Rapid-Exchange Monorail Guide Wire for Distal Vessel Delivery

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Solution Overview

Problem

Current percutaneous intervention (PCI) procedures require time-consuming and costly methods for delivering guide wires with different characteristics to distal locations in blood vessels, particularly in scenarios involving chronic total occlusions, stent deployment, or catheter exchanges, which are cumbersome and risky.

Innovation Solution

A Buddy Guide Wire (BGW) system using a rapid exchange concept, allowing the delivery of a guide wire over a previously placed wire or catheter, with features like a monorail design and snap-on capabilities to facilitate efficient and rapid guide wire delivery.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If traditional guide wire delivery methods are used, then guide wires can be delivered to distal locations, but the procedure is time-consuming and costly

Engineering Contradiction:
Improveprocedural efficiencyVSAvoidprocedural time
Core Design Contradiction:
ProductivityVSLoss of time

Solution Approach 1:

The system pre-positions a guide wire in a proximal location with a delivery catheter, preparing everything in advance so that when the catheter is advanced, the guide wire is already in place and ready for immediate use, eliminating the need for time-consuming on-site wire delivery operations

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The delivery catheter acts as an intermediary vehicle that carries the guide wire from the proximal location to the distal target site, enabling rapid transfer without requiring the guide wire to be manually delivered through complex exchange procedures

Inventive Principle:
Principle #24Intermediary (Mediator)

2Adaptability or versatility

If guide wires with different characteristics are delivered through catheter exchange, then different wire properties can be used, but the process becomes cumbersome and risky

Engineering Contradiction:
Improvewire characteristic varietyVSAvoidexchange procedure complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The system separates the guide wire delivery function from the catheter by using a dedicated delivery catheter that can be independently positioned and exchanged, allowing the guide wire to be pre-loaded and then transferred without requiring complex simultaneous catheter and wire manipulation

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

Different guide wires with specific characteristics can be pre-loaded into the delivery catheter in advance, so when the catheter is advanced to the target site, the appropriate wire is already positioned and ready, eliminating the need for complex on-site wire exchange procedures

Inventive Principle:
Principle #10Preliminary action

3Ease of operation

If traditional buddy wire techniques are used, then guide wires can be placed to help straighten curves, but it requires placing multiple wires and is time-consuming

Engineering Contradiction:
Improveguide wire placement easeVSAvoidwire placement time
Core Design Contradiction:
Ease of operationVSLoss of time

Solution Approach 1:

The guide wire is pre-positioned in the proximal location and pre-formed to the desired configuration before the delivery catheter is advanced, so that when the catheter is positioned, the wire is already in place with the correct shape and orientation, eliminating time-consuming on-site formation and placement procedures

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The delivery catheter serves as an intermediary that carries the pre-formed guide wire to the target site, allowing the wire to be delivered with its desired curvature and configuration already established, rather than requiring time-consuming manipulation and formation procedures at the distal site

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentUS12397135B1Rapid exchange (monorail) guide wire system for rapid delivery of guide wire to a blood vessel
Publication Date: 2025.08.26 FISCHELL TIM A
  • US12397135B1 patent drawing
  • US12397135B1 patent drawing
  • US12397135B1 patent drawing

AI summary

A rapid exchange guide wire system for rapid delivery of a guide wire to a blood vessel. The system has a main guide wire and rapid a rapid exchange tube attached to the main guide wire near a distal end of the main guide wire. The rapid exchange tube has a lumen which extends in a longitudinal direction and is configured to permit the rapid exchange tube to be reversibly displaceable in the longitudinal direction over a medical device having a cylindrical portion The medical device may be a guide wire, balloon angioplasty catheter, stent delivery catheter, atherectomy catheter, intravascular ultrasound catheter, blood flow measurement wire, optical coherence tomography catheter, or a stent-on-wire catheter.