Multi-lumen cannula

• US 5,858,009 A
• Filed: 08/14/1997
• Issued: 01/12/1999
• Est. Priority Date: 08/14/1997
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Jonkman, Kenneth R.
• Primary Examiner(s): YASKO JR, JOHN D
• Application Number:
  US08/911,334
• Time in Patent Office: 516 Days
• Field of Search: 604/49, 604/52, 604/53, 604/43, 604/44, 604/264, 604/280-282
• US Class Current: 604/264
• CPC Class Codes: A61M 2025/0031 characterized by lumina for withdrawing or delivering, i.e. used for extracorporeal circuit treatment
• CPC Class Codes: A61M 2025/0034 characterized by elements which are assembled, connected or fused, e.g. splittable tubes, outer sheaths creating lumina or separate cores making of catheters A61M25/0009
• CPC Class Codes: A61M 2025/0037 characterized by lumina being arranged side-by-side
• CPC Class Codes: A61M 2206/10 Flow characteristics
• CPC Class Codes: A61M 2210/125 Heart
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 25/0122 with fluid drive by external fluid in an open fluid circuit

Abstract

The multi-lumen cannula according to the invention is preferably formed from two separate sub-cannulas, a portion of which are adhered to one another. Preferably, the adhered portions of the sub-cannulas are deformed such that the assembled multi-lumen cannula is substantially circular in cross section throughout the adhered portions of the sub-cannulas. In addition, the septum separating the multiple lumens of the cannula is preferably reinforced so that the multi-lumen cannula can accommodate dramatically different fluid pressure within the cannula without deformation of the septum. This cannula is ideally suited for use in a variety of left-heart and right-heart assist cardiac surgical procedures, especially minimally invasive procedures.

Claims

1. An improved multi-lumen cannula for conducting fluid to and from a body comprising a first lumen having a proximal end, a distal end, and a first and second fluid apertures spaced from one another, and a second lumen having a proximal end, a distal end and first and second fluid apertures spaced from one another, the improvement comprising:

septum separating the first and second lumens wherein the septum is wire reinforced to resist deflection of the septum.

2. An improved multi-lumen cannula according to claim 1 wherein both the first and second lumens are reinforced so that the septum separating the two lumens has greater reinforcement and resistance to deflection as compared to either of the lumens.

3. An improved multi-lumen cannula according to claim 2 wherein the lumens are wire reinforced.

4. An improved multi-lumen cannula according to claim 1 wherein one of said two fluid apertures for each of the first and second lumens are positioned adjacent one another along the axial length of the multi-lumen cannula.

5. An improved multi-lumen cannula according to claim 4 wherein the other of said two fluid apertures for each of the first and second lumens are spaced from one another along the axial length of the multi-lumen cannula.

6. An improved multi-lumen cannula according to claim 1 wherein one of said two fluid apertures for each of the first and second lumens are spaced from one another along the axial length of the multi-lumen cannula.

7. An improved multi-lumen cannula according to claim 1 wherein only a portion of the first and second lumens are adhered to one another and the remainder of the first and second lumens are free relative to one another.

8. An improved multi-lumen cannula according to claim 7 and further comprising a gap filling adhesive used to bind the two adhered portions of the lumens to one another.

9. An improved multi-lumen cannula according to claim 7 wherein the adhered portions of each of the two lumens are substantially D-shaped in cross section.

10. An improved multi-lumen cannula according to claim 9 wherein the free portions of the two lumens are substantially circular in cross section.

11. A multi-lumen cannula assembly comprising:

a first sub-cannula comprising a proximal end, a distal end, a lumen extending between the proximal and distal ends, proximal and distal fluid apertures formed in the lumen, and reinforcement to resist radial deflection of the lumen;

a second sub-cannula comprising a proximal end, a distal end, a lumen extending between the proximal and distal ends, and proximal and distal fluid apertures formed in the lumen, a portion of the first sub-cannula being adhered to a portion of the second sub-cannula to create a septum separating the lumens of the first and second sub-cannulas, wherein the reinforcement of the lumen of the first sub-cannula resists deflection of the septum as a result of differing fluid pressure levels inside the lumens.

12. A multi-lumen cannula according to claim 11 wherein the adhered portion of the first sub-cannula is non-circular in cross section and the non-adhered portion of the first sub-cannula is substantially circular in cross section.

13. A multi-lumen cannula according to claim 12 wherein the adhered portion of the first sub-cannula is D-shaped in cross section.

14. A multi-lumen cannula according to claim 12 wherein the adhered portion of the second sub-cannula is non-circular in cross section and the non-adhered portion of the second sub-cannula is substantially circular in cross section.

15. A multi-lumen cannula according to claim 14 wherein the adhered portion of the second sub-cannula is D-shaped in cross section.

16. A multi-lumen cannula according to claim 15 wherein the adhered portion of the first sub-cannula is D-shaped in cross section.

17. A multi-lumen cannula according to claim 11 wherein the first sub-cannula is wire reinforced.

18. A multi-lumen cannula according to claim 17 wherein the second sub-cannula is wire reinforced.

19. A multi-lumen cannula according to claim 11 wherein distal fluid apertures of the lumens of the first and second sub-cannulas are spaced from one another along the axial length of the multi-lumen cannula.

20. A multi-lumen cannula according to claim 19 wherein proximal fluid apertures of the lumens of the first and second sub-cannulas are adjacent one another along the axial length of the multi-lumen cannula.

21. A multi-lumen cannula assembly comprising:

a first sub-cannula comprising a proximal end, a distal end, a lumen extending between the proximal and distal ends, proximal and distal fluid apertures formed in the lumen, a portion of the first sub-cannula being circular in cross section and another portion being non-circular;

a second sub-cannula comprising a proximal end, a distal end, a lumen extending between the proximal and distal ends, and proximal and distal fluid apertures formed in the lumen, a portion of the second sub-cannula being circular in cross section and another portion being non-circular, the non-circular portion of the first sub-cannula being adhered to the non-circular portion of the second sub-cannula wherein the cross section of the adhered portions of the first and second sub-cannulas is substantially circular.

22. A multi-lumen cannula according to claim 21 and further comprising a septum separating the lumens of the adhered portions of the first and second sub-cannulas wherein the septum is reinforced to resist deflection of the septum with respect to the two lumens.

23. A multi-lumen cannula according to claim 22 wherein the septum is reinforced by wire.

24. A multi-lumen cannula according to claim 22 wherein the first sub-cannula is reinforced to prevent radial deflection of the lumen of the sub-cannula.

25. A multi-lumen cannula according to claim 24 wherein the second sub-cannula is reinforced to prevent radial deflection of the lumen of the sub-cannula.

26. A multi-lumen cannula according to claim 21 wherein the non-circular portion of the second sub-cannula is D-shaped in cross section.

27. A multi-lumen cannula according to claim 26 wherein the non-circular portion of the first sub-cannula is D-shaped in cross section.

28. A multi-lumen cannula according to claim 21 wherein distal fluid apertures of the lumens of the first and second sub-cannulas are spaced from one another along the axial length of the multi-lumen cannula.

29. A multi-lumen cannula according to claim 28 wherein proximal fluid apertures of the lumens of the first and second sub-cannulas are adjacent one another along the axial length of the multi-lumen cannula.

30. A method of assisting fluid flow in the cardiovascular system comprising the steps of:

providing a multi-lumen cannula comprising;

a first sub-cannula comprising a proximal end, a distal end, a lumen extending between the proximal and distal ends, and proximal and distal fluid apertures formed in the lumen, a portion of the first sub-cannula being circular in cross section and another portion being non-circular; and

a second sub-cannula comprising a proximal end, a distal end, a lumen extending between the proximal and distal ends, and proximal and distal fluid apertures formed in the lumen, a portion of the second sub-cannula being circular in cross section and another portion being non-circular, wherein the distal fluid apertures of the two lumens are spaced from one another along the axial length of the multi-lumen cannula and the non-circular portion of the first sub-cannula is adhered to the non-circular portion of the second sub-cannula so that the cross section of the adhered portions of the first and second sub-cannulas is substantially circular;

inserting the cannula into the vasculature system of a patient so that the distal fluid aperture of the lumen of the first sub-cannula is received in one of a first chamber of the heart or vessel fluidly communicating with the heart and the distal fluid aperture of the lumen of the second sub-cannula is received in one of a second chamber of the heart or vessel fluidly communicating with the heart; and

fluidly connecting the proximal fluid apertures of the first and second sub-cannulas to a fluid conducting pump for moving fluid through the two sub-cannulas.

31. A method of assisting fluid flow in the cardiovascular system according to claim 30 wherein the cannula is inserted into the vasculature system through an incision formed in the aorta.

32. A method of assisting fluid flow in the cardiovascular system according to claim 31 wherein the distal fluid aperture of the first sub-cannula is received in the left ventricle.

33. A method of assisting fluid flow in the cardiovascular system according to claim 32 wherein the distal fluid aperture of the second sub-cannula is received in the aorta.

34. A method of assisting fluid flow in the cardiovascular system according to claim 30 and further comprising a septum separating the lumens of the adhered portions of the first and second sub-cannulas and further comprising reinforcement in the septum to resist radial deflection of the septum with respect to the first and second sub-cannulas.

35. A method of assisting fluid flow in the cardiovascular system according to claim 30 wherein the cannula is inserted into the vasculature system through an incision formed in the heart wall.

36. A method of assisting fluid flow in the cardiovascular system according to claim 35 wherein the distal fluid aperture of the second sub-cannula is received in the left ventricle.

37. A method of assisting fluid low in the cardiovascular system according to claim 36 wherein the distal fluid aperture of the first sub-canula is received in the aorta.

38. A method of assisting fluid flow in the cardiovascular system according to claim 35 wherein the distal fluid aperture of the first sub-cannula is received in the pulmonary artery.

39. A method of assisting fluid flow in the cardiovascular system according to claim 38 wherein the distal fluid aperture of the second sub-cannula is received in the right ventricle.

40. A method of assisting fluid flow in the cardiovascular system according to claim 38 wherein the distal fluid aperture of the second sub-cannula is received in the right atrium.

41. A method of assisting fluid flow in the cardiovascular system according to claim 30 wherein the cannula is inserted in to the vasculature system through an incision formed in the vena cava, the distal fluid aperture of the second sub-cannula is received in the right atrium and the distal fluid aperture of the first sub-cannula is received in the pulmonary artery.

42. A method of forming a multi-lumen cannula comprising the steps of:

providing a first sub-cannula having a proximal end, a distal end, a lumen extending between the proximal and distal ends, and proximal and distal fluid apertures formed in the lumen, the first sub-cannula being substantially circular in cross section;

providing a second sub-cannula having a proximal end, a distal end, a lumen extending between the proximal and distal ends, and proximal and distal fluid apertures formed in the lumen, the second sub-cannula being substantially circular in cross section

deforming a portion of the first sub-cannula to create a non-circular portion;

deforming a portion of the second sub-cannula to create a non-circular portion;

adhering the non-circular portions of the first and second sub-cannulas to one another.

43. An improved multi-lumen cannula for conducting fluid to and from a body comprising a first lumen having a proximal end, a distal end, and a first and second fluid apertures spaced from one another, and a second lumen having a proximal end, a distal end and first and second fluid apertures spaced from one another, the improvement comprising:

a septum separating the first and second lumens wherein the septum is reinforced to resist deflection of the septum, wherein both the first and second lumens are reinforced so that the septum separating the two lumens has greater reinforcement and resistance to deflection as compared to either of the lumens.

44. An improved multi-lumen cannula according to claim 43 wherein the septum is wire reinforced.

45. An improved multi-lumen cannula according to claim 43 wherein the lumens are wire reinforced.

46. An improved multi-lumen cannula according to claim 43 wherein one of said two fluid apertures for each of the first and second lumens are positioned adjacent one another along the axial length of the multi-lumen cannula.

47. An improved multi-lumen cannula according to claim 46 wherein the other of said two fluid apertures for each of the first and second lumens are spaced from one another along the axial length of the multi-lumen cannula.

49. An improved multi-lumen cannula according to claim 43 wherein only a portion of the first and second lumens are adhered to one another and the remainder of the first and second lumens are free relative to one another.

50. An improved multi-lumen cannula according to claim 49 and further comprising a gap filling adhesive used to bind the two adhered portions of the lumens to one another.

51. An improved multi-lumen cannula according to claim 49 wherein the adhered portions of each of the two lumens are substantially D-shaped in cross section.

52. An improved multi-lumen cannula according to claim 51 wherein the free portions of the two lumens are substantially circular in cross section.

48. An improved multi-lumen cannula according to clam 43 wherein one of said two fluid apertures for each of the first and second lumens are spaced from one another along the axial length of the multi-lumen cannula.

53. An improved multi-lumen cannula for conducting fluid to and from a body comprising a first lumen having a proximal end, a distal end, and a first and second fluid apertures spaced from one another, and a second lumen having a proximal end, a distal end and first and second fluid apertures spaced from one another, the improvement comprising:

a septum separating the first and second lumens wherein the septum is reinforced to resist deflection of the septum, wherein one of said two fluid apertures for each of the first and second lumens are positioned adjacent one another along the axial length of the multi-lumen cannula.

54. An improved multi-lumen cannula according to claim 53 wherein the septum is wire reinforced.

55. An improved multi-lumen cannula according to claim 53 wherein both the first and second lumens are reinforced so that the septum separating the two lumens has greater reinforcement and resistance to deflection as compared to either of the lumens.

56. An improved multi-lumen cannula according to claim 55 wherein the lumens are wire reinforced.

57. An improved multi-lumen cannula according to claim 53 wherein the other of said two fluid apertures for each of the first and second lumens are spaced from one another along the axial length of the multi-lumen cannula.

59. An improved multi-lumen cannula according to claim 53 wherein only a portion of the first and second lumens are adhered to one another and the remainder of the first and second lumens are free relative to one another.

60. An improved multi-lumen cannula according to claim 59 and further comprising a gap filling adhesive used to bind the two adhered portions of the lumens to one another.

61. An improved multi-lumen cannula according to claim 59 wherein the adhered portions of each of the two lumens are substantially D-shaped in cross section.

62. An improved multi-lumen cannula according to claim 61 wherein the free portions of the two lumens are substantially circular in cross section.

58. An improved multi-lumen cannula according to clam 53 wherein one of said two fluid apertures for each of the first and second lumens are spaced from one another along the axial length of the multi-lumen cannula.

63. An improved multi-lumen cannula for conducting fluid to and from a body comprising a first lumen having a proximal end, a distal end, and a first and second fluid apertures spaced from one another, and a second lumen having a proximal end, a distal end and first and second fluid apertures spaced from one another, the improvement comprising:

a septum separating the first and second lumens wherein the septum is reinforced to resist deflection of the septum, wherein one of said two fluid apertures for each of the first and second lumens are spaced from one another along the axial length of the multi-lumen cannula.

64. An improved multi-lumen cannula according to claim 63 wherein the septum is wire reinforced.

65. An improved multi-lumen cannula according to claim 63 wherein both the first and second lumens are reinforced so that the septum separating the two lumens has greater reinforcement and resistance to deflection as compared to either of the lumens.

66. An improved multi-lumen cannula according to claim 65 wherein the lumens are wire reinforced.

67. An improved multi-lumen cannula according to claim 63 wherein one of said two fluid apertures for each of the first and second lumens are positioned adjacent one another along the axial length of the multi-lumen cannula.

68. An improved multi-lumen cannula according to claim 67 wherein the other of said two fluid apertures for each of the first and second lumens are spaced from one another along the axial length of the multi-lumen cannula.

69. An improved multi-lumen cannula according to claim 63 wherein only a portion of the first and second lumens are adhered to one another and the remainder of the first and second lumens are free relative to one another.

70. An improved multi-lumen cannula according to claim 69 and further comprising a gap filling adhesive used to bind the two adhered portions of the lumens to one another.

71. An improved multi-lumen cannula according to claim 70 wherein the adhered portions of each of the two lumens are substantially D-shaped in cross section.

72. An improved multi-lumen cannula according to claim 71 wherein the free portions of the two lumens are substantially circular in cross section.

73. An improved multi-lumen cannula for conducting fluid to and from a body comprising a first lumen having a proximal end, a distal end, and a first and second fluid apertures spaced from one another, and a second lumen having a proximal end, a distal end and first and second fluid apertures spaced from one another, the improvement comprising:

a septum separating the first and second lumens wherein the septum is reinforced to resist deflection of the septum, wherein only a portion of the first and second lumens are adhered to one another and the remainder of the first and second lumens are free relative to one another.

74. An improved multi-lumen cannula according to claim 73 wherein the septum is wire reinforced.

75. An improved multi-lumen cannula according to claim 73 wherein both the first and second lumens are reinforced so that the septum separating the two lumens has greater reinforcement and resistance to deflection as compared to either of the lumens.

76. An improved multi-lumen cannula according to claim 75 wherein the lumens are wire reinforced.

77. An improved multi-lumen cannula according to claim 73 wherein one of said two fluid apertures for each of the first and second lumens are positioned adjacent one another along the axial length of the multi-lumen cannula.

78. An improved multi-lumen cannula according to claim 77 wherein the other of said two fluid apertures for each of the first and second lumens are spaced from one another along the axial length of the multi-lumen cannula.

80. An improved multi-lumen cannula according to claim 73 and further comprising a gap filling adhesive used to bind the two adhered portions of the lumens to one another.

81. An improved multi-lumen cannula according to claim 73 wherein the adhered portions of each of the two lumens are substantially D-shaped in cross section.

82. An improved multi-lumen cannula according to claim 81 wherein the free portions of the two lumens are substantially circular in cross section.

79. An improved multi-lumen cannula according to clam 73 wherein one of said two fluid apertures for each of the first and second lumens are spaced from one another along the axial length of the multi-lumen cannula.