Loop-tip catheter

• US 7,465,286 B2
• Filed: 03/03/2005
• Issued: 12/16/2008
• Est. Priority Date: 03/03/2004
• Status: Expired due to Fees

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Moehle, Ryan T., Zawacki, John A., Kraus, Jeff, Powers, Kelly B., Patterson, Ryan C.
• Primary Examiner(s): Lucchesi; Nicholas D
• Assistant Examiner(s): KOHARSKI, CHRISTOPHER
• Application Number:
  US11/072,052
• Publication Number:
  US 20050261663A1
• Time in Patent Office: 1,384 Days
• Field of Search: 604/43, 604/6.16, 604/271, 604/19, 604507-508, 604/523, 604/5.01, 604/8, 604/433, 604 27- 28, 604/39, 604264-266, 604/105, 604/104, 606/108, 600/433
• 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 2025/0034 characterized by elements which are assembled, connected or fused, e.g. splittable tubes, outer sheaths creating lumina or separate cores
• CPC Class Codes: A61M 2025/0037 characterized by lumina being arranged side-by-side
• 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 25/0041 pre-formed, e.g. specially adapted to fit with the anatomy of body channels urethral catheters A61F2/04
• 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 25/007 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
• CPC Class Codes: A61M 25/0075 Valve means
• CPC Class Codes: A61M 25/008 Strength or flexibility characteristics of the catheter tip

Abstract

A multi-lumen catheter comprising a loop-like structure at the distal portion of the catheter is disclosed herein. In one variation, the loop-tip catheter comprises a dual lumen catheter and a loop-like structure at the distal end of the catheter. The loop-like structure includes at least one lumen, which is in fluid communication with at lease one of the two lumens in the dual lumen catheter. One or more ports are provided on the loop-like structure for accessing the lumens within the loop. In another variation, the loop-tip catheter is configured with an arterial inlet positioned on an inner surface of the loop, while a venous outlet is positioned on an outer surface of the loop. Methods for making and using variations of the loop-tip catheter are also disclosed herein.

Claims

1. A multi-lumen hemodialysis catheter, comprising:

a catheter body, including an outer wall enclosing at least a first aspiration and second infusion lumen extending from a proximal end of the catheter body to a distal end thereof, the outer wall forming a loop that extends from the distal end of the catheter body, the loop having a proximal end and a distal end each connected to the distal end of the catheter body to define an enclosed opening, the loop including an uninterrupted portion of the outer wall extending from the proximal end of the loop to the distal end of the loop, the first aspiration lumen extending distally into the loop; and

a first inlet orifice integrally formed on an interior wall of the loop and facing the enclosed opening, wherein the first inlet orifice is in fluid communication with the first aspiration lumen; and

a second outlet orifice integrally formed on a distal most portion of an outer wall of the loop, wherein the second outlet orifice is in fluid communication with the second infusion lumen.

2. The multi-lumen catheter according to claim 1, wherein the second lumen extends distally into the loop.

3. The multi-lumen catheter according to claim 2, wherein the first and the second lumens are in fluid communication with each other within the loop.

4. The multi-lumen catheter according to claim 3, further comprising a valve positioned over the first orifice.

5. The multi-lumen catheter according to claim 4, wherein the valve comprises a slit valve.

6. The multi-lumen catheter according to claim 2, wherein the first and the second lumens are separated by a septum within the loop.

7. The multi-lumen catheter according to claim 6, further comprising a second orifice positioned on the loop for accessing the second lumen, wherein the first orifice is positioned on an inner surface of the loop, the second orifice is positioned on an outer surface of the loop, and the first orifice is proximally positioned in relation to the second orifice.

8. The multi-lumen catheter according to claim 2, further comprising a string slidably positioned within the first and the second lumens, wherein the string is connected to a knob, and wherein turning of the knob circulates the string through the first and the second lumens.

9. The multi-lumen catheter according to claim 8, wherein the knob is associated with a port, and wherein the string circulates through the port upon the turning of the knob.

10. The multi-lumen catheter according to claim 2, further comprising a protruding tip connected to a distal end of the loop, wherein the protruding tip includes an atraumatic profile, and the first orifice is positioned on an inner surface of the loop.

11. The multi-lumen catheter according to claim 2, further comprising a tube including a lumen connected to a distal end of the loop, wherein the second lumen is in fluid communication with the lumen in the tube, and the first orifice is positioned on an inner surface of the loop.

12. The multi-lumen catheter according to claim 2, further comprising a third lumen positioned within the catheter body, wherein the third lumen extends from the proximal end of the catheter body to the distal end of the catheter body, and the third lumen includes a distal opening which opens into a region surrounded by the loop.

13. The multi-lumen catheter according to claim 1, further comprising a wire positioned within the catheter body, wherein the distal end of the wire is coupled to the loop.

14. The multi-lumen catheter according to claim 13, wherein the wire comprises at least a channel extending from a proximal end of the wire to a distal portion of the wire.

15. The multi-lumen catheter according to claim 1, further comprising a second loop connected to the distal end of the catheter body.

16. The multi-lumen catheter according to claim 1, wherein the loop is configured with at least a corrugated section.

17. The multi-lumen catheter according to claim 1, further comprising a mechanism for collapsing the loop.

18. The multi-lumen catheter according to claim 1, further comprising a mechanism for removing an object obstructing the first orifice.

19. The multi-lumen catheter according to claim 1, further comprising a mechanism for covering the first orifice when the first orifice is not in use.

20. A hemodialysis catheter, comprising:

an elongated catheter body including an outer wall enclosing two or more lumens, including an aspiration lumen and an infusion lumen, extending from a proximal end of the catheter body to a distal end thereof; and

a loop formed by the outer wall extending from the distal end of the elongated catheter body, the loop having a proximal end and a distal end each connected to the distal end of the catheter body to define an enclosed opening, the loop including an uninterrupted section extending from the proximal end of the loop to the distal end of the loop, the loop including an inlet and an outlet integrally formed on the loop, the inlet positioned on an interior wall of the loop and facing the enclosed opening, wherein the inlet is in fluid communication with the aspiration lumen, the outlet integrally formed on a distal most portion of an outer wall of the loop, wherein the outlet is in fluid communication with the infusion lumen, the inlet and outlet enabling simultaneous aspiration of fluids from, and infusion of fluids to, a vessel.

21. The catheter according to claim 20, wherein the loop is configured to minimize recirculation through the inlet and the outlet.

22. The catheter according to claim 20, further comprising a mechanism for compressing the loop.

23. The catheter according to claim 20, wherein the loop is configured such that an overall length of the loop can be extended.

24. The catheter according to claim 20, wherein the loop is configured such that the arterial inlet can be protected when the inlet is not in use.

25. The catheter according to claim 20, further comprising a mechanism for removing an obstruction from the inlet.

26. The catheter according to claim 20, further comprising a mechanism for removing a tissue formation surrounding the loop.

27. A hemodialysis catheter, comprising:

a dual lumen catheter body including an outer wall enclosing an arterial lumen and a venous lumen extending from a proximal end of the catheter body to a distal end thereof, the outer wall forming a continuous loop that extends from the distal end of the catheter body, the loop having a proximal end and a distal end each connected to the distal end of the catheter body to define an enclosed opening;

an arterial inlet integrally formed on an interior wall of the loop and facing the enclosed opening, the arterial inlet in fluid communication with the arterial lumen; and

a venous outlet integrally formed on a distal most portion of an outer wall of the loop, the venous outlet in fluid communication with the venous lumen.

28. The hemodialysis catheter according to claim 27, where the loop is configured to mechanically separate the venous outlet from the arterial inlet.

29. The hemodialysis catheter according to claim 27, further comprising means for removing a fibrin sheath that surrounds a distal portion of the catheter.

30. The hemodialysis catheter according to claim 27, further comprising means for compressing the loop.

31. The hemodialysis catheter according to claim 27, further comprising means for preventing side wall occlusion of the arterial inlet.