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    • 4. 发明申请
    • RAPID EXCHANGE TYPE INTRALUMINAL CATHETER WITH GUIDING ELEMENT
    • 具有导向元件的快速交换型中央导管
    • WO1995002430A1
    • 1995-01-26
    • PCT/US1994007960
    • 1994-07-15
    • ADVANCED CARDIOVASCULAR SYSTEMS, INC.
    • ADVANCED CARDIOVASCULAR SYSTEMS, INC.GHARIBADEH, RamsinFELTOVICH, Susan, M.HILARIO, Estela, H.THORNTON, Troy, L.
    • A61M29/02
    • A61M25/0169A61M25/0172A61M25/104A61M2025/0063A61M2025/0183A61M2025/107
    • An intraluminal catheter, particularly a dilatation catheter for PTCA procedures, which is adapted for rapid exchange during an intraluminal procedure and which also allows for the exchange of the guidewire without loss of access to the intraluminal region about the distal end of the catheter. The catheter has a guidewire lumen which extends essentially the length of the catheter. A wall of the catheter shaft which defines at least part of the guidewire lumen has a first slit from the proximal end of the catheter to an area proximal to the second guidewire port and a second slit which extends from the proximal guidewire port to a location spaced proximally from the distal end of the catheter. Also disclosed is an adapter having a slit which is continuous with the slit in the proximal extremity of the catheter shaft which facilitates separation of the guidewire and the catheter when the adapter is fixed to the proximal end of the catheter shaft. A guidewire directing element disposed in the guidewire lumen which has a flexible arm which crosses the guidewire lumen so as to guide a guidewire out the second guidewire port when the guidewire is advanced proximally through the guidewire lumen and which is flexible enough to be pushed aside when a replacement guidewire is advanced distally through the guidewire lumen.
    • 管腔内导管,特别是用于PTCA程序的扩张导管,其适于在腔内手术期间进行快速交换,并且还允许导丝的更换,而不会导致围绕导管远端的管腔内区域的进入。 导管具有基本上延伸导管长度的导丝管腔。 所述导管轴的限定所述导丝管腔的至少一部分的壁具有从所述导管的近端到靠近所述第二导丝端口的区域的第一狭缝和从所述近端导丝端口延伸到间隔开的位置的第二狭缝 从导管的远端向近端。 还公开了一种适配器,其具有与导管轴的近端中的狭缝连续的狭缝,当适配器固定到导管轴的近端时,其有助于分离导丝和导管。 布置在导丝管腔中的导丝元件,其具有穿过导丝管腔的柔性臂,以便当导丝线通过导丝管腔向近侧前进时将引导线引导出第二导丝端口,并且其柔性足以被推开, 替代导丝通过导丝管腔向远侧推进。