Medical Guidewires with Hyperbolic Taper for Tortuous Vessels
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Solution Overview
Problem
Medical guidewires face challenges in navigating tortuous blood vessels, particularly in the brain, due to their winding paths, which complicates reaching target locations during procedures like stroke interventions, as existing guidewires struggle with torque transmission, tip flexibility, and pushability.
Innovation Solution
The development of guidewires with a hyperbolic taper and integrated guide structures comprising a corewire and overtube, along with flexible polymer tips that can be steered by blood flow, enhances reach and maneuverability within vessels by providing torque coupling, lateral motion, and flow-driven tip orientation.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If guidewires are made more flexible to navigate tortuous vessels, then tip flexibility and maneuverability improve, but torque transmission capability deteriorates
Solution Approach 1:
The guidewire is divided into multiple sections with different flexibility characteristics. The proximal portion has higher flexibility for navigation, while the distal portion maintains sufficient stiffness for torque transmission and device delivery, resolving the contradiction between tip flexibility and torque transmission capability
Solution Approach 2:
Different sections of the guidewire are assigned different mechanical properties. The proximal section is designed to be more flexible to navigate tortuous vessels, while the distal section maintains higher stiffness to transmit torque effectively, allowing each portion to optimize its function locally
2Strength
If guidewires are made stiffer to improve torque transmission, then torque transmission capability improves, but ability to navigate tortuous vessels deteriorates
Solution Approach 1:
The guidewire structure is segmented into proximal and distal portions with differentiated stiffness. The proximal portion is more compliant for navigating complex vascular anatomy, while the distal portion provides adequate stiffness for torque transmission, resolving the trade-off between navigability and torque capability
Solution Approach 2:
The guidewire exhibits spatially varying mechanical properties where the proximal section is designed for flexibility to conform to tortuous vessel paths, while the distal section maintains higher rigidity to transmit rotational forces effectively to the tip
3Length of moving object
If corewire extends longer from overtube to increase reach, then distal reach improves, but torque coupling stability deteriorates
Solution Approach 1:
The torque coupling mechanism is pre-configured with the overtube and corewire before the procedure. This preliminary coupling ensures stable torque transmission while allowing the corewire to extend the necessary distance for reaching target locations, resolving the contradiction between reach and stability
Data Source
AI summary
Three groups of guidewire embodiments are described with particularly suitable structures for navigating circuitous vessels, especially blood vessels of the brain. Some of the guidewires have a hyperbolic taper that provides desired flexibility. In some embodiments, an integrated guide structure provides for extension in the blood vessel of a corewire to provide for extended reach of the guidewire. In further embodiments, the guidewire has a flexible tip that can be guided directly by the flow in the vessel.


