Removing fluid from a bodily tissue via a catheter with circumferential concave grooves

• US 8,128,593 B2
• Filed: 03/12/2010
• Issued: 03/06/2012
• Est. Priority Date: 06/30/2006
• Status: Active Grant

• Current Assignee: CVDEVICES, LLC
• Original Assignee: CVDEVICES, LLC
• Inventors: Kassab, Ghassan S., Navia, Jose A. Sr.
• Primary Examiner(s): Sirmons, Kevin C
• Assistant Examiner(s): OSINSKI, BRADLEY JAMES
• Application Number:
  US12/722,913
• Publication Number:
  US 20100168655A1
• Time in Patent Office: 725 Days
• Field of Search: 604/35, 604/43, 604/93.01, 604/543
• US Class Current: 604/93.01
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/30 Surgical pincettes without pivotal connectionsfor holding suture needles or materials A61B17/0483; wound clamps A61B17/08 ; hand-held gripping tools without pivotal connections in general B25B9/02
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/00575 for closure at remote site, e.g. closing atrial septum defects
• CPC Class Codes: A61B 2017/00606 Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
• CPC Class Codes: A61B 2017/0065 the implement being an adhesive
• CPC Class Codes: A61B 2017/306 holding by means of suction
• CPC Class Codes: A61M 2025/0004 having two or more concentrically arranged tubes for forming a concentric catheter system
• CPC Class Codes: A61M 2025/0039 characterized by lumina being arranged coaxially
• CPC Class Codes: A61M 2210/125 Heart
• CPC Class Codes: A61M 25/0084 being one or more injection needles
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence
• CPC Class Codes: A61M 25/0662 Guide tubes
• CPC Class Codes: A61M 5/14 Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
• CPC Class Codes: A61N 1/0592 Introducing the lead through the pericardium with a needle

Abstract

Devices, systems, and methods for removing fluid from a bodily tissue. In at least one embodiment of a catheter for use with a vacuum source for removing fluid from a mammalian tissue, the catheter comprises an elongated tube comprising a proximal end, a distal end, an outer wall positioned circumferentially along a length of the tube, and an inner wall positioned circumferentially along the length of the tube and defining a lumen within the tube, wherein the inner wall defines at least one suction channel along the length of the tube, one or more apertures defined along the tube, wherein the one or more apertures extend from the outer wall of the tube to the inner wall of the tube, the one or more apertures present at or near the distal end of the tube, wherein at least one of the one or more apertures is/are in communication with the at least one suction channel, and a vacuum port in communication with the proximal end of the tube, the vacuum port being operatively connected to the at least one suction channel and capable of operative connection to a vacuum source.

Claims

1. A catheter for use with a vacuum source for removing fluid from a mammalian tissue, the catheter comprising:

an elongated tube comprising a proximal end, a distal end, an outer wall positioned circumferentially along a length of the tube, and an inner wall positioned circumferentially along the length of the tube and defining a lumen within the tube, wherein the outer wall defines a plurality of concave grooves extending at least part of the length of the tube, said grooves defined around an entire circumference of the elongated tube, and the inner wall defines at least one suction channel along the length of the tube;

one or more apertures defined along the tube along the plurality of concave grooves, wherein the one or more apertures extend from the outer wall of the tube to the inner wall of the tube, the one or more apertures present at or near the distal end of the tube, wherein at least one of the one or more apertures is/are in communication with the at least one suction channel; and

a vacuum port in communication with the proximal end of the tube, the vacuum port being operatively connected to the at least one suction channel and capable of operative connection to a vacuum source;

wherein the suction channel is configured to allow a fluid present within a space in a mammalian body to enter the one or more apertures in communication with the at least one suction channel and be removed via the at least one suction channel when the vacuum source is operatively attached to the vacuum port.

2. The catheter of claim 1, wherein the plurality of concave grooves define one or more ridges extending along at least part of the length of the tube, wherein said ridges are configured and arranged to allow for a clearance between a tissue and the one or more apertures.

3. The catheter of claim 1, wherein the plurality of concave grooves comprise at least three concave grooves.

4. The catheter of claim 1, wherein the one or more apertures comprise at least three apertures.

5. The catheter of claim 1, wherein the catheter comprises a curvature along a length of the catheter.

6. The catheter of claim 1, further comprising:

at least one delivery channel defined within the tube and positioned along the length of the tube, wherein at least one of the one or more apertures is/are in communication with the at least one delivery channel.

7. The catheter of claim 6, wherein the at least one delivery catheter is operable to deliver a substance from a delivery source present at a proximal end of the delivery channel through at least one of the one or more apertures in communication with the at least one delivery channel for delivery to a target site.

8. The catheter of claim 7, wherein the substance is selected from the group consisting of a gas, a liquid, and a particulate.

9. The catheter of claim 7, wherein the substance is selected from the group consisting of an antibiotic, a cytostatic agent, a sclerosing agent, a cytotoxic agent, an immunomodulator, and a crystalloid glucocorticoid.

10. The catheter of claim 1, wherein the vacuum port is further capable of operative connection to a delivery source, and wherein the suction channel is configured to deliver a substance when a delivery source containing the substance is operatively attached to the vacuum port, wherein the substance is delivered from the delivery source through the suction channel and through at least one of the one or more apertures in communication with the at least one suction channel to a target site.

11. The catheter of claim 1, wherein the vacuum source comprises a syringe.

12. The catheter of claim 1, wherein the plurality of concave grooves define a plurality of ridges extending along at least part of the length of the tube and defined around the entire circumference of the elongated tube, wherein said ridges are configured and arranged to allow for a clearance between a tissue and the one or more apertures.

13. A system for use with a vacuum source for removing fluid from a mammalian tissue, the system comprising:

an engagement catheter comprising a proximal end, a distal end, and a lumen extending between the proximal end and the distal end;

a suction catheter comprising;

an elongated tube comprising a proximal end, a distal end, an outer wall positioned circumferentially along a length of the tube, and an inner wall positioned circumferentially along the length of the tube and defining a lumen within the tube, wherein the outer wall defines a plurality of concave grooves extending at least part of the length of the tube and the inner wall defines at least one suction channel along the length of the tube;

one or more apertures defined along the tube along the plurality of concave grooves, wherein the one or more apertures extend from the outer wall of the tube to the inner wall of the tube, the one or more apertures present at or near the distal end of the tube, wherein at least one of the one or more apertures is/are in communication with the at least one suction channel; and

a vacuum port in communication with the proximal end of the tube, the vacuum port being operatively connected to the at least one suction channel and capable of operative connection to a vacuum source;

wherein the suction channel is configured to allow a fluid present within a space in a mammalian body to enter the one or more apertures in communication with the at least one suction channel and be removed via the at least one suction channel when the vacuum source is operatively attached to the vacuum port;

wherein the plurality of grooves are defined around an entire circumference of the elongated tube;

wherein the suction catheter is configured so that it is capable of insertion into the lumen of the engagement catheter.

14. The system of claim 13, wherein the suction catheter is operable to enter a space of a tissue via insertion through the lumen of the engagement catheter.

15. The system of claim 14, wherein the suction catheter is operable to enter a right atrial appendage of a heart via insertion through the lumen of the engagement catheter.

16. The system of claim 15, wherein the suction catheter is further operable to enter a visceral pericardium of a heart to access a pericardial sac.

17. The system of claim 13, wherein the plurality of concave grooves define one or more ridges extending along at least part of the length of the tube, wherein said ridges are configured and arranged to allow for a clearance between a tissue and the one or more apertures.

18. The system of claim 13, wherein the suction catheter comprises a curvature along a length of the suction catheter.

19. The system of claim 13, wherein the suction catheter further comprises:

at least one delivery channel defined within the tube and positioned along the length of the tube, wherein at least one of the one or more apertures is/are in communication with the at least one delivery channel, and wherein the at least one delivery catheter is operable to deliver a substance from a delivery source present at a proximal end of the delivery channel through at least one of the one or more apertures in communication with the at least one delivery channel for delivery to a target site.

20. The system of claim 19, wherein the substance comprises a substance of at least one from the group consisting of a gas, a liquid, and a particulate.

21. The system of claim 19, wherein the substance comprises a substance of at least one from the group consisting of an antibiotic, a cytostatic agent, a sclerosing agent, a cytotoxic agent, an immunomodulator, and a crystalloid glucocorticoid.

22. The system of claim 13, wherein the vacuum port is further capable of operative connection to a delivery source, and wherein the suction channel is configured to deliver a substance when a delivery source containing the substance is operatively attached to the vacuum port, wherein the substance is delivered from the delivery source through the suction channel and through at least one of the one or more apertures in communication with the at least one suction channel to a target site.

23. The system of claim 13, wherein the vacuum source comprises a syringe.

24. A method for using a suction catheter to remove fluid from a mammalian tissue, the method comprising the steps of:

inserting an engagement catheter into a mammalian body, the engagement catheter comprising a proximal end, a distal end, and a first lumen extending between the proximal end and the distal end, the engagement catheter inserted such that the distal end of the engagement catheter is positioned at or near a tissue wall surrounding a space within a tissue; and

inserting the suction catheter into the first lumen of the engagement catheter, the suction catheter comprising;

an elongated tube comprising a proximal end, a distal end, an outer wall positioned circumferentially along a length of the tube, and an inner wall positioned circumferentially along the length of the tube and defining a lumen within the tube, wherein the outer wall defines a plurality of concave grooves extending at least part of the length of the tube and the inner wall defines a first channel along the length of the tube,

one or more apertures defined along the tube along the plurality of concave grooves, wherein the one or more apertures extend from the outer wall of the tube to the inner wall of the tube, the one or more apertures present at or near the distal end of the tube, wherein at least one of the one or more apertures is/are in communication with the first channel, and

a first port in communication with the proximal end of the tube, the first port being operatively connected to the first channel and capable of operative connection to a first vacuum source;

the first channel configured to allow a fluid present within a space in a mammalian body to enter the one or more apertures in communication with the first channel and be removed via the first channel when the first vacuum source is operatively attached to the first port,

wherein the plurality of concave grooves are defined around an entire circumference of the elongated tube,

wherein the suction catheter exits the distal end of the engagement catheter through the tissue wall so that the distal end of the suction catheter is present within the space surrounded by the tissue wall and in contact with a fluid present within said space.

25. The method of claim 24, further comprising the step of:

operating a first vacuum source connected to the first port such that at least a portion of the fluid present within said space enters the one or more apertures in communication with the first channel and is removed via the first channel.

26. The method of claim 25, wherein the first port is further capable of operative connection to a delivery source, and wherein the first channel is configured to deliver a substance when a delivery source containing the substance is operatively attached to the first port, and wherein the method further comprises the step of operatively connecting a delivery source containing a substance to the first port such that at least a portion of the substance present within the delivery source is delivered from the delivery source through the first channel and through at least one of the one or more apertures in communication with the first channel to a target site.

27. The method of claim 26, further comprising the step of:

operating a first vacuum source connected to the first port such that at least a portion of the substance present within said space enters the one or more apertures in communication with the first channel and is removed via the first channel.

28. The method of claim 25, wherein the suction catheter further comprises:

a second lumen defining a second channel positioned within and along the length of the tube, wherein one or more delivery apertures are defined along the tube, wherein the one or more delivery apertures extend from the outer wall of the tube to the second lumen of the tube, the one or more delivery apertures present at or near the distal end of the tube, and wherein a second port is in communication at or near the proximal end of the tube, the second port being operably connected to the second channel, wherein the second port is further capable of operative connection to a delivery source, and wherein the second channel is configured to deliver a substance when a delivery source containing the substance is operatively attached to the second port.

29. The method of claim 28, further comprising the step of:

operatively connecting a delivery source containing a substance to the second port such that at least a portion of the substance present within the delivery source is delivered from the delivery source through the second channel and through at least one of the one or more delivery apertures in communication with the second channel to a target site.

30. A method for using a suction catheter to remove fluid from a mammalian tissue, the method comprising the steps of:

inserting a engagement catheter into a mammalian body, the engagement catheter comprising a proximal end, a distal end, and a first lumen extending between the proximal end and the distal end, the engagement catheter inserted such that the distal end of the engagement catheter is positioned at or near a tissue wall surrounding a space within a tissue;

inserting a piercing catheter into the first lumen of the engagement catheter, the piercing catheter comprising a proximal end, a distal end, and a hollow cylinder extending between the proximal end and the distal end, the piercing catheter having a needle at the distal end of the piercing catheter, the piercing catheter configured such that the hollow cylinder is capable of insertion into the first lumen of the engagement catheter, the piercing catheter inserted so that the piercing catheter exits the distal end of the engagement catheter and pierces the tissue wall with the needle of the piercing catheter;

removing the piercing catheter from the engagement catheter;

inserting the suction catheter into the first lumen of the engagement catheter;

the suction catheter comprising;

an elongated tube comprising a proximal end, a distal end, an outer wall positioned circumferentially along a length of the tube, and an inner wall positioned circumferentially along the length of the tube and defining a lumen within the tube, wherein the outer wall defines plurality of concave grooves extending at least part of the length of the tube and the inner wall defines a first channel along the length of the tube,

one or more apertures defined along the tube along the plurality of concave grooves, wherein the one or more apertures extend from the outer wall of the tube to the inner wall of the tube, the one or more apertures present at or near the distal end of the tube, wherein at least one of the one or more apertures is/are in communication with the first channel,

a first port in communication with the proximal end of the tube, the first port being operatively connected to the first channel and capable of operative connection to a first vacuum source,

the first channel configured to allow a fluid present within a space in a mammalian body to enter the one or more apertures in communication with the first channel and be removed via the first channel when the first vacuum source is operatively attached to the first port,

wherein the plurality of concave grooves are defined around an entire circumference of the elongated tube,

the suction catheter inserted so that the suction catheter exits the distal end of the engagement catheter through the tissue wall so that the distal end of the suction catheter is present within the space surrounded by the tissue wall and in contact with a fluid present within said space; and

operating a first vacuum source connected to the first port such that at least a portion of the fluid present within said space enters the one or more apertures in communication with the first channel and is removed via the first channel.

31. The method of claim 30, further comprising the step of:

removing the suction catheter from the engagement catheter.

32. The method of claim 30, wherein the first port is further capable of operative connection to a delivery source, and wherein the first channel is configured to deliver a substance when a delivery source containing the substance is operatively attached to the first port, and wherein the method further comprises the step of operatively connecting a delivery source containing a substance to the first port such that at least a portion of the substance present within the delivery source is delivered from the delivery source through the first channel and through at least one of the one or more apertures in communication with the first channel to a target site.

33. The method of claim 30, wherein the suction catheter further comprises:

a second lumen defining a second channel positioned within and along the length of the tube, wherein one or more delivery apertures are defined along the tube, wherein the one or more delivery apertures extend from the outer wall of the tube to the second lumen of the tube, the one or more delivery apertures present at or near the distal end of the tube, and wherein a second port is in communication at or near the proximal end of the tube, the second port being operably connected to the second channel, wherein the second port is further capable of operative connection to a delivery source, and wherein the second channel is configured to deliver a substance when a delivery source containing the substance is operatively attached to the second port.