Catheter having means for controlling the insertion depth

• US 4,753,637 A
• Filed: 07/16/1986
• Issued: 06/28/1988
• Est. Priority Date: 07/16/1986
• Status: Expired due to Fees

• Current Assignee: Johns Hopkins University
• Original Assignee: Johns Hopkins University
• Inventors: Horneffer, Peter J.
• Primary Examiner(s): Truluck, Dalton L.
• Application Number:
  US06/886,289
• Time in Patent Office: 713 Days
• Field of Search: 128/344, 128/656-658, 128/399-400, 604/52-53, 604/4, 604/95-104, 604/113, 604/178, 604/278, 604/280-284
• US Class Current: 604/509
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence
• CPC Class Codes: A61M 25/1009 Balloons anchored to a disc or plate

Abstract

A catheter having a tube and a depth control flange to prevent the catheter tube from being over inserted. The preferred embodiment is a retrograde coronary sinus cardioplegia solution administration catheter. A depth control flange is coupled to the tube at a predetermined distance from the catheter tip. The flange is a disc made of soft plastic material which prevents over-insertion of the catheter tip when the flange abuts the wall of the atrium. The catheter tube further includes an inflatable balloon located between the flange and the catheter tip. After insertion into the coronary sinus, the balloon is inflated thus pinching the atrium wall between the flange and the balloon to prevent cardioplegia solution from flowing back from the coronary sinus into the atrium. A semi-rigid introducer tube surrounds a portion of the catheter tube and is axially movable with respect thereto. One end of the introducer tube includes a receptacle in which the flange is stored in a collapsed position. The compact apparatus is inserted into the atrium through a purse string opening in the atrium and then the introducer tube is held steady while the catheter tube is pushed toward the coronary sinus. The flange exits from the receptical and opens like an umbrella and engages the wall of the atrium, thus preventing over-insertion of the catheter in the coronary sinus. The catheter tube includes an air passageway used to inflate the balloon, and a fluid passageway used to provide the cardioplegia solution to the coronary sinus.

Claims

1. Cardiovascular catheter apparatus of a size for introduction into a cardiovasuclar system, comprising:

tube means having distal and proximal ends and a longitudinal axis, adapted for passing a fluid to or from a cardiovascular structure;

said tube means including a flexible, resilient deformable and radially extending depth control flange means, coupled to said tube means near said distal end, for controlling an insertion depth of said tube distal end into said cardiovascular structure, said flange means being constructed such that it is movable from a collapsed to an extended position thereby forming an obtuse angle with respect to said tube means; and

inflatable means, coupled to said tube means between said flange means and said distal end at a distance from said flange means to pinch vascular tissue, which tissue surrounds an opening, between said flange means and said inflatable means.

2. Apparatus according to claim 1 wherein said flange means comprises a plastic disc which is movable between an extended position where it extends radially from said tube means whereby it forms said obtuse angle with said tube, and a collapsed position where said flange means is substantially collapsed on said tube means, and further including tubular introducer means, coaxially surrounding and axially movable with respect to said tube means and having an insertion end storing the collapsed flange means, for introducing said tube means distal end into said cardiovascular structure.

3. Apparatus according to claim 1 wherein said inflatable means comprises a plastic balloon having a length extending in a lengthwise direction of said tube means, and a width extending substantially perpendicular to said tube lengthwise direction, and wherein said plastic balloon width is greater than said plastic balloon length when said plastic balloon is substantially fully inflated.

4. Apparatus according to claim 1 wherein said tube means distal end includes a soft, flexible tip having an outside diameter that is less than an outside diameter of said tube means.

5. A catheter according to claim 1 wherein said tube includes first and second fluid carrying channels, said first channel being adapted to carry an inflating fluid to said inflatable means, said second channel being adapted to carry a fluid between said tube distal end and the tube proximal end.

6. A catheter according to claim 5 further including:

inflating fluid supply means adapted for supplying inflating fluid to said first channel; and

valve means, coupled to said second fluid carrying channel, for controlling a supply of fluid to said second channel.

7. A catheter according to claim 1 wherein said flange includes a flexible plastic disc having a center portion through which passes said catheter tube.

8. A catheter according to claim 1 wherein said catheter tube distal end includes a flexible tip which has an outside diameter that is less than an outside diameter of said catheter tube.

9. A catheter according to claim 1 wherein said inflatable means has a length extending in a lengthwise direction of said tube, and a width extending substantially perpendicular to said tube lengthwise direction, and wherein said inflatable means width is greater than said inflatable means length when said inflatable means is substantially fully inflated.

10. Cardiovascular catheter apparatus of a size for introduction into a cardiovascular system, comprising:

tube means having distal and proximal ends and a longitudinal axis, adapted for passing a fluid to or from a cardiovascular structure;

said tube including a flexible, resilient depth control flange means, coupled to said tube means near said distal end, for controlling an insertion depth of said tube distal end into said cardiovascular structure, said flange being movable between an extended position where it extends radially from said tube means whereby it forms an obtuse angle with respect to said tube means, and a collapsed position where it is substantially collapsed on said tube means;

tubular introducer means, coaxially surrounding and axially movable with respect to said tube means and having an insertion end storing the collapsed flange means, for introducing said tube means distal end into said cardiovascular structure; and

inflatable means, coupled to said tube means between said flange means and said distal end at a distance from said flange means to pinch vascular tissue, which tissue surrounds an opening, between said flange means and said inflatable means.

11. A catheter according to claim 10 wherein said flange is substantially circular in shape and is made of a flexible plastic material.

12. A catheter according to claim 10 wherein said introducer means includes a receptacle at said insertion end for storing said flange when said flange is in said collapsed position.

13. A catheter according to claim 10 further including first and second fluid carrying means, disposed in said tube means, for carrying fluid, said first fluid carrying means being coupled to said inflatable means and adapted for supplying inflating fluid to said inflatable means, said second fluid carrying means adapted for supplying a fluid to said tube means distal end.

14. A method of inserting a cardiovascular catheter into a cardiovascular structure, comprising the steps of:

inserting a catheter tube distal end into an opening in said cardiovasular structure;

controlling an insertion depth of said tube distal end by abutting a flexible resilient flange, which flange is fixed to said catheter tube near said distal end, against vascular tissue surrounding said opening; and

sealing said catheter tube distal end in said opening by inflating an inflatable balloon, said balloon coupled to said tube between said distal end and said flange at a predetermined distance from said flange, to cause said vascular tissues surrounding said opening to be pinched between the inflated balloon and said flange.

15. A method according to claim 14 further including the steps of:

surrounding said tube with a tubular introducer which is substantially coaxial with and axially movable with respect to said tube, said introducer having a receptacle in a distal end thereof; and

moving said flange between a collapsed position where it is substantially collapsed on said tube and stored inside said introducer receptacle, and an extended position where said flange extends radially from said tube and forms an obtuse angle therewith.

16. A method according to claim 15 further including the step of axially moving said introducer in a direction away from said tube distal end to cause said flange to move from said collapsed position to said extended position.

17. A method according to claim 16 wherein said sealing step comprises the step of inflating an inflatable balloon which has a greater width than depth, said width being a direction substantially perpendicular to said tube, said depth being substantially parallel to said tube.