Hydrodynamically propelled pacing catheter

• US 4,769,006 A
• Filed: 06/29/1987
• Issued: 09/06/1988
• Est. Priority Date: 05/13/1985
• Status: Expired due to Fees

• Current Assignee: KOS Medical Technologies Limited
• Original Assignee: KOS Medical Technologies Limited
• Inventors: Papantonakos, Apostolos C.
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): Kartchner, Gene B.
• Application Number:
  US07/067,366
• Time in Patent Office: 435 Days
• Field of Search: 604/95, 604/96, 128/672, 128/783-786, 128/419 P
• US Class Current: 604/95.02
• CPC Class Codes: A61B 1/00156 using self propulsion
• CPC Class Codes: A61M 25/0122 with fluid drive by external fluid in an open fluid circuit
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems

Abstract

A hydrodynamically propelled pacing catheter primarily intended for use in the placement of permanent pacemaker leads into the heart of a patient. The cephalic end of the catheter is constructed to define a plurality of nozzle orifices for the expulsion of a pressurized fluid so that the catheter will be propelled through the patient'"'"'s vascular system into the heart. Dependent upon whether placement of the pacemaker lead is intended for the right atrium or the right ventricle, the catheter cephalic end will be curved or straight, respectively.

Claims

1. A hydrodynamically propelled pacing catheter of the type primarily used for insertion of permanent pacemaker leads into the hearts of patients, said pacing catheter comprising:

an elongated flexible catheter tube for insertion through the patient'"'"'s blood vessels into the heart, said catheter tube having a cephalic end and a rearward end;

said cephalic end including a plurality of rearwardly facing ports substantially equally spaced around the perimeter thereof;

said catheter tube further having a fluid lumen disposed longitudinally inside said tube, a distal end of said fluid lumen being in fluid-communicating relation to said ports and a rearward end of said fluid lumen being defined by said rearward end of said catheter tube;

said catheter tube further having a side lumen formed therein substantially adjacent said rearward end in communicating relation to said fluid lumen whereby a second catheter may be connected to said pacing catheter for the introduction of a fluid through said fluid lumen and out said ports to impart a forward thrust to said cephalic end;

said pacing catheter further comprising a first pacing electrode, said first pacing electrode defining the tip of said cephalic end, a first electrical connector disposed on said rearward end of said catheter tube, and a first electrical conductor operatively disposed in interconnecting relation between said first pacing electrode and said first electrical connector, said first electrical connector being dimensioned and configured to operatively engage a source of electricity whereby an electrical stimulus may be applied to the patient'"'"'s heart.

2. A hydrodynamically propelled pacing catheter as in claim 1 wherein the axis of each of said ports defines an angle with the axis of said cephalic end of from about 5 degrees to about 30 degrees.

3. A hydrodynamically propelled pacing catheter as in claim 2 wherein said angle is about 30 degrees.

4. A hydrodynamically propelled pacing catheter as in claim 1 wherein said angle is about 15 degrees.

5. A hydrodynamically propelled pacing catheter as in claim 1 wherein said angle is about 5 degrees.

6. A hydrodynamically propelled pacing catheter as in claim 1 further comprising means for insulating said first electrical conductor from said fluid lumen.

7. A hydrodynamically propelled pacing catheter as in claim 6 wherein said first electrical conductor comprises a wire.

8. A hydrodynamically propelled pacing catheter as in claim 7 wherein said means for insulating comprises a non-conductive sheath around said wire.

9. A hydrodynamically propelled pacing catheter as in claim 8 wherein said wire defines a substantially helical path from said first electrical connector to said first pacing electrode.

10. A hydrodynamically propelled pacing catheter as in claim 7 wherein said means for insulating comprises said catheter tube and wherein said wire is embedded within said tube.

11. A hydrodynamically propelled pacing catheter as in claim 10 wherein said wire defines a substantially helical path from said first electrical connector to said first pacing electrode.

12. A hydrodynamically propelled pacing catheter as in claim 7 wherein said means for insulating comprises a non-conductive flexible tube disposed within and in spaced apart relation to said catheter tube.

13. A hydrodynamically propelled pacing catheter as in claim 12 wherein said wire defines a substantially helical path from said first electrical connector to said first pacing electrodes around the outer surface of said flexible tube.

14. A hydrodynamically propelled pacing catheter as in claim 1 wherein said side lumen comprises means for self-sealing said side lumen when no second catheter is connected thereto.

15. A hydrodynamically propelled pacing catheter as in claim 1 wherein said catheter tube cephalic end is normally curved with respect to the major length of said tube, whereby said pacing catheter is normally positioned in the right atrium of the patient'"'"'s heart.

16. A hydrodynamically propelled pacing catheter as in claim 1 wherein said pacing catheter is normally substantially straight, whereby said pacing catheter is normally positioned in the right ventricle of the patient'"'"'s heart.

17. A hydrodynamically propelled pacing catheter as in claim 1 further comprising a second pacing electrode operatively disposed on said catheter tube in spaced apart relation to said first pacing electrode, a second electrical connector disposed on said rearward end of said catheter tube, and a second electrical conductor operatively disposed in interconnecting relation between said second pacing electrode and said second electrical connector, said second electrical connector being dimensioned and configured to operatively engage the source of electricity.