Method of use of a transport catheter

• US 5,833,645 A
• Filed: 05/02/1997
• Issued: 11/10/1998
• Est. Priority Date: 11/08/1991
• Status: Expired due to Term

• Current Assignee: Edwards Lifesciences Corporation
• Original Assignee: Baxter International Inc.
• Inventors: Taimisto, Miriam H., Konno, Mark A., Lieber, Clement E.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): GRING, NOELLE K
• Application Number:
  US08/850,536
• Time in Patent Office: 557 Days
• Field of Search: 604/53, 604/280, 128/673, 128/692
• US Class Current: 604/509
• CPC Class Codes: A61B 5/028 by thermo-dilution
• CPC Class Codes: A61B 8/06 Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61M 25/0023 by the form of the lumen, e.g. cross-section, variable diameter
• 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 25/003 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 25/0032 characterized by at least one unconventionally shaped lumen, e.g. polygons, ellipsoids, wedges or shapes comprising concave and convex parts

Abstract

A catheter with several independent lumens extending longitudinally through the catheter for accepting probes and for introducing fluid through the catheter and into a body cavity is disclosed. The catheter outer body has a cross-sectional maximum outer dimension. The first lumen is circular in cross-section, and has a cross-sectional dimension of approximately half the maximum outer dimension of the catheter body. The first lumen is capable of accepting various probes, as well as allowing simultaneous fluid flow through the lumen. The second lumen is crescent-shaped in cross-section and occupies at least a quarter of an arc around the cross-section of the catheter body. The large cross-section of the second lumen allows for a high fluid flow rate through the lumen. The third lumen allows for inflation of an inflation balloon (when present), and the fourth lumen allows for the passing of a portion of an instrument along the length of the lumen.

Claims

1. A method of introducing fluid through a catheter into a body cavity, comprising:

providing a catheter with a catheter body having a continuous outer edge surface with a corresponding maximum outer dimension, a proximal end and a distal end, the catheter body having walls defining, in transverse cross-section, lumens including a first wall defining a first lumen having a first cross-sectional dimension approximately half the maximum outer dimension of the catheter body, and a second wall defining a curved lumen wherein the lumen occupies at least a quarter of an arc around the central axis;

providing a first lumen exit port opening the first lumen to the outside of the catheter proximal of the distal end of the catheter body;

inserting the distal end of the catheter into the body such that the proximal end remains outside the body;

positioning the distal end of the catheter into the body cavity; and

introducing fluid from a proximal end of the catheter into the first lumen and thereafter into the body cavity through the first lumen exit port.

2. The method of claim 1, further comprising occluding the first lumen distally from the first lumen exit port with a round plug so as to direct fluid from the first lumen through the first lumen exit port to the body cavity.

3. The method of claim 1, further comprising:

providing an injectate port opening the second lumen to the outside of the catheter; and

introducing fluid from a proximal end of the catheter into the second lumen and thereafter into the body cavity through the injectate port.

4. The method of claim 3, further comprising occluding the second lumen distally of the injectate port with a plug positioned in the second lumen so as to direct fluid from the second lumen through the injectate port to the body cavity.

5. The method of claim 4, further comprising displacing air from a region of the second lumen distally of the injectate plug with an insert positioned in the second lumen.

6. The method of claim 5, further comprising filling a space between the insert and the wall of the second lumen with a filler.

7. A method of introducing fluid through a catheter into a body cavity, comprising:

providing a catheter with a catheter body circular in transverse cross-section and defining a central axis, the catheter body having a continuous outer edge surface with a corresponding maximum outer dimension, a proximal end and a distal end, the catheter body having walls defining, in transverse cross-section, lumens including;

a first wall defining a first lumen having a first cross-sectional dimension approximately half the maximum outer dimension of the catheter body, wherein a substantial portion of the first wall has a thickness greater than the shortest distance between the first wall and the outer edge of the catheter body, and wherein the first lumen encloses the central axis, and

a second wall defining a second, curved lumen occupying at least a quarter of an arc around the central axis;

providing a first lumen exit port opening the first lumen to the outside of the catheter proximal of the distal end of the catheter body;

inserting the distal end of the catheter into the body such that the proximal end remains outside the body;

positioning the distal end of the catheter into the body cavity; and

introducing fluid from a proximal end of the catheter into the first lumen and thereafter into the body cavity through the first lumen exit port.

8. The method of claim 7, further comprising occluding the first lumen distally from the first lumen exit port with a round plug so as to direct fluid from the first lumen through the first lumen exit port to the body cavity.

9. The method of claim 7, further comprising:

providing an injectate port opening the second lumen to the outside of the catheter; and

introducing fluid from a proximal end of the catheter into the second lumen and thereafter into the body cavity through the injectate port.

10. A method of introducing fluid through a catheter into a body cavity, comprising:

providing a catheter with a catheter body circular in transverse cross-section and defining a central axis, the catheter body having a continuous outer edge surface with a corresponding maximum outer dimension, a proximal end and a distal end, the catheter body having lumens extending from the proximal end to the distal end defined by;

a first wall defining a first lumen having a first cross-sectional area of approximately thirty percent of the total cross-sectional area of the catheter body, and

a second wall defining a second, curved lumen having a first cross-sectional area of approximately twenty percent of the total cross-sectional area of the catheter body;

providing a first lumen exit port opening the first lumen to the outside of the catheter proximal of the distal end of the catheter body;

inserting the distal end of the catheter into the body such that the proximal end remains outside the body;

positioning the distal end of the catheter into the body cavity; and

introducing fluid from a proximal end of the catheter into the first lumen and thereafter into the body cavity through the first lumen exit port.

11. The method of claim 10, further comprising occluding the first lumen distally from the first lumen exit port with a round plug so as to direct fluid from the first lumen through the first lumen exit port to the body cavity.

12. The method of claim 10, further comprising:

providing an injectate port opening the second lumen to the outside of the catheter; and

introducing fluid from a proximal end of the catheter into the second lumen and thereafter into the body cavity through the injectate port.