Catheter system

• US 20040064021A1
• Filed: 02/04/2003
• Published: 04/01/2004
• Est. Priority Date: 09/28/2002
• Status: Active Grant

• Current Assignee: Pulsion Medical Systems AG
• Original Assignee: Pulsion Medical Systems AG
• Inventors: Pfeiffer, Ulrich J.
• Granted Patent: US 6,954,665 B2
• Time in Patent Office: Days
• US Class Current: 600/341
• CPC Class Codes: A61B 5/1459 invasive, e.g. introduced into the body by a catheter A61B5/1464 takes precedence
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10

Abstract

A catheter system is suitable for the simultaneous, continuous, mutually unaffected measurement of the centrovenous oxygen saturation and the local concentration of injected indocyanine green. It has a centrovenous catheter with a fiber-optic lumen and a fiber-optic probe that can be inserted into the fiber-optic lumen for taking reflecto-oximetric measurements at a first wavelength of 660 nm, a second measuring wavelength of 805 nm and a reference wavelength of 880 nm. To prevent a longitudinal shift of the fiber-optic probe relative to the fiber-optic lumen, a connecting piece, securely connected to the fiber-optic probe, and a counterpart, securely connected to the catheter, are provided which can be joined together. The fiber-optic lumen which continues in the interior of the connecting piece can be cleaned when the connecting piece is attached to the counterpart. For this purpose, the connecting piece has a cleansing attachment for connecting a cleansing device. The cleaning takes place through the cleansing channel.

Claims

1. A catheter system for continuously measuring the centrovenous oxygen saturation and/or measuring the local concentration of injected indocyanine green, having

a flexible, elongated, centrovenously applicable basic body,

a fiber-optic probe (8) for taking reflecto-oximetric measurements,

a fiber-optic lumen for housing the fiber-optic probe and

fastening means for preventing a longitudinal shift of the fiber-optic probe relative to the fiber-optic lumen, the fastening means being detachable to enable a longitudinal shift of the fiber-optic probe relative to the fiber-optic lumen for removal of the fiber-optic probe,

wherein the fastening means has a connecting piece securely connected with the fiber-optic probe and a counterpart securely connected with the centrovenously applicable basic body which can be joined together, and that, when connected, the distance between the distal end of the centrovenously applicable basic body and the distal end of the fiber-optic probe is set at a predetermined value by the secure connections between probe and connecting piece as well as basic body and counterpart.

2. Catheter system according to claim 1, wherein the fiber-optic lumen can be cleaned when the connecting piece is attached to the counterpart.

3. Catheter system according to claim 2, wherein the connecting piece has a cleansing attachment for connection to a cleansing device.

4. Catheter system according to claim 1, wherein the predetermined value of the distance between distal end of the centrovenously applicable basic body and the distal end of the fiber-optic probe is between 10 and 40 mm, the distal end of the fiber-optic probe protruding beyond the distal end of the centrovenously applicable basic body.

5. Catheter system according to claim 1, wherein the predetermined value of the distance between the distal end of the centrovenously applicable basic body and the distal end of the fiber-optic probe is selected in such a way that the distal end of the fiber-optic probe extends flush with the basic body.

6. Catheter system according to claim 1, wherein the fiber-optic probe has a thin, flexible shaft consisting of a bio-compatible and hemo-compatible material as well as at least one afferent and at least one efferent optical fiber.

7. Catheter system according to claim 1, wherein the fiber-optic probe has an antithrombogenic cover in the area of a possible contact with blood.

8. Catheter system according to claim 1, wherein it has insertion aids for the centrovenous application of the basic body.

9. Catheter system according to claim 8, wherein the insertion aids have a guide wire.

10. Catheter system according to claim 9, wherein the insertion aids also have a puncture cannula suitable for inserting the guide wire.

11. Catheter system according to claim 10, wherein the insertion aids also have a tapered dilator adapted to the diameter of the guide wire, whose shaft diameter is at least as large as the outside diameter of the centrovenously applicable basic body.

12. Catheter system according to claim 9, wherein the catheter system further includes:

a distal lumen extending parallel to the fiber-optic lumen, and

a tapered hollow mandrel, the inside diameter of which is adapted to the guide wire and the outside diameter of which is adapted to the inside diameter of the distal lumen.

13. Catheter system according to claim 1, wherein the fiber-optic probe is made for the simultaneous, mutually unaffected measurement of the centrovenous oxygen saturation and the local concentration of injected indocyanine green.

14. Catheter system according to claim 13, wherein the fiber-optic probe can be connected to a light source and measuring device which is configured for the simultaneous emission and measurement of radiation of two measuring wavelengths and one reference wavelength.

15. Catheter system according to claim 14, wherein the first measuring wavelength is at 660 nm, the second measuring wavelength at 805 nm, and the reference wavelength at 880 nm.

16. Catheter system according to claim 1, further comprising a heating device for emitting heat impulses for taking transpulmonary measurements of heart/circulation values.

17. Light source and measuring device for attachment to a fiber-optic probe which can be inserted in a centrovenous catheter for the simultaneous, mutually unaffected measurement of centrovenous oxygen saturation and the local concentration of injected indocyanine green, wherein the light source and measuring device is configured for the simultaneous emission and measurement of radiation of two measuring wavelengths and one reference wavelength.

18. Light source and measuring device according to claim 17, wherein the first measuring wavelength is at 660 nm, the second measuring wavelength is at 805 nm and the reference wavelength at 880 nm.

19. Light source and measuring device according to claim 17, wherein the light source and measuring device is functionally interconnected with an evaluation unit which is furnished with means for calculating the centrovenous oxygen saturation with reference to the ratio between reflection measurements at the first measuring wavelength and the reference wavelength, as well as with means for calculating the centrovenous concentration of indocyanine green with reference to the ratio between reflection measurements at the second measuring wavelength and the reference wavelength.

20. Light source and measuring device according to claim 18, wherein the light source and measuring device is functionally interconnected with an evaluation unit which is furnished with means for calculating the centrovenous oxygen saturation with reference to the ratio between reflection measurements at the first measuring wavelength and the reference wavelength, as well as with means for calculating the centrovenous concentration of indocyanine green with reference to the ratio between reflection measurements at the second measuring wavelength and the reference wavelength.