|Publication number||US3658053 A|
|Publication date||25 Apr 1972|
|Filing date||28 Aug 1969|
|Priority date||28 Aug 1969|
|Publication number||US 3658053 A, US 3658053A, US-A-3658053, US3658053 A, US3658053A|
|Inventors||Gordon J Fergusson, Austin L Wahrhaftig|
|Original Assignee||Scient Research Instr Corp|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (6), Referenced by (47), Classifications (7), Legal Events (5)|
|External Links: USPTO, USPTO Assignment, Espacenet|
Fergusson et al.
CATHETER FOR USE IN DETECTING DISSOLVED GAS IN FLUIDS SUCH AS BLOOD Inventors: Gordon J-. Fergusson, Lutherville, Md.;
Austin L. Wahrhaftlg, Salt Lake City, Utah Scientific Research Instruments Corporation, Baltimore, Md.
Filed: Aug. 28, 1969 Appl. No.: 853,784
u.s. Cl. .[128/2 6, 123/2 L rm. Cl. ..A6lb 05/00 Field of Search l 28/2, 2.05, 2.1, 344, 348; 73/23 References Cited UNITED STATES PATENTS 3 1971 Cullen ..12s 2 R 8/1967 Hillier et al. ..l28/2.05
[451 Apr. 25, 1972 Primary Examiner-Dalton L. Truluck Attorney-Cushman, Darby Cushman  ABSTRACT A blood catheter including a cannula covered with a thin layer of silicone rubber or other material permeable to one. or more -of the gases that are ormight be found in blood and wherein the cannula preferably includes a helical arrangement of aperturesfor enabling the diffusion of gasthrough the membrane 1 and into the center portion of the cannula. The helical pattern of apertures around the periphery of the cannula enables the catheter to contact the interior wall of a blood vessel without restricting blood flow past more than a small fraction of the" total number of apertures. Other hole configurations can be used, for example, when a plurality of holes are located at spaced axial locations along the cannula and at spaced intervals around the circumference of the cannula at the various axial locations.
i 11 Claims, 4 Drawing Figures CATHETER FOR USE IN DETECTING DISSOLVED GAS IN FLUIDS SUCH AS BLOOD The present invention relates to a catheter and more particularly to a blood catheter which may be used in enabling the determination of the amount and type of dissolved gas in blood.
Those concerned with the development of blood catheters have long been faced with the problem of providing a catheter which enables the sampling of dissolved gas in the blood stream with minimal error due to local depletion of the gas by diffusion into the catheter and for providing a catheter which minimizes the effect of contact of the permeable area thereof with the wall of the blood vessel while not significantly increasing the time-constant for the response of the membranecannula system Accordingly, the general purpose of this invention is to provide a catheter which embraces all the advantages of similarly employed'catheters and possesses none of the aforedescribed disadvantages. To attain this, the present invention contemplates a unique cannula structure wherein the cannula includes a plurality of apertures arranged sequentially in a generally helical pattern around the cannula and wherein the cannula is covered by a gas-permeable membrane to enable the diffusion of gas through the membrane and into the cannula via the apertures therein.
An object of the present invention is the provision of a catheter which permits sampling of dissolved gas in the blood stream by diffusion into the cannula of the catheter with minimal error due to local depletion of the gas.
Another object is to provide a blood catheter which minimizes the effect of contact of the permeable area of the cannula with the wall of the blood vessel while not significantly increasing the time-constant for the response of the membrane-cannula system.
Other objects and features of the invention will become apparent to those of ordinary skill in the artas the disclosure is made in the following description of a preferred embodiment of the invention as illustrated in the accompanying sheet of drawing in which:
FIG. 1 is a perspective view of a preferred embodiment of the invention;
FIG. 2 is an enlarged fragmentary sectional view of the catheter. of this invention;
FIG. 3 is a section of the catheter taken on the line 3-3 of FIG. 2 looking in the direction of the arrows; and
FIG. 4 is a perspective view of another embodiment of the invention.
With reference now to the drawings, wherein like reference characters designate like or corresponding parts throughout the several views, there is shown in FIGS. 1-3 a catheter embodying in continuous andunitary structural relationship a tube member 14 and a cannula 16, both of which may be comprised of stainless steel or appropriate plastic material, for example. The cannula 16 has a plurality of apertures l8therein preferably arranged sequentially in a generally helical pattern around the cannula. The apertures are preferably but not necessarily spaced at 120 around the cannula. The catheter also includes a gas-permeable membrane 20 of silicone rubber or other material, e.g., Teflon, permeable to one or more of the gases that are to be diffused into the catheter. The membrane 20 is fitted over the end of the cannula 16 and extends the entire length of the catheter over the tube 14. The silastic membrane can be affixed to the tubular structure of the tube 14 and cannula 16 by solvent expansion and evaporation for example. This is easily accomplished by first soaking the silastic material in a solvent such as diethylether, placing the wetted membrane over the tubular structure and then permitting the solvent to evaporate so that the membrane shrinks and tightly embraces the tubular structure. In the event materials such as Teflon are used for the membrane, the membrane can be affixed to the tubular structure by heat shrinkage.
In the event that throw-away catheter types are to be used, an alternative arrangement may be utilized (as shown in FIG.
4) wherein the cannula 16 is coupled in a conventional manner by fitting 12 to tube member 14 and then the membrane is fitted over the cannula and a ligature 22 of surgical silk, for example, is used to make a leak proof seal at the end of the cannula adjacent to the tube at fitting 12. In view of the above, the term cannula as used herein refers to the end portion of the tubular structure of the catheter, excluding the membrane, within which the apertures are formed. 7
The arrangement of the apertures 18 in a generally helical pattern around the periphery of the cannula 16 permits sampling of the dissolved gas in the fluid or blood passing over the catheter by diffusion thereof into the cannula and with minimal error due to local depletion of the gas since the surface layer of the fluid which is partially depleted of gas in passage over one aperture will have its gas content substantially restored to that of "the bulk fluid or blood passing by the catheter either by turbulent mixing or by diffusion of gas from the bulk flow during passage from one aperture to the next.
In addition, the arrangement of apertures in the generally helical pattern minimizes the effect of blockage of certain of the aperturesby the wall of the blood vessel. For example, since the apertures are located around the entire periphery of the cannula with only a small number of apertures being located in linear alignment along the length thereof the amount of gas which is diffused through the permeable membrane is not significantly reduced when the catheter is placed into contact with the vessel wall. Furthermore, as a result of this configuration the time-constant for response of the membrane-cannula system is not significantly increased so that substantially the same amount of gas is diffused through the membrane and into the cannula over a predetermined time period when the catheter is in contact with the wall of a blood vessel as is diffused through the membrane when the catheter is not in contact with the blood vessel wall for the same time period.
Altemative geometric configurations of apertures are also possible although not as efficient as the helical pattern. For example, the apertures can be spaced circumferentially around the catheter with groups of these circumferentially spaced apertures being located at spaced axial locations along the catheter as shown in FIG. 4.
In designing the catheter of this invention the dimensions of the various portions thereof are important to the successful operation of the catheter in the manner desired. For example, the apertures 18 must be sufficiently small in dimension in the direction of blood flow so that the surface layers of blood flowing over the permeable membrane 20 will not be excessively depleted in gas content during time of passage over one aperture. In addition, the apertures must be sufficiently well separated along the length of the cannula in the direction of blood flow so that the surface layer of blood which has been partially depleted of gas in passage over one aperture will have its gas content substantially restored to that of the bulk blood either by turbulent mixing or by diffusion of gas from the bulk flow during passage from one aperture to the next. Furthermore, the total number of apertures must be adequate to give the gas flow required by the detecting instrument, e.g., a mass spectrometer. The choice of the size of the apertures and of v the spacing between the apertures is also influenced by the case of manufacture and resultant strength of the apertured cannula.
The catheter of this invention preferably utilizes apertures having dimensions along the direction of flow of the fluid in the range of from 0.006 inch to 0.012 inch with apertures having a linear dimension of 0.008 inch being -a particularly preferable dimension since they can be easily cut with coping saws. The depth of the apertures are preferably approximately one-third of the'outside diameter of the cannula 16 so as to give adequate opening into the center space of the cannula consistent with minimum weakening thereof. The apertures 18 are also preferably spaced a distance apart from one another such that the ratio of the distance between apertures to the linear dimension of each of the apertures is five to one.
vary considerably with the number preferably in the range of.
from six to 24 but generally 14 apertures are utilized in the blood catheter. The gas-permeable membrane 20 is typically a medical grade silastic tubing having a thickness in the range of from 0.0085 inch to 0.0105 inch.
The catheter of this invention thus provides for a unique arrangement of aperturesin a cannula whereby the apertures.
are helically arranged around the cannula to permit sampling of the dissolved gas in a fluid with minimal error due to local depletion of the gas by diffusion into the cannula. The catheter also minimizes the effect of contact of the catheter with the wall of a blood vessel, for example, while not significantly increasing the time-constant for the response of the membrane-cannula system due to the helical arrangement of the apertures around the cannula since the blood flow is restricted only past a small fraction of the total number of apertures. Furthermore, this invention provides for important dimensional relationships between the apertures, the spacings therebetween and the gas-permeable membrane wherein the linear dimension of the apertures in the direction of fluid flow is sufficiently small such that the surface layers of fluid flowing over the permeable membrane covering the apertures will not be excessively depleted of gas content during time ofpassage over one aperture. The apertures are also sufficiently well separated along the length of the cannula in the direction of fluid flow so that the surface layer of fluid partially depleted of gas in passage over one aperture will have its gas content essentially restored either by turbulent mixing or by diffusion of gas from the bulk flow of fluid during passage from one aperture to the next aperture.
Obviously many modifications and variations of the present invention are possible in light of the above teachings. It is therefore to be understood that within the scope of the appended claims theinvention may be practiced otherwise than as specifically described.
What is claimed is:
1. A catheter operable with a detecting instrument to provide a continuous in vivo measurement of blood gases by mass throughout'the longitudinal extent thereof, said cannula having apertures extending from said exterior periphery into communication with said interior gas passage in spaced relation throughout substantially the entire longitudinal extent thereof defining v with the portions of said membrane extending thereover a plurality of spaced discrete blood impervious gas diffusion paths extending transversely from the exterior of said membrane to said gas passage, said gas diffusion paths having a total area providing for a continuous flow of blood gases to the detecting instrument adequate to insure continuous measurement thereof, each aperture beingsufficiently small in longitudinal dimension so that the blood in said surface layer flowing over the gas diffusion path associated therewith will not be'excessively depleted in gas content during the time of passage thereby, the spacing between apertures in the direction of blood flow being such that blood which has been partially depleted of gas content by passing over one gas diffusion path will have its gas content substantially restored to that of the bulk blood by turbulent mixing and/or by diffusion of gas from the bulkflow before passing over another gas diffusion path. 7
2. A catheter as defined in claim 1 wherein said apertures are spaced with respect to each other both longitudinally and circumferentially about said exterior periphery of said cannula and are provided in a sufiicient number to enable substantially the same amount of gas to pass through the sum of all of the gas diffusion paths per unit time irrespective of the blockage of certain of said gas diffusion paths resulting from local conspectrometry' or the like comprising an elongated tubular structure having a blood vessel entering portion terminating in a distal end, said portion including an inner cannula and an outer membrane extending thereover throughout the longitudinal extent thereof, said cannula and membrane being operable to be inserted and maintained in a blood vessel in an operative position wherein the longitudinal extent thereof is generally aligned with the longitudinal extent of the blood vessel, the transverse size and longitudinal extent of said cannula and membrane being such that when disposed in said opera-- tive position blood will flow through the longitudinal coextensive portion of the vessel with a surface layer of substantial longitudinal extent in contact with the exterior surface of said membrane, said cannula defining a longitudinally elongatedexterior periphery and a substantially longitudinally coextensive interior gas passage adapted to be communicated with a means on the detecting instrument for inducing a gas flow in a direction away from said gas passage and toward the detecting instrument, said membrane being in intimate contact with said exterior periphery and being formed of a material impervious to blood but pervious to the blood gases'to be continuously measured, said cannula including a material substantially impervious to the blood gases tobe continuously measured disposed between said exterior periphery and said gas passage '7. A catheter as defined in claim tact of the exterior periphery of said membrane with the blood vessel walls when said cannula and said membrane are disposed in said operative position therein.
3. A catheter as defined in claim 2 wherein the ratio of the longitudinal spacing between apertures aligned longitudinally to the longitudinal dimension of each aperture is substantially five to one.
'4. A catheter as defined in claim 3 wherein the longitudinal dimension of each of said apertures is in the range of from 0.006 inch to 0.012 inch.
5. A catheter as-defined in claim 4 wherein the longitudinal dimension of each of said apertures is approximately 0.008 inch.
-6. A catheter as defined in claim 2 wherein said elongated tubular structure comprises a unitary cylindrical tube of metal having a closed distal end formed in the portion thereof defining said cannula.
6 wherein said apertures are formed by a coping saw to a depth substantially one-third the outside diameter of said cannula to provide adequate opening into said gas passage consistent with minimum structural weakening of said cannula.
8. -A catheter as defined in claim 7 wherein said apertures are arranged sequentially in a generally helical pattern throughout the exterior periphery of said cannula, adjacent apertures being angularly spaced with respect to each other approximately and longitudinally spaced from one another adistance generally five times the longitudinal dimension of each aperture.
' 9. A catheter as defined in claim 8 wherein the longitudinal dimension of each of said apertures is approximately 0.008 inch and the number of apertures is approximately l4;
10. A catheter as defined in claim 9 wherein said membrane extends throughout the longitudinal extent of said cylindrical tube.
11. A catheter as defined in claim 10 wherein said cylindrical tube is formed of stainless steel and said membrane is comprised-of silicone rubber.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US3334623 *||2 Nov 1964||8 Aug 1967||Beckman Instruments Inc||Electrochemical transducer|
|US3435826 *||27 May 1964||1 Apr 1969||Edwards Lab Inc||Embolectomy catheter|
|US3499435 *||2 Jun 1967||10 Mar 1970||Paul E Rockwell||Esophageal probe for use in monitoring|
|US3512517 *||30 Nov 1964||19 May 1970||Beckman Instruments Inc||Polarographic method and apparatus for monitoring blood glucose concentration|
|US3518982 *||20 Feb 1968||7 Jul 1970||Abcor Inc||Device and method for monitoring of gases in the blood stream|
|US3572315 *||26 Nov 1968||23 Mar 1971||John S Cullen||Intravascular catheter with gas-permeable tip|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US3893448 *||26 Nov 1973||8 Jul 1975||John W Brantigan||Catheter device for use in detecting gas in body fluids and tissue|
|US3952730 *||22 Oct 1974||27 Apr 1976||National Research Development Corporation||Instrument for use in the measurement of blood gases|
|US3981297 *||3 Mar 1975||21 Sep 1976||Sorenson Research Co., Inc.||Gas sampling catheter assembly and method|
|US4016863 *||27 Aug 1975||12 Apr 1977||Brantigan John W||Tissue tonometer device for use in measuring gas in body tissue|
|US4016864 *||8 Sep 1975||12 Apr 1977||Airco, Inc.||Blood gas catheter|
|US4220158 *||14 Nov 1978||2 Sep 1980||The Medishield Corporation Limited||Transcutaneous probe|
|US4235231 *||28 Jul 1978||25 Nov 1980||Dr. E. Fresenius Chemisch Pharmazeutische Industrie KG||Portable artificial kidney|
|US4265249 *||28 Jul 1978||5 May 1981||Dr. E. Fresenius Chemisch Pharmazeutisch Industrie Kg||Catheter device and system for continuous chemical analysis of body fluids in vivo|
|US4274417 *||18 Sep 1979||23 Jun 1981||National Research Development Corporation||Instruments for use in the measurement of gases in body fluids|
|US4340615 *||3 Jun 1980||20 Jul 1982||The Medishield Corporation Limited||Apparatus for analysis of absorbed gases|
|US4643192 *||27 Feb 1986||17 Feb 1987||Regents Of The University Of Michigan||Hollow viscus tonometry|
|US4671287 *||3 Feb 1986||9 Jun 1987||Fiddian Green Richard G||Apparatus and method for sustaining vitality of organs of the gastrointestinal tract|
|US4694832 *||22 Nov 1985||22 Sep 1987||Ungerstedt Carl U||Dialysis probe|
|US4716887 *||11 Apr 1985||5 Jan 1988||Telectronics N.V.||Apparatus and method for adjusting heart/pacer rate relative to cardiac pCO2 to obtain a required cardiac output|
|US4726381 *||4 Jun 1986||23 Feb 1988||Solutech, Inc.||Dialysis system and method|
|US4763658 *||29 Jul 1987||16 Aug 1988||Solutech, Inc.||Dialysis system 2nd method|
|US4765339 *||29 Jul 1987||23 Aug 1988||Solutech, Inc.||Closed loop dialysis system|
|US4774955 *||29 Jul 1987||4 Oct 1988||Solutech, Inc.||Programmable dialyzer system analyzer and method of use|
|US4777953 *||25 Feb 1987||18 Oct 1988||Ash Medical Systems, Inc.||Capillary filtration and collection method for long-term monitoring of blood constituents|
|US4827933 *||15 May 1987||9 May 1989||Telectronics N.V.||Apparatus and method for adjusting heart/pacer rate relative to cardiac pO2 obtain a required cardiac output|
|US4830013 *||30 Jan 1987||16 May 1989||Minnesota Mining And Manufacturing Co.||Intravascular blood parameter measurement system|
|US4934369 *||23 Mar 1989||19 Jun 1990||Minnesota Mining And Manufacturing Company||Intravascular blood parameter measurement system|
|US4951669 *||8 Aug 1988||28 Aug 1990||Minnesota Mining And Manufacturing Company||Blood parameter measurement system|
|US4989606 *||8 Aug 1988||5 Feb 1991||Minnesota Mining And Manufactoring Company||Intravascular blood gas sensing system|
|US5048525 *||18 Jun 1990||17 Sep 1991||Minnesota Mining And Manufacturing Company||Blood parameter measurement system with compliant element|
|US5058416 *||5 Jan 1989||22 Oct 1991||Siemens Aktiengesellschaft||Apparatus for the determination of the partial pressure of gases dissolved in a fluid|
|US5175016 *||20 Mar 1990||29 Dec 1992||Minnesota Mining And Manufacturing Company||Method for making gas sensing element|
|US5284775 *||21 Sep 1992||8 Feb 1994||Minnesota Mining And Manufacturing Company||Gas sensing element and method for making same|
|US5335658 *||29 Jun 1992||9 Aug 1994||Minnesota Mining And Manufacturing Company||Intravascular blood parameter sensing system|
|US5415165 *||16 Aug 1994||16 May 1995||Mountpelier Investments||Tonometric catheter combination|
|US5421328 *||20 May 1994||6 Jun 1995||Minnesota Mining And Manufacturing Company||Intravascular blood parameter sensing system|
|US5433216 *||14 Jun 1993||18 Jul 1995||Mountpelier Investments, S.A.||Intra-abdominal pressure measurement apparatus and method|
|US5456251 *||12 Oct 1994||10 Oct 1995||Mountpelier Investments, S.A.||Remote sensing tonometric catheter apparatus and method|
|US5462052 *||27 Apr 1993||31 Oct 1995||Minnesota Mining And Manufacturing Co.||Apparatus and method for use in measuring a compositional parameter of blood|
|US5526809 *||19 May 1995||18 Jun 1996||Mountpelier Investments, S.A.||Hollow viscous and soild organ tonometry|
|US5788631 *||29 Feb 1996||4 Aug 1998||Instrumentarium Corporation||Hollow viscus and solid organ tonometry|
|US6010453 *||12 May 1995||4 Jan 2000||Instrumentarium Corporation||Tonometric catheter combination|
|US6073048 *||17 Nov 1995||6 Jun 2000||Medtronic, Inc.||Baroreflex modulation with carotid sinus nerve stimulation for the treatment of heart failure|
|US6117125 *||2 May 1996||12 Sep 2000||Cook Incorporated||Method for predetermining uniform flow rate of a fluid from a tubular body and device therefrom|
|US6334064||26 May 1995||25 Dec 2001||Instrumentarium Corp.||Remote sensing tonometric catheter apparatus and method|
|US7740628 *||27 Jul 2004||22 Jun 2010||Aesculap Ag||Surgical appliance|
|US20050033275 *||27 Jul 2004||10 Feb 2005||Aesculap Ag & Co. Kg||Surgical appliance|
|EP0018179A2 *||11 Apr 1980||29 Oct 1980||Regents Of The University Of Minnesota||Catheter tip for infusion|
|EP0422690A2 *||9 Jan 1987||17 Apr 1991||Mountpelier Investments, S.A.||Apparatus for selective monitoring/oxygenation of organs of the gastrointestinal tract|
|EP1845841A2 *||28 Dec 2005||24 Oct 2007||Oridion Medical 1987 Ltd.||Capnographic sampling catheter|
|EP2027812A1 *||24 Aug 2007||25 Feb 2009||F. Hoffman-la Roche AG||Method for manufacturing a micro-dialysis catheter and micro-dialysis catheter manufactured accordingly|
|WO1990001896A1 *||24 Aug 1989||8 Mar 1990||Mountpelier Investments||Hollow viscus and solid organ tonometry|
|International Classification||A61M25/00, A61B5/00|
|Cooperative Classification||A61B5/145, A61M25/0069|
|European Classification||A61B5/145, A61M25/00T10A|
|7 Jan 1985||AS02||Assignment of assignor's interest|
Owner name: ALLEGHENY INTERNATIONAL MEDICAL TECHNOLOGY, INC, 2
Owner name: ALLIED HEALTHCARE PRODUCTS, INC.
Effective date: 19850101
|7 Jan 1985||AS||Assignment|
Owner name: ALLEGHENY INTERNATIONAL MEDICAL TECHNOLOGY, INC, 2
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:ALLIED HEALTHCARE PRODUCTS, INC.;REEL/FRAME:004347/0088
Effective date: 19850101
|14 Nov 1983||AS||Assignment|
Owner name: ALLIED HEALTHCARE PRODUCTS, INC., 1720 SUBLETTE, S
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:CHEMETRON CORPORATION;REEL/FRAME:004191/0010
Effective date: 19831107
|14 Nov 1983||AS02||Assignment of assignor's interest|
Owner name: ALLIED HEALTHCARE PRODUCTS, INC., 1720 SUBLETTE, S
Owner name: CHEMETRON CORPORATION
Effective date: 19831107
|27 Mar 1981||AS||Assignment|
Owner name: ALLIED HEALTHCARE PRODUCTS, INC.
Free format text: CHANGE OF NAME;ASSIGNOR:CHEMETRON-MEDICAL PRODUCTS, INC.;REEL/FRAME:003925/0807
Effective date: 19810227