Solid-body catheter including lateral distal openings

• US 9,174,019 B2
• Filed: 09/20/2013
• Issued: 11/03/2015
• Est. Priority Date: 10/26/2007
• Status: Active Grant

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Gregersen, Colin S.
• Primary Examiner(s): GILBERT, ANDREW M
• Application Number:
  US14/032,858
• Publication Number:
  US 20140025042A1
• Time in Patent Office: 774 Days
• Field of Search: 604/28, 604/29, 604/43, 604/93.01, 604/94.01
• US Class Current: 1/1
• 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 2025/0078 for fluid inflow from the body into the catheter lumen
• CPC Class Codes: A61M 25/0023 by the form of the lumen, e.g. cross-section, variable diameter
• 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 25/0029 characterized by features relating to least one lumen located at the middle part of the catheter, e.g. slots, flaps, valves, cuffs, apertures, notches, grooves or rapid exchange ports catheter shaft surface irregularities A61M2025/006
• 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 25/0071 Multiple separate lumens multiple separate lumens throughout the catheter A61M25/0026
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable

Abstract

A split-tip catheter for placement within the vasculature of a patient and for use in hemodialysis or other suitable procedures is disclosed. In one embodiment, the split-tip catheter includes a catheter body that defines a first lumen and a second lumen. The catheter body further comprises a split distal region, including a venous segment and an arterial segment. The venous segment includes a recess extending proximally of a nose portion; and a lateral opening in fluid communication with the first lumen. The arterial segment also includes a lateral opening, is separate from the venous segment, and is removably seatable in the recess provided by the venous segment. In one embodiment, the distal region is un-split, but includes symmetrically opposed lateral openings, as well as distal openings, in communication with the first and second lumens for providing a functional stagger for blood flow in both forward and reverse catheter flow directions.

Claims

1. A catheter for vascular insertion, comprising:

a catheter body including an outer wall enclosing a first lumen and a second lumen, the first lumen separated from the second lumen by a septum;

an atraumatic nose portion at a distal end of the catheter body, the atraumatic nose portion defining a first distal opening in fluid communication with the first lumen and a second distal opening in fluid communication with the second lumen;

a first lateral opening in fluid communication with the first lumen at the distal end of the catheter body proximal to the atraumatic nose portion, the first lateral opening defined by a skive cut through the outer wall of the catheter body, the skive cut defined by;

a first cut at an angle relative to a longitudinal axis of the catheter body in a range from about 20 degrees to about 90 degrees; and

a second cut at an angle relative to a plane through the septum of about 45 degrees or less;

a second lateral opening in fluid communication with the second lumen at the distal end of the catheter body proximal to the atraumatic nose portion.

2. The catheter according to claim 1, wherein the first cut is about 30 degrees, and wherein the second cut is about 25 degrees.

3. The catheter according to claim 1, wherein the first cut is about 35 degrees, and wherein the second cut is about 25 degrees.

4. The catheter according to claim 1, wherein the first cut is about 30 degrees, and wherein the second cut is about 15 degrees.

5. The catheter according to claim 1, wherein the first cut is about 35 degrees, and wherein the second cut is about 15 degrees.

6. The catheter according to claim 1, wherein the second lateral opening is defined by a skive cut through the outer wall of the catheter body, the skive cut defined by:

a third cut at an angle relative to a longitudinal axis of the catheter body in a range from about 20 degrees to about 90 degrees; and

a fourth cut at an angle relative to a plane through the septum of about 45 degrees or less.

7. The catheter according to claim 6, wherein the second lateral opening is positioned at about a same longitudinal location at the distal end of the catheter body as the first lateral opening.

8. The catheter according to claim 7, wherein the first lateral opening and the second lateral opening are each sized to accommodate an entirety of fluid flow through the respective first lumen and second lumen.

9. The catheter according to claim 7, wherein the first lateral opening is positioned with respect to the second lateral opening such that fluid exiting the catheter body through the first lateral opening is imparted a flow direction that is substantially opposite in a radial direction and substantially similar in a longitudinal direction to fluid exiting the catheter body through the second lateral opening.

10. The catheter according to claim 1, wherein the second lateral opening is longitudinally staggered with respect to the first lateral opening.

11. The catheter according to claim 10, further including a side hole in fluid communication with the second lumen positioned distal of the second lateral opening.

12. The catheter according to claim 1, wherein a cross-sectional shape of one of the first lumen and the second lumen transitions at a transition region from a “

D”

shape to an oval shape.

13. The catheter according to claim 12, wherein the transition region is proximal to the first lateral opening and the second lateral opening.