Coaxial dual lumen catheter

• US 5,961,485 A
• Filed: 10/02/1997
• Issued: 10/05/1999
• Est. Priority Date: 03/16/1993
• Status: Expired due to Term

• Current Assignee: Vas-Cath Incorporated (Becton, Dickinson & Co)
• Original Assignee: Vas-Cath Incorporated (Becton, Dickinson & Co)
• Inventors: Martin, Geoffrey S.
• Primary Examiner(s): Coggins, Wynn Wood
• Assistant Examiner(s): Sadula, Jennifer R.
• Application Number:
  US08/943,070
• Time in Patent Office: 733 Days
• Field of Search: 604/43, 604/93, 604/264, 604/280, 604/284, 604/283
• US Class Current: 604/43
• CPC Class Codes: A61M 2025/0031 characterized by lumina for withdrawing or delivering, i.e. used for extracorporeal circuit treatment
• CPC Class Codes: A61M 2025/0039 characterized by lumina being arranged coaxially
• CPC Class Codes: A61M 25/0009 Making of catheters or other medical or surgical tubes
• CPC Class Codes: A61M 25/0014 Connecting a tube to a hub
• CPC Class Codes: A61M 25/0028 characterized by features relating to at least one lumen located at the proximal part of the catheter, e.g. alterations in lumen shape or valves catheter hubs A61M25/0097
• CPC Class Codes: A61M 5/1582 Double lumen needles

Abstract

The invention provides a dual lumen catheter comprising outer and inner tube materials. A main portion extends axially and has a selected first cross-section. The main portion includes main portions of the respective outer and inner tube materials which together define an annular intake lumen and a main part of a return lumen contained inside the intake lumen. A tubular transition portion is made up integrally of both the outer and inner tube materials and has a second cross-section smaller than the first cross-section. The transition portion extends axially from the distal end of the main portion and this can be extended to include a tip portion made up only of outer tube material and which extends axially from the transition portion. The transition portion on its own, or with the tip portion, defines a tip section which is a continuation of said main part of the return lumen to complete the return lumen.

Claims

1. A dual lumen catheter comprising:

(a) a catheter body having a proximal end and a distal end, said catheter body comprising;

(i) an inner tube comprised of an inner tube material and enclosing a first lumen open at said proximal end and at said distal end of said catheter body;

(ii) an outer tube comprised of an outer tube material enclosing said inner tube, thereby defining a second lumen between said inner tube and said outer tube, said second lumen being open at said proximal end of said catheter body;

(iii) a distal extremity of said catheter body, the interior of said outer tube converging radially inwardly at said distal extremity of said catheter body into contact with said inner tube, thereby terminating the distal extent of said second lumen; and

(b) a tubular transition portion extending distally from said distal extremity of said catheter body at which said inner tube is permanently secured to said outer tube, said transition portion being comprised of said inner tube material and said outer tube material blended into an integral structure, and said transition portion having an open distal end, an open proximal end, and an outer cross section smaller than the outer cross section of said outer tube, said open proximal end of said transition portion communicating smoothly and continuously with said first lumen at said distal extremity of said catheter body.

2. A catheter as recited in claim 1, further comprising means for effecting fluid communication individually with said proximal end of each of said first lumen and said second lumen.

3. A catheter as recited in claim 1, wherein said catheter body is free of bends.

4. A catheter as recited in claim 1, further comprising a tubular tip portion extending distally from said distal end of said transition portion, said tip portion comprising:

(a) an outer cross section substantially similar to said outer cross section of said transition portion;

(b) an open distal end;

(c) an open proximal end, said open proximal end of said tip portion communicating smoothly and continuously with said open distal end of said transition portion.

5. A catheter as recited in claim 4, wherein said tip portion is comprised of said outer tube material and is substantially free of said inner tube material.

6. A catheter as recited in claim 5, wherein said tip portion is comprised exclusively of said outer tube material.

7. A catheter as recited in claim 4, wherein said tip portion is integrally formed with said transition portion.

8. A catheter as recited in claim 4, wherein the outer cross section of said tip portion is circular.

9. A catheter as recited in claim 4, wherein said open distal end of said tip portion is circular.

10. A catheter as recited in claim 4, wherein said tip portion further comprises an integrally formed tubular distal extremity at said open distal end of said tip portion.

11. A catheter as recited in claim 10, wherein said distal extremity of said tip portion is comprised of said outer tube material and is substantially free of said inner tube material.

12. A catheter as recited in claim 11, wherein said distal extremity of said tip portion is comprised exclusively of said outer tube material.

13. A catheter as recited in claim 10, wherein said distal extremity of said tip portion is conical.

14. A catheter as recited in claim 10, wherein said distal extremity of said tip portion comprises:

(a) an open distal end corresponding to said open distal end of said tip portion; and

(b) an open proximal end, said open proximal end of said distal extremity of said tip portion communicating smoothly and continuously through said tip portion with said open distal end of said transition portion.

15. A catheter as recited in claim 14, wherein the outer cross section of said distal extremity of said tip portion tapers radially inwardly in a direction toward said open distal end thereof.

16. A catheter as recited in claim 4, further comprising an opening formed through the outer wall of said tip portion, said opening formed through said outer wall of said tip portion thereby communicating between the exterior and the interior of said tip portion.

17. A catheter as recited in claim 16, wherein said opening formed through said outer wall of said tip portion is circular.

18. A catheter as recited in claim 16, wherein said opening formed through said outer wall of said tip portion is located proximal of said distal end of said tip portion.

19. A catheter as recited in claim 1, wherein the outer cross section of said distal extremity of said catheter body tapers inwardly from said outer tube of said catheter body to said transition portion.

20. A catheter as recited in claim 19, wherein said distal extremity of said catheter body is conical.

21. A catheter as recited in claim 1, further comprising an opening formed through the outer wall of said outer tube said catheter body, said opening formed through said outer wall of said outer tube thereby communicating between the exterior of said outer tube and said second lumen.

22. A catheter as recited in claim 21, wherein said opening formed through said outer wall of said outer tube is circular.

23. A catheter as recited in claim 21, wherein said opening formed through said outer wall of said outer tube is located proximal of said distal extremity of said catheter body.

24. A catheter as recited in claim 1, wherein the outer cross section of said inner tube is circular.

25. A catheter as recited in claim 1, wherein the outer cross section of said outer tube is circular.

26. A catheter as recited in claim 1, wherein said first lumen is circular.

27. A catheter as recited in claim 1, wherein said second lumen is annular.

28. A catheter as recited in claim 1, wherein the outer cross section of said transition portion is circular.

29. A catheter as recited in claim 1, wherein said catheter body is substantially straight.

30. A cardiovascular access catheter comprising:

(a) a catheter body having a proximal end and a distal end, said catheter body comprising;

(i) an inner tube of circular outer cross section comprised of an inner tube material and enclosing a first lumen open at said proximal end and at said distal end of said catheter body;

(ii) an outer tube of circular outer cross section comprised of an outer tube material enclosing said inner tube, thereby defining a second lumen between said inner tube and said outer tube, said second lumen being open at said proximal end of said catheter body;

(iii) a conical distal extremity of said catheter body, the interior of said outer tube converging radially inwardly at said distal extremity of said catheter body into contact with said inner tube, thereby terminating the distal extent of said second lumen; and

(b) a tubular transition portion extending distally from said distal extremity of said catheter body at which said inner tube is permanently secured to said outer tube, said transition portion being comprised of said inner tube material and said outer tube material blended into an integral structure, and said transition portion having an open distal end, an open proximal end, and an outer cross section smaller than the outer cross section of said outer tube, said open proximal end of said transition portion communicating smoothly and continuously with said first lumen at said distal extremity of said catheter body;

(c) a tubular tip portion extending distally from said distal end of said transition portion, said tip portion being comprised of said outer tube material and being substantially free of said inner tube material, and said tip portion comprising;

(i) an outer cross section substantially similar to said outer cross section of said transition portion;

(ii) an open distal end;

(iii) an open proximal end, said open proximal end of said tip portion communicating smoothly and continuously with said open distal end of said transition portions; and

(iv) a conical tubular distal extremity of said tip portion extending distally therefrom and being integrally formed therewith;

(d) a bifurcation hub attached to said outer tube and to said inner tube at said proximal end of said catheter body;

(e) a first catheter access tube attached to said bifurcation hub and communicating therethrough to said first lumen at said proximal end of said catheter body; and

(f) a second catheter access tube attached to said bifurcation hub and communicating therethrough to said second lumen at said proximal end of said catheter body.

31. A catheter as recited in claim 30, wherein said distal extremity of said catheter body tapers inwardly from said outer tube of said catheter body to said transition portion.

32. A catheter as recited in claim 30, wherein said distal extremity of said tip portion comprises:

(a) an open distal end corresponding to said open distal end of said tip portion; and

(b) an open proximal end, said open proximal end of said distal extremity of said tip portion communicating smoothly and continuously through said tip portion with said open distal end of said transition portion, the outer cross section of said distal extremity of said tip portion tapering radially inwardly in a direction toward said open distal end thereof.

33. A catheter as recited in claim 30, wherein said first catheter access tube at said bifurcation hub and said second catheter access tube at said bifurcation hub are symmetrically disposed relative to the longitudinal axis of said catheter body at said proximal end thereof.

34. A catheter as recited in claim 30, wherein said tip portion is comprised exclusively of said outer tube material.

35. A catheter as recited in claim 30, where the thickness of the wall of said inner tube is less than the thickness of the wall of said outer tube.

36. A cardiovascular access catheter comprising:

(a) a catheter body having a proximal end and a distal end, said catheter body comprising;

(i) an inner tube comprised of an inner tube material and enclosing a first lumen open at said proximal end and at said distal end of said catheter body;

(ii) an outer tube comprised of an outer tube material enclosing said inner tube, thereby defining a second lumen between said inner tube and said outer tube, said second lumen being open at said proximal end of said catheter body;

(iii) a conical distal extremity of said catheter body, the interior of said outer tube converging radially inwardly at said distal extremity of said catheter body into contact with said inner tube, thereby terminating the distal extent of said second lumen; and

(b) a tubular transition portion extending distally from said distal extremity of said catheter body at which said inner tube is permanently secured to said outer tube, said transition portion being comprised of said inner tube material and said outer tube material blended into an integral structure, and said transition portion having an open distal end, an open proximal end, and an outer cross section smaller than the outer cross section of said outer tube, and said open proximal end of said transition portion communicating smoothly and continuously with said first lumen at said distal extremity of said catheter body; and

(c) a tubular tip portion extending distally from said distal end of said transition portion, said tip portion comprising;

(i) an outer cross section substantially similar to said outer cross section of said transition portion;

(ii) an open distal end;

(iii) an open proximal end, said open proximal end of said tip portion communicating smoothly and continuously with said open distal end of said transition portions; and

(iv) a tubular distal extremity of said tip portion extending distally therefrom and being integrally formed therewith.

37. A catheter as recited in claim 36, further comprising means for effecting fluid communication individually with said proximal end of each of said first lumen and said second lumen.

38. A catheter as recited in claim 37, wherein said means for effecting fluid communication comprises:

(a) a bifurcation hub attached to said outer tube and to said inner tube at said proximal end of said catheter body;

(b) a first catheter access tube attached to said bifurcation hub and communicating therethrough to said first lumen at said proximal end of said catheter body; and

(c) a second catheter access tube attached to said bifurcation hub and communicating therethrough to said second lumen at said proximal end of said catheter body.

39. A catheter as recited in claim 38, wherein said bifurcation hub, said first catheter access tube, and said second catheter access tube are comprised of a common thermoplastic material.

40. A catheter as recited in claim 38, wherein an outer surface of said inner tube engages an inner surface of said outer tube at said bifurcation hub.

41. A catheter as recited in claim 38, wherein said bifurcation hub is trident-shaped.

42. A catheter as recited in claim 38, wherein said first catheter access tube at said bifurcation hub forms a divergence angle with said second catheter access tube at said bifurcation hub.

43. A catheter as recited in claim 42, wherein said divergence angle is less than about 30°

.

44. A catheter as recited in claim 43, wherein said divergence angle is a range from about 15°

to about 20°

.

45. A catheter as recited in claim 38, wherein said means for effecting fluid communication also establishes essentially axial fluid flow into and out of said proximal end of said catheter body through each of said first catheter access tube and said second catheter access tube, respectively.

46. A catheter as recited in claim 45, wherein each of said first catheter access tube and said second catheter access tube at said bifurcation hub is essentially aligned with said proximal end of catheter body.

47. A catheter as recited in claim 46, wherein said first catheter access tube at said bifurcation hub forms a divergence angle with said second catheter access tube at said bifurcation hub.

48. A catheter as recited in claim 47, wherein said divergence angle is less than about 30°

.

49. A catheter as recited in claim 48, wherein said divergence angle is a range from about 15°

to about 20°

.

50. A catheter as recited in claim 45, wherein said first catheter access tube at said bifurcation hub and said second catheter access tube at said bifurcation hub are symmetrically disposed relative to the longitudinal extent of said catheter body at said proximal end thereof.

51. A catheter as recited in claim 50, said first catheter access tube at said bifurcation hub forms a divergence angle with said second catheter access tube at said bifurcation hub.

52. A catheter as recited in claim 51, wherein said divergence angle is less than about 30°

.

53. A catheter as recited in claim 52, wherein said divergence angle is a range from about 15°

to about 20°

.

54. A catheter as recited in claim 38, wherein said bifurcation hub is comprised of a thermoplastic material bonded to said first catheter access tube and said second catheter access tube.

55. A catheter as recited in claim 36, wherein said tip portion is comprised of said outer tube material and is substantially free of said inner tube material.

56. A catheter as recited in claim 55, wherein said tip portion is comprised exclusively of said outer tube material.