Guidewire Locking Element for Atherectomy Catheter Positioning

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Solution Overview

Problem

There is a need for improved management and positioning of guidewires during interventional catheter procedures to prevent uncontrolled movement and ensure safer, faster, and more effective treatments.

Innovation Solution

The development of an atherectomy system with a guidewire management device that includes a frame with frame rails, a movable tray, and a guidewire locking element to securely position and manage the guidewire, preventing both longitudinal and rotational movement relative to the frame, allowing for controlled advancement and rotation of the atherectomy apparatus over the guidewire.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If a guidewire is left free during interventional procedures, then ease of manipulation is improved, but uncontrolled longitudinal and rotational movement occurs causing safety risks

Engineering Contradiction:
Improveguidewire positioning stabilityVSAvoidguidewire manipulation freedom
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The guidewire locking element is designed to be dynamically adjustable between locked and unlocked states. During the procedure, the guidewire can be freely manipulated when unlocked, then secured in position when locked. This dynamic capability resolves the contradiction by providing both manipulation freedom and positioning stability at different procedural stages.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The locking element acts as an intermediary mechanism between the guidewire and the atherectomy apparatus. It provides controlled interaction by allowing the guidewire to transition from a free state to a secured state, mediating between the need for manipulation freedom and the need for positioning stability.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Reliability

If the guidewire management device includes multiple locking and securing mechanisms, then guidewire control is improved, but device complexity increases

Engineering Contradiction:
Improveguidewire control precisionVSAvoidmanagement device structure
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

Multiple locking and securing functions are merged into a single integrated locking element. This element simultaneously prevents both longitudinal movement and rotational movement of the guidewire through its dual-action design, resolving the contradiction by providing comprehensive control without proportionally increasing complexity.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The locking element is designed with multi-functionality to address multiple control requirements simultaneously. It serves both as a longitudinal position lock and a rotational position lock, providing universal guidewire control in a single component rather than requiring separate mechanisms for each function.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Data Source

PatentUS11382652B2Device guidewire management accessory
Publication Date: 2022.07.12 BOSTON SCIENTIFIC SCIMED INC
  • US11382652B2 patent drawing
  • US11382652B2 patent drawing
  • US11382652B2 patent drawing

AI summary

An atherectomy system may include an atherectomy apparatus including a drive housing, a catheter shaft extending distally from the drive housing, and a rotatable drive shaft extending within the catheter shaft and operably coupled to the drive housing, the rotatable drive shaft having a guidewire lumen configured to receive a guidewire; and a guidewire management device including: a frame including at least one frame rail extending longitudinally; a movable tray slidably coupled to the at least one frame rail; and a guidewire locking element fixed to the frame. The drive housing may be releasably secured to the movable tray.