JP3429116B2 - catheter - Google Patents

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical surgical catheter, and more particularly to a catheter used for dilatation treatment of a stenotic lesion by inserting the catheter into the body.

[0002]

A catheter is a medical device that is inserted into the human body for diagnostic and therapeutic purposes. In many cases, especially in the vascular system, the dilatation catheter needs to be inserted along the blood vessel from the insertion port to the lesion site to a predetermined site for that purpose.
Shape retention is important. To describe this operability and shape retention in detail, a catheter is generally composed of a tubular elongated member, and the catheter is operated from outside the insertion port to bend the body or narrow and narrow. It must be able to pass through the site and therefore the axial and rotational forces applied from outside the catheter body must be effectively transmitted to the tip of the catheter, and it is flexible enough to accommodate bends. Also, it is necessary to have an anti-kink property so that it will not be bent or twisted even at a bent portion.

Further, the high operability required for a catheter is extremely deteriorated when its shape is deformed. That is, the outer tubular member of the catheter is important for transmitting the manipulation of the operator's hand to the tip of the catheter, but when it is bent, kinked, or broken, its cross-sectional shape is transformed from a circular shape to transmit force. Is reduced. A catheter is often used through a guide wire inside during treatment, but when the catheter enters the bending part, the inner tubular member through which the guide wire passes bends and deforms, increasing the friction between the catheter and the guide wire. When the operability is deteriorated and the outer tubular member is deformed, the inner tubular member is compressed and deformed, and the operability of the guide wire is deteriorated. Further, when the outer tubular member of the catheter is tightened with the hemostatic connector outside the body, the inner tubular member is compressed and deformed, and the operability of the guide wire is reduced. Furthermore, small deformations are piled up even if they are not subjected to extreme deformations like these examples,
The gradual decrease in operability during the operation contributes to the inability of the catheter to be used for a long time.

As described above, it is extremely important that the catheter is not deformed during the catheter operation, that is, its shape retention property. However, once the members used in catheters have been deformed once, the deformation does not return and the operability remains poor.If they are severe, the surgeon is forced to replace the catheter. It was The reason is that the elastic recovery of the catheter member is poor and permanent strain tends to remain. Elastomer materials are mentioned as materials having good elastic recovery, but the elastomer alone is too soft, and the friction between the elastomer and the extracorporeal tissues, the guide catheter, and the guide wire is large, making it difficult to apply to the catheter.

[0005]

As described above, when the conventional catheter is deformed or twisted due to various causes, the catheter remains deformed and the power transmission is lowered, and the catheter for guide wire passage is used. A decrease in operability was unavoidable because the inner tube remained deformed and the friction with the guide wire increased. It is an object of the present invention to provide an excellent catheter that has improved anti-kink properties, shape retention properties, especially shape restoration properties, and that does not cause deterioration in maneuverability, in which such drawbacks are ameliorated.

[0006]

SUMMARY OF THE INVENTION The present invention comprises an outer tubular member and an inner tubular member inside thereof, the outer layer of the inner tubular member being composed of a thermoplastic elastomer and the inner layer being composed of another polymeric material, The bending rigidity represented by the product of the tensile elastic modulus of the thermoplastic elastomer layer and the second moment of area is equal to or more than the bending rigidity represented by the product of the tensile elastic modulus of the other polymer material layer and the second moment of area. A catheter characterized by comprising a catheter tube, a catheter in which the inner layer of the outer tubular member is made of a thermoplastic elastomer, and the outer layer is made of another polymer material, and the thickness of the thermoplastic elastomer layer is different. To provide a catheter having a thickness greater than that of the polymeric material layer.
In the catheter of the present invention, the outer layer of the inner tubular member is made of a thermoplastic elastomer, the inner layer is made of another polymer material, and the thermoplastic elastomer has a large bending rigidity as compared with the other polymer material, or meat. Because of the large thickness,
When deformation or twisting (kink) occurs, the tubular shape is restored by the elastomeric property and the catheter shape is retained, so the force transmission does not decrease, and the shape of the inner tube is retained, so it does not interfere with the guide wire. Since the friction does not increase, the above object is achieved.

The thermoplastic elastomer in the present invention may be any thermoplastic elastomer that can be processed into a tube by extrusion molding, and examples thereof include a thermoplastic polyester elastomer, a thermoplastic polyurethane elastomer, a thermoplastic polyamide elastomer, and a thermoplastic polyolefin elastomer. These may be used alone or in combination of two or more. Further, as the other polymer material in the present invention, a relatively soft thermoplastic resin is used, for example, polyethylene, polyolefin such as polypropylene, ethylene-vinyl acetate copolymer, polyamide, and polyethylene terephthalate, Examples thereof include polyesters such as polybutylene terephthalate, and these may be used alone or in combination of two or more kinds.

The type and characteristics of the thermoplastic elastomer may be determined according to the properties required of the catheter to which it is applied, and are not particularly limited, but the tensile modulus and bending modulus are equal to or higher than those of other polymer materials to be multilayered. It is preferred to use a thermoplastic elastomer having the characteristics of The tensile modulus is measured by, for example, the test method of JIS K7113, and when the material is processed into a tubular shape, it can be regarded as the axial elastic modulus (longitudinal elastic modulus). Therefore, the bending rigidity (bending stiffness) of the tubular member is It can be expressed by the product of the tensile modulus of elasticity and the second moment of area. The flexural modulus of the member itself is, for example, JIS 7106 or ASTM D7.
It is measured by 90 test methods. In particular, the main effects of the present invention, the anti-kink property, the shape retaining property, and the shape restoring property, are more effective when the thermoplastic elastomer having a large tensile elastic modulus and bending elastic modulus is obtained.

However, even if the tensile elastic modulus and the flexural elastic modulus are low, it is possible to obtain the same effect by making the thickness of the thermoplastic elastomer layer larger than the thickness of other polymer material layers which are multilayered. Is. The anti-kink property, the shape retention property, and the shape recovery property of the tubular member having a layered structure of two or more layers formed of the thermoplastic elastomer layer and the other polymer material layer are the bending rigidity of the thermoplastic elastomer layer, that is, the tensile strength. It is better that the product of the elastic modulus and the second moment of area is larger than the bending rigidity of the other polymer material layer, that is, the product of the tensile elastic modulus and the second moment of area. Therefore, the flexural rigidity of the thermoplastic elastomer layer is relatively increased by increasing the second moment of area by making the thermoplastic elastomer layer thicker than the other polymer material layers to be multilayered, and thus the anti-kink property and the shape retention property. , Shape recovery is well expressed.

As described above, the wall thickness ratio in the tubular member may be controlled in consideration of the design balance of the entire catheter, including the characteristics of the thermoplastic elastomer, and is not particularly limited. The flexural rigidity represented by the product of the elastic modulus and the second moment of area is required to be greater than or equal to the flexural rigidity represented by the product of the tensile elastic modulus of the other polymer material layer and the second moment of area. More preferably, the thickness of the thermoplastic elastomer layer is greater than the thickness of the other polymeric material layers.

The arrangement of the thermoplastic elastomer layer in the tubular member may be determined according to the properties required for the catheter to which it is applied, and is not particularly limited. In the case of the tubular member inside the catheter, the thermoplastic elastomer generally has a friction constant. Since it is large in many cases, it is preferable to arrange it in the outer layer, and for the innermost layer, it is preferable to use other polymer material having less friction with the guide wire, for example, high molecular weight polyethylene. On the contrary, in the case of the catheter outer tubular member, it is preferable to arrange it in the inner layer in consideration of friction with the guide catheter and body tissues.

[0012]

EXAMPLES Preferred examples of the present invention will be shown below, but it goes without saying that the present invention is not limited to these examples. FIG. 1 is a schematic view showing the dilatation catheter of the present embodiment in which the dilator is inflated, FIG. 2 is a sectional view taken along line AA, and FIG.
FIG. 6 is a sectional view taken along line BB. In FIG. 1, the dilatation catheter includes an outer tubular member (outer tube) proximal side 1, an outer tubular member (outer tube) distal side 2 having a smaller diameter, and an inner tubular member (inner tube) arranged inside thereof. 3 has a distal side of the outer tube 2
The extension body proximal part 4 is connected to the extension body 5. Inner tube 3
Penetrates the inside of the expansion body 5 and extends at the expansion body distal portion 6
Connected with. An X-ray opaque marker 7 is provided on the outer circumference of the inner tube 3 corresponding to the central portion of the expansion body 5. The X-ray opaque marker 7 is made of an X-ray opaque material such as gold, platinum, tungsten and alloys thereof.

As shown in FIGS. 2 and 3, the outer pipes 1 and 2 and the inner pipe 3 each have a two-layer structure composed of a thermoplastic elastomer and polyethylene which is another polymer material.

The thermoplastic elastomer used in this embodiment is a thermoplastic polyester elastomer having a bending elastic modulus of 1176 MPa for the inner tubular member 3 and the outer tubular member 1 at the proximal portion, and the distal portion 2 of the outer tubular member is bent. In order to improve the property, a thermoplastic polyamide elastomer having a flexural modulus of 49 MPa was used to form a multilayer structure.

As shown in the AA cross section of FIG. 2, the outer layer of the inner tubular member 3 is a thermoplastic polyester elastomer having a tensile elastic modulus of 902 MPa and a bending elastic modulus of 1176 MPa, and the inner layer is a tensile elastic modulus of 789 MPa and a bending elastic modulus of 980.
Polyethylene of MPa, outer diameter 0.60 mm, inner diameter 0.
45 mm, inner layer outer diameter (outer layer inner diameter) 0.52 mm, and thickness ratio of outer layer 0.08 mm and inner layer 0.07 mm, which are approximately 1: 1. The second moments of area of the outer layer and the inner layer are obtained from the known hollow tube equation, π (d ₂ ⁴ −d ₁ ⁴ ) / 64 d ₂ : hollow tube outer diameter d ₁ : hollow tube inner diameter, and 0 respectively. 0.0028 mm ⁴ , 0.00
It is 16 mm ⁴ . Therefore, the flexural rigidity of the outer thermoplastic elastomer layer is 2.53 MPa · mm ⁴ ,
The polyethylene layer of the inner layer was 1.26 MPa · mm ⁴ , and the flexural rigidity of the thermoplastic elastomer layer was sufficiently large, and satisfactory anti-kink properties, shape retention properties, and shape restoration properties were observed. Further, since the inner layer is polyethylene, the coefficient of friction is relatively small and the friction with the guide wire was small.

Similarly, as shown in the section AA of FIG. 2, the outer tubular member proximal side 1 has an outer layer having a tensile elastic modulus of 789M.
Pa, polyethylene having a bending elastic modulus of 980 MPa, the inner layer is a thermoplastic polyester elastomer having a tensile elastic modulus of 902 MPa and a bending elastic modulus of 1176 MPa, and an outer diameter of 1.20 m.
m, inner diameter 0.95 mm, inner layer outer diameter (outer layer inner diameter) 1.12
mm, the thickness ratio is 0.08 mm for the outer layer and 0.17 mm for the inner layer, and the thickness ratio is about 1: 2. The geometrical moments of inertia of the outer layer and inner layer are calculated from the above equations, and each is 0.0245
mm ^4, a 0.0373mm ^4. Therefore, the flexural rigidity of the outer polyethylene layer is 19.33 MPa.
-Mm ⁴ , the inner thermoplastic elastomer layer is 33.64.
It was MPa · mm ⁴ , and the bending rigidity of the thermoplastic elastomer layer was sufficiently large, and satisfactory anti-kink properties, shape retention properties, and shape restoration properties were observed. Further, since the outer layer is polyethylene, the coefficient of friction is relatively small, and the outer tubular member for the proximal side has little friction with the guide catheter. Outer tube,
Inner tube composition, wall thickness, tensile modulus, second moment of area,
The bending rigidity is shown in Table 1.

[0017]

[Table 1]

Next, as shown in the BB cross section, the outer tubular member distal side 2 has an outer layer of polyethylene having a tensile elastic modulus of 156 MPa and a bending elastic modulus of 216 MPa, and an inner layer of which is a thermoplastic polyester used on the proximal side. 69M, which has a smaller tensile elasticity and bending elasticity than an elastomer, and a tensile elasticity
Pa is a thermoplastic polyamide elastomer having a flexural modulus of 98 MPa, an outer diameter of 0.95 mm, an inner diameter of 0.72 mm, an inner layer outer diameter (outer layer inner diameter) of 0.90 mm, and a wall thickness ratio of 0.0.
It is composed of 5 mm and an inner layer of 0.18 mm and about 1: 4. The geometrical moments of inertia of the outer layer and the inner layer are calculated from the above formula, and are 0.0078 mm ⁴ and 0.0190 m, respectively.
m ⁴ . Therefore, the flexural rigidity of the outer polyethylene layer is 1.21 MPa · mm ⁴ and the inner thermoplastic elastomer layer is 1.31 MPa · mm ⁴ , respectively, and the flexural rigidity of the thermoplastic elastomer layer is higher,
Sufficient kink resistance, shape retention and shape restoration were observed. Both the polyethylene of the outer layer and the thermoplastic elastomer of the inner layer have smaller tensile elastic modulus and bending elastic modulus than the proximal side, and are more flexible than the proximal side. Further, since the outer layer was polyethylene, the coefficient of friction was relatively small, and the outer tubular member for the distal side had little friction with the guide catheter and human tissue. In this case, the tensile modulus and flexural modulus of the thermoplastic elastomer is smaller than the tensile modulus and flexural modulus of the composite polyethylene, but by making the thermoplastic elastomer layer relatively thick, the thermoplastic elastomer layer It was possible to secure the shape retention by increasing the bending rigidity of the. Table 2 shows the configurations of the outer tube and the inner tube, the wall thickness, the tensile elastic modulus, the second moment of area, and the bending rigidity.

[0019]

[Table 2]

The catheter of the above embodiment is a catheter that is relatively hard on the proximal side and relatively flexible on the distal side, so that it has good transmission of force to the tip and can cope with a bend. Further, in this embodiment, a multilayer pipe using a thermoplastic elastomer for both the inner and outer tubular members is used, but it goes without saying that the purpose may be achieved by applying it to either one or a part of one. .

When the flexural rigidity of the thermoplastic elastomer layer is equal to or less than the flexural rigidity of the other polymer material layer, some anti-kink property, shape retention property, and shape recovery property were observed. It was far from satisfying what was intended.

The inner tubular member 3 is arranged at the proximal portion of the catheter and is connected to the wire port 9 of the manifold 8. In actual use, a guide wire (not shown) is inserted through the wire port 9 and penetrates through the catheter. Then, the catheter is guided to the lesioned part ahead of the tip of the catheter for the purpose of treatment. The space formed between the inner and outer tubes is the expansion port 1 of the manifold 8 at the catheter proximal portion.
A liquid (physiological saline solution, contrast solution) that is connected to 0 and is introduced from the expansion port 10 to expand the expansion body 5
Transmits pressure through the space into the expansion body 5 to inflate the expansion body.

The catheter of this embodiment retains its shape due to the shape recoverability of the catheter tube itself even if deformation is applied. That is, since kink of the outer tube is suppressed and the shape of the inner tube is maintained, the force transmissibility is not reduced and the friction with the guide wire is not increased, so that the operability is improved. Further, due to its shape recoverability, there was no decrease in operability with time, which is observed in conventional catheters.

[0024]

As described above, the catheter of the present invention is
Since the thermoplastic elastomer layer exists as at least one layer (outer layer) of the inner tubular member of the catheter, even if a kink occurs, the shape of the catheter itself is excellent and the tubular shape is easily restored due to its elastomeric properties. The shape of the catheter is maintained, the force transmission does not decrease, and the friction with the guide wire does not increase, so the operability does not decrease. Furthermore, the operability does not decrease over time due to use, so it is great. It is useful.

[Brief description of drawings]

FIG. 1 is an overall schematic diagram showing an embodiment of the present invention.

FIG. 2 is a sectional view taken along line AA in FIG.

FIG. 3 is a sectional view taken along line BB in FIG.

[Explanation of symbols]

1 Outer tubular member proximal side 2 Outer tubular member distal side 3 Inner tubular member 4 Expander proximal part 5 Expander 6 Expander distal part 7 X-ray opaque marker 8 Manifold 9 Wire port 10 Expansion port

Claims (5)

(57) [Claims] 1. An outer tubular member and an inner tubular member inside the outer tubular member, wherein an outer layer of the inner tubular member is composed of a thermoplastic elastomer, an inner layer is composed of another polymer material, and a tensile elasticity of the thermoplastic elastomer layer. A catheter tube having a bending rigidity represented by a product of a modulus and a second moment of area is equal to or more than a bending rigidity represented by a product of a tensile elastic modulus of the other polymer material layer and a second moment of area. Catheter to be. 2. The catheter of claim 1, wherein the inner layer of the outer tubular member is composed of a thermoplastic elastomer and the outer layer is composed of another polymeric material. 3. The catheter according to claim 1, wherein the thickness of the thermoplastic elastomer layer is larger than the thickness of the other polymer material layer. 4. The catheter according to claim 1, wherein the thermoplastic elastomer is a thermoplastic polyester elastomer. 5. The catheter according to claim 1, wherein the thermoplastic elastomer is a thermoplastic polyamide elastomer.