Access catheter and system for use in the female reproductive system

• US 5,147,315 A
• Filed: 04/06/1990
• Issued: 09/15/1992
• Est. Priority Date: 04/06/1990
• Status: Expired due to Term

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Weber, Mark V.
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): STRIGHT, RONALD K
• Application Number:
  US07/505,426
• Time in Patent Office: 893 Days
• Field of Search: 604/55, 604/280, 604/282, 604/906, 604/117, 604/164, 600/33-35, 606/119
• US Class Current: 604/164.09
• CPC Class Codes: A61B 17/43 for artificial insemination
• CPC Class Codes: A61B 2017/00946 malleable
• CPC Class Codes: A61B 2090/3937 Visible markers
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61M 2025/0008 having visible markings on its surface, i.e. visible to the naked eye, for any purpose, e.g. insertion depth markers, rotational markers or identification of type
• CPC Class Codes: A61M 2025/0059 having means for preventing the catheter, sheath or lumens from collapsing due to outer forces, e.g. compressing forces, or caused by twisting or kinking
• 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 2210/14 Female reproductive, genital organs
• CPC Class Codes: A61M 25/0041 pre-formed, e.g. specially adapted to fit with the anatomy of body channels urethral catheters A61F2/04
• CPC Class Codes: A61M 25/0045 multi-layered, e.g. coated coating materials A61L29/08
• CPC Class Codes: A61M 25/0052 Localized reinforcement, e.g. where only a specific part of the catheter is reinforced, for rapid exchange guidewire port
• CPC Class Codes: Y10S 604/906 Artificial insemination

Abstract

A catheter for accessing a body cavity such as the reproductive system of the female, the catheter including a shaft which is connected at its distal end to a nonexpansible segment. A lumen in the shaft communicates with a passage in the segment. The segment further includes reinforcing material disposed within the segment to resist constriction of the passage. A catheter system and methods of using same includes such an access catheter and an introducing catheter through which the access catheter is insertable, and a transfer catheter which is insertable through the access catheter. The invention is useful particularly in treatment of infertility by placing reproductive cells in the uterus or a fallopian tube.

Claims

1. A kit containing catheters for depositing material within the reproductive system of the female, the kit comprising:

an introducing catheter defining a introducing lumen and having a proximal end and a distal end;

an access catheter including;

a shaft defining a second lumen, having a proximal end and a distal end, and having an outer diameter smaller than the diameter of said introducing lumen;

a nonexpansible segment having a proximal end and a distal end, said proximal end connected at a junction to said distal end of said shaft, said segment defining a passage communicating with said lumen at said junction and communicating with a distal opening at said distal end of said segment, and said segment being formed of at least first and second layers of material and having an outer diameter smaller than that of said shaft; and

reinforcing material disposed between said first and second layers of said segment to resist constriction of said passage; and

a transfer catheter having a length at least as long as that of said access catheter and having a diameter smaller than that of said second lumen of said access catheter.

2. A catheter system for accessing a portion of the reproductive system of a female, the system comprising:

an access catheter including;

a shaft defining a lumen, the shaft having a proximal end and a distal end;

a nonexpansible segment having a proximal end and a distal end, said proximal end connected at a junction to said distal end of said shaft, and said segment defining a passage communicating with said lumen at said junction and communicating with a distal opening at said distal end of said segment; and

reinforcing material disposed within said segment to resist constriction of said passage; and

a transfer catheter having an elongated shaft insertable through said access catheter for delivering reproductive cells carried by the transfer catheter into a desired location within the reproductive system.

3. A catheter system for accessing a portion of the female reproductive system, the system comprising:

an introducing catheter defining a first lumen and having a proximal end and a distal end; and

an access catheter including;

a shaft defining a second lumen, having a proximal end and a distal end, and having an outer diameter smaller than the diameter of said first lumen;

a distal tube having a proximal end and a distal end, said proximal end connected at a junction to said distal end of said shaft, and said tube defining a passage communicating with said lumen at said junction and communicating with a distal opening at said distal end of said tube; and

reinforcing material disposed within said tube to resist constriction of said passage.

4. The catheter system of claim 3 in which said access catheter includes a stop which limits insertion of said access catheter through the proximal end of said introducing catheter, said junction remaining proximal to the distal end of said introducing catheter when said access catheter is fully inserted therein.

5. The catheter system of claim 3 in which said access catheter includes at least one visually perceptible marker disposed between 28 to 38 cm from said distal end of said access catheter for alignment relative to said proximal end of said introducing catheter.

6. The catheter system of claim 3 in which said introducing catheter includes a slidable sleeve disposed about a portion of its outer surface for alignment relative to a portion of the anatomy of a patient.

7. The catheter system of claim 3 in which said introducing catheter includes at least one visually perceptible marker disposed between 6 to 11 cm from said distal end of said introducing catheter.

8. The catheter system of claim 3 further including a transfer catheter having a length at least as long as that of said access catheter and having a diameter smaller than that of said second lumen of said access catheter.

9. The catheter system of claim 8 in which said transfer catheter includes a stop for limiting insertion of said transfer catheter through said access catheter.

10. The catheter system of claim 9 in which a distal end of said transfer catheter projects slightly beyond the distal end of said access catheter when said transfer catheter is fully inserted therein.

11. The catheter system of claim 3 further including a flexible guide insertable through said access catheter to assist advancement of said access catheter into said body cavity.

12. The catheter system of claim 11 in which said guide includes at least one visually perceptible marker disposed between 38 to 48 cm from a distal end of said guide for alignment relative to said proximal end of said access catheter.

13. The catheter system of claim 12 in which said guide includes a main shaft formed of a wire which is connected at a distal end to a flexible section.

14. The catheter system of claim 13 in which said flexible section includes a coil spring.

15. The catheter system of claim 13 in which said guide includes an outer sleeve disposed about the proximal end of said shaft wire for carrying said visually perceptible marker.