Multichannel catheter
View Patent ↗A single, multichannel catheter for extracorporeal circulation of blood to a patient undergoing cardiac treatments or surgery. The catheter has three independent channels and an expandable balloon. The first channel is the largest and delivers blood to a patient to maintain the patient's metabolism and perfusion throughout the treatment or surgery. A second, smaller channel is integrated into the wall of the first channel and delivers a biologically active fluid (e.g., for cardioplegia) to the heart and/or venting the left heart. A third, smaller channel is integrated into the wall of the first channel, and delivers an expansion fluid to the balloon to occlude the flow of blood to the heart. Preferably, the first channel accounts for at least about 70% of the total channel volume. The multichannel catheter is best prepared using an extrusion molding technique.
1. A single multichannel catheter useful for delivering extracorporeal blood to a mammalian patient in need thereof wherein the catheter has defined length and available channel volume with distal and proximal ends and comprises:
at least three independent channels and a balloon at one end of the catheter,
a first largest channel defined by a surrounding wall and of a size to allow delivery of an amount of blood to the patient that is sufficient to support the patient's metabolism and perfusion throughout the delivery of blood to the patient, the first channel including a plurality of openings proximal of the balloon for delivering blood to the patient, the plurality of openings being configured into two groupings, a first grouping including at least one opening and located on a portion of the first channel immediately proximal to the balloon and a second grouping including at least one opening and located on a portion of the first channel proximal to the first grouping of openings and separated from the first grouping of openings by a portion of the first channel without openings, wherein when the balloon is positioned in the patient's ascending aorta, the first grouping of openings is proximate to the patient's left subclavian artery and the second grouping of openings is in the patient's descending aorta,
a second channel, smaller than the first channel and integrated into the wall of the first channel, and
a third channel also smaller than the first channel and integrated into the wall of the first channel, the third channel is suitable for delivery of a fluid to the balloon for its expansion when positioned in the ascending aorta to occlude the flow of blood to the heart from the first channel.
2. The catheter of claim 1 , wherein the second grouping of openings is located distal to a midpoint of the catheter.
3. The catheter of claim 1 , wherein the first grouping of openings is positioned at one or more selected locations within approximately 2.5 cm of a proximal end of the balloon.
4. The catheter of claim 1 , wherein a majority of the plurality of openings are elongate with the length of each elongate opening being parallel to the length of the catheter.
5. The catheter of claim 1 , further comprising a removable insertion stylet configured to be received within the first channel.
6. The catheter of claim 1 , further comprising a second balloon mounted on the catheter adjacent to the balloon and in fluid communication with the third channel.
7. The catheter of claim 1 , wherein the catheter is configured such that, when the balloon is positioned in the patient's ascending aorta, the first grouping of openings is in the patient's ascending aorta, the second grouping of openings is in the patient's descending aorta, and the portion of the first channel without openings between the first grouping of openings and the second grouping of openings is in the patient's aortic arch.
8. The catheter of claim 7 , wherein a portion of the catheter without openings between the first grouping of openings and the second grouping of openings to the first channel is preformed with a curve configured to conform to the patient's aortic arch.
9. The catheter of claim 8 , further comprising a removable insertion stylet configured to be received within the first channel and having sufficient stiffness to substantially straighten the preformed curve in the catheter to facilitate introduction of the catheter into the patient's aorta in a straightened condition.
10. The catheter of claim 1 , wherein the second grouping of openings is positioned at one or more selected locations between approximately 7.5 and 30 cm from a proximal end of the balloon.
11. The catheter of claim 1 , wherein the first grouping of openings is positioned at one or more selected locations within approximately 2.5 cm of a proximal end of the balloon, and the second grouping of openings is positioned at one or more selected locations between approximately 7.5 and 30 cm from the proximal end of the balloon.
12. The catheter of claim 1 , wherein the plurality of openings comprises from 3 to 20 openings.
13. The catheter of claim 1 , wherein the second grouping of openings has a greater number of openings than the first grouping of openings.
14. The catheter of claim 1 , wherein the second grouping of openings has a greater total opening area than the first grouping of openings.
15. The catheter of claim 4 , wherein each elongate opening is approximately oval with a length of approximately 1 to 4 cm parallel to the length of the catheter and a width of not more than 5 mm.
16. The catheter of claim 4 , wherein each elongate opening is approximately oval with a length of approximately 2.5 cm parallel to the length of the catheter and a width of not more than 5 mm.