Method For Manufacturing A Balloon Encapsulated Catheter Tip
This invention is generally related to catheters for insertion into a body cavity, duct or vessel, and more particularly to a tip or plug for a catheter. The catheter tip is constructed and arranged to form a seal on the end portion of the catheter tube, while a sleeve secured or formed integrally to the tip cooperates with the catheter tube to form a first balloon that encapsulates the tip of the catheter and a second balloon that positions the catheter within the body cavity, duct or vessel.
This application claims benefit of the filing date of Provisional Application 61/254,950, filed on Oct. 26, 2009, the contents of which are herein incorporated by reference. This application is also related to U.S. Pat. No. 4,351,342 entitled, “BALLOON CATHETER”, filed on Sep. 28, 1982, and issued to Bruce E. Wiita and J. Michael Teets, the contents of which are herein incorporated by reference.
FIELD OF THE INVENTIONThis invention relates to medical devices, and more specifically to a balloon encapsulated catheter tip or plug that is constructed and arranged for insertion into a body cavity, duct or vessel.
BACKGROUND OF THE INVENTIONThis invention is generally related to catheters for insertion into a body cavity, duct or vessel, and more particularly to a tip or plug for a catheter. The catheter tip is constructed and arranged to form a seal on the end portion of the catheter tube, while a sleeve secured or formed integrally to the tip cooperates with the catheter tube to form a first balloon that encapsulates the tip of the catheter and a second balloon that positions the catheter within the body cavity, duct or vessel. For a better understanding of this invention, it will be described in connection with a urinary catheter, which is one area where this invention has commercial potential.
Urinary Catheters have been used for many years. A particularly well known urinary catheter is the Foley catheter. The Foley catheter includes a flexible tube made of latex and/or silicone material and has two internal lumens extending substantially parallel along the length of the tube. A balloon is positioned near the distal end of the tube for holding the catheter in position within the bladder of a patient. The catheter is positioned within the patient and fluid is introduced through one of the lumens to inflate the balloon to retain the catheter in the desired position. A drainage port or eye is located at the distal end of the catheter to allow the urine to pass through one of the lumens of the catheter tube for urine drainage purposes. However, the Foley catheter, like all other currently and commercially available catheters, suffers from the same or a similar drawback in that they have a tip that extends beyond the balloon. This tip often bears or scrapes against the liner of the bladder causing trauma to the bladder lining and is associated with numerous medical problems. A further problem relates to the position of the drain port(s) causing patient discomfort when the mucosal lining is drawn into the drain port(s). Some examples of the medical problems associated with the current catheter devices include discomfort, spasms and bleeding, as well as more serious drawbacks such as bacteria in the blood stream, e.g. Urosepsis and urinary tract infections.
Therefore what is needed in the art is a catheter tip that includes a first balloon positioned to encapsulate the tip of the catheter and a second balloon to position the catheter within the urinary tract. The first balloon should be constructed and arranged to cushion the catheter tip from traumatizing and irritating the internal wall of the cavity, duct or vessel. Moreover, the balloon should be connected to the tip so as to prevent the tip from moving relative to the balloon.
PRIOR ARTNumerous types of catheters are known in the prior art. For example, U.S. Pat. No. 4,022,216 discloses a urological catheter having at its distal portion a pair of balloons which are inflatable from the proximal end of the catheter. In the inflated position, the one of the balloons completely covers the distal tip of the catheter to serve as a cushion for preventing damage to the patient's bladder, while the other balloon serves to anchor the catheter in sealing relation to the discharge passage of the bladder. A drainage opening in the catheter wall is disposed intermediate the balloons. While the '216 patent discloses dual balloons, the balloon which encloses the distal end is connected to the catheter along the side of the catheter body. This connection allows the tip to move relative to the balloon and can easily cause top over and blockage of the drainage aperture.
U.S. Pat. No. 4,342,316 discloses a catheter comprising an elongated shaft having an inflation lumen extending along the shaft, and a drainage lumen extending through the shaft. The catheter has a proximal end, a distal end, and a distal end portion. The catheter also has an elastic sleeve on the distal end portion of the catheter and opposed ends. The sleeve is bonded to the distal end portion in spaced circumferential zones adjacent the opposed ends of the sleeve and along longitudinal lines at least a substantial distance between the zones on opposed sides of the distal end portion. The catheter has an inflation opening beneath the sleeve communicating with the inflation lumen, and at least one drainage eye proximal the sleeve and communicating with the drainage lumen. One of the major disadvantages of the '316 patent is that the tip of the catheter is exposed and can damage any tissue structure that the catheter may be inserted within.
U.S. Pat. No. 4,575,371 discloses a urinary catheter with a retention member in the form of an expandable balloon. The expandable balloon is arranged below the inlet opening and so designed that in its inflated condition a portion projects forward past the catheter tip at some distance from the inlet opening. A shortcoming of the '371 patent, however, includes the fact that the drainage aperture is placed at the distal end of the catheter, resulting in a greater tendency to have the mucosal lining of the bladder being drawn into the drainage port when in use. Moreover, only a single balloon is connected to the body of the catheter and is connected in such a manner that the tip of the catheter can move relative to the balloon.
U.S. Publication 2009/0221992 discloses a fluid drainage catheter. The catheter comprises a catheter tube having proximal and distal ends and a cylindrical wall with a lumen extending generally from the proximal to the distal end to permit the passage of fluid therethrough. The catheter tube is formed such that the proximal end has a closed tip for insertion of the catheter tube into a body cavity, and the distal end has an opening for the drainage of fluid from the body cavity through the catheter tube. The cylindrical wall has an outer surface with at least one defined external flow path extending generally in a longitudinal direction from a point in proximity to the closed tip to a point distally thereof. A drainage eye is associated with the defined external flow path and extends completely through the catheter tube from the outer surface to the lumen to permit fluid in the flow path to pass through the drainage eye into the lumen. A drawback to the '992 catheter is that the tip is not completely covered increasing the risk of contact with tissue structures, resulting in damage and leading to increased risk of infection.
SUMMARY OF THE INVENTIONThe needs, disadvantages and limitations of the background art discussed above are overcome by the present invention. The instant invention is generally related to catheters, and more specifically, the instant invention provides a catheter assembly or catheter tip that includes a first balloon constructed and arranged to encapsulate the tip of the catheter to prevent the drawbacks of the prior art, and a second balloon to position the catheter within a body duct, cavity, or vessel. The catheter tip includes a cap having a stem portion and a sleeve portion secured to or integrally formed with the cap. The tip and sleeve are preferably constructed of resiliently flexible biocompatible material(s). The cap portion of the tip is constructed and arranged to be attached to the distal end of a catheter tube while the optional stem is inserted into the drain lumen of the catheter tube. The attached sleeve portion is extended over the outer surface of the end portion of the catheter tube and is selectively attached to the outer surface of the catheter tube in a manner that forms a first balloon positioned to encircle the cap at the distal end of the tube, and at least one second balloon positioned along the catheter tube to retain and/or position the catheter within a body cavity, duct or vessel. The balloons are expandable by admitting a preferably sterile fluid through one or more control lumen(s) extending through the catheter tube. The control lumens extend along the catheter tube substantially parallel to the drain lumen. Each control lumen is preferably provided with at least one aperture extending through the side wall of the catheter tube positioned in the area of one or more of the balloons to allow the fluid to enter the balloon from the lumen. The tip and sleeve are both preferably made of a biocompatible elastomeric material such as, but not limited to, natural rubber latex, synthetic rubber, plastic and silicone and may be prepared, as is known in the art, to include additives, suspensions and/or coatings specially utilized in the process of fabricating catheter balloons or used to prevent sticking together in storage or enhance lubricity. In addition, the inner and/or outer surfaces of the sleeve may include thick and/or thin sections, ribs or portions to cause the balloon to inflate to a desired shape. The tip and sleeve may be fabricated by any suitable process which may include but should not be limited to injection molding, dipping, vacuum forming, roto-molding, blow molding or suitable combination(s) thereof. In a most preferred embodiment, the sleeve is formed in an inside-out arrangement. After forming, the sleeve portion is preferably rolled, much like that of a condom. The tip is assembled to the catheter tube by inserting the stem portion of the plug into the central lumen of the catheter tube until the lower surface of the cap contacts the distal end of the catheter tube. Adhesive, solvents, fillers, radio frequency (RF) welding, laser welding or suitable combinations thereof may be utilized to secure the tip to the tube and/or seal the distal end of the catheter tube. The sleeve material may then be rolled over the outer surface of the catheter tube. At least two spaced apart and circumferentially extending bands of adhesive are positioned about the end portion of the catheter tube to secure the sleeve to the outer surface of the tube while forming the two balloons. Varying the width of the adhesive bands or distance between the adhesive bands allows the size of the balloons to be varied. It should be noted that solvents, radio frequency (RF) welding, laser welding or suitable combinations thereof may be utilized to secure the sleeve to the outer surface of the tube forming the two balloons. It should also be noted that the sleeve portion may be dipped into a solution that serves to expand the sleeve material before or after attachment to the catheter tube, such as an alcohol-based fluid, benzene, ether or the like. This expansion may allow for the sleeve to be easily rolled over the outer surface of the catheter tube, or alternatively, slid over the catheter tube, if left un-rolled. It should further be noted that the portion of the sleeve between the bands of adhesive may be removed, or the second balloon may be formed from a second sleeve of material without departing from the scope of the invention.
When assembled, the balloons may be expanded by admitting a fluid through one or more of the control lumens which open into the area of one or both of the balloons so that the sleeve material is expanded in a radial and/or axial direction so that the distal balloon extends beyond the distal surface of the tip, and as a result, serves as a barrier between the tip and the lining of the bladder.
Thus, it is an object of this invention to provide a unique construction for a catheter tip.
It is another object of this invention to provide a tip for a catheter wherein the tip is constructed and arranged to form a balloon to prevent the distal end of the catheter from impinging against the inner wall of a body duct, cavity or vessel.
It is yet another object of this invention to provide a tip for a catheter that includes an elongated sleeve secured thereto which cooperates with the side wall of the catheter tube for forming at least one balloon along the end portion of the catheter.
It is yet another object of this invention to provide a duct, cavity or vessel catheter that includes a protective balloon on the distal end of the catheter.
It is still yet another object of this invention to provide a catheter that includes a first balloon to circumscribe the tip of the catheter and a second balloon to position the catheter within a body duct, cavity or vessel.
Still another object of this invention is to provide a urinary catheter having a first balloon to circumscribe the tip of the catheter and a second balloon to position the catheter within the urinary tract.
Still yet another object of this invention is to provide a catheter or tip for a catheter having a balloon that, when inflated, extends radially and axially beyond the distal end of the catheter.
Yet a further object of the invention is to provide a catheter balloon that includes ribs or a combination of areas of different thicknesses to provide a shape or direct the expansion of the balloon in a desired direction or area.
Still another object of the invention is to provide a catheter balloon that includes lobes or a combination of areas of different thicknesses to provide a shape or direct the expansion of the balloon in a desired direction or area.
Still yet a further object of the invention is to provide a catheter balloon that includes a drain port positioned between two balloons to reduce or eliminate the tendency of the mucosal lining from being drawn into the drain port during use.
The foregoing and other features of the present invention will become more apparent from the following description and accompanying drawings.
While this invention is being described in its preferred embodiment as having a definitive catheter, it should be understood that the catheter is a commercially available item and that the invention is applied thereto and, as will be appreciated by one skilled in this technology, that the invention has utility for other types of catheters, some of which are disclosed in U.S. Pat. No. 4,351,342, supra.
Referring to
While each of the
The attached sleeve portion 220 is extended over the outer surface 228 of the end portion of the catheter tube 224 and is selectively attached to the outer surface 228 of the catheter tube 224 in a manner that forms a first balloon 213 positioned to encircle and extend beyond the cap 216 at the distal end of the tube, and at least one second balloon 214 positioned along the catheter tube 224 to retain and/or position the catheter 200 within a body cavity, duct or vessel. The sleeve portion 220 may have a generally tubular shape with the unattached side having a diameter that is generally the same as the end portion which attaches to the cap 216. The tubular shape of the sleeve portion 220 extends outwardly in a distal direction, resting above the cap 216.
Alternatively, the sleeve portion 220 may be constructed such that the unattached portion has a larger diameter as compared to the attached end. In this manner, the body of the sleeve portion 220 therefore tapers as the sleeve body gets closer the cap 216, similar to that illustrated in
Check valves 233, 235, or the like, may be utilized to control the flow of fluid into and/or out of the balloons. It should be noted that while the embodiment illustrated shows control lumen 230A and 230B as lumens for the purpose of inflation of the balloons, control lumens 230A or 230B can be used to dispense, aspirate, or combinations thereof, fluid into or out of the body duct, cavity, or vessel without departing from the scope of the invention. To accomplish such a task, the catheter tube 224 may contain an additional aperture which provides fluid communication with the control lumen 230A and 230B and the external environment, i.e. the body cavity. Additionally, valve 237 is utilized to control the flow of fluid into and/or out of the main drainage lumen 226. The tip 210 and sleeve 220 are both preferably made of a biocompatible elastomeric material such as, but not limited to, natural rubber latex, synthetic rubber, plastic and silicone and may be prepared, as is known in the art, to include additives, suspensions and/or coatings specially utilized in the process of fabricating catheters and/or catheter balloons or used to prevent sticking together in storage or enhance lubricity.
In addition, the inner 240 and/or outer surfaces 242 of the sleeve 220 may include thick sections and/or thin sections, ribs, similar to that illustrated and described previously, or portions to cause the balloons 213 and 214 to inflate to a desired shape. Obviously, the thinner portions of the balloon will afford less resistance to the pressure of the flowing water and hence, will expand more easily than the thicker portion. In a most preferred embodiment, the first balloon 213 is constructed and arranged to expand in a linear as well as a radial relationship to extend past the distal end 212 of the tip 210. The tip 210 and sleeve 220 may be fabricated to be integral or separate by any suitable process which may include but should not be limited to injection molding, dipping, vacuum forming, roto-molding, blow molding or suitable combination(s) thereof. In a most preferred embodiment, the sleeve 220 is formed in an inside-out arrangement.
After forming, the sleeve portion 220 is preferably rolled, much like that of a condom. The tip 210 is assembled to the catheter tube 224 by inserting the stem portion 218 of the tip into the drain lumen 226 of the catheter tube until the lower surface 236 of the cap 216 contacts the distal end 222 of the catheter tube 224. Adhesive, solvents, fillers, radio frequency (RF) welding, laser welding or suitable combinations thereof may be utilized to secure the tip to the tube and/or seal the distal end of the catheter tube. Alternatively, the stem portion 218 may contain a securing member (not illustrated) such as barbs, spikes, or the like, to secure the stem portion to the catheter tube. The sleeve portion 220 may then be rolled over the outer surface 228 of the catheter tube 224.
At least two spaced apart and circumferentially extending bands of adhesive 238 are positioned about the end portion of the catheter tube to secure the sleeve 220 to the outer surface of the tube while forming the two balloons 213 and 214. Varying the width of the adhesive bands 238 or distance between the adhesive bands allows the size of the balloons to be varied. At least one drain port 250 is preferably positioned between the two balloons, i.e. proximal to balloon 13 and distal to balloon 14, to reduce or prevent the bladder lining from being drawn into the catheter during use. One or more drain ports 250 may optionally be positioned below balloon 214. It should be noted that solvents, radio frequency (RF) welding, laser welding or suitable combinations thereof may be utilized to secure the sleeve to the outer surface of the tube forming the two balloons without departing from the scope of the invention. It should also be noted that the sleeve portion may be dipped into a solution that serves to expand the sleeve material before or after attachment to the catheter tube, such as an alcohol-based fluid, benzene, ether or the like. This expansion may allow for the sleeve portion 220 to be easily rolled over the outer surface of catheter tube, or alternatively, slid over the catheter tube, if left un-rolled. It should further be noted that the portion of the sleeve between the bands of adhesive may be removed or the second balloon may be formed from a second sleeve of material without departing from the scope of the invention.
Optionally, the catheter system 200 may contain a support member which is positioned between balloons 213 and 214, see
Each of the balloons 13 (213) and 14 (214) may be designed to inflate to any size necessary. In a preferred embodiment, the balloon size of one balloon, for example balloon 13 is designed to be smaller when inflated than the balloon size of the other balloon, i.e. balloon 14. The difference between sizes of the two balloons can vary depending in the use of the catheter. In an illustrative example, the difference between balloon 13 and balloon 14 could be in the range of approximately 20% to 80%, based on the actual size of the fully inflated balloons or based on the injection volume of each of the balloons. The sizing of balloon 13, for example, can be designed such that a maximum size of the balloon is not too large so as to be susceptible to bending. Since the preferred embodiment described a double balloon with drainage aperture for providing drainage of fluid from a bladder, should the balloon 13 be too large and bend, the catheter may become inefficient as a result of the formation of a kink. Formation of such a kink results in sealing of the drainage aperture and blocks the balloon's inflation lumen. In addition to preventing fluid flow, the ability of the balloon 13 to deflate will be limited or completely prevented. Each of the balloons 13 and 14 may additionally be made of materials having deferent thickness and/or durometer values. Such differing thickness may result in inflation of the balloons at differing rates. In a preferred embodiment, the thickness of each of the balloons can be designed such that balloon 14 inflates before the balloon 13. Inflation in this manner provides enhanced safety measures. For example, in use as a urinary catheter, ensuring that the proximal balloon (balloon 14) inflates before the distal balloon (balloon 13) ensures that no balloon will be inflated within the urethra.
In addition to, or instead of, balloon 14 may also contain ribs 34 or lobes 52. While such ribs and lobes may be aligned radially, a preferred embodiment includes the ribs and lobes being aligned longitudinally, and extending from the distal end. Use of ribs and lobes along balloon 14 allows the entire balloon or portions of it, to inflate more than standard balloons, thus bringing balloon 13 and 14 closer together when both are fully or partially inflated, thereby minimizing tissue aspiration into the drainage apertures and preventing the balloon 13 from bending over, or top over and forming kinks.
In a preferred embodiment, the cap 16 is constructed and arranged to provide traversal between a resting stage and an elongated state; preferably through the type of material it is constructed of and through control of its thickness and/or resistance to change shapes.
Although this invention has been shown and described with respect to detailed embodiments thereof, it will be appreciated and understood by those skilled in the art that various changes in form and detail thereof may be made without departing from the spirit and scope of the disclosed invention.
Claims
1. A method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection comprising the steps of:
- manufacturing a catheter body having a distal end, a proximal end, and at least one lumen extending generally from said distal end to said proximal end to provide fluid flow therebetween;
- manufacturing a catheter tip cap containing a distal end and a proximal end;
- integrally forming to said distal end of said catheter tip a first end of an outer sleeve member, said outer sleeve being extending outwardly in a distal direction,
- securing said catheter tip cap to the distal end of said catheter body;
- extending said outwardly arranged sleeve member over said outer surface of said catheter body;
- forming at least one balloon by securing said sleeve member to said outer surface of said catheter.
2. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 1 further includes the step of manufacturing a catheter tip cap containing a distal end and a proximal end having a stem portion.
3. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 2 further includes the step of inserting said stem portion of said catheter tip into at least one catheter body lumen.
4. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 wherein said catheter tip cap and said sleeve member are manufactured by injection molding, dipping, vacuum forming, roto-molding, blow molding or suitable combination(s) thereof.
5. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 wherein said sleeve member is integrally formed to said catheter tip cap in an inside out manner.
6. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 further including the step of providing adhesive materials to said catheter body in the form of one or more bands, whereby one or more portions of said sleeve member secures to said one or more bands.
7. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 further including the step of securing said sleeve member to at least two areas of said catheter body thereby forming a first balloon for providing a barrier between said catheter tip and a body duct, tissue cavity or vessel and a second balloon constructed and arranged to position said catheter within said body duct, tissue cavity or vessel.
8. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 further including the step of providing a drainage port.
9. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 wherein said sleeve member is constructed of one or more areas having varied resistance to inflation.
10. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 wherein the step of integrally forming said distal end of said catheter tip cap to a first end of said sleeve member includes forming said outer sleeve which contains inwardly tapering portions.
11. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 wherein said catheter tip cap is secured to said catheter body by use of adhesives, solvents, fillers, radio frequency (RF) welding, laser welding, or combinations thereof.
12. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 wherein said catheter tip cap is secured to said catheter body by use of adhesives, solvents, fillers, radio frequency (RF) welding, laser welding, or combinations thereof.
13. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 further including the step of dipping said sleeve member into a solution, thereby expanding said sleeve material before or after attachment to the catheter body.
14. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 wherein said first balloon is smaller than said second balloon when each said balloons are inflated.
15. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 wherein at least one balloon is made of a material which inflates at a slower rate than that of said other balloon.
16. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 further includes the step of forming one or more ribs on the first balloon, the second balloon, or combinations thereof.
17. The method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection according to claim 3 further includes the step of forming one or more lobes on the first balloon, the second balloon, or combinations thereof.
18. A method of making a catheter system having an encapsulated catheter tip for encapsulating a distal end of the catheter thereby minimizing the risk of infection comprising the steps of:
- providing a catheter body having a distal end, a proximal end, and at least one lumen extending generally from said distal end to said proximal end to provide fluid flow therebetween;
- providing a catheter tip having a cap comprising a distal end and a proximal end;
- integrally forming to said distal end of said catheter tip a first end of an outer sleeve member;
- securing said catheter tip to said catheter body;
- securing the second end of said outer sleeve member to the at least one portion of said catheter body, thereby forming a first balloon constructed and arranged to provide a barrier between said catheter tip and a body duct, tissue cavity or vessel and a second balloon constructed and arranged to position said catheter within said body duct, tissue cavity or vessel.
Type: Application
Filed: Oct 26, 2010
Publication Date: Apr 28, 2011
Inventors: Gregory D. Wiita (Jupiter, FL), Bruce E. Wiita (Jupiter, FL)
Application Number: 12/912,393
International Classification: B65H 69/02 (20060101);