Steerable Loop Tip Wire-Guide Navigation
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Solution Overview
Problem
Existing wire-guides with straight flexible tips face difficulties navigating through torturous body vessel paths due to impediments, as they tend to bend and turn back, making further navigation challenging, especially when targeting points in side branches or beyond bifurcations.
Innovation Solution
A steerable wire-guide with a loop tip mechanism, where a leading portion with a loop is formed by two movable wires, allowing directional control by relative movement of these wires to steer the wire-guide through angles relative to its longitudinal axis, enabling navigation around impediments and into branch vessels or bifurcations.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If a straight flexible tip is used on the wire-guide, then the wire-guide can navigate through body vessels, but the wire-guide tends to bend toward vessel walls or turn back upon encountering impediments, making further navigation difficult
Solution Approach 1:
The patent inverts the conventional straight tip design by using a loop tip configuration. The loop tip wire-guide (reference 10) reverses the expected behavior of a straight tip by creating a loop structure that naturally resists bending toward vessel walls. When the loop tip encounters an impediment, the loop deforms in response while the distal end remains stable, creating a force that directs the wire-guide away from the impediment rather than allowing it to turn back.
Solution Approach 2:
The patent applies curvature by forming a loop tip instead of using a straight configuration. The loop tip (reference 22) creates a curved geometry that provides mechanical advantage when navigating tortuous paths. The curved loop structure distributes stress and prevents the wire-guide from sharply bending toward vessel walls, enabling smoother navigation through complex vessel geometries.
2Reliability
If a loop tip wire-guide is used to navigate around impediments, then the wire-guide can define a path through deformation, but the wire-guide lacks the ability to actively steer into side branches or bifurcations
Solution Approach 1:
The patent segments the wire-guide into multiple functional sections: a loop tip portion (reference 14) for stable navigation around impediments, and a body portion (reference 18) containing control mechanisms. This segmentation allows the distal loop tip to maintain stability while the proximal body portion provides steering control through movable elements, enabling independent optimization of both navigation stability and steering capability.
Solution Approach 2:
The patent introduces dynamic elements to the wire-guide body portion, including movable wires or shape memory alloy sections that can actively change the wire-guide's configuration. This dynamic capability allows the operator to steer the wire-guide into desired branches or bifurcations by actuating the movable elements, while the loop tip maintains its stable navigation characteristics.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The steerable wire-guide effectively navigates through complex vessel paths by deforming the loop to bypass impediments and direct the wire-guide into desired branches, enhancing the ability to reach points of treatment in side branches or beyond bifurcations with improved maneuverability.
Implementation Method 1
The resiliency of the loop creates a force opposing the impediment and directs the loop away from the impediment
Implementation Method 2
The first and second wires are movable relative to each other such that relative distal movement of the first wire with respect to the second wire directs the leading portion in a first direction
Data Source
AI summary
A steerable wire-guide comprises an elongate member having a longitudinal axis. The elongate member comprises a leading portion and a body portion. The leading portion comprises a loop and the body portion comprises a first wire and a second wire. The first and second wires are movable relative to each other such that relative movement of the first wire with respect to the second wire directs the leading portion in a first direction, which is at an angle relative to the longitudinal axis, and relative movement of the second wire with respect to the first wire directs the leading portion in a second direction different from the first direction.


