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| United States Patent | 4385635 |
| Link to this page | http://www.wikipatents.com/4385635.html |
| Inventor(s) | Ruiz; Oscar F. (3655 Bay Homes Dr., Coconut Grove, FL 33133) |
| Abstract | An angiographic catheter having a soft flexible, pliable leading tip zone
consisting of elastomeric material wherein the tip zone of an axial length
in the range between 1 and 10 millimeters, and wherein the catheter is
composed of a main reinforced length and an intermediate zone between the
tip zone and the main length, the main length being reinforced by an inner
tube of a polyamide material and wherein the polyamide is tapered in the
intermediate zone to provide a tapered reinforced section tapering
distally and uniformly to zero at the tip zone. The catheter may be
provided with perforations in a pattern as desired. |
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Title Information  |
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Drawing from US Patent 4385635 |
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Angiographic catheter with soft tip end |
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| Publication Date |
May 31, 1983 |
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| Parent Case |
This is a continuation-in-part of U.S. patent application Ser. No. 143,891
filed Apr. 25, 1980, now abandoned. |
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Title Information  |
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Description  |
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FIELD OF THE INVENTION
This invention relates to an angiographic catheter.
BACKGROUND OF THE INVENTION
In the past there have been various types of angiographic catheters.
Generally speaking, such cathethers are utilized for diagnostic purposes.
More particularly, such a catheter is inserted into an artery or vein and
advanced in a generally axially direction through the vessel to a
predetermined site as determined by an attending physician for the purpose
of injecting radio opaque material. The radio opaque material should be
injected under a relatively high pressure to achieve a relatively high
concentration in a short period of time so that the images which are
achieved in the conventional manner are as sharp as possible.
It will be appreciated by those in the art that such catheters must be
quite rigid. This is required to be capable of advancement by pushing, to
be susceptible to axial movements of adjustment and to resist twisting or
torque forces. Such catheters must also be able to withstand a high
bursting pressure while, at the same time, the tip should be as soft as
possible so as not to cause injury to the interior wall of the vessel as
it is advanced.
SUMMARY OF THE INVENTION
This invention is of an improved angiographic catheter having a soft
non-traumatic tip zone with the required characteristics referred to
above.
SUMMARY OF KNOWN PRIOR ART
In the prior art there are, for example, angiographic catheters have been
utilized that are braided, that is, catheters which are reinforced with a
steel wire mesh or Dacron reinforcing braid in order to accommodate high
compressive forces, resistance to bursting, etc. as required to move it
through a vein to a desired site and deliver radio opaque dye under
relatively high pressures. There have also been other types of
angiographic catheters, for example, two tubes, each of a different type
of polyethylene and each of a different rigidity have been adhered
together in coaxial relation.
Generally speaking, it is a recognized problem in this art to provide an
angiographic catheter having a terminal end, or leading end, which is
soft, so that it will not penetrate a vessel wall, traumatize the vessel,
and which will be less likely to dislodge plaque from the interior wall of
a vessel through which it is being advanced yet which is, nevertheless,
reinforced so as to have a high bursting strength and be capable of
resisting compressive forces so that it can be advanced and rotated as
required in order to be utilized as described above.
OBJECTS OF THE INVENTION
It is a general object of this invention to provide an improved reinforced
angiographic catheter having a relatively soft tip so as to be, generally
speaking, non-traumatic.
It is also an object of this invention to provide an improved reinforced
angiographic catheter having an exterior sleeve or surface of a soft
elastomeric material and a relatively soft non-traumatic tip which is not
reinforced.
It is another object of this invention to provide an angiographic catheter
having a soft tip of a length between 3 and 7 millimeters and preferably
about 5 millimeters which is non-reinforced and is of flexible, pliable,
yieldable, bendable material.
If it a further object of this invention to provide an angiographic
catheter wherein the overall length of the catheter is composed of an
exterior sleeve of soft elastomeric material jacketing an inner
reinforcing tube of a properly compounded polyamide material, such as
nylon, and, which interior tube, adjacent, but not at, the terminal or
leading end of the catheter tapers to zero, so that the distal end is of
elastomeric material, such as urethane, constituting a soft tip.
It is another object of this invention, generally speaking, to provide an
improved soft non-traumatic tipped angiographic catheter which is
generally inexpensive to manufacture, which is capable of injecting radio
opaque material under high pressure and which has relatively thin walls
and which will not burst at pressures of up to about 1,200 psi or higher
for the purposes which are set forth more fully hereinafter.
In accordance with these and other objects which will become apparent
hereinafter, the instant invention will now be described with reference to
the accompanying drawings of which:
DESCRIPTION OF THE DRAWINGS
FIG. 1 is a side view of the terminal end zone of an angiographic catheter
in accordance with this invention; and
FIG. 2 is an enlarged view of that portion of the catheter shown in FIG. 1
taken on the plane indicated by the arrowed lines designated by the
numerals 2--2.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring to the drawings the improved catheter is generally designated by
the numeral 10. As seen in FIG. 2, it includes a soft tip or a terminal
zone designated by the numeral 12, an intermediate zone 14, and a main
fully reinforced length 16. Along the entire length there is a exterior
jacket or sleeve designated by the numeral 18 of elastomeric material
which is relatively soft, bendable, flexible and pliable. Within the main
length of this jacket, as designated by the numeral 20, there is a
reinforcing tube adhered to the inside diameter of the elastomeric jacket
or sleeve. This inner tube is of a polyamide which provides rigidity,
torque control, and may generally be described as being of high strength,
so that, when the catheter is pushed axially, it will advance in response
to the applied forces without collapsing and through it dye can be forced
under high pressure without bursting the catheter.
Intermediate the terminal end zone 12 and the main length 16, there is an
intermediate zone 14, see FIG. 2. In this intermediate zone, the jacket or
exterior sleeve of elastomeric material is somewhat tapered, so that it is
enlarged in cross-section at the distal portion of this zone, as compared
to the proximal portion, while, correspondingly, the relatively rigid
interior tube of reinforcing polyamid is tapered to providing an easy
transition between the main fully reinforced length and the soft tip.
As is perhaps well known, the inside diameter of an angiographic catheter
should be in the range of 0.020 inches to about 0.070 inches. This
structure as described above accommodates such interior diameter while the
outer circumference may be held to between 2 millimeters and 8
millimeters. It will be appreciated that this construction provides a
relatively thin wall while maintaining a large lumen with high pressure
bearing capability.
In the preferred embodiment shown, the intermediate zone designated by the
numeral 14 is between 1 and 3 centimeters in length. In the preferred
embodiment, throughout the intermediate zone, the taper of the reinforcing
polyamide is uniform and goes to zero at the beginning of the tip zone 12,
that is, it reaches zero thickness. In the intermediate zone, the sum of
the wall thickness of the soft outer elastomeric material plus the wall
thickness of the reinforcing material is about the same as that of the
main length 16 and of the elastomeric tip 12, which is not reinforced;
however, the latter may be somewhat thinner or thicker. The length of the
tip zone 12 is preferably in the range of between 1 millimeter and 7
millimeters.
It will be appreciated that, if the terminal or leading end zone 22 were of
generally high strength throughout its length, as the leading end or tip
is advanced through a vessel, it might pierce or cause trauma to the
interior wall of the vessel at a bend or curve. This construction provides
a terminal end zone which is soft, bendable, flexible and pliable and
which can be advanced readily and utilized in the manner described.
It is thus seen that there is provided a soft tip angiographic cathether
which is able to withstand an interior bursting pressure of up to 1,200
pounds so that a high concentration of radio opaque material may be
injected in a short time period and a clear picture taken for a diagnostic
purpose by an attending physician. This is accomplished by the structure
disclosed without the necessity of braiding or steel reinforcing wire mesh
which have been utilized in the past. When such reinforcing braiding has
been used in the past in order to achieve a somewhat softer tip zone some
have become broken, dislodged or separated causing internal damages and
had to be retrieved by a snare or surgically.
It will be understood that the proximal end 33 of the catheter is adapted
in a conventional manner for connection to a standard Luer Lock or hub for
introducing the dye from a source; and that a pattern of holes such as 34
may be provided as desired along the length or just at the tip or tip and
intermediate zone.
While the instant invention has been shown and described herein in what is
conceived to be the most practical and preferred embodiment, it is
recognized that departures may be made therefrom within the scope of the
invention, which is therefore not to be limited to the details disclosed
herein but is to be accorded the full scope of the claims so as to embrace
any and all equivalent apparatus and articles.
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Description  |
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