# US 8,771,203 B2 · Catheter deployment device > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 8,771,203 B2 - Document ID: US8771203B2 - Status: Granted - Kind: B2 - Application number: 14/025,643 - Filed: 2013-09-12 - Published: 2014-01-16 - Granted: 2014-07-08 - Earliest claimed: 2001-12-07 - Assignees: Abbott Laboratories - Applicants: Abbott Laboratories - Inventors: Jimmy Jen; Robert George; Jeff Dolin; Amelia Lasser - Web page: https://patentgrep.com/patent/US8771203B2 ## CPC - A61M 25/09: Guide wires - A61B 17/3207: Atherectomy devices {working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions (A61B17/32037 takes precedence; endoscopic cutting instruments A61B17/320016)} - A61B 17/3478: {Endoscopic needles, e.g. for infusion (biopsy needles A61B10/0233; catheters with injection needles A61M25/0067)} - A61M 25/0068: {Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure} - A61M 25/008: {Strength or flexibility characteristics of the catheter tip} - A61M 25/0084: {being one or more injection needles} - A61M 25/0136: {Handles therefor} - A61M 25/09041: {Mechanisms for insertion of guide wires} - A61B 90/39: {Markers, e.g. radio-opaque or breast lesions markers} - A61B 2017/00247: {Making holes in the wall of the heart, e.g. laser Myocardial revascularization} - A61B 2017/00252: {for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel} - A61B 2017/22042: {Details of the tip of the guide wire} - A61B 2017/22048: {Balloons} - A61B 2017/22069: {Immobilising; Stabilising} - A61B 2017/22077: {with a part piercing the tissue (A61B2017/22044 takes precedence)} - A61B 2017/22094: {for crossing total occlusions, i.e. piercing} - A61B 2017/22095: {accessing a blood vessel true lumen from the sub-intimal space} - A61B 2017/3409: {including needle or instrument drives} - A61B 2018/00392: {Transmyocardial revascularisation} - A61M 25/0069: {Tip not integral with tube} - A61M 2025/0046: {Coatings for improving slidability} - A61M 2025/0086: {the needles having bent tips, i.e. the needle distal tips are angled in relation to the longitudinal axis of the catheter} - A61M 2025/0087: {Multiple injection needles protruding laterally from the distal tip} - A61M 2025/009: {the needle having a bent tip, i.e. the needle distal tip is angled in relation to the longitudinal axis of the catheter} - A61M 2025/0096: {being laterally outward extensions or tools, e.g. hooks or fibres} - A61M 2025/0197: {for creating an artificial passage within the body, e.g. in order to go around occlusions} - A61M 2025/09116: {Design of handles or shafts or gripping surfaces thereof for manipulating guide wires} - 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)} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract An apparatus for deploying a needle within a lumen is provided. The apparatus includes a housing having a threaded bushing radially disposed therein. The bushing rigidly couples with a nose cone having a guide tip disposed at an end opposite the bushing for penetrating an arterial wall of a lumen. During operation, a user incrementally advances the bushing within the housing, thereby incrementally advancing the guide tip into the lumen. The nose cone also includes a flex guide having a slot configuration which couples with the guide tip which deploys into the lumen along with the guide tip. ## Claims ### Claim 1 A catheter device comprising: a housing; a shaft adaptor connected to the housing, the shaft adaptor comprising a rotatable guide having one or more interfaces; an inner key extending distally from the shaft adapter, the inner key having one or more interfaces that engage the one or more interfaces of the shaft adaptor; and a nose cone connected to a distal end of the inner key, the inner key connecting the nose cone and the housing, the nose cone comprising a guide tip, the nose cone being configured to rotate when the guide rotates. ### Claim 2 (depends on 1) The catheter device of claim 1, wherein the inner key comprises a braided tube. ### Claim 3 (depends on 2) The catheter device of claim 2, wherein the inner key is configured to rotate when the guide rotates. ### Claim 4 (depends on 2) The catheter device of claim 2, further comprising a rotatable knob operatively associated with the housing and the inner key. ### Claim 5 (depends on 4) The catheter device of claim 4, wherein the nose cone is configured to rotate with the rotatable knob. ### Claim 6 (depends on 2) The catheter device of claim 2, wherein the nose cone houses a flex guide having one or more cuts to control the flexibility or column strength of the flex guide. ### Claim 7 (depends on 2) The catheter device of claim 2, wherein the nose cone houses a flex guide having one or more bellows to control the flexibility or column strength of the flex guide. ### Claim 8 A catheter device comprising: a housing; an inner key extending distally from the housing; a rotatable knob operatively associated with the housing and the inner key; and a nose cone connected to a distal end of the inner key, the inner key connecting the nose cone and the housing, the nose cone comprising a guide tip, the nose cone being configured to rotate when the rotatable knob rotates. ### Claim 9 (depends on 8) The catheter device of claim 8, wherein the nose cone houses a flex guide having one or more cuts to control the flexibility or column strength of the flex guide. ### Claim 10 (depends on 8) The catheter device of claim 8, wherein the nose cone houses a flex guide having one or more bellows to control the flexibility or column strength of the flex guide. ### Claim 11 (depends on 8) The catheter device of claim 8, the nose cone including a nose cone cam surface and the guide tip comprising a guide tip cam surface, the nose cone cam surface configured to engage with the guide tip cam surface. ### Claim 12 (depends on 8) The catheter device of claim 8, wherein the guide tip includes at least one tip configured to penetrate body tissue. ### Claim 13 (depends on 12) The catheter device of claim 12, wherein the guide tip includes a plurality of circumferentially spaced apart tips disposed about a periphery of the guide tip. ### Claim 14 A catheter device comprising: a housing; an inner key extending distally from the housing; and a nose cone connected to a distal end of the inner key, the nose cone comprising a flex guide having one or more cut-outs or one or more bellows to control the flexibility or column strength of the flex guide. ### Claim 15 (depends on 14) The catheter device of claim 14, wherein the one or more cuts are continuously formed within the flex guide. ### Claim 16 (depends on 14) The guide device of claim 14, wherein the one or more bellows are spaced longitudinally along the flex guide. ### Claim 17 (depends on 14) The guide device of claim 14, further comprising an anchoring member disposed about a braided tube coupled to the inner key. ### Claim 18 (depends on 17) The guide device of claim 17, wherein the anchoring member is a balloon mounted to the nose cone. ### Claim 19 A method for advancing a guide tip through an arterial wall defining a lumen using a catheter device, the catheter device including a housing with an actuator movably disposed therein and a button associated with the actuator, the method comprising: introducing a catheter having an inner key within a lumen of a patient on a first side of an occlusion within the lumen, wherein the inner key couples with the actuator; navigating around the occlusion within the lumen to a second side of the occlusion with the catheter; and advancing the guide tip through the arterial wall and into the lumen on the second side of the occlusion by moving the button in a first direction relative to the housing, the inner key being configured to move in a section direction upon movement of the button in the first direction, thereby advancing the guide tip. ### Claim 20 (depends on 19) The method as recited in claim 19, wherein moving the button engages one or more button gradients associated with the button with one or more actuator gradients associated with the actuator. ### Claim 21 (depends on 20) The method as recited in claim 20, wherein the catheter includes a first handle and a second handle, the button remaining fixed with respect to the first handle. ### Claim 22 (depends on 21) The method as recited in claim 21, wherein moving the button in the first direction comprises moving the button in a direction transverse to a longitudinal axis of the actuator. ### Claim 23 (depends on 22) The method as recited in claim 22, further comprising anchoring the catheter within tissue. ### Claim 24 (depends on 23) The method as recited in claim 23, wherein anchoring the catheter within tissue comprises deploying an anchor of an anchoring assembly, the anchor comprising a material capable of bowing.