CA2427628A1 - Catheter for removal of solids from surgical drains - Google Patents

Catheter for removal of solids from surgical drains Download PDF

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Publication number
CA2427628A1
CA2427628A1 CA002427628A CA2427628A CA2427628A1 CA 2427628 A1 CA2427628 A1 CA 2427628A1 CA 002427628 A CA002427628 A CA 002427628A CA 2427628 A CA2427628 A CA 2427628A CA 2427628 A1 CA2427628 A1 CA 2427628A1
Authority
CA
Canada
Prior art keywords
catheter
surgical drain
removal member
solids removal
port
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.)
Granted
Application number
CA002427628A
Other languages
French (fr)
Other versions
CA2427628C (en
Inventor
John Liddicoat
Alan Marc Gillinov
Mark S. Goodin
Bryan Byerman
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.)
Cleveland Clinic Foundation
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of CA2427628A1 publication Critical patent/CA2427628A1/en
Application granted granted Critical
Publication of CA2427628C publication Critical patent/CA2427628C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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
    • A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • A61M27/002—Implant devices for drainage of body fluids from one part of the body to another
    • A61M27/008—Implant devices for drainage of body fluids from one part of the body to another pre-shaped, for use in the urethral or ureteral tract
    • 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
    • A61M25/10—Balloon catheters
    • 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
    • A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2217—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions single wire changing shape to a gripping configuration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320758—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with a rotating cutting instrument, e.g. motor driven
    • A61B2017/320775—Morcellators, impeller or propeller like means
    • 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
    • A61M2025/0019—Cleaning catheters or the like, e.g. for reuse of the device, for avoiding replacement
    • 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
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/109—Balloon catheters with special features or adapted for special applications having balloons for removing solid matters, e.g. by grasping or scraping plaque, thrombus or other matters that obstruct the flow

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Hematology (AREA)
  • Veterinary Medicine (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Otolaryngology (AREA)
  • Urology & Nephrology (AREA)
  • Ophthalmology & Optometry (AREA)
  • Child & Adolescent Psychology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • External Artificial Organs (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

A catheter is provided for clearing surgical drains of solid and semi-solid material that collects in and obstructs the drains. The catheter has a solids removal member at its distal end.
Preferably, the solids removal member is an inflatable balloon, a deployable umbrella member, a deployable spring, a slicer, or a fixed spring.
The solids removal member is effective to aid removal of collected solids from the surgical drain. An aspiration port is also provided at the distal end of the catheter to remove or aspirate collected solids that are dislodged from the surgical drain by the solids removal member. A method for using such a catheter is also provided.

Claims (31)

1. A device for removing solid or semi-solid material from a surgical drain, the device comprising a catheter having a proximal region and a distal region, and a solids removal member disposed in said distal region of said catheter, said distal region being suitable for insertion into a surgical drain to deliver said solids removal member within said surgical drain.
2. A device according to claim 1, further comprising a flexible protective sleeve having a first end and a second end, wherein said first end of said protective sleeve is attached to said catheter in said proximal region thereof, said sleeve being adapted to permit the distal region of said catheter to be extended into and withdrawn from said surgical drain.
3. A device according to claim 2, wherein said protective sleeve is effective to maintain a sterile environment within said surgical drain, and to prevent exposure to secreted bodily fluids by healthcare personnel.
4. A device according to claim 2, wherein said protective sleeve is made from plastic or rubber.
5. A device according to claim 1, further comprising an aspiration port located in the distal region of said catheter, and an aspiration vacuum port located in the proximal region of said catheter, wherein said aspiration port and said aspiration vacuum port are connected via an aspiration conduit.
6. A device according to claim 1, further comprising an actuation port in the proximal region thereof, wherein said solids removal member is actuatable by an actuation means via an actuation conduit between said actuation port and said solids removal member.
7. A device according to claim 2, further comprising a catheter adaptor, wherein said second end of said protective sleeve is attached to said catheter adaptor.
8. A device according to claim 7, wherein said catheter adaptor is adapted to guide insertion of said catheter into said surgical drain when said catheter is in an extended position.
9. A device according to claim 8, wherein said catheter adaptor is a y-adaptor having a catheter lumen and a suction lumen, said second end of said protective sleeve being connected to said catheter lumen of said adaptor, and wherein said suction lumen and said surgical drain define a suction pathway for said surgical drain.
10. A device according to claim 9, wherein said catheter does not obstruct said suction pathway when said catheter is in a retracted position.
11. A device according to claim 2, wherein said catheter, solids removal member, and protective sleeve are provided as an integrated catheter assembly.
12. A device according to claim 11, wherein said catheter assembly is provided together with a catheter adaptor and said surgical drain as an integrated catheterized surgical drain assembly.
13. A device according to claim 1, wherein said solids removal member is an inflatable balloon.
14. A device according to claim 13, further comprising an actuation conduit between an actuation port in the proximal region of said catheter and said balloon, wherein said balloon is inflatable via an inflation fluid that is delivered to said actuation port.
15. A device according to claim 14, wherein said actuation port is adapted to mate with a syringe.
16. A device according to claim 1, wherein said solids removal member is a deployable umbrella member.
17. A device according to claim 16, wherein said deployable umbrella member is actuated by a guide wire connected thereto.
18. A device according to claim 1, wherein said solids removal member is a deployable spring.
19. A device according to claim 13, further comprising a sheath which is slidably engaged to said catheter, wherein said sheath a) is adapted to enclose said deployable spring to retain said spring in a collapsed position thereof, and b) is retractable from said spring via an actuation means causing said spring to deploy.
20. A device according to claim 19, wherein said actuation means is a guide wire.
21. A device according to claim 2, wherein said solids removal member is a sliver having proximal and distal cutting edges.
22. A device according to claim 21, wherein said sliver has a plurality of slats, each said slat having proximal and distal cutting edges.
23. A device according to claim 1, wherein said solids removal member is a fixed spring.
24. A device according to claim 23, wherein said fixed spring is an uncoiled strip of material oriented in a helical pattern.
25. A device according to claim 23, wherein said fixed spring is a coiled spring.
26. A method of removing solid or semi-solid material from a surgical drain comprising the steps of:
a) providing a catheter comprising a proximal region and a distal region, and having a solids removal member and an aspiration port disposed in the distal region thereof;
b) applying a vacuum to said aspiration port;
c) slowly inserting said catheter into said surgical drain so that the distal region of said catheter approaches a distal end of said surgical drain;
d) actuating said solids removal member; and e) slowly withdrawing said catheter from said surgical drain.
27. A method according to claim 26, wherein during said withdrawal step (e), said actuated solids removal member is effective to dislodge and pull solid, semi-solid, particulate, or thrombi material from said surgical drain.
28. A method according to claim 26, wherein said solids removal member is an inflatable balloon.
29. A method according to claim 26, wherein said solids removal member is selected from the group consisting of a deployable umbrella, a deployable spring, a slicer, and a fixed spring.
30. A method according to claim 26, wherein said surgical drain is a chest tube.
31. A device for removing solid or semi-solid material from a surgical drain, the device comprising a catheter having a proximal region and a distal region, a flexible protective sleeve having a first end and a second end, an aspiration port, and an aspiration vacuum port, wherein said first end of said protective sleeve is attached to said catheter in said proximal region thereof, said sleeve being adapted to permit the distal region of said catheter to be extended into and withdrawn from said surgical drain, said aspiration port being located in the distal region of said catheter, said aspiration vacuum port being located in the proximal region of said catheter, wherein said aspiration port and said aspiration vacuum port are connected via an aspiration conduit, said distal region being suitable for insertion into a surgical drain.
CA2427628A 2000-11-03 2001-11-02 Catheter for removal of solids from surgical drains Expired - Lifetime CA2427628C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US24579600P 2000-11-03 2000-11-03
US60/245,796 2000-11-03
PCT/US2001/045648 WO2002038198A2 (en) 2000-11-03 2001-11-02 Catheter for removal of solids from surgical drains

Publications (2)

Publication Number Publication Date
CA2427628A1 true CA2427628A1 (en) 2002-05-16
CA2427628C CA2427628C (en) 2010-03-16

Family

ID=22928110

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2427628A Expired - Lifetime CA2427628C (en) 2000-11-03 2001-11-02 Catheter for removal of solids from surgical drains

Country Status (7)

Country Link
US (1) US20040092956A1 (en)
EP (1) EP1414513B1 (en)
AT (1) ATE427133T1 (en)
AU (2) AU2002236549B2 (en)
CA (1) CA2427628C (en)
DE (1) DE60138230D1 (en)
WO (1) WO2002038198A2 (en)

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AU3654902A (en) 2002-05-21
CA2427628C (en) 2010-03-16
DE60138230D1 (en) 2009-05-14
ATE427133T1 (en) 2009-04-15
WO2002038198A3 (en) 2003-12-31
EP1414513A2 (en) 2004-05-06
EP1414513A4 (en) 2006-05-31
EP1414513B1 (en) 2009-04-01
AU2002236549B2 (en) 2005-11-10
WO2002038198A2 (en) 2002-05-16
US20040092956A1 (en) 2004-05-13

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