Abstract:
A catheter enables measuring and approximating its distal end position within the body to facilitate catheter insertion and improve accuracy and control. By wrapping a long infusion catheter with an outer coating, the catheter can be guided into a vein or vessel by pulling on the outer coating and forcing its separation in a Y-shaped separation housing anchored close to the insertion point. Since there is no need for a guidewire or stylet and the outer coating acts as a sterile peel package, the catheter can be placed while infusing and maintain its own closed sterile environment during insertion.
Abstract:
A catheter provided with a guidewire catheter lumen having a thin covering that is easily punctured by a guidewire at virtually any desired point along the catheter length. The thin covering may be integral with the catheter shaft, or may be a separate component that covers only the portion of the catheter shaft immediately adjacent the outer portion of the guidewire lumen, or may be a thin tubular construct that surrounds the entire catheter shaft. The covering is preferably relatively translucent, allowing for good visualization of the location of the end of the guidewire to enable puncturing of the covering at the desired location along the length of the catheter shaft. The covering is also preferably tear resistant at puncture sites. The catheter shaft is preferably made of a material having a color that provides good visibility against an operating field, and more preferably is phosphorescent either entirely or in part. Materials suitable for the catheter shaft are polymeric materials well known in the art; the catheter shaft may optionally be provided with metallic stiffening components such as wires or hypotubes along all or part of the catheter length.
Abstract:
A vascular access needle assembly is provided. The needle assembly includes a housing interconnected with a needle. The housing and the needle have slots along their lengths which are aligned to form a slot extending along the entire needle assembly. A sheath interconnected with the needle extends partially about the needle and includes a slot. The vascular access needle, with the needle point exposed and needle slot closed, can be inserted into the blood vessel of a subject and a guide wire can be inserted into the blood vessel through the needle assembly. The sheath is then moved to cover the needle point and to expose the needle slot so that the guide wire can be lifted through the needle, sheath and housing slots and the vascular access needle assembly removed, leaving the guide wire in the subject. The device can also be used as a wire introducer for catheters. The vascular needle assembly can also be used as a biopsy needle for obtaining biopsy tissue wherein the edges of one or both of the needle slot and sheath slot are sharpened for cutting tissue.
Abstract:
A rapid exchange catheter comprises a guide wire lumen including a substantially sealed portion in which a lumen wall extends around an entire periphery thereof and a channel portion including a channel opening the lumen to an exterior of the catheter, wherein a width of the channel is less than a maximum width of the channel portion. A guide wire ramp extends into the channel portion, with the ramp extending further into the lumen of the channel portion as a distal end of the ramp is approached.
Abstract:
A blood treatment catheter pre-assembled with a stiffening tube is provided. The catheter includes a withdrawal lumen and a supply lumen each having distal split tube unjoined segments and an intermediate joined segment. The split tube segment of the supply lumen is provided with a sidewall aperture. The stiffening tube extends through the withdrawal split tip tube, out the distal end of the withdrawal tube, through the aperture of the supply split tip tube and through the split tip supply tube distal of the aperture, out the distal end of the split tip supply tube. When the stiffening tube is positioned inside the catheter, the aperture is adjacent to the withdrawal tube distal opening so as to minimize stiffening tube exposure and to provide a smooth exterior profile. In a preferred design, the tubes and their lumens, over their common length, are semi-circular to provide a circular profile for the catheter.
Abstract:
A catheter guidewire for facilitating introduction of a flexible catheter into the human body (e.g., into the bladder) has a proximal end having a first stiffness which is sufficient to facilitate guidance of a stiff plastic expansion sheath through the tissue. A distal end of the guide wire has a second stiffness, substantially less than the first stiffness, to avoid damage to internal walls of the bladder. Preferably, the guide wire incorporates an intermediate portion having a stiffness between the first stiffness value and the second stiffness value.
Abstract:
A method and apparatus for inserting a catheter into a patient and measuring and approximating its distal end position within the body facilitate catheter insertion and improve accuracy and control. By wrapping a long infusion catheter with an outer coating, the catheter can be guided into a vein or vessel by pulling on the outer coating and forcing its separation in a Y-shaped separation housing anchored close to the insertion point. Since there is no need for a guidewire or stylet and the outer coating acts as a sterile peel package, the catheter can be placed while infusing and maintain its own closed sterile environment during insertion.
Abstract:
A guidewire separator device and methods are described for resolving guidewire entanglement and for introducing guidewires into branch vessels when performing angioplasty or stenting of a bifurcated artery. The device has an elongate tubular distal portion joined to an elongate proximal portion. A first lumen extends through the tubular distal portion of the device, with a first distal guidewire port located near a distal end of the distal portion and a first proximal guidewire port located near a proximal end of the distal portion. A second lumen extends through the tubular distal portion of the device, with a second distal guidewire port located near a distal end of the distal portion and a second proximal guidewire port located near a proximal end of the second lumen. One or both of the lumens may continue through the proximal portion of the device. Optionally, the device includes one or more longitudinal slits to externalize the guidewires from the lumens during withdrawal of device.
Abstract:
A catheter a part which is inserted into and indwelled in a blood vessel by the Seldinger method and a sheath for covering the catheter are included. The catheter is constituted of a double lumen portion in which a first lumen and a second lumen are integrally formed in parallel with each other, a first branch tube and a second branch tube extended to the one side of the double lumen portion and an extension tube connecting portion provided to the other side of the double lumen portion. The inner cavity of the first branch tube communicates with the first lumen and the inner cavity of the second branch tube communicates with the second lumen. The distal end of the first branch tube is bulged in the vicinity thereof so as to slidably contact with the inside of the distal end of the sheath.
Abstract:
A multilumen catheter assembly is provided, which includes a unitary portion and at least two distal end tubes extending distally from the unitary portion. The unitary portion includes an exterior having a generally round or oval shape in cross section and includes at least two distal end tubes of generally circular (or other) cross sectional shape extending longitudinally therethrough. The catheter assembly may be made by extruding a unitary tube having internal longitudinally extending lumens (of circular or other shape), then splitting the tube on its distal end portion to form distal end tubes. The tubes are then ground and polished, the finished tubes retaining in combination the generally oval cross sectional shape of the unitary extrusion, or the finished tubes can each be finished to a circular, or other, cross sectional shape; or the finished tubes could include a combination of cross sectional shapes over its longitudinal length.