A TECHNO-ECONOMIC NEWS MAGAZINE FOR MEDICAL PLASTICS AND PHARMACEUTICAL INDUSTRY
Our 23rd Year of Publication
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Cover Story

Medical Tubing And Extrusion Technology

Advances & Limitations

Advances in Medical polymeric tubing science and extrusion technology directly correlate to the evolution from surgical-based intervention to minimally invasive approaches and associated medical device design. The goal of reducing procedure and hospitalization times, and patient trauma, while improving outcomes has created a dependency on tubing and extrusion science to keep pace with clinical demands.

Medical tubing plays a major role in promoting cost efficiency because cardiac and urinary catheterization that involves the use of catheter tubing, greatly reduces the time taken for the concerned medical or surgical procedure. As a result, the hospital stay is shortened, which, in turn, lowers the overall charges a patient is likely to pay for treatment.

Today’s medical device engineers must understand the advances and limitations of tubing technology as defined by both the extrusion process and post-extrusion technology in order to take advantage of the best designs and ensure the success of their products. Medical device manufacturers are being challenged by strong market demand for tubing that delivers increased functionality, lower profiles, and lower costs - pushing the limits of material behavior and manufacturing science. Next-generation balloon catheters are expected to deliver significantly higher burst pressures and better puncture resistance. They are also being designed to transport target-specific drug polymer payloads or flexible microelectronic packages to various parts of the human body. Designs are calling for ever smaller and more capable medical devices, and many are made to last only one operation. Smaller tubes accommodate the trend to less invasive procedures because less traumatic procedures shorten patient recovery times. The challenge is to make them tight enough for a reliable design in terms of how the product will be used, yet loose enough to facilitate assembly and avoid unneeded features and costs.

Braiding and coiling can improve performance in medical device applications by increasing torque force or the bend radius of a tube. Designing and developing complex multiple lumen tubing can spur innovation, provided that the designer understands the latest technology and how best to work with a tubing manufacturer.

Tubes and Catheters Sizing

Problems can arise when the customer and catheter or tubing supplier are not using the same scale when discussing catheter tubing sizes.

French scale and gauge scale are the measures used to refer to the diameter of catheters and tubing. While each have certain advantages, misinterpreting these standards can lead to confusion . “OD” and “ID” are abbreviations for outer diameter and inner diameter, respectively, and are generally measured in inches or millimeters.

The catheter sizing classification most commonly used in the medical industry is the French (Fr) scale, also known as the “Charrière’s system.” The French scale is an easy method to use to describe the basic size of a catheter, because it specifies the most obvious component, the outer diameter. The French size = 3 times the diameter in millimeters. The disadvantage of the French scale is that it does not specify the inner diameter of the catheter or tubing. Thus, the French sizing used alone, is not specific enough to adequately describe small catheters, where internal diameter is critical. This scale is much more useful to specify larger catheter sizes.

A second method of sizing catheters is the gauge measurement. Gauge is a descending scale, opposite the French scale of measurement which ascends with corresponding size. The higher the gauge size the smaller the tubing.

Another less common method for sizing catheter tubing is the “PE” scale. It is specific to polyethylene and is an ascending scale used by some manufacturers to represent the OD and ID of the tubing, similar to French sizing.

The most definitive method to describe a catheter’s dimension is simply to state the exact measurements of both the outer and inner diameters. While it may seem a little more difficult to communicate, this method will actually give all the details necessary to the researcher or catheter manufacturer to properly size your specific catheter and catheter connections.

(Ref: http://www.alnmag.com/articles/2011/08/french-gauge-odid-mm-inches-what-does-it-all-mean
https://en.wikipedia.org/wiki/French_catheter_scale)

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