Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES 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
  • A61M25/00—Catheters; Hollow probes
  • A61M25/0043—Catheters; Hollow probes characterised by structural features
  • A61M25/0054—Catheters; Hollow probes characterised by structural features with regions for increasing flexibility
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES 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
  • A61M25/00—Catheters; Hollow probes
  • A61M25/0009—Making of catheters or other medical or surgical tubes
  • A61M25/0013—Weakening parts of a catheter tubing, e.g. by making cuts in the tube or reducing thickness of a layer at one point to adjust the flexibility
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES 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
  • A61M25/00—Catheters; Hollow probes
  • A61M25/0043—Catheters; Hollow probes characterised by structural features
  • A61M25/0045—Catheters; Hollow probes characterised by structural features multi-layered, e.g. coated
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES 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
  • A61M25/00—Catheters; Hollow probes
  • A61M25/0043—Catheters; Hollow probes characterised by structural features
  • A61M25/005—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES 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
  • A61M25/00—Catheters; Hollow probes
  • A61M25/0043—Catheters; Hollow probes characterised by structural features
  • A61M25/005—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
  • A61M25/0051—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids made from fenestrated or weakened tubing layer

Definitions

• the present disclosure relates generally to medical devices, and, more particularly, to a medical catheter.
• intravascular catheters for accessing and treating various types of diseases, such as vascular defects
• a suitable intravascular catheter may be inserted into the vascular system of a patient.
• a commonly used vascular application to access a target site in a patient involves inserting a guidewire through an incision in the femoral artery near the groin, and advancing the guidewire until it reaches the target site. Then, a catheter is advanced over the guidewire via a lumen in the catheter until an open distal end of the catheter is disposed at the target site. Simultaneously or after placement of the distal end of the catheter at the target site, an intravascular implant is advanced through the lumen of the catheter via a delivery wire.
• the catheters are required to navigate tortuous and intricate vasculature.
• an appropriately sized device having the requisite performance characteristics, such as “pushability,” “steerability,” and “torqueability,” and most important, distal tip flexibility, virtually any target site in the vascular system may be accessed, including that within the tortuous cerebral and peripheral vasculature.
• the forces applied at the proximal end of these catheters should be transferred to the distal ends for suitably pushability (axial rigidity) and torqueability (rotation). Achieving a balance between these features is highly desirable, but difficult.
• the properties of the inner surface of the lumen(s) of the catheter may significantly impact the performance of the catheter.
• the lubricity of the inner surface may affect the ability to pass other devices, agents, and/or fluids through the lumen(s) of the catheter.
• a low friction liner e.g., polytetrafluoroethylene (PTFE), expanded PTFE (ePTFE, e.g., unidirectional ePTFE or bi-directional ePTFE), a fluoropolymer, perfluoroalkyoxy, alkane (PFA), fluorinated ethylene polyethylene (FEP), polyethylene (PE), or any combination thereof
• PTFE polytetrafluoroethylene
• ePTFE expanded PTFE
• FEP fluorinated ethylene polyethylene
• PE polyethylene
• the liner may provide a lubricious inner surface to facilitate passing guidewires, pacing leads, or other devices through the lumen of the catheter. Constructing such a catheter, however, is complicated due to the difficulty of bonding the low friction liner to the outer jacket of the catheter.
• PTFE in its native form is nearly impossible to bond.
• Improperly integrating a liner into a catheter may result in delamination, a challenging failure mode in catheter construction that carries both risk and cost burden for many device manufacturers. Detection typically occurs during final testing, after production of the complete catheter assembly, resulting in significant final product yield loss. More importantly, delamination can lead to failures in the field and product recalls.
• a tie layer in the form of an ultrathin thermoplastic coating may be applied over an inner polymer liner during catheter construction.
• This tie layer creates a melt-bondable substrate that improves adhesion to both the inner polymer liner and the outer jacket of the catheter.
• another form of adhesive could be used, such as a liquid, dispersion, or solid.
• hypotube is a long thin-walled tube formed from a metal or a metal alloy, such stainless steel, nickel titanium alloy (e.g., nitinol), rigid plastics, or the like.
• a hypotube often has micro-engineered features along its length.
• the distal ends of hypotubes may have a slotted pattern that enhances their flexibility, while providing sufficient axial rigidity to maintain the pushability of the hypotubes through the vasculature of a patient.
• Such a liner may be slightly undersized so that it slides inside the slotted hypotube during manufacturing.
• the slotted tube may have a reinforcement that may give the liner more support and integrity as the catheter navigates the vasculature to a treatment location.
• a polymer jacket may be applied to the outer diameter of the slotted hypotube to provide a seal and to also minimize any exterior surface roughness imparted by the slots of the hypotube while still providing flexibility. This outer jacket may fill the aperture/slots in the hypotube, and even coat the internal surface of the hypotube.
• a minimum-wall-thickness PTFE liner can add unacceptable stiffness to the distal end of a slotted hypotube catheter.
• a slotted hypotube structure 1 comprising a pattern of apertures (e.g., slots) 2 and solid elements (e.g., struts) 4 illustrated in Fig. 1
• flexibility requires that apertures 2 in the hypotube structure 1 be free to open or close in response to a bending force.
• an inner polymer liner 4 is intimately and continuously coupled with the inner surface of the solid elements 3 of the hypotube structure 1 via a tie layer 5, then the inner polymer liner 4 must stretch to allow the apertures 2 to open. This can require a relatively high percentage of elongation, as only the polymer spanning an aperture 2 is available to stretch.
• the inner polymer liner is by far the dominant element in terms of stiffness.
• a floating inner polymer liner by bonding discrete locations of the inner polymer liner to the slotted hypotube structure to prevent the liner from bunching up or moving independently of the slotted hypotube structure.
• a floating liner must be composed of a composite that is reinforced with a metal coil or braid to prevent collapse under vacuum and loosely toleranced (so that the liner may be slid into the hypotube structure) to ensure proper fit within the hypotube structure, both of which increase wall thickness.
• the inner polymer liner “floats” within the slotted hypotube structure (i.e., there is space between the inner polymer liner and the slotted hypotube structure between the bonded discrete locations)
• the outer diameter of the catheter must be increased to maintain patency of the working lumen in the catheter.
• This floating liner must then be tediously bonded at discrete locations to the hypotube structure through the slots of the hypotube structure, thereby increasing manufacture time.
• FIG. 1 is a longitudinal-sectional view of a prior art slotted hypotube structure
• FIG. 2 is a profile view of one embodiment of an intravascular catheter, particularly showing a distal end of the intravascular catheter in a straight geometry;
• FIG. 3 is a profile view of the intravascular catheter of Fig. 2, particularly showing the distal end of the intravascular catheter in a curved geometry
• Fig. 4 is a profile view of the distal end of one embodiment of a hypotube structure used in the intravascular catheter of Fig. 2;
• FIG. 5 is a perspective view of the distal end of the hypotube structure of Fig. 4;
• Fig. 6 is a cross-sectional view of the distal end of one embodiment of a catheter body of the intravascular catheter of Fig. 2;
• Fig. 7 is a longitudinal-sectional view of the distal end of the catheter body of Fig. 6, particularly showing one embodiment of a tie layer;
• Fig. 8 is a perspective view of the distal end of another embodiment of a hypotube structure used in the catheter body of Fig. 6;
• FIG. 9 is a perspective view of one embodiment of an inner polymer liner used in the catheter body of Fig. 6;
• Fig. 10 is a longitudinal-sectional view of the distal end of the catheter body of Fig. 6, particularly showing another embodiment of a tie layer;
• FIG. 11 is a longitudinal-sectional view of the distal end of the catheter body of Fig. 6, particularly showing still another embodiment of a tie layer;
• Fig. 12 is a profile view of the inner polymer liner of Fig. 9, particularly showing one embodiment of discrete adhesion regions;
• Fig. 13 is a profile view of the inner polymer liner of Fig. 9, particularly showing another embodiment of discrete adhesion regions;
• Fig. 14 is a longitudinal-sectional view of the distal end of the catheter body of Fig. 6, particularly showing yet another embodiment of a tie layer;
• Fig. 15 is a cross-sectional view of the distal end of another embodiment of a catheter body of the catheter body of Fig. 6;
• Figs. 16A-16C are longitudinal-sectional views of the distal end of the catheter body of Fig. 15, particularly showing several embodiments of a tie layer;
• Fig. 17 is a flow diagram illustrating one method of manufacturing the intravascular catheter of Fig. 2;
• Fig. 18 is a perspective view of one tubular body used to make the hypotube structure in accordance with the flow diagram of Fig. 17;
• Fig. 19 is a perspective view of a pattern of apertures and solid elements formed on the distal end of the tubular body of Fig. 18 to create a hypotube structure;
• Fig. 20 is a perspective view of one polymer tube
• Fig. 21 is a perspective view of the polymer tube of Fig. 20 disposed in the inner lumen of the hypotube structure of Fig. 19 in accordance with the flow diagram of Fig. 17;
• Fig. 22 is a perspective view of the polymer tube intermittently attached to the hypotube structure via a plurality of discrete adhesion regions in accordance with the flow diagram of Fig. 17;
• Fig. 23 is a perspective view illustrating one technique for applying a tie layer to the polymer tube of Fig. 20;
• Fig. 24 is a perspective view illustrating another technique for applying a continuous tie layer to the polymer tube of Fig. 20;
• Fig. 25 is a perspective view illustrating a technique a technique for applying an adhesive pattern onto the continuous tie layer of Fig. 24;
• Fig. 26 is a perspective view illustrating a technique for applying a pattern of adhesive material onto the continuous tie layer of Fig. 24;
• Fig. 27 is a perspective view illustrating another technique for applying a pattern of adhesive material onto the continuous tie layer of Fig. 24;
• Fig. 28 is a longitudinal-sectional view of the distal end of the intravascular catheter of Fig. 2, particularly showing another technique for applying a tie layer to the polymer tube of Fig. 20.
• the intravascular catheter 10 has a tubular configuration, and can, e.g., take the form of a micro-catheter, a sheath, or the like.
• the intravascular catheter 10 serves as a delivery catheter for delivering a vaso-occlusive device 12 into an aneurysm, although alternative embodiments of the intravascular catheter 10 may deliver other medical devices, e.g., another catheter, a guide member, a stent, a thrombectomy device, etc.
• intravascular catheter 10 may serve as a working catheter, e.g., a treatment catheter or diagnostic catheter.
• a pusher member 14 is detachably coupled to the vaso-occlusive device 12 via a junction 16 (e.g., mechanical, thermal, and hydraulic mechanisms).
• the pusher member 14 can be distally advanced to deploy the vaso-occlusive device 12 from the intravascular catheter 10 into an aneurysm (not shown) and selectively detached from the pusher member 14 via action of the junction 16 to deliver the vaso-occlusive device 12 within the aneurysm.
• the intravascular catheter 10 generally comprises an elongated catheter body 18 topologically divided between a proximal catheter body section 20 and a distal catheter body section 22, an inner catheter lumen 24 extending within the catheter body 18 from the proximal catheter body section 20 to the distal catheter body section 22, and a proximal catheter hub 26 affixed to the proximal catheter body section 20.
• the proximal catheter body section 20 remains outside of the patient and accessible to the operator, while the distal catheter body section 22 is sized and dimensioned to reach remote locations of the vasculature of the patient, and is configured to deliver the vaso-occlusive device 12 to the aneurysm (not shown).
• the distal catheter body section 22 is more flexible than the proximal catheter body section 20, so that it can transition between a straight configuration (Fig. 2) and a curved configuration (Fig. 3).
• the proximal catheter body section 20 may be formed from material that is stiffer than the distal catheter body section 22, so that the proximal catheter body section 20 has sufficient pushability to advance through the patient’s vascular system, while the distal catheter body section 22 may be formed of a more flexible material so that the distal catheter body section 22 may remain flexible and track more easily over a guidewire to access remote locations in tortuous regions of the vasculature.
• the proximal catheter body section 20 may include a reinforcement layer, such a braided layer or coiled layer to enhance the pushability of the catheter body 18.
• the catheter body 18 may optionally comprise an intermediate catheter body section (not shown) that may gradually transition the relatively high bending stiffness of the proximal catheter body section 20 to the relatively low bending stiffness of the distal catheter body section 22.
• a distal tip 28 of the distal catheter body section 22 may be rounded to minimize the chance of traumatic piercing of body tissue.
• the intravascular catheter 12 comprises a distal port 30 at the distal tip 28 in communication with the inner catheter lumen 24 and from which the vaso-occlusive device 16 is deployed.
• the catheter body 18 has a suitable length for accessing a target tissue site within the patient from a vascular access point.
• the target tissue site depends on the medical procedure for which the intravascular catheter 10 is used.
• the overall length of the catheter body 18 may be 125cm-200cm.
• the outer diameter of the catheter body 18 may be uniform along the length of the catheter body 18.
• the outer diameter of the catheter body 18 may taper in either a gradual fashion or a step-wise fashion from a first outer diameter of the proximal catheter body section 20 to a second outer diameter at the distal catheter body section 22.
• the outer diameter of the catheter body 18 may be in the range of 3F-1 OF.
• the distal catheter body section 22 may have an outer diameter less than the outer diameter of the proximal catheter body section 20 to reduce the profile of the distal catheter body section 22 and facilitate navigation in tortuous vasculature.
• the intravascular catheter 10 can include other cross-sectional shapes or combinations of shapes, e.g., oval, rectangular, triangular, polygonal, and the like.
• the catheter body 18 is structurally configured for being relatively flexible, pushable, and relatively kink- and buckle-resistant, so that it may resist buckling when a pushing force is applied to the proximal catheter body section 20 to advance the catheter body 18 distally through the vasculature of the patient, and so that it may resist kinking when traversing around a tight turn in the vasculature.
• the catheter body 18 may be relatively thin-walled, such that it defines a relatively large inner diameter for a given outer diameter, which may further contribute to the flexibility and kink-resistance of the catheter body 18.
• At least a portion of the outer surface of the catheter body 18 includes one or more coatings, such as, e.g., an anti-thrombogenic coating, which may help reduce the formation of thrombi in vitro, an anti-microbial coating, or a lubricating coating (e.g., a hydrophilic coating), which may reduce static friction or kinetic friction between the catheter body 18 and tissue of the patient as the catheter body 18 is advanced through the vasculature or through another catheter.
• an anti-thrombogenic coating which may help reduce the formation of thrombi in vitro
• the diameter of the inner catheter lumen 24 may vary based on the medical procedure for which the intravascular catheter 10 is used, and in the illustrated embodiment, is sized to accommodate the vaso-occlusive device 16.
• the diameter of the inner catheter lumen 24 may be substantially constant from the proximal catheter body section 20 to the distal catheter body section 22 or may taper from a first diameter at the proximal catheter body section 20 to a second different diameter at the distal catheter body section 22.
• the proximal catheter hub 26 may be affixed to the proximal catheter body section 20 using suitable means, e.g., adhesive, welding, etc.
• the proximal catheter hub 26 comprises a proximal port 32 through which the inner catheter lumen 24 may be accessed, and in some embodiments, closed.
• the proximal port 32 may be located at a proximal end of the proximal catheter hub 26 and aligned with the inner catheter lumen 24, such that the inner catheter lumen 24 may be accessed via the proximal port 34.
• the vaso-occlusive device 12 with the pusher member 14 may be introduced into the inner catheter lumen 24 via the proximal port 34 of the catheter hub 26.
• the proximal catheter hub 26 may further comprises a side port 36 in fluid communication with the inner catheter lumen 24, which is used to introduce fluids into the catheter body 18.
• another structure in addition to, or instead of, the proximal catheter hub 26 may be affixed to the proximal catheter body section 20.
• the catheter body 18 of the intravascular catheter 10 generally comprises a hypotube structure 38, an inner polymer liner 40 (shown in Fig. 6-7) disposed within the hypotube structure 38, and a tie layer 42 (shown in Figs. 6-7) that attaches the inner polymer liner 40 to the hypotube structure 38.
• the bending stiffness of the distal catheter body section 22 is reduced through selective application (or removal) of material that forms the tie layer 42, so that a certain distal length of the inner polymer liner 40 is not continuously attached to the hypotube structure 12. In this manner, the navigability of the catheter body 18 through the vasculature of the patient may be improved.
• the hypotube structure 38 comprises an elongate tubular body 44 with a proximal end 46 and a distal end 48, a hypotube pattern 50 of apertures 50a and solid elements 50b formed on the distal end 48 of the tubular body 44, and an inner hypotube lumen 52 extending between the proximal end 46 and the distal end 48 of the tubular body 44.
• the tubular body 44 may be composed of any of a variety of suitable materials, e.g., a material that is rigid, but has some flexibility when used to form extremely thin structures, such as the wall of the tubular body 44.
• tubular body 44 may be suitable for one or more desired uses of the intravascular catheter 10.
• the outer diameter of the tubular body 44 may be in the range of 0.005-0.080 inches.
• the inner diameter of the tubular body 44 i.e., the diameter of the inner hypotube lumen 52
• the hypotube pattern 50 takes the form of a brick pattern, and the apertures 50a take the form of slots, and the solid elements 50b take the form of struts.
• a hypotube pattern 50’ formed on the distal end 48 of the tubular body 44 may have apertures in form of slits 50a’ (which may be oriented circumferentially (perpendicular to the longitudinal axis of the tubular body 44) or helically (at an oblique angle to the longitudinal axis of the tubular body 44), and solid elements in the form of spines 50b’ formed between the slits 50a’.
• the hypotube pattern 50 or hypotube pattern 50’ may formed in the distal end 48 of the tubular body 44 by laser cutting, saw cutting (e.g., diamond grit embedded semiconductor dicing blade), etching, waterjet cutting, or electrical discharge machining, among other methods.
• the hypotube pattern 50 of apertures 50a and solid elements 50b are arranged to enhance the bending flexibility of the distal end of the intravascular catheter 10, while maintaining the axial rigidity (pushability) and torqueability of the intravascular catheter 10, such that the intravascular catheter 10 may be introduced and advanced through the tortuous vasculature of a patient.
• the spacing, width, and shape of apertures 50a By controlling and varying the spacing, width, and shape of apertures 50a, the bending flexure profile and torsional stiffness of the hypotube structure 38, and thus the distal catheter body section 22 (see Figs. 2 and 3) may be selectively modified.
• the inner polymer liner 40 is disposed within the inner hypotube lumen 52.
• the inner polymer liner 40 comprises an elongate polymer tube 54 with a proximal end 58 and a distal end 60, and an inner liner lumen 56 extending between the proximal end 58 and the distal end 60 of the polymer tube 54.
• the inner surface of the polymer tube 54 may be lubricious to facilitate the passage of a medical device (e.g., another catheter, a guide member, an embolic protection device, a stent, a thrombectomy device, or any combination thereof) through the inner liner lumen 56.
• the material from which the entire polymer tube 54 is formed may be lubricious.
• examples of such materials may include, but are not limited to, polytetrafluoroethylene (PTFE), expanded PTFE (ePTFE, e.g., unidirectional ePTFE or bi-directional ePTFE), a fluoropolymer, perfluoroalkyoxy, alkane (PFA), fluorinated ethylene polyethylene (FEP), polyethylene (PE), or any combination thereof.
• PTFE polytetrafluoroethylene
• ePTFE expanded PTFE
• FEP fluorinated ethylene polyethylene
• PE polyethylene
• Other examples of materials from which the polymer tube 54 may be formed included, but are not limited to, Low Density Polyethylene (LDPE) (e.g., about 42D), High Density Polyethylene (HDPE), or any combination thereof.
• LDPE Low Density Polyethylene
• HDPE High Density Polyethylene
• the polymer tube 54 may have a unitary body construction, i.e. , formed as one body, such that the polymer tube 54 is continuous along the entire length of the polymer tube 54.
• the polymer tube 54 is unreinforced (meaning that there are no metallic elements disposed within the wall of the polymer tube 54 that function to increase the radial strength of the polymer tube 54), thereby minimizing any bending stiffness imparted by the inner polymer liner 40 onto the distal catheter body section 22 (see Fig. 3).
• the polymer tube 54 may be radially expanded within the inner hypotube lumen 52 of the hypotube structure 38, thereby reducing the wall thickness of the polymer tube 54, and ensuring that there is continuous intimate contact (but not continuous coupling) between the polymer tube 54 and the inner hypotube lumen 52 of the hypotube structure 38 (i.e., the hypotube structure 38 is in contact with the entirety of all solid elements of the hypotube structure 38).
• the wall thickness of the distal end 60 of the polymer tube 54 may be equal to or less than 001”. In some embodiments, the wall thickness of the polymer tube 54 is substantially constant along a length of the polymer tube 54. In other embodiments, the wall thickness of the polymer tube 54 may decrease toward the distal end 50 (e.g., the thickness of the polymer tube 54 may decrease from the proximal end 48 to the distal end 50 of the polymer tube 54).
• the inner diameter of the polymer tube 54 i.e., the diameter of the inner liner lumen 56
• the inner diameter of the polymer tube 54 may be vary, e.g., may taper continuously from the proximal end 48 to the distal end 50 of the polymer tube 54 or in may vary in a step-wise fashion.
• the inner polymer liner 40 may have a pattern of apertures (e.g., slots or slits) and solid elements (e.g., struts or ribs) (not shown) to enhance the bending flexibility of the distal catheter body section 22, e.g., as described in U.S. Patent Publication No. 2020/0129733, which is expressly incorporated herein by reference.
• the tie layer 42 may be composed of a suitable material, e.g., polyurethane (e.g., TecoflexTM), Pebax®, and nylon.
• the tie layer 42 may have of a thickness of no more than about 0.005 inches, and in some implementations, approximately 0.001 inches, and perhaps even less than 0.0001 inches.
• the tie layer 42 may generally extend along at least along a range of 10-20cm of the distal catheter body section 22, and generally less than about 50cm along the length of the catheter body 18.
• the tie layer 42 has a tie layer pattern 62 of apertures 62a and solid elements 62b that is complementary to the hypotube pattern 50, such that the tie layer 42 intermittently attaches the inner polymer liner 40 to the solid elements 50b of the hypotube structure 38 along a length of the hypotube pattern 50.
• at least one discrete adhesion region 64 is formed between the hypotube structure 38 and the inner polymer liner 40, and at least one nonadhesion region 66 is formed between the hypotube structure 38 and the inner polymer liner 40.
• the tie layer pattern 62 is complementary to the hypotube pattern 50, such that several discrete adhesion regions 64 are formed between the hypotube structure 38 and the inner polymer liner 40, and several non-adhesion regions 66 are formed between the hypotube structure 38 and the inner polymer liner 40.
• the tie layer 42 intermittently attaches the inner polymer liner 40 to the solid elements 50b of the hypotube structure 38 along the entire length of the hypotube pattern 50, although in alternative embodiments, the tie layer 42 may intermittently attach the inner polymer liner 40 to the solid elements 50b of the hypotube structure 38 along less than entire length of the hypotube pattern 50, as long as the unreinforced inner polymer liner 40 does not collapse (i.e., belly into the inner hypotube lumen 52) under vacuum.
• the discrete adhesion region(s) 64 should extend along at least 50% percent, and preferably at least 75%, of the length of the hypotube pattern 50.
• a greater length of the inner polymer liner 40 comprising some percentage of the inner polymer liner 40 spanning the apertures 50a and some percentage of the inner polymer liner 40 underneath the solid elements 50b, is not attached to the hypotube structure 38.
• the total area of the discrete adhesion regions 64 is equal to or less than a certain percentage of the total area of the inner surface of the solid elements 50b of the hypotube structure 38 along a length of the distal end 48 of the tubular body 44 of the hypotube structure 38. In one embodiment, the total area of the discrete adhesion regions 64 is equal to or less than 75% of the total area of the inner surface of the solid elements 50b of the hypotube structure 38 along a length of the distal end 48 of the tubular body 44 of the hypotube structure 38.
• the total area of the discrete adhesion regions 64 is equal to or less than 25% of the total area of the inner surface of the solid elements 50b of the hypotube structure 38 along a length of the distal end 48 of the tubular body 44 of the hypotube structure 38.
• the total area of the discrete adhesion regions 64 is equal to 50% of the total area of the inner surface of the solid elements 50b of the hypotube structure 38 along a length of the distal end 48 of the tubular body 44 of the hypotube structure 38.
• the inner polymer liner 4 is intimately and continuously coupled with the inner surface of the hypotube structure 3 (i.e. , the total area of the adhesion region to which the inner polymer liner 4 is attached to the solid elements 5 of the hypotube structure 3 is 100%).
• the thickness and material from which the inner polymer liner 40 is composed is identical to the thickness and material from which the inner polymer liner 4 is composed, as a result of halving of the total area of the adhesion region between the hypotube structure 38 and the inner polymer liner 40 in the embodiment of Fig. 7, as compared to the total area of the adhesion region between the hypotube structure 3 and the inner polymer liner 4 in the embodiment of Fig. 1 , the bending stiffness of the composite structure formed by a hypotube structure and an inner polymer liner could be reduced by nearly a factor of two.
• Fig. 7 illustrates the discrete adhesion regions 64 as perfectly corresponding to the solid elements 50b of the hypotube structure 38 over the entire length of the distal end 48 of the tubular body 44 of the hypotube structure 38, it should be appreciated that such an arrangement is not required.
• the discrete adhesion regions 64 perfectly correspond to the solid elements 50b of the hypotube structure 38 over a very localized length of the distal end 48 of the tubular body 44 of the hypotube structure 38, e.g., 1-2 centimeters.
• the hypotube pattern 50 and the tie layer pattern 62 may complement each other, such that total area of discrete adhesion regions 64 formed between the hypotube structure 38 and the inner polymer liner 40 is, on average, equal to or less than a sufficient percentage of the total area of the inner surface of the solid elements 50b of the hypotube structure 38 along a length of the distal end 48 of the tubular body 44 of the hypotube structure 38, as illustrated in Fig. 10. In this case, the total area of the discrete adhesion regions 64 is less than 50% of the total area of the inner surface of the solid elements 50b of the hypotube structure 38 along the hypotube pattern 50.
• Each of the hypotube pattern 50 and tie layer pattern 62 may be periodic in nature.
• hypotube pattern 50 and tie layer pattern 62 are predictable, a consistent percentage of total area of the discrete adhesion regions 64 relative to the total area of the inner surface of the solid elements 50b of the solid elements 50b of the hypotube structure 38 may be achieved during manufacture.
• the period of the hypotube pattern 50 and the period of the tie layer pattern 62 may be the same as each other or different from each other.
• one or both of the hypotube pattern 50 and tie layer pattern 62 may be randomized, as illustrated in Fig. 11.
• a pattern of discrete adhesion regions 64 may be formed between the hypotube structure 38 and the inner polymer liner 40 at the intersection of the solid elements 50b of the hypotube pattern 50 and the solid elements 54b of the tie layer pattern 62.
• the pattern of discrete adhesion regions 64 imparted on the attachment between the inner polymer liner 40 and the hypotube structure 38 could take virtually any form.
• a circumferential band pattern of discrete adhesion regions 64a may be formed between the hypotube structure 38 (not shown in Fig. 12 for purposes of clarity) and the inner polymer liner 40.
• the circumferential bands of the discrete adhesion regions 64a are straight, although in alternative embodiments, the circumferential bands of discrete adhesion regions 64a may be, e.g., sinusoidal.
• the solid elements 62b of the tie layer pattern 62 may be shaped as circumferential bands that periodically intersect the solid elements 50b of the hypotube pattern 50 to form the circumferential band pattern of discrete adhesion regions 64a.
• a spiral pattern of discrete adhesion regions 64b may be formed between the hypotube structure 38 (not shown in Fig. 13 for purposes of clarity) and the inner polymer liner 40.
• a solid element 62b of the tie layer pattern 62 may be shaped as a spiral that periodically intersects the solid elements 50b of the hypotube pattern 50 to form the spiral pattern of discrete adhesion regions 64b.
• the spiral pattern of discrete adhesion regions 64b are shown in Fig. 13 as having a constant pitch and width, the spiral pattern of discrete adhesion regions 64b may alternatively have a varying pitch and/or width.
• the tie layer 42 is disposed on an outer surface of the inner polymer liner 40, the tie layer may be embedded in the inner polymer liner.
• an inner polymer liner 40’ may have apertures 68 that entirely or partially extend through the polymer tube 54, and a tie layer 42’ may be embedded within the apertures 68.
• at least one discrete adhesion region 64 is formed between the hypotube structure 38 and the inner polymer liner 40, and at least one non-adhesion region 66 is formed between the hypotube structure 38 and the inner polymer liner 40.
• an alternative embodiment of a catheter body 18’ illustrated in Fig. 15 comprises an outer polymer jacket 70 that is applied to the outer diameter of the hypotube structure 38 to provide a seal and to also minimize exterior surface roughness imparted by the hypotube pattern 50 of apertures 50a and solid elements 50b, while still providing flexibility.
• the inner polymer liner 40 (or 40’) and tie layer 42 (or 42’) may be arranged in the manner illustrated in Figs. 7, 10, 11, and 14 to form at least one discrete adhesion region 64 between the solid elements 62b of the hypotube structure 38 and the inner polymer liner 40 (or 40’).
• a tie layer 42 has a tie layer pattern 62 of apertures 62a and solid elements 62b that is complementary to the hypotube pattern 50, such that the tie layer 42” intermittently attaches the inner polymer liner 40 to the outer polymer jacket 70 through at least some of the apertures 50a of the hypotube pattern 50 of the hypotube structure 38.
• ISA/EP at least one discrete adhesion region 64 is formed between the hypotube structure 38 and the outer polymer jacket 70, and at least one non-adhesion region 66 is formed between the hypotube structure 38 and the inner polymer liner 40.
• the tie layer pattern 62 is complementary to the hypotube pattern 50, such that several discrete adhesion regions 64 are formed between the hypotube structure 38 and the outer polymer jacket 70, and several non-adhesion regions 66 are formed between the hypotube structure 38 and the inner polymer liner 40.
• the tie layer 42 intermittently attaches the inner polymer liner 40 to the outer polymer jacket 70 through all of the apertures 50a of the hypotube pattern 50 of the hypotube structure 38, while in the embodiment illustrated in Fig. 16B, the tie layer 42” intermittently attaches the inner polymer liner 40 to the outer polymer jacket 70 through all of the apertures 50a of the hypotube pattern 50 of the hypotube structure 38. In the embodiment illustrated in Fig. 16C, the tie layer 42” also intermittently attaches the inner polymer liner 40 to the hypotube structure 38, such that discrete adhesion regions 64 are formed between some, but not all, of the solid elements 62b of the hypotube structure 38 and the inner polymer liner 40.
• the method 100 comprises providing a hypotube structure.
• the method 100 comprises providing a tubular body 202 having a proximal end 204, a distal end 206, and a lumen 208 extending between the proximal end 204 and the distal end 206 (see Fig. 18) (step 102), and forming a pattern 210 of apertures 212 (e.g., slots) and solid elements 214 (e.g., struts) on the distal end 206 of the tubular body 202, e.g., by laser cutting, saw cutting (e.g., diamond grit embedded semiconductor dicing blade), etching, waterjet cutting, or electrical discharge machining, among other methods) (see Fig. 19) (step 104), thereby creating the hypotube structure 200.
• apertures 212 e.g., slots
• solid elements 214 e.g., struts
• the method 100 further comprises providing a polymer tube 216 having a proximal end 218, a distal end 220, and a lumen 222 extending between the proximal end 218 and the distal end 220 (step 106) (see Fig. 20).
• the polymer tube 216 may be composed of, e.g., one or more of PTFE, ePTFE, fluoropolymer, PFA, FEP, and PE.
• the distal end 218 of the polymer tube 216 may have a wall thickness of 0.001” or less.
• the polymer tube 216 is unreinforced, such that the bending flexibility of the distal end of the resulting intravascular catheter is not degraded, and furthermore, such that the polymer tube 216 may be radially expanded.
• the method 100 may optionally comprise forming a pattern of apertures and solid elements on the distal end 218 of the polymer tube 216.
• the method 100 further comprises disposing the polymer tube 216 within the lumen 206 of the hypotube structure 200 (see Fig. 21) (step 108).
• the polymer tube 216 serves as an inner polymer liner to the hypotube structure 200.
• the method further comprises radially expanding the polymer tube 216 within the lumen 206 of the hypotube structure 200, thereby decreasing the wall thickness of the polymer tube 216, as well as creating continuous intimate contact between the exterior of the polymer tube 216 and the interior of the hypotube structure 200 (step 110).
• the method 100 further comprises intermittently attaching the polymer tube 216 to the solid elements 214 of the hypotube structure 200 at at least one discrete adhesion region 224 along a length of the distal end 206 of the tubular body 202 (see Fig. 22) (step 112).
• the discrete adhesion region(s) 224 has a circumferential band pattern, it should be appreciated that the discrete adhesion region(s) 224 may alternatively take any suitable pattern, including a spiral pattern with a constant pitch/width or a variable pitch/width.
• the total area of the discrete adhesion region(s) 224 is equal to or less than 75%, more preferably, equal to or less than 50%, and even more preferably, equal to or less than 25%, of the total area of the inner surface of the solid elements 214 of the hypotube structure 200 along the distal end 206 of the hypotube structure 200.
• the polymer tube 216 may be intermittently attached to the solid elements 214 of the hypotube structure 200 using a tie layer 226, either during or after the expansion of the polymer tube 216 within the lumen 206 of the hypotube structure 200, which can be accomplished in any variety of manners.
• the tie layer 226 is applied to the polymer tube 216 prior to disposing the polymer tube 216 within the lumen 206 of the hypotube structure 200, in which case, the polymer tube 216 may be intermittently attached to the solid elements 214 of the hypotube structure 200 via the tie layer 226 during expansion of the polymer tube 216 within the lumen 206 of the hypotube structure 200.
• a tie layer 226a may be applied as a positive pattern of adhesive material (i.e. , an additive process) onto the outer surface of the polymer tube 216 to create a positive adhesive pattern (corresponding to the discrete adhesion region(s) 224), as illustrated in Fig. 23.
• the positive pattern of adhesive material may be composed of any of the aforementioned materials (e.g., polyurethane, Pebax®, or nylon) or polymers having a higher stiffness than typical tie-layer polymers, in addition to an adhesive, such as, e.g., heat-activated adhesives, catalyst-activated adhesives, solvent-activated adhesives, etc.
• the positive pattern of adhesive material may be applied to the outer surface of the polymer tube 216 by, e.g., applying a patterned mask (negative of the positive adhesive pattern) over the outer surface of the polymer tube 216, uniformly applying an adhesive material over the patterned mask (e.g., by dispersion coating, e.g., film casting or dip coating, or such as spraying), and then removing the patterned mask from the polymer tube 216, three-dimensional (3D) printing, ink-jet printing, etc.
• the tie layer 226a has a circumferential band pattern, it should be appreciated that the tie layer 226a may alternatively take any suitable pattern, including a spiral pattern with a constant pitch/width or a variable pitch/width.
• a continuous tie layer 226’ may first be applied to the outer surface of the polymer tube 216 using a suitable process (e.g., by dispersion coating, e.g., film casting or dip coating, or such as spraying), as illustrated in Fig. 24, and then an adhesive pattern 224b (at least a portion of which that intersects with the solid elements 214 of the hypotube structure 200 corresponding to the discrete adhesion region(s) 224) may be formed on the continuous tie layer 226’ (e.g., by melting or otherwise activating adhesive properties of regions of the continuous tie layer 226’ corresponding to the adhesive pattern 224b), as illustrated in Fig.
• a suitable process e.g., by dispersion coating, e.g., film casting or dip coating, or such as spraying
• an adhesive pattern 224b at least a portion of which that intersects with the solid elements 214 of the hypotube structure 200 corresponding to the discrete adhesion region(s) 224) may be formed on the continuous tie layer 226’ (
• a positive pattern of a non-adhesive material (i.e. , an additive process) 228 on the continuous tie layer 226’ thereby forming a pattern of adhesive material 226c (at least a portion of which that intersects with the solid elements 214 of the hypotube structure 200 corresponding to the discrete adhesion region(s) 224) outside of the positive pattern of non-adhesive material 228, as illustrated in Fig.
• a negative pattern 230 i.e., a subtractive process
• photolithography can be used to create a pattern of active/inactive areas, or to condition a photosensitive material in a positive or negative pattern. Either the exposed or unexposed material is activated as an adhesive, or is de-activated, or is subsequently removed, with the remaining material acting as an adhesive.
• the tie layer 226 is applied to the polymer tube 216 subsequent to disposing the polymer tube 216 within the lumen 206 of the hypotube structure 200, in which case, the polymer tube 216 may be intermittently attached to the solid elements 214 of the hypotube structure 200 via the tie layer 226 after expansion of the polymer tube 216 within the lumen 206 of the hypotube structure 200.
• a liquid adhesive is applied through the apertures 212 of the hypotube structure 200, such that the liquid adhesive seeps between the solid elements 214 of the hypotube structure 200 and the polymer tube 216, thereby creating an adhesive pattern 224e (at least a portion of which that intersects with the solid elements 214 of the hypotube structure 200 corresponding to the discrete adhesion region(s) 224), as illustrated in Fig. 28.
• the method 100 optionally comprises affixing an outer polymer jacket (not shown) to the exterior of the hypotube structure 200 (step 114).
• the polymer tube 216 may be intermittently attached to the outer polymer jacket at at least one discrete adhesion region along a length of the distal end 206 of the tubular body 202.
• the polymer tube 216 may be intermittently attached to the outer polymer jacket via the tie layer 226.
• the polymer tube 216 may be intermittently attached to both the solid elements 214 of the hypotube structure 200 and the outer polymer jacket via the tie layer 226.
• the method 100 comprises affixing a proximal catheter hub 220 to the proximal end 204 of the hypotube structure 200 (not shown) (step 116).

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• 2022
  • 2022-10-28 WO PCT/US2022/078927 patent/WO2023086737A1/en not_active Ceased
  • 2022-10-28 EP EP22813068.8A patent/EP4429745A1/en active Pending
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• 2024
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