Catheter for reduced reflux in targeted tissue delivery of a therapeutic agent

• US 20090088695A1
• Filed: 09/28/2007
• Published: 04/02/2009
• Est. Priority Date: 09/28/2007
• Status: Active Grant

• Current Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Original Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Inventors: Keeley, Daniel, Schorn, Greg, Kapur, Terri
• Granted Patent: US 7,766,875 B2
• Time in Patent Office: Days
• US Class Current: 604/164.10
• CPC Class Codes: A61M 2025/0063 having means, e.g. stylets, mandrils, rods or wires to reinforce or adjust temporarily the stiffness, column strength or pushability of catheters which are already inserted into the human body
• CPC Class Codes: A61M 25/0054 with regions for increasing flexibility
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked

Abstract

A catheter for delivery of a therapeutic agent directly into a targeted tissue that reduces or substantially prevents reflux and back flow by providing rigidity and strength via a stylet thereby eliminating the need for a guide or delivery sheath during positioning. The catheter has a flexible proximal section and a substantially rigid distal section formed from a plurality of distal subsections. The proximal and distal sections having decreasing outer diameters starting from the proximal end and advancing towards the distal end. The distal subsection closest to the distal end providing an adjustable flow rate via multiple output ports defined radially therein while the distal end itself is closed off.

Claims

1. A catheter having a proximal end and an opposite closed off distal end, the catheter comprising:

a proximal section disposed closest to the proximal end, the proximal section having a substantially uniform outer diameter, the proximal section being formed of a flexible material;

a distal section disposed closest to the distal end;

the distal section being formed of a substantially rigid material;

the distal section formed by a plurality of distal subsections including at least a first distal subsection closest to the proximal end and having a substantially uniform outer diameter and a second distal subsection closest to the distal end and having a substantially uniform outer diameter, wherein the outer diameter of the first distal subsection is greater than the outer diameter of the second distal subsection;

the second distal subsection having a plurality of openings defined radially therein; and

the proximal and distal sections having a lumen defined therethrough extending from the proximal end to the distal end.

2. The catheter in accordance with claim 1, wherein starting from the proximal end and advancing towards the distal end, each of the plural distal subsections has an outer diameter smaller than the previous distal subsection.

3. The catheter in accordance with claim 2, wherein the outer diameter of the first distal subsection is smaller than the outer diameter of the proximal section.

4. The catheter in accordance with claim 1, wherein the plural openings are only defined in the second distal subsection.

5. The catheter in accordance with claim 1, wherein the lumen is configured to receive a stylet therein so as to eliminate the need for a delivery sheath.

6. The catheter in accordance with claim 5, wherein the lumen has an inner diameter of approximately 0.6 mm.

7. The catheter in accordance with claim 6, wherein the lumen is configured to permit passage of a stylet at least partially into the distal section.

8. The catheter in accordance with claim 7, wherein the lumen is configured to permit passage of a stylet substantially to the distal end.

9. The catheter in accordance with claim 1, wherein the lumen delivers infusate to a targeted tissue.

10. The catheter in accordance with claim 1, wherein the distal section is made of stainless steel.

11. The catheter in accordance with claim 1, wherein the distal section is made of titanium.

12. The catheter in accordance with claim 1, wherein the distal section has a length between approximately 1.0 cm to approximately 4.0 cm.

13. The catheter in accordance with claim 1, wherein the proximal section is made of silicone.

14. The catheter in accordance with claim 1, wherein the proximal section is made of polyurethane.

15. The catheter in accordance with claim 1, wherein the distal section is configured to receive a stylet at least partially in the lumen.

16. The catheter in accordance with claim 15, wherein the distal section is configured to receive a stylet in the lumen extending substantially to the distal end.

17. A method for positioning of a catheter to deliver a therapeutic agent to a targeted tissue, the catheter having a proximal end and an opposite closed off distal end;

the catheter further comprising a proximal section disposed closest to the proximal end, the proximal section having a substantially uniform outer diameter, the proximal section being formed of a flexible material;

the catheter also including a distal section disposed closest to the distal end;

the distal section being formed of a substantially rigid material;

the distal section formed by a plurality of distal subsections including at least a first distal subsection closest to the proximal end and having a substantially uniform outer diameter and a second distal subsection closest to the distal end and having a substantially uniform outer diameter, wherein the outer diameter of the first distal subsection is greater than the outer diameter of the second distal subsection;

the second distal subsection having a plurality of openings defined radially therein; and

the proximal and distal sections having a lumen defined therethrough extending from the proximal end to the distal end, comprising the steps of;

inserting a stylet into the lumen, the stylet extending into the lumen at least partially in the distal section.

18. The method in accordance with claim 17, further comprising the step of positioning the assembled stylet and catheter at the targeted tissue.

19. The method in accordance with claim 18, further comprising the step of removing the stylet completely while leaving in place the positioned catheter.

20. The method in accordance with claim 17, wherein the stylet eliminates the need for a delivery sheath.

21. The method in accordance with claim 19, wherein once positioned, a hole formed in the targeted tissue by the catheter is limited in size to substantially the largest outer diameter in the distal section.

22. The method in accordance with claim 17, wherein the stylet provides all necessary rigidity over the entire length of the catheter during insertion so that it may be properly positioned proximate the targeted tissue site.

23. The method in accordance with claim 17, wherein the inserting step comprises inserting the stylet into the lumen defined in the distal section so that it extends substantially to the distal end.