GUIDE WIRE AND METHOD FOR MANUFACTURING A GUIDE WIRE
20170072170 ยท 2017-03-16
Assignee
Inventors
Cpc classification
C22C19/007
CHEMISTRY; METALLURGY
A61M2025/09175
HUMAN NECESSITIES
A61M2025/09133
HUMAN NECESSITIES
A61M2025/09075
HUMAN NECESSITIES
A61M2025/09141
HUMAN NECESSITIES
International classification
Abstract
A guide wire includes an elongated core wire possessing a distal portion at which is located a reshaping portion that is configured to be reshaped. The reshaping portion includes a first material portion made of a first material and a second material portion which is made of a second material different than the first material. The first material portion is joined to the second material portion at a joint surface which extends in the longitudinal direction of the core wire.
Claims
1. A guide wire comprising: a core wire elongated in a longitudinal direction, the core wire possessing a proximal portion and a distal portion; the distal portion of the core wire comprising a reshaping portion that is configured to be reshaped; the reshaping portion comprising a first material portion made of a first material and a second material portion made of a second material different from the first material; and the first material portion being joined to the second material portion at a joint surface which extends in the longitudinal direction of the core wire.
2. The guide wire according to claim 1, wherein the reshaping portion possesses a transverse cross sectional shape that is a circular shape or an elliptical shape.
3. The guide wire according to claim 2, wherein the joint surface is spaced apart from a center of the circular shape or the elliptical shape.
4. The guide wire according to claim 2, wherein the first material portion and the second material portion each possess a fan-shaped transverse cross sectional shape, and wherein a central angle of the first material portion and a central angle of the second material portion are different from each other.
5. The guide wire according to claim 2, wherein the reshaping portion comprises a third material portion, the third material portion being made of the first material; the third material portion is joined to the second material portion at a second joint surface which extends in the longitudinal direction of the core wire; and the second material portion is positioned between the first material portion and the third material portion.
6. The guide wire according to claim 1, wherein the core wire comprises a main body portion positioned proximal to the reshaping portion, the main body portion being thicker than the reshaping portion, and the main body portion being a same constituent material as either the first material or the second material.
7. The guide wire according to claim 6, wherein the main body is formed integrally with one of the first material portion and the second material portion, the one of the first material portion and the second material portion being the same constituent material as that of the main body portion.
8. The guide wire according to claim 7, wherein the one of the first material portion and the second material portion which is the same constituent material as the main body portion has a large cross-sectional area ratio in the cross-section of the reshaping portion.
9. The guide wire according to claim 1, wherein one of the first material and the second material is stainless steel and an other of the first material and the second material is NiTi based alloy.
10. The guide wire according to claim 1, wherein the reshaping portion comprises a third material portion which is made of a third material different from the first material and the second material, the third material portion being joined to the first material portion and the second material portion between the first material portion and the second material portion.
11. The guide wire according to claim 10, wherein one of the first material and the second material is stainless steel and an other is NiTi based alloy, and the third material is -Ti.
12. A method for manufacturing a guide wire comprising: forming a core wire elongated in a longitudinal direction, the core wire being made of a first material and comprising a distal portion possessing an outer diameter, a proximal portion possessing an outer diameter, and a tapered portion between the distal portion and the proximal portion, the outer diameter of the distal portion being smaller than the outer diameter of the proximal portion; and joining a second material portion to the distal portion of the core wire along a joint surface that extends in the longitudinal direction of the core wire, the second material portion being a second material different from the first material, the second material portion and the distal portion of the core wire defining a reshaping portion of the guide wire.
13. The method according to claim 12, wherein at least one of pressurizing and heating is used for the joining.
14. The method according to claim 12, further comprising attaching a coil to surround the distal portion of the core wire, the coil having a proximal end and a distal end, the proximal end of the coil being attached to the tapered portion of the core wire, and the distal end of the coil being attached to the reshaping portion of the guide wire.
15. The method according to claim 12, wherein the joining of the second material portion to the distal portion of the core wire is by welding.
16. A guide wire comprising: a main body extending in a longitudinal direction, the main body possessing a distal-most end; a tapered portion possessing a proximal end and a distal end, the proximal end of the tapered portion being connected to the distal-most end of the main body; a first extension portion possessing a proximal end and a distal end, the proximal end of the first extension portion being directly connected to the distal end of the tapered portion; the main body, the tapered portion, and the first extension portion being integrally formed at one time as a unitary structure from a first material; a second extension portion made from a second material different from the first material, the second extension portion being joined to the first extension portion at a joint surface extending in the longitudinal direction; the first extension portion and the second extension portion collectively defining a reshaping portion of the guide wire, the reshaping portion possessing an outer surface; and the first material forming part of the outer surface of the reshaping portion and the second material forming an other part of the outer surface of the reshaping portion.
17. The guide wire according to claim 16, further comprising a coil extending in the longitudinal direction, the coil possessing an inner surface and surrounding the reshaping portion such that the inner surface of the coil faces the outer surface of the reshaping portion.
18. The guide wire according to claim 17, wherein the inner surface of the coil is spaced apart from the outer surface of the reshaping portion.
19. The guide wire according to claim 17, wherein the coil possesses a proximal end and a distal end; and the proximal end of the coil is fixed to the tapered portion of the guide wire and the distal end of the coil is fixed to a distal end of the reshaping portion.
20. The guide wire according to claim 16, wherein the reshaping portion is cylindrically shaped, and the first extension portion and the second extension portion each form one half of the cylindrical shape of the reshaping portion.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0026]
[0027]
[0028]
[0029]
[0030]
[0031]
[0032]
[0033]
[0034]
[0035]
[0036]
[0037]
DETAILED DESCRIPTION
[0038] Hereinafter, a guide wire and a method for manufacturing the guide wire will be described in detail based on the embodiments shown in the accompanying drawings.
First Embodiment
[0039]
[0040] The guide wire 1 shown in
[0041] The core wire 2 includes a reshaping portion 3 positioned on the distal side and a main body portion 4 positioned on the proximal side of the reshaping portion 3.
[0042] The reshaping portion 3 is capable of being reshaped. For example, the reshaping portion 3 can be bent or curved in the direction of the arrow in
[0043] The main body portion 4 is a portion of the guide wire 1 which is thicker and longer than the reshaping portion 3. The main body portion 4 includes a tapered portion 41 forming a tapered shape such that the outer diameter is gradually increased toward a proximal direction (i.e., the proximal end of the tapered portion 41 has a larger outer diameter than the distal end of the tapered portion 41) and a constant outer diameter portion 42 which has a constant outer diameter.
[0044] It is possible to gradually reduce the rigidity (flexural rigidity or torsional rigidity) of the core wire 2 toward a distal direction (i.e., the distal end is less rigid than the proximal end) using the tapered portion 41 located between the reshaping portion 3 and the constant outer diameter portion 42. As a result, the distal portion of the guide wire 1 exhibits favorable flexibility and properties permitting the guide wire to pass a stenosed site (e.g., maneuverability to reach and/or enter a stenosed site). The guide wire 1 can also have improved safety, followability to a blood vessel (i.e., maneuverability within or along a blood vessel) or the like, and prevent bending or the like. Note that the taper angle (a decrease rate of the outer diameter) of the tapered portion 41 may be constant along the longitudinal direction of the core wire 2, or may have a site changing along the longitudinal direction (i.e., the taper of the tapered portion 41 may be non-constant). For example, a configuration may be adapted in which a plurality of portions of which the taper angle is comparatively large and a plurality of portions of which the taper angle is comparatively small alternate.
[0045] The outer diameter of the constant outer diameter portion 42 is the same as the maximum outer diameter of the tapered portion 41. The constant outer diameter portion is a portion in which the rigidity is comparatively high (e.g., possesses higher rigidity than the distal portion of the tapered portion 41). Accordingly, pushability in the distal direction of the guide wire 1 become favorable. Note that a proximal surface 421 of the constant outer diameter portion 42 is preferably rounded as illustrated in
[0046] As shown in
[0047] The reshaping portion 3 is inserted into a central portion on the inside of the coil 5 and enters a non-contact state with the inner surface of the coil 5 (i.e., the outer surface of the reshaping portion 3 does not contact the inner surface of the coil 5). Accordingly, a gap 11 is formed between the coil 5 and the reshaping portion 3, and it is possible to decrease pushability with respect to a blood vessel.
[0048] The coil 5 is formed by winding a strand 51 along the circumferential direction of the reshaping portion 3 in a spiral shape. One strand 51 may be wound in a spiral shape, or a plurality of strands 51 may be wound in a spiral shape.
[0049] In the example shown in
[0050] The constituent material of the strand 51 is not particularly limited, and may be either a metal material or a resin material. Examples of the metal material include stainless steel or a radiopaque material such as noble metal such as Au or Pt and alloy (for example, PtNi alloy) including the noble metal. When a radiopaque material is used, the distal portion of the guide wire 1 can obtain radiopacity so that it is preferably possible to insert the guide wire into a living body while checking the position of the distal portion under X-ray fluoroscopy.
[0051] The coil 5 may be obtained by combining two or more types of materials. For example, the strands 51 on the distal side of the coil 5 can be made of a radiopaque material such as PtNi alloy and/or the strands 51 on the proximal side of the coil 5 can be made of stainless steel. It is thus possible to emphasize a site (particularly, a site including the reshaping portion 3) positioned on the distaff side of the coil 5 more than a site positioned further on the proximal side under X-ray fluoroscopy. Accordingly, it is possible to more clearly visualize the position of the most distal portion (a portion in which the reshaping portion 3 exists) of the guide wire 1.
[0052] In addition, the wire diameters of the strands 51 of the coil 5 may be the same as one another over the total length of the coil 5, or the wire diameters of the strands 51 may be different from one another on the distal side and the proximal side of the coil 5. For example, the wire diameters of the strands 51 may be relatively smaller (or larger) on the distal side or distal end of the coil 5 compared to those on the proximal side or proximal end. Accordingly, it is possible to improve penetrating properties of the guide wire 1 through a lesion area at the distal portion of the coil 5 (i.e., a small diameter distal-most end of the coil 5 may more easily penetrate a lesion area).
[0053] The outer diameter of the coil 5 may be constant over the total length of the coil 5, or may be non-constant from the distal side to the proximal side of the coil 5. For example, the outer diameter of the coil 5 may become small on the distal side of the coil 5 compared to that on the proximal side. Accordingly, it is possible to improve flexibility of the guide wire 1 at the distal portion of the coil 5.
[0054] As shown in
[0055] It is possible to reliably fix the reshaping portion 3 to the coil 5 and to accurately maintain the shape of the reshaped reshaping portion 3 because the distal side and the proximal side of the reshaping portion 3 are respectively fixed using the fixation materials 52 and 53.
[0056] It is preferable that the fixation materials 52 and 53 are respectively formed of solder (brazing material). The fixation materials 52 and 53 may also be adhesives. The method for fixing the coil 5 to the core wire 2 is not limited to the method using the fixation materials, and may be performed through, for example, welding.
[0057] Note that a distal surface 521 of the fixation material 52 is preferably rounded in order to prevent damage to the inner wall of a body cavity such as a blood vessel.
[0058] As shown in
[0059] In order to achieve a decrease in friction (sliding resistance) of the guide wire 1, the resin covering layer 6 is preferably made of a lower friction material described below. Accordingly, sliding properties are improved by the decrease in friction resistance (sliding resistance) with an inner wall of a catheter which is used together with the guide wire 1. Operability of the guide wire 1 within the catheter thus becomes more favorable. In addition, it is possible to more reliably prevent kinking (bending) or twisting of the guide wire 1 when the guide wire 1 is moved and/or rotated within the catheter by decreasing the sliding resistance of the guide wire 1.
[0060] Examples of materials that can be used for the resin covering layer 6 to decrease friction include polyolefins such as polyethylene and polypropylene, polyvinyl chloride, polyester (PET, PBT, or the like), polyamide, polyimide, polyurethane, polystyrene, polycarbonate, a silicone resin, a fluorine resin (PTFE, ETFE, or the like), or a composite material of these materials.
[0061] Note that the resin covering layer 6 may be a single layer or may be a laminated body (for example, a body of which an inner layer is made of a more flexible material compared to an outer layer) having two or more layers.
[0062] As shown in
[0063] The outer diameter of the reshaping portion 3 is the same as the minimum outer diameter of the tapered portion 41. For example, the other diameter of the reshaping portion 3 preferably is 0.05 mm to 0.2 mm and more preferably is 0.08 mm to 0.15 mm. The total length of the reshaping portion 3 is not particularly limited. For example, the total length of the reshaping portion 3 preferably is 2 mm to 100 mm and more preferably is 5 mm to 20 mm.
[0064] The material of the first material portion 31 is not particularly limited. Examples of acceptable materials to employ for the first material portion 31 include various metal materials such as stainless steel (for example, all types of SUS such as SUS304, SUS303, SUS316, SUS316L, SUS316J1, SUS316J1L, SUS405, SUS430, SUS434, SUS444, SUS429, SUS430F, and SUS302) and piano wires. Among these, stainless steel is preferable.
[0065] The material of the second material portion 32 is different from the first material, but the material of the second material portion 32 is not particularly limited. Examples of acceptable materials to employ for the second material portion 32 include super elastic alloys exhibiting super elasticity in a living body. Examples of permissible super elastic alloys include one that has a tension stress-strain curve having any shape, include ones in which a transformation point such as As, Af, Ms, and Mf can be or cannot be noticeably measured, and include all kinds of super elastic alloy which are greatly deformed (distorted) by a stress and almost return to an original shape in response to removal of the stress. Examples of preferred compositions of super elastic alloy include NiTi based alloy such as NiTi alloy with 49 to 52 atom % Ni, CuZn alloy with 38.5 to 41.5 wt % Zn, CuZnX alloy with 1 to 10 wt % X (X is at least one of Be, Si, Sn, Al, and Ga), and NiAl alloy with 36 to 38 atom % Al. Among these, the above-described NiTi based alloy is particularly preferable. Note that super elastic alloy represented by NiTi based alloy is excellent in adhesiveness with the resin covering layer 6.
[0066] The main body portion 4 is also made of the first material which is the same as the constituent material of the first material portion 31. In the present embodiment, the main body portion 4 and the first material portion 31 are integrally formed at the same time as a unitary structure (refer to
[0067] Accordingly, the manufacturing of the core wire 2 (guide wire 1) is facilitated.
[0068] Stainless steel constituting the first material portion 31 has higher strength and rigidity compared to those of super elastic alloy. Accordingly, the first material portion 31 has a function of transmitting torque or another push-in force from the main body portion 4 of the core wire 2 to the distal end of the guide wire 1 in the reshaping portion 3 (i.e., a force in the distal direction).
[0069] NiTi based alloy constituting the second material portion 32 has sufficient flexibility and has resilience. Therefore, bending tendency hardly occurs. In the reshaping portion 3, reshaping is easily performed by these second material portion 32 and first material portion 31 together. The shape of the reshaping portion 3 can thus be reliably maintained.
[0070] This configuration of the reshaping portion 3 of the guide wire 1 makes it is relatively easy to perform reshaping at the distal portion the guide wire 1 and provides excellent torquability up to the distal portion of the guide wire 1. The reshaping portion 3 can also obtain sufficient flexibility and resilience with respect to bending because the second material portion 32 is provided in the guide wire 1. The flexibility and resilience of the guide wire 1 allows it to obtain excellent operability due to improved followability with respect to blood vessels or the like which are complicatedly curved and bent. In addition, even if the reshaping portion 3 repeats deformation of curving and bending, the reshaping portion does not tend to bend due to the resilience provided in the second material portion 32. Therefore it is possible to prevent deterioration in operability due to bending tendency occurring in the reshaping portion 3 when using the guide wire 1.
[0071] As shown in
[0072] The first material portion 31 and the second material portion 32 in the reshaping portion 3 of the present embodiment are thus the same as each other (i.e., equal in volume/size to one another). Accordingly, the joint surface 33 of the first material portion 31 and the second material portion 32 appears at a position symmetrical in the circumferential direction. Therefore, there is an advantage in that it is easy to perform shaping during a procedure.
[0073] Next, a method for manufacturing the core wire 2 (guide wire 1) by joining the first material portion 31 and the second material portion 32 to each other will be described in reference to
[0074] As shown in
[0075] The first mold 91 and the second mold 92 form a cavity 93 which molds the reshaping portion 3 in the mold closing state (i.e., when the mold 9 is closed). That is, the first mold 91 has a space 911 forming a semi-cylindrical shape and the second mold 92 also has a space 921 forming a semi-cylindrical shape. The cavity 93 which molds the reshaping portion 3 can be formed/defined by these spaces 911 and 921 communicating with each other in the mold closing state. The cavity 93 can also extend to encompass a portion of the tapered portion 41 so that there is a smooth transition from the reshaping portion 3 to the taper portion 41.
[0076] When manufacturing the core wire 2, first, a preform 2 having the main body portion 4 is prepared as shown in
[0077] In addition, a second portion to be formed (a portion that will form the second material portion) 32 is also prepared as a preform for forming the second material portion 32 (i.e., a portion that will become the second material portion 32 after molding) in addition to the preform 2. The transverse cross sectional shape of the second portion to be formed 32 is a circular shape in the present embodiment and the second portion to be formed 32 is thinner than the second material portion 32.
[0078] Next, as shown in
[0079] Next, at least one of pressurizing and heating is carried out while performing mold closing as shown in
[0080] Next, the mold enters the mold opening state again (i.e., the mold is opened) as shown in
Second Embodiment
[0081]
[0082] Hereinafter, the second embodiment of the guide wire and a method for manufacturing the guide wire will be described while referring to
[0083] The second embodiment is the same as the first embodiment except that the process of manufacturing the core wire is different than in the first embodiment. As shown in
[0084] As shown in
Third Embodiment
[0085]
[0086] Hereinafter, the third embodiment of the guide wire and a method for manufacturing the guide wire will be described while referring to this drawing. However, the description will focus on differences between the third embodiment and the above-described embodiments, and the description of the same features will not be repeated.
[0087] The third embodiment is the same as the first embodiment except that the configuration of the first material portion and the second material portion constituting the reshaping portion is different than in the first embodiment.
[0088] In the embodiment shown in
[0089] There are two joint surfaces 33 (joint surfaces 33a and 33b) in the third embodiment, and all of the joint surfaces 33a and 33b pass through a center O.sub.3 and follow (i.e., extend in) a longitudinal direction of the core wire 2.
[0090] In addition, the magnitude relation between the central angle .sub.1 and the central angle .sub.2 is .sub.1<.sub.2 in the third embodiment illustrated in
Fourth Embodiment
[0091]
[0092] Hereinafter, the fourth embodiment of the guide wire and a method for manufacturing the guide wire will be described while referring to
[0093] The fourth embodiment is the same as the first embodiment except that the occupancy (i.e., volume) of a first material portion and a second material portion constituting the reshaping portion is different from that in the first embodiment.
[0094] The embodiment shown in
Fifth Embodiment
[0095]
[0096] Hereinafter, the fifth embodiment of the guide wire and a method for manufacturing the guide wire will be described while referring to this drawing. However, the description will focus on differences between the fifth embodiment and the above-described embodiments, and the description of the same features will not be repeated.
[0097] The fifth embodiment is the same as the first embodiment except that the occupancy (i.e., volume) of a first material portion and a second material portion constituting the reshaping portion is different from that in the first embodiment.
[0098] In the fifth embodiment shown in
Sixth Embodiment
[0099]
[0100] Hereinafter, the sixth embodiment of the guide wire and a method for manufacturing the guide wire will be described while referring to this drawing. However, the description will focus on differences between the sixth embodiment and the above-described embodiments, and the description of the same features will not be repeated.
[0101] The sixth embodiment is the same as the first embodiment except that the arrangement of a first material portion and a second material portion constituting the reshaping portion is different from that in the first embodiment.
[0102] In the sixth embodiment shown in
[0103] Note that the reshaping portion 3 is constituted of the two first material portions 31a, 31b and the second material portion 32 between the two first material portions 31a, 31b in the embodiment illustrated in
Seventh Embodiment
[0104]
[0105] Hereinafter, the seventh embodiment of the guide wire and a method for manufacturing the guide wire will be described while referring to this drawing. However, the description will mainly focus on differences between the seventh embodiment and the above-described embodiments, and the description of the same features will not be repeated.
[0106] The seventh embodiment is the same as the first embodiment except that the configuration of a reshaping portion is different from that in the first embodiment.
[0107] In this embodiment as shown in
[0108] Note that the third material portion 34 is made of a third material which is different from a first material and a second material. The material of the third material portion 34 is not particularly limited. For example, it is possible to use -Ti. -Ti is a material which has comparatively higher biocompatibility than stainless steel or NiTi based alloy.
[0109] When bending the reshaping portion 3 that possesses the above-described configuration, the ease of bending varies depending on the bending direction of the reshaping portion 3. When such physical properties are required for the reshaping portion 3, the configuration of the present embodiment is effective.
Eighth Embodiment
[0110]
[0111] Hereinafter, the eighth embodiment of the guide wire and a method for manufacturing the guide wire will be described while referring to this drawing. However, the description will mainly focus on differences between the eighth embodiment and the above-described embodiments, and the description of the same features will not be repeated.
[0112] The eighth embodiment is the same as the first embodiment except that the transverse cross sectional shape of a reshaping portion is different from that in the first embodiment.
[0113] As shown in the eighth embodiment illustrated in
[0114] Note that the joint surface 33 passes through the center O.sub.3 in the embodiment illustrated in
[0115] The elliptical shape can be formed by selecting a mold 9 that has a cavity 93 equivalent to the shape (i.e., an elliptically shaped cavity).
Ninth Embodiment
[0116]
[0117] Hereinafter, the ninth embodiment of the guide wire and a method for manufacturing the guide wire will be described while referring to this drawing. However, the description will mainly focus on differences between the ninth embodiment and the above-described embodiments, and the description of the same features will not be repeated.
[0118] The ninth embodiment is the same as the eighth embodiment except that the direction of the joint surface 33 is different from that in the eighth embodiment.
[0119] As shown in
Tenth Embodiment
[0120]
[0121] Hereinafter, the tenth embodiment of the guide wire and a method for manufacturing the guide wire will be described while referring to this drawing. However, the description will mainly focus on differences between the tenth embodiment and the above-described embodiments, and the description of the same matters will not be repeated.
[0122] The tenth embodiment is the same as the eighth embodiment except that the transverse cross sectional shape of a reshaping portion is different from that in the eighth embodiment.
[0123] As shown in
[0124] Note that the joint surface 33 passes through the center O.sub.3 in the present embodiment, that is, the thickness t.sub.1 of the first material portion 31 and the thickness t.sub.2 of the second material portion 32 are the same as each other. However, the guide wire is not limited to a joint surface 33 that passes through the center O.sub.3, and the joint surface 33 may be deviated (i.e., offset) from the center O.sub.3, that is, the thickness t.sub.1 and the thickness t.sub.2 may be different from each other.
[0125] In addition, the thickness t.sub.1 and the thickness t.sub.2 are constant along a width direction (horizontal direction in the drawing) of the reshaping portion 3 in the present embodiment. However, the thickness is not limited a constant thickness, and the thickness t.sub.1 and the thickness t.sub.2 may change.
[0126] In addition, the thickness t.sub.1 and the thickness t.sub.2 may be constant or may change along a longitudinal direction (depth direction of paper in the drawing) of the reshaping portion 3.
[0127] The guide wire and the method for manufacturing the guide wire have been described based on the embodiments shown in the drawings. However, the guide wire and method for manufacturing the guide wire are not limited to the disclosed embodiments. In addition, each portion constituting the guide wire can be substituted with an arbitrary configuration which can exhibit the same function. In addition, an arbitrary component may be added thereto.
[0128] In addition, in the guide wire and the method for manufacturing the guide wire, two or more arbitrary structures (characteristics) in each of the embodiments may be combined with each other.
[0129] In each of the embodiments, the first material out of the first material and the second material is stainless steel and the second material is NiTi based alloy. However, the materials are not limited to the disclosed materials, and the first material may be NiTi based alloy and the second material may be stainless steel.
[0130] In each of the embodiments, the first material out of the first material and the second material is stainless steel and the second material is NiTi based alloy. However, the materials are not limited to the disclosed materials, and the first material may be, for example, -Ti.
INDUSTRIAL APPLICABILITY
[0131] The guide wire forms an elongated shape and includes a core wire having a reshaping portion, which can be reshaped, at a distal portion, in which the reshaping portion has at least a first material portion made of a first material, and a second material portion which is made of a second material different from the first material and is joined to the first material portion, and in which the joint surface between the first material portion and the second material portion follows a longitudinal direction of the core wire. For this reason, it is easy to perform reshaping at a distal portion of the guide wire, and the guide wire is excellent in torquability up to the distal portion.
[0132] The detailed description above describes a guide wire and a method of manufacturing the guide wire. The invention is not limited, however, to the precise embodiments and variations described. Various changes, modifications and equivalents can be effected by one skilled in the art without departing from the spirit and scope of the invention as defined in the accompanying claims. It is expressly intended that all such changes, modifications and equivalents which fall within the scope of the claims are embraced by the claims.