Intravascualr catheter with distal tip guide wire lumen

• US 5,395,332 A
• Filed: 03/10/1994
• Issued: 03/07/1995
• Est. Priority Date: 08/28/1990
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Ressemann, Thomas V., Keith, Peter T., Hackett, Steven S.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): SCHMIDT, JEFFREY
• Application Number:
  US08/209,616
• Time in Patent Office: 362 Days
• Field of Search: 604/96, 604/264, 604/265, 604/280, 604/101-104, 606/191, 606/192, 606/194, 128/657, 128/658, 128/772
• US Class Current: 604/103.1
• CPC Class Codes: A61M 2025/0037 characterized by lumina being arranged side-by-side
• CPC Class Codes: A61M 2025/0047 the inner layer having a higher lubricity
• 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 2025/0098 having a strain relief at the proximal end, e.g. sleeve
• CPC Class Codes: A61M 2025/0183 Rapid exchange or monorail catheters
• CPC Class Codes: A61M 2025/09191 made of twisted wires
• CPC Class Codes: A61M 2025/1056 having guide wire lumens outside the main shaft, i.e. the guide wire lumen is within or on the surface of the balloon
• CPC Class Codes: A61M 2025/1061 having separate inflations tubes, e.g. coaxial tubes or tubes otherwise arranged apart from the catheter tube
• CPC Class Codes: A61M 2025/1079 having radio-opaque markers in the region of the balloon
• CPC Class Codes: A61M 2025/1093 having particular tip characteristics
• CPC Class Codes: A61M 25/003 characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves catheter tips A61M25/0067
• CPC Class Codes: A61M 25/0054 with regions for increasing flexibility
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/008 Strength or flexibility characteristics of the catheter tip
• CPC Class Codes: A61M 25/0662 Guide tubes
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

A catheter for use in angioplasty includes a shaft formed from an elongated metallic tube and has an inflatable balloon at its distal end. A plastic tube connects a distal end of the metallic tube to a proximal end of the balloon. The metallic and plastic tubes thus define a lumen for providing inflation pressure to the balloon. A metallic core member is attached to the metallic tube and extends distally therefrom through the plastic tube and balloon. The distal end of the balloon is sealably secured to the core member. A tip body is connected to the core member distally of the balloon, with a short guide wire lumen being defined on the tip body. The guide wire lumen is adapted to slidably receive a guide wire which then extends along the catheter exteriorly of the balloon.

Claims

1. In a distal tip structure for a catheter used in combination with a guide wire, wherein the tip structure has a short guide wire lumen thereon and the catheter is pushable from its proximal end to the guide wire lumen, the improvement which comprises:

the guide wire lumen extending from a distal port at the distal end of the catheter to a proximal port spaced nor more than 2 cm from the distal port, and the guide wire lumen being defined in part by a tubular metallic coil which encircles the guide wire lumen and defines a radiopaque marker band for the catheter, wherein the coil spacing of the tubular metallic coil increases as the coil extends distally so that the coil is increasingly more flexible in the distal direction.

2. An intraluminal catheter comprising:

an elongated shaft having a proximal end and a distal end, a proximal portion of the shaft defined by a metallic tube and a distal portion of the shaft being relatively more flexible than the proximal portion;

a core member connected to the metallic tube and extending distally therefrom along the distal portion of the shaft; and

a tip assembly connected to a distal end of the core member, the tip assembly including a short guide wire lumen defined therethrough, the guide wire lumen being defined in part by a metallic coil, having a plurality of coils, affixed to the core member, the coils of the coil being spaced increasingly apart distally.

3. The catheter of claim 2 wherein that portion of the core member which is bonded to the coil is flattened.

4. An angioplasty balloon dilatation catheter for use in combination with a guide wire, the catheter comprising:

a proximal hypotube shaft having a lumen extending longitudinally therethrough from a proximal end of the shaft to a distal end thereof;

a core member having a smaller outer diameter than the hypotube shaft and having a proximal end and a distal end, the core member having its proximal end bonded to the hypotube shaft adjacent the distal end thereof, with the core member extending distally beyond the distal end of the shaft;

an elongated flexible waist tube sealably connected to the shaft, the waist tube extending distally beyond the distal end of the shaft about the core member to define a distal lumen in fluid communication with the lumen of the shaft, with a distal end of the waist tube terminating proximally of the distal end of the core member;

an inflatable balloon having a proximal end sealably connected to the distal end of the waist tube and having a distal end sealably connected to the core member, with the balloon extending around a portion of the core member and having an interior in fluid communication with the distal lumen of the waist tube; and

tip means connected to the core member distally of the balloon for defining a short guide wire lumen for slidably receiving a guide wire therethrough.

5. The catheter of claim 4 wherein the tip means is coated with a lubricous material to facilitate its passage along a guide wire and through a body lumen.

6. The catheter of claim 4 wherein the tip means includes a metallic coil bonded to the core member and which at least in part defines the guide wire lumen.

7. The catheter of claim 4 wherein the tip means includes a flexible polymeric distal tip body having a proximal portion and a distal portion, with the proximal portion being secured to and extending distally from the distal end of the core member and with the distal portion including the guide wire lumen therethrough.

8. The catheter of claim 4 wherein the guide wire lumen is defined in part by a metallic band connected to the core member.

9. The catheter of claim 4 wherein the core member has decreasing rigidity in the distal direction.

10. The catheter of claim 4 wherein a lubricous material is provided on the interior of the guide wire lumen.

11. An intraluminal catheter comprising:

a main shaft segment defined by a metallic tube, the shaft segment having a proximal end and a distal end;

a balloon;

a plastic shaft segment connected between the distal end of the main shaft segment and the balloon;

a core member attached to the metallic tube and extending distally into the plastic shaft segment, the core member being less rigid than the main shaft segment; and

a tip member connected to a distal end of the core member distally of the balloon, the tip member including a guide wire lumen defined therethrough, with a proximal opening into the guide wire lumen being spaced distally from the balloon, the guide wire lumen being defined in part by a metallic coil bonded to the core member wherein the coil has an exterior cover thereover.

12. The catheter of claim 11 wherein the coil has its coils spaced increasingly apart distally.