Medical device with improved wire guide access

• US 20020049423A1
• Filed: 05/09/2001
• Published: 04/25/2002
• Est. Priority Date: 05/18/2000
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Wilson-Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Foushee, Jason D., Carter, Matthew P., Howell, Douglas A., Gibbons, William S. Jr.
• Granted Patent: US 6,533,782 B2
• Time in Patent Office: Days
• US Class Current: 604/528
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2018/00553 Sphincter
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/144 Wire
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61M 2025/0037 characterized by lumina being arranged side-by-side
• CPC Class Codes: A61M 2025/004 characterized by lumina being arranged circumferentially
• CPC Class Codes: A61M 25/0028 characterized by features relating to at least one lumen located at the proximal part of the catheter, e.g. alterations in lumen shape or valves catheter hubs A61M25/0097
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• CPC Class Codes: A61M 25/09 Guide wires
• CPC Class Codes: A61M 39/0613 with means for adjusting the seal opening or pressure A61M39/0693 takes precedence

Abstract

Disclosed is a medical apparatus assembly (10) comprising a medical device (11) that includes a side port assembly 13 adapted to combine a first pathway (37) for infusion of fluids with a second pathway (38) for wire guide (12) into a first passageway (26) while the second passageway (27) includes the third pathway (39), which comprises a control member (24), such as an electrical wire. The side port assembly is configured such that the first passageway communicates with both a first port (16), such as a fitting for connecting to a syringe, and a second port (15) which includes a sealing mechanism (32), such as a Tuohy-Borst fitting, thereby allowing the wire guide to be preloaded, instead of requiring it to be removed prior to infusing fluids. Optionally, a third port (43) may be included when external communication with the second passageway, is desired, such as balloons or baskets.

Claims

1. A medical apparatus to be used in combination with a medical wire guide, comprising:

a handle assembly that includes a side port assembly comprising at least a first port and a second port;

a catheter portion attached to the handle assembly, the catheter portion including at least a first and a second lumen extending at least partially therethrough;

a first pathway adapted for the delivery of a fluid therethrough, the first pathway communicating with the first port;

a second pathway adapted for accommodating the medical wire guide, the second pathway communicating with the second port;

a third pathway extending distally from the handle assembly through the second lumen, the third pathway adapted to permit remote operation of a working member located about the distal end of the catheter portion; and

wherein the second port includes a sealing mechanism adapted to seal around the wire guide when placed therein, and substantially preventing the loss of fluid from the second port, and wherein the first and second pathways each extend through the first lumen, such that the wire guide can be placed and remain within the second pathway while the fluid comprising the first pathway is infused therethrough.

2. The medical device of claim 1, wherein the medical device comprises an electrosurgical device with the third pathway comprising a control member that includes an electrical conductor communicating with a working member.

3. The medical device of claim 2, wherein the electrosurgical device comprises a sphincterotome with the working member comprising a cutting wire.

4. The medical device of claim 1 further including the wire guide, the wire guide being preloaded within the second pathway of the medical device.

5. The medical device of claim 1 wherein the second pathway includes a tubular conduit communicating with both the second port and the first lumen, the conduit including an opening that communicates with the first port.

6. The medical device of claim 1, wherein the medical device comprises a balloon catheter with the third pathway adapted to deliver an infusate via one or more inflation lumens.

7. The medical device of claim 1, wherein the medical device comprises a retrieval device with the control member comprising an actuating member.

8. A sphincterotome used in combination with a medical wire guide, comprising:

a handle assembly that includes a side port assembly comprising at least a first port and a second port, the side port assembly further including a first passageway and a second passageway;

a catheter portion attached to the handle assembly, the catheter portion including at least a first and a second lumen extending at least partially therethrough;

a first pathway adapted for the delivery of an infusate therethrough, the first pathway communicating with the first port;

a second pathway adapted for accommodating the medical wire guide, the second pathway communicating with the second port, the second port including a sealing mechanism that is sealable about the wire guide;

a third pathway comprising an electrical conductor that is disposed within the second passageway; and

wherein the first and second pathways each feed into the first passageway and extend through the first lumen, such that the wire guide can remain within the second pathway while the infusate is infused through the first pathway.

9. The sphincterotome of claim 8, wherein the first port and the second port each feed a first passageway, the first passageway comprising an elongate cannula.

10. The sphincterotome of claim 9, wherein the second port is located proximal the first port, the second port communicating with the cannula via one end thereof, and with the first port communicating with the cannula via an aperture located therealong.

11. A medical device used in combination with a wire guide, comprising:

a handle assembly that includes a side port assembly comprising at least a first port, a second port, and a third port;

a catheter portion attached to the handle assembly, the catheter portion including at least a first and a second lumen extending at least partially therethrough;

a first pathway adapted for the delivery of a fluid therethrough, the first pathway communicating with the first port;

a second pathway adapted for accommodating a wire guide, the second pathway communicating with the second port, the second port being sealable about the wire guide;

a third pathway communicating with a third port and extending through the second passageway and second lumen, the third pathway adapted to permit remote operation of a working member located about the distal end of the catheter portion; and

wherein the first and second, pathways each extend through the first lumen, such that the wire guide can be placed and remain within the second pathway while the fluid is infused through the first pathway.

12. The medical apparatus of claim 11, wherein the third pathway comprises an actuating member and the working member comprises at least one of group consisting of a basket, snare, or deflectable device.

13. The medical apparatus of claim 11, wherein the third pathway comprises at least one inflation lumen and the working member comprises an inflatable member.

14. A sphincterotome used in combination with a medical wire guide, comprising:

a handle assembly that includes a side port assembly comprising at least a first port and a second port, the side port assembly further including a first passageway and a second passageway;

a catheter portion attached to the handle assembly, the catheter portion including at least a first and a second lumen extending at least partially therethrough;

a first pathway adapted for the delivery of a fluid therethrough, the first pathway communicating with the first port;

a second pathway comprising the medical wire guide, the second pathway communicating with the second port, the second port including a sealing mechanism that is sealable about the wire guide;

a third pathway comprising an electrical conductor that is disposed within the second passageway; and

wherein the first and second pathways each feed into the first passageway and extend through the first lumen, such that the wire guide can remain within the second pathway while the infusate is infused through the first pathway, and wherein the first passageway comprises a cannula that extends at least partway into the first lumen of the catheter portion.