Multi-lumen catheter with separate distal tips

• US 7,393,339 B2
• Filed: 02/21/2003
• Issued: 07/01/2008
• Est. Priority Date: 02/21/2003
• Status: Active Grant

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Powers, Kelly B., Evans, John G., Zawacki, John A., Rome, Guy
• Primary Examiner(s): WILLIAMS, CATHERINE SERKE
• Application Number:
  US10/371,774
• Publication Number:
  US 20040167463A1
• Time in Patent Office: 1,957 Days
• Field of Search: 604/19, 604 27- 35, 604/43, 604/6.16, 604/93.01, 604/164.13, 604264-269, 604523-528
• US Class Current: 604/43
• CPC Class Codes: A61M 1/3653 Interfaces between patient blood circulation and extra-corporal blood circuit
• CPC Class Codes: A61M 1/3659 Cannulae pertaining to extracorporeal circulation
• 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 2025/0037 characterized by lumina being arranged side-by-side
• CPC Class Codes: A61M 25/0009 Making of catheters or other medical or surgical tubes
• CPC Class Codes: A61M 25/0026 Multi-lumen catheters with stationary elements catheter assemblies comprising a catheter in combination with a guide tube, sheath or sleeve A61M2025/0681; catheters comprising telescoping coaxial elements A61M2025/0175
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable

Abstract

A multi-lumen catheter defined by at least two separate tip sections distal to a dividing point includes strategic placement of openings in the tip sections to facilitate fluid flow and minimize typical problems associated with catheters. In a multi-lumen catheter having tip sections with a releasably joined or splittable region, the bond strength between the tip sections is varied along their length such that an increasing separation force is required to separate the tip sections from one another distal to the dividing point. Delivery of a multi-lumen catheter is improved with respect to both sheathed and non-sheathed delivery methods, in which a friction reducing structure is provided on either the catheter, delivery sheath or both to provide a buffer for a sheathed delivery and in which a unique guidewire aperture or additional lumen is provided in at least one of the tip sections for a non-sheathed delivery.

Claims

1. A multi-lumen catheter, comprising:

a catheter body enclosing at least two separate lumens from a proximal end to a dividing point;

a first tip section enclosing a first lumen with a first length distal to the dividing point; and

a second tip section enclosing a second lumen with a second length longer than the first length distal to the dividing point, the second tip section including, a proximal portion with a first cross-sectional area extending from the dividing point, a distal portion with a second cross-sectional area greater than the first cross-sectional area, and a transition region, connecting the proximal portion to the distal portion, the transition region including an aperture.

2. The multi-lumen catheter according to claim 1, wherein said catheter body has a cylindrical shape.

3. The multi-lumen catheter according to claim 1, wherein said first tip section has a semi-cylindrical shape.

4. The multi-lumen catheter according to claim 1, wherein said proximal portion of said second tip section has a semi-cylindrical shape.

5. The multi-lumen catheter according to claim 4, wherein said distal portion of said second tip section has a cylindrical shape.

6. The multi-lumen catheter according to claim 1, wherein the transition region aperture connects an exterior of the second tip section to the second lumen and is configured to pass a guidewire therethrough.

7. The multi-lumen catheter according to claim 1, wherein said second lumen in said distal portion of said second tip section has a cross-sectional area that is greater than a cross-sectional area of said second lumen in said proximal portion of said second tip section.

8. The multi-lumen catheter according to claim 1, wherein said second lumen in said distal portion of said second tip section has a cross-sectional area that is less than a cross-sectional area of said second lumen in said proximal portion of said second tip section.

9. The multi-lumen catheter according to claim 1, wherein said second lumen in said distal portion of said second tip section has a cross-sectional area that is substantially equivalent to a cross-sectional area of said second lumen in said proximal portion of said second tip section.

10. The multi-lumen catheter according to claim 1, wherein said catheter body is straight.

11. The multi-lumen catheter according to claim 1, wherein said catheter body is pre-curved.

12. The multi-lumen catheter according to claim 1, wherein said two separate lumens have a semicircular cross-sectional shape in said catheter body, being divided by a planar septum.

13. The multi-lumen catheter according to claim 12, wherein a cross-sectional area of said two separate lumens is substantially equivalent.

14. The multi-lumen catheter according to claim 1, wherein each of said first and said second tip sections comprise a planar surface along at least a portion of their length, wherein said planar surface of said first tip section is in facing relation to said planar surface of said second tip section.

15. The multi-lumen catheter according to claim 14, wherein each of said planar surfaces of said first and second tip section comprises two edges connecting said planar surface to a semicircular portion, wherein said two edges of each of said planar surfaces are rounded along at least a portion of their length.

16. The multi-lumen catheter according to claim 1, wherein said first tip section comprises at least one opening in a wall thereof.

17. The multi-lumen catheter according to claim 1, wherein said second tip section comprises at least one opening in a wall of said distal portion.

18. The multi-lumen catheter according to claim 1, further comprising a plurality of openings spaced around the circumference of said first tip section.

19. The multi-lumen catheter according to claim 18, wherein said plurality of openings comprise four openings circumferentially offset from one another.

20. The multi-lumen catheter according to claim 18, wherein said plurality of openings comprise Thor openings longitudinally offset from one another.

21. The multi-lumen catheter according to claim 20, wherein said four openings are spaced longitudinally equidistant from one another.

22. The multi-lumen catheter according to claim 18, wherein said plurality of openings comprise four openings circumferentially and longitudinally offset from one another.

23. The multi-lumen catheter according to claim 22, wherein said first tip section comprises a planar surface, a semicircular surface and two edges connecting said planar surface to said semicircular surface, wherein a first of said four openings is formed in said semicircular surface, wherein a second of said four openings is formed in a first of said two edges, wherein a third of said four openings is formed in a second of said two edges, and wherein a fourth of said four openings is formed in said planar surface.

24. The multi-lumen catheter according to claim 23, wherein said four openings are spaced longitudinally equidistant from one another.

25. The multi-lumen catheter according to claim 24, wherein said first opening is positioned distal to said second opening, wherein said second opening is positioned distal to said third opening, and wherein said third opening is positioned distal to said fourth opening.

26. The multi-lumen catheter according to claim 1, wherein a terminal end of said first tip section is rounded such that a side view thereof reveals a semicircular shape.

27. The multi-lumen catheter according to claim 1, wherein a terminal end of said first tip section is cut perpendicular to a longitudinal axis of said first tip section.

28. The multi-lumen catheter according to claim 1, wherein a terminal end of said second tip section is inwardly beveled in a proximal direction.

29. The multi-lumen catheter according to claim 28, wherein edges of said beveled terminal end are rounded.

30. The multi-lumen catheter according to claim 28, wherein said terminal end of said second tip section is inwardly beveled at an angle having a range between approximately 25°

and 75°

.

31. The multi-lumen catheter according to claim 1, wherein at least a portion of said transition region is positioned at a point distal to a terminal end of said first tip section.

32. The multi-lumen catheter according to claim 1, wherein the transition region includes a transition shoulder with a positive slope from the proximal portion to the distal portion.

33. The multi-lumen catheter according to claim 1, wherein said transition region comprises a transition shoulder tat increases in width and height from said proximal portion to said distal end portion.

34. The multi-lumen catheter according to claim 1, wherein said transition region comprises a transition shoulder having an interior wall that defines an open cylindrical space therethrough, said aperture being formed at a distal end of said open cylindrical space.

35. The multi-lumen catheter according to claim 34, wherein said aperture is formed at an angle with respect to a longitudinal axis of said second tip section.

36. The multi-lumen catheter according to claim 34, wherein said aperture is formed parallel to a longitudinal axis of said second tip section.

37. A multi-lumen catheter, comprising:

a catheter body enclosing at least two separate lumens from a proximal end to a dividing point;

a first tip section enclosing a first lumen with a first length distal to the dividing point; and

a second tip section enclosing a second lumen with a second length longer than the first length distal to the dividing point, the second tip section including a proximal portion with a first cross-sectional area extending from the dividing point, a distal portion with a second cross-sectional area greater than the first cross-sectional area, and a transition region, connecting the proximal portion to the distal portion and including a transition shoulder with a positive slope from the proximal portion to the distal portion the transition region including an aperture.

38. The multi-lumen catheter according to claim 37, wherein said catheter body has a cylindrical shape.

39. The multi-lumen catheter according to claim 37, wherein said first tip section has a semi-cylindrical shape.

40. The multi-lumen catheter according to claim 37, wherein said proximal portion of said second tip section has a semi-cylindrical shape.

41. The multi-lumen catheter according to claim 40, wherein said distal portion of said second tip section has a cylindrical shape.

42. The multi-lumen catheter according to claim 37, wherein said two separate lumens have a semicircular cross-sectional shape in said catheter body, being divided by a planar septum.

43. The multi-lumen catheter according to claim 42, wherein a cross-sectional area of said two separate lumens is substantially equivalent.

44. The multi-lumen catheter according to claim 37, wherein each of said first and said second tip sections comprise a planar surface along at least a portion of their length, wherein said planar surface of said first tip section is in facing relation with said planar surface of said second tip section.

45. The multi-lumen catheter according to claim 37, wherein the transition region includes an aperture configured to pass a guidewire therethrough.

46. The multi-lumen catheter according to claim 37, wherein said second lumen in said distal portion of said second tip section has a cross-sectional area that is greater than a cross-sectional area of said second lumen in said proximal portion of said second tip section.

47. The multi-lumen catheter according to claim 37, wherein said second lumen in said distal portion of said second tip section has a cross-sectional area that is less than a cross-sectional area of said second lumen in said proximal portion of said second tip section.

48. The multi-lumen catheter according to claim 37, wherein said second lumen in said distal portion of said second tip section has a cross-sectional area that is substantially equivalent to a cross-sectional area of said second lumen in said proximal portion of said second tip section.