Abstract:
The present invention provides an improved core wire for use in a medical catheter. In one aspect, the invention provides a core wire with a shapeable tip and method of manufacturing the same. A core wire previously made superelastic is subject to additional processing to remove its superelasticity thereby allowing the material to be shapeable to aid in advancing the core wire through a blood vessel or other body cavities. In another aspect of the present invention, a method is provided for securing the core wire to the distal end of an elongated catheter tubular body. The tubular body is mechanically crimped onto the core wire to secure the core wire in place. This crimping method has been found to increase the strength of the bond between the core wire and the catheter tube so that greater pull force is required to break the core wire off from the catheter.

Description:
This application is a divisional of U.S. patent application Ser. No. 09/026,357, filed Feb. 19, 1998 now U.S. Pat. No. 6,190,332. 
    
    
     BACKGROUND OF THE INVENTION 
     1. Field of the Invention 
     The present invention relates generally to surgical device design and fabrication and, more particularly, to core wires for use in catheters and the like. 
     2. Description of the Related Art 
     Medical catheters, such as guidewires and balloon catheters, have been proven efficacious in treating a wide variety of blood vessel disorders. Moreover, these types of catheters have permitted clinicians to treat disorders with minimally invasive procedures that, in the past, would have required complex and perhaps life threatening surgeries. For example, balloon angioplasty is now a common procedure to alleviate stenotic lesions (i.e., clogged arteries) in blood vessels, thereby reducing the need for heart bypass operations. 
     Because medical catheters must be passed through a tortuous blood vessel network to reach the intended treatment site, it is desirable that the catheters be fairly flexible, especially at the distal end. However, the distal end must not be so flexible that it tends to bend back upon itself when the clinician advances the catheter distal end through the patient. 
     One method of imparting desired flexibility characteristics to a catheter has been to incorporate a “core wire” into the distal end of the catheter. A core wire is a wire that extends from the distal end of a catheter body, providing structural support to the distal end to prevent bend backs or kinks during catheter advancement. Furthermore, the core wire is also flexible, such that the catheter distal end may navigate tortuous blood vessel networks or other body cavities. 
     Previously known catheter core wires may not be sufficiently rigid at the very distal tip of the wire. In particular, catheter core wires are commonly formed of superelastic materials such as NiTi alloys which exhibit an elastic response when subject to stress. Superelasticity refers to the ability of a material to undergo deformation and to return to its original configuration without being permanently or “plastically” deformed. This superelasticity, often referred to as transformational superelasticity, exhibits itself as the parent crystal structure of the material as it transforms into a different crystal structure. In superelastic materials the parent crystal structure is known as the austenitic phase and the product crystal structure is known as the martensitic phase. Such formed martensite is termed stress-induced martensite. 
     While superelasticity may be desirable for the majority of the core wire, superelasticity at the very distal tip of the core wire creates the problem that the tip will not be shapeable. Shapeability is desirable so that a doctor or other person inserting the catheter into the body can shape the tip into a form advantageous for insertion and navigation through the body. If the tip of the core wire is superelastic, the material cannot be shaped. 
     An additional problem with previously known core wires is that they may not be securely attached to the distal end of the catheter. What is needed is a method to make the connection between the catheter and the core wire secure so that these stress of vascular navigation will not cause breakages. 
     SUMMARY OF THE INVENTION 
     The present invention addresses the needs raised above by providing an improved core wire for use in a medical catheter. In one aspect of the invention, there is provided a core wire with a shapeable tip and method of manufacturing the same. A core wire previously made superelastic is subject to additional processing to remove superelasticity from a distal tip, thereby allowing the material at the distal tip to be shapeable to aid in advancing the core wire through a blood vessel or other body cavities. 
     In one embodiment, the core wire is manufactured by first providing an elongate body of NiTi alloy or similar material. This elongate body is subject to a first cold working in the range of about 20 to 40%. A heat treatment in the range of about 300° to 600° C. for 10 seconds to 60 minutes is performed to impart superelasticity to the body. Following heat treatment, the distal end of the core wire is cold worked from about 10 to 50%, removing superelasticity from this end and producing a shapeable tip at the end of the core wire. The core wire that results is a flexible, superelastic body having a shapeable distal tip with no superelasticity. 
     Alternatively, once the NiTi is imparted with superelasticity, the distal end of the core wire can be removed of its superelasticity by an additional heat treatment. Heat treatments at temperatures of about 400-800° C. for extended periods of time will cause the material to lose its superelasticity at the distal end. Additionally, superelasticity can be imparted to the core wire by a solution treatment followed by aging process. 
     In another embodiment of the present invention, a method is provided for securing the core wire to the distal end of an elongated catheter tubular body. Conventional means for attaching a core wire to a catheter body is by soldering, which uses flux of hydrogen. NiTi alloys are susceptible to hydrogen embrittlement, which will in turn diminish the tensile strength of the material. Because of the stresses involved in advancing the catheter through a vessel network, it has been discovered that a core wire soldered to a catheter may break off during catheter advancement. In one aspect of the present method, the tubular body is mechanically crimped onto the core wire to secure the core wire in place. This crimping method has been found to increase the strength of the bond between the core wire and the catheter tube so that greater pull force is required to break the core wire off from the catheter. 
    
    
     BRIEF DESCRIPTION OF THE DRAWINGS 
     FIG. 1 is a side view of a catheter incorporating the core wire of one embodiment of the present invention. 
     FIG. 2 is a longitudinal partial sectional view of a distal portion of the catheter implementing the preferred core wire before balloon mounting. 
     FIG. 3A is a schematic view of a first process step for producing the core wire. 
     FIG. 3B is a schematic view of a second process step for producing the core wire. 
     FIG. 3C is a schematic view of a third process step for producing the core wire. 
     FIG. 3D is a schematic view of a fourth process step for producing the core wire. 
     FIG. 4A is a side view of the core wire manufactured in accordance with the preferred method of the present invention. 
     FIG. 4B is a cross-sectional view along line  4 B— 4 B of the core wire of FIG.  4 A. 
     FIG. 5 is a graph comparing the elastic characteristics at the proximal end and at the distal tip of the core wire. 
     FIG. 6 is a longitudinal cross-sectional view of a distal portion of the catheter implementing the preferred core wire after balloon mounting. 
    
    
     DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS 
     Referring to FIG. 1, there is depicted a catheter  10  incorporating the core wire in accordance with the preferred embodiment of the present invention. Although the core wire is depicted and discussed in the context of being part of a simple occlusive device having a single lumen, it should be appreciated that the principles and aspects of the present invention are applicable to more complex occlusive devices having structures and functionalities not discussed herein. For example, the present inventors contemplate that the core wire of the present invention may be used in occlusive devices functioning as anchorable guide wires or filters. In addition, the core wire of the present invention is also applicable to catheters having other types of balloons, such as latex or silicone, or to catheters used for dilatation balloons, made of materials such as polyethylene terephthalate. Moreover, the core wire of the present invention may also be adapted to other types of non-balloon catheters, such as irrigation catheters used in drug delivery or radiation therapy. The tip design of the core wire can also be applicable to ordinary guidewires. In this case the guidewire may be hollow or solid. The manner of adapting the core wire of the present invention to these various structures and functionalities will become readily apparent to those of skill in the art in view of the description which follows. 
     Guidewires and Catheters 
     FIGS. 1 and 2 illustrate a guidewire or similar catheter incorporating a preferred embodiment of the core wire of the present invention. The manufacture and construction of the core wire is described in more detail below in connection with FIGS. 3 and 4, respectively. Referring to FIG. 1, catheter  10  generally comprises an elongate flexible tubular body  12  extending between a proximal control end  14 , corresponding to a proximal section of the tubular body  12 , and a distal functional end  16 , corresponding to a distal section of tubular body  12 . Tubular body  12  has a central lumen  18  which extends between ends  14  and  16 . An inflation port  20  is provided on tubular body  12  near the proximal end  14 . Inflation port  20  is in fluid communication with lumen  18 , such that fluid passing through inflation port  20  into or out of lumen  18  may be used to inflate or deflate inflatable balloons in communication with lumen  18 . Lumen  18  is sealed fluid tight at distal end  16 . Inflation port  20  may be similar to existing female luer lock adapters or would be a removable valve at the end, as disclosed in assignee&#39;s co-pending application entitled LOW PROFILE CATHETER VALVE AND INFLATION ADAPTER, application Ser. No. 08/975,723, filed Nov. 20, 1997, now U.S. Pat. No. 6,050,972, the entirety of which is incorporated by reference. 
     The length of tubular body  12  may be varied considerably depending upon the desired application. For example, where catheter  10  serves as a guidewire for other catheters in a conventional percutaneous transluminal coronary angioplasty procedure involving femoral artery access, tubular body  12  is comprised of a hollow hypotube having a length in the range of from about 160 to about 320 centimeters with a length of about 180 centimeters being optimal for a single operator device and 300 centimeters for over the wire applications. Alternately, for a different treatment procedure, not requiring as long a length of tubular body  12 , shorter lengths of tubular body  12  may be provided. Moreover, the catheter  10  may comprise a solid body rather than a hollow hypotube. 
     Tubular body  12  generally has a circular cross-sectional configuration with an outer diameter within the range of from about 0.008 inches to 0.14 inches. In many applications where catheter  10  is to be used as a guidewire for other catheters, the outer diameter of tubular body  12  ranges from 0.010 inches to 0.038 inches, and preferably is 0.014 to 0.018 inches in outer diameter or smaller. Non-circular cross-sectional configurations of lumen  18  can also be adapted for use with the present invention. For example, triangular, rectangular, oval, and other non-circular cross-sectional configurations are also easily incorporated for use with the present invention, as will be appreciated by those of skill in the art. 
     Tubular body  12  has sufficient structural integrity, or “pushability,” to permit catheter  10  to be advanced through vasculature to distal arterial locations without buckling or undesirable kinking of tubular body  12 . It is also desirable for tubular body  12  to have the ability to transmit torque, such as in those embodiments where it may be desirable to rotate tubular body  12  after insertion into a patient. A variety of biocompatible materials, known by those of skill in the art to possess these properties and to be suitable for catheter manufacture, may be used to produce tubular body  12 . For example, tubular body  12  may be made of a stainless steel material such as Elgiloy™, or may be made of polymeric materials such as nylon, polyimide, polyamides, polyethylene or combinations thereof. In one preferred embodiment, the desired properties of structural integrity and torque transmission are achieved by forming tubular body  12  out of an alloy of titanium and nickel, commonly referred to as nitinol. In a more preferred embodiment, the nitinol alloy used to form tubular body  12  is comprised of about 50.8% nickel and the balance titanium, which is sold under the trade name Tinel™ by Memry Corporation. It has been found that a catheter tubular body having this composition of nickel and titanium exhibits an improved combination of flexibility and kink resistance in comparison to other materials. Further details are disclosed in assignee&#39;s co-pending applications entitled HOLLOW MEDICAL WIRES AND METHODS OF CONSTRUCTING SAME, application Ser. No. 08/812,876, filed Mar. 6, 1997, now U.S. Pat. No. 6,068,623, and SHAFT FOR MEDICAL CATHETERS, application Ser. No. 09/026,105, filed Feb. 19, 1998, now U.S. Pat. No. 6,288,072, both of which are hereby incorporated by reference. 
     As illustrated in FIG. 1, an expandable member such as an inflatable balloon  22  is mounted on tubular body  12 . Balloon  22  may be secured to tubular body  12  by any means known to those skilled in the art, such as adhesives or heat bonding. In one preferred embodiment, balloon  22  is a compliant balloon formed out of a material comprising a block polymer of styrene-ethylene-butylene-styrene, as disclosed in assignee&#39;s co-pending application entitled BALLOON CATHETER AND METHOD OF MANUFACTURE, application Ser. No. 09/026,225, filed Feb. 19, 1998 of which is incorporated by reference. 
     Referring to FIG. 2, a distal portion of tubular body  12  is shown before mounting of the balloon  22 . A notch  24  is provided in the tubular body  12  to allow fluid communication between the inner lumen  18  and the balloon  22  (not shown) attached to the tubular body  12 . An elongate body or core wire  26  is provided at the distal end  36  of the tubular body  12 , and extends within the inner lumen  18  of the tubular body  12  to a position visible through the notch  24 . Adhesive stops  56 ,  58  are provided on tubular body  12  to prevent adhesive bonding of the balloon  22  past the location of the stops, as disclosed in the above-referenced application BALLOON CATHETER AND METHOD OF MANUFACTURE, application Ser. No. 09/026,225, filed Feb. 19, 1998. 
     Core wire  26  is preferably formed of a shape memory alloy, such as nitinol, but may also be formed of other materials, such as stainless steel. The core wire  26  extends from a proximal end  48 , corresponding to a proximal section of the core wire, to a distal end  30 , corresponding to a distal section of the core wire. The core wire  26  has a flattened tip  28  at its distal end  30 , as described in more detail below in connection with FIGS. 3 and 4. Core wire  26  may range in length from about 20 mm to 100 mm, or more preferably from about 25 mm to 50 mm, and for most occlusive device applications, is typically about 40 mm. In one preferred embodiment, the length of the core wire is about 37 mm. Flattened tip  28  extends from the distal end  30  for a length between about 5 and 10 mm, and more preferably about 7.5 mm. 
     As shown in FIG. 2, coil  32  is provided around the core wire  26  and extends substantially along the entire length of core wire  26 , from the distal end  30  of core wire  26  to the distal end  36  of tubular body  12 . Coil  32  is soldered at the distal tip  30  of the core wire  26  forming a ball  34 . Coil  32  is secured to the distal end  36  of tubular body  12  by suitable means such as soldering, brazing, or by an adhesive, as described in more detail below. One preferred adhesive type for connecting coil  32  to tubular body  12  is a cyanoacrylate such as LOCTITE 4011, although, as will be appreciated by those of skill in the art, other similar adhesives adopted to form metal to metal bonds may also be used. Coil  32  is formed of a suitable radiopaque material such as gold, platinum or a platinum alloy. Coil  32  can have a suitable outside diameter which corresponds to the outer diameter of tubular body  12 , and can have a suitable length ranging from about 10 to about 50 mm. For example, where tubular body  12  has an outer diameter of 0.014 inches, and core wire  26  has a length of 37 mm, coil  32  may have a length of about 35 mm. 
     As described in more detail below, the core wire  26  and the coil  32  are formed into a subassembly prior to attachment to tubular body  12 . Once the coil  32  is attached to the core wire, the proximal end  48  of core wire  26  is inserted into tubular body  12  at distal end  36 . Two crimps  38  and  40  are provided near the distal end  36  of the tubular body  12  to secure the core wire  26  to the tubular body. The crimps are preferably located in a location between the notch  24  and the distal tip  36  of the tubular body  12 . The crimps are preferably located a distance 0.5 to 1.5 mm apart, and more preferably, about 1.0 mm apart. The more distal crimp  40  preferably is located about 0.5 mm from the distal tip  36  of tubular body  12 . 
     Manufacture of the Core Wire 
     Referring to FIGS. 3A,  3 B,  3 C and  3 D, the core wire  26  can be manufactured by facilitating various thermal and/or mechanical treatments. The alloy comprising the core wire is preferably a NiTi or other superelastic alloy with a length preferably from about 20 to 50 mm, and more preferably with a length of about 37 mm. The alloy can be made superelastic by cold working the material and then heat treating the alloy. In the first step, a cold work can be performed to reduce the core wire diameter. Various facilitating instruments such as swager, metal extrusion and drawing equipment can be utilized to provide cold work. In a preferred embodiment, the core wire  26  is shaped by wire drawing the material at a preferred cold work range of about 20-40%, as shown in FIG.  3 A. 
     In step two of the process shown in FIG. 3B, following the cold work the core wire is preferably heat treated at a temperature range between about 300 and 600° C. This heat treatment can preferably be done in a salt bath, such as potassium nitrate, or in a protective atmosphere, such as Argon gas, for about 10 seconds to 60 minutes. In this embodiment, the heat treated core wire  26  may not be quenched but preferably cooled down to room temperature in a protective atmosphere. This heat treatment imparts superelastic characteristics to the core wire. Heat treatments below 750° C. do not result in heavy oxidation and therefore may be performed in air. 
     Step three in the process shown in FIG. 3C provides the core wire  26  with a tapered configuration toward its distal end. The tapering of the wire may be produced by a centerless grinding technique or similar method as would be known to one skilled in the art. In one preferred embodiment, for a core wire with a length of about 37 mm, the wire  26  may be tapered over a distance of about 30 mm. 
     The fourth step of the process shown in FIG. 3D is to remove the superelasticity from the distal end of the core wire by providing an additional cold work at the distal end  30 . This cold work is preferably performed by rollers to produce a flattened tip  28  at a length about 5-10 mm from the distal end  30 , and more preferably for a length of about 7.5 mm. The preferred cold work range is between about 10 and 50%, and more preferably about 40%. Alternate means for cold working the distal end of the core wire may be used, such as wire drawing or neutron radiation, or other means that would be known to those skilled in the art. As a result of the cold working, the nitinol core wire deforms to a cold worked martensite phase. 
     As shown in FIG. 4A, the core wire that results from the above described manufacturing has a constant cross-section from proximal end  48  to a boundary  42 , and then tapers in an extending portion  46  from a greater diameter at boundary  42  to a smaller diameter at second boundary  44  towards the distal end  30  of the wire  26 . The cross-sectional area of extending portion  46  decreases by at least about 20%, preferably by at least about 60%, more preferably by about 70%, and optimally by about 80% or more. In one embodiment, the core wire has a diameter of about 0.075 inches at boundary  42  and a diameter of about 0.003 inches at boundary  44 . Beyond boundary  44 , a region of constant cross-section  28  is provided where the core wire has a planar configuration, as shown in FIG.  4 B. This flattened, constant cross-sectional area preferably has a length of between about 5 and 10 mm, and more preferably a length of about 7.5 mm. The thickness of the tip is preferably in the range of about 0.001 to 0.004 inches, and more preferably, about 0.002 inches. 
     As shown in FIG. 4A, the core wire  26  has a proximal section extending from proximal end  48  to the boundary  44  between the tapered section  46  and the flattened tip region  28  which is superelastic. The core wire  26  has a distal section with a flattened tip portion  28  exhibiting no superelasticity. Elastic characteristics of the nitinol alloys can be best viewed by the stress strain diagrams obtained from various mechanical testing methods such as tensile tests, torsion tests, bending tests or compression tests. Among these methods, the tensile test emerges as the most common mechanical testing method. In particular, tensile tests provide very useful information about both the type of deformation and the amount of deformation that a test sample undergoes under an applies stress. In this respect, FIG. 5, which shows the stress-strain relationship of the proximal and distal sections of core wire  26 , provides very valuable information about the deformation characteristics of the nitinol alloy under tensile test conditions. 
     As shown in FIG. 5, the core wire  26  in general exhibits two different types of elastic deformation characteristics. The first deformation characteristics is shown by the solid curve  60 , corresponding to the stress-strain behavior of the distal tip  28 . Under the applied stress the curve  60  follows a substantially linear path  62 , wherein the material elastically deforms up to a point  64 , and upon unloading follows a substantially linear unloading curve  66 . There is a slight non-linearity in loading and unloading which causes a hysteresis in strain. The material at the tip  28  can thus be deformed to about 4% with less than about 0.3% permanent set. 
     FIG. 5 also shows a stress-strain curve  68  of the proximal section of the core wire  26 . Under the applied stress the curve  68  follows a substantially linear path  70  where the austenitic phase elastically deforms. The austenitic phase elastically deforms with increasing stress up to a critical yielding stress value  72  where martensitic transformation begins. After this critical stress point  72 , the material continues to transform into martensite. Throughout the transformation, despite a constant increase in deformation rate of the material, the applied stress remains about the same critical stress value  72  thereby revealing the superelastic property of the material. This superelastic behavior forms a loading plateau  74  on the curve  68  until the entire austenite phase transforms into the martensite phase. 
     Still referring to FIG. 5, at the end of transformation, the curve  68  no longer follows a straight path but a linearly increasing path  76  where the martensitic material elastically deforms up to a point  78  where unloading begins. During the unloading, the martensite structure transforms into austenite structure. Due to internal friction, there is not an overlap of loading and unloading, and the unloading curve moves down to lower stress values. During the course of unloading, the martensitic phase is first unloaded along the substantially linear portion  80  of curve  68 . At a critical stress value  82 , martensite to austenite transformation begins and continues along the unloading plateau  84 . Upon completion of austenitic transformation, the elastic deformation on austenitic material is unloaded along the linear portion  86 . 
     Thus, the core wire that results is substantially flexible in a proximal section and has less flexibility, and thus, greater shapeability, at a distal tip. In one preferred embodiment, the flexibility in the proximal section results from the material being processed to exhibit transformational superelasticity, i.e., having an austenite phase which will transform to a martensite phase upon the application of stress. The shapeability of the distal section results from the fact that the distal tip  28 , because of processing as described above, is in a martensitic phase, and thus exhibits only substantially linear elasticity. 
     Other processing than the steps described above may be used to impart flexibility and shapeability to the different portions of core wire  26 . For instance, instead of cold working and heat treating the wire as shown in FIGS. 3A and 3B, the core wire can be made superelastic by a solution treatment followed by aging process. Solution treatment temperatures are preferably above about 500° C., more preferably above about 700° C., and in one preferred embodiment, about 750° C. Following solution treatment, the core wire is quenched followed by aging. Aging temperatures are preferably in the range of about 300° to 500° C., and more preferably about 350° C. 
     In addition, superelasticity can be removed from the distal end of core wire  26  by providing an additional heat treatment on the distal end. The heat treatment can be performed with or without need for the second cold work step described in FIG.  3 D. The heat treatment preferably occurs at a temperature between about 400° and 800° C. For a temperature of 400° C., a heat treatment for about an hour or more is necessary to remove superelasticity from the core wire. For a temperature of 800° C., a heat treatment for about ten minutes or more will remove superelasticity. Other combinations of temperature and time of heat treatment to remove superelasticity from the wire as would be known to those skilled in the art. The resulting material at the distal end is in a martensite phase having substantially linear elasticity. 
     Securing the Core Wire to the Tubular Body 
     Referring again to FIG. 2, and also to FIG. 6 showing a cross-section of the assembled distal end of catheter  10 , there is depicted tubular body  12  incorporating a core wire manufactured by the present invention. The catheter  10  shown in FIG. 6, in addition to showing the tubular body  12 , core wire  26  and coil  32  as shown in FIG. 2, also depicts the balloon  22  mounted on the tubular body  12 . A distal marker  54  is located on tubular body  12  under an adhesive taper  50  adjacent the proximal end  92  of balloon  22 . A distal adhesive taper  52  is provided adjacent the distal end  94  of balloon  22 . Further details are provided in the above-referenced application SHAFT FOR MEDICAL CATHETERS application Ser. No. 09/026,105, filed Feb. 19, 1998, now U.S. Pat. No. 6,288,072. 
     In order to attach the core wire  26  to the tubular body  12 , the coil  32  is first attached to the core wire  26  in a subassembly. The core wire  26  is processed as described above and cut to the desired length. In the embodiment shown in FIGS. 2 and 6, the length of the core wire is about 37 mm. The coil  32  is then cut to a desired length which is shorter than the length of the core wire. As shown in FIGS. 2 and 6, the coil length is about 35 mm. The coil  32  is then slid over the core wire into a position leaving a proximal end  48  of the core wire exposed. In the embodiment shown in FIGS. 2 and 6, the proximal end  48  of the core wire  26  is exposed about 2 mm. The coil  32  is then soldered to the core wire  26 , preferably at two positions on the core wire  26 . FIG. 2 shows a proximal solder  88  at an intermediate position on the core wire, and a distal solder which forms the ball  34  at distal end  30 . Other locations for soldering the coil  32  to the core wire  26  are also contemplated by the invention. 
     This core wire-coil subassembly is then ready for insertion into tubular body  12 . Proximal end  48  of core wire  26  is inserted into a lumen  18  of tubular body  12  until the coil  32  butts against tubular body  12 , and core wire  26  is visible through notch  24 . Core wire  26  is secured within lumen  18  by crimping tubular body  12  such that the interior surface of tubular body  12  defining lumen  18  contacts proximal end  48  and firmly secures it within lumen  18 . Preferably, tubular body  12  is crimped at at least two points to secure proximal end  48  within lumen  18 . As shown in FIG. 2, two crimps  38  and  40  secure the tubular body  12  to the core wire  26 . In those embodiments where tubular body  12  is made of nitinol, sufficient crimping pressure must be exerted upon tubular body  12  to overcome the elastic response of nitinol. Generally, this requires exertion of sufficient pressure to deform the nitinol tubular body  12  by about 9% or more. For a nitinol tubular body  12  having an outer diameter of 0.014 inches, and an inner diameter of about 0.0095 inches, to be crimped over a nitinol core wire end  48  having an outer diameter of about 0.009 inches, it has been found that a pressure of about 120 ksi is sufficient. Other pressures may also be used provided that they are sufficient to cause tubular body  12  to securely contact core wire  26 , but not so great as to unduly deform tubular body  12 . 
     End  48  may be further sealed by use of adhesives  90  which are used to seal the balloon  22  to tubular body  12 . As shown in FIG. 2, balloon  22  is sealed at a proximal end  92  to the tubular body  12 , and at a distal end  94  to the coil  32  and tubular body  12 . The balloon  22  is bonded to tubular body  12  and the coil  32  by the adhesive  90 , preferably a cyanoacrylate such as LOCTITE 4011, although other types of adhesives may be used. The adhesive  90  is applied to the proximal and distal ends  92  and  94  of the balloon  22  and wicks into the balloon  22  up to the position of the adhesive stops  56  and  58 . Further details of balloon bonding are given in the above referenced application BALLOON CATHETER AND METHOD OF MANUFACTURE, application Ser. No. 09/026,225, filed Feb. 19, 1998. This adhesive  90  acts not only to seal the balloon to the catheter, but also to aid in sealing the coil  32  to the distal end  36  of tubular body  12 . 
     It will be appreciated that certain variations in the method of manufacture of the core wire of the present invention may suggest themselves to those skilled in the art. The foregoing detailed description is to be clearly understood as given by way of illustration, the spirit and scope of this invention being limited solely by the appended claims.