Anti-occlusion catheter

• US 6,692,459 B2
• Filed: 06/13/2001
• Issued: 02/17/2004
• Est. Priority Date: 07/18/2000
• Status: Expired due to Fees

• Current Assignee: George P. Teitelbaum
• Original Assignee: George P. Teitelbaum
• Inventors: Teitelbaum, George P.
• Primary Examiner(s): Thanh, LoAn H.
• Application Number:
  US09/880,310
• Publication Number:
  US 20020010442A1
• Time in Patent Office: 979 Days
• Field of Search: 604/19, 604/27, 604/28, 604/30, 604/35, 604/48, 604/93.01, 604/96.01, 604/99-1-, 604/99.04, 604/10.01, 604/246, 604/256, 604/257, 604/264, 604/523, 604/536, 604/537, 604/500, 601/288.01
• US Class Current: 604/99.02
• CPC Class Codes: A61M 1/3661 for haemodialysis
• CPC Class Codes: A61M 2025/0031 characterized by lumina for withdrawing or delivering, i.e. used for extracorporeal circuit treatment
• CPC Class Codes: A61M 2025/0079 Separate user-activated means, e.g. guidewires, guide tubes, balloon catheters or sheaths, for sealing off an orifice, e.g. a lumen or side holes, of a catheter
• CPC Class Codes: A61M 2039/0211 with multiple chambers in a single site
• 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 25/0075 Valve means
• CPC Class Codes: A61M 39/0208 Subcutaneous access sites for injecting or removing fluids transcutaneous access sites A61M39/0247; implantable infusion devices A61M5/14276

Abstract

A catheter for the administration of fluid or pharmaceutical agents, or for hemodialysis comprising a proximal control end comprising a housing with a proximal end and a distal end, a distal delivery end, an elongated intermediate portion between the proximal control end and a distal delivery end, one or more than one delivery lumen within the intermediate portion extending from the proximal control end to the distal delivery end; one or more than one inflation balloon in each delivery lumen, and one or more than one inflation lumen in the intermediate portion extending from the proximal control end to the one or more than one inflation balloon in the one or more than one delivery lumen, and connected to the one or more than one inflation balloon through one or more than one fenestration, where the proximal control end further comprises a mechanism for aspiration and injection of fluids through the distal delivery end, and where the proximal control end further comprises a mechanism for controlling inflation of the one or more than one inflation balloon.

Claims

1. A method of performing a diagnostic or therapeutic procedure in a human or animal comprising the steps of:

a) providing a catheter for the administration of fluid or pharmaceutical agents, or for hemodialysis comprising;

i) a proximal control end comprising a housing with a proximal end and a distal end;

ii) a distal delivery end;

iii) an elongated intermediate portion between the proximal control end and a distal delivery end;

iv) one or more than one delivery lumen within the intermediate portion extending from the proximal control end to the distal delivery end;

v) one or more than one inflation balloon in each delivery lumen; and

vi) one or more than one inflation lumen in the intermediate portion extending from the proximal control end to the one or more than one inflation balloon in the one or more than one delivery lumen, and connected to the one or more than one inflation balloon through one or more than one fenestration;

where the proximal control end further comprises a mechanism for aspiration and injection of fluids through the distal delivery end; and

where the proximal control end further comprises a mechanism for controlling inflation of the one or more than one inflation balloon;

b) placing the catheter subcutaneously into the human or animal with the distal end inserted into a target vessel;

c) injecting fluid into or aspirating fluid from the proximal control end of the catheter; and

d) allowing the fluid to flow through the distal delivery end;

where inflating the one or more than one inflation balloon in the distal delivery end is achieved by depressing a portion of the proximal control end through skin overlying the placed catheter.

2. The method of claim 1, where the mechanism for controlling inflation of the one or more than one inflation balloon of the provided catheter comprises inflation means and deflation means.

3. The method of claim 2, where the inflation means comprises a reservoir and an inflation actuator.

4. The method of claim 3, where the housing has a superior surface, and where the inflation actuator comprises a tactile recognizable surface that projects from the superior surface of the housing.

5. The method of claim 3, where the reservoir connects to the one or more than on inflation lumen through an antegrade flow conduit, and where the inflation means further comprises a one-way, antegrade flow valve between the inflation lumen and the antegrade flow conduit.

6. The method of claim 3, where the reservoir connects to the one or more than one inflation lumen through one or more than one retrograde flow conduit, and where the inflation means further comprises a one-way, retrograde flow valve between the one or more than one inflation lumen and each retrograde flow conduit.

7. The method of claim 2, where the inflation means comprises an elastic bulb.

8. The method of claim 2, where the inflation means comprises a rigid upper unit slidably fitting into a rigid lower reservoir and separated by a reservoir spring coil within the reservoir.

9. The method of claim 1, where the mechanism for aspiration and injection of fluids of the provided catheter comprises one or more than one combined aspiration and injection port.

10. The method of claim 9, where each of the one or more than one combined aspiration and injection port has a distal end and where the mechanism for aspiration and injection of fluids further comprises one or more than one aspiration and injection conduit connecting the distal end of each port to the one or more than one delivery lumen.

11. The method of claim 10, where the mechanism for aspiration and injection of fluids further comprises constricting means for constricting the aspiration and injection conduit.

12. The method of claim 9, where the combined aspiration and injection port is concave toward the distal end of the housing.

13. The method of claim 1, further comprising preventing flow through the distal delivery end by inflating the one or more than one inflation balloon in the distal delivery end.

14. The method of claim 13, further comprising allowing flow through the distal delivery end to resume by deflating the one or more than one inflation balloon in the distal delivery end.

15. The method of claim 14, where deflating the one or more than one inflation balloon in the distal delivery end is achieved by depressing a portion of the proximal control end through skin overlying the placed catheter.

16. The method of claim 1, further comprising anchoring the catheter to subcutaneous tissues of the human or animal.

17. The method of claim 1, where the one or more than one delivery lumen of the provided catheter is two delivery lumens.

18. The method of claim 1, where the one or more than one delivery lumen of the provided catheter has an axial length of between about 10 cm and about 50 cm.

19. The method of claim 1, where the intermediate portion of the provided catheter has a cross-sectional area and where the cross-sectional area is between about 1 cm and about 3 cm.

20. The method of claim 1, where the intermediate portion of the provided catheter comprises an external surface and the one or more than one delivery lumen comprises an intraluminal surface;

and

where the external surface or the intraluminal surface or both comprise at least one hydrophilic coating.

21. The method of claim 1, where the intermediate portion of the provided catheter comprises an external surface and the one or more than one delivery lumen comprises an intraluminal surface;

and

where the external surface or the intraluminal surface or both comprise heparin molecules bound to the external surface or to the intraluminal surface, or both, to reduce the accumulation of thrombus and fibrin on these surfaces.

22. The method of claim 1, where the inflation lumen of the provided catheter has an internal diameter of between about 0.4 and about 0.7 mm.

23. The method of claim 1, where the housing of the provided catheter comprises one or more than one anchoring device.

36. The method of claim 21, further comprising preventing flow through the distal delivery end by inflating the one or more than one inflation balloon in the distal delivery end.

37. The method of claim 36, where inflating the one or more than one inflation balloon in the distal delivery end is achieved by depressing a portion of the proximal control end through skin overlying the placed catheter.

38. The method of claim 36, further comprising allowing flow through the distal delivery end to resume by deflating the one or more than one inflation balloon in the distal delivery end.

39. The method of claim 21, further comprising anchoring the catheter to subcutaneous tissues of the human or animal.

24. A method of performing a diagnostic or therapeutic procedure in a human or animal comprising the steps of:

a) providing a catheter for the administration of fluid or pharmaceutical agents, or for hemodialysis comprising;

i) a proximal control end comprising a housing with a proximal end and a distal end;

ii) a distal delivery end;

iii) an elongated intermediate portion between the proximal control end and a distal delivery end;

iv) one or more than one delivery lumen within the intermediate portion extending from the proximal control end to the distal delivery end;

v) one or more than one inflation balloon in each delivery lumen; and

vi) one or more than one inflation lumen in the intermediate portion extending from the proximal control end to the one or more than one inflation balloon in the one or more than one delivery lumen, and connected to the one or more than one inflation balloon through one or more than one fenestration;

where the proximal control end further comprises a mechanism for aspiration and injection of fluids through the distal delivery end; and

where the proximal control end further comprises a mechanism for controlling inflation of the one or more than one inflation balloon;

where deflating the one or more than one inflation balloon in the distal delivery end is achieved by depressing a portion of the proximal control end through skin overlying the placed catheter;

b) placing the catheter subcutaneously into the human or animal with the distal end inserted into a target vessel;

c) injecting fluid into or aspirating fluid from the proximal control end of the catheter; and

d) allowing the fluid to flow through the distal delivery end;

where deflating the one or more than one inflation balloon in the distal delivery end is achieved by depressing a portion of the proximal control end through skin overlying the placed catheter.

25. The method of claim 24, where the mechanism for controlling inflation of the one or more than one inflation balloon of the provided catheter comprises inflation means and deflation means.

26. The method of claim 25, where the inflation means comprises a reservoir and an inflation actuator.

27. The method of claim 26, where the housing has a superior surface, and where the inflation actuator comprises a tactile recognizable surface that projects from the superior surface of the housing.

28. The method of claim 26, where the reservoir connects to the one or more than one inflation lumen through an antegrade flow conduit, and where the inflation means further comprises a one-way, antegrade flow valve between the inflation lumen and the antegrade flow conduit.

29. The method of claim 26, where the reservoir connects to the one or more than one inflation lumen through one or more than one retrograde flow conduit, and where the inflation means further comprises a one-way, retrograde flow valve between the one or more than one inflation lumen and each retrograde flow conduit.

30. The method of claim 25, where the inflation means comprises an elastic bulb.

31. The method of claim 25, where the inflation means comprises a rigid upper unit slidably fitting into a rigid lower reservoir and separated by a reservoir spring coil within the reservoir.

32. The method of claim 24, where the mechanism for aspiration and injection of fluids of the provided catheter comprises one or more than one combined aspiration and injection port.

33. The method of claim 32, where each of the one or more than one combined aspiration and injection port has a distal end and where the mechanism for aspiration and injection of fluids further comprises one or more than one aspiration and injection conduit connecting the distal end of each port to the one or more than one delivery lumen.

35. The method of claim 32, where the combined aspiration and injection port is concave toward the distal end of the housing.

40. The method of claim 24, where the one or more than one delivery lumen of the to provided catheter is two delivery lumens.

41. The method of claim 24, where the one or more than one delivery lumen of the provided catheter has an axial length of between about 10 cm and about 50 cm.

42. The method of claim 24, where the intermediate portion of the provided catheter has a cross-sectional area and where the cross-sectional area is between about 1 cm and about 3 cm.

43. The method of claim 24, where the intermediate portion of the provided catheter comprises an external surface and the one or more than one delivery lumen comprises an intraluminal surface;

and

where the external surface or the intraluminal surface or both comprise at least one hydrophilic coating.

44. The method of claim 24, where the intermediate portion of the provided catheter comprises an external surface and the one or more than one delivery lumen comprises an intraluminal surface;

and

where the external surface or the intraluminal surface or both comprise heparin molecules bound to the external surface or to the intraluminal surface, or both, to reduce the accumulation of thrombus and fibrin on these surfaces.

45. The method of claim 24, where the inflation lumen of the provided catheter has an internal diameter of between about 0.4 and about 0.7 mm.

46. The method of claim 24, where the housing of the provided catheter comprises one or more than one anchoring device.

34. The method comprising 33, where the mechanism for aspiration and injection of fluids further comprises constricting means for constricting the aspiration and injection conduit.