Multilumen catheter

• US 7,500,949 B2
• Filed: 12/30/2002
• Issued: 03/10/2009
• Est. Priority Date: 03/01/2002
• Status: Active Grant

• Current Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Inventors: Shah, Rajiv, Miller, Michael E., Morris, Mary M., Enegren, Bradley J., Gottlieb, Rebecca, Giron, Victor
• Primary Examiner(s): Mallari; Patricia C
• Application Number:
  US10/331,949
• Publication Number:
  US 20040064086A1
• Time in Patent Office: 2,262 Days
• Field of Search: 604/544, 600/347, 600/365, 600/435, 600/466, 600/526
• US Class Current: 600/300
• CPC Class Codes: A61B 5/028 by thermo-dilution
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/1486 using enzyme electrodes, e.g. with immobilised oxidase
• CPC Class Codes: A61B 5/415 the glands, e.g. tonsils, adenoids or thymus
• CPC Class Codes: A61M 2025/0003 having an additional lumen transmitting fluid pressure to the outside for measurement
• CPC Class Codes: A61M 2025/0046 Coatings for improving slidability
• CPC Class Codes: A61M 2230/201 Glucose concentration
• CPC Class Codes: A61M 25/0017 specially adapted for long-term hygiene care, e.g. urethral or indwelling catheters to prevent infections
• CPC Class Codes: A61M 25/0023 by the form of the lumen, e.g. cross-section, variable diameter
• 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
• CPC Class Codes: A61M 5/14244 adapted to be carried by the patient, e.g. portable on the body
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: Y10T 29/49826 Assembling or joining

Abstract

A multilumen catheter having tubings extending into lumens within the catheter. The lumens may be used for blood, drugs or other medicants. The lumens may also be used for sensors. The junction element, external to the patient, connects the tubings to the lumens. The tubings, also external to the patient, connect to infusion members, to which one or more infusion systems may be connected to deliver blood, drugs and other medicants to the patient. A sensor having a sensing element may extend through the sensor lumen and be positioned internal to the patient for physiological parameter sensing. An external portion of the sensor may be connected to associated electronics to provide automatic monitoring of the physiological parameters and automatic delivery and control of the infusants. Also, a central line catheter for delivering fluids directly into a main artery or vein near the heart, which contains a first lumen to deliver a fluid through the central line catheter and a second lumen containing a sensor capable indicating a characteristic level in blood. The first lumen delivers the fluid downstream of the sensor to prevent any interference between the fluid delivery and the sensor readings. In other versions, the central line catheter can have additional lumens for additional purposes. In addition, the central line catheter can further include a flush sleeve to remove debris around the sensor.

Claims

1. A multilumen catheter comprising:

a first tubing;

a plurality of lumens disposed within the first tubing, each lumen of the plurality of lumens having a first end and a second end, said plurality of lumens include a sensor lumen;

a plurality of second tubings;

a junction element maintaining a connection between the first end of each lumen of the plurality of lumens and a corresponding second tubing of the plurality of second tubings; and

a sensor lead having a sensing element that extends through the sensor lumen;

wherein the sensor lumen has a shape and size that provides a compression fit for the sensor lead; and

wherein the sensing element is able to exit the first tubing at an end of the first tubing and is able to extend past the end of the first tubing and is able to extend past the second end of each lumen of the plurality of lumens.

2. The multilumen catheter of claim 1, further comprising infusion members for attachment to the plurality of second tubings.

3. The multilumen catheter of claim 1, wherein the plurality of lumens are extruded from the first tubing.

4. The multilumen catheter of claim 1, further comprising a lubricious coating on the first tubing.

5. The multilumen catheter of claim 4, wherein the lubricious coating is siloxane.

6. The multilumen catheter of claim 1, wherein the plurality of second tubings comprise a first infusant tubing, a second infusant tubing and a sensor tubing.

7. The multilumen catheter of claim 6, wherein the plurality of lumens further include a first infusant lumen and a second infusant lumen.

8. The multilumen catheter of claim 7, wherein the first infusant tubing is connected to the first infusant lumen, the second infusant tubing is connected to the second infusant lumen and the sensor tubing is connected to the sensor lumen.

9. The multilumen catheter of claim 7, wherein the first infusant lumen and the second infusant lumen exit the first tubing at the same distance along the length of the first tubing.

10. The multilumen catheter of claim 7, wherein the first infusant lumen and the second infusant lumen exit the first tubing at different distances along the length of the first tubing.

11. The multilumen catheter of claim 8, wherein the sensing element is able to extend up to several inches past the second end of each lumen of the plurality of lumens.

12. The multilumen catheter of claim 11, wherein the sensing element is a glucose analyte sensor.

13. The multilumen catheter of claim 11, wherein the sensing element is an analyte sensor.

14. The multilumen catheter of claim 8, further comprising infusion members connected to the first infusant tubing and the second infusant tubing.

15. The multilumen catheter of claim 14, wherein the infusion members comprise injection sites.

16. The multilumen catheter of claim 1, wherein the sensing element is able to extend up to several inches past the second end of each lumen of the plurality of lumens.

17. The multilumen catheter of claim 16, wherein the sensing element is able to extend up to several inches past the end of the first tubing.

18. The multilumen catheter of claim 16, wherein the sensor lead is positioned proximal to the first tubing.

19. The multilumen catheter of claim 1 further comprising:

a generally circular catheter body;

wherein the sensor lumen is inside the catheter body and has a generally oval shape; and

wherein the second tubing is inside the catheter body and has a cross sectional shape that has one edge facing the sensor lumen and a curvature corresponding to that of the generally oval shaped sensor lumen, and the second tubing has a second edge facing the catheter body and a curvature corresponding to that of the generally circular shaped catheter body.

20. The multilumen catheter of claim 1, wherein the multilumen catheter is a Swan-Ganz catheter.

21. The multilumen catheter of claim 1, wherein the multilumen catheter is a Peripherally Inserted Central Catheter.

22. The multilumen catheter of claim 1,

wherein the sensing element is able to extend past the end of the first tubing and is able to extend past the second end of each lumen of the plurality of lumens such that the sensing element is not in contact with the first tubing and is not in contact with any of the plurality of lumens.

23. The multilumen catheter of claim 1, wherein the sensor lumen has a generally oval cross-sectional shape.

24. The multilumen catheter of claim 23, wherein the plurality of lumens includes a plurality of lumens arranged around the sensor lumen, each of said plurality of lumens arranged around the sensor lumen having a cross-sectional shape that curves at least partially around the generally oval cross-sectional shape of the sensor lumen.

25. A system in an intensive care unit, the system comprising:

a central line catheter, the central line catheter comprising;

a sensor lead having a sensing element capable of indicating a characteristic level in blood;

a first lumen for delivering fluid to a body of a patient, the first lumen having an exit site at which the fluid is able to exit into the body of the patient; and

a second lumen for containing at least a portion of the sensor lead, the second lumen having an end that is adapted to be located in the body of the patient when the first lumen is delivering the fluid to the body of the patient;

an infusion device for delivering the fluid through the first lumen; and

a monitoring device for displaying readings obtained by the sensor;

wherein the sensor is able to extend past the exit site of the first lumen and is able to extend past the end of the second lumen; and

wherein the second lumen has a generally oval shape that provides a compression fit for the sensor lead.

26. The system of claim 25,

wherein the sensor is able to extend past the end of the second lumen such that the sensor is not in contact with the second lumen.

27. The system according to claim 25, further comprising:

a generally circular catheter body;

wherein the second lumen is inside the catheter body and has a generally oval shape; and

wherein the first lumen is inside the catheter body and has a cross sectional shape that has one edge facing the second lumen and a curvature corresponding to that of the generally oval shaped second lumen, and the first lumen has a second edge facing the catheter body and a curvature corresponding to that of the generally circular shaped catheter body.