Guide extension catheter

Patent metadata

Field	Value
Publication number	US-9486611-B2
Application number	US-201313969390-A
Country	US
Kind code	B2
Filing date	Aug 16, 2013
Priority date	Aug 17, 2012
Publication date	Nov 8, 2016
Grant date	Nov 8, 2016

Abstract

Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a guide extension catheter. The guide extension catheter may include an elongate tubular member having a proximal region, a distal region, and a slot formed in the tubular member between the proximal region and the distal region. The proximal region of the tubular member may be configured to shift between a first configuration and a collapsed configuration. The guide extension catheter may also include an elongate shaft for shifting the proximal region between the first configuration and the collapsed configuration.

First claim

What is claimed is:

1. A guide extension catheter, comprising:
an elongate tubular member having a proximal region, a distal region, and a lumen extending therethrough, the proximal region configured to shift in a radial direction between a first configuration and a collapsed configuration;
a slot formed in the tubular member and extending to the lumen between the proximal region and the distal region, the slot configured to accommodate a guidewire therethrough when the proximal region of the tubular member is in the first configuration; and
an elongate shaft for shifting the proximal region between the first configuration and the collapsed configuration, the elongate shaft shifting the proximal region from the first configuration to the collapsed configuration by being advanced along a guidewire extending through the slot.

2. The guide extension catheter of claim 1 , wherein the proximal region has a U-shape when in the collapsed configuration.

3. The guide extension catheter of claim 1 , further comprising a guidewire extending along an exterior of the proximal region, through the slot, and within the distal region of the tubular member.

4. The guide extension catheter of claim 3 , wherein advancing the shaft over the guidewire shifts the proximal region from the first configuration to the collapsed configuration.

5. The guide extension catheter of claim 4 , wherein the shaft plastically deforms the proximal region such that the proximal region remains in the collapsed configuration even after the shaft is withdrawn from the proximal region.

6. A method for using a guide extension catheter, the method comprising:
providing a guide catheter;
advancing the guide catheter through a body lumen to a position adjacent to an area of interest;
advancing a guide extension catheter through the guide catheter, the guide extension catheter comprising:
an elongate tubular member having a proximal region, a distal region, and a slot formed in the tubular member between the proximal region and the distal region, wherein the proximal region of the tubular member is configured to shift between a first configuration and a collapsed configuration, and
an elongate shaft for shifting the proximal region between the first configuration and the collapsed configuration;

shifting the proximal region from the first configuration to the collapsed configuration;
advancing a treatment device along an exterior surface of the proximal region of the tubular member in the collapsed configuration and through the distal region of the tubular member to the position adjacent to the area of interest; and
disposing a guidewire along an exterior surface of the proximal region, through the slot, and within the distal region,
wherein shifting the proximal region from the first configuration to the collapsed configuration includes advancing the shaft over the guidewire.

7. The method of claim 6 , wherein the proximal region has a U-shape when in the collapsed configuration.

8. The method of claim 6 , wherein the shaft plastically deforms the proximal region such that the proximal region remains in the collapsed configuration.

9. The method of claim 6 , wherein advancing the guide extension catheter through the guide catheter includes disposing a portion of the distal region of the guide extension catheter distally beyond a distal end of the guide catheter.

10. The method of claim 9 , wherein the portion of the distal region of the guide extension catheter extending distally beyond the distal end of the guide catheter extends through an ostium of a coronary artery.

11. A guide extension catheter system, the system comprising:
a guide catheter;
a guide extension catheter configured to extend through the guide catheter, the guide extension catheter comprising:
an elongate tubular member having a lumen, a proximal region configured to shift between a first configuration and a collapsed configuration, a distal region, and a slot formed in the tubular member and extending to the lumen between the proximal region and the distal region, the slot configured to accommodate a guidewire therethrough when the proximal region is in the first configuration, and
an elongate shaft for shifting the proximal region between the first configuration and the collapsed configuration;

a treatment catheter configured to extend through the guide catheter and through the distal region of the elongate tubular member after the elongate shaft has been used to shift the proximal region into the collapsed configuration;
a guidewire extending along an exterior of the proximal region, through the slot, and within the distal region of the tubular member;
wherein advancing the shaft over the guidewire shifts the proximal region from the first configuration to the collapsed configuration; and
wherein the shaft plastically deforms the proximal region such that the proximal region remains in the collapsed configuration.

Assignees

• Boston Scient Scimed Inc

Inventors

• Petersen Eric M
• Larsen Steven R
• Falk Wayne
• Wasdyke Joel M
• Wang Huisun

Classifications

• A61M25/0023 Primary

  by the form of the lumen, e.g. cross-section, variable diameter · CPC title

• A61M25/0069

  Tip not integral with tube · CPC title

• A61M25/0045

  multi-layered, e.g. coated (coating materials A61L29/08) · CPC title

• A61M25/01 Primary

  Introducing, guiding, advancing, emplacing or holding catheters (A61M25/10 takes precedence) · CPC title

• A61M25/0013

  Weakening parts of a catheter tubing, e.g. by making cuts in the tube or reducing thickness of a layer at one point to adjust the flexibility · CPC title