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WO1993003777A1 - Catheters et valve pour aspiration endotracheale - Google Patents

Catheters et valve pour aspiration endotracheale Download PDF

Info

Publication number
WO1993003777A1
WO1993003777A1 PCT/US1991/005827 US9105827W WO9303777A1 WO 1993003777 A1 WO1993003777 A1 WO 1993003777A1 US 9105827 W US9105827 W US 9105827W WO 9303777 A1 WO9303777 A1 WO 9303777A1
Authority
WO
WIPO (PCT)
Prior art keywords
catheter
fluid
sheath
valve
connector
Prior art date
Application number
PCT/US1991/005827
Other languages
English (en)
Inventor
James F. Bryan
Blaine E. Beck
Original Assignee
Bryan James F
Beck Blaine E
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Bryan James F, Beck Blaine E filed Critical Bryan James F
Priority to US07/852,181 priority Critical patent/US5582165A/en
Priority to CA002116009A priority patent/CA2116009A1/fr
Priority to EP19920902967 priority patent/EP0599840A4/en
Priority to PCT/US1991/005827 priority patent/WO1993003777A1/fr
Priority claimed from CA002116009A external-priority patent/CA2116009A1/fr
Publication of WO1993003777A1 publication Critical patent/WO1993003777A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0488—Mouthpieces; Means for guiding, securing or introducing the tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/77—Suction-irrigation systems
    • A61M1/774—Handpieces specially adapted for providing suction as well as irrigation, either simultaneously or independently
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0488—Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/049—Mouthpieces
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0111—Aseptic insertion devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22—Valves or arrangement of valves
    • A61M39/28—Clamping means for squeezing flexible tubes, e.g. roller clamps
    • A61M39/284—Lever clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/77—Suction-irrigation systems
    • A61M1/772—Suction-irrigation systems operating alternately

Definitions

  • Simple suctioning catheters which include an opening for a therapist's thumb to control suctioning now provide sheaths extending from such opening to the distal end of the catheter but not otherwise.
  • Protective catheter sheaths are also known and used for catheters other than oxygenation/suctioning as illustrated in U.S. patent Nos.: 3,861,395, 4,062,363, 3,709,223 and 3,937,220.
  • Figure 1 is a plan view of an endotracheal catheter encapsulated within a flexible plastic envelope which acts as a package for the catheter and subsequently as a sheath during use. The Figure further illustrates the inclusion of a tear-off extension of the sheath/package envelope section for subsequent repackaging after use of the catheter;
  • Figure 2 illustrates the catheter during an endotracheal procedure with the envelope serving as a protective sheath;
  • Figure 12 illustrates the package/sheath encapsu ⁇ lation of the distal end of a catheter and a connector for making a closed (sheathed) connection between the distal end of the catheter and a tracheal tube which has been placed within the oral and tracheal cavities of a patient;
  • Figures 13 and 14 illustrate the sequential connection of the distal end of the package/sheath and the connector therein within an orifice provided in a tracheal tube extending into the tracheal and oral cavities of a patient.
  • the Figure further illustrates the admission of the distal end of the catheter through the connector and into the aforesaid tracheal cavity while maintaining a (closed sheath) connection between the package/sheath and the tracheal tube;
  • Figure 19 is a side view of the valve shown in Figure 18;
  • Figure 21 is a section taken in the direction of arrows 21-21 of Figure 18;
  • Figure 22 is a detailed drawing of an improved
  • FIG. 3-6 in a form of connection where the proximate catheter connector is female, it will be seen that the proximate end 10b of catheter 10 has been fitted within a cylindrical member 14, which shall be referred to herein as an adaptor.
  • Adaptor 14 in the illustrated embodiment has a cylindrical bore 14a whose diameter is sized to fit the outside diameter of catheter 10 whose proximate end it receives and is cemented thereto. Bore 14a of adaptor 14 may be sized to accommodate various sizes of catheters.
  • the other end of adaptor 14 has a cylindrical bore or recess 14b sized to mate snugly over a fitting 16 which projects from valve 13.
  • Fitting 16 in the particular embodiment is of conventional design, is of molded plastic, having two generally frusto-conical seg- ments 19 separated by grooves 20. Segments 19 each have a major diameter 19a which typically slightly exceeds the internal diameter of cylindrical recess 14b and segments 19 are rounded at 19b to reduce friction as fitting 16 is forced progressively into cylindrical recess 14 to provide a snug fit.
  • Adaptor 14 is preferably extrusion molded of a plastic material capable of sufficient deformation to accommodate the entry of fitting 16 within recess 14b.
  • segments 19 of fitting 16 and the exterior of adaptor 14 which may provide a fluid seal, it is possible for leakage to occur if either of segments 19 or recess 14b are out of round or pitted.
  • one of the aspects of the invention is to provide a supplementary sealing means to obviate such possible leakage.
  • the present invention permits the package/sheath containing a suction catheter, for example, to be used to form a "closed system" between the patient and a fluid source.
  • 12c and 12d may be sealed with tape and section 12 may be disposed of, but it is preferred that the following steps be taken. Accordingly, the therapist shall bend sheath 12 including catheter 10 upon itself until ends 12c and 12d of section 12 are adjacent. Section 13 may then be slipped over ends 12c and 12d as a cap and when sealed by tape 23, the contaminated catheter is safely secured for disposal.

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pulmonology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Emergency Medicine (AREA)
  • Otolaryngology (AREA)
  • Vascular Medicine (AREA)
  • Biophysics (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

Emballage pour un cathéter (41) qui peut être relié à une source de liquide, la source et le cathéter étant dotés de dispositifs de désassemblage rapide (62). Ledit emballage est constitué d'une enveloppe allongée formée d'une feuille de plastique souple, telle que du polyéthylène. Il se transforme en fourreau de protection (42) lorsque le cathéter et son enveloppe sont reliés à la source de liquide, ladite liaison ancrant le fourreau à la source tout en formant une barrière d'étanchéité pour le liquide entre les dispositifs de désassemblage rapide. Le fourreau ou l'enveloppe se retransforme en emballage pour la mise au rebut du cathéter après usage.
PCT/US1991/005827 1988-02-28 1991-08-22 Catheters et valve pour aspiration endotracheale WO1993003777A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US07/852,181 US5582165A (en) 1988-02-28 1991-08-22 Pre-assembled sealed, sheathed catheters and related valve elements with quick disconnect means for endotracheal suctioning
CA002116009A CA2116009A1 (fr) 1991-08-22 1991-08-22 Catheters et valve pour aspiration endotracheale
EP19920902967 EP0599840A4 (en) 1991-08-22 1991-08-22 Catheters and valve for endotracheal suctioning.
PCT/US1991/005827 WO1993003777A1 (fr) 1990-05-08 1991-08-22 Catheters et valve pour aspiration endotracheale

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US52078790A 1990-05-08 1990-05-08
CA002116009A CA2116009A1 (fr) 1991-08-22 1991-08-22 Catheters et valve pour aspiration endotracheale
PCT/US1991/005827 WO1993003777A1 (fr) 1990-05-08 1991-08-22 Catheters et valve pour aspiration endotracheale

Publications (1)

Publication Number Publication Date
WO1993003777A1 true WO1993003777A1 (fr) 1993-03-04

Family

ID=27169708

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1991/005827 WO1993003777A1 (fr) 1988-02-28 1991-08-22 Catheters et valve pour aspiration endotracheale

Country Status (1)

Country Link
WO (1) WO1993003777A1 (fr)

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995000196A1 (fr) * 1993-06-22 1995-01-05 Dlp, Inc. Appareil de retrait d'un tube implante a demeure
WO1995000065A1 (fr) * 1993-06-22 1995-01-05 Dlp, Inc. Appareil adapte au retrait, dans les meilleures conditions d'hygiene, de drains et de tubes places a demeure dans le corps
US5478326A (en) * 1992-12-10 1995-12-26 Shiu; Man F. Arterial device for control of bleeding from a puncture in an artery wall
EP0702965A1 (fr) * 1994-09-26 1996-03-27 Megadyne Medical Products, Inc. Dispositif d'aspiration et d'irrigation avec trois tuyaux
EP0744185A1 (fr) * 1995-05-23 1996-11-27 N.V. Nutricia Cathéter
FR2737103A1 (fr) * 1995-07-24 1997-01-31 Saphir Medical Sa Instrument chirurgical a jet de liquide, tel que bistouri a jet de liquide, a usage unique
EP0827416A4 (fr) * 1995-03-28 1999-06-09 Ballard Med Prod Gaine de catheter anti-contamination a barrieres de filtration/fermeture
EP2308543A1 (fr) * 2006-06-08 2011-04-13 Hollister Incorporated Emballage de cathéter et sa méthode de fabrication
US8011505B2 (en) 2003-08-08 2011-09-06 Hollister Incorporated Vapor hydrated collapsible sleeve hydrophilic catheter package
US10099027B2 (en) 2014-01-24 2018-10-16 Cole Research & Design Oral suction device
US10183159B2 (en) 2015-12-15 2019-01-22 Heartstitch, Inc. Constriction valve
US11338122B2 (en) 2019-03-27 2022-05-24 Becton, Dickinson And Company Winged needle set securement

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3612038A (en) * 1969-02-03 1971-10-12 Becton Dickinson Co Preformable catheter package assembly and method of preforming
US4170996A (en) * 1977-11-03 1979-10-16 Rehabilitation Institute Of Chicago Catheterization unit
US4326520A (en) * 1979-03-05 1982-04-27 Alley Ralph D Brake-actuated catheter feeder
US4836199A (en) * 1984-07-23 1989-06-06 Ballard Medical Products Aspirating/ventilating apparatus and method
US4878762A (en) * 1988-01-13 1989-11-07 Uddo Jr Joseph F Secretion contaminated indwelling tube closed removal and disposal system

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3612038A (en) * 1969-02-03 1971-10-12 Becton Dickinson Co Preformable catheter package assembly and method of preforming
US4170996A (en) * 1977-11-03 1979-10-16 Rehabilitation Institute Of Chicago Catheterization unit
US4326520A (en) * 1979-03-05 1982-04-27 Alley Ralph D Brake-actuated catheter feeder
US4836199A (en) * 1984-07-23 1989-06-06 Ballard Medical Products Aspirating/ventilating apparatus and method
US4878762A (en) * 1988-01-13 1989-11-07 Uddo Jr Joseph F Secretion contaminated indwelling tube closed removal and disposal system

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP0599840A4 *

Cited By (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5478326A (en) * 1992-12-10 1995-12-26 Shiu; Man F. Arterial device for control of bleeding from a puncture in an artery wall
WO1995000065A1 (fr) * 1993-06-22 1995-01-05 Dlp, Inc. Appareil adapte au retrait, dans les meilleures conditions d'hygiene, de drains et de tubes places a demeure dans le corps
WO1995000196A1 (fr) * 1993-06-22 1995-01-05 Dlp, Inc. Appareil de retrait d'un tube implante a demeure
EP0702965A1 (fr) * 1994-09-26 1996-03-27 Megadyne Medical Products, Inc. Dispositif d'aspiration et d'irrigation avec trois tuyaux
EP0827416A4 (fr) * 1995-03-28 1999-06-09 Ballard Med Prod Gaine de catheter anti-contamination a barrieres de filtration/fermeture
EP0744185A1 (fr) * 1995-05-23 1996-11-27 N.V. Nutricia Cathéter
WO1997003713A1 (fr) * 1995-07-24 1997-02-06 Saphir Medical S.A. Instrument chirurgical de dissection a jet de liquide sous haute pression
US6066150A (en) * 1995-07-24 2000-05-23 Saphir Medical S.A. Surgical dissection instrument using a high-pressure liquid jet
FR2737103A1 (fr) * 1995-07-24 1997-01-31 Saphir Medical Sa Instrument chirurgical a jet de liquide, tel que bistouri a jet de liquide, a usage unique
US9072862B2 (en) 2003-08-08 2015-07-07 Hollister, Inc. Packaged ready-to-use product
USRE48426E1 (en) 2003-08-08 2021-02-09 Hollister Incorporated Packaged ready-to-use product
US8011505B2 (en) 2003-08-08 2011-09-06 Hollister Incorporated Vapor hydrated collapsible sleeve hydrophilic catheter package
US8720685B2 (en) 2003-08-08 2014-05-13 Hollister Incorporated Packaged ready-to-use product and method
USRE47513E1 (en) 2003-08-08 2019-07-16 Hollister Incorporated Packaged ready-to-use product
EP2308542A1 (fr) * 2006-06-08 2011-04-13 Hollister Incorporated Emballage de cathéter et sa méthode de fabrication
US8919553B2 (en) 2006-06-08 2014-12-30 Hollister Incorporated Catheter product package and method of forming same
EP2308543A1 (fr) * 2006-06-08 2011-04-13 Hollister Incorporated Emballage de cathéter et sa méthode de fabrication
US10099027B2 (en) 2014-01-24 2018-10-16 Cole Research & Design Oral suction device
US10183159B2 (en) 2015-12-15 2019-01-22 Heartstitch, Inc. Constriction valve
US11400273B2 (en) 2015-12-15 2022-08-02 Heartstitch, Inc. Constriction valve
US11338122B2 (en) 2019-03-27 2022-05-24 Becton, Dickinson And Company Winged needle set securement
US11964122B2 (en) 2019-03-27 2024-04-23 Becton, Dickinson And Company Winged needle set securement

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