CA1292404C - Fixing device for nasogastric catheter and catheter assembly - Google Patents

Fixing device for nasogastric catheter and catheter assembly

Info

Publication number
CA1292404C
CA1292404C CA000524872A CA524872A CA1292404C CA 1292404 C CA1292404 C CA 1292404C CA 000524872 A CA000524872 A CA 000524872A CA 524872 A CA524872 A CA 524872A CA 1292404 C CA1292404 C CA 1292404C
Authority
CA
Canada
Prior art keywords
catheter
fixing device
sheath
nasogastric
holes
Prior art date
Legal status (The legal status 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 status listed.)
Expired - Lifetime
Application number
CA000524872A
Other languages
French (fr)
Inventor
Yosuke Okada
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien AG
Original Assignee
Sherwood Medical Co
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 Sherwood Medical Co filed Critical Sherwood Medical Co
Application granted granted Critical
Publication of CA1292404C publication Critical patent/CA1292404C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/024Holding devices, e.g. on the body having a clip or clamp system
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S128/00Surgery
    • Y10S128/26Cannula supporters

Abstract

ABSTRACT
Fixing device for nasogastric catheter and catheter assembly.
A fixing device (13) for a nasogastric catheter (1l) comprises a baseplate (21) with an aperture (26) therethrough and an integral bridge (22) having two holes (23, 24) in the span thereof. A slot (25) connects the aperture (26) and holes (23, 24) to the exterior of the device. The outer hole (23) is sized to locate a nasogastric catheter loosely whilst the inner hole (24) is sized to grip a catheter against movement therethrough;
the slot permits the catheter to be snapped into either of the holes (23, 24). A splittable catheter sheath (12) passes through the aperture (26) and the free ends thereof emerge through respective portals of the bridge (22).

Description

S-i~13 i~

Fl_ln _d_vlc_ f_r__asogastrlc_catheter and catheter ass_bly.
This invention relates to fixing device for a catheter for nasogastric intubation and an assembly of such a device, a catheter and a sheath.
Normally, a nasogastric catheter for supplying nutrition comprises a small diameter, soft plastics tube, having a weight sealed in the distal end thereof. The tube is inserted through the nose and the weighted end assists the tube into stomach or the intestine under the action of gravity. Food is supplied through the tube to one or two side holes positioned just proximally of the weight.
Nasogastric catheters may be kept in place for long periods of time and this is painful to the patient.
To relieve the pain, it is preferable that the catheter is formed of a material as soft as possible.
However, since a soft plastics tube lacks stiffness, it is difficult to pass the tube through the nostril, larynx and oesophagus, and then the convoluted stomach and intestinal passage.
For this reason, in conventional method, a guide wire is inserted into the bore of the catheter to increase stiffness during the catheter insertion process. However the guide wire or catheter must be lubricated to decrease the frictional resistance therebetween and in addition insertion of the guide wire is cumbersome. There is also a danger that the end of the guide wire may emerge through the side holes of the catheter and pierce the walls of internal organs.
It is undesirable to make the catheter of hard plastics for, notwithstanding patient pain, long term intubation can cause damage to body tissue in contact with the catheter.
It has been proposed to provide a relatively ~' stiff sheath or the catheter to aid insertion. One known sheath includes longitudinal split lines and is used in conjunction with a fixing device which retains the catheter in place whilst the sheath i5 withdrawn. The known fixing device is described in Japanese Patent Application No. 7gl78/1984, published November 6, 1985 under publication No. 60-222667, and comprises a body having a groove into which a catheter may be snapped, the wall of the groove thereby pinching the catheter firmly.
The sleeve is drawn through the fixing device and separated from the catheter.
This device has the disadvantage that if the catheter remains in the groove for a long period, for example between manufacture and use, it causes deformation which either reduces the pinching power of the groove or squeezes the wall of the catheter which reduces the cross-sectional area thereof.
Furthermore, the prior art fixing device allows undesirable rotation of the sheath and/or catheter as the sheath is removed.
The present invention aims to overcome the disadvantages described above. According to the invention there is provided a fixing device for a nasogastric catheter and comprising a base with an aperture therethrough, a bridge on the base having two holes in the span thereo~ and a slot through the base and the bridge connecting said aperture and holes to the exterior of the device, one of said holes being of larger diameter than the other.
The larger hole in the bridge span is sized to loosely locate a nasogastric catheter whilst the smaller hole is sized to grip the catheter against movement therethrough;
the slot permits the catheter to be squeezed into one or other of the holes. Preferably the inner hole is larger than the outer hole.
The invention also provides a nasogastric catheter ~J~Z~ S-' 74~3 ..~

assemb~y comprising -the fixing device afoxesald, a catheter and a catheter sheath splittable longitudinally into two substantially equal par-ts, the sheath passing through the aperture and the proximal end of said sheath being split to emerge through opposite portals of the bridge.
In this arrangement the sheath parts emerge through defined openings in the device and the troublesome rotation observed in the prior art device is obviated.
During manufacture of an assembly, the catheter is located in the larger hole of the bridge span. Accordingly the fixing device is unstressed during storage and the catheter is not squeezed. When it is desired to use the assembly the catheter may be snapped into the smaller hole for retention during insertion and withdrawal of the sheath; thereafter the catheter may be snapped back into the larger hole, or the fixing device removed for disposal.
The fixing device may be retained for use in a subsequent nasogastric catheter insertion procedure using a new catheter and sheath. The proximal end of the catheter is connected to a liquid food supply.
The inner wall of the sheath and outer wall of the catheter preferably have a matt finish which improves the sliding properties thereof; alternatively a lubricant can be used.
Other features of the invention will be apparent from the following description of a preferred embodiment shown by way of example only in the accompanyiny drawings in which:-Figure 1 shows a catheter for nasogastric intubation and incorporating a fixing device according to the present invention;
Figures 2 and 3 are enlarged explanatory views of the fixing device showing stages in the use thereof;
Figure 4 illustrates a stage in the insertion ~-7413 24~)~

process of a nasogastric catheter; and Figure 5 shows a prior art fixing device.
With reference to Figure 1 there is shown a catheter assembly comprising a catheter 11, sheath 12 and fixing device 13. The catheter 11 is of very soft plastic and is inserted in a plastic sheath 12 of a material having slightly greater elasticity and rigidity than the catheter. A weight 14 is encased in the distal end of the catheter and a side hole or holes (not shown) for supplying food are provided just proximally of the weight 14. An end fitting 15 for connection to a food supply is closed by a cap 16. The sheath tube 12 is weakened longitudinally either by a decreased wall thickness or by a line of generally incompatible material.
In the preferred embodiment the sheath is splittable into two halves and the free ends 17, 18 of the sheath ~, protrude through the flxing device as shown. ~ 3 - The fixing device 13 is shown in Figures ~ and ~
and comprises a base plate 21 having an upstanding bridge 22. Two holes 23, 24 are provided in the span of the bridge 22 and are connected by a slot 25 extending through the baseplate and one wall of the bridge. The outer hole 23 is larger than the inner hole 24. The baseplate has an aperture 26 therethrough.
Use of the fixing device is as follows. The catheter 11 is inserted into the stomach using the relatively stiff sheath 12. The catheter passes through the baseplate aperture 26 and the larger hole 23; the hole 23 is sized to allow free movement of the catheter.
The sheath 12 also passes through the base aperture 26 and the proximal end thereof is split, each part of the sheath emerging through a respective portal of the bridge 22.
When the catheter is inserted to the required depth, which may be confirmed by x-ray for example, the s-7~'3 catheter is snapped through the groove into the smaller hole 24 which is sized -to grip the catheter agains-t axial movement.
The sheath is then drawn through the fixing device for disposal; the catheter being securely held by the wall of the hole 2~. The two parts of the sheath are pulled in approximately opposite directions and the reaction force urges the fixing device against the patient's nose thereby retaining the catheter in place. The assembly thus allows a single person to instal a nasogastric catheter.
A partially withdrawn sheath is depicted in Figure 4 of the drawings. Once the sheath is withdrawn the catheter may bemovedback into the larger hole 23, where it is loosely retained, or the fixing device may be removed for disposal. The end fitting 15 is connected to a source of food or medication as required.
It may be advantageous to snap the catheter 11 into the smaller hole 24 during the insertion process.
Figure 5 shows a prior art device in which the catheter 31 is snapped into a hole 32 in a fixing device 33 for retention against movement therethrough. The free ends of a splittable sheath 34 emerge through an aperture 35 in the base of the device 33 but are not guided.
The sheath can of course be used to introduce an unweighted catheter into -the body because the sheath has the necessary rigidity and flexibility.
It is not entirely necessary that the sheath be splittable into two parts; a sheath with a single longitudinal weakened portion will also work.
The applicants do not intend the scope of the invention to be limited by the above descrip-tion of a preferred embodiment but only by the claims appended hereto.

Claims (8)

1. A fixing device for a nasogastric catheter and comprising a baseplate with an aperture therethrough, a bridge on the baseplate having two holes in the span thereof and a slot connecting said aperture and holes to the exterior of the device, one of said holes being of larger diameter than the other.
2. A fixing device according to Claim 1, wherein the inner hole is smaller than the outer hole.
3. A fixing device according to Claim 1, wherein the device is an integral plastics moulding.
4. A fixing device according to Claim 1, wherein the slot is perpendicular to said baseplate.
5. A fixing device according to Claim 1, wherein the slot is perpendicular to the axis of said bridge.
6. A fixing device according to Claim 1, wherein the slot passes through the centre of said holes and aperture.
7. A nasogastric catheter assembly comprising a fixing device according to Claim 1, a catheter and a catheter sheath, splittable into two parts, the sheath passing through the aperture of said fixing device and the proximal end of said sheath being split to emerge through opposite portals of the bridge of said device.
8. An assembly according to Claim 7, wherein the proximal end of said catheter emerges through the larger hole of said device.
CA000524872A 1985-12-09 1986-12-09 Fixing device for nasogastric catheter and catheter assembly Expired - Lifetime CA1292404C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP60-189202 1985-12-09
JP1985189202U JPH0337638Y2 (en) 1985-12-09 1985-12-09

Publications (1)

Publication Number Publication Date
CA1292404C true CA1292404C (en) 1991-11-26

Family

ID=16237233

Family Applications (1)

Application Number Title Priority Date Filing Date
CA000524872A Expired - Lifetime CA1292404C (en) 1985-12-09 1986-12-09 Fixing device for nasogastric catheter and catheter assembly

Country Status (8)

Country Link
US (1) US4801294A (en)
EP (1) EP0228826B1 (en)
JP (1) JPH0337638Y2 (en)
AT (1) ATE54257T1 (en)
CA (1) CA1292404C (en)
DE (1) DE3672468D1 (en)
DK (1) DK165772C (en)
ES (1) ES2015882B3 (en)

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US5171222A (en) * 1988-03-10 1992-12-15 Scimed Life Systems, Inc. Interlocking peel-away dilation catheter
US5527292A (en) * 1990-10-29 1996-06-18 Scimed Life Systems, Inc. Intravascular device for coronary heart treatment
CA2095043A1 (en) * 1990-10-29 1992-04-30 Daniel O. Adams Guide catheter system for angioplasty balloon catheter
US5320602A (en) * 1993-05-14 1994-06-14 Wilson-Cook Medical, Inc. Peel-away endoscopic retrograde cholangio pancreatography catheter and a method for using the same
US5334167A (en) * 1993-11-19 1994-08-02 Cocanower David A Modified nasogastric tube for use in enteral feeding
US5512045A (en) * 1993-12-22 1996-04-30 Gurchumelidze; Teimuraz P. Surgical decompression and irrigation apparatus and method
US5690620A (en) * 1996-05-14 1997-11-25 Knott; Michael Mcfarland Anatomically conforming nasogastric tube with normally-curved tip and method for using same
US5814021A (en) * 1996-12-26 1998-09-29 Johnson & Johnson Medical, Inc. Adjustable securing wings
US6228062B1 (en) * 1998-09-15 2001-05-08 Becton, Dickinson And Company One piece lock for splittable sheath
US8591540B2 (en) * 2003-02-27 2013-11-26 Abbott Cardiovascular Systems Inc. Embolic filtering devices
JP4744522B2 (en) * 2004-07-29 2011-08-10 ウィルソン−クック・メディカル・インコーポレーテッド Catheter with shaft and stripper that can break walls
WO2007052278A2 (en) 2005-11-07 2007-05-10 Flexicath Ltd. A removable adapter for a splittable introducer and method of use thereof
US8702720B2 (en) * 2006-05-03 2014-04-22 Cook Medical Technologies Llc Tassel tip wire guide
US7604627B2 (en) * 2006-05-11 2009-10-20 Kourosh Kojouri Nasopharyngeal sheath for nasogastric intubation
CA2677132A1 (en) * 2007-04-11 2008-10-23 John J. Davis Atraumatic introducer for nasal endotracheal tubes and its method of use
US7798999B2 (en) * 2007-06-05 2010-09-21 Cook Incorporated Adjustable length catheter
US20090227984A1 (en) * 2008-02-21 2009-09-10 Kizer Robert T System and methods of intubation
US20140330068A1 (en) * 2011-12-02 2014-11-06 Michael J. Partsch Method for modulating the enteric nervous system to treat a disorder
US9919152B2 (en) 2014-11-05 2018-03-20 Enterastim, Inc. Conditional gastrointestinal stimulation for improved motility
CA3033716A1 (en) * 2016-08-19 2018-02-22 Sarah L. OLSON External catheter stabilizer
US11737656B2 (en) * 2018-06-01 2023-08-29 PatCom Medical Inc. Catheter and tube introducer
JP7382661B2 (en) 2018-12-21 2023-11-17 レビティ プロダクツ,インク. External catheter stabilization device
US11504502B1 (en) * 2021-11-03 2022-11-22 Tomas A. Martin Suction catheter holder

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Publication number Priority date Publication date Assignee Title
US3550591A (en) * 1968-08-19 1970-12-29 George Kessler Intravenous catheter unit
US4114626A (en) * 1975-01-30 1978-09-19 Beran Anthony V Intubation set
US4120304A (en) * 1976-10-12 1978-10-17 Moor Burdette J Naso-gastric tube holder
US4175564A (en) * 1978-03-13 1979-11-27 Kwak In S Nasal gastric tube insertion guide and method
DE2926572C2 (en) * 1979-06-30 1982-04-15 B. Braun Melsungen Ag, 3508 Melsungen Divisible short catheter made of plastic
US4351331A (en) * 1980-10-31 1982-09-28 Gereg Gordon A Endotracheal tube holder and bite block
US4473067A (en) * 1982-04-28 1984-09-25 Peter Schiff Introducer assembly for intra-aortic balloons and the like incorporating a sliding, blood-tight seal
JPS60222067A (en) * 1984-04-19 1985-11-06 日本シヤ−ウツド株式会社 Nose insert catheter
US4596559A (en) * 1984-11-02 1986-06-24 Fleischhacker John J Break-away handle for a catheter introducer set
US4631059A (en) * 1985-03-26 1986-12-23 Datascope Corp. Sheath remover

Also Published As

Publication number Publication date
DK165772B (en) 1993-01-18
US4801294A (en) 1989-01-31
JPH0337638Y2 (en) 1991-08-08
EP0228826B1 (en) 1990-07-04
DE3672468D1 (en) 1990-08-09
DK165772C (en) 1993-06-14
DK590786A (en) 1987-06-10
EP0228826A2 (en) 1987-07-15
EP0228826A3 (en) 1987-08-26
ATE54257T1 (en) 1990-07-15
ES2015882B3 (en) 1990-09-16
JPS6297653U (en) 1987-06-22
DK590786D0 (en) 1986-12-09

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