Anti-clotting indwelling catheter

• US 20050245900A1
• Filed: 06/20/2005
• Published: 11/03/2005
• Est. Priority Date: 09/08/2003
• Status: Abandoned Application

• Current Assignee: AAT Catheter Technologies, LLC
• Original Assignee: Ash Access Technology, Inc.
• Inventors: Ash, Stephen R.
• Application Number:
  US11/156,793
• Publication Number:
  US 20050245900A1
• Time in Patent Office: Days
• US Class Current: 604/537
• CPC Class Codes: A61M 1/3661 for haemodialysis
• CPC Class Codes: A61M 2025/0031 characterized by lumina for withdrawing or delivering, i.e. used for extracorporeal circuit treatment
• CPC Class Codes: A61M 2025/0188 having slitted or breakaway lumens
• CPC Class Codes: A61M 2025/1081 having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
• CPC Class Codes: A61M 25/0017 specially adapted for long-term hygiene care, e.g. urethral or indwelling catheters to prevent infections
• 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 25/0032 characterized by at least one unconventionally shaped lumen, e.g. polygons, ellipsoids, wedges or shapes comprising concave and convex parts
• 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 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 25/0075 Valve means
• CPC Class Codes: A61M 25/0082 Catheter tip comprising a tool
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00

Abstract

A catheter for providing blood flow includes a wall defining at least one lumen extending between a distal end and a proximal end. The distal end portion of the catheter is deformable to selectively open and close one or more ports in the wall to allow blood flow into or out of the lumen of the catheter.

Claims

1. A catheter, comprising:

a body defining at least one lumen for passage of blood flow therethrough, said body extending between a distal end positionable in a vascular structure of a patient and a proximal end positionable outside the patient with the distal end in the vascular structure, said body including a wall having adjacent wall portions defining at least one port adjacent said distal end, said at least one port including a first closed condition formed by abutting engagement of said wall portions for preventing blood flow through said port into said lumen, said port including a second open condition formed by radially deforming at least one of said wall portions to open said at least one port and permit blood flow through said port into said lumen.

2. The catheter of claim 1, wherein said lumen is closed at said distal end of said body when said at least one port is in each of said open and closed conditions.

3. The catheter of claim 1, wherein said at least one port is an elongated slit extending parallel to a longitudinal axis of said body.

4. The catheter of claim 1, wherein said at least one port includes three ports symmetrically and radially spaced about said body.

5. The catheter of claim 1, wherein said at least one port is elongated and includes a distal end spaced about 5 millimeters from said distal end of said body and a proximal end spaced about 15 millimeters from said distal end of said at least one port.

6. The catheter of claim 1, wherein said at least one port includes multiple ports and said wall defines wall portions between adjacent ones of said multiple ports, said wall portions each projecting radially about said wall upon radial deformation of said wall portions to move said multiple ports toward said open condition.

7. The catheter of claim 6, wherein each of said wall portions axially deform simultaneously with radial deformation of said wall portion as said multiple ports are moved toward said open condition.

8. The catheter of claim 6, wherein said body includes multiple actuating members in said wall with distal ends engaged to respective ones of said wall portions, said actuating members extending proximally from said distal ends thereof to an actuator adjacent a proximal end of said body, said actuator being operable to proximally and distally displace said actuating members relative to said body to radially deform and reform said wall portions and move said multiple ports between said open and closed conditions, respectively.

9. The catheter of claim 1, wherein said body includes at least one actuating member in said wall having a distal end engaged to said wall adjacent said at least one port and extending proximally to an actuator adjacent a proximal end of said body, said actuator being operable to proximally and distally displace said at least one actuating member relative to said body and radially deform and reform said at least one wall portion to move said at least one port between said open and closed conditions, respectively.

10. The catheter of claim 9, wherein said at least one actuating member is coupled to said actuator and is linearly movable in said wall upon manipulation of said actuator from a first distal position wherein said at least one port is in said closed condition and a second proximal position wherein said at least one actuating member radially deforms said at least one wall portion to place said at least one port in said open condition.

11. The catheter of claim 9, wherein said at least one actuating member extends along said at least one port.

12. The catheter of claim 11, wherein said distal end of said at least one actuating member is located distally of said at least one port.

13. The catheter of claim 9, wherein said actuator includes a hub positioned about said body of said catheter and a slide lock mechanism coupled to said at least one actuating member, said slide lock mechanism being movable relative to said hub and said body to axially displace said at least one actuating member relative to said body.

14. The catheter of claim 13, wherein at least one of said slide lock mechanism and said hub includes at least one locking member engageable with at least one locking surface of the other of said slide lock mechanism and said hub to maintain a position of said slide lock mechanism relative to said hub with said at least one port in at least one of said open and closed conditions.

15. The catheter of claim 14, wherein said at least one locking surface includes a plurality of axially spaced locking surfaces, and said at least one locking member is movable axially along said locking surfaces and selectively engageable thereto to maintain a position of said slide lock mechanism relative to said hub.

16. The catheter of claim 14, wherein one of said slide lock mechanism and said hub includes an axially extending receptacle and said at least one locking surface is formed by an offset receptacle extending transversely to said axially extending receptacle, said at least one locking member being movable along said axially extending receptacle and being rotatable into said offset receptacle to maintain a position of said slide lock mechanism relative to said hub and said at least one port in at least one of said open and closed conditions.

17. The catheter of claim 9, wherein said actuator includes a tube member extending from said body and said actuating member extends through said tube member, wherein when said at least one port is in said open condition said tube member is expanded and as said at least one actuating member is displaced distally along said wall said tube member contracts along a length thereof until said at least one actuating member is displaced distally to reform said wall and place said at least one port in said closed condition.

18. The catheter of claim 1, wherein radially deforming said wall reduces a length of said body along said at least one port.

19. The catheter of claim 1, wherein said wall forms a bulbous shape when radially deformed.

20. The catheter of claim 1, wherein said body includes an enlargement member in said lumen adjacent said at least one port, said enlargement member having a reduced size configuration when said at least one port is in said closed condition and being enlargeable to an enlarged configuration to radially deform said wall and place said at least one port in said open condition.

21. The catheter of claim 20, wherein said wall includes an inflation lumen in fluid communication with a hollow interior of said enlargement member.

22. The catheter of claim 21, wherein said body includes a pocket in said distal end thereof in fluid communication with said inflation lumen and isolated from said lumen of said body, and further comprising a stem defining a fluid passage extending between and providing fluid communication between said pocket and said hollow interior of said enlargement member.

23. The catheter of claim 20, further comprising at least one arm extending between said enlargement member and said at least one wall portion, said at least one arm acting on said at least one wall portion as said enlargement member is enlarged to effect positioning of said at least one port in said open condition.

24. The catheter of claim 23, wherein said at least one port includes three ports spaced about said body, said three ports being spaced from one another by a respective one of three wall portions extending between adjacent ones of said ports, said at least one arm including three arms extending from said enlargement member to a respective one of said three wall portions.

25. The catheter of claim 20, wherein said body includes a second wall member extending through said lumen, said second wall member defining a second lumen, said second wall member including a plurality of end members extending distally of said at least one port, said plurality of end members defining a distal opening therebetween to permit egress of fluid from said second lumen.

26. The catheter of claim 25, wherein said plurality of end members are normally biased into engagement with one another to close said distal opening, said plurality of end members being movable away from one another to open said distal opening in response to fluid pressure in said second lumen.

27. The catheter of claim 25, wherein said enlargement member extends about said second wall member and said end members extend distally of said enlargement member.

28. The catheter of claim 27, wherein said at least one port is in communication with a distal end of said body.

29. The catheter of claim 28, wherein said wall portions each include an arm extending from a distal end thereof into contact with said enlargement member.

30. The catheter of claim 29, wherein said enlargement member pushes said arms outwardly as said enlargement member is enlarged to radially deform said wall portions and move said at least one port to said open condition.

31. The catheter of claim 27, wherein said second wall member includes an inflation lumen in fluid communication with said enlargement member.

32. The catheter of claim 1, wherein said at least one wall portion is radially deformed by axially compressing said at least one wall portion along said at least one port.

33. The catheter of claim 1, wherein said wall of said body defines said at least one lumen and said body further comprises a second wall defining a second lumen, said first and second lumens extending in side-by-side relation with one another.

34. The catheter of claim 33, wherein said wall terminates at a first distal end and said second wall terminates at a second distal end, said first distal end being spaced proximally of said second distal end.

35. The catheter of claim 34, wherein said second wall includes at least one port in communication with said second lumen, said at least one port of said second wall extending along said second wall and located distally of said first distal end.

36. The catheter of claim 35, further comprising a first enlargement member adjacent said at least one lumen and a second enlargement member adjacent said second lumen, said first enlargement member being enlargeable to deform said wall and open said at least one port of said wall and said second enlargement member being enlargeable to deform said second wall and open said at least one port of said second wall.

37. The catheter of claim 33, further comprising a common wall between said at least one lumen and said second lumen.

38. The catheter of claim 33, wherein said lumens each include a D-shaped portion.

39. A catheter, comprising:

a body defining at least one lumen for passage of blood flow therethrough, said body extending between a distal end portion positionable in a vascular structure of a patient and a proximal end positionable outside the patient with the distal end portion in the vascular structure, said body including at least one wall having adjacent wall portions defining at least one port in said distal end portion in communication with said at least one lumen, said at least one port including a first closed condition formed by abutting engagement of said wall portions for preventing blood flow through said at least one port, wherein said body includes an enlargement member adjacent said at least one port, said enlargement member having a reduced size configuration when said at least one port is in said closed condition and said enlargement member is enlargeable to an enlarged configuration to deform at least one of said wall portions and place said at least one port in an open condition to permit blood flow through said at least one port.

40. The catheter of claim 39, wherein said wall of said body defines said at least one lumen and said body further comprises a second wall defining a second lumen, said first and second lumens extending in side-by-side relation with one another.

41. The catheter of claim 40, further comprising a common wall between said at least one lumen and said second lumen.

42. The catheter of claim 40, wherein said lumens each include a D-shape at least along said distal end portion of said body.

43. The catheter of claim 40, wherein said wall terminates at a first distal end and said second wall terminates at a second distal end, said first distal end being spaced proximally of said second distal end.

44. The catheter of claim 43, wherein said first and second distal ends are closed.

45. The catheter of claim 44, wherein said second wall includes at least one port in communication with said second lumen, said at least one port of said second wall extends along said second wall and is located distally of said first distal end.

46. The catheter of claim 45, further comprising a second enlargement member in said second lumen, said second enlargement member being enlargeable to deform said second wall and place said at least one port of said second wall in an open condition.

47. The catheter of claim 46, wherein said at least one enlargement member is located between said first distal end said at least one lumen and said second enlargement member is located between said second distal end and said second lumen.

48. The catheter of claim 46, where said wall and said second wall each include an arm embedded therein adjacent a respective one of said ports, said arms including shape recovery properties to provide active closure of said ports when said enlargement members are in a reduced size configuration.

49. The catheter of claim 46, wherein said body includes at least one inflation lumen in fluid communication with each of said enlargement members.

50. The catheter of claim 39, wherein in said open condition said at least one wall portion is radially deformed.

51. The catheter of claim 39, wherein said wall includes an inflation lumen in fluid communication with a hollow interior of said enlargement member.

52. The catheter of claim 51, wherein said body includes a pocket in said distal end thereof in fluid communication with said inflation lumen and isolated from said lumen of said body, and further comprising a stem defining a fluid passage extending between and providing fluid communication between said pocket and said hollow interior of said enlargement member.

53. The catheter of claim 39, further comprising at least one arm extending between said enlargement member and said at least one of said wall portions, said at least one arm acting on said at least one wall portion as said enlargement member is enlarged to deform said at least one wall portion.

54. The catheter of claim 53, wherein said at least one port includes three ports spaced about said body, said three ports being spaced from one another by a respective one of three wall portions extending between adjacent ones of said ports, said at least one arm including three arms extending from said enlargement member to a respective one said three wall portions.

55. The catheter of claim 39, wherein said body includes a second wall member extending through said lumen, said second wall member defining a second lumen, said second wall member including a plurality of end members extending distally of said at least one port, said plurality of end members defining a distal opening therebetween to permit egress of fluid from said second lumen.

56. The catheter of claim 55, wherein said plurality of end members are normally biased into engagement with one another to close said distal opening, said plurality of end members being movable away from one another to open said distal opening in response to fluid pressure in said second lumen.

57. The catheter of claim 55, wherein said enlargement member extends about said second wall member and said end members extend distally of said enlargement member.

58. The catheter of claim 57, wherein said at least one port is formed by an elongated slit extending through a distal end of said body.

59. The catheter of claim 58, wherein said wall portions each include an arm extending from a distal end thereof into contact with said enlargement member,

60. The catheter of claim 59, wherein said enlargement member pushes said arms outwardly as said enlargement member is enlarged to radially deform said wall portions and place said port in said open condition.

61. A catheter, comprising:

a body defining at least one lumen for passage of blood flow therethrough, said body extending between a distal end positionable in a vascular structure of a patient and a proximal end positionable outside the patient with the distal end in the vascular structure, said body including a wall having adjacent wall portions defining at least one port adjacent said distal end, said at least one port including a first closed condition formed by abutting engagement of said wall portions with sufficient force to prevent blood flow through said port into said lumen, said port including a second open condition formed by radially deforming at least one of said wall portions in the vascular structure and permit blood flow through said port into said lumen.

62. The catheter of claim 61, wherein said at least one port is an elongated slit in said closed and open conditions.