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Different guidewire construction Jos C. van den Berg, MD PhD Ospedale Regionale di Lugano, sede Civico University of Bern Switzerland

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Page 1: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Different guidewire construction

Jos C. van den Berg, MD PhD

Ospedale Regionale di Lugano, sede Civico

University of Bern

Switzerland

Page 2: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Disclosure

Speaker name:

.................................................................................

I have the following potential conflicts of interest to report:

Consulting

Employment in industry

Stockholder of a healthcare company

Owner of a healthcare company

Other(s)

I do not have any potential conflict of interestx

Page 3: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Basic guidewire construction

Core

Page 4: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Basic guidewire construction

Core

Coil

Page 5: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Basic guidewire construction

Core

Coil

Coating

Page 6: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Guide wire characteristics

Coatings

Coil

Core

Feel

&

Performance

Tip Load

Page 7: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

20th century

Page 8: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

20th century

Page 9: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

21st century

Page 10: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Round core vs. flat core

Whip motion No whip motion

Page 11: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

ACT-ONE

Page 12: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Torque control-no whip motion

Page 13: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

21st century

Page 14: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Durability

Page 15: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Shape retention

Halberd 0.018”

Crush test

Page 16: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Coating

Page 17: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Coating

Page 18: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Polymer Jacket Micrograph

Page 19: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Coating

Page 20: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Tip design

Page 21: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Taper

Page 22: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Tip end design

Page 23: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Tip end design

Treasure

Gaia/Halberd

Tip end ball tip shape / Non-tapered design

Astato

Page 24: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Tip end design

Micro cone tip Plain ball tip

Page 25: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Cap penetration

Page 26: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Cap penetration and shape retention

Page 27: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Summary

Page 28: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Guide wire characteristics in practice

Page 29: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Guide wire characteristics in practice

Page 30: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Guide wire characteristics in practice

Page 31: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Guide wire characteristics in practice

Page 32: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Guide wire characteristics in practice

Page 33: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Guide wire characteristics in practice

Page 34: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Guide wire characteristics in practice

Page 35: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Gaia 0.018”

Page 36: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Page 37: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Page 38: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Conclusion

• New guide wire technology allows better control in crossing

– Optimal torque control

– Enhanced penetration characteristics

– Shape retention

Page 39: Different guidewire construction · Basic guidewire construction Core Coil Coating. Guide wire characteristics Coatings Coil Core Feel & Performance Tip Load. 20th century. 20th century

Different guidewire construction

Jos C. van den Berg, MD PhD

Ospedale Regionale di Lugano, sede Civico

University of Bern

Switzerland

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