U.S. patent number 3,903,896 [Application Number 05/456,645] was granted by the patent office on 1975-09-09 for catheter for the electrical stimulation of the heart.
Invention is credited to Dietrich Harmjanz.
United States Patent |
3,903,896 |
Harmjanz |
September 9, 1975 |
Catheter for the electrical stimulation of the heart
Abstract
Electrical plugs are attached to the electrical conductors of a
catheter for the electrical stimulation of the heart by exposing a
conductor by removal of a portion of the insulation from the
catheter and firmly positioning a connecting member against the
exposed conductor.
Inventors: |
Harmjanz; Dietrich (3 Hannover,
DT) |
Family
ID: |
23813580 |
Appl.
No.: |
05/456,645 |
Filed: |
April 1, 1974 |
Current U.S.
Class: |
607/122; 174/71R;
439/877 |
Current CPC
Class: |
A61N
1/056 (20130101) |
Current International
Class: |
A61N
1/05 (20060101); A61N 001/04 () |
Field of
Search: |
;128/418,404,419P,419C,419E,2.6E,2.1E,DIG.4 ;339/276T
;174/71R,88R |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Cohen; Lee S.
Attorney, Agent or Firm: Molinare, Allegretti, Newitt &
Witcoff
Claims
What I claim is:
1. In a catheter for electrical stimulation of the heart of the
type including a plastic cord of substantially circular
cross-section, a first and second conductor within said plastic
cord, said first and second conductors being substantially
diametrically opposed, a pair of electrodes at one end of said
plastic cord, and a pair of plugs near the end opposite said
electrodes, an improved means for connecting said plugs and said
first and second conductors, respectively, comprising, in
combination:
a first and second contact area along said plastic cord, said first
and second contact areas being substantially diametrically opposed
and exposing a portion of said first and second conductors,
respectively, said portion of said first and second conductors
having a predetermined length;
a first and second electrically conductive sleeve engagingly
receiving said plastic cord, said first and second sleeves having a
sleeve length greater than said predetermined length and a crimped
portion substantially longitudinally and radially aligned with said
first and second contact areas, respectively, said crimped portion
of said first and second electrically conductive sleeves contacting
said exposed portion of said first and second conductor,
respectively, said crimped portion and said sleeve length
cooperatively defining means for securing said sleeve to said
plastic cord to substantially avoid longitudinal and rotational
movement thereof; and
means for securing said plugs to said first and second electrically
conductive sleeves, respectively.
2. An improved connecting means as claimed in claim 1 wherein said
plugs and said first and second electrically conductive sleeves,
respectively, are integral.
3. An improved connecting means as claimed in claim 1 wherein said
first and second electrically conductive sleeves are
corrugated.
4. In a catheter for electrical stimulation of the heart of the
type including a plastic cord of substantially circular
cross-section, a first and second conductor within said plastic
cord, said first and second conductors being substantially
diametrically opposed, and a pair of electrodes at one end of said
plastic cord, an improvement comprising, in combination:
a first fold end in said plastic cord, a first portion of said
plastic cord being folded against a second portion thereof to
define said first fold end;
a second fold end in said plastic cord, a third portion of said
plastic cord being folded against a fourth portion thereof to
define said second fold end;
a first contact area near said first fold end and exposing a first
section of said first conductor;
a second contact area near said second fold end and exposing a
second section of said second conductor;
a first and second electrically conductive sleeve receiving said
first and second fold ends, respectively, said first and second
sleeves having a crimped portion substantially aligned with said
first and second contact areas, respectively, said crimped portion
of said first and second electrically conductive sleeve contacting
said first and second sections, respectively; and
a first and second plug engagingly receiving said first and second
sleeve, respectively.
5. An improvement as claimed in claim 4 wherein said first and
second electrically conductive sleeves are corrugated.
6. An improvement as claimed in claim 4 wherein said first and
second sleeves substantially cover said first and second contact
areas, respectively.
Description
BACKGROUND OF THE INVENTION
This invention relates to a catheter for the electrical stimulation
of the heart, comprising a cord (Strang) of plastic, through which
there passes two substantially diametrically oppositely positioned
electric conductors. The conductors lead to electrodes positioned
at one end of the plastic cord. The other ends of the conductors
are connected to electric plugs.
In German patent application OS 1,919,246 there is illustrated a
catheter for the electrical stimulation of the heart, which
consists of a cord of plastic through which there passes two
electric conductors positioned diametrically opposite one another,
and leading to electrodes positioned at one end of the cord. This
catheter, as used in actual practice, has at the other end, plugs
for connection to pacers. The plugs are not directly soldered to
the electric conductors leading through the cord, because these
wires have insufficient strength to absorb mechanical loads imposed
on the plugs. Rather, the plugs are soldered to short pieces of
strong, insulated strands, which, are inserted alternately through
holes of a strip of insulating material. Small spots of solderable
foil are applied to the insulating material. The ends of the
conductors of the catheter and the connecting strands are soldered
to one another on the solderable foil. The whole structure is then
embedded in a shrinkage tube.
This form of construction is faultless mechanically and
electrically, but its production requires an appreciable
expenditure in material and working time.
SUMMARY OF THE INVENTION
Underlying the invention is the problem of avoiding the
disadvantages associated with producing the prior art catheters and
to provide a catheter for the electrical stimulation of the heart
in which the electric conductors embedded in the cord of plastic
are, in a simple manner, mechanically and electrically dependably
connected with plugs.
This problem of connecting plugs to conductors is solved by baring
portions of the conductor by removal of the insulation from the
cord in two places remote from one another. In each case, in the
region of the bared conductor, there is thrust a connecting member
serving to connect the plugs with the conductors and clamped
against the bared conductor.
The solution according to the present invention utilizes the very
favorable compact construction of the catheter cross section, which
makes possible contact by pressure. To connect a plug to the
catheter it is merely necessary to pull out the electric conductor
somewhat or expose it by cutting away plastic material to slide the
connecting portion over the exposed area and to clamp the
connecting member fast. The clamping can be achieved by a screw.
Simpler and just as secure, however, is to squeeze the connecting
member against the conductor.
The baring or exposure of the electric conductor can be done at
places arbitrarily remote from one another. Since the catheter is
flexible, the distance between the plugs can be adapted to
arbitrary spacings of most diverse pacer units.
Another advantage of the present invention lies in that the
electric conductors within the catheter lie substantially
diametrically opposite from each other and impress upon the
catheter a preferential bending direction, namely, in a plane which
lies perpendicular to the plane determined by the electric
conductors. This means that when the catheter is bent and emplaced,
for example, on a flat underlayer the electric conductors always
lie one over another. This makes possible the sure determination of
places longitudinally remote from one another on the circumference
of the catheter which are adjacent to the electric conductors. In
practice this means that in the case of a catheter lying bent on a
table the baring or exposing operation has to be done once above
and once underneath when the two electric conductors are to be
exposed.
In a further embodiment of this invention, the connecting member is
a sleeve that can be squeezed together when placed on the catheter.
In this embodiment the squeezing takes place over a large area, so
that there cannot occur any destruction in the electric conductors
or of the plastic material. It is especially advantageous if the
sleeve extends beyond the exposed part, and therefore embraces and
holds the unbared and unweakened part closely.
In another embodiment of this invention, the connecting member is
securely joined to a plug. Preferably, the plug and connecting
member consist of one piece. This has the advantage of a rigid
connection between the plug and connecting member and the plug can
be simply handled.
In a particularly preferred embodiment, the cord is folded in the
area of the exposed conductor and the connecting member is slipped
onto the resulting folded end. The advantage of this embodiment
lies in that the cord of the catheter is in the same direction as
the plug, and the plug, therefore, can be readily handled.
The bend arising due to the spacing, between the two plugs makes
possible an adaptation of the plugs to any plug spacings. The
danger of sharp bending of the cord in the plug zone are excluded,
especially if the cord and plug are connected to one another by a
common plastic part, for example, a piece of shrinkage tubing or
insulating tubing.
In another embodiment, the bared or exposed portion of the
conductor is located, in each case, on only one side of the fold.
As a result, the exposed conductor cannot slip back when the sleeve
is attached.
Preferably, the fold in the catheter lies in a plane vertical to
the plane determined by the two conductors. This type of fold is
produced naturally because of the diametrically oppositely arranged
conductors. Thus, the position of the conductor to be bared can be
determined exactly.
It is also possible for the fold to lie in a plane perpendicular to
the plane determined by the two conductors, and for the cord to run
remote from the bend inside the connecting member or inside the
sleeve, in such a way that the inner wall of the sleeve lies
essentially on the cord with the exposed conductor. Through a
winding configuration the exposed conductor lies with greater
security on the inner wall of the sleeve or of the connecting
member.
Preferably, the sleeve has an axially running corrugation to
facilitate squeezing or compression. The sleeve can also be
squeezed in essentially figure-eight form. These types of squeezing
to attach the connecting member provide for an especially good
placement of the sleeve on the bared conductor.
BRIEF DESCRIPTION OF THE DRAWINGS
With the aid of the attached drawings the invention will be
explained in detail.
FIG. 1 illustrates a side view of a typical catheter body for the
electrical stimulation of the heart.
FIG. 2 illustrates a cross-section of the catheter of FIG. 1.
FIG. 3 illustrates one embodiment of the present invention wherein
the connecting members are slipped onto the unfolded cord of the
catheter.
FIGS. 4 and 5 show sections IV--IV and V--V through the cord and
connecting members illustrated in FIG. 3.
FIG. 6 shows another embodiment wherein the cord is folded and the
fold is attached to the connecting members.
FIGS. 7 and 8 show sections VII--VII and VIII--VIII through the
cord and connecting members illustrated in FIG. 6.
FIG. 9 shows a section similar to FIG. 6, wherein the cord turns in
winding form within the connection sleeve.
DETAILED DESCRIPTION OF THE INVENTION
FIG. 1 shows the construction of a known catheter having a solid
cord 1 of plastic, in the center of which there is embedded a thin,
pull-proof core 2. In the region between the core 2 and the outer
wall of the cord 1 there are embedded two electric conductors 3 and
4. The core 2 absorbs all the tensile forces, so that the cord 1,
despite the stretching properties of the plastic used, cannot
stretch and the electric conductors cannot break.
FIG. 3 shows the plug end of the catheter illustrated in FIG. 1.
Sleeves 5 and 6 are slipped onto cord 1 and consist of a thin
squeezable material integrally formed with plugs 7 and 8 to provide
a single piece as illustrated. The bottom of cord 1 is removed as
illustrated in FIG. 4. Therefore, the removal of the bottom of cord
1 adjacent to the conductor 4, in the region of the sleeve 5
results in a baring or exposure of the conductor 4. The sleeve 5
has, in the region of the exposed conductor, a corrugation 9, which
establishes a terminal (clamping) contact with the conductor 4. The
sleeve 5 extends, on both sides, beyond the portion of cord 1
removed to expose the conductor 4. Thus sleeve 5 has a firm hold on
the cord 1, so that any weakening of the cord 1 caused by the
baring of the conductor has no effect on the overall assembly in
case the conductor is bent.
In a corresponding manner the top of cord 1 is bared adjacent to
the electric conductor 3 in the region of the sleeve 6, as
illustrated in FIG. 5, so that the conductor 3 is exposed. A
corrugation 10 in the sleeve 6 establishes a firm mechanical and
electrical conduct with the conductor 3. Corrugations 9 and 10 in
sleeves 5 and 6 simultaneously provide a safeguard against lateral
shifting of the sleeves. The whole sleeve 5 or 6 can, of course, be
squeezed in such a way that its circumference is reduced. This also
establishes a secure electric contact with the electrical
conductors.
The left portion of FIG. 4 illustrates a section IV--IV of FIG. 3,
through the sleeve 5 in the region of the corrugation 9. It is to
be pointed out that the electric conductor 4 lying beneath core 2
is bared and through the corrugation 9 there is established a sure
electrical contact between conductor 4 and sleeve 5.
FIG. 5 also illustrates a section V--V of FIG. 3, through the
sleeve 6 in the region of the corrugation 10, which establishes an
intimate contact with the conductor 3.
In the cross-sectional drawings of FIGS. 4 and 5 it is to be noted
that the sleeves 5 and 6 closely surround the cord 1, and, bridge
the removed portions of cord 1 for the exposure of the conductors 3
and 4.
FIG. 6 shows a particularly preferred embodiment of a catheter
constructed according to FIGS. 1 and 2. The catheter as illustrated
contains electrodes 11 and 12, but the middle portion of the long
cord 1 is "cut out" for ease of illustration. The upper horizontal
part of the cord 1, as illustrated, turns through 90.degree., so
that the conductor 3 lies in front in the drawing and the conductor
4 behind (see FIG. 6). The cord 1 is provided with sharp bends 13
and 14, so that there are formed folds 15 and 16. The cord 1 is
provided in each case on one side of the bends 13 and 14 with
removed portions 17 and 18, so that through the removed portion 17
the front conductor 3 is exposed and through the removed portion 18
the rear conductor 4 is exposed.
For the sake of better representation, plugs 19 and 20 are
illustrated with their sleeve parts 21 and 22 removed from the
folds 15 and 16. Thus it is clear that the sliding of the sleeve
parts 21 and 22 onto the folds 15 and 16 is possible without any
difficulty and there is achieved a contact between the inner wall
of the sleeve part 21 with the conductor 3 and of the inner wall of
the sleeve part 22 with the conductor 4. To mechanically support
the folds 15 and 16 in the sleeve parts 21 and 22 the sleeve parts
are squeezed together, as illustrated in the sections VII--VII and
VIII--VIII of FIGS. 7 and 8. This squeezing together need be
carried out only in that portion of the sleeves in which contact
with the electrical conductors is to be achieved. Of course, a
squeezing over the entire length of the sleeve is also possible,
whereby there is achieved a better appearance and a better
hold.
The sleeve parts 21 and 22, after sliding onto the folds 15 and 16
extend beyond the removed portions 17 and 18, so that the cord 1 is
firmly embraced and also held in its unweakened portion of the
sleeves, so that especially high bending strains cannot occur.
Since the removed portions 17 and 18 are positioned in each case on
only one side of the folds 15 and 16, the conductors 3 and 4 are
held at the foremost part of the folds 15 and 16. Therefore, in the
region of bends 13 and 14 the removed portions cannot fold when
they slide into the sleeve parts 21 and 22. Between the folds 15
and 16 there is formed an arch 23, so that the plugs 19 and 20 are
insertable at any desired spacing and in any desired position in
the receptacles of a pacer unit.
The section VII--VII through FIG. 6 illustrated in FIG. 7, shows a
figure-eight squeezing of the sleeve part 21. As a result, the two
halves of the fold 15 are closely surrounded and held fast by the
sleeve part 21. Simultaneously there is achieved a sure contact
between the sleeve 21 and the conductor 3. Section VIII--VIII
through FIG. 6 is, in mirror image, substantially the same as
section VII--VII, in which, however there is now established a
contact between the conductor 4 and the sleeve part 22.
FIG. 9 corresponds substantially to section VIII--VIII in FIG. 6.
It is to be perceived, to be sure, that the lower half of the fold
16 (FIG. 6) is turned from the bend 14 in a winding or twisting
manner about the other half, so that the removed portion 18 with
the exposed conductor 4 lies flat on the inner wall of the sleeve
part 22. Thereby there is assured an especially good contact
between the inner wall of the sleeve part and the conductor.
The connection plugs illustrated can be used not only in catheters
for the electrical stimulation of the heart, but also in other
cables which have the cross-sectional structures similar to
catheters.
* * * * *