摘要 |
The present invention is a catheter having a guidewire lumen with a slidable sleeve. The lumen and sleeve have aligned apertures, which may be closed by moving the slidable sleeve. When the apertures are aligned, a guidewire may be loaded from the distal end of the catheter through the lumen. The guidewire is forced out of the lumen by a ramp in the lumen. The ramp is at the end of a removable core member, which provides enhanced shaft rigidity. The catheter may be converted from a "monorail" to an "over-the-wire" configuration by moving the slidable sleeve to close the aperture and advancing a replacement guidewire through the guidewire lumen past the now sealed aperture. A non-circular cross-section is used for the lumen, removable core member, and slidable sleeve, thereby maintaining orientation of the lumen and slidable sleeve apertures should the catheter undergo rotational flexing during use. |