Pulse fluid infusion systems

• US 5,968,017 A
• Filed: 10/14/1997
• Issued: 10/19/1999
• Est. Priority Date: 10/14/1997
• Status: Expired due to Term

• Current Assignee: Merit Medical Systems, Inc.
• Original Assignee: Merit Medical Systems, Inc.
• Inventors: Mottola, Jim D., Lampropoulos, Fred P., Sinnott, M. Mary, Biche, Joseph E., Poursaid, Andy E., Carlstrom, Stephen W., Mullins, Darwin L., Trujillo, Jerry L.
• Primary Examiner(s): Hirsch, Paul J.
• Application Number:
  US08/950,273
• Time in Patent Office: 735 Days
• Field of Search: 604/154, 604/183, 604/121, 604/181, 604/135
• US Class Current: 604/183
• CPC Class Codes: A61M 2039/2493 Check valve with complex design, e.g. several inlets and outlets and several check valves in one body
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 25/10182 Injector syringes
• CPC Class Codes: A61M 25/10185 Valves
• CPC Class Codes: A61M 25/10187 Indicators for the level of inflation or deflation
• CPC Class Codes: A61M 5/204 connected to external reservoirs for multiple refilling

Abstract

A fluid infusion system includes a pump having a body that slidably interacts with a handle. The body includes a valve housing fluid coupled with an inlet passageway, an outlet passageway, and a dispensing barrel. A finger rest rigidly projects from the dispensing barrel. A loading chamber is recessed within the finger rest and is configured to receive a fluid supply syringe. A plunger, mounted to the handle, is slidably received within the dispensing barrel. As the plunger is advanced within the barrel, fluid is dispensed from the pump. As the plunge is retracted within the barrel, the barrel is automatically filed with a fluid. The nozzle of the pump is fluid coupled to a hemostasis valve which is in turn fluid coupled to an infusion catheter. The infusion catheter has a distal end with an enlarged tip opening and a plurality of small infusion holes extending through the side thereof. An annular sensing ridge radially inwardly projects from the interior of the catheter at the tip opening. An occluding wire has an enlarged occluding ball positioned at the end thereof and is configured to occlude the distal end of the catheter. Projecting from the occluding ball on the side opposite of the positioning wire is a coiled spring wire. The spring wire vibrates against the sensing ridge as it passes therethrough.

Claims

1. A system for infusing a fluid into the vascular system of the body of a patient, the system comprising:

(a) a hollow infusion catheter having a body wall extending from a proximal end to an opposing distal end, the distal end having a plurality of infusion holes extending through the body wall; and

(b) pump means fluid coupled to the proximal end of the infusion catheter for repeatedly dispensing predetermined amounts of the fluid into the infusion catheter, the pump means including a barrel, a plunger slidably received within the barrel, and means for automatically retracting the plunger within the barrel after the plunger is manually advanced within the barrel.

2. A system as recited in claim 1, further comprising a dual check valve to control direction of fluid flow.

3. A system as recited in claim 1, further comprising graduations marked on the dispensing barrel to indicate dosage.

4. A system as recited in claim 1, further comprising:

(a) the infusion catheter having an interior surface bounding a lumen longitudinally extending therethrough, the lumen communicating with the exterior through a tip opening, the tip opening being larger than each of the infusion holes; and

(b) means for sealing the lumen closed at the distal end of the infusion catheter when the distal end of the infusion catheter is positioned within the vascular system of the patient.

5. A system as recited in claim 4, wherein the means for sealing the lumen closed comprises:

(a) the interior surface of the infusion catheter comprising an annular constricted portion located at the distal end thereof; and

(b) an occluding wire comprising an elongated positioning wire having an enlarged occluding ball positioned at the end thereof, the occluding ball being configured to seal against the constricted portion of the infusion catheter when the occluding wire is slidably advanced with the lumen of the infusion catheter.

6. A system as recited in claim 5, further comprising means for fluid coupling the pump means to the infusion catheter to enable insertion of the occluding wire within infusion catheter.

7. A system as recited in claim 6, wherein the fluid coupling means comprises a three-way hemostasis valve.

8. A system as recited in claim 1, wherein the pump means comprises a hand operated pump having:

(a) a body which includes the barrel;

(b) a plunger slidably received within the barrel;

(c) a handle attached to the plunger; and

(d) the means for automatically retracting the plunger including a spring disposed between the body and the handle.

9. A system as recited in claim 8, further comprising container means for holding a defined amount of the fluid, the container means being removably fluid coupled to the body.

10. A system as recited in claim 8, further comprising container means for holding a defined amount of the fluid, the container means being removably fluid coupled to the handle.

11. A system as recited in claim 8, wherein the body of the pump means further comprises a finger rest having a loading chamber recessed therein.

12. A system for infusing a fluid into the vascular system of the body of a patient, the system comprising:

(a) a hollow infusion catheter having a body wall extending from a proximal end to an opposing distal end, the distal end having a plurality of infusion holes extending through the body wall;

(b) a fluid supply syringe comprising a barrel configured to receive the fluid and a plunger slidably received within the barrel; and

(c) pump means removably fluid coupled to the infusion catheter and the supply syringe for repeatedly pumping predetermined amounts of fluid from the supply syringe to the infusion catheter, the pump means including a loading chamber in which the supply syringe is positioned and substantially enclosed when the supply syringe is fluid coupled with the pump means.

13. A system as recited in claim 12, wherein the pump means comprises a hand operated pump including:

(a) a dispensing barrel having a chamber;

(b) a finger rest rigidly attached to the dispensing barrel,

(c) a plunger having a tip end slidably received within the chamber of the dispensing barrel; and

(d) a handle mounted to the plunger.

14. A system as recited in claim 13, wherein the loading chamber is recessed within the finger rest.

15. A system as recited in claim 14, wherein the loading chamber is fluid coupled with the dispensing barrel.

16. A system as recited in claim 12, wherein the infusion catheter includes an interior surface bounding a lumen longitudinally extending therethrough, wherein the lumen communicates with the exterior through a tip opening formed at the distal end of the catheter, wherein the interior surface includes a tapered portion formed distal to the tip opening.

17. A system as recited in claim 16, further comprising an occluding wire comprising an elongated placement wire having an enlarged occluding ball attached on the end thereof, the occluding ball being configured to seat against the tapered portion of the infusion catheter so as to seal the lumen when the occluding wire is positioned within the infusion catheter.

18. A system as recited in claim 12, further comprising a hemostasis valve positioned between the pump means and the infusion catheter.

19. A system as recited in claim 12, further comprising at least one check valve to control direction of fluid flow.

20. A system for infusing a fluid into the vascular system of the body of a patient, the system being manually operated by a user'"'"'s hand having fingers and a palm, the system comprising:

(a) an infusion catheter having a body wall bounding a lumen extending from a proximal end to an opposing distal end, the distal end having a plurality of infusion holes extending through the body wall to the lumen; and

(b) pump means fluid coupled to the proximal end of the infusion catheter for repeatedly dispensing predetermined amounts of the fluid into the infusion catheter, the pump means including;

(i) a dispensing barrel having an exterior surface and a chamber each extending between a first end and an opposing free second end;

(ii) an elongated finger rest rigidly mounted to the dispensing barrel;

(iii) a plunger having a tip end and an opposing tail end, the tip end being slidably received within the second end of the barrel;

(iv) a handle mounted on the plunger; and

(v) regulating means partially mounted on the exterior of the dispensing barrel for selectively controlling how far the plunger can slide within the dispensing barrel.

21. A system as recited in claim 20, wherein the regulating means comprises:

(a) the handle having a plunger chamber communicating with the exterior through a port, the second end of the dispensing barrel being disposed within the plunger chamber through the port; and

(b) a knob threadedly mounted on the exterior of the dispensing barrel, the knob being captured within the plunger chamber.

22. A system as recited in claim 21, further comprising a spring encircling the plunger and extending between the knob and the tail end of the plunger.

23. A system as recited in claim 21, further comprising a side opening extending through the plunger chamber to facilitate selective rotation of the knob.

24. A system as recited in claim 21, wherein the handle further comprises an elongated palm rest projecting from the plunger chamber, the palm rest being configured to receive the palm of the user'"'"'s hand when each of the fingers of the user'"'"'s hand are curved around the finger rest.

25. A system as recited in claim 21, further comprising:

(a) an alignment plate projecting from the finger rest; and

(b) the handle further comprising an elongated palm rest projecting from the plunger chamber, the palm rest having an elongated slot formed therein, the alignment plate being slidably positioned within the slot.

26. A system as recited in claim 20, further comprising a loading chamber recessed within the finger rest.

27. A system as recited in claim 20, wherein the pump means further comprises:

(a) a valve housing fluid coupled to an inlet passageway, an outlet passageway, and the dispensing barrel; and

(b) valve means positioned within the valve housing for enabling fluid to pass from the inlet passageway to the dispensing barrel when the plunger is retracted within the barrel and for enabling fluid to pass from the dispensing barrel to the outlet passageway when the plunger is advanced within the dispensing barrel.

28. A system as recited in claim 20, further comprising:

(a) the handle having a palm rest attached thereto; and

(b) the plunger having a plunger passageway longitudinally extending therethrough and into the palm rest.

29. A system as recited in claim 28, further comprising a fluid chamber formed within the palm rest and fluid coupled with the plunger passageway.

30. A system as recited in claim 29, further comprising:

(a) first check valve means positioned within the plunger passageway for enabling fluid to pass from the plunger passageway into the dispensing barrel when the plunger is retracted within the dispensing barrel; and

(b) second check valve means positioned within the first end of the dispensing barrel for enabling fluid within the dispensing barrel to pass through the first end thereof when the plunger is advanced within the dispensing barrel.

31. A system as recited in claim 20, wherein the infusion catheter includes an interior surface bounding a lumen longitudinally extending therethrough, wherein the lumen communicates with the exterior through a tip opening formed at the distal end of the catheter, wherein the interior surface includes a radially constricted taper portion formed distal to the tip opening.

32. A system as recited in claim 30, further comprising an occluding wire comprising an elongated placement wire having an enlarged occluding ball attached at the end thereof, the occluding ball being configured to seat against the tapered portion of the infusion catheter so as to seal the lumen when the occluding wire is positioned within the infusion catheter.

33. A system for infusing a fluid into the vascular system of the body of a patient, the system comprising:

(a) an infusion catheter having a body wall with an inner surface bounding a lumen, the lumen extending from a proximal end to a tip opening at an opposing distal end, a plurality of infusion holes extending through the body wall to the lumen at the distal end;

(b) an occluding wire comprising a thin elongated placement wire having an enlarged occluding ball positioned at the end thereof;

(c) sensing means for tactually feeling when the occluding ball advanced within the infusion catheter is approaching the tip opening; and

(d) pump means fluid coupled to the proximal end of the infusion catheter for repeatedly dispensing predetermined amounts of the fluid into the infusion catheter.

34. A system as recited in claim 33, wherein the sensing means comprises:

(a) a coiled spring wire projecting from the occluding ball remote from the placement wire; and

(b) an annual sensing ridge radially inwardly projecting from the interior surface of the lumen at the tip opening, the sensing ridge having an inner diameter smaller than the outer diameter of the spring wire, thereby causing the sensing ridge to vibrate over the spring wire when the spring wire passes through the tip opening.

35. A system as recited in claim 33, wherein the inner surface of the infusion catheter further includes a constricted tapered portion positioned proximal to the tip opening, the tapered portion being configured to sealingly engage against the occluding ball when the occluding wire is advanced within the infusion catheter.

36. A system as recited in claim 33, wherein the pump means comprises:

(a) a body including a valve housing fluid coupled to an inlet passageway, an outlet passageway, and a dispensing barrel;

(b) a plunger having a tip end slidably received within the barrel;

(c) a handle mounted to the plunger; and

(d) means for automatically retracting the plunger within the barrel after the plunger is manually advanced within the barrel.

37. A system as recited in claim 33, wherein the pump means comprises:

(a) a body including an elongated finger grip with a barrel transversely extending therethrough;

(b) a handle including a palm rest with a plunger projecting therefrom and being slidably positioned within the barrel, the plunger having a plunger passageway longitudinally extending therethrough; and

(c) means for automatically retracting the plunger within the barrel after the plunger is manually advanced within the barrel.

38. A system for infusing a fluid into the vascular system of the body of a patient, the system comprising:

(a) a hand operated pump comprising;

(i) a body including a valve housing fluid coupled to an inlet passageway, an outlet passageway, and a dispensing barrel, a loading chamber being recessed within the body and being fluid coupled with the inlet passageway;

(ii) a handle slidably attached to the body;

(iii) a plunger mounted to the handle and slidably received within the barrel; and

(iv) a spring disposed between the handle and the body;

(b) an infusion catheter having a body wall with inner surface bounding a lumen, the lumen extending from a proximal end to a tip opening at an opposing distal end, a plurality of infusion holes extending through the body wall to the lumen at the distal end;

(c) a hemostasis valve removably fluid coupled between the outlet passageway of the pump and the proximal end of the infusion catheter; and

(b) an occluding wire comprising a thin elongated positioning wire having an enlarged occluding ball positioned at the end thereof and a coiled spring wire projecting from the occluding ball at the side opposite the positioning wire, the occluding wire being configured to be received within the infusion catheter through the hemostasis valve.

39. A system as recited in claim 38, further comprising an annular sensing ridge radially inwardly projecting from the interior surface of the infusion catheter at the tip opening, the sensing ridge having an inner diameter smaller than the maximum outer diameter of the coiled spring wire.

40. A system as recited in claim 38, wherein the interior surface of the infusion catheter comprises a constricted portion configured to seal against the occluding ball when the occluding wire is advanced within the lumen of the infusion catheter.

41. A method for infusing a fluid into the vascular system of a patient, the method comprising the steps of:

(a) inserting a distal end of an infusion catheter into the vascular system of a patient, the infusion catheter having a lumen longitudinally extending from a proximal end to the distal end, the distal end of the lumen communicating with the exterior through a tip opening, wherein a plurality of infusion holes extend from the exterior to the lumen along the distal end of the catheter;

(b) attaching a hemostasis valve to the proximal end of the infusion catheter;

(c) fluid coupling a hand pump to the hemostasis valve, the hand pump including a barrel, a plunger slidably received within the barrel, and means for automatically retracting the plunger within the barrel after the plunger is manually advanced within the barrel, the barrel of the pump being in fluid communication with a fluid source;

(d) advancing the distal end of an occluding wire into the infusion catheter through the hemostasis valve so as to seal the distal end of the lumen closed, the occluding wire including an elongated positioning wire having an enlarged occluding ball positioned at the end thereof, and

(e) operating the pump to dispense fluid from the fluid source into the infusion catheter.