U.S. patent number 3,785,683 [Application Number 05/220,843] was granted by the patent office on 1974-01-15 for connecting device for a catheter.
This patent grant is currently assigned to Siemens Aktiengesellschaft. Invention is credited to Ter Je Roj Enok Adelhed.
United States Patent |
3,785,683 |
Adelhed |
January 15, 1974 |
CONNECTING DEVICE FOR A CATHETER
Abstract
A device for connecting a catheter with a container for contrast
medium which is subjected to pressure is characterized by coupling
means which are liquid-tightly connected with each other, at least
one of these means being mounted so as to be rotated relatively to
the other means about the flow axis. These means can be removably
connected by connecting elements with the container for the
contrast medium on the one hand and with the catheter on the other
hand.
Inventors: |
Adelhed; Ter Je Roj Enok
(Jakobsberg, SW) |
Assignee: |
Siemens Aktiengesellschaft
(Erlangen, DT)
|
Family
ID: |
20257738 |
Appl.
No.: |
05/220,843 |
Filed: |
January 26, 1972 |
Foreign Application Priority Data
Current U.S.
Class: |
285/148.4;
604/533; 285/278 |
Current CPC
Class: |
A61M
39/1055 (20130101); A61B 6/504 (20130101); A61B
6/481 (20130101) |
Current International
Class: |
A61B
6/00 (20060101); A61M 39/10 (20060101); A61M
39/00 (20060101); A61m 005/00 (); F16l
027/00 () |
Field of
Search: |
;285/278,281,280,275,272,11,169 ;128/334C,348,DIG.9,214R |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Callaghan; Thomas F.
Attorney, Agent or Firm: Richards & Geier
Claims
I claim:
1. A device for connecting a catheter with a container for a
contrast medium, said container being subjected to pressure, said
device comprising coupling means having a cylinder, a connecting
element removably connecting said cylinder with said container and
having a channel for the flow of the contrast medium, another
connecting element removably connecting said cylinder with said
catheter and having a channel for the flow of the contrast medium,
covers closing both ends of the cylinder and having openings for
said channels, a first piston liquid tightly mounted in said
cylinder and directed to the first-mentioned connecting element,
said piston having a transverse axial passage coaxial with said
cylinder and communicating with the first-mentioned channel, a
second piston liquid tightly mounted in said cylinder and directed
to the second-mentioned connecting element, said second piston
having a transverse axial bore, a third piston located between the
first and second pistons and liquid tightly mounted in said
cylinder, said third piston being spaced from said first piston, a
shaft firmly connected with said third piston and extending through
the bore of said second piston and to the second-mentioned
connecting element, said third piston and said shaft having a
continuous transverse axial passage constituting a continuation of
the first-mentioned axial passage, and ball bearings between the
second and third pistons, whereby the third piston and its shaft
are rotatable relatively to the first piston.
Description
This invention relates to a device for connecting a catheter with a
container for contrast medium which is subjected to pressure.
It is known to introduce a catheter consisting of thin plastic or
metal tubes, for example, into blood organs and then to connect it
to a container for contrast medium subjected to pressure. When
contrast medium begins to flow in, the catheter is subjected to
high pressure by this medium, so that it can carry out uncontrolled
movements and damage the blood vessels. Obviously it is of great
importance to prevent these damaging catheter movements in a blood
vessel.
It was determined, with surprise, that when the catheter is not
fixed at its outer end directed toward the pressure medium
container, but is capable of moving freely about its longitudinal
axis, it is prevented from carrying out these detrimental
movements.
Therefore, an object of the present invention is the provision of
connecting means providing a complete seal and yet making possible
a free rotation of the catheter relatively to the contrast medium
container.
Other objects of the present invention will become apparent in the
course of the following specification.
In the accomplishment of the objectives of the present invention it
is found desirable to provide coupling means which are
liquid-tightly connected with each other, at least one of these
means being mounted so as to be rotated relatively to the other
means about the flow axis, whereby the means can be removably
connected by connecting elements with the contrast medium container
on the one hand and with the catheter on the other hand.
According to an advantageous embodiment of the present invention
the coupling means consist of a cylinder provided with a cover
closing at least one of its front surfaces. A piston sealed against
the cylinder walls is introduced into the cylinder and is mounted
so as to be rotatable about the longitudinal axis of the cylinder.
The piston is secured against sliding out. The cylinder has a flow
channel for the flow of the contrast medium into its interior, the
channel being closed by a connecting element. The piston has a flow
channel closed by another connecting element for the flow of the
contrast medium outwardly from the interior of the cylinder. This
device which is similar in its structure to an injection syringe,
solves the main object of the present invention in a surprisingly
simple technically manufacturing manner.
According to a further development of the present invention the
coupling means consist of two pistons introduced into the cylinder
and secured against sliding out, the pistons being rotatable about
the longitudinal axis of the cylinder. Each of the pistons has a
flow channel provided with a separate connecting element for the
flow of the contrast medium from one connecting element into the
interior of the cylinder and then outwardly to the other connecting
element. Practical experience has shown that this double rotating
capacity provides better working conditions.
According to still another development of the present invention a
particularly good seal against the outgoing contrast medium is
produced when the cylinder can be closed at the front sides up to
the flow channels and when the surfaces of the covers and pistons
extending toward each other and at right angles to the axis of the
cylinder are shaped as superior joints.
Furthermore, the present invention makes it possible for one of the
pistons to run particularly softly, whereby only this piston must
be provided with special bearing means, and to provide a good
sealing for this piston. For that purpose a further piston is
provided between that piston which is directed toward the catheter
and the cover. This additional piston is introduced with liquid
seal into the cylinder and it has a concentrical axial bore through
which passes the shaft of the adjacent piston. This shaft is
rotatable about the longitudinal axis of the cylinder and is also
sealed against liquid. Frictionally poor bearing means are
introduced between the surfaces of the two pistons which are
directed toward each other and extend at right angles to the axis
of the cylinder.
The invention will appear more clearly from the following detailed
description when taken in connection with the accompanying drawings
showing by way of example only, a preferred embodiment of the
inventive idea.
In the drawings:
FIG. 1 is a diagram illustrating the main features of a device for
catheterizing a patient.
FIG. 2 is a side view, partly in section, of a connecting device in
accordance with the present invention.
According to FIG. 1 an automatically operated high pressure
injection syringe 1 supplies dosed amounts of contrast medium
during predetermined time periods through a hose 2 to the catheter
3 which is introduced into an arm vein of a patient 5 lying upon
the table 4 of an X-ray device (not shown). The high pressure
injection syringe 1 has an operating section 6 with setting means 7
and 8 for the amount of the contrast medium and the duration of the
injection, as well as a button 9 for releasing the flow of the
contrast medium which can be also operated automatically, for
example, depending upon the heart phase of the patient 5.
The contrast medium is located in the spray cylinder 10 which is
connected with the operating section 6 by holding elements 11 and
12. The spray piston 13 is connected by a connecting rod 14 with a
lever 15 which actuates the spray piston 13 depending upon values
selected by the setting means 7 and 8.
In order to avoid the transmission of forces appearing in the hose
2 as the result of high pressure of the contrast medium to the
catheter 3, the hose 2 carries a connecting device 16 which is
shown in detail in FIG. 2.
This connecting device 16 has a cylinder 17 which may consist
entirely of metal or of a glass tube having metallic end caps, as
used in known injection syringes. One end of the cylinder is closed
by a front wall 18. A piston 19 having a seal 20 is introduced into
the upper part of the cylinder 17. The flow channel of the piston
for the contrast medium is formed by a cylindrical shaft 21
extending through a concentric bore of the front surface 18 of the
cylinder 17. The outer end of the shaft carries a connecting
element 25 shaped as a box coupling for connecting the device with
the pressure container (not shown) for the contrast medium. In
order to provide a flow for the contrast medium the cylinder and
the shaft have a channel 23 extending in the longitudinal
direction.
The end surface of the piston 19 directed toward the front cover
18, as well as the surface of the cover 18 directed toward the
piston extend at right angles to the central axis of the cylinder
17 and are so ground that the two surfaces tightly engage each
other forming a so-called superior joint.
The cylinder 17 also contains a second piston 27 similar in shape
to the first piston 19 and arranged also with fine fitting in the
lower part of the cylinder. A flow channel 31 extends
longitudinally through the piston 27 and its shaft 29. At the end
of the shaft 29 there is a further coupling member 33 having the
shape of a plug coupling for providing a liquid-tight connection
between the channel 31 and a catheter.
The front surfaces of the two pistons 19 and 27 extend at right
angles to the longitudinal axis of the cylinder and are separated
from each other by a small intermediate space 22.
A third piston 37 is located between the surface of the piston 27
directed toward the catheter and the cover 39 of the cylinder 17.
The cylindrical shaft 29 which is concentrical to central axis of
the cylinder, is freely rotatable in the piston 37 and extends
through it with liquid-tight seal. The piston 37 is also introduced
into the cylinder 17 with a sealing slide, The front surface of the
piston 37 extending toward the catheter also engages the inner
surface 40 of the cover 39 with a so-called superior joint. The
inner surface 40 of the cover 39, just as the front surface of the
cover 18, is also preferably surface ground and extends at a right
angle to the axis of the cylinder.
The cover 39 has a concentric bore, similar to that of the piston
37, and the shaft 29 is rotatably mounted in that bore with fine
fitting. The cover 39 can be screwed upon the outer surface of the
cylinder 17 by screw threads 41. The surfaces of the pistons 27 and
37 which face each other also extend at a right angle to the axis
of the cylinder. Axial ball bearings 35 are located between these
surfaces.
The operation of the described device is as follows:
Liquid contrast medium is introduced under pressure into the
connecting element 25 and flows through the channel 23 in the
direction of the arrow 26. The fine sealing of the engaging
surfaces between the piston 19 and the cylinder 17 results in that
the contrast medium cannot penetrate to the bore of the front cover
18. This seal is also strengthened by the fine joint engagement of
the front surface of the piston 19 with the inner ground surface 24
of the cover 18.
The contrast medium penetrates through the channel 23 into the
space 22 between the pistons 19 and 27 and then flows through the
channel 31 and the coupling member 33 to the catheter in the
direction of the arrow 34.
The device composed of the piston 27 with the shaft 29 and the
connecting element 33 must easily rotate in the cylinder 17 while
remaining sealed and must be able to move slightly axially. For
that purpose a frictionally poor bearing consisting of ball
bearings 35 is provided between the piston 27 and the piston 37.
The space 22 between the two pistons 19 and 27 has the purpose to
prevent any difficulty in the rotation of the piston 27 which could
occur if the two opposed front surfaces of the pistons 19 and 27
would be in engagement. The piston 37 does not serve essentially as
a seal but to guide the shaft 29 of the piston 27; its front
surface directed toward the interior of the cylinder serves as a
support for the ball bearings 35.
The construction of the piston 37 in such manner that it can be
shifted with slide seal into the cylinder 17, has essentially the
manufacturing reason that the device can be composed of pistons of
the same diameter and of at least approximately equal lengths.
Furthermore, the manufacture is simplied in that the two pistons 19
and 27 with their shafts 21 and 29 and extending channels 23 and 31
have essentially the same structure. In addition, the described
construction with three pistons results in a higher safety as far
as seal is concerned.
It is basically possible to eliminate the piston 37 and to provide
the friction-poor bearing consisting of balls 35 between the inner
surface 40 of the cover 39 and the opposed front surface of the
piston 27.
However, by keeping the piston 37 and providing a fine adjustment
between the shaft 29 and the channel 31 in the piston 37 and a fine
adjustment between the outer surface 38 of the piston 37 and the
inner surface of the cylinder 17, a greater security is provided
for the contrast medium which could penetrate between the outer
surface 38 of the piston 37 and the inner surface of the cylinder
17. The contrast medium will penetrate outwardly, since the
pressure in the range of the ball bearings 35 is small as long as
this intermediate space is not completely filled with the contrast
medium.
In order to further improve the sealing, the outer surface of the
piston 27 is provided with an annular groove 43. As long as this
groove is not completely filled with liquid, the pressure between
the hollow of the groove 43 and the intermediate space at the ball
bearings 35 is small, and thus prevents to a substantial extent the
passage of the medium along the outer wall of the piston 27.
It is also basically possible to eliminate the piston 19 by firmly
connecting the shaft 21 with the cover 18 or making the two of one
piece.
However, there is an advantage of having the piston 19 which in the
illustrated construction is provided with an annular groove 42 in a
manner similar to that of piston 27. This advantage consists in
being able to provide a relative rotary movement between the
cylinder 17 on the one hand and the device consisting of the piston
19, the shaft 21 and the connecting element 25 on the other hand.
This provides the possibility of a double rotary movement between
the two connecting elements 25 and 33.
* * * * *