Guidewire Routing Catheter Using Contrast-Guided Vessel Occlusion
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Solution Overview
Problem
Conventional coronary bypass surgery is invasive and risky for certain patients, and balloon angioplasty is not suitable for acute or complete occlusions, leaving a need for minimally invasive techniques to treat coronary artery blockages.
Innovation Solution
A catheter system with a tubular body, expandable member, and fluid injection port is used to occlude vessels, deliver contrast material, and guide guidewires through vessels for creating bypasses and deploying prostheses using minimally invasive methods.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If conventional coronary bypass surgery is performed, then complete blockage can be bypassed, but surgical trauma and risk are significant
Solution Approach 1:
The patent uses a needle as an intermediary tool to create a transseptal passage between vessels, avoiding the need for open surgery. The needle traverses through tissue to establish a connection between the first vessel and second vessel, serving as a minimally invasive mediator that achieves bypass functionality without surgical trauma
Solution Approach 2:
The patent replaces the mechanical open-surgery approach with a percutaneous needle-based system. Instead of surgically exposing and connecting vessels through open incisions, the method uses a needle to puncture and create a passage through tissue, substituting complex mechanical surgical procedures with a simpler percutaneous intervention
2Object-affected harmful factors
If balloon angioplasty is used, then minimally invasive treatment is achieved, but it is not suitable for acute or complete occlusions
Solution Approach 1:
The patent segments the treatment approach by dividing the bypass creation into distinct stages: first creating a transseptal passage with a needle, then delivering a guidewire through the needle tract, and finally deploying a prosthesis. This segmentation allows the system to address complete occlusions that cannot be treated by balloon angioplasty alone
Solution Approach 2:
The patent performs preliminary actions by first establishing a transseptal passage and delivering a guidewire before deploying the final prosthesis. This preliminary creation of access and pathway enables subsequent deployment of devices that can treat complete occlusions, extending the applicability beyond what balloon angioplasty can achieve
Data Source
AI summary
A catheter system can include a tubular body, and at least one of a targeting system coupled to the tubular body, an expandable member, or a fluid injection port. A method of identifying a bifurcation can include inserting a catheter system into a first vessel, positioning the catheter system at a first location, expanding an expandable member to occlude the first vessel, delivering contrast material so the contrast material pooling proximate to the expandable member, and reviewing a shape of the contrast material in the first vessel under fluoroscopy.


