elastic material.
In accordance with another preferred embodiment of the present invention the guidewire may be axially and rotationally moved by a user without producing corresponding axial and rotational movement of the element, when the element is in the partially compressed operative orientation.
There is additionally provided in accordance with yet another preferred embodiment of the present invention a device for manual rotation of a guidewire including first and second tooth-bearing side portions, the first and second tooth bearing side portions each having a plurality of mutually spaced teeth, the mutually spaced teeth each having forward and back portions separated by a gap and first and second end portions, integrally formed with the first and second tooth-bearing side portions, the first and second end portions defining respective first and second notches which are mutually aligned along a longitudinal guidewire-receiving axis, the first and second tooth-bearing side portions being arranged so as to be displaceable towards each other in directions transverse to the longitudinal guidewire-receiving axis such that the first and second tooth-bearing side portions assume a guidewire-receiving orientation wherein the teeth of the first and second tooth-bearing side portions are interdigitated such that the gaps of the plurality of mutually spaced teeth on both of the first and second tooth-bearing side portions are aligned along the longitudinal guidewire-receiving axis to define a guidewire-receiving slot extending between the first and second notches along the longitudinal guidewire-receiving axis and displaceable away from each other in directions opposite to the directions transverse to the longitudinal guidewire-receiving axis when a guidewire is located in the guidewire-receiving slot, such that the first and second tooth-bearing side portions assume a guidewire-gripping orientation wherein the teeth of the first and second tooth-bearing side portions grip the guidewire along the longitudinal guidewire-receiving axis, whereby manual rotation of the device about the longitudinal guidewire-receiving axis is effective to rotate the guidewire about the longitudinal guidewire-receiving axis.
Preferably, the first and second tooth-bearing side portions each include an outwardly facing back surface having an elongate rib and a pair of transverse end ribs and the first and second tooth-bearing side portions also include relatively flexible portions extending longitudinally outwards from each of the transverse end ribs and coupling the first and second tooth-bearing side portions to the first and second end portions.
Preferably, each of the first and second end portions includes two exterior side portions joined to the relatively flexible portions and being bent inwardly to define an axially facing opening having a v-shaped cross section.
Preferably, the first and second end portions are identical.
Preferably, the forward and back portions of the mutually spaced teeth are joined by a transverse bottom portion.
Preferably, the forward and back portions extend parallel to each other and perpendicular to the longitudinal guidewire-receiving axis.
Preferably, adjacent ones of the mutually spaced teeth are spaced by a separation, the separation being equal to a width of each of the mutually spaced teeth.
Preferably, the mutually spaced teeth of the first tooth-bearing side portion are offset in a direction along the longitudinal guidewire-receiving axis with respect to the mutually spaced teeth of the second tooth-bearing side portion by the width of each of the mutually spaced teeth, such that when the first and second tooth-bearing side portions are at rest, the forward portions of the mutually spaced teeth of the first and second tooth-bearing side portions are interdigitated along the longitudinal guidewire-receiving axis and when the first and second tooth-bearing side portions assume the guidewire-receiving orientation, the forward portions of the mutually spaced teeth are fully or nearly fully seated in the separations.
Preferably, the first and second tooth-bearing side portions are linearly offset mirror images of each other.
Additionally or alternatively, the device assumes an overall circular cross section when the first and second tooth-bearing side portions assume the guidewire-receiving orientation.
Preferably, the device is integrally formed of an elastic material and has a generally cylindrical configuration.
In accordance with another preferred embodiment of the present invention the guidewire may be axially and rotationally moved by a user without producing corresponding axial and rotational movement of the device, when the first and second tooth-bearing side portions are in the guidewire-gripping orientation.
The present invention will be understood and appreciated more fully from the following detailed description, taken in conjunction with the drawings in which:
Reference is now made to
As seen in
Side portions 104 and 106 may be generally considered to be linearly offset mirror images of each other and are arranged such that when manually pushed together in a direction perpendicular to longitudinal axis 102, as in the compressed operative orientation illustrated in
Each of side portions 104 and 106 includes an outwardly facing back surface 120 having an elongate rib 122 and a pair of transverse end ribs 124. Longitudinally outwardly from each of transverse end ribs 124 there is provided a relatively flexible portion 126 which couples each side portion to end portions 108 and 110.
Each of side portions 104 and 106 also includes on an inwardly facing side thereof a plurality of mutually spaced teeth 130. Each tooth includes a back portion 132 and a forward portion 134 which are joined by a transverse bottom portion 136. Back portion 132 and forward portion 134 extend generally parallel to each other, generally perpendicularly to axis 102 and are spaced from each other by a transverse gap 138.
Adjacent teeth 130 on each side portion are spaced by a separation 140, which is preferably equal to the width of each tooth. The teeth 130 of side portion 104 are offset along axis 102 with respect to the teeth 130 of side portion 106 by the width of one tooth, such that when the side portions 104 and 106 are at rest, as seen in
End portions 108 and 110 are preferably identical and each includes exterior side portions 142 and 144, which are joined to relatively flexible portions 126 at one end of side portions 104 and 106 and which are bent inwardly to define an axially facing opening 146, having a V-shaped cross section as seen in the plane of
Reference is now made to
In order to mount the device of
Reference is now made to
It will be appreciated that other designs of the teeth 130 of side portions 104 and 106 are possible, provided that the teeth 130 may be positioned so as to define the slot 162 when the device is in the compressed operative orientation shown in
Reference is now made to
Once the device has been mounted onto the guidewire such that the guidewire is seated in slot 162 generally along axis 102, the user may relax the compression on the device allowing the device to return to its at rest orientation as shown in
Reference is now made to
It will be appreciated by persons skilled in the art that the present invention is not limited by what has been particularly claimed hereinbelow. Rather the scope of the present invention includes various combinations and subcombinations of the features described hereinabove as well as modifications and variations thereof as would occur to persons skilled in the art upon reading the foregoing description with reference to the drawings and which are not in the prior art. In particular, it will be appreciated that the device may be useful for manual manipulation of any partially rigid wire and is not limited for use with a guidewire only.
Reference is hereby made to U.S. Provisional Patent Application 61/192,200, entitled TORQUE DEVICE WITH SIDE ATTACHMENT, filed Sep. 15, 2008, the disclosure of which is hereby incorporated by reference and priority of which is hereby claimed pursuant to 37 CFR 1.78(a)(4) and (5)(i).
Number | Date | Country | |
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61192200 | Sep 2008 | US |