Side slit catheter

• US 5,460,618 A
• Filed: 06/20/1994
• Issued: 10/24/1995
• Est. Priority Date: 06/20/1994
• Status: Expired due to Term

• Current Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Original Assignee: Minimed, Inc. (Medtronic Plc)
• Inventors: Harreld, John H.
• Primary Examiner(s): YASKO JR, JOHN D
• Application Number:
  US08/262,784
• Time in Patent Office: 491 Days
• Field of Search: 604/280, 604/264, 604/257, 604/258, 604/275, 604/247, 604/161, 604/43, 604/27
• US Class Current: 604/264
• CPC Class Codes: A61M 2025/0019 Cleaning catheters or the like, e.g. for reuse of the device, for avoiding replacement
• 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 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 5/14276 specially adapted for implantation

Abstract

An improved side slit catheter is provided for use in long term delivery of a selected medication to a patient, wherein the catheter has a distal end tip shaped to permit expulsion of an occlusive deposit. The catheter includes an elongated lumen for passage of medication such as insulin to the distal end tip for administration to the patient at a selected infusion site. The tip includes a cylindrical wall segment defining a tapered bore which expands in cross section to a delivery port, with at least one and preferably a plurality of longitudinal side slits formed in said wall segment. In the event of delivery port occlusion, medication delivery at normal pressure will continue through the side slits. The occlusion can be expelled from the catheter tip by delivering a selected fluid through the catheter at elevated pressure, whereupon the slitted catheter tip deformably responds to detach from and thus permit expulsion of the occlusion.

Claims

1. In a catheter for use in delivering a selected medical fluid to a patient, the improvement comprising a distal end tip having a generally cylindrical wall segment defining a tapered bore which expands in cross sectional size to a delivery port, said wall segment having at least one longitudinally extending side slit formed therein and having a downstream end terminating in spaced relation to said delivery port whereby said wall defines an uninterrupted annular ring adjacent said delivery port, said wall segment deformably responding upon occlusion of said delivery port to permit fluid delivered through said catheter to said tip to flow outwardly through said side slit;

said side slit and said tapered bore having upstream ends located at a position sufficiently upstream from said delivery port so that said upstream ends are spaced from any occlusion obstructing said delivery port whereby said distal end tip deformably responds to supply of a fluid to said catheter at a selected elevated pressure to cause said wall segment to detach from such occlusion and thereby permit pressure-caused expulsion of such occlusion from said delivery port.

2. The improved catheter of claim 1 wherein said at least one side slit comprises a plurality of longitudinally extending said slits formed in said wall segment and each having a downstream end terminating in spaced relation to said delivery port.

3. The improved catheter of claim 2 wherein said plurality of side slits are formed about the circumference of said wall segment generally in an equiangular spaced array.

4. The improved catheter of claim 1 wherein said catheter distal end tip is formed from a resilient medical grade elastomer.

5. A medication infusion system, comprising:

an infusion pump for pumping a selected medication to a patient; and

a catheter defining a lumen for delivery of the selected medication from the pump to the patient, said catheter having distal end tip formed by a generally cylindrical wall segment defining a tapered bore which expands in cross sectional size to a delivery port, said wall segment having at least one longitudinally extending side slit formed therein and having a downstream end terminating in spaced relation to said delivery port whereby said wall defines an uninterrupted annular ring adjacent said delivery port, said wall segment deformably responding upon occlusion of said delivery port to permit fluid delivered through said catheter to said tip to flow outwardly through said side slit;

said side slit and said tapered bore have upstream ends located at a position sufficiently upstream from said delivery port so that said upstream ends are spaced from any occlusion obstructing said delivery port whereby said distal end tip deformably responds to supply of a fluid to said catheter at a selected elevated pressure to cause said wall segment to detach from such occlusion and thereby permit pressure-caused expulsion of such occlusion from said delivery port.

6. The system of claim 5 wherein said at least one side slit comprises a plurality of longitudinally extending said slits formed in said wall segment and each having a downstream end terminating in spaced relation to said delivery port.

7. The improved catheter of claim 6 wherein said plurality of side slits are formed about the circumference of said wall segment generally in an equiangular spaced array.

8. The improved catheter of claim 5 wherein said catheter distal end tip is formed from a resilient medical grade elastomer.

9. The system of claim 5 further including a side port assembly coupled between said pump and an upstream end of the catheter, said side port assembly including means for permitting injection of a selected fluid under elevated pressure to said catheter.