Rapid exchange over-the-wire catheter with breakaway feature

• US 5,195,978 A
• Filed: 12/11/1991
• Issued: 03/23/1993
• Est. Priority Date: 12/11/1991
• Status: Expired due to Term

• Current Assignee: Advanced Cardiovascular Systems Incorporated (Abbott Laboratories)
• Original Assignee: Baxter International Inc.
• Inventors: Schiffer, Michael C.
• Primary Examiner(s): Mancene, Gene
• Assistant Examiner(s): LAVIOLA JR, FRANK
• Application Number:
  US07/806,947
• Time in Patent Office: 468 Days
• Field of Search: 604/158, 604/160, 604/161, 604/280, 604/164, 604/282
• US Class Current: 604/161
• CPC Class Codes: A61M 2025/0183 Rapid exchange or monorail catheters
• CPC Class Codes: A61M 2025/107 having a longitudinal slit in the balloon
• CPC Class Codes: A61M 25/0169 Exchanging a catheter while keeping the guidewire in place
• CPC Class Codes: A61M 25/0668 splittable, tear apart

Abstract

A rapid exchange over-the-wire catheter is disclosed provided with one or more breakaway elements for progressively exposing the guide wire from the proximal end toward the distal end of the catheter in a simple and efficient manner. The breakaway element may be formed as a longitudinally aligned pull strip provided in the catheter guidewire lumen or as one or more linearly arrayed tubular breakaway segments in the catheter shaft or as a combination of both features.

Claims

1. A rapid exchange over-the-wire catheter for use in combination with a guidewire which has been positioned at a target site in a patient'"'"'s body, said catheter comprising:

a tubular shaft having a proximal end, a distal end, and at least one lumen adapted to receive said guidewire; and

a tear strip longitudinally disposed in said tubular shaft along said lumen from said proximal end toward said distal end for progressively removing said tear strip from said tubular shaft from said proximal end toward said distal end to expose said guidewire and to allow said catheter to be removed from said guidewire while maintaining said guidewire in said desired position.

2. The rapid exchange over-the-wire dilation catheter of claim 1 wherein said tear strip is formed from a plurality of longitudinally extending generally parallel grooves formed in said tubular shaft.

3. The rapid exchange over-the-wire dilatation catheter of claim 2 wherein said grooves are provided external to said tubular shaft.

4. The rapid exchange over-the-wire dilatation catheter of claim 2 wherein said grooves are provided internal to said tubular shaft.

5. The rapid exchange over-the-wire catheter of claim 1 further comprising an expandable balloon disposed adjacent to said distal end.

6. The rapid exchange over-the-wire catheter of claim 1 wherein said tear strip is formed form a plurality of longitudinally extending generally parallel weakened wall segments in said lumen.

7. The rapid exchange over-the-wire catheter of claim 1 further comprising a pull tab formed in the proximal end of said tear strip.

8. A method for rapidly removing an over-the-wire catheter from a guidewire positioned within the body of a patient, said method comprising the steps of:

providing the rapid exchange over-the-wire catheter of claim 6;

threading a guidewire along the longitudinal extent of the lumen of said catheter;

advancing said catheter and guidewire combination into a desired position within the body of a patient;

performing a surgical procedure with said catheter;

withdrawing said catheter along said guidewire by pulling the tear strip along said lumen form the proximal end of said catheter toward the distal end of said catheter to progressively expose said guidewire until the distal portion of said catheter is outside the body of said patient; and

removing the remaining portion of said catheter from said guidewire.

9. A rapid exchange over-the-wire catheter for use in combination with a guidewire, said catheter comprising:

a tubular shaft having a proximal end, a distal end, a lumen adapted to receive said guidewire; and

at least one tubular breakaway segment proximally disposed on said tubular shaft for progressively exposing and removing said guidewire form said proximal end toward said distal end.

10. The rapid exchange over-the-wire catheter of claim 9 wherein said at least one tubular breakaway segment is defined by a distally disposed circumferential tear line provided in said tubular shaft.

11. The rapid exchange over-the-wire catheter of claim 10 wherein said circumferential tear line is formed from a circumferential groove formed in said tubular shaft.

12. The rapid exchange over-the-wire catheter of claim 10 wherein said circumferential tear line is formed from a circumferential weakened wall segment provided in said tubular shaft.

13. A method for rapidly removing an over-the-wire catheter from a guidewire positioned within the body of a patient, said method comprising the steps of:

providing the rapid exchange over-the-wire catheter of claim 9;

threading a guidewire along the longitudinal extent of the lumen of said catheter;

advancing said catheter and guidewire combination into a desired position within the body of a patient;

performing a surgical procedure with said catheter;

withdrawing said catheter along said guidewire by sequentially snapping off each of said tubular breakaway segments form said proximal end towards said distal end of said catheter until the distal portion of said catheter is outside the body of said patient; and

removing the remaining portion of said catheter from said guidewire.

14. A rapid exchange over-the-wire dilation catheter for use in combination with a guidewire, said catheter comprising:

a tubular shaft having a proximal end, a distal end, and at least one lumen adapted to receive said guidewire, said tubular shaft being formed with at least one circumferential tear strip disposed between said proximal and distal end of said tubular shaft, said tear strip being operable for disecting a proximal portion of said tubular shaft from a distal portion of said tubular shaft allowing removal of said guidewire form said lumen; and

an expandable dilation balloon disposed adjacent to said distal end.

15. The rapid exchange over-the-wire dilation catheter of claim 14 wherein said at least one tubular tear strip is defined by a circumferential tear line provided in said tubular shaft.

16. The rapid exchange over-the-wire dilation catheter of claim 15 wherein said circumferential tear line is formed from a circumferential groove formed in said tubular shaft.