CN114832203A - Microcatheter with tapered tip - Google Patents
Microcatheter with tapered tip Download PDFInfo
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- CN114832203A CN114832203A CN202210304678.3A CN202210304678A CN114832203A CN 114832203 A CN114832203 A CN 114832203A CN 202210304678 A CN202210304678 A CN 202210304678A CN 114832203 A CN114832203 A CN 114832203A
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- 229920000642 polymer Polymers 0.000 claims abstract description 37
- 238000004804 winding Methods 0.000 claims abstract description 14
- 239000000463 material Substances 0.000 claims description 10
- 238000009954 braiding Methods 0.000 claims description 4
- 238000003466 welding Methods 0.000 claims description 4
- 229920001169 thermoplastic Polymers 0.000 claims description 2
- 239000004416 thermosoftening plastic Substances 0.000 claims description 2
- 230000003902 lesion Effects 0.000 description 19
- 238000005452 bending Methods 0.000 description 15
- 210000004351 coronary vessel Anatomy 0.000 description 9
- 230000001684 chronic effect Effects 0.000 description 6
- 239000011248 coating agent Substances 0.000 description 4
- 238000000576 coating method Methods 0.000 description 4
- 230000007423 decrease Effects 0.000 description 4
- 210000004204 blood vessel Anatomy 0.000 description 3
- 230000003247 decreasing effect Effects 0.000 description 3
- 239000010963 304 stainless steel Substances 0.000 description 2
- 208000024172 Cardiovascular disease Diseases 0.000 description 2
- 239000004812 Fluorinated ethylene propylene Substances 0.000 description 2
- 239000004813 Perfluoroalkoxy alkane Substances 0.000 description 2
- 239000004696 Poly ether ether ketone Substances 0.000 description 2
- 239000004952 Polyamide Substances 0.000 description 2
- -1 Polytetrafluoroethylene Polymers 0.000 description 2
- 229910000589 SAE 304 stainless steel Inorganic materials 0.000 description 2
- 238000004891 communication Methods 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 229920009441 perflouroethylene propylene Polymers 0.000 description 2
- 229920011301 perfluoro alkoxyl alkane Polymers 0.000 description 2
- 229920002647 polyamide Polymers 0.000 description 2
- 229920002530 polyetherether ketone Polymers 0.000 description 2
- 229920000139 polyethylene terephthalate Polymers 0.000 description 2
- 239000005020 polyethylene terephthalate Substances 0.000 description 2
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 2
- 239000004810 polytetrafluoroethylene Substances 0.000 description 2
- 238000009941 weaving Methods 0.000 description 2
- 239000004721 Polyphenylene oxide Substances 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 239000000806 elastomer Substances 0.000 description 1
- HQQADJVZYDDRJT-UHFFFAOYSA-N ethene;prop-1-ene Chemical group C=C.CC=C HQQADJVZYDDRJT-UHFFFAOYSA-N 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 229920001477 hydrophilic polymer Polymers 0.000 description 1
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- 229920002635 polyurethane Polymers 0.000 description 1
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- 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
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
-
- 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
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M25/09041—Mechanisms for insertion of guide wires
-
- 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
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M2025/0042—Microcatheters, cannula or the like having outside diameters around 1 mm or less
-
- 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/02—General characteristics of the apparatus characterised by a particular materials
- A61M2205/0238—General characteristics of the apparatus characterised by a particular materials the material being a coating or protective layer
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The present disclosure provides a microcatheter having a tip portion tapered, characterized in that the microcatheter comprises a long-sized tube body and a tip portion engaged with a front end of the tube body; the tube body has a guide wire lumen for slidably receiving a guide wire; the tip part is gradually contracted from the joint of the tube body, is provided with a cavity communicated with the guide wire inner cavity, and is provided with an inner tube and an outer tube arranged outside the inner tube; the tube body has an inner layer forming a guide wire lumen, a spring layer wound around the inner layer in a winding manner and arranged along a longitudinal direction of the inner layer, a braid layer wound around an outer side of the spring layer, and a polymer layer covering an outer side of the braid layer, wherein the inner layer and the polymer layer are joined to the tip portion, and the spring layer and the braid layer are isolated from the tip portion.
Description
This application is a divisional patent application entitled microcatheter having application date of 27/05/2020 and application number 202010463498.0.
Technical Field
The present disclosure relates to a microcatheter having a tapered tip portion.
Background
With the development of social economy, the national life style is deeply changed, particularly, the aging of population and the urbanization progress are accelerated, the prevalence trend of cardiovascular disease risk factors in China is obvious, and the number of people suffering from cardiovascular diseases is continuously increased. At present, 220 tens of thousands of patients suffering from chronic total occlusion of coronary arteries in China are probably present.
Chronic Total Occlusion (CTO) of the coronary artery refers to a lesion in which the coronary artery is 100% occluded and occluded for more than 3 months, requiring a guidewire to be threaded through the CTO lesion. To increase the success rate of guidewire crossing lesions, a microcatheter is often used in conjunction with the guidewire. After the guidewire first reaches the CTO lesion, the microcatheter is advanced from the guiding catheter into the coronary artery and along the guidewire, and after reaching the CTO lesion, the guidewire attempts to traverse the CTO lesion. Compared with the traditional coronary intervention method, the distance between the microcatheter and the CTO lesion is far smaller than that between the guide catheter and the CTO lesion, so that stronger supporting force can be provided for the guide wire, and the guide wire can pass through the CTO lesion. In addition, due to the small size of the microcatheter, the microcatheter can alternately advance during the process of opening a CTO lesion, and can improve continuous additional supporting force for a guide wire to pass through the CTO lesion.
In the prior art, the microcatheter generally comprises a lumen, an inner layer, a braided layer, a spring layer, an outer layer and the like from inside to outside. In some microcatheters, the positions of the braid and spring layers may also be interchanged. However, few micro-catheters can ensure small size and good pushing performance and flexibility, and have good bending resistance. Particularly, the head of the microcatheter is the most likely location where stress concentration and bending occur. Because the tip and the body of the microcatheter have a large difference in flexibility, the bending phenomenon is often likely to occur where the difference in flexibility is large.
Disclosure of Invention
The present disclosure has been made in view of the above-mentioned prior art, and an object of the present disclosure is to provide a microcatheter with strong pushability, high flexibility, and good tensile and bending resistance.
To this end, the present disclosure provides a microcatheter characterized in that it comprises an elongated tubular body and a tip portion joined to the front end of the tubular body; the tube body has a guidewire lumen that slidably receives a guidewire; the tip part is gradually contracted from the joint of the tube body, the tip part is provided with a cavity communicated with the guide wire inner cavity, the inner diameter of the cavity is not more than that of the guide wire inner cavity, and the tip part is provided with an inner tube and an outer tube arranged outside the inner tube; the catheter body has an inner layer forming the guide wire lumen, a spring layer wound around the inner layer in a winding manner and arranged in a longitudinal direction of the inner layer, a braid layer provided outside the spring layer, and a polymer layer covering outside the braid layer, wherein a projection of the tip portion in at least a part of a radial direction coincides with a projection of at least one of the spring layer and the braid layer in the radial direction, and the inner layer and the polymer layer are joined to the tip portion, the spring layer and the braid layer being isolated from the tip portion.
In the microcatheter according to the present disclosure, the tapered tip portion is joined to a tube body, the guide wire is movable through a guide wire lumen of the tube body, the tip portion has an inner tube and an outer tube, the tube body has an inner layer, a spring layer, a braid layer, and a polymer layer, and a partial projection of the tip portion overlaps with a projection of at least one of the spring layer and the braid layer in a radial direction. Under this condition, the pointed end that contracts gradually can help the propulsion of little pipe, and the inlayer of body, spring layer, weaving layer and the polymer layer of body set gradually from inside to outside to improve the propelling movement nature of body, the pointed end can have better bending resistance ability with spring layer or weaving layer in the part of radial direction projection coincidence, from this, can provide a propelling movement nature strong, the compliance is strong, tensile strength and bending resistance ability good little pipe all.
In addition, in the microcatheter according to the present disclosure, optionally, the elastic modulus of the outer tube is smaller than the elastic modulus of the tube body, and the elastic modulus of the inner tube is smaller than the elastic modulus of the tube body. This reduces the overall elastic modulus of the tip section, and improves the flexibility of the tip section.
Additionally, in the microcatheter of the present disclosure, optionally, the microcatheter further comprises a coating applied to the guidewire lumen and the inner wall of the lumen. Thereby, the guide wire can be facilitated to pass through the micro-catheter.
In addition, in the microcatheter according to the present disclosure, optionally, one end of the braid may be closer to the tip portion than an end of the spring layer on the same side as the one end of the braid. This can improve the strength of the joint between the tip portion and the tube body, and further improve the bending resistance of the microcatheter.
In addition, in the microcatheter according to the present disclosure, optionally, at the junction of the tube body and the tip portion, the outer diameter of the polymer layer is gradually reduced in a direction approaching the tip of the tip portion, and the outer diameter of the portion of the tip portion that is joined to the tube body is maintained constant. In this case, the tube body and the tip portion can be joined by means of the chamfered surface, whereby the flexibility of the tube body can be gradually changed, and the bending resistance and the tensile resistance can be improved.
In the microcatheter according to the present disclosure, the distal end portion may be joined to the tube body by welding by joining the inner tube to the tube body and fitting and welding the outer tube to the inner tube. This can improve the pushability of the tip portion.
In addition, in the microcatheter according to the present disclosure, optionally, the spring layer is made by spirally winding a wire material on the inner layer in a winding manner, and the braid is made by braiding a wire material on an outer side of the spring layer. In this case, even if torque is continuously input from the outside, the spring layer is protected by the outer braid so as not to be scattered, and thus, the reliability of the microcatheter can be improved.
In addition, in the microcatheter according to the present disclosure, optionally, the outer tube is tapered from an end near the junction to an end far from the junction, and the inner tube extends from the outer tube along a length direction of the tube body. This can further reduce the elastic modulus of the tip portion at the end away from the joint, thereby improving the flexibility.
In addition, in the microcatheter of the present disclosure, optionally, at the junction of the tube body and the tip portion, the inner diameter of the guidewire lumen tapers to the size of the lumen inner diameter. Thereby, the engagement can be facilitated and the sliding of the guide wire can be facilitated.
In addition, in the microcatheter according to the present disclosure, optionally, an elastic modulus at a junction of the tube body and the tip portion is between the elastic moduli of the tube body and the tip portion. In this case, the elastic modulus of the entire microcatheter gradually decreases from the tube body to the tip portion, and the flexibility of the entire microcatheter can be improved.
According to the present disclosure, a microcatheter with a tip portion having a strong pushability, a strong flexibility, a good tensile strength and a good bending resistance can be provided.
Drawings
Embodiments of the present disclosure will now be explained in further detail, by way of example only, with reference to the accompanying drawings, in which:
fig. 1 is a schematic view showing the overall structure of a microcatheter having a tip portion according to an embodiment of the present disclosure.
Fig. 2 is a schematic view showing a catheter hierarchy of a micro-catheter having a tip portion according to an embodiment of the present disclosure.
Fig. 3 is a partially enlarged schematic view illustrating a microcatheter having a tip portion according to an embodiment of the present disclosure.
Fig. 4 is a schematic view showing a cross-sectional structure of the pipe body along the BB' direction in fig. 3 according to the embodiment of the present disclosure.
Fig. 5 is a schematic sectional view showing the structure of the first embodiment along the AA' direction in fig. 3 according to the embodiment of the present disclosure.
Fig. 6 is a schematic sectional view showing the structure of the second embodiment along the AA' direction in fig. 3 according to the embodiment of the present disclosure.
Fig. 7 is a schematic sectional view showing the structure of the third embodiment along the AA' direction in fig. 3 according to the embodiment of the present disclosure.
The reference numbers illustrate:
1 … microcatheter, 11 … tubular body, 111 … inner layer, 112 … spring layer, 113 … braided layer, 114 … polymer layer, 12 … tip portion, 121 … inner tube, 122 … outer tube, 2 … catheter hub.
Detailed Description
The present disclosure will be described in further detail below with reference to the accompanying drawings and specific embodiments. In the drawings, the same components or components having the same functions are denoted by the same reference numerals, and redundant description thereof will be omitted.
Fig. 1 is a schematic view showing the overall structure of a microcatheter 1 having a tip portion according to an embodiment of the present disclosure.
As shown in fig. 1, in the present embodiment, a microcatheter 1 (also referred to as "microcatheter 1" in some cases) having a tip portion according to the present disclosure includes a tube 11 and a tip portion 12. The tip 12 may taper from the juncture of the tube 11. The tubular body 11 may have an inner layer 111, a spring layer 112, a braid layer 113, and a polymer layer 114 sequentially disposed from the inside to the outside. The tip portion 12 coincides with the spring layer 112 or the braid layer 113 in projection in the radial direction. In this case, the gradually contracted tip portion 12 can contribute to the pushing of the microcatheter 1, the inner layer 111, the spring layer 112, the braid layer 113 and the polymer layer 114 of the tube body 11 are sequentially arranged from inside to outside, so that the pushing performance of the tube body 11 is improved, and the portion where the projection of the tip portion 12 and the spring layer 112 or the braid layer 113 in the radial direction is overlapped can have a good bending resistance, so that the microcatheter 1 with the tip portion, which has strong pushing performance, strong flexibility, and good tensile strength and bending resistance, can be provided.
In some examples, the tube body 11 may have a guidewire lumen that slidably receives a guidewire. The tube body 11 may include an inner layer 111 forming a guide wire lumen, a spring layer 112 wound around the inner layer 111 in a winding manner and arranged along a longitudinal direction of the inner layer 111, a braid layer 113 wound around an outer side of the spring layer 112, and a polymer layer 114 covering an outer side of the braid layer 113.
In some examples, the tip portion 12 may be tapered from the junction of the tube 11, and the tip portion 12 may have a lumen in communication with the guidewire lumen, the lumen having an inner diameter no greater than the inner diameter of the guidewire lumen.
In some examples, tip portion 12 may have an inner tube 121 and an outer tube 122 disposed outside of inner tube 121.
In some examples, the projection of the tip portion 12 in the radial direction may at least partially coincide with the projection of at least one of the spring layer 112, the braid 113 in the radial direction, and the inner layer 111 and the polymer layer 114 engage the tip portion 12 with isolation between the spring layer 112 and the braid 113 and the tip portion 12.
In the microcatheter 1 having the tip portion according to the present disclosure, the tapered tip portion 12 is joined to the tube body 11, the guide wire can move through the guide wire lumen of the tube body 11, the tip portion 12 has the inner tube 121 and the outer tube 122, the tube body 11 has the inner layer 111, the spring layer 112, the braid layer 113, and the polymer layer 114, and a partial projection of the tip portion 12 overlaps with a projection of at least one of the spring layer 112 and the braid layer 113 in the radial direction. In this case, the gradually contracted tip portion 12 can contribute to the pushing of the microcatheter 1, the inner layer 111, the spring layer 112, the braid layer 113 and the polymer layer 114 of the tube body 11 are sequentially arranged from inside to outside, so that the pushing performance of the tube body 11 is improved, and the portion where the projection of the tip portion 12 and the spring layer 112 or the braid layer 113 in the radial direction is overlapped can have a good bending resistance, so that the microcatheter 1 with the tip portion, which has strong pushing performance, strong flexibility, and good tensile strength and bending resistance, can be provided.
In some examples, a catheter hub 2 may be attached to one end of the microcatheter 1. In some examples, catheter hub 2 may be passed over a guidewire.
In this embodiment, the interventional treatment of Chronic Total Occlusion (CTO) of coronary artery includes firstly pushing a guide wire to the coronary artery and reaching the position of Chronic Total Occlusion of coronary artery, then making the micro-catheter 1 with a tip part enter the position of Chronic Total Occlusion of coronary artery along the guide wire, then making the guide wire enter the lesion area by using the supporting force of the micro-catheter 1, then making the micro-catheter 1 advance along the guide wire and enter the lesion area, and finally making the guide wire cross the region of Chronic Total Occlusion of coronary artery by using the supporting force provided by the micro-catheter 1 with a tip part to the guide wire.
In some examples, the microcatheter 1 may be advanced with the guidewire during crossing of the lesion area. Thereby, the supporting force can be continuously provided to the guide wire.
In other examples, the microcatheter 1 may be advanced alternately with a guidewire. Specifically, the micro-catheter 1 can perform crossing of the lesion region in turn with the guide wire, thereby improving the reliability of the crossing and providing a continuous supporting force to the guide wire.
Fig. 2 is a schematic view showing a catheter hierarchy structure of the micro-catheter 1 having the tip portion according to the embodiment of the present disclosure. Fig. 3 is a partially enlarged schematic view showing the microcatheter 1 having the tip portion according to the embodiment of the present disclosure. Fig. 4 is a schematic cross-sectional view showing the pipe body 11 along the direction BB' in fig. 3 according to the embodiment of the present disclosure.
In some examples, as described above, the tube body 11 may have a guidewire lumen (not shown) that slidably receives a guidewire.
In some examples, the inner diameter of the guidewire lumen may taper to the size of the lumen inner diameter at the juncture of the tube body 11 and the tip portion 12 (see fig. 5, 6, 7). Thereby, the engagement can be facilitated and the sliding of the guide wire can be facilitated. In some examples, the manner of reducing the inner diameter of the guidewire lumen to the size of the inner diameter of the lumen may be a uniform reduction. In other examples, the inner diameter of the guidewire lumen may be reduced to the size of the inner diameter of the lumen in a manner that reduces the magnitude more closely to the lumen. Additionally, in some examples, the inner diameter of the guidewire lumen may be reduced to the size of the inner diameter of the lumen in a manner that reduces the magnitude less closer to the lumen. In other examples, the inner diameter of the guidewire lumen may be reduced to the size of the inner diameter of the lumen in a stepwise manner. In this case, the way of narrowing can be selected as desired, whereby different properties can be obtained depending on the way of narrowing the guidewire lumen.
As shown in fig. 2, 3, 4, in some examples, the tubular body 11 may have an inner layer 111, a spring layer 112, a braid 113, and a polymer layer 114, as described above. Specifically, the inner layer 111, the spring layer 112, the braid layer 113, and the polymer layer 114 are disposed in close contact (see fig. 4), whereby the fastening property and reliability of the micro-catheter 1 can be improved.
In some examples, the tubular body 11 can have an inner layer 111 that forms a guidewire lumen.
In some examples, the inner layer 111 may be made of one of Polytetrafluoroethylene (PTFE), Fluorinated Ethylene Propylene (FEP), perfluoroalkoxy alkane (PFA), polyethylene terephthalate (PET), or Polyetheretherketone (PEEK).
In some examples, the pipe body 11 may have a spring layer 112 wound around the inner layer 111 in a winding manner and arranged along a length direction of the inner layer 111.
In some examples, the spring layer 112 may be made of metal, and in particular, the spring layer 112 may be made of 304 stainless steel wire.
In some examples, the tubular body 11 may have a braid 113 wound around the outside of the spring layer 112.
In some examples, braid 113 may be made of metal or fiber, and in particular, may be made of 304 stainless steel material.
In some examples, the tube 11 may have a polymer layer 114 overlying the outer side of the braid 113.
In some examples, the polymer layer 114 may be made of one of a polyamide material, a polyether block polyamide, a polyurethane material, an elastomer, or a synthetic rubber.
In some examples, inner layer 111 and polymer layer 114 may not have a distinct boundary, e.g., inner layer 111 and polymer layer 114 may be combined together in a fused, flow-over, thermoplastic, etc. manner. In other examples, the inner layer 111 and the polymer layer 114 may be made of the same material.
In some examples, the spring layer 112 may be made by spirally winding wire material around the inner layer 111 in a winding manner, and the braid layer 113 may be made by braiding wire material on the outer side of the spring layer 112. In this case, even if torque is continuously input from the outside, the spring layer 112 is protected by the outer braid 113 so as not to be scattered, and thus, the reliability of the micro catheter 1 can be improved.
In some examples, the wire used for the spring layer 112 may be a flat wire. In some examples, the braided wire used for braid 113 may be a flat wire. In some examples, a flat wire may refer to a wire that is rectangular in cross-section. Specifically, the spring layer 112 and the braid layer 113 may be wound around the inner layer 111 with the wide surface of the flat wire facing the inner layer 111, thereby reducing the thickness of the spring layer 112 and the braid layer 113. Additionally, in some examples, the spring layer 112 may also use round wires.
In other examples, the thickness of the flat wire used for spring layer 112 may be the same as the thickness of the flat wire used for braid layer 113. Additionally, in some examples, the wire thickness of the spring layer 112 may be greater than the wire thickness of the braid layer 113. Thus, the microcatheter 1 can obtain a sufficient supporting force by the spring layer 112, and the pushability of the microcatheter 1 can be improved.
In other examples, the thickness of the flat wire used for spring layer 112 and braid layer 113 may be uniform. In other examples, the thickness of the flat wire used for the spring layer 112 and the braid layer 113 may be non-uniform.
In this embodiment, the inner layer 111 and the polymer layer 114 are bonded to the tip portion 12, and the spring layer 112 and the braid layer 113 are isolated from the tip portion 12. In some examples, outer tube 122 and inner tube 121 may be joined with polymer layer 114. In this case, the spring layer 112 and the braid layer 113 may be separated by a polymer layer 114.
In some examples, the spring layer 112 may be disposed along a circumferential direction of the inner layer 111 and closely adjacent to the inner layer 111. For example, the spring layer 112 may be formed by winding a wire in a clockwise direction. In addition, the spring layer 112 may be formed by winding a wire in a counterclockwise direction.
In some examples, braid layer 113 may be disposed along a circumferential direction of inner layer 111 and proximate spring layer 112. For example, the braid 113 may be formed by winding a braid wire in a clockwise direction. In addition, the braid 113 may be formed by winding a braid wire in a counterclockwise direction. In other examples, the braided layer 113 may be interlaced in a mesh shape by braiding wires.
Fig. 5 is a schematic sectional view showing the structure of the first embodiment along the AA' direction in fig. 3 according to the embodiment of the present disclosure. Fig. 6 is a schematic sectional view showing the structure of the second embodiment along the AA' direction in fig. 3 according to the embodiment of the present disclosure. Fig. 7 is a schematic sectional view showing the structure of the third embodiment along the AA' direction in fig. 3 according to the embodiment of the present disclosure.
As shown in fig. 5, 6, and 7, in the present embodiment, the tip end portion 12 can be joined to the front end of the elongated tube 11.
In some examples, at the juncture of the tube 11 and the tip portion 12, the outer diameter of the polymer layer 114 gradually decreases in a direction approaching the tip of the tip portion 12, and the outer diameter of the portion of the tip portion 12 that is joined to the tube 11 remains unchanged. Specifically, the outer diameter of the portion of the tip portion 12 that is joined to the tube body 11 coincides with the outer diameter of the tube body 11 at a position near the joint. In this case, the tubular body 11 and the tip portion 12 can be joined by way of a chamfered surface, whereby the flexibility of the tubular body 11 can be gradually changed, and the bending resistance and the tensile resistance can be improved.
In some examples, the manner in which the outer diameter of the polymer layer 114 is tapered in a direction approaching the tip of the tip portion 12 may be a uniform reduction. In other examples, the outer diameter of the polymer layer 114 may be tapered in a direction approaching the tip of the tip portion 12 in a manner that the position closer to the tip of the tip portion 12 is more reduced. In addition, in some examples, the outer diameter of the polymer layer 114 may be gradually decreased in a direction approaching the tip of the tip portion 12 in such a manner that the position closer to the tip of the tip portion 12 is decreased by a smaller magnitude. In other examples, the outer diameter of the polymer layer 114 may be tapered in a stepped manner in a direction approaching the tip of the tip portion 12. In this case, the manner of shrinking may be selected as desired, and thus, different flexibility can be obtained according to the manner in which the polymer layer 114 shrinks.
In some examples, the hardness of tip portion 12 may be less than the hardness of polymer layer 114. In this case, the flexibility of the entire microcatheter 1 can be improved, which is advantageous in improving the ability of the tip to pass through a lesion.
In some examples, the modulus of elasticity at the junction of the tube 11 and the tip 12 is between the modulus of elasticity of the tube 11 and the tip 12. In this case, the overall flexibility of the microcatheter 1 can be improved by gradually decreasing the elastic modulus of the microcatheter 1 from the tube 11 to the tip 12.
In the present embodiment, a projection of the tip portion 12 in the radial direction at least partially coincides with a projection of at least one of the spring layer 112 and the braid layer 113 in the radial direction. Thereby, the elastic modulus of the entire microcatheter 1 gradually decreases from the tube 11 to the distal end 12.
Specifically, in some examples, one end of braid 113 may be closer to tip portion 12 (see fig. 5) than an end of spring layer 112 on the same side as the one end of braid 113. This can improve the strength of the joint between the tip portion 12 and the tube 11, and further improve the bending resistance of the microcatheter 1.
In other examples, one end of spring layer 112 may be closer to tip portion 12 than an end of braid 113 on the same side as the one end of spring layer 112 (see fig. 6). In addition, in some examples, one end of the spring layer 112 and one end of the braid 113 on the same side as the one end of the spring layer 112 may not be both close to the tip portion 12 (see fig. 7). In this case, the arrangement of the spring layer 112 and the braid layer 113 may be provided as needed, whereby the strength of the joint of the tip end portion 12 and the tube body 11 can be improved to various degrees.
In this embodiment, the tip portion 12 may be tapered from the junction of the tube 11. Specifically, the tip portion 12 may gradually decrease in outer diameter from the end position of the joint of the tube body 11. Further, the end position may be a position where a projection of the range covered by the tip portion 12 in the radial direction and a projection of the pipe body 11 in the radial direction do not coincide any more.
In some examples, the tapering of the tip portion 12 may be a uniform reduction. In other examples, the tapering of the tip portion 12 may be in a manner that the position closer to the tip of the tip portion 12 is more reduced in magnitude. Additionally, in some examples, the tapering of the tip portion 12 may be in a manner that reduces the magnitude closer to the location of the tip portion 12. In other examples, the tapering of the tip portion 12 may be a gradual reduction in a stepped manner.
In some examples, the elastic modulus of the outer tube 122 is less than the elastic modulus of the tube body 11, and the elastic modulus of the inner tube 121 is less than the elastic modulus of the tube body 11. This reduces the overall elastic modulus of the tip section 12, and improves the flexibility of the tip section 12. In other examples, the modulus of elasticity of the tip portion 12 is less than the modulus of elasticity of the tube 11. This can improve the pushability and reliability of the microcatheter 1 having the tip portion.
In some examples, the outer tube 122 may taper from an end proximate to the junction to an end distal from the junction. This reduces the elastic modulus of the tip portion 12 at the end remote from the joint, thereby improving the flexibility.
In some examples, the inner tube 121 may extend from the outer tube 122 along the length of the tubular body 11. In this case, when the elastic modulus of the inner tube 121 is smaller than that of the outer tube 122, the tip end portion 12 can further lower the elastic modulus of the end of the tip end portion 12 away from the joint; when the elastic modulus of the inner tube 121 is greater than that of the outer tube 122, the capability of the micro-catheter 1 to pass through a lesion area can be improved; when the elastic modulus of the inner tube 121 is equal to that of the outer tube 122, the elastic modulus of the end of the tip portion 12 remote from the junction can also be reduced, thereby reducing the possibility of occurrence of a condition of damaging the blood vessel.
In some examples, the hardness of the inner tube 121 may be less than the hardness of the outer tube 122. In this case, the possibility of damaging the blood vessel can be reduced, and the flexibility of the tip portion 12 can be improved, which is advantageous for improving the ability of the tip to pass through the lesion.
In some examples, the hardness of the inner tube 121 may be less than the hardness of the polymer layer 114. In this case, the possibility of occurrence of a damaged blood vessel can be reduced, and the flexibility of the micro-catheter 1 can be improved, which is advantageous for improving the ability of the tip to pass through a lesion.
In this embodiment, the tip portion 12 may have a lumen in communication with the guidewire lumen, the lumen having an inner diameter no greater than the inner diameter of the guidewire lumen. Specifically, in some examples, the inner diameter of the lumen may be equal to the inner diameter of the guidewire lumen. In other examples, the inner diameter of the lumen may be less than the inner diameter of the guidewire lumen but greater than the inner diameter of the guidewire.
In some examples, the microcatheter 1 also includes a coating applied to the inner wall of the guidewire lumen and the lumen. Thereby, the passage of the guide wire in the micro-catheter 1 can be facilitated. In particular, the coating may be a high lubricity hydrophilic polymer. In other examples, a coating may also be applied to the outer wall of the polymer layer 114 of the microcatheter 1. Thereby, the friction force can be reduced to facilitate pushing.
In the present embodiment, the tip portion 12 may have an inner tube 121 and an outer tube 122 disposed outside the inner tube 121.
In some examples, the tip portion 12 is engaged with the tube body 11 by the inner tube 121 engaging the tube body 11 and the outer tube 122 being sleeved over and welded to the inner tube 121. This can improve the pushability of the tip portion 12.
While the present disclosure has been described in detail in connection with the drawings and examples, it should be understood that the above description is not intended to limit the disclosure in any way. Those skilled in the art can make modifications and variations to the present disclosure as needed without departing from the true spirit and scope of the disclosure, which fall within the scope of the invention.
Claims (10)
1. A microcatheter having a tapered tip portion, said microcatheter comprising an elongated tubular body and a tip portion joined to a forward end of said tubular body; the tube body has a guidewire lumen that slidably receives a guidewire; the tip part is gradually contracted from the joint of the tube body, the tip part is provided with a cavity communicated with the guide wire inner cavity, and the tip part is provided with an inner tube and an outer tube arranged outside the inner tube; the catheter body includes an inner layer forming the guide wire lumen, a spring layer wound around the inner layer in a wound manner and arranged in a longitudinal direction of the inner layer, a braid layer provided on an outer side of the spring layer, and a polymer layer covering an outer side of the braid layer.
2. The microcatheter of claim 1, wherein:
the inner diameter of the cavity is not larger than that of the guide wire inner cavity, and the inner diameter of the guide wire inner cavity is gradually reduced to the size of the inner diameter of the cavity.
3. The microcatheter of claim 1, wherein:
a projection of the tip portion in a radial direction at least partially coincides with a projection of at least one of the spring layer and the braid layer in a radial direction.
4. The microcatheter of claim 1, wherein:
the inner layer and the polymer layer are combined together by welding, tack welding, thermoplastic, etc.
5. The microcatheter of claim 1, wherein:
the spring layer is made by spirally winding a wire material around the inner layer in a winding manner, and the braid layer is made by braiding a braided wire material on an outer side of the spring layer.
6. The microcatheter of claim 5, wherein:
the wire rods used by the spring layer are flat wire rods, the braided wire rods of the braided layer are flat wire rods, and the flat wire rods of the spring layer are consistent with the flat wire rods used by the braided layer in thickness.
7. The microcatheter of claim 1, wherein:
the inner layer and the polymer layer are bonded to the tip portion, and the spring layer and the braid layer are isolated from the tip portion.
8. The microcatheter of claim 1, wherein:
the elasticity modulus of the joint of the tube body and the tip part is between the elasticity moduli of the tube body and the tip part.
9. The microcatheter of claim 1, wherein:
the outer diameter of the polymer layer is gradually reduced in a direction approaching the tip of the tip portion, and the outer diameter of the portion where the tip portion is engaged with the tube body is maintained.
10. The microcatheter of claim 1, wherein:
the elastic modulus of the outer pipe is smaller than that of the pipe body, and the elastic modulus of the inner pipe is smaller than that of the pipe body.
Priority Applications (1)
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CN202210304678.3A CN114832203A (en) | 2020-05-27 | 2020-05-27 | Microcatheter with tapered tip |
Applications Claiming Priority (2)
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CN202010463498.0A CN111467649B (en) | 2020-05-27 | 2020-05-27 | Micro-catheter |
CN202210304678.3A CN114832203A (en) | 2020-05-27 | 2020-05-27 | Microcatheter with tapered tip |
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CN202210304677.9A Active CN114832202B (en) | 2020-05-27 | 2020-05-27 | Microcatheter with spring layer and braid layer |
CN202210304678.3A Pending CN114832203A (en) | 2020-05-27 | 2020-05-27 | Microcatheter with tapered tip |
CN202010463498.0A Active CN111467649B (en) | 2020-05-27 | 2020-05-27 | Micro-catheter |
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CN114146293B (en) * | 2020-12-23 | 2024-03-22 | 上海璞康医疗器械有限公司 | Multifunctional microcatheter for coronary artery medicine injection |
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Also Published As
Publication number | Publication date |
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CN111467649B (en) | 2022-03-29 |
CN111467649A (en) | 2020-07-31 |
CN114832202B (en) | 2024-05-17 |
CN114832202A (en) | 2022-08-02 |
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