Vascular catheterization system with catheter anchoring feature

• US 5,256,146 A
• Filed: 10/11/1991
• Issued: 10/26/1993
• Est. Priority Date: 10/11/1991
• Status: Expired due to Fees

• Current Assignee: James A. Knol, James C. Andrews, William D. Ensminger
• Original Assignee: J. A. Knol, J. C. Andrews, W. D. Ensminger
• Inventors: Ensminger, William D., Knol, James A., Andrews, James C.
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): MCDERMOTT, CORRINE MARIE
• Application Number:
  US07/775,045
• Time in Patent Office: 746 Days
• Field of Search: 606/108, 606/191, 606/198, 606/200, 604/104-107, 604/280-281, 604/174, 604/175, 623/1, 623/12, 623/13, 128/DIG. 26
• US Class Current: 604/104
• CPC Class Codes: A61B 2017/22069 Immobilising; Stabilising
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence

Abstract

A patient implantable vascular catheterization system incorporating an anchoring element for maintaining the tip of an implanted catheter at a desired position within a blood vessel. The anchoring element comprises a deformable element such as a coiled wire or one or more expandable legs. The anchoring element is caused to assume a streamlined or compressed condition through placing it within an introducer catheter to facilitate placement or removal of the implanted catheter. Once positioned, the introducer catheter is retracted allowing the anchoring element to expand into engagement with the blood vessel. A material to induce occlusion of the blood vessel through clotting can be incorporated into the anchoring element.

Claims

1. An implantable vascular catheterization system comprising:

expandable anchoring means for engaging the walls of a blood vessel, said anchoring means having a segment of filament formed in a multi-turn helical coil, and defining a free diameter sufficiently large to engage the inside wall of said blood vessel,

an access catheter having said anchoring means affixed to said access catheter at one end of said access catheter, said access catheter having at least one lumen with a port for fluid communication between said access catheter lumen and said blood vessel, and

an introducer catheter having a lumen for receiving said anchoring means and said access catheter, said introducer catheter lumen receiving and constricting said anchoring means to deform said anchoring means to facilitate introduction of said anchoring means and said access catheter, whereby retraction of said introducer catheter from engagement with said anchoring means allows said anchoring means to expand to engage said blood vessel thereby anchoring said access catheter.

2. An implantable vascular catheterization system according to claim 1 wherein said access catheter lumen receives and affixes said filament end and said access catheter defines a side port adjacent to said anchoring means for communication between said access catheter lumen and said blood vessel.

3. An implantable vascular catheterization system according to claim 1 further comprising a guide wire for insertion into said access catheter lumen for stiffening said access catheter for facilitating retraction of said introducer catheter.

4. An implantable vascular catheterization system comprising:

an anchoring filament formed of a resilient material and formed in a helical coil defining a diameter such that said coil is engageable with the walls of a blood vessel,

an access catheter affixed to one end of said anchoring filament and having at least one lumen and a passage for communication between said access catheter lumen and said blood vessel positioned adjacent said anchoring filament, and

an introducer catheter having a lumen for receiving said anchoring filament and said access catheter such that when said anchoring filament is positioned within said introducer catheter lumen, said anchoring filament is deformed to a generally straightened condition for enabling insertion of said anchoring filament into said blood vessel, and whereby retraction of said introducer catheter from engagement with said anchoring filament allows said anchoring filament to assume said helical configuration thereby engaging said blood vessel and anchoring said access catheter.

5. An implantable vascular catheterization system according to claim 4 wherein said access catheter lumen receives and affixes said filament end and said access catheter defines a side port adjacent said anchoring filament for communication between said access catheter lumen and said blood vessel.

6. An implantable vascular catheterization system according to claim 4 wherein said anchoring filament includes clotting means for causing blood to clot at said filament thereby occluding said blood vessel.

7. An implantable vascular catheterization system according to claim 6 wherein said clotting means comprises a multiplicity of fibers attached to said anchoring filament.

8. An implantable vascular catheterization system according to claim 4 further comprising a guide wire for insertion into said access catheter lumen for stiffening said access catheter for facilitating retraction of said introducer catheter.

9. An implantable vascular catheterization system comprising:

expandable anchoring means for engaging the walls of a blood vessel in the form of a segment of filament formed in a multi-turn helical coil and having an end affixed to said access catheter and defining a free diameter sufficiently large to engage the inside wall of said blood vessel,

an access catheter having said anchoring means affixed to said access catheter and positioned adjacent one of said access catheter, said access catheter having at least one lumen wherein said access catheter lumen receives and affixes said filament end and said access catheter defines a side port adjacent to said anchoring means for communication between said access catheter lumen and said blood vessel, and

an introducer catheter having a lumen for receiving said anchoring means and said access catheter, said introducer catheter lumen receiving said anchoring means to deform said anchoring means to facilitate introduction of said anchoring means and said access catheter, whereby retraction of said introducer catheter rom engagement with said anchoring means allows said anchoring means to expand to engage said blood vessel thereby anchoring said access catheter.

10. An implantable vascular catheterization system comprising:

expandable anchoring means for engaging the walls of a blood vessel, said anchoring means including clotting means for causing blood to clot at said anchoring means thereby occluding said blood vessel,

an access catheter having said anchoring means affixed to said access catheter and positioned adjacent one end of said access catheter, said access catheter having at least one lumen, and

an introducer catheter having a lumen for receiving said anchoring means and said access catheter, said introducer catheter lumen receiving and anchoring means to deform said anchoring means to facilitate introduction of said anchoring means and said access catheter, whereby retraction of said introducer catheter from engagement with said anchoring means allows said anchoring means to expand to engage said blood vessel thereby anchoring said access catheter.

11. An implantable vascular catheterization system according to claim 10 wherein said anchoring means comprises at least one resilient leg element which cooperates to engage said blood vessel and is deflected upon retraction into said introducer catheter lumen.

12. An implantable vascular catheterization system according to claim 10 wherein said clotting means comprises a multiplicity of filaments attached to said anchoring means.

13. An implantable vascular catheterization system comprising:

an anchoring element having at least one elongated resilient leg formed such that said leg is engageable with the wall of a blood vessel, said anchoring element including clotting means for causing blood to clot at said anchoring element thereby occluding said blood vessel,

an access catheter affixed to one end of said anchoring element and having at least one lumen and having a passage for communication between said access catheter lumen and said blood vessel, and

an introducer catheter having a lumen receiving said anchoring element and said access catheter such that when said anchoring element is positioned within said introducer catheter lumen, said anchoring element leg is deformed for enabling insertion of said anchoring element into said blood vessel, and whereby retraction of said introducer catheter from engagement with said anchoring element allows said anchoring element leg to engage said blood vessel thereby anchoring said access catheter.

14. An implantable vascular catheterization system according to claim 13 wherein said clotting means comprises a multiplicity of fibers attached to said anchoring element.

15. An implantable vascular catheterization system comprising:

expandable anchoring means for engaging the walls of a blood vessel,

an access catheter having said anchoring means affixed to said access catheter at one end of said access catheter, said access catheter having at least one lumen with a port for fluid communication between said access catheter lumen and said blood vessel,

an introducer catheter having a lumen for receiving said anchoring means and said access catheter, said introducer catheter lumen receiving and constricting said anchoring means to deform said anchoring means to facilitate introduction of said anchoring means and said access catheter, whereby retraction of said introducer catheter from engagement with said anchoring means allows said anchoring means to expand to engage said blood vessel thereby anchoring said access catheter, and

a hollow tube having a first end communicating with said access catheter lumen and extending beyond said anchoring means whereby a second opposite end of said tube is open to communicate with said blood vessel.

16. An implantable vascular catheterization system comprising:

an anchoring element having at least one elongated resilient leg formed such that said leg is engageable with the wall of a blood vessel,

an access catheter affixed to one end of said anchoring element and having at least one lumen and having a passage for communication between said access catheter lumen and said blood vessel,

a hollow tube, to which said leg is affixed, having a first end communicating with said access catheter lumen and extending beyond said anchoring element whereby a second opposite end of said tube is open to communicate with said blood vessel, and

an introducer catheter having a lumen receiving said anchoring element and said access catheter such that when said anchoring element is positioned within said introducer catheter lumen, said anchoring element leg is constricted and deformed for enabling insertion of said anchoring element into said blood vessel, and whereby retraction of said introducer catheter from engagement with said anchoring element allows said anchoring element leg to engage said blood vessel thereby anchoring said access catheter.