Guide wire holder

Patent metadata

Field	Value
Publication number	US-12208222-B2
Application number	US-202117150655-A
Country	US
Kind code	B2
Filing date	Jan 15, 2021
Priority date	Jul 20, 2018
Publication date	Jan 28, 2025
Grant date	Jan 28, 2025

Abstract

A guide wire holder includes a sheath having a lumen, an operation wire which is inserted through the lumen to be able to advance and retract, and a hook which is continuous with a distal end of the operation wire and protrudes from a distal end of the sheath, wherein the sheath has an inner wall surface which forms a groove configured to extend from the distal end of the sheath to a proximal end side of the sheath, the groove has an opening portion which opens to an outer peripheral surface of the sheath, the hook has a guide wire engagement surface which is engageable with a guide wire, and the guide wire is able to be held between the guide wire engagement surface and the inner wall surface.

First claim

What is claimed is:

1. A guide wire holder, comprising:
a sheath including a lumen and a central axis that extends longitudinally;
an operation wire that is inserted through the lumen, the operation wire configured to advance and retract along a longitudinal axis that is parallel to the central axis; and
a hook that is continuous with a distal end of the operation wire and protrudes from a distal end of the sheath, wherein:
the sheath has an inner wall surface that includes a groove configured to extend from the distal end of the sheath to a proximal end side of the sheath and the groove having a concave shape that is recessed in a direction orthogonal to the central axis,
the groove has an opening portion that opens to an outer peripheral surface of the sheath,
the hook has a guide wire engagement surface configured to engage with a guide wire, and
the guide wire engagement surface and the inner wall surface are configured to hold the guide wire therebetween,
the hook includes a slit, the slit having a bottom surface that defines the guide wire engagement surface, and
the groove of the sheath and the slit open in opposite directions.

2. The guide wire holder according to claim 1 , wherein:
a pre-curved portion having a curved shape is provided at a distal end portion of the sheath.

3. The guide wire holder according to claim 1 , wherein the hook and the inner wall surface support the guide wire so that the guide wire is configured to advance and retract along the sheath, the guide wire configured to remain between the hook and the inner wall surface.

4. The guide wire holder according to claim 1 , wherein the inner wall surface that defines the groove is a curved surface.

5. The guide wire holder according to claim 1 , wherein the guide wire engagement surface at a proximal end portion of the hook intersects a ridge line of the inner wall surface in a front view in a direction along the longitudinal axis, and a closed region closed by the inner wall surface and the guide wire engagement surface is formed.

6. The guide wire holder according to claim 1 , wherein the guide wire engagement surface is inclined toward an extension line of the central axis of the sheath from a proximal end of the hook toward a distal end of the hook.

7. The guide wire holder according to claim 1 , wherein a protrusion which protrudes further proximal side than a proximal end surface of the hook and configured to be capable of being coming into contact with a side surface of the sheath when the hook is retracted is formed.

8. The guide wire holder according to claim 1 , comprising a rotation-preventing portion including:
a restricting portion provided in the lumen in a direction of the longitudinal axis, an opening shape of the lumen in a cross section orthogonal to the longitudinal axis being an imperfect circle; and
a restricted portion provided in the operation wire in an axis direction, has an imperfect circle cross-sectional shape orthogonal to the axis, and is configured to be capable of advancing and retracting in the restricting portion, the rotation-preventing portion restricting an orientation around the axis of the operation wire.

9. The guide wire holder according to claim 8 , wherein:
the restricting portion is provided at a distal end portion of the lumen, and
a proximal end of the restricted portion is disposed in the lumen.

10. A guide wire holder, comprising:
a sheath including a lumen and a central axis that extends longitudinally;
an operation wire that is inserted through the lumen, the operation wire configured to advance and retract along a longitudinal axis that is parallel to the central axis; and
a hook that is continuous with a distal end of the operation wire and protrudes from a distal end of the sheath, wherein:
the sheath has an inner wall surface that includes a groove configured to extend from the distal end of the sheath to a proximal end side of the sheath and the groove having a concave shape that is recessed in a direction orthogonal to the central axis,
the groove has an opening portion that opens to an outer peripheral surface of the sheath,
the hook has a guide wire engagement surface configured to engage with a guide wire,
the guide wire engagement surface and the inner wall surface are configured to hold the guide wire therebetween,
a depth of the groove extends radially from the outer peripheral surface of the sheath towards the inner wall surface of the sheath,
the groove includes a bottom portion that accommodates the guide wire along the central axis of the sheath, and
the groove has an opening width that widens from the bottom portion of the groove toward the outer peripheral surface of the sheath.

11. The guide wire holder according to claim 10 , wherein the depth of the groove that extends radially and is longer than a radius of the sheath.

12. A guide wire holder, comprising:
a sheath including a lumen and a central axis that extends longitudinally;
an operation wire that is inserted through the lumen, the operation wire configured to advance and retract along a longitudinal axis that is parallel to the central axis; and
a hook that is continuous with a distal end of the operation wire and protrudes from a distal end of the sheath, wherein:
the sheath has an inner wall surface that includes a groove configured to extend from the distal end of the sheath to a proximal end side of the sheath and the groove having a concave shape that is recessed in a direction orthogonal to the central axis,
the groove has an opening portion that opens to an outer peripheral surface of the sheath,
the hook has a guide wire engagement surface configured to engage with a guide wire,
the guide wire engagement surface and the inner wall surface are configured to hold the guide wire therebetween,
the sheath has a restricting portion which is provided at a portion of the lumen along the longitudinal axis and in which an opening shape of the lumen in a cross section orthogonal to the longitudinal axis is an imperfect circle,
the hook has a restricted portion formed by bending a rod-shaped member, and
rotation of the operation wire around an axis thereof is restricted by locking the restricting portion and the restricted portion.

13. The guide wire holder according to claim 12 , wherein:
a distal end portion of the sheath has a pre-curved portion in which the longitudinal axis is curved,
a portion of the hook configured to be accommodated in the lumen has a first portion which extends more distally than the restricted portion and a second portion which extends more proximally than the restricted portion,
the first portion is spaced from a curve of the pre-curved portion, and
the second portion is located within the curve of the pre-curved portion.

Assignees

• Olympus Corp

Inventors

• Suzuki Takahiro
• Katayama Tomofumi
• Yanuma Yutaka

Classifications

• A61M2025/09183

  having tools at the distal tip · CPC title

• A61M2025/015

  Details of the distal fixation of the movable mechanical means · CPC title

• A61F2002/041

  Bile ducts · CPC title

• A61F2/966

  with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod · CPC title

• A61M2210/1057

  Duodenum · CPC title