Diagnostic methods for branching catheter systems

• US 20050241387A1
• Filed: 04/22/2005
• Published: 11/03/2005
• Est. Priority Date: 04/22/2004
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Miesel, Keith A., Blanco, Justin A.
• Granted Patent: US 7,763,007 B2
• Time in Patent Office: Days
• US Class Current: 73/204.210
• CPC Class Codes: A61M 2025/0073 Tip designed for influencing the flow or the flow velocity of the fluid, e.g. inserts for twisted or vortex flow
• CPC Class Codes: A61M 2039/1005 Detection of disconnection
• CPC Class Codes: A61M 2205/15 Detection of leaks
• CPC Class Codes: A61M 2206/16 Rotating swirling helical flow, e.g. by tangential inflows
• CPC Class Codes: A61M 25/00 Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 25/0021 characterised by the form of the tubing A61M25/0054 takes precedence
• CPC Class Codes: A61M 25/0029 characterized by features relating to least one lumen located at the middle part of the catheter, e.g. slots, flaps, valves, cuffs, apertures, notches, grooves or rapid exchange ports catheter shaft surface irregularities A61M2025/006
• CPC Class Codes: A61M 25/003 characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves catheter tips A61M25/0067
• CPC Class Codes: A61M 25/0043 characterised by structural features
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/0071 Multiple separate lumens multiple separate lumens throughout the catheter A61M25/0026
• CPC Class Codes: A61M 25/0075 Valve means
• CPC Class Codes: A61M 27/006 Cerebrospinal drainage; Accessories therefor, e.g. valves
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• CPC Class Codes: A61M 5/16813 by controlling the degree of opening of the flow line

Abstract

Branching catheter systems with diagnostic components for detecting and isolating fluid flow problems (e.g., leaks, occlusions, etc.) and methods for detecting and isolating fluid flow problems are disclosed. Among the fluid flow problems that may potentially be detected are leaks in the branching catheter systems (e.g., cuts, disconnected components, etc.). Another fluid flow problem that may be detected using the diagnostic systems of the present invention is the presence of occlusions or other blockages that prevent fluid flow within the catheter systems. In addition to identifying that a problem exists, the diagnostic components may preferably also be used to identify the location of the fluid flow problem as discussed herein. Connectors for use in the branching catheter systems are also disclosed. Among the diagnostic components that may be used in branching catheter systems of the present are valves to control fluid flow through the various sections of the branching catheter system, fluid flow detectors to detect flow through the one or more sections of the branching catheter system and a control system for operating the diagnostic components.

Claims

1. A method of diagnosing flow conditions in a branched catheter system, the method comprising:

providing an implantable branched catheter system comprising;

a supply catheter section comprising a proximal end and a distal end, wherein moving from the proximal end towards the distal end defines a downstream direction within the system and wherein moving from the distal end towards the proximal end defines an upstream direction within the system;

a flow detector located proximate the proximal end of the supply catheter section, wherein the flow detector detects flow through the supply catheter section; and

two or more delivery branches in fluid communication with the distal end of the supply catheter, wherein each delivery branch of the two or more delivery branches comprises a delivery catheter section comprising a proximal end and a distal end, and wherein each delivery branch of the two or more delivery branches comprises a flow restrictor located within the delivery branch, wherein the flow restrictor restricts flow through the delivery catheter section;

delivering fluid into the proximal end of the supply catheter section; and

monitoring the flow detector while delivering the fluid and while selectively occluding flow through one or more of the supply catheter section and the delivery catheter sections.

2. A method according to claim 1, wherein the flow restrictor located within each delivery branch of the two or more delivery branches is located proximate the distal end of the delivery catheter section.

3. A method according to claim 1, further comprising selectively shunting the fluid delivered into the supply catheter section outside of the system before the fluid enters the two or more delivery branches while monitoring the flow detector.

4. A method according to claim 3, wherein the shunting is performed using a bleeder valve in fluid communication with supply catheter.

5. A method according to claim 3, wherein the shunting is performed by disconnecting the supply catheter section from the two or more delivery branches.

6. A method according to claim 1, further comprising identifying an occlusion located within a specific delivery branch of the two or more delivery branches based on monitoring the flow detector.

7. A method according to claim 6, wherein identifying an occlusion located within a specific delivery branch comprises selectively occluding all delivery branches other than the specific delivery branch.

8. A method according to claim 7, wherein the occluding comprises closing a branch valve in all delivery branches other than the specific delivery branch.

9. A method according to claim 7, wherein the occluding comprises manually pinching a lumen in all delivery branches other than the specific delivery branch.

10. A method according to claim 1, further comprising identifying an occlusion located upstream of the two or more delivery branches based on monitoring the flow detector.

11. A method according to claim 10, wherein identifying an occlusion comprises selectively shunting the fluid delivered into the supply catheter outside of the system before the fluid enters the two or more delivery branches.

12. A method according to claim 11, wherein the shunting is performed using a bleeder valve in fluid communication with supply catheter.

13. A method according to claim 11, wherein the shunting is performed by disconnecting the supply catheter from the two or more delivery branches.

14. A method according to claim 1, further comprising identifying a leak located within a specific delivery branch of the two or more delivery branches based on monitoring the flow detector.

15. A method according to claim 14, wherein identifying a leak located within a specific delivery branch comprises selectively occluding all delivery branches other than the specific delivery branch.

16. A method according to claim 15, wherein the occluding comprises closing a branch valve in all delivery branches other than the specific delivery branch.

17. A method according to claim 15, wherein the occluding comprises manually pinching a lumen in all delivery branches other than the specific delivery branch.

18. A method according to claim 1, further comprising identifying a leak located upstream of the two or more delivery branches based on monitoring the flow detector.

19. A method according to claim 18, wherein identifying a leak located upstream of the two or more delivery branches comprises selectively occluding flow through all of the two or more delivery branches.

20. A method according to claim 19, wherein the occluding comprises closing a branch valve in all delivery branches of the two or more delivery branches.

21. A method according to claim 19, wherein the occluding comprises manually pinching a lumen in all delivery branches of the two or more delivery branches.

22. A method according to claim 19, wherein selectively occluding flow through all of the two or more delivery branches comprises occluding fluid flow proximate the distal end of the supply catheter section.

23. A method according to claim 22, wherein occluding fluid flow proximate the distal end of the supply catheter section comprises closing a supply valve.

24. A method according to claim 22, wherein occluding fluid flow proximate the distal end of the supply catheter comprises manually pinching a lumen in the supply catheter.

25. A method of diagnosing flow conditions in a branched catheter system, the method comprising:

providing an implantable branched catheter system comprising;

a supply catheter section comprising a proximal end and a distal end, wherein moving from the proximal end towards the distal end defines a downstream direction within the system and wherein moving from the distal end towards the proximal end defines an upstream direction within the system;

a flow detector located proximate the proximal end of the supply catheter section, wherein the flow detector detects flow through the supply catheter section; and

two or more delivery branches in fluid communication with the distal end of the supply catheter, wherein each delivery branch of the two or more delivery branches comprises a delivery catheter section comprising a proximal end and a distal end, and wherein each delivery branch of the two or more delivery branches comprises a flow restrictor located proximate a distal end of the delivery branch, wherein the flow restrictor restricts flow through the delivery catheter section;

delivering fluid into the proximal end of the supply catheter section;

monitoring the flow detector while delivering the fluid and while selectively occluding flow through one or more of the supply catheter section and the delivery catheter sections; and

selectively shunting the fluid delivered into the supply catheter section outside of the system before the fluid enters the two or more delivery branches while monitoring the flow detector.