CA2137116A1 - Catheter joint with counterbore - Google Patents

Catheter joint with counterbore

Info

Publication number
CA2137116A1
CA2137116A1 CA002137116A CA2137116A CA2137116A1 CA 2137116 A1 CA2137116 A1 CA 2137116A1 CA 002137116 A CA002137116 A CA 002137116A CA 2137116 A CA2137116 A CA 2137116A CA 2137116 A1 CA2137116 A1 CA 2137116A1
Authority
CA
Canada
Prior art keywords
catheter
counterbore
diameter
joint
support member
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
CA002137116A
Other languages
French (fr)
Inventor
Todd A. Berg
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.)
Boston Scientific Scimed Inc
Original Assignee
Scimed Life Systems 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
Application filed by Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Publication of CA2137116A1 publication Critical patent/CA2137116A1/en
Abandoned legal-status Critical Current

Links

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
    • A61M25/0009Making of catheters or other medical or surgical tubes
    • A61M25/0014Connecting a tube to a hub
    • 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
    • A61M25/005Catheters; 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10Tube connectors; Tube couplings

Abstract

An improved joint for connection of two segments of intravascular catheters of the type having an inner tubular member defining a lumen, an outer tubular member surrounding said inner member, and a support member mounted between the tubular members to provide rigidity to the flexible catheter. The improved joint is also used for connecting a similar type catheter to a desired tip.
The preferred embodiment comprises a counterbore in the end of the catheter from which approximately all of the inner tubular member and support member have been removed. The counterbore is adapted to mate with a male portion on either the second catheter or the tip to form an overlap type joint.

Description

~ 2I37116 ~-IMPROVED CAl~kl~ JOINT WITH COUNTERBORE

BACKGROUND OF THE lNVk.. 1 lON

l. Field of the Invention - The present invention generally relates to the field of intravascular medicine and more particularly to the field of catheters such as guide catheters used for the placement of medicines and medical devices within the body.
2. Description of the Prior Art - The use of intravascular catheters for treatment of the body is well known in the field of medicine. The need for a choice of catheter sizes and types has grown rapidly as the techniques for their use have been greatly improved and the types of medical uses have expanded in keeping with the technological advances.

Prior art catheters often comprise a pair of congruent tubes, the inner one defining a lumen. A hub is connected at the proximal end of the tubes which in addition to providing access to the lumen for fluids and the like, is often used to provide torques and other necessary pressures to the tubes during their placement within the body. A tip of a selected design is placed at the distal end of the tubes. Flexibility is an essential part of the catheter so that it may be successfully torqued, pushed and pulled on its way through the vascular passage to the desired site in the body. For control of the catheter and to prevent its kinking from excessive flexing a certain amount of rigidity is required. The prior art .
-catheters often meet this need for rigidity by adding a supportmember between the two tubes. This support member may comprise a braid of metal wire wrapped around the inner tube, and often imbedded within the outer tube.

As specific examples of the type of prior art catheters described above, note U. S. Patent No. 3,485,234, issued Dec. 23, 1969, to R. C. Stevens, for TUBULAR PRODUCTS AND METHOD OF MAKING
SAME; and, European Patent Application, Publication No. 0 277 10366/A1, Priority June 1, 1987, by Bruce H. Ward, for GUIDING
CA~ ~ AND METHOD FOR MAKING IT. Each of these references teaches, in general, the prior art type of catheter discussed above.

15One problem area in the field of this invention is that of the joinder of catheters to segments of other catheters or to a selected distal tip. The most commonly used form of joinder is that of the butt joint, which form of joint commonly uses plastic fusion as its adhesive. A disadvantage of the butt type of joint is that due to its small bonding surface area it has limited strength, it being well known that the bond strength is directly related to the surface contact area of the joint.

One attempt to overcome the disadvantage described above comprises the use of a lap joint type joint. Such a joinder is described in U.S. Patent No. 4,863,442, issued September 5, 1989 to ` 21 3 7 1 1 -~ :
-R. M. DeMello et al, for SOFT TIP CA~ K, which teaches using alap joint for tip connection to a catheter. The DeMello reference teaching includes a step in the distal end of a catheter forming a male portion of a lap joint, the portion including the support member or braid. The tip provides the female portion of the joint.
While this prior art improves on the butt joint type of connection by providing a greater cross-sectional area at the joinder, it does not address the problems attendant in using the overlap type of connection with the presence of metal braid, Teflon linings and other polymers, for example, all of which may be non-heat bondable, thus causing difficulties in heat bonding the overlap joint.

:~ 2137116 ..

SUMMARY OF THE lNV~.r.llON

The apparatus and method of this invention overcomes this latter mentioned difficulty by providing a counterbore at one end of a catheter to remove the support braid and other materials and form one portion of mating members of a lap joint. In the case of joinder to a desired tip, the tip is provided with a stepped down portion having a diameter sized to fit within the counterbore and thus serving as a second mating member of the lap joint; and in the case of joinder to a segment of another catheter, a step is ground into the end of the segment to similarly form a stepped down portion of a desired diameter.

This use of the counterbore in a lap joint provides improved strength and integrity, and in the case of joinder to a tip also provides for a flexibility transition area, a feature found to have a clinical advantage.

BRIEF DESCRIPTION OF THE DRAWINGS

Other objects of the present invention and many of the attendant advantages of the present invention will be readily appreciated as they become better understood by reference to the following detailed description when considered in connection with the accompanying drawings, in which like reference numerals designate like parts throughout all figures:

Fig. 1 is a plan view showing a portion of a catheter;

Fig. 2 is another plan view of a portion of the catheter of Fig. l showing an end section taken along the line 2--2;

Fig. 3 is a partial cross-sectional plan view of segments of two catheters prepared for joinder utilizing the overlap joint apparatus of this invention;

Figs. 4a and 4b are plan views each showing a pair of joined catheter segments for visually comparing the prior art joint of Fig. 4a with the joint of this invention shown in Fig. 4b; and Fig. 5 is a partial cross-sectional plan view of a catheter segment and a catheter tip prepared for joinder utilizing the overlap ~oint apparatus of this invention.

.~

DETATT.~n DESCRIPTION OF THE PREFERRED EMBODIMENT

FIG. 1 shows a thin-walled guide catheter 10. Catheter 10 comprises an outer tubular member 12 which surrounds and is coaxial with an inner tubular member 13 shown in dashed phantom lines. A
support member 15 is shown in dotted phantom lines. Member 15 is a preferably a metal braid which also surrounds and is coaxial with member 13.

Fig. 2 is an end view of the catheter of Fig. 1 taken along the line 2--2. This shows the preferred congruency of members 12 and 13, and the positioning of braid 15 within the catheter.

In general, the catheter shown in Figs. 1 and 2 is well known in the prior art and to practitioners in the field of intravascular catheterization.

Fig. 3 shows a pair of catheter segments 12 and 22 which have been prepared for joining their respective catheters 10 and 20, using the joinder apparatus of this invention. Catheters 10 and 20 will most commonly have differing flexibility ratings. Segment 12 is shown having one end with outer tubular member 12 abraded or ground down to a stepped portion 16 of reduced diameter that includes support member 15 and core or tubular member 13. As used herein, the terms "abraded" and "ground" have the same meaning.

Segment 12 defines a central lumen 17 as shown. Though portion 16 is shown in this drawing as being ground down to expose braid 15, it should be recognized that within the scope of this invention stepped portion 16 could be of a diameter such that braid 15 is still covered by outer member 12. It will be apparent that the phantom lines for member 13 and support member 15 have been omitted for purposes of clarity.

Segment 22 of catheter 20 is shown in partial cross-section.
The cross-section reveals that a counterbore 25 has been drilled into segment 22. Counterbore 25 has a diameter sufficient to assure that any support member such as a braid (not shown), as well as any core such as inner tubular member 23, have been completely removed from bore 25. Member 23 defines a central lumen 27 which is preferably sized to match lumen 17. The diameter of counterbore 25 is also sized to receive stepped portion 16 of catheter 10, which portion 16 preferably abuts against the wall formed by the remainder of member 23 at the end of the bore.
The joint of this invention is finalized when the prepared ends of catheters 10 and 20 are mated such that portion 16 lies within bore 25 (preferably abutting member 23), at which time a heat bonding process is applied for completion of the joint.
Preferably, the lengths of portion 16 and bore 25 are approximately equal. It has been found that portion 16 could have a length slightly less than that of bore 25 without significantly effecting the integrity of the resulting joint. It has also been found that ~ - ~137116 .--for the preferred embodiment of this invention the length of bore 25 should be approximately 0.100 inches, and within the range of from 0.020 to 0.250 inches.

Referring now to Figs. 4a and 4b there are shown the completed prior art butt joint connection 21 of Fig. 4a and the completed overlap joint 24 of this invention in Fig. 4b. The length of lap joint 24 is shown with the use of a phantom line. Though both of joints 21 and 24 are shown achieving connection of catheters 10 and 20 without causing bumps or other undesirable deformations along the outer or inner surface of the resulting catheter, a comparison of Figs 4a and 4b clearly reveals that joint 24 of this invention results in a much greater cross-sectional area of joinder than does the prior art joint 21. Thus joint 24 of this invention provides for significantly increased strength an overall integrity of joinder.

Referring now to Fig. 5 there can be seen another preferred embodiment of this invention in which catheter 20 is to be joined to a tip 30. Catheter 20 is again shown in partial cross-section.
As in Fig. 3, one end of catheter 20 has been counter bored to create a counterbore 25 from which all braid or other support member has been removed, as well as all of the inner core or tubular member 23. Member 23 defines a central lumen 27 as shown partly in phantom lines.

- 2137~16 .
Tip 30 has a head portion 32 and a male joinder portion 34 of lesser diameter than head 32. Portion 34 may be formed by an abrasion or grinding or other removal process, as was portion 16 of Fig. 3. The diameter of portion 34 is sized to fit into bore 25 and the length of portion 34 is preferably approximately equal to that of bore 25. Portions 32 and 34 define a central lumen 37 preferably sized to match lumen 27.

As in the description of the joint in Figs. 3 and 4b above, when portion 34 has been placed into counterbore 25 and the joint has been bonded, the result will be an overlap joinder of much greater cross-sectional area than that of the prior art butt type joinder. Thus the lap joint connection of catheter 20 to tip 30 results in a connection with significantly greater strength and integrity. Another advantage of the apparatus of this invention as depicted in Fig. 5 is that the complete absence of any braid or other support member from the area of the joint provides for a region of flexibility transfer, which feature has been found to provide a clinical advantage.

_g _

Claims (13)

1. In catheter apparatus having at least outer and inner congruent generally tubular structures and a support member mounted between said tubular structures, an improved joint apparatus comprising:
a. a counterbore at one end of the catheter apparatus;
b. the counterbore having sufficient diameter to effectively remove all of the support member and the inner tubular structure from within the counterbore; and c. the counterbore adapted to form an overlap connection with a mating male member on a selected device.
2. The apparatus of claim 1 in which the selected device is another catheter apparatus.
3. The apparatus of claim 1 in which the selected device is a catheter tip.
4. The apparatus of claim 2 in which the male member comprises a step in the second catheter apparatus for reducing the diameter of the second catheter apparatus for a predetermined stepped region between the step and one end of the second catheter apparatus, the stepped region adapted to mate with and be selectively joined to the counterbore of the first catheter apparatus.
5. The apparatus of claim 3 in which the male member comprises a step in the catheter tip for reducing the diameter of the catheter tip for a predetermined stepped region between the step and one end of the catheter tip, the stepped region adapted to mate with and be selectively joined to the counterbore of the first catheter apparatus.
6. The apparatus of claim 1, 2 or 3 in which the male member has a length approximately equal to the length of the counterbore.
7. The apparatus of claim 4 in which the stepped region has a length approximately equal to the length of the counterbore.
8. The apparatus of claim 5 in which the stepped region has a length approximately equal to the length of the counterbore.
9. The apparatus of claim 7 or 8 in which the length of the counterbore is approximately 0.125 inches.
10. The method of making a joint for two segments of different catheters, each catheter having at least outer and inner congruent generally tubular structures and a support member mounted between said tubular structures, comprising the steps of:
a. counter boring one end of a first of the two catheter segments to provide a counterbore having a diameter greater than the diameter of the support member;
b. grinding down one end of a second of the two catheter segments to provide a region of reduced diameter, the reduced diameter being equal to or greater than the diameter of the support member and the reduced diameter being sized to mate with the counterbore in the first catheter segment; and c. mating and bonding the counterbore and the region of reduced diameter to form an overlap joint.
11. The method of claim 10 including the steps of providing equal lengths for the counterbore and the region of reduced diameter.
12. The method of making a joint for a catheter and a catheter tip, the catheter having at least outer and inner congruent generally tubular structures and a support member mounted between said tubular structures, comprising the steps of:
a. counter boring one end of the catheter to provide a counterbore having a diameter greater than the diameter of the support member;
b. providing one end of the tip with a region of reduced diameter, the reduced diameter being sized to mate with the counterbore in the catheter; and c. mating and bonding the counterbore and the region of reduced diameter to form an overlap joint.
13. The method of claim 12 including the steps of providing equal lengths for the counterbore and the region of reduced diameter.
CA002137116A 1994-01-07 1994-12-01 Catheter joint with counterbore Abandoned CA2137116A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US17866194A 1994-01-07 1994-01-07
US08/178,661 1994-01-07

Publications (1)

Publication Number Publication Date
CA2137116A1 true CA2137116A1 (en) 1995-07-08

Family

ID=22653412

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002137116A Abandoned CA2137116A1 (en) 1994-01-07 1994-12-01 Catheter joint with counterbore

Country Status (3)

Country Link
US (1) US5820612A (en)
JP (1) JPH07204280A (en)
CA (1) CA2137116A1 (en)

Families Citing this family (22)

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US6171295B1 (en) * 1999-01-20 2001-01-09 Scimed Life Systems, Inc. Intravascular catheter with composite reinforcement
US6500285B2 (en) 1999-08-23 2002-12-31 Scimed Life Systems, Inc. Method of making a catheter having interlocking ribbed bond regions
US6648874B2 (en) 2000-02-28 2003-11-18 Scimed Life Systems, Inc. Guide catheter with lubricious inner liner
EP1326672A4 (en) 2000-10-18 2007-03-07 Nmt Medical Inc Over-the-wire interlock attachment/detachment mechanism
US6652507B2 (en) 2001-07-03 2003-11-25 Scimed Life Systems, Inc. Intravascular catheter having multi-layered tip
US20030135231A1 (en) * 2002-01-17 2003-07-17 Goodin Richardf L. Catheter bond configuration
DE10217868A1 (en) * 2002-04-22 2003-10-30 Jomed N V Balloon Catheter
US7322988B2 (en) * 2003-01-17 2008-01-29 Boston Scientific Scimed, Inc. Methods of forming catheters with soft distal tips
US8377035B2 (en) 2003-01-17 2013-02-19 Boston Scientific Scimed, Inc. Unbalanced reinforcement members for medical device
US7597830B2 (en) * 2003-07-09 2009-10-06 Boston Scientific Scimed, Inc. Method of forming catheter distal tip
US7896853B2 (en) * 2003-09-25 2011-03-01 C. R. Bard, Inc. Pre-molded bifurcation insert
EP1768724A4 (en) * 2004-06-07 2010-08-25 Bard Inc C R Subcutaneous infusion devices
US7815599B2 (en) 2004-12-10 2010-10-19 Boston Scientific Scimed, Inc. Catheter having an ultra soft tip and methods for making the same
US8652193B2 (en) 2005-05-09 2014-02-18 Angiomed Gmbh & Co. Medizintechnik Kg Implant delivery device
US20070167877A1 (en) * 2006-01-17 2007-07-19 Euteneuer Charles L Medical catheters and methods
US8585680B2 (en) * 2006-04-17 2013-11-19 Cook Medical Technologies Llc Endovascular device tip assembly incorporating a marker device and method for making the same
US8419658B2 (en) * 2006-09-06 2013-04-16 Boston Scientific Scimed, Inc. Medical device including structure for crossing an occlusion in a vessel
US8556914B2 (en) 2006-12-15 2013-10-15 Boston Scientific Scimed, Inc. Medical device including structure for crossing an occlusion in a vessel
US8500773B2 (en) * 2007-08-01 2013-08-06 Boston Scientific Scimed, Inc. Spring detach joint for delivering a detachable implantable device
US7841994B2 (en) 2007-11-02 2010-11-30 Boston Scientific Scimed, Inc. Medical device for crossing an occlusion in a vessel
CN108463265B (en) * 2016-01-19 2021-06-01 圣犹达医疗用品心脏病学部门有限公司 Nondestructive connector and catheter using the same
KR102520161B1 (en) * 2016-12-16 2023-04-07 씨. 알. 바드, 인크. Balloon catheter and its method

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US4588399A (en) * 1980-05-14 1986-05-13 Shiley Incorporated Cannula with radiopaque tip
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US4863442A (en) * 1987-08-14 1989-09-05 C. R. Bard, Inc. Soft tip catheter
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Also Published As

Publication number Publication date
US5820612A (en) 1998-10-13
JPH07204280A (en) 1995-08-08

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Legal Events

Date Code Title Description
FZDE Discontinued