# US 12,599,338 B2 · Deflectable elongated guidewire assembly

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- Number: US 12,599,338 B2
- Document ID: US12599338B2
- Status: Granted
- Kind: B2
- Application number: 17/928,947
- Filed: 2021-05-25
- Published: 2023-10-05
- Granted: 2026-04-14
- Earliest claimed: 2020-06-19
- Assignees: Boston Scientific Medical Device Limited
- Applicants: Boston Scientific Medical Device Limited
- Inventors: Christian Balkovec; Matthew DiCicco; Eduardo Moriyama; Gareth Davies
- Web page: https://patentgrep.com/patent/US12599338B2

## CPC

- A61B 5/6851: {Guide wires}
- A61B 17/3478: {Endoscopic needles, e.g. for infusion (biopsy needles A61B10/0233; catheters with injection needles A61M25/0067)}
- A61B 5/6885: {Monitoring or controlling sensor contact pressure}
- A61B 5/7455: {characterised by tactile indication, e.g. vibration or electrical stimulation}
- A61B 18/1492: {having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence)}
- A61M 25/09: Guide wires
- A61B 2017/00053: {Mapping}
- A61B 2017/00243: {cardiac}
- A61B 2018/00351: {Heart}
- A61B 2018/00613: {Irreversible electroporation}
- A61B 2018/144: {Wire}
- A61B 2090/3966: {Radiopaque markers visible in an X-ray image}
- A61M 2025/09066: {having a coil without a core possibly combined with a sheath}
- A61M 2025/09175: {having specific characteristics at the distal tip}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

An elongated guidewire assembly has a distal segment configured to be selectively maneuvered, along an elongated Introducer assembly. The distal segment is configured to selectively transmit a tenting force from the elongated guidewire assembly to the first biological wall after the distal segment has contacted, at least in part, the first biological wall and the distal segment has been selectively protracted away from the distal introducer assembly.

## Claims

### Claim 1

A method of using an elongated guidewire assembly and an elongated introducer assembly with a first biological wall and a second biological wall, being positioned proximate to the first biological wall, of a patient, the method comprising:
selectively maneuvering the elongated guidewire assembly having a distal segment terminated at a distal puncture device along the elongated introducer assembly; and
selectively protracting the distal segment and the distal puncture device away from a distal introducer exit portal after the distal introducer exit portal has been maneuvered proximate to a first outer surface of the first biological wall; and
contacting, at least in part, the distal segment having a distal length with the first outer surface of the first biological wall after selectively protracting the distal segment and the distal puncture device away from the distal introducer exit portal; and
applying a tenting force along, at least in part, the elongated guidewire assembly after, at least a portion of the distal segment is parallel to and has contacted, at least in part, the first outer surface of the first biological wall; and
transmitting the tenting force without damaging the second biological wall, via the distal segment, from the elongated guidewire assembly to the first biological wall after the tenting force has been applied to the elongated guidewire assembly.

### Claim 2 (depends on 1)

The method of claim 1, wherein the distal segment is deflected away from a longitudinal axis extending through the elongated introducer assembly by the first outer surface of the first biological wall in response to the distal length making contact with the first outer surface of the first biological wall.

### Claim 3 (depends on 1)

The method of claim 1, further comprising utilizing the distal puncture device to puncture through the first biological wall.

### Claim 4 (depends on 3)

The method of claim 3, wherein the distal puncture device is configured to selectively emit radiofrequency energy for puncturing through the first biological wall.

### Claim 5 (depends on 4)

The method of claim 4, wherein the radiofrequency energy is activated for less than 0.5 seconds.

### Claim 6 (depends on 1)

The method of claim 1, wherein the elongated guidewire assembly includes a stretched coil and a compressed coil mounted to the distal segment, and the method further comprises detecting, via a medical imaging system, the stretched coil and the compressed coil to determine when the distal segment has been protracted an amount from the elongated introducer assembly.

### Claim 7 (depends on 1)

The method of claim 1, wherein the elongated guidewire assembly includes a first radiopaque marker and a second radiopaque marker positioned on the distal segment, and the method further comprises visually detecting, via a medical imaging system, the first radiopaque marker and the second radiopaque marker to determine a protrusion length of the distal segment.

### Claim 8 (depends on 1)

The method of claim 1, further comprising injecting a contrast material along an introducer lumen of the elongated introducer assembly and out from the distal introducer exit portal, wherein the contrast material is detectable by a medical imaging system to determine whether the distal puncture device is in contact with the first biological wall.

### Claim 9 (depends on 1)

The method of claim 1, wherein the first biological wall comprises a pericardium layer and the second biological wall comprises a myocardium layer of a heart of the patient.

### Claim 10 (depends on 1)

The method of claim 1, wherein the elongated introducer assembly includes a sensor configured to be electrically connected with a medical-detection system, and the method further comprises receiving feedback from the medical-detection system about where the elongated introducer assembly is positioned relative to the first biological wall based on information provided by the sensor.

### Claim 11 (depends on 1)

The method of claim 1, further comprising deactivating emission of radiofrequency energy from the distal puncture device in response to detection of an impedance change associated with puncturing of the first biological wall.