New! View global litigation for patent families

US20140207114A1 - Double helix reinforced catheter - Google Patents

Double helix reinforced catheter Download PDF

Info

Publication number
US20140207114A1
US20140207114A1 US14221641 US201414221641A US20140207114A1 US 20140207114 A1 US20140207114 A1 US 20140207114A1 US 14221641 US14221641 US 14221641 US 201414221641 A US201414221641 A US 201414221641A US 20140207114 A1 US20140207114 A1 US 20140207114A1
Authority
US
Grant status
Application
Patent type
Prior art keywords
distal
proximal
wire
tube
catheter
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US14221641
Inventor
Oscar Jimenez
Roberto Echarri
Kenneth Verduin
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
DePuy Synthes Products Inc
Original Assignee
DePuy Synthes Products Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M25/005Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
    • A61M25/0053Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids having a variable stiffness along the longitudinal axis, e.g. by varying the pitch of the coil or braid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0009Making of catheters or other medical or surgical tubes
    • A61M25/0012Making of catheters or other medical or surgical tubes with embedded structures, e.g. coils, braids, meshes, strands or radiopaque coils
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M25/005Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M25/0054Catheters; Hollow probes characterised by structural features with regions for increasing flexibility
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0108Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE, IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C47/00Extrusion moulding, i.e. expressing the moulding material through a die or nozzle which imparts the desired form; Apparatus therefor
    • B29C47/0009Extrusion moulding, i.e. expressing the moulding material through a die or nozzle which imparts the desired form; Apparatus therefor characterised by the shape of the articles
    • B29C47/0016Rod-shaped articles
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE, IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C47/00Extrusion moulding, i.e. expressing the moulding material through a die or nozzle which imparts the desired form; Apparatus therefor
    • B29C47/02Extrusion moulding, i.e. expressing the moulding material through a die or nozzle which imparts the desired form; Apparatus therefor incorporating preformed parts or layers, e.g. extrusion moulding around inserts or for coating articles
    • B29C47/021Coating hollow articles
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE, IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C47/00Extrusion moulding, i.e. expressing the moulding material through a die or nozzle which imparts the desired form; Apparatus therefor
    • B29C47/0004Extrusion moulding, i.e. expressing the moulding material through a die or nozzle which imparts the desired form; Apparatus therefor characterised by the choice of material
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE, IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C47/00Extrusion moulding, i.e. expressing the moulding material through a die or nozzle which imparts the desired form; Apparatus therefor
    • B29C47/08Component parts, details or accessories; Auxiliary operations
    • B29C47/10Feeding the material to the extruder
    • B29C47/1027Feeding the material to the extruder in solid form, e.g. powder or granules
    • B29C47/1054Feeding the material to the extruder in solid form, e.g. powder or granules in band and/or in strip form, e.g. rubber strips
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE, IN GENERAL
    • B29KINDEXING SCHEME ASSOCIATED WITH SUBCLASSES B29B, B29C OR B29D, RELATING TO MOULDING MATERIALS
    • B29K2105/00Condition, form or state of moulded material or of the material to be shaped
    • B29K2105/0005Condition, form or state of moulded material or of the material to be shaped containing compounding ingredients
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE, IN GENERAL
    • B29LINDEXING SCHEME ASSOCIATED WITH SUBCLASS B29C, RELATING TO PARTICULAR ARTICLES
    • B29L2031/00Other particular articles
    • B29L2031/753Medical equipment; Accessories therefor
    • B29L2031/7542Catheters

Abstract

The intravascular catheter has a polymeric inner tube, a reinforcing inner jacket which is spirally wound over the inner tube and which becomes progressively softer from a proximal end to a distal end, and a polymeric outer sheath extruded over the inner jacket. The reinforcing jacket includes helical coiled wires wound over the inner tube in order to provide improved multi-axial mechanical properties.

Description

    CROSS-REFERENCES TO RELATED APPLICATIONS
  • [0001]
    This is a continuation of U.S. Ser. No. 13/738,154, filed Jan. 10, 2013; which is a continuation of U.S. Ser. No. 13/046,687, filed Mar. 11, 2011, now U.S. Pat. No. 8,366,699, issued Feb. 5, 2013; which is a continuation of U.S. Ser. No. 11/433,390, filed May 12, 2006, now U.S. Pat. No. 7,905,877, issued Mar. 15, 2011, incorporated by reference in its entirety.
  • BACKGROUND
  • [0002]
    1. Field of the Invention
  • [0003]
    The present invention relates to an intravascular catheter having a stiff proximal end portion and gradually softer and more flexible portions progressively toward a distal end of the catheter which is used for diagnostic, interventional and or drug infusion procedures such as blood clot dissolving drugs, chemotherapeutic agents, and injection of contrast media to visualize vasculature and or anatomy using a fluoroscope to assist visualization of the catheter inside the human body. The present intravascular catheter can also be used to deliver coils to aneurisms, and embolic agents to arteriovenous malformation (AVM) in the brain and other parts of the human vasculature such as uterine fibroids. The latter procedure is usually referred to as uterine fibroid embolization (U FE). The present invention more specifically relates to micro catheters for use in interventional neuro radiological procedures where access to brain vasculature is required. Further, the present invention relates to a microcatheter to deploy coils and embolic agents to treat certain brain vasculature syndromes to include but not limited to aneurisms and AVM indications.
  • [0004]
    2. Description of the Related Art
  • [0005]
    Intravascular catheters are used to diagnose and treat a number of medical conditions of the vascular system using a technique called angiography. A number of intravascular catheters are used to diagnose coronary artery disease related to stenosis and to determine hemodynamic factors such as cardiac output. In addition, smaller catheters, “micro-catheters”, are used to infuse certain blood clot dissolving drugs to the coronaries or to brain blood vessels in stroke related cases. Further, in addition, intravascular catheters are also used to deploy stents in the coronary deployment of embolic agents and coils to target vasculature within the brain and elsewhere in the human body.
  • [0006]
    In order to properly navigate or manipulate a catheter after introduction in the human vasculature, it is imperative that the intravascular catheter be designed and constructed in such a manner as to facilitate introduction into a blood vessel and to support further manipulations to reach the target blood vessel. Manipulation of the catheter is done by the physician using the proximal segment of the catheter, after catheter introduction and external to the blood vessel; that is, the catheter needs to be rotated (torque) outside the body in the proximal segment of the catheter and a corresponding rotational reaction must be achieved in the distal tip segment inside the body. Therefore, a vascular catheter, to sustain torsional continuity from the proximal end to the distal end of the, while inside the vasculature, must transmit torque from the proximal end to the distal end inside the body. The typical distance between proximal and distal end for vascular catheters ranges between 80-120 centimeters and shorter for renal applications that require a length of approximately 45-55 centimeters; thus, a vascular catheter is required to advance forward when pushed, be able to be retrieved when pulled and to rotate when torque is applied as part of the maneuvering process to reach the target vessel. Another critical characteristic is that the catheter's wall must not collapse (kink) and retain its lumen integrity, cylindrical shape or ovality during the medical procedure.
  • [0007]
    Heretofore, a number of analogous and non-analogous intravascular catheter constructions have been proposed, as disclosed in the following U.S. Patents:
  • [0000]
    Patent No. Patentee
    3,485,234 Stevens
    4,044,765 Kline
    4,402,684 Jessup
    4,430,083 Ganz et al.
    4,516,972 Samson
    4,581,390 Flynn
    4,636,346 Gold et al
    4,737,153 Shimamura et al.
    4,842,590 Tanabe et al.
    4,955,862 Septka
    5,156,155 King
    5,234,416 Macauley et al
    5,279,596 Castaneda et al.
    5,308,342 Sepetka et al
    5,382,234 Cornelius et al
    5,445,624 Jimenez
    5,454,795 Samson
    5,458,605 Klemm
    5,554,139 Okajima
    5,695,483 Samson
    5,702,373 Samson
    5,569,200 Umeno et al
    5,782,809 Umeno et al
    5,816,927 Milo et al.
    5,879,342 Kelly
    5,947,940 Beisel
    5,951,539 Nita et al.
    6,152,912 Jansenetal.
    6,824,553 Samson et al.
  • BRIEF SUMMARY OF THE INVENTION
  • [0008]
    The primary objective of the present invention is to provide an intravascular catheter with enhanced physical properties to facilitate maneuverability and efficacy of the catheterization procedure. That is, to provide a reinforced catheter incorporating a double reinforcing coil at the proximal segment with a separate single reinforcing coil at the distal segment whereby the physical properties of the catheter are customized to provide torque (turn ability), axial strength (push ability) while resisting collapsing of the wall (kinking) during manipulation of the catheter through tortuous vasculature. In addition, it is the purpose of this invention to provide a catheter whereby the distal segment exhibits a higher degree of compliance when compared to the proximal segment as provided by the transition from a double coil (proximal) to a single coil (distal) utilizing a different, softer material in the distal single coil. The latter allows for an atraumatic vessel engagement to reduce the incidence of mural trauma, vessel insult or dissection.
  • [0009]
    Another objective of the present invention is to further refine the physical properties of the catheter by progressively changing the pitch or helical period (picks per inch) so that a continuously, incremental compliance from proximal to distal end is achieved.
  • [0010]
    It is an additional objective of the present invention to utilize a reinforcing jacket having graduated levels of stiffness along its length to minimize mural trauma associated with stiffer more aggressive catheter designs.
  • [0011]
    It is a further objective of the present invention to provide a more stable mechanical platform to deploy balloon expandable stents, self expanding stents, micro coils and other interventional devices within the vascular system.
  • [0012]
    It is an additional objective of the present invention to provide an enhanced mechanical platform utilizing double wire helical coils reinforcement, using either round or flat wire or a combination thereof, that may extend from proximal to distal end, or that can exhibit a transition from a double helical coil to a single coil anywhere along the axis of the intravascular catheter depending on the specific requirements to suit specific medical indication.
  • [0013]
    Another improvement of the mechanical properties at the distal segment, involves the progressive decrease of the pitch or the helical period (picks per inch) of the reinforcing wire, whereby a continuously progressive compliance of the distal segment is achieved (in a distal direction).
  • [0014]
    It is a further objective of the present invention to provide a less traumatic intravascular catheter specifically designed for interventional cardiology, interventional neuroradiology and peripheral indications where difficult vasculature challenges a successful catheterization procedure.
  • [0015]
    It is an additional objective of the present invention to further facilitate the atraumatic deployment of interventional devices into the brain, heart, viscera and peripheral vasculatures using a proximal double helix to distal single helix (coil) in catheter reinforcement.
  • [0016]
    The present invention relates to an improved intravascular catheter. One improvement relates to the catheter body wherein the body is made of an inner tube incorporating double coil helical wire reinforcement along the surface in a proximal portion of the catheter, the wire geometry being similar to a DNA molecule. This feature provides an improvement in critical mechanical properties such as torque, kink resistance, axial rigidity and distal compliance to reduce the incidence of mural trauma. In one embodiment, the inner tube is made of a high temperature fluorinated polymer having a low coefficient of friction; the inner tube carries in its periphery a plurality of wire reinforcement exhibiting a double helical coil geometry that transitions into a single helical coil at specific point along the axis of the inner tube. The helical wire reinforced inner tube is then jacketed with an outer, low temperature thermoplastic extrusion which is laminated against the double helical coil reinforcement and into the inner tube's surface. The low temperature thermoplastic is interstitially disposed beneath the tangential double and single coil wire reinforcement supported by the inner tube. The outer low temperature thermoplastic may be encapsulated using the teachings of the “Jimenez U.S. Pat. No. 5,445,624 entitled “Catheter with Progressively Compliant Tip” in order to further complement the gradual compliance from proximal to distal end.
  • BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS
  • [0017]
    Additional objects and advantages of the present invention can be found in the detailed description of the preferred embodiments when taken in conjunction with the accompanying drawings:
  • [0018]
    FIG. 1 is a plan view of a completed intravascular catheter.
  • [0019]
    FIG. 2 is a perspective view of an inner tube having a double helix coil on the proximal portion of the inner tube and a single helical coil on a portion of the distal portion of the inner tube.
  • [0020]
    FIG. 3 is an enlarged perspective view of the distal end of the inner tube shown in FIG. 2.
  • [0021]
    FIG. 4 is a perspective view of a distal end of a catheter constructed according to the teachings of the present invention with a portion broken away and shows the inner tube, the distal helical coil over a portion of a proximal helical coil and a proximal protective outer polymer sheath.
  • [0022]
    FIG. 5 is a perspective view of the five main components of a catheter constructed according to the teachings of the present invention and shows the inner tube, a platinum ribbon wire helically wound on the distal portion of the inner tube, a 1st stainless steel ribbon wire helically wound proximally on a proximal portion of the inner tube, a 2nd stainless steel ribbon wire helically wound distally on the proximal portion and a portion of the protective outer polymer sheath.
  • [0023]
    FIG. 6 is a perspective view of a modified distal portion showing the platinum ribbon wire helically wound on the distal portion of the inner tube wound distally with an increasing pitch.
  • [0024]
    FIG. 7 is a plan view or side elevational view of a partially constructed catheter according to the present invention and shows the inner tube on a mandrel with a platinum ribbon wire wound distally first with a first pitch and then with a second pitch to a first set of four abutting turns, a space on the inner tube and then a second set of four abutting turns, both sets being covered with a film of colloidal tungsten loaded polymer, a 1st stainless steel ribbon wire helically wound proximally from an intermediate point proximal of a distal end of the inner tube starting over proximal turns of the platinum ribbon wire proximally to a point close to a proximal end of the inner tube and a 2nd stainless steel ribbon wire, being a continuation of the 1st stainless steel ribbon wire, wound distally to the intermediate point.
  • [0025]
    FIG. 8 is plan view or side elevational view of a four segment outer protective polymer sheath which is place over the inner tube and wire reinforcement shown in FIG. 7.
  • DETAILED DESCRIPTION OF ONE Preferred Embodiment of the Invention
  • [0026]
    Referring now to the drawings in greater detail, illustrated in FIG. 1 is a catheter 10, comprising a connecting hub 12, a proximal end 20, a proximal segment or section or portion 14, a distal segment, section or portion 16, and a distal end 18. The completed intravascular catheter 10 is designed and constructed to facilitate introduction into a blood vessel and to support further manipulations to reach the target blood vessel. Manipulation of the catheter 10 is done by the physician, after catheter introduction, external to the blood vessel; that is, the catheter 10 needs to be rotated outside the body, by rotating hub 12 in the proximal segment of the catheter and a corresponding rotational reaction must be achieved in the distal tip 18 inside the body. Therefore, a vascular catheter must transmit torque from the proximal end 20 outside the body to the distal end 18 inside the body.
  • [0027]
    An internal design 22 of the intravascular catheter is shown in FIG. 2. As shown the design 22 comprises a polymeric inner tube 24, a distal reinforcing segment 30, and a proximal reinforcing segment 34.
  • [0028]
    The intravascular catheter is used to diagnose and treat a number of medical conditions of the vascular system using a technique called angiography. In addition, smaller catheters, “micro-catheters”, are used to infuse certain blood clot dissolving drugs to the coronaries or to brain blood vessels in stroke related cases. Micro-catheters are used successfully for deployment of embolic agents and coils in aneurism within the brain, and therefore the catheter is required to advance forward when pushed, be able to be retrieved when pulled and to rotate when torque is applied as part of the maneuvering process to reach the aneurism. In order to acquire these desirable mechanical characteristics, the internal design and construction of this micro-catheter incorporates the following internal components: a high temperature extruded polymeric inner tube 24, a high stiffness reinforcing jacket 34 comprised of 1st layer 26 and 2nd layer 28 of helical coiled wire wound over inner tube 24 to form the stiffer proximal reinforcing jacket, and a single layer 28 of helical coiled wire wound over inner tube 24 to form the softer distal reinforcing jacket.
  • [0029]
    A close-up view of the distal end of the inner tube 24 is shown in FIG. 3 including lumen 25, and the end of the reinforcing flat ribbon wire 28 coiled over the inner tube 24. The inner tube 24 is made of a high temperature fluorinated polymer having a low coefficient of friction, and a flat ribbon stainless steel or platinum tungsten alloy or palladium alloy wire 28 spiraling coiled over inner tube 24 to form the distal reinforcing jacket. Note that in a micro-catheter application, lumen 25 becomes the delivery conduit to facilitate deployment of embolic agents or coils to blood vessels in the brain, or infusion of blood clot dissolving drugs to the brain or other areas of the vascular system. Likewise, in an angiographic catheter, lumen 25 becomes the delivery conduit to facilitate delivery of contrast media to visualize vasculature using a fluoroscope.
  • [0030]
    The main components of a “dual segment” catheter design incorporating: the inner tube 24, the distal reinforcing jacket 28 comprising a single layer of coiled wire, the proximal reinforcing jacket comprising dual layers of coiled wire, inner layer 26 and outer layer 28, and the protective outer polymeric sheath 36 is illustrated in FIG. 4. The components of the “dual segment” catheter design include: the polymeric inner tube 24, the distal reinforcing jacket comprising a single layer 28 of helical coiled wire, the proximal reinforcing jacket comprised of 1st layer 26 and 2nd layer 28 of helical coiled wire, and the outer protective sheath 36 made from low temperature thermoplastic material.
  • [0031]
    The main components of a “triple segment” catheter design is shown in FIG. 5 and includes the inner tube 24, the distal reinforcing jacket 30 comprising a single wire coil 38 made from a material having relatively low stiffness such as platinum or platinum tungsten alloy or palladium alloy, the proximal reinforcing jacket 34 comprising a 1st layer of coiled wire 50 under a 2nd layer of coiled wire 48, both of these layers made of a relatively stiff material such as stainless steel, the intermediate reinforcing jacket comprising a 1st layer of coiled wire 38 (platinum or platinum tungsten alloy or palladium alloy wire) under a 2nd layer 50 (stainless steel wire), and the outer protective polymer sheath 36.
  • [0032]
    With the a “triple segment” catheter design incorporating: the perfluorinated polymeric inner tube 24, the distal reinforcing jacket 30 comprising a single wire coil 38 made from a material having relatively low stiffness such as platinum or platinum tungsten alloy or palladium alloy, the proximal reinforcing jacket 34 comprising a 1st layer of coiled wire 50 under a 2nd layer of coiled wire 48, both of these layers being made of a relatively stiff material such as stainless steel, the intermediate reinforcing jacket comprising a 1st layer of helical coiled wire 38 (platinum or platinum tungsten alloy or palladium alloy wire) under a 2nd layer 50 (stainless steel wire), and the outer protective sheath 36 a catheter 10 is created having unique properties. Because the intermediate reinforcing jacket comprises a 1st layer of softer platinum or platinum tungsten alloy or palladium alloy wire 38 and a 2nd layer of stiffer stainless steel wire
  • [0033]
    44, the resulting stiffness is approximately halfway between that of the proximal segment or portion 34 and the distal segment or portion 30 reinforcing jackets, thus providing a moderate transition between the two extremes (the stiff proximal reinforcement and soft distal reinforcement), thereby improving the overall compliance and directional stability of the catheter.
  • [0034]
    In FIG. 5 is illustrated the internal design and construction of a catheter having “Continuously Progressive Compliance” by comprising the perfluorinated polymeric inner tube 24 and a reinforcing jacket 56 comprising one or more spiraling or helical layers of a coiled wire 52 and the outer protective polymer sheath 36. Note that the number of coils per inch is progressively reduced from proximal to distal direction, changing pitch, resulting in a progressively more complaint (less stiff) catheter body from proximal to distal direction. Also note that the entire reinforcing jacket can be manufactured with a single wire material, thus resulting in a more cost effective catheter. While the illustrated embodiment shows a stainless steel wire the outer layer can be made of a different material such as platinum if desired.
  • [0035]
    Another improvement to the intravascular catheter involves the use of a selective pitch and or period (cycle) of the helical winding to render a progressively compliant reinforcement of the catheter body and tip as shown in FIG. 6.
  • [0036]
    The interior reinforcement of one catheter constructed according to the teachings of the present invention is shown in FIG. 7 and is generally identified with reference numeral 60. The interior reinforcement 60 includes an inner tube liner 62 having an inner lumen and being made of PTFE. The inner tube 62 is shown mounted on a mandrel 64.
  • [0037]
    A proximal segment, section or portion 66 of the inner tube 62 on which a reinforcing jacket is placed comprises a ribbon wire reinforcement 68 that is wound on the inner tube and that has a length that has a range of approximately 42.3±0.5 to 61.75±0.5 inches. The ribbon wire reinforcement 68 on the segment 66 is a helically wound stainless steel ribbon wire reinforcement 68 comprising a first ribbon wire layer 70 that starts at a distal end 72 of the proximal portion 66 and extends to a proximal end 76 of the first ribbon wire layer 70 on the proximal portion 66. At this point the stainless steel ribbon wire 68 is spirally or helically wound distally in a second outer ribbon wire layer 78 to the distal end 72 of the proximal portion 66. A proximal end segment, section or portion 80 of the inner tube 62 is not reinforced and has a length of approximately 2.9 inches.
  • [0038]
    A distal portion 82 of the second ribbon wire layer 78 is wound over a beginning portion 84 of a platinum/tungsten flat wire 86 which extends forwardly from just before the distal end 72 of the proximal portion 66 distally towards a distal end 87 of a distal segment, section or portion 88 of the inner tube 62 and which defines a second reinforcing jacket. The platinum/tungsten flat wire 86 can be wound as shown, or can have a change in spacing or variable pitch to a first marker 90 comprising four to nine abutting turns of the platinum/tungsten flat wire 86, with four turns being shown in FIG. 7. A second layer or second and third layers of the platinum/tungsten flat wire may be wound over the first nine abutting turns in order to further enhance radiographic registration of the abutting turns or radiopaque markers. Additionally, the radiographic registration can be further enhanced by heat reflow with either indium or tin-lead solder paste placed directly on the abutting turns.
  • [0039]
    The pitch of the turns in each layer 70 and 78 of the stainless steel ribbon wire 68 is approximately 0.015″ pitch. The pitch of the platinum/tungsten flat wire 86 in a distal portion thereof is approximately 0.010″ pitch.
  • [0040]
    The platinum/tungsten flat wire 86 extends forwardly to the first marker 90 and, depending on the type of catheter, the distance of a section A from the distal end 72 of the proximal portion 66 to the center of the first marker 90 is typically about 21.5±0.2 inches, 5.47±0.2 or 2.5±0.2 inches.
  • [0041]
    Then, there is a spacing, within the 0.010 pitch zone of approximately 1.2±0.20 inches between the first marker 90 and a second marker 92 of four to nine abutting turns with four turns being shown in FIG. 7 and with a spiral or helical turn or turns between the markers 70 and 78 being hidden from view or not shown.
  • [0042]
    The markers 90 and 92 have a width of about 0.025±0.002 inch and may contain one layer or two layers of abutting turns.
  • [0043]
    Each of the markers 90 and 92 is covered with a thin film layer 94, 96 of colloidal tungsten loaded polymer which is shown thicker than it actually is in FIG. 7. Each layer 94, 96 is superimposed over marker 90 or 92 to make the marker more radiopaque. It is to be noted that in some embodiments of the micro-catheter, there is only one marker either at the tip or somewhere in the distal segment.
  • [0044]
    Again, depending on the type of catheter the distance of a section B from the distal end 72 of the proximal portion 66 to the center of the second marker 92 is about 25±0.5 inch, 6.70±0.5, or 3.75±0.5 inch and the distance of a section 93 from the center of the second marker 92 to the distal end 87 of the inner tube 62 is approximately 2.9 inches. This distance may further be titrated in relation to the type of interventional devise that may be deployed from the microcatheter.
  • [0045]
    The film layers 94 and 96 are typically made of polyether block amide (PEBAX) loaded with colloidal tungsten powder.
  • [0046]
    An end turn 98 of the platinum/tungsten flat wire 68 can be provided as shown located approximately 1.3±0.20 inch from the second marker 92.
  • [0047]
    While ribbon wire or flat wire is illustrated in the drawings, the geometry or cross section of the reinforcement wires 68 and can be round or oval as well as flat. Further mono-filar, bifilar, tri-filar or quadra-filar wire reinforcement can be provided.
  • [0048]
    Typically, a proximal segment of the inner tube 62 including sections 66 and 80 comprises 62 to 87 percent of the length of the inner PTFE tube 62 and a distal segment including sections B and 93 comprises 13 to 38 percent of the length of the PTFE inner tube 62.
  • [0049]
    The interior reinforcement 60 is covered with a four section polyether block amide (PEBAX) tube 100 shown in FIG. 8 and including a proximal section 102 made of polyether block amide (PEBAX), a proximal intermediate section 104 made of polyether block amide (PEBAX), a distal intermediate section 106 made of polyether block amide (PEBAX) and a short distal end section 108 constructed according to the teachings of U.S. Pat. No. 5,445,624 and made of polyether block amide (PEBAX). The four sections of polyether block amide (PEBAX) in tube 100 are heat fused over the interior reinforcement 60 of the catheter which in turn bonds to the PTFE inner tube 62.
  • [0050]
    It will be understood that the inner end portion 84 of the platinum/tungsten portion wire 68 is secured in place by the outer end portion 82 of the second layer 78 of the helically wound stainless steel wire 68. Then the cut ends of the wire forming the markers 90, 92 and the end turn 98 are secured in place by the liners 94 and 96 and by the polyether block amide (PEBAX) tube distal portion 106.
  • [0051]
    As an alternative, the outer tube or sheath 100 can be extruded over the interior reinforcement 60.
  • [0052]
    Preferably the proximal reinforcing wire 68 made of stainless steel has end portions softened by an annealing process. The annealing process comprises attaching electrodes to a selected desired end portion, passing a substantial electrical current through the electrodes until the wire end portion glows red hot, and then allowing the wire end portion to slowly return to ambient temperature. This process allows the stainless steel wire to conform to the geometry of PTFE inner tube 62 and prevent the end of wire 68 from springing out of the desired geometry.
  • [0053]
    Also preferably the proximal reinforcing jacket 68 is made of stainless steel wire 68 which is fed from a spool and the travel speed of the spool holding the stainless steel wire is gradually or periodically increased in order to decrease the number of turns per inch, resulting in a reinforcing jacket having a continuously progressive compliance (softness) from proximal to distal end of the proximal portion of the inner tube 62.
  • [0054]
    Also according to the teachings of the present invention there is provided a method for manufacturing an intravascular catheter having proximal and distal reinforcing inner jackets, the proximal jacket having superior stiffness and mechanical characteristics than the distal jacket. The method comprising the steps of:
  • [0055]
    a) Extruding a polymeric PTFE inner tube having an internal lumen, proximal, intermediate and distal segments, and having proximal and distal ends,
  • [0056]
    b) Inserting a mandrel through the internal lumen of the PTFE inner tube, and clamping the mandrel in a bidirectional winding lathe,
  • [0057]
    c) Winding two separate layers of reinforcing helical coiled wire or fibers over the proximal outer surface of the PTFE inner tube, the first layer being wound in a proximal direction starting at a point where the proximal and distal segments meet and terminating at the proximal end, at which point the winding is reversed to a distal direction, thus winding a second layer over the first one, and terminating the layer at the same point where the first coiled wire started,
  • [0058]
    d) Winding a separate reinforcing helical coiled wire over the distal segment, either by start winding in a distal direction at a point where the proximal and distal segments meet and terminating at the distal end, or by start winding in a proximal direction at the distal end and terminating at the point where the proximal and distal segments meet,
  • [0059]
    e) Extruding a polyether block amide polymeric outer sheath over the proximal and distal segments of the PTFE inner tube of the intravascular catheter.
  • [0060]
    A further method according to the present invention is provided for manufacturing an intravascular catheter inner reinforcement having a proximal section, an intermediate section and a distal section, wherein the proximal section is stiffer than the intermediate section with the intermediate section being softer than proximal section, and the distal section being softer than the intermediate section. The method comprising the steps of:
  • [0061]
    a) Extruding a perfluorinated polymeric inner tube having an internal lumen, proximal, intermediate and distal segments and having proximal and distal ends, the length of the proximal segment being between 60 and 80% of the total length of the catheter, the length of the intermediate segment being between 10 and 20% the total length of the catheter, and the length of the distal segment being between 10 and 30% of the total length of the catheter,
  • [0062]
    b) Inserting a mandrel through the internal lumen of the inner tube, and clamping the mandrel at both ends in a bidirectional winding lathe,
  • [0063]
    c) Winding a reinforcing wire or fiber helical coil over the intermediate and distal segments, either by starting at the junction between the intermediate and proximal segments and winding in a distal direction until the distal end is reached, or by start winding in a proximal direction from the distal end and terminating at the junction between the intermediate and proximal segments,
  • [0064]
    d) Winding in a proximal direction a new layer of reinforcing helical coiled wire or fiber over the intermediate segment, by starting at the junction between the distal and intermediate segments, and continuing until approximately the entire proximal segment is covered, and then continue winding a second layer in a distal reverse direction and stopping at the junction between the proximal and intermediate segments, thereby forming an intermediate reinforcing layer comprising a first layer of the same stiffer coiled wire or fiber used for the proximal segment on top of a second layer of softer coiled wire or fiber used for the distal segment, thus achieving an intermediate reinforcing segment having a midway stiffness which is between that of the proximal and distal reinforcing segments, and
  • [0065]
    e) Extruding or shrink wrapping a single polymeric outer sheath over the proximal, intermediate and distal segments of the intravascular catheter.
  • [0066]
    Still further according to the present invention there is provided a manufacturing method for annealing or softening the end of a stainless steel helical coiled wire used to form a reinforcing inner jacket in a catheter, comprising the following steps:
  • [0067]
    a) Extruding a perfluorinated polymeric inner tube having an internal lumen,
  • [0068]
    b) Inserting a mandrel through the entire lumen of the perfluorinated inner tube, and clamping the mandrel in a bidirectional winding lathe,
  • [0069]
    c) Winding a layer of reinforcing stainless steel helical coiled wire around a desired length of the inner tube,
  • [0070]
    d) Clamping two electrodes between the desired length of the stainless steel end wire to be annealed,
  • [0071]
    e) Clamping a copper heat sink to the catheter side of the stainless steel end wire,
  • [0072]
    f) Momentarily applying sufficient AC or DC current between the electrodes until the stainless steel wire turns red hot,
  • [0073]
    g) Allowing the stainless steel wire to cool down close to ambient temperature.
  • [0074]
    h) Bending or winding the heat treated stainless steel wires to form a radius compliant with the perfluorinated extruded tube.
  • [0075]
    From the foregoing description, it will be apparent that the catheter of the present invention and the method for making same have a number of advantages, some of which have been described above and others of which are inherent in the invention.
  • [0076]
    Also, it will be understood that modifications can be made to the catheter and method of the present invention without departing from the teachings of the invention. For example the wire layers in the proximal wire reinforcement can be made of glass or carbon as well as stainless steel.
  • [0077]
    Accordingly, the invention is only to be limited as necessitated by the accompanying claims.

Claims (11)

    I claim:
  1. 1. An intravascular catheter, comprising:
    a polymeric inner tube having a distal segment and a proximal segment;
    a first helical coiled wire wound over a surface of said distal segment of said polymeric inner tube, said first helical coiled wire having a distal portion and a proximal portion;
    a second helical coiled wire wound over a surface of said proximal segment of said polymeric inner tube; and
    a third helical coiled wire wound over said surface of said proximal segment of said polymeric inner tube, over said proximal portion of said first helical coiled wire, and under said second helical coiled wire.
  2. 2. The intravascular catheter of claim 1, further comprising at least one radiopaque marker formed over said distal segment of said polymeric inner tube,
  3. 3. The intravascular catheter of claim 2, wherein said at least one radiopaque marker comprises a radiopaque polymer covering.
  4. 4. The intravascular catheter of claim 1, further comprising a polymeric outer tube shrink wrapped over said proximal and distal segments of said polymeric inner tube.
  5. 5. The intravascular catheter of claim 3, further comprising a polymeric outer tube shrink wrapped over said proximal and distal segments of said polymeric inner tube, wherein said at least one radiopaque marker includes cut ends secured over said polymeric inner tube by said radiopaque polymer covering and said polymeric outer tube.
  6. 6. The intravascular catheter of claim 1, further comprising a polymeric outer tube extruded over said proximal and distal segments of said polymeric inner tube.
  7. 7. The intravascular catheter of claim 3, further comprising a polymeric outer tube extruded over said proximal and distal segments of said polymeric inner tube, wherein said at least one radiopaque marker includes cut ends secured over said polymeric inner tube by said radiopaque polymer covering and said polymeric outer tube.
  8. 8. The intravascular catheter of claim 4, wherein said polymeric outer tube is bonded to said proximal and distal segments of said polymeric inner tube.
  9. 9. The intravascular catheter of claim 5, wherein said polymeric outer tube is bonded to said proximal and distal segments of said polymeric inner tube.
  10. 10. The intravascular catheter of claim 6, wherein said polymeric outer tube is bonded to said proximal and distal segments of said polymeric inner tube.
  11. 11. The intravascular catheter of claim 7, wherein said polymeric outer tube is bonded to said proximal and distal segments of said polymeric inner tube.
US14221641 2006-05-12 2014-03-21 Double helix reinforced catheter Abandoned US20140207114A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US11433390 US7905877B1 (en) 2006-05-12 2006-05-12 Double helix reinforced catheter
US13046687 US8366699B2 (en) 2006-05-12 2011-03-11 Double helix reinforced catheter
US13738154 US8702680B2 (en) 2006-05-12 2013-01-10 Double helix reinforced catheter
US14221641 US20140207114A1 (en) 2006-05-12 2014-03-21 Double helix reinforced catheter

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US14221641 US20140207114A1 (en) 2006-05-12 2014-03-21 Double helix reinforced catheter

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US13738154 Continuation US8702680B2 (en) 2006-05-12 2013-01-10 Double helix reinforced catheter

Publications (1)

Publication Number Publication Date
US20140207114A1 true true US20140207114A1 (en) 2014-07-24

Family

ID=43708119

Family Applications (4)

Application Number Title Priority Date Filing Date
US11433390 Active 2027-11-03 US7905877B1 (en) 2006-05-12 2006-05-12 Double helix reinforced catheter
US13046687 Active US8366699B2 (en) 2006-05-12 2011-03-11 Double helix reinforced catheter
US13738154 Active US8702680B2 (en) 2006-05-12 2013-01-10 Double helix reinforced catheter
US14221641 Abandoned US20140207114A1 (en) 2006-05-12 2014-03-21 Double helix reinforced catheter

Family Applications Before (3)

Application Number Title Priority Date Filing Date
US11433390 Active 2027-11-03 US7905877B1 (en) 2006-05-12 2006-05-12 Double helix reinforced catheter
US13046687 Active US8366699B2 (en) 2006-05-12 2011-03-11 Double helix reinforced catheter
US13738154 Active US8702680B2 (en) 2006-05-12 2013-01-10 Double helix reinforced catheter

Country Status (1)

Country Link
US (4) US7905877B1 (en)

Families Citing this family (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8157760B2 (en) * 2007-07-18 2012-04-17 Silk Road Medical, Inc. Methods and systems for establishing retrograde carotid arterial blood flow
US8858490B2 (en) 2007-07-18 2014-10-14 Silk Road Medical, Inc. Systems and methods for treating a carotid artery
US9687333B2 (en) * 2007-08-31 2017-06-27 BiO2 Medical, Inc. Reduced profile central venous access catheter with vena cava filter and method
WO2009079545A1 (en) * 2007-12-19 2009-06-25 Boston Scientific Scimed, Inc. Structure for use as part of a medical device
JP2011510796A (en) 2008-02-05 2011-04-07 シルク・ロード・メディカル・インコーポレイテッドSilk Road Medical, Inc. Interventional catheter system and method
US20100100055A1 (en) * 2008-05-22 2010-04-22 Td.Jam Medical Technologies , Llc Devices for Superficial Femoral Artery Intervention
US8257420B2 (en) * 2008-11-14 2012-09-04 Abbott Cardiovascular Systems Inc. Stent delivery catheter system with high tensile strength
EP2379129B1 (en) * 2008-12-23 2017-09-13 Silk Road Medical, Inc. Methods and systems for treatment of acute ischemic stroke
WO2010083167A3 (en) * 2009-01-13 2010-09-23 Silk Road Medical, Inc. Methods and systems for performing neurointerventional procedures
WO2013148652A1 (en) * 2012-03-27 2013-10-03 Fischell Innovations, Llc Introducer sheath with thin-walled shaft
US8348925B2 (en) * 2011-02-23 2013-01-08 Fischell Innovations, Llc Introducer sheath with thin-walled shaft and improved means for attachment to the skin
US8591495B2 (en) * 2011-02-23 2013-11-26 Fischell Innovations, Llc Introducer sheath with thin-walled shaft
US8535294B2 (en) * 2011-06-01 2013-09-17 Fischell Innovations Llc Carotid sheath with flexible distal section
JP5226906B1 (en) * 2011-09-12 2013-07-03 オリンパスメディカルシステムズ株式会社 Medical coil and a manufacturing method thereof, as well as medical devices,
US8747428B2 (en) 2012-01-12 2014-06-10 Fischell Innovations, Llc Carotid sheath with entry and tracking rapid exchange dilators and method of use
US20130317476A1 (en) * 2012-05-23 2013-11-28 Gary Searle Collapse-resistant swellable catheter
JP5780556B2 (en) * 2012-08-07 2015-09-16 朝日インテック株式会社 catheter
US9504476B2 (en) * 2012-10-01 2016-11-29 Microvention, Inc. Catheter markers
US9044575B2 (en) * 2012-10-22 2015-06-02 Medtronic Adrian Luxembourg S.a.r.l. Catheters with enhanced flexibility and associated devices, systems, and methods
US9427550B2 (en) 2012-11-09 2016-08-30 St. Jude Medical, Cardiology Division, Inc. Devices and methods for delivering vascular implants
US9192499B2 (en) * 2013-03-11 2015-11-24 Cook Medical Technologies Llc Inner catheter for a self-expanding medical device delivery system with a closed coil wire
EP3058901A1 (en) 2013-03-15 2016-08-24 Cook Medical Technologies LLC Implant introducer with helical trigger wire
US9265512B2 (en) 2013-12-23 2016-02-23 Silk Road Medical, Inc. Transcarotid neurovascular catheter
JP5954747B2 (en) * 2014-03-20 2016-07-20 朝日インテック株式会社 catheter
WO2016004041A1 (en) * 2014-07-01 2016-01-07 Boston Scientific Scimed, Inc. Overlapped braid termination
CN104069582B (en) * 2014-07-03 2017-01-25 杭州启明医疗器械有限公司 An anti-rupture of the sheath and having a crack preventing sheath delivery system
JP2016016299A (en) * 2014-07-11 2016-02-01 朝日インテック株式会社 Coil body, and medical instrument having coil body
US9241699B1 (en) 2014-09-04 2016-01-26 Silk Road Medical, Inc. Methods and devices for transcarotid access
CN106794021A (en) * 2015-07-01 2017-05-31 奥林巴斯株式会社 Treatment instrument for endoscope
US9918705B2 (en) 2016-07-07 2018-03-20 Brian Giles Medical devices with distal control

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5176660A (en) * 1989-10-23 1993-01-05 Cordis Corporation Catheter having reinforcing strands
US5951539A (en) * 1997-06-10 1999-09-14 Target Therpeutics, Inc. Optimized high performance multiple coil spiral-wound vascular catheter
US6508806B1 (en) * 2000-12-13 2003-01-21 Advanced Cardiovascular Systems, Inc. Catheter with multi-layer wire reinforced wall construction
US20030191451A1 (en) * 2002-04-05 2003-10-09 Kevin Gilmartin Reinforced catheter system
US20040002727A1 (en) * 2002-07-01 2004-01-01 Hwang Jason J. Coil reinforced catheter inner tubular member
US20040236346A1 (en) * 2003-04-25 2004-11-25 Cook Incorporated Delivery catheter and method of manufacture
US20060111649A1 (en) * 2004-11-19 2006-05-25 Scimed Life Systems, Inc. Catheter having improved torque response and curve retention

Family Cites Families (45)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3346761A (en) * 1965-07-02 1967-10-10 Gen Electric Incandescent lamp with a tungsten filament with tantalum imbedded in the surface to act as a gettering agent
US3485234A (en) 1966-04-13 1969-12-23 Cordis Corp Tubular products and method of making same
US4044765A (en) 1975-12-17 1977-08-30 Medical Evaluation Devices And Instruments Corporation Flexible tube for intra-venous feeding
US4430083A (en) 1981-03-06 1984-02-07 American Hospital Supply Corporation Infusion catheter
US4402684A (en) 1981-09-16 1983-09-06 The Kendall Company Cannula with soft tip
US4516972A (en) 1982-01-28 1985-05-14 Advanced Cardiovascular Systems, Inc. Guiding catheter and method of manufacture
US4454725A (en) 1982-09-29 1984-06-19 Carrier Corporation Method and apparatus for integrating a supplemental heat source with staged compressors in a heat pump
US4636346A (en) 1984-03-08 1987-01-13 Cordis Corporation Preparing guiding catheter
JPH0324223B2 (en) 1983-12-14 1991-04-02 Terumo Corp
US4581390A (en) 1984-06-29 1986-04-08 Flynn Vincent J Catheters comprising radiopaque polyurethane-silicone network resin compositions
JPH025799Y2 (en) 1986-02-07 1990-02-13
US4955862A (en) 1989-05-22 1990-09-11 Target Therapeutics, Inc. Catheter and catheter/guide wire device
US5019057A (en) * 1989-10-23 1991-05-28 Cordis Corporation Catheter having reinforcing strands
US5156155A (en) 1990-07-25 1992-10-20 Hewlett-Packard Company Transesophageal probe shaft
US5279596A (en) 1990-07-27 1994-01-18 Cordis Corporation Intravascular catheter with kink resistant tip
CA2051722A1 (en) * 1990-12-12 1992-06-13 William R. Gray Flexible duct
US5234416A (en) 1991-06-06 1993-08-10 Advanced Cardiovascular Systems, Inc. Intravascular catheter with a nontraumatic distal tip
US5308342A (en) 1991-08-07 1994-05-03 Target Therapeutics, Inc. Variable stiffness catheter
US5338296A (en) * 1993-01-06 1994-08-16 Ethicon, Inc. Catheter and sheath assembly
US5382234A (en) 1993-04-08 1995-01-17 Scimed Life Systems, Inc. Over-the-wire balloon catheter
CA2160698A1 (en) 1993-12-09 1995-06-15 Charles Milo Composite drive shaft
JPH07178176A (en) 1993-12-24 1995-07-18 Terumo Corp Catheter
US5445624A (en) 1994-01-21 1995-08-29 Exonix Research Corporation Catheter with progressively compliant tip
US5458605A (en) 1994-04-04 1995-10-17 Advanced Cardiovascular Systems, Inc. Coiled reinforced retractable sleeve for stent delivery catheter
JP3970341B2 (en) 1994-06-20 2007-09-05 テルモ株式会社 Vascular catheter
US5454795A (en) 1994-06-27 1995-10-03 Target Therapeutics, Inc. Kink-free spiral-wound catheter
US6616996B1 (en) * 1994-10-28 2003-09-09 Medsource Trenton, Inc. Variable stiffness microtubing and method of manufacture
US6824553B1 (en) 1995-04-28 2004-11-30 Target Therapeutics, Inc. High performance braided catheter
US5702373A (en) 1995-08-31 1997-12-30 Target Therapeutics, Inc. Composite super-elastic alloy braid reinforced catheter
US5879342A (en) 1996-10-21 1999-03-09 Kelley; Gregory S. Flexible and reinforced tubing
US6152912A (en) * 1997-06-10 2000-11-28 Target Therapeutics, Inc. Optimized high performance spiral-wound vascular catheter
US5947940A (en) 1997-06-23 1999-09-07 Beisel; Robert F. Catheter reinforced to prevent luminal collapse and tensile failure thereof
US5891114A (en) * 1997-09-30 1999-04-06 Target Therapeutics, Inc. Soft-tip high performance braided catheter
US6368316B1 (en) * 1998-06-11 2002-04-09 Target Therapeutics, Inc. Catheter with composite stiffener
US6177682B1 (en) * 1998-10-21 2001-01-23 Novacam Tyechnologies Inc. Inspection of ball grid arrays (BGA) by using shadow images of the solder balls
US6290692B1 (en) * 1998-11-03 2001-09-18 Daniel J. Klima Catheter support structure
US6210396B1 (en) * 1999-06-24 2001-04-03 Medtronic, Inc. Guiding catheter with tungsten loaded band
US6508804B2 (en) * 1999-07-28 2003-01-21 Scimed Life Systems, Inc. Catheter having continuous lattice and coil reinforcement
US7815975B2 (en) * 2003-06-25 2010-10-19 Volcano Corporation Catheter having polymer stiffener rings and method of making the same
EP1807144A1 (en) * 2004-09-14 2007-07-18 William, a Cook Australia Pty. Ltd. Large diameter sheath
US7831311B2 (en) * 2004-10-21 2010-11-09 Medtronic, Inc. Reduced axial stiffness implantable medical lead
JP4501938B2 (en) * 2004-12-09 2010-07-14 株式会社カネカ The medical catheter tube and manufacturing method thereof
JP2008546455A (en) * 2005-06-20 2008-12-25 カソリック リミテッド Steering and reinforcement of the sleeve
US7850623B2 (en) * 2005-10-27 2010-12-14 Boston Scientific Scimed, Inc. Elongate medical device with continuous reinforcement member
US9119651B2 (en) * 2006-02-13 2015-09-01 Retro Vascular, Inc. Recanalizing occluded vessels using controlled antegrade and retrograde tracking

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5176660A (en) * 1989-10-23 1993-01-05 Cordis Corporation Catheter having reinforcing strands
US5951539A (en) * 1997-06-10 1999-09-14 Target Therpeutics, Inc. Optimized high performance multiple coil spiral-wound vascular catheter
US6508806B1 (en) * 2000-12-13 2003-01-21 Advanced Cardiovascular Systems, Inc. Catheter with multi-layer wire reinforced wall construction
US20030191451A1 (en) * 2002-04-05 2003-10-09 Kevin Gilmartin Reinforced catheter system
US20040002727A1 (en) * 2002-07-01 2004-01-01 Hwang Jason J. Coil reinforced catheter inner tubular member
US20040236346A1 (en) * 2003-04-25 2004-11-25 Cook Incorporated Delivery catheter and method of manufacture
US20060111649A1 (en) * 2004-11-19 2006-05-25 Scimed Life Systems, Inc. Catheter having improved torque response and curve retention

Also Published As

Publication number Publication date Type
US8702680B2 (en) 2014-04-22 grant
US7905877B1 (en) 2011-03-15 grant
US8366699B2 (en) 2013-02-05 grant
US20130131641A1 (en) 2013-05-23 application
US20110160702A1 (en) 2011-06-30 application

Similar Documents

Publication Publication Date Title
US6648874B2 (en) Guide catheter with lubricious inner liner
US6638245B2 (en) Balloon catheter
US5759173A (en) High torque balloon catheter
US5704926A (en) Flexible catheter
US20030028173A1 (en) Integrated polymer and braid for intravascular catheters
US5782811A (en) Kink-resistant braided catheter with distal side holes
US6629952B1 (en) High pressure vascular balloon catheter
US5782809A (en) Vascular catheter
US5554139A (en) Catheter
US6210396B1 (en) Guiding catheter with tungsten loaded band
US5676659A (en) Small diameter, high torque catheter
US7850623B2 (en) Elongate medical device with continuous reinforcement member
US6585687B1 (en) Inflatable balloon catheter body construction
US6217565B1 (en) Reinforced variable stiffness tubing
US6669886B1 (en) Reinforced catheter and method of manufacture
US20060030835A1 (en) Catheter shaft tubes and methods of making
US5308342A (en) Variable stiffness catheter
US20040143239A1 (en) Unbalanced reinforcement members for medical device
US20030009184A1 (en) Catheter having variable wire size radiopaque braid
US5507766A (en) Vascular dilatation instrument and catheter
US6090099A (en) Multi-layer distal catheter section
US20120116350A1 (en) Translation dilator and stand alone vascular guide catheter
US5976120A (en) Single segment microcatheter
US6322534B1 (en) Variable stiffness balloon catheter
US7104979B2 (en) Catheter with composite stiffener