CANNULA

Abstract

The invention relates to a cannula comprising a tip and an outlet, the cannula having a reduction in the internal diameter, which reduction is designed as a conically tapering tip the end of which has a length that is shorter than the internal diameter of the adjoining portion of the cannula.

Description

The invention relates to a cannula with a syringe and an outlet. Such cannulas are used in particular as arterial cannulas. There are available in different diameters and lengths.

The object of the invention is to further develop such cannulas.

According to a first aspect of the invention this object is achieved in that the internal diameter of the cannula is reduced.

The reduction in the internal diameter can be in the form of a conically tapering tip. In this case it can be advantageous if the conical end of the tip has a length that is shorter than the internal diameter of the area of the cannula adjoining it.

The reduction in the internal diameter can also be in the form of a calibre narrowing between two cylindrical cannula sections with different diameters.

In this case it is advantageous if the reduction in the internal diameter it located at a distance of 25% to 40%, preferably around 30%-35% of insertion length away from the tip of the cannula. In an advantageous example of embodiment the tapering starts after around two thirds of the cannula or insertion length.

A preferred insertion length of the cannula is around 20-50 cm, preferably between 28 and 45 cm. This makes several application variants possible, depending on the length. A short insertion length allows application below the renal artery and a long insertion lengths permits application above or at the rental artery.

Depending on the reduction of the diameter sudden changes in calibre come about which can exhibit a Delta of 2 Fr-4 Fr for example. Examples of relevance to practice are 15 Fr to 13 Fr, 17 Fr to 15 Fr, 17 Fr to 13 Fr, 19 Fr to 17 Fr and 19 Fr to 15 Fr.

Such a reduction in the internal diameter of a cannula results in a jet current at the cannula tip, in the short insertion length or in the cannula section with the reduced diameter.

An advantageous variant of embodiment of the cannula envisages that it has lateral holes and the reduction diameter is arranged between the lateral holes and the tip of the cannula. Through the arrangement of such holes in the cannula perfusion of the lower extremities is ensured and the afterload is reduced.

The lateral holes can either be provided in all four quadrants of a cannula so that several holes lie on the same cross-sectional plane of the cannula. In addition, several holes, such as, for example, one to three holes, can be arranged in a row one behind the other.

Another form of embodiment envisages that in two quadrants (180°) or three quadrants (120°) one to three holes are arranged one behind the other in each case. However, two areas can be also provided each with three holes one behind the other, or holes which are offset by 90° with regard to each other.

Particularly in connection with the holes it is proposed that the cannula has a valve. Such a valve is preferably arranged in the area of the reduction in diameter. A preferred example of embodiment envisages a cannula with a valve, which comprises at least one and preferably several flaps.

Such a valve mechanism is based on the principle of the aortic valve with, for example, three leaflets. Preferably the base of the valve is arranged at the transition to the change in calibre. As result of the stronger flow during pump acceleration the valve opens. The ratio of relative flap opening to volumetric flow can be set through the positioning and design of the flap.

According a preferred example of embodiment the valve is located between the opening at the cannula tip and the lateral holes arranged in the cannula. Thus a partial flow of the perfusion is brought about through the cannula centre to the cannula tip and another partial flow through the holes arranged in the cannula wall. The valve located between the lateral holes and the cannula tip can thereby vary these partial flows. With a narrowed valve the volumetric flow increases in the lateral holes and with an open valve the volumetric flow to the cannula tip increases.

A preferred example of embodiment envisages that the valve has at least one and preferably several flaps. These flaps can be arranged within the cannula in order to restrict the throughflow to the cannula tip within the cannula. It is advantageous if at least one flap has a spring mechanism. This spring mechanism can be achieved through a spring or through the selection of material and design of the flaps.

When using the cannula, during the phase of low throughflow through the cannula, for example during heart systole, the spring force of the valve can close the cannula or reduce the throughflow. Here the force of the volumetric flow acts against the spring force of the valve. If the force of the volumetric flow is less than the spring force of the value, the valve closes. If lateral holes are present, this results in the blood flow mainly being directed through the lateral holes and thus supplying the lower extremities for example. This takes place, for example with heart systole during a cardiogenic shock as it is too weak to open the valve, through which the lower extremities are better supplied with blood. Depending on the arrangement of the lateral holes the renal artery can also be supplied in this situation.

As a mechanism for closing the valve a passive mechanism can envisaged in which the flow through the valve is reduced through the material stiffness of the flap at reduced volumetric flow. Alternatively or additionally a spring mechanism can be provided on the outer edges of the valve leaflet,

A further aspect of the invention envisages that on its inner side the cannula has at least in sections, a spiral-shaped structure. Through such a structure the liquid flowing within the cannula can acquire a rotational movement which stabilises the flow. This is advantageous particularly in connection with the tapering, the openings or the valve as any change on the inner side of the cannula influences the stable volumetric flow.

A spiral-shaped structure on the inner side of the cannula can for example be achieved through a spiral arrangement of the holes within the cannula. Alternatively or additionally it is however be envisaged that in accordance with the principle of a rifle barrel helical embossing is provided on the inner side of the cannula. According to a first example of embodiment the structure is in the form of an elevation. For this, for example, spiral-shaped or multiple thread structure is provided that penetrates convexly into the interior of the volume. Such a structure can be incorporated into or applied to the inner wall of the cannula. In doing so mixed forms between convex and concave cannula areas can be provided which are produced by application and removal on the inner wall of the cannula or a corresponding design of the inner all of the cannula.

The structure can extend within the cannula over the entire cannula length or over only part of the cannula length. For example in the direction of flow the structure can only be provided in the last third of the insertion length in order to only give the medium flowing in the cannula a rotational movement there.

The incline of the spiral-shaped structure brings about the relevant rotational movement. The incline of the structure can be given as sinus α (cannula length divided by cannula diameter) or as sinus α of the reciprocal value. This results in an incline=sinus α (cannula length divided by diameter) or an incline=sinus α (1 divided by cannula length or diameter).

A special variant envisages that the structure is formed by a wire reinforcement of the cannula. A wire reinforcement provided within the cannula can be helical and result in a corresponding spiral structure within the cannula which brings about a rotational movement within the cannula.

Examples of embodiment of cannulas according to the invention are shown in the drawing and will be described in more detail below. In this:

FIG. 1 shows a side view of a cannula with tapering an a prolonged tip,

FIG. 2 shows a side view of a cannula with a conical tip,

FIG. 3 shows a side view of a cannula with several holes on its circumference,

FIG. 4 shows a side view of a cannula with holes arranged offset with regard to each other on the circumference

FIG. 5 schematically shows the function of an open valve in a partially cross-sectional side view,

FIG. 6 schematically shows a front view of the valve shown in FIG. 5,

FIG. 7 schematically shows a side view of a partially closed valve,

FIG. 8 schematically shows a front view of the valve shown in FIG. 7,

FIG. 9 schematically shows a cross-section through a valve with a convex spiral-shaped elevation,

FIG. 10 schematically shows a cross-section through a cannula with two opposite spiral-shaped elevations and

FIG. 11 schematically shows a cross-section through a cannula with four concavely designed spiral-shaped recesses.

The cannula 1 shown in FIG. 1 has a cylindrical basic body 2, a cylindrical cannula tip 3 and in between as a diameter reduction 4 concave tapering which forms a transition between the cylindrical basic body 2 with the larger diameter and the cylindrical tip 3 with the smaller diameter. The position of the tapering 4 is selected so that the length 5 is two thirds of the cannula or insertion length.

FIG. 2 shows an alternative front end of the cannula 6 in which a conical tapering 7 forms the front end of the cannula 6 so that the cannula 6 has a conical cannula tip with length 8.

Holes 9, 10 can be provided within the cannula and preferably in the basic body 2 of the cannula with the larger diameter. FIG. 3 shows an arrangement of holes each offset by 90° in the longitudinal direction of the cannula. In the example of embodiment there are thus four rows 11, 12 of holes slightly offset with regard to each other, each of which has three holes 13-15, 16-18 and 19-21.

In the example of embodiment shown in FIG. 4 the entire rows 22, 23, 24 are each arranged offset with regard to each other. In the example of embodiment each of the, rows has three holes. However, two or more holes can also be provided.

In the valve 30 shown in FIGS. 5-8 three valve leaflets 34, 35, 36 are provided in the tapering area 31 between a cannula section 32 with a larger diameter and a cannula section 33 with a smaller diameter, which are attached to the inner wall of the cannula in the tapering area 31. These valve leaflets 34-36 are opened by a volumetric flow 37 so that an opening 38 comes about through which a fluid can flow from cannula section 32 to cannula section 33.

If the pressure of the volumetric flow 37, as shown in FIGS. 7 and 8 decreases the valve leaflets 34-36 are forced inwards through their material stiffness so that the opening 38 closes in that the valve leaflets 34-36 are in contact with each other at point 39 and hinder or stop the throughflow.

Different variants for applying a rotating movement within the cannula are shown in FIGS. 9-11. These are only schematically shown variants of embodiment for indicating the possibility of applying a rotating movement within the cannula. FIG. 9 shows a cannula 40 with an elevation 41 bulging radially inwards which extends in a helical manner within the cannula. A double-threaded form of embodiment is shown in FIG. 10. Here, a first elevation 43 and a second elevation 44 opposite the elevation 43 are provided within the cannula 42. Both elevations form part of a double-threaded spiral formed within the cannula 42.

In FIG. 11, using the example of four recesses, it is shown how a rotating movement can be applied to a fluid being conveyed in the cannula by means of recesses 45-48 within the cannula 49.

Claims

1-17. (canceled)

18. A cannula (1) with a tip (3) and an outlet, wherein the cannula exhibits a reduction (4) in the internal diameter, wherein it has a valve (30), which is arranged in the area of the reduction (4) of the diameter.

19. The cannula according to claim 18, wherein it has lateral holes (13-18) and the reduction in diameter is arranged between the lateral holes and the tip (3) of the cannula.

20. The cannula according to claim 18, wherein the valve (30) has at least one and preferably several flaps (34-36).

21. The cannula according to claim 20, wherein the at least one flap (34-36) has a spring mechanism.

22. The cannula according to claim 19, wherein one base of a flap is arranged in the area of the reduction of the diameter.

23. The cannula according to claim 18, wherein the reduction (4) in the internal diameter is in the form of a conically tapering tip (7).

24. The cannula according to claim 18, wherein the conical end of the tip (3) has a length (5) which is shorter than that of the internal diameter of the area of the cannula adjoining it.

25. The cannula according to claim 18, wherein the reduction (4) of the internal diameter is in the form of a narrowing of caliber between two cylindrical cannula sections with different diameters.

26. The cannula according to claim 25, wherein the reduction of the internal diameter is located 25% to 40%, preferably around 30% to 35% of the insertion length away from the tip of the cannula.

27. The cannula according to claim 18, wherein it has an insertion length of 20 to 50 cm, preferably 28 to 45 cm.

28. The cannula according to claim 18, wherein the reduction (4) of the diameter is a reduction from 2 to 4 Fr.

29. The cannula according to claim 18, wherein on its inner side, at least in sections, it comprises a spiral-shaped structure (41).

30. The cannula according to claim 29, wherein the structure (41) is an elevation.

31. The cannula according to claim 29, wherein the structure (45-48) is a recess.

32. The cannula according to claim 29, wherein the structure (43, 44) is multiple-threaded.

33. The cannula according to claim 29, wherein the structure is formed by a wire reinforcement of the cannula.