Diagnostic catheter for monitoring cardiac output

• US 4,721,115 A
• Filed: 02/27/1986
• Issued: 01/26/1988
• Est. Priority Date: 02/27/1986
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Owens, Robert C.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/833,244
• Time in Patent Office: 698 Days
• Field of Search: 128/642, 128/668, 128/670, 128/672, 128/673, 128/691, 128/692, 128/693, 128/695, 128/713, 128/772, 604/96, 604/97, 604/98, 604/99, 604/282
• US Class Current: 600/526
• CPC Class Codes: A61B 5/028 by thermo-dilution
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/0295 using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61M 2025/0036 with more than four lumina
• CPC Class Codes: A61M 25/0045 multi-layered, e.g. coated coating materials A61L29/08
• CPC Class Codes: A61M 25/0054 with regions for increasing flexibility
• CPC Class Codes: A61M 25/09033 with fixed mandrils, e.g. mandrils fixed to tip; Tensionable wires

Abstract

A multi-lumen catheter having a balloon-like expander located at the distal end thereof, the interior of the balloon communicating with one of the plural lumens whereby a fluid introduced at the proximal end of the catheter can be made to inflate the balloon. A series of surface electrodes are axially spaced over a zone located near the distal end of the catheter body. Electrical conductors connected to each of the surface electrodes pass through another lumen to an electrical connector at the proximal end of the catheter. A pair of stiffener members, one being co-extensive with the zone of the catheter bearing the axially spaced surface electrodes and the other being spaced a short predetermined distance proximally of the first stiffener member are in another lumen. The gap between the two stiffener members allows the catheter to bend without kinking the lumens so that, when used, the most proximal ring electrode will be disposed near the apex of the right ventricle with the portion distal of the bend extending upward through the outflow tract of the right ventricle. Further lumens and ports communicating therewith may be added to permit the catheter to be used to take thermal dilution measurements of cardiac outputs.

Claims

1. A diagnostic catheter for use in measuring cardiac output in the right ventricular chamber comprising:

(a) an elongated, multi-lumen, flexible member having a distal end and a proximal end, a first lumen extending the entire length of said member and terminating in a distal port, a second port extending through the side wall of said member at a location immediately proximate of said distal end of said flexible member and a second lumen extending from said proximal end of said member to said second port;

(b) an expandable sleeve surrounding said member and spanning said second port, said sleeve inflatable by a fluid introduced into the proximal end of said second lumen;

(c) a plurality of ring electrodes secured to the outer surface of said member at predetermined axial spacing including a distal ring electrode located a first predetermined distance proximal of said distal end of said flexible member, a proximal ring electrode located a second predetermined distance greater than said first predetermined distance from said distal end of said flexible member and a further plurality of intermediate ring electrodes disposed between said distal ring electrode and said proximal ring electrode;

(d) a plurality of electrical conductors extending longitudinally through a third lumen in said flexible member from said proximal end of said flexible member and individually connected to separate ones of said plurality of ring electrodes;

(e) a first stiffening member disposed in a fourth lumen in said flexible member and extending from said first predetermined distance to said second predetermined distance; and

(f) a second stiffening member also disposed in said fourth lumen in said flexible member and extending from a location proximal of the proximal end of said first stiffening member for a third predetermined distance, the spacing between the opposed ends of said first and second stiffening members in said fourth lumen creating a zone in which said flexible member can bend without kinking the lumens of said multi-lumen flexible member, said first and second stiffening members positioning said proximal ring electrode at the apex of the ventricle of the heart, said distal ring electrode near the pulmonic valve and said intermediate ring electrodes out of contact with endocardial tissue.

2. The diagnostic catheter as in claim 1 and further including a fifth lumen extending from said proximal end of said flexible member and terminating in a third port formed through the side wall of said flexible member and located within said first predetermined distance;

and a thermistor element exposed to heat conduction through said third port and having conductor means extending therefrom through said fifth lumen to the proximal end of said flexible member.

3. The diagnostic catheter as in claim 1 and further including a fourth port extending through the side wall of said flexible member and communicating with said fourth lumen at a location proximal of the proximal end of said second stiffening member.

4. The diagnostic catheter as in claim 1 wherein said first and second stiffening members each comprise a helical stainless steel coil having a strand of stainless steel disposed within the lumen of said coil, said strand being welded at each end to the opposed ends of said coil.

5. The diagnostic catheter as in claim 1 and further including a multi-terminal electrical connector connected to said plurality of electrical conductors.

6. The diagnostic catheter as in claim 2 wherein said third port containing said thermistor includes a plastic seal covering said thermistor, said plastic having a thermal conductivity property allowing said thermistor to detect a small temperature change rapidly.

7. The diagnostic catheter as in claim 1 and further including valve means connected to the proximal end of said second lumen of said flexible member.