Microfabricated Catheter Intermediate Bending Section
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Solution Overview
Problem
Conventional guide catheters lack operational versatility and stability when navigating the tortuous cardiac vascular anatomy, making it difficult to accurately position the distal tip of the catheter at the targeted coronary artery during procedures like PCI, due to insufficient flexibility and torquability.
Innovation Solution
The catheter device features a proximal section with a braided region, a microfabricated region with a helical cut pattern for increased flexibility, and a distal section with varying cut patterns to provide a balance of flexibility and rigidity, allowing for precise positioning and stabilization at the aortic root and targeted coronary arteries.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If the catheter is made more flexible to navigate tortuous pathways, then flexibility is improved, but torquability and pushability deteriorate
Solution Approach 1:
The catheter is divided into multiple sections with different flexibility characteristics: a more flexible distal section for navigating tortuous pathways and a stiffer proximal section for maintaining torquability and pushability. This segmentation allows each section to optimize its function without compromising the other.
Solution Approach 2:
Different sections of the catheter are constructed with varying material properties and structural characteristics. The distal section uses softer, more compliant materials to navigate bends, while the proximal section uses stiffer materials to transmit torque and push forces effectively.
2Strength
If conventional guide catheters are used, then structural integrity is maintained, but positioning precision and stability deteriorate
Solution Approach 1:
The catheter incorporates a dynamic intermediate section that can actively change its curvature and orientation in response to forces applied by the operator. This allows the catheter to adapt its shape to reach targeted coronary arteries while maintaining overall structural integrity through its controlled flexibility.
Solution Approach 2:
The catheter features pre-formed curves and bends in specific sections to match the natural anatomy of the aorta and coronary arteries. These curved geometries facilitate navigation through tortuous pathways and improve positioning precision at the target site.
3Reliability
If the catheter is made more rigid to provide stability, then torquability is improved, but flexibility to navigate tortuous pathways deteriorates
Solution Approach 1:
The catheter is divided into multiple sections with different flexibility characteristics: a more flexible distal section for navigating tortuous pathways and a stiffer proximal section for maintaining torquability and pushability. This segmentation allows each section to optimize its function without compromising the other.
4Device complexity
If a single-curve design is used, then device complexity is reduced, but adaptability to different patient anatomies deteriorates
Solution Approach 1:
The catheter incorporates a dynamic intermediate section that can actively change its curvature and orientation in response to forces applied by the operator. This allows the catheter to adapt its shape to reach targeted coronary arteries while maintaining overall structural integrity through its controlled flexibility.
Data Source
Figure 1A~1B
Figure 2
Figure 3
AI summary
An interventional device (100) configured for passage to the aortic root and to a coronary artery, the interventional device comprising: an elongated member extending between a proximal end and a distal end, the elongated member including a proximal section (102); a distal section (110); and an intermediate section (104) having a proximal-intermediate section (106) extending distally from the proximal section and a distal intermediate section (108) extending proximally from the distal section, wherein the proximal- intermediate section includes a microfabricated cut arrangement enabling preferential flexing in one plane, and wherein the distal- intermediate section is more rigid than the proximal-intermediate section and the distal section.