Injection catheter and method

• US 4,578,061 A
• Filed: 07/31/1984
• Issued: 03/25/1986
• Est. Priority Date: 10/28/1980
• Status: Expired due to Term

• Current Assignee: Jerome H. Lemelson
• Original Assignee: Jerome H. Lemelson
• Inventors: Lemelson, Jerome H.
• Primary Examiner(s): NOT, DEFINED
• Application Number:
  US06/636,239
• Time in Patent Office: 602 Days
• Field of Search: 604/51-53, 604/55, 604/117, 604/144, 604/164-169, 604/192-198, 604/263
• US Class Current: 604/170.01
• CPC Class Codes: A61B 1/00165 with light-conductive means, e.g. fibre optics A61B1/07 takes precedence
• CPC Class Codes: A61B 2017/22077 with a part piercing the tissue A61B2017/22044 takes precedence
• CPC Class Codes: A61B 2562/0238 Optical sensor arrangements for performing transmission measurements on body tissue
• CPC Class Codes: A61M 2025/0002 with a pressure sensor at the distal end
• CPC Class Codes: A61M 2025/009 the needle having a bent tip, i.e. the needle distal tip is angled in relation to the longitudinal axis of the catheter
• CPC Class Codes: A61M 2025/0096 being laterally outward extensions or tools, e.g. hooks or fibres
• 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 25/0069 Tip not integral with tube
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 25/0082 Catheter tip comprising a tool
• CPC Class Codes: A61M 25/0084 being one or more injection needles
• CPC Class Codes: A61M 31/007 Injectors for solid bodies, e.g. suppositories
• CPC Class Codes: A61M 37/0069 Devices for implanting pellets, e.g. markers or solid medicaments for introducing of radioactive sources for interstitial radiation therapy, i.e. brachytherapy A61N5/1027
• CPC Class Codes: A61N 5/1002 Intraluminal radiation therapy
• CPC Class Codes: A61N 5/1014 Intracavitary radiation therapy

Abstract

A catheter and method are provided for injecting a quantity of a liquid, such as a medication, into tissue located immediately adjacent the head of the catheter. A hollow needle such as a hypodermic needle, is movably supported within the head of the catheter and is urged longitudinally through a passageway therein to protrude outwardly from the catheter head after the catheter is selectively located within a body duct. The needle penetrates tissue adjacent the head and a liquid is flowed thereafter through and out the end of the needle into the tissue. The needle may be moved longitudinally through a passageway extending along or parallel to the longitudinal axis of the catheter and head or may be moved longitudinally and laterally through the head to protrude from a sidewall portion thereof at an angle to the body duct into which the head is inserted and in a manner to penetrate the tissue of the duct or an organ disposed adjacent the head. Control of the catheter, needle movement through the head and flow of a liquid through and from the end of the needle, are affected from outside of the body.

Claims

1. A catheter comprising:

an elongated hollow flexible tubular member adapted to be inserted into and moved along a body duct, such as an artery,

an operating head attached to and terminating at one end of said flexible tubular member and having a side wall portion facing lateral to the longitudinal axis of said flexible tubular member,

an elongated narrow passageway extending longitudinally and laterally through said operating head and terminating at one end at an opening in said side wall of said head,

a hollow hypodermic needle having a dispensing front end with an opening therein, said needle being completely disposed and supported within said operating head and movable longitudinally through said passageway in said head from a retracted position therein whereby the dispensing end of said needle is below said opening in said side wall of said head to an extended position whereby said dispensing end of said needle projects laterally outwardly beyond the side wall of said head so as to permit said dispensing end of said needle to penetrate tissue against the side wall of said head,

first means at the other end of said elongated hollow flexible tubular member for applying a force for urging movement of said needle through said passageway in said head from said retracted position therein to said extended position lateral of said head and for returning said needle from said extended to said retracted position within said head when said head is selectively located within a passageway of a living being,

second means for introducing a liquid into said needle and ejecting said liquid through the opening in the dispensing end of said needle into tissue penetrated by the end of said needle.

2. A catheter in accordance with claim 1 wherein said second means for introducing a liquid into said needle is coupled to force said liquid through said hollow flexible tube, said hypodermic needle having a second opening therein extending to the exterior of said needle a distance from said first opening at the dispensing end of said needle, said second opening being in coupling communication with the interior of said flexible tube connected to said head to permit liquid introduced into said tube under pressure to flow through said needle and to be ejected from the dispensing end of said needle.

3. A catheter in accordance with claim 1 wherein said means urging movement of said needle comprises an elongated flexible shaft extending through said flexible tube with one end of said flexible shaft operable connected to said needle and means at the other end of said shaft for urging back and forth longitudinal movement of said shaft through said flexible tube to cause the forward and reverse travel of said needle through said passageway in said head.

4. A catheter in accordance with claim 1 wherein said means for urging movement of said needle through said passageway in said head comprises means for generating positive fluid pressure in said flexible tube and transmitting said pressure as a force to urge movement of said needle through said passageway.

5. A catheter in accordance with claim 4 including piston means connected to said needle for receiving the force of the fluid under pressure applied thereto through said flexible tube and for urging movement of said needle through said passageway in said head.

6. A catheter in accordance with claim 1 wherein said means for urging movement of said needle through said passageway in said head comprises a piston operatively connected to said needle, a bore extending partly through said head coupled to said passageway containing said needle, said piston being slidably movable within said bore and operable to receive the force of fluid pressure generated within fluid disposed within said flexible tube and to move back and forth within said bore in accordance with the fluid pressure applied thereto.

7. A catheter comprising:

an elongated hollow tubular member adapted to be inserted into and moved along a body duct, such as an artery,

an operating head attached to and terminating at one end of said flexible tube and having a side wall portion facing lateral to the longitudinal axis of said flexible tube,

an elongated narrow passageway extending longitudinally and laterally through said head and terminating at one end thereof at an opening in said side wall of said head,

a hollow hypodermic needle having a dispensing front end with an opening therein, said needle being supported within and movable longitudinally through said passageway from a retracted position whereby the dispensing end of said needle is below said opening in said side wall of said head to an extended position whereby said dispensing end of said needle projects laterally outwardly beyond the side wall of said head to permit said dispensing end of said needle to penetrate tissue disposed adjacent the side wall of said head,

a piston secured to said needle,

first means at the other end of said elongated hollow flexible tubular member for generating positive fluid pressure in said flexible tubular member and for applying said fluid pressure to said piston to urge movement of said needle from said retracted to said extended position and means for urging movement of said needle from said extended to said retracted position within said head when said head is selectively located within a living being, and

second means for introducing a liquid into said needle and ejecting said liquid through the opening in said dispensing end of said needle.

8. A catheter comprising:

an elongated hollow flexible tubular member adapted to be inserted into and moved along a body duct, such as an artery,

an operating head attached to and terminating at one end of said flexible tubular member and having a side wall portion facing lateral to the longitudinal axis of said tubular member,

an elongated narrow passageway extending longitudinally and laterally through said operating head and terminating at one end at an opening in said side wall of said head,

a hollow hypodermic needle having a dispensing front end with an opening therein, said needle being supported within and movable longitudinally through said passageway from a retracted position whereby the dispensing end of said needle is below said opening in said side wall of said head to an extended position whereby said dispensing end of said needle projects laterally outwardly beyond the side wall of said head so as to permit said dispensing end of said needle to penetrate tissue adjacent the side wall of said head,

a bore extending partly through said operating head,

a piston operatively connected to said needle and communicating with said passageway containing said needle, said piston being slidably movable within said bore,

first means at the other end of said elongated hollow flexible tubular member for generating positive fluid pressure in said flexible tubular member and for applying said fluid pressure to said piston so as to urge movement of said needle from said retracted to said extended position and means for returning said needle from said extended to said retracted position within said head when said head is selectively located within a living being, and

second means for introducing a liquid into said needle and ejecting said liquid through the opening in the dispensing end of said needle.