The present invention generally relates to a catheter.
In recent years, treatment of the inside of a lumen such as a blood vessel by using a catheter has been actively performed since surgical invasiveness thereof is very low. The catheter generally includes a shaft including a lumen extending the shaft from a distal end to a proximal end, and a hub disposed at the proximal end of the shaft. The hub is formed with a passage communicating with the lumen in order to connect to a syringe or the like.
As a method for fixing the proximal end of the shaft to the hub, an insert molding method, a bonding method using an adhesive, and the like are known.
In an insert molding method described in Japanese Patent Application Publication No. 10-180802 (JP-A-H10-180802), a shaft is disposed in an injection mold, a part of the shaft is pressed by a fixing pin, and a resin for a hub is injection-molded at a high temperature and a high pressure. Therefore, deformation of the shaft caused by the fixing pin or displacement of the shaft in a longitudinal axis direction may occur. The deformation of the shaft and the displacement in the axial center direction may cause a decrease in fixing strength between the shaft and the hub.
In addition, in a bonding method using an adhesive described in Japanese Utility Model Publication No. 63-17486 (JP-UM-B-S63-17486), if a gap between an outer diameter of a shaft and a lumen of a shaft accommodation unit of a hub is excessively small, the adhesive cannot flow therein, and the gap remains between the hub and the shaft, which may cause a decrease in fixing strength between the shaft and the hub. On the other hand, when the gap between the outer diameter of the shaft and the lumen of the shaft accommodation unit of the hub is excessively large, it is difficult to completely fill the gap between the hub and the shaft with the adhesive, and thus the fixing strength between the shaft and the hub may decrease.
The catheter disclosed here is capable of firmly fixing a shaft and a hub.
A catheter according to one aspect of the disclosure includes: a shaft that is a tubular body in which a lumen extending the shaft from a distal end to a proximal end is formed, and that includes a shaft proximal surface in which the lumen is opened and a shaft outer surface that is an outer peripheral surface of the tube body; and a hub that is attached to the proximal end of the shaft. The hub includes a tubular accommodation unit that is configured to accommodate a portion of the shaft, the accommodation unit includes a hub melted surface that is configured to be directly welded to the shaft outer surface, and at least one of the accommodation unit and the hub includes a plurality of cavities at a position close to the hub melted surface.
In the catheter configured as described above, the accommodation unit and the hub are melted so as to enter each other by cavities. Therefore, the shaft and the hub can be firmly fixed.
The accommodation unit may be formed with a plurality of hub cavities, which are cavities, at a position close to the hub melted surface. Accordingly, the hub melted surface of the accommodation unit has a complicated shape with irregularities and is welded to the outer surface of the shaft. Therefore, the shaft and the hub can be firmly fixed.
The shaft may be formed with a plurality of shaft cavities, which are cavities, at a position close to a shaft melted surface of the shaft outer surface welded to the hub melted surface. Accordingly, the shaft outer surface has a complicated shape with irregularities and is welded to the hub melted surface. Therefore, the shaft and the hub can be firmly fixed.
Both the hub and the shaft may include a plurality of the cavities, and the hub melted surface and the shaft melted surface of the shaft outer surface welded to the hub melted surface may have irregularities and may be welded so as to enter each other. Accordingly, the shaft and the hub can be fixed more firmly.
According to another aspect a catheter comprises a shaft possessing a proximal portion that terminates in a proximal end of the shaft, with the shaft being a tubular body that includes a lumen extending through the shaft in a distal direction from the proximal end of the shaft. The shaft also possesses a shaft inner surface and a shaft outer surface, with the shaft inner surface surrounding the lumen in the shaft. The catheter also includes a hub that possesses a proximal end and a distal end, wherein the hub includes a lumen extending throughout the hub from the proximal end of the hub to the distal end of the hub. The hub includes an accommodation unit, and the lumen in the hub includes one portion that extends throughout the accommodation unit. The accommodation unit possesses an inner surface and also possesses an outer surface, with the proximal portion of the shaft being positioned in the one portion of the lumen in the accommodation unit and the inner surface of the accommodation unit fused to the outer surface of the proximal portion of the shaft, with material forming the accommodation unit and material forming the shaft intermixing with one another in a manner connecting the shaft and the hub to one another. The catheter also includes a plurality of cavities that each include an inner surface surrounding a closed space. The cavities are: i) in the accommodation unit of the hub, with at least some of the cavities being positioned radially closer to the inner surface of the accommodation unit than the outer surface of the accommodation unit; or ii) in the proximal portion of the shaft, with at least some of the cavities being positioned radially closer to the outer surface of the shaft than the inner surface of the shaft.
Another aspect of the disclosure involves a method of securing a shaft of a catheter to a hub of the catheter. The method comprises: positioning a proximal portion of the shaft in an accommodation unit of the hub so that there exists an axially overlapping portion in which the proximal portion of the shaft axially overlaps the accommodation unit of the hub, wherein the positioning of the proximal portion of the shaft in the accommodation unit of the hub comprises positioning the proximal portion of the shaft in the accommodation unit of the hub so that the inner surface of the accommodation unit of the hub faces the shaft outer surface of the proximal portion of the shaft and a portion of the shaft extends distally beyond a distal end of the accommodation unit. The method also includes heating the axially overlapping portion so that the outer surface of the proximal portion of the shaft and the inner surface of the accommodation portion are melted and fused together, with a plurality of cavities that each include an inner surface surrounding a closed space, wherein the cavities are: i) in the accommodation unit of the hub, with at least some of the cavities being positioned radially closer to the inner surface of the accommodation unit than the outer surface of the accommodation unit; or ii) in the proximal portion of the shaft, with at least some of the cavities being positioned radially closer to the inner surface of the shaft than the outer surface of the shaft..
Set forth below with reference to the accompanying drawings is a detailed description of an embodiment of a catheter representing an example of the new catheter disclosed here. The dimensions or scales on the drawings may be exaggerated or different from actuality/reality for convenience of description and illustration. In the following description, a side on which a catheter is operated will be referred to as a “proximal side”, and a side to be inserted into a living body will be referred to as a “distal side”.
As illustrated in
The shaft 20 is formed with a lumen 21 that extends throughout the shaft 20 from a distal end to the proximal end. The shaft 20 includes a shaft outer surface 22, a shaft inner surface 23, and a shaft proximal surface 24 (shaft proximal end surface).
The shaft outer surface 22 is an outer surface in a radial direction of the shaft 20, which is a tubular body, and extends from the distal end to the proximal end of the shaft 20. The shaft outer surface 22 includes a shaft proximal side outer surface 25 extending from the proximal end toward the distal end of the shaft 20 to a predetermined position along the length of the shaft 20. The shaft proximal side outer surface 25 is surrounded by and accommodated in the hub 40. The shaft proximal side outer surface 25 includes a substantially uniform outer diameter along the longitudinal axis X of the shaft 20. The shaft proximal side outer surface 25 includes a shaft melted surface 26 (fused) to the hub 40, and a shaft separated surface 27 that is disposed on the distal side of the shaft melted surface 26 and separated from the hub 40. The shaft separated surface 27 is not welded to the hub 40 and is separated from the hub 40 with a gap therebetween (i.e., a gap between the shaft separated surface 27 and the inner surface of the hub 40). A plurality of shaft cavities 32 are formed in the vicinity of the shaft melted surface 26 of the shaft 20 after the shaft 20 and hub 40 are welded or fused to one another. Each of the shaft cavities 32 includes an inner surface surrounding a closed space.
The shaft inner surface 23 is an inner surface in the radial direction of the shaft 20, which is a tubular body, and extends from the distal end to the proximal end of the shaft 20.
The shaft proximal surface or shaft proximal end surface 24 is a surface facing the proximal side (proximal direction) at the proximal end of the shaft 20, and is formed by being cut perpendicularly to the axial center X of the shaft 20.
The shaft 20 in the present embodiment includes an inner layer 28 that forms the shaft inner surface 23, an outer layer 29 that forms the shaft outer surface 22, and a reinforcement body 30 that is embedded in the shaft 20.
In addition to a polyamide resin, a polyester resin, a polyolefin resin and a polyurethane resin, examples of a constituent material from which the outer layer 29 may be fabricated include a polyamide elastomer, a polyester elastomer, a polyurethane elastomer, a mixture of one or more of these examples, and a mixture of materials having different hardnesses. The outer layer 29 may be formed by arranging materials having different hardnesses so as to become softer from the proximal end toward the distal end.
A constituent material from which the inner layer 28 may be fabricated may be the same material as the constituent material of the outer layer 29 described above, or may be a material different from the constituent material of the outer layer 29. The constituent material of the inner layer 28 may be a fluorine-based resin material such as a polytetrafluoroethylene resin in order to improve sliding property of an inner peripheral surface of the shaft 20.
The reinforcement body 30 reinforces the shaft 20, and is formed by braiding a plurality of reinforcement wires 31 into a tubular shape. In addition, the reinforcement body 30 may also be formed by spirally winding one or more reinforcement wires 31. The material of the outer layer 29 or the inner layer 28 enters gaps between the plurality of reinforcement wires 31 in the reinforcement body 30. The reinforcement wire 31 is made of a metal such as stainless steel or NiTi.
The hub 40 includes a tubular accommodation unit 41 that is disposed on the distal side and accommodates a proximal portion of the shaft 20, a hub main body 42 that is disposed on a proximal side of the accommodation unit 41, wings 52, a threading projection 53, and an annular projection 54. In the hub 40, a hub lumen 45 is formed which extends from a hub distal end opening 43 formed at a distal end of the accommodation unit 41 to a hub proximal end opening 44 formed at a proximal end of the hub main body 42. The hub lumen 45 includes an accommodation surface 46 that is an inner peripheral surface of the accommodation unit 41, an adjacent surface 47 that faces the shaft proximal surface 24, and a hub passage 48 that is an inner peripheral surface of the hub main body 42.
The accommodation surface 46 includes a hub melted surface 49 directly welded to the shaft melted surface 26 of the shaft proximal side outer surface 25, and a hub separated surface 50 that is separated outward in the radial direction from the shaft separated surface 27 and faces the shaft separated surface 27. That is, the hub separated surface 50 gradually expands in inner diameter as shown in
The adjacent surface 47 is an annular surface facing the distal side (distal direction), and is formed substantially perpendicular to the axial center X (center axis) of the shaft 20. An outer side of the adjacent surface 47 in the radial direction is connected to the hub melted surface 49. An inner side of the adjacent surface 47 in the radial direction is connected to a distal end of the hub passage 48.
The hub passage 48 extends from the adjacent surface 47 in a proximal direction. The hub passage 48 is formed in a tapered shape whose inner diameter gradually increases toward the proximal direction. The hub passage 48 is preferably coaxial with the accommodation surface 46 and further coaxial with the lumen 21. An inner diameter of the distal end of the hub passage 48 is preferably substantially equal to an inner diameter of the shaft 20, though is not limited in that regard. A part of the tapered hub passage 48 may include a Luer tapered portion 51 connectable to a syringe. A guide wire or a treatment catheter inserted from the hub proximal end opening 44 smoothly passes through the hub lumen 45 in the hub 40 and the lumen 21 in the shaft 20, and protrudes from a distal end of the catheter 10. Accordingly, the guide wire and the treatment catheter 10 can easily reach a target position such as a lesion area.
The wings 52 are formed so as to protrude from two opposing locations on an outer peripheral surface of the hub main body 42 such that an operator can easily grip and operate the hub 40. The threading projection 53 is formed on the outer peripheral surface of the hub main body 42 on the proximal side. The threading projection 53 can be engaged with a Luer lock type syringe or the like. The annular projection 54 is a projection formed over 360° on an outer peripheral surface of the accommodation unit 41. The annular projection 54 is fittable into a groove formed in an inner peripheral surface of the strain relief 60.
A constituent material from which the hub 40 may be fabricated is not particularly limited as long as the material is a thermoplastic resin that can be injection-molded, a material that easily transmits heat or electromagnetic waves is preferable, and specific examples thereof include a polyolefin resin, a polyamide resin, a polycarbonate resin, and a polyester resin.
Next, a method of welding the shaft 20 and the hub 40 will be described. As illustrated in
First, the proximal side of the shaft 20 is inserted into the accommodation unit 41, and the shaft proximal surface 24 is abutted against the adjacent surface 47. It should be noted that the shaft proximal surface 24 may not be abutted against the adjacent surface 47 and there may be a gap between the shaft proximal surface 24 and the adjacent surface 47. In addition, a proximal end of the shaft proximal side outer surface 25 is abutted against the proximal end of the hub melted surface 49. It should be noted that the shaft proximal side outer surface 25 may not be abutted against the hub melted surface 49, and there may be a gap between the shaft proximal side outer surface 25 and the hub melted surface 49. As shown in
Next, a mandrel is inserted into the lumen 21 of the shaft 20, and the shaft proximal side outer surface 25 and the accommodation unit 41 of the hub 40 are heated. That is, an axially overlapping portion in which the proximal portion of the shaft 20 axially overlaps the accommodation unit 41 of the hub 40 is heated. Accordingly, the shaft proximal side outer surface 25 and the accommodation surface 46 are melted, and the hub melted surface 49 and the shaft melted surface 26 are welded (fused). The hub melted surface 49 and the shaft melted surface 26 may have an integrated structure by being mixed with each other. A heating method is not particularly limited, and examples thereof include a method of emitting electromagnetic waves having a wavelength that allows the electromagnetic waves to be transmitted through the hub 40 and does not allow the electromagnetic waves to be transmitted through the shaft outer surface 22. Since the shaft outer surface 22 does not transmit the electromagnetic waves, the shaft proximal side outer surface 25 is heated and melted at first. Then heat of the shaft proximal side outer surface 25 is transferred to the accommodation unit 41 to melt the accommodation unit 41.
The electromagnetic waves include infrared rays in addition to heat, microwaves, and visible light. The infrared rays are near-infrared rays having a wavelength of about 0.7 µm to 2.5 µm, mid-infrared rays having a wavelength of about 2.5 µm to 4 µm, or far-infrared rays having a wavelength of about 4 µm to 1000 µm, and the infrared rays may be near-infrared rays, mid-infrared rays, far-infrared rays alone or containing two or more types thereof, and may also contain visible light or microwaves.
An electromagnetic wave irradiation method is not particularly limited, and a semiconductor solid-state laser such as a YAG laser using neodymium, a fiber laser, or the like may be used.
The term “electromagnetic waves are transmitted” means that, in addition to being transparent to the naked eye under visible light, a measured transmittance (hereinafter, referred to as the transmittance) is 80% or more, and more preferably 85% or more. The transmittance can be measured by irradiating a sheet having a thickness of 0.4 mm to 0.5 mm prepared by melt-pressing resin pellets with electromagnetic waves having a specific wavelength and using a spectroscopic analyzer, for example, a Fourier transform infrared and near-infrared spectroscopic analyzer. Therefore, since the electromagnetic waves are not limited to visible light, the term “electromagnetic waves are transmitted” includes being transparent with respect to a specific wavelength even if the electromagnetic waves are colored or opaque to the naked eye.
In addition, the term “electromagnetic waves are not transmitted” means that, in addition to being opaque or colored to the naked eye under visible light, the transmittance is less than 80%, preferably less than 10%, and more preferably less than 1%. Therefore, since the electromagnetic waves are not limited to visible light, the term “electromagnetic waves are not transmitted” includes being opaque or absorbed with respect to a specific wavelength even if the electromagnetic waves are transparent to the naked eye.
In the outer layer 29, a pigment that does not transmit heat or electromagnetic waves, or a pigment that absorbs heat or electromagnetic waves, may be mixed in an amount of 0.01 wt% or more and less than 10 wt%, preferably 0.05 wt% or more and 5 wt% or less, and more preferably 0.1 wt% or more and 1 wt% or less with respect to total resin. Alternatively, the outer layer 29 may not contain any pigment, contrast agent, or the like, and the resin forming the outer layer 29 may have a low transmittance with respect to a specific wavelength. Alternatively, in the outer layer 29, a metal having X-ray contrast properties may be mixed in place of, or together with the pigment.
The pigment is not particularly limited as long as the pigment is a pigment that develops white, black, blue, red, or yellow or a mixture thereof, and a black pigment, for example, carbon black is preferable as a pigment that easily absorbs electromagnetic waves. The X-ray contrast agent is, for example, a compound of gold, bismuth, and tungsten, and is more preferably in the form of powder.
For example, as illustrated in
When the shaft proximal side outer surface 25 and the accommodation surface 46 are welded or fused, as illustrated in
The hub separated surface 50 located at the distal end of the hub melted surface 49 is not welded to the shaft separated surface 27, and a gap is maintained between the hub separated surface 50 and the shaft separated surface 27. When the entire hub melted surface 49 located on the proximal side of the hub separated surface 50 is welded to the shaft melted surface 26, the irradiation of the infrared laser L is stopped. Accordingly, fixation of the hub 40 and the shaft 20 is completed.
As described above, the catheter 10 according to the present embodiment is the catheter 10 including: the shaft 20 that is the tube body in which the lumen 21 extending the shaft 20 from the distal end to the proximal end is formed, and that includes the shaft proximal surface 24 in which the lumen 21 is opened and the shaft outer surface 22 that is the outer peripheral surface of the tube body; and the hub 40 attached to the proximal end of the shaft 20. The hub 40 includes the tubular accommodation unit 41 configured to accommodate the shaft 20, the accommodation unit 41 includes the hub melted surface 49 directly welded to the shaft outer surface 22, and at least one of the accommodation unit 41 and the hub 40 is formed with a plurality of cavities at a position close to the hub melted surface 49.
In the catheter 10 configured as described above, the shaft 20 and the hub 40 are welded so as to enter each other and become intermixed by the plurality of cavities (i.e., the material forming the shaft 20 and the hub 40 enter each other and become intermixed by the cavities). Therefore, the shaft 20 and the hub 40 can be firmly fixed together. Therefore, the shaft 20 can be prevented from being detached from the hub 40 in a case where a high pressure of a contrast agent injected into the catheter 10 is applied, a case where a tensile force acts between the hub 40 and the shaft 20 when the shaft 20 is pulled out from a body, or the like.
In addition, the accommodation unit 41 is formed with the plurality of hub cavities 55, which are cavities, at a position close to the hub melted surface 49. Accordingly, the hub melted surface 49 of the accommodation unit 41 has a complicated shape with irregularities and is welded to the shaft outer surface 22. Therefore, the shaft 20 and the hub 40 can be firmly fixed. As illustrated in
In addition, the shaft 20 is formed with the plurality of shaft cavities 32, which are cavities, at a position close to the shaft melted surface 26 of the shaft outer surface 22 welded to the hub melted surface 49. Accordingly, the shaft outer surface 22 has a complicated shape with irregularities and is welded to the hub melted surface 49. Therefore, the shaft 20 and the hub 40 can be firmly fixed. As illustrated in
In addition, both the hub 40 and the shaft 20 include the plurality of cavities, and the hub melted surface 49 and the shaft melted surface 26 of the shaft outer surface 22 welded to the hub melted surface 49 have irregularities and are welded so as to enter each other (become intermixed with one another or blended together). Accordingly, the shaft 20 and the hub 40 can be fixed more firmly.
The present invention is not limited to the above-described embodiment, and various modifications can be made by those skilled in the art within the technical idea of the present invention. For example, the shaft 20 may be heated by high-frequency induction heating during which heating is performed by electromagnetic induction. An electromagnetically-induced conductor is, for example, the reinforcement body 30.
The detailed description above describes embodiments of a catheter and catheter manufacturing method representing examples of the catheter and catheter manufacturing method disclosed here. The invention is not limited, however, to the precise embodiments and variations described. Various changes, modifications and equivalents can be effected by one skilled in the art without departing from the spirit and scope of the invention as defined in the accompanying claims. It is expressly intended that all such changes, modifications and equivalents which fall within the scope of the claims are embraced by the claims.
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Number | Date | Country | Kind |
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2020-095666 | Jun 2020 | JP | national |
This application is a continuation of International Patent Application No. PCT/JP2021/012978 filed on Mar. 26, 2021, which claims priority to Japanese Patent Application No. 2020-095666 filed on Jun. 1, 2020, the entire content of both of which is incorporated herein by reference.
Number | Date | Country | |
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Parent | PCT/JP2021/012978 | Mar 2021 | US |
Child | 18057258 | US |