|Número de publicación||US3669116 A|
|Tipo de publicación||Concesión|
|Fecha de publicación||13 Jun 1972|
|Fecha de presentación||6 Jul 1970|
|Fecha de prioridad||6 Jul 1970|
|Número de publicación||US 3669116 A, US 3669116A, US-A-3669116, US3669116 A, US3669116A|
|Inventores||William T Heyer|
|Cesionario original||Heyer Schulte Corp|
|Exportar cita||BiBTeX, EndNote, RefMan|
|Citada por (38), Clasificaciones (9), Eventos legales (4)|
|Enlaces externos: USPTO, Cesión de USPTO, Espacenet|
United States Patent Heyer [4 1 June 13, 1972  DRAINAGE CATHETER WITH ANTI- 2,642,874 6/1953 Keeling ..l28/349 B CLQGGING MEANS 3,435,826 4/1969 Fogarty ..128/349 B UX  Inventor: William T. Beyer, Santa Barbara, Calif. p E ch hi p  Assignee: Heyer-SchuIte Corporation, Santa Bar- AmmeyAngus &
6 970  ABSTRACT 22 F1 d: ul 1 1 J y A physiological drainage catheter comprising an elongated  Appl. No.: 52,655 tube with a central axis and a peripheral wall surrounding it. A port passes through the wall to the passage for the purpose of draining fluid from the region surrounding the tube. A (gl. 013 peripheral cufi surrounds the wall and is fastened thereto on 5 8] i B 349 Bv each side of the port, the cuff ballooning away from the wall to 128/350 leave a cavity therebetween. The cuff is made of a flexible openpore silicone rubber sponge which provides a large number of restricted, but continuous, passages from outside of t e cu to e cavity, an an increase su ace area ere y to  References Cited h if m d d If th b UNITED STATES p ATENTS screen or filter fluid which reaches the port from regions to be drained outside the cuff to minimize clogging, and by its in- 281,043 7/1883 Finney 128/349 BV UX creased Surface aea to decrease the possibility f being closed 1,887,392 1 1/1932 Bacon... 128/349 B UX by abutment with surrounding tissue 2,470,665 5/1949 Stiehl.... ..l28/348 X 2,490,168 12/1949 Strauss ..l28/348 X 4 Claim, 3 Drawing Figures PATENTEnJummz 3.689.116
I N VEN TOR. W/LL/AM [HE 5Q DRAINAGE CATHETER WITH ANTI-CLOGGING MEANS This invention relates to a physiological drainage catheter. Drainage catheters are widely used in various applications in the human body, perhaps the best known example being the drainage of fluid from within the cranium of a person afflicted with hydrocephalus. A problem frequently encountered in the use of catheters in the drainage of body fluids is that the body fluids are not clear solutions, but instead, carry with them particulate matter which tends to clog the drainage means and thereby destroy the efficacy of the device. It is an object of this invention to provide a catheter which screens or filters the fluids in such a manner as to prevent clogging of the device and to provide a large screening area compared to that which is otherwise obtainable, simply by perforating the walls of a tube.
Another problem is the closing of inlet ports by abutment of surrounding tissue. This device increases the perforated area over that made available in the prior art, and thereby a1 leviates this problem.
A physiological drainage catheter according to this invention comprises an elongated tube having a peripheral wall surrounding an internal central passage extending along a central axis. At least one entry port passes through the wall to the passage, and a peripheral cuff surrounds the wall and is fastened thereto on each side of the port. The cuff balloons away from the wall so as to leave a cavity therebetween, and thereby provides a large screening area which also reduces the risk of closure by surrounding tissue. The cuff is made of a flexible openpore silicone rubber sponge whereby to provide a large number of restricted passages from outside the cuff to the cavity, thus to screen or filter fluid which reaches the port from the regions to be drained outside of the cuff.
According to a preferred, but optional, feature of the invention, there is a plurality of said inlet ports, and the cuff is attached to the outer wall of the tube so as to form a pair of axially spaced apart peripheral seals.
According to still another preferred, but optional, feature of the invention, the tube terminates at one end at a stiffened, laterally enlarged tip which forms an external shoulder, one end of the cuff abutting the shoulder.
The above and other features of this invention will be fully understood from the following detailed description and the accompanying drawings in which:
FIG. 1 shows the presently preferred embodiment of the invention installed in the head of a child suffering from hydrocephalus;
FIG. 2 is a fragmentary axial cross-section of the presently preferred embodiment of the invention; and
FIG. 3 is a cross-section taken at line 33 of FIG. 2.
FIG. 1 shows a drainage system installed in the cranium ll of a child. The childs brain 12 is shown in general schematic notation, and a catheter 13 according to the invention is thrust through a hole 14 formed in the skull into the ventricles of the brain to drain excess fluid therefrom. A pump 15 of the general type shown in Schulte US. Pat. No. 3,111,125 issued Nov. 19, 1963, is placed against the outside of the skull beneath the scalp, and accepts fluid from the physiological drainage catheter and discharges it into a shunt tube 16 which is only incompletely shown, but which leads to some other region of the body, such as the heart, to dispose of the excess fluid. A shunt tube of this general classification is shown in Heyer US. Pat. No. 3,020,913 issued Feb. 13, 1962. This shunt tube customarily includes a check valve means, and the pump itself similarly comprises a check valve means, the combination assuring a unidirectional flow from the ventricles of the brain to the region in which the fluid is discharged. The pump, which is optional, also provides pumping means.
It is a problem in the ailment of hydrocephalus that drainage of the ventricular fluid does not take place normally, and the fluid pressure builds up and distends the head'of the child, compressing the brain and rendering the child an invalid, frequently an idiot. It often is a fatal ailment. Relief of this pressure by drainage of the fluid has resulted in profound improvement in many of these children, and thousands of them are now alive and normal who otherwise would have been dead or living in idiocy.
One of the problems faced in this drainage is the particulate matter discharged from the brain which clogs the inlet ports of commonly known catheters. Numerous attempts have been made to provide screening means which themselves do not clog, and it is an object of this invention to provide one such which substantially improves the capabilities of such a device. It is a further objective to reduce the risk of closure of the catheter by abutting tissue.
A physiological drainage catheter, according to this invention, includes as elongated tube 20 which has a central passage 21 extending along a central axis 22. A plurality of entry ports 23 extends through the peripheral wall 24 of the tube so as to enable the fluid to pass to the central passage, thence to be drained.
According to a preferred, but optional, feature of the invention, a tip 30 is formed which is laterally enlarged relative to the outer wall of the elongated tube so as to form an external shoulder 31. A tapered nose 32 is provided to aid in insertion of the device. The tip is stiffened either by inherently increasing the hardness of the material of which this portion of the tube is made, or simply by providing an enlarged solid body without the intrusion of a central port. Either technique is satisfactory.
A porous cuff 35 is formed peripherally around the tube and is joined at two fully peripheral seams 36, 37 on opposite sides of the plurality of entry ports. In the preferred embodiment, when shoulder 31 is provided seam 36 is contiguous to shoulder 31. The cuff balloons away from the wall so as to form a cavity 38. This is done by using a balloon with greater inner diameter than the outer diameter of the tube, and by spacing the seams closer together than the sides of the cuff would be in its undistorted condition. The cufi is flexible, and the shape of the cavity will change in response to external forces. However, it is unlikely that all of the entry ports in the tube would be shrouded at any time by the cuff, so that free flow from the cavity to the passage is generally provided for. The ballooning provides a large surface area which folds and distorts, and is likely always to provide a surface somewhere that is open to flow, and not abutted by surrounding tissue.
It is customary practice to formulate the entire system out of medical grade silicone rubber because this is not reactive with tissue. Therefore, the tube will be of silicone rubber formulated according to the desired flexural properties. The cuff will be made of a silicone rubber foam or sponge (these terms being used interchangeably) which is open-cell in the sense that the cells communicate with one another and provide a large number of passageways through the wall of the cuff. The cuff is therefore porous over its entire: surface and provides screening or filtering means.
It will thereby be seen that the cuff provides a very large number of alternate passages for the fluid which are unlikely, because of their large number, all to be covered or clogged at once as opposed to the tendency in standard catheters for the relatively few numbers of entry ports to clog up.
Similarly, it will be noted that the cuff region is placed within the ventricle of the brain where the brain may press back against it. Such restoration of the ventricles has in the past clogged the relatively few entry ports, but this type of covering or clogging is less likely to occur in view of the very large area in which-fluid flow openings are available with the use of this cuff.
There is therefore provided a catheter suitable for use in drainage of a region of the human body in which the the risk exist of clogging both by particulate matter and by abutment contact of surrounding tissue, in which the risk are reduced by the provision of a flexible, large-area porous member that serves as an effective enlargement of the access means to the drainage tube, and which by its design, effectively precludes any chance that the tube will ever be completely stopped up, either by particulate matter or by mechanical contact.
This invention is not to be limited by the embodiment shown in the drawings and described in the description, which is given by way of example and not of limitation, but only in accordance with the scope of the intended claims.
l. A drainage catheter comprising: an elongated tube having a central axis and a peripheral outer wall, an axial passage extending along the central axis, and at least one entry port passing through the wall to the passage; and a peripheral cufi encircling the wall and fastened thereto at axially spaced apart locations on opposite sides of the port, the cufi ballooning away from the wall to leave a cavity therebetween, the cuff being inherently flexible and resiliently deformable, and made of a flexible, open-pore silicone rubber sponge whereby to provide many restricted but continuous passages from outside of the cuff to the cavity, thereby rendering the cuff permeable to fluid, and uninflatable, the ballooning being caused by the inherent shape of the cuff as attached to the tube when otherwise unstressed, the cuff being deformable by contact with surrounding tissue.
2. A physiological drainage catheter according to claim 1 in which the cuff makes a full peripheral seam with the wall on each side of the entry port.
3. A physiological drainage catheter according to claim 2 in which there is provided a plurality of said entry ports, the seams being formed on opposite sides of the said plurality of entry ports.
4. A physiological drainage catheter according to claim 1 in which the tube terminates in abutment at one of its ends against a shoulder formed on a laterally-enlarged tip.
UNITED STATES PATENT OFFICE 56g CERTIFICATE OF CORRECTION Patent No. 16 Dated J 13 197 Inventor(s) WILLIAM HEYER It is certified that error appears in the above-identified patent and that said Letters Patent are hereby corrected as shown below:
Col. 2, line 12, "as" should read an-- Col 2, .1ine68, he the risk" should read -th risks-- Col. 2, line '70, "risk" should read ---risks--- 7 Col. 3, line 4', "intended" should read "appended-- Signed a'fid sealed this 26th day of November 1974.
(SEAL) Attest: 'McCOY M. GIBSON R. T c. MARSHALL DANN Attesting Officer Comis'sioner of Patents
|Patente citante||Fecha de presentación||Fecha de publicación||Solicitante||Título|
|US3854484 *||28 Nov 1972||17 Dic 1974||Jackson R||Endotracheal tube with liquid fillable cuff|
|US4378797 *||14 Abr 1980||5 Abr 1983||Thomas Jefferson University||Extravascular circulation of oxygenated synthetic nutrients to treat tissue hypoxic and ischemic disorders|
|US4445500 *||30 Sep 1982||1 May 1984||Thomas Jefferson University||Stroke treatment utilizing extravascular circulation of oxygenated synthetic nutrients to treat tissue hypoxic and ischemic disorders|
|US4445514 *||18 Jun 1981||1 May 1984||Thomas Jefferson University||Extravascular circulation of oxygenated synthetic nutrients to treat tissue hypoxic and ischemic disorders|
|US4445886 *||3 Mar 1982||1 May 1984||Thomas Jefferson University||Stroke treatment utilizing extravascular circulation of oxygenated synthetic nutrients to treat tissue hypoxic and ischemic disorders|
|US4445887 *||30 Sep 1982||1 May 1984||Thomas Jefferson University||Stroke treatment utilizing extravascular circulation of oxygenated synthetic nutrients to treat tissue hypoxic and ischemic disorders|
|US4445888 *||30 Sep 1982||1 May 1984||Thomas Jefferson University|
|US4446154 *||30 Sep 1982||1 May 1984||Thomas Jefferson University|
|US4446155 *||30 Sep 1982||1 May 1984||Thomas Jefferson University|
|US4450841 *||30 Sep 1982||29 May 1984||Thomas Jefferson University|
|US4451251 *||30 Sep 1982||29 May 1984||Thomas Jefferson University|
|US4601724 *||29 May 1984||22 Jul 1986||Cordis Corporation||Manufacture of tubing assembly for drainage catheter|
|US4655745 *||29 Jul 1985||7 Abr 1987||Corbett Joseph E||Ventricular catheter|
|US4657532 *||19 Jul 1985||14 Abr 1987||Thomas Jefferson University||Intra-peritoneal perfusion of oxygenated fluorocarbon|
|US4686085 *||23 Feb 1984||11 Ago 1987||Thomas Jefferson University|
|US4758431 *||30 Sep 1982||19 Jul 1988||Thomas Jefferson University||Extravascular circulation of oxygenated synthetic nutrients to treat tissue hypoxic and ischemic disorders|
|US4795423 *||28 Ago 1986||3 Ene 1989||Thomas Jefferson University||Oxygenated perfluorinated perfusion of the ocular globe to treat ischemic retinopathy|
|US4830849 *||14 Abr 1988||16 May 1989||Thomas Jefferson University|
|US4840617 *||24 Ago 1988||20 Jun 1989||Thomas Jefferson University||Cerebral and lumbar perfusion catheterization apparatus for use in treating hypoxic/ischemic neurologic tissue|
|US7976517||30 Sep 2004||12 Jul 2011||Codman & Shurtleff, Inc.||Fluid management flow implants of improved occlusion resistance|
|US8088091||9 Mar 2009||3 Ene 2012||New Jersey Institute Of Technology||No clog shunt using a compact fluid drag path|
|US8221392||31 Oct 2007||17 Jul 2012||Codman & Shurtleff, Inc.||Fluid management flow implants of improved occlusion resistance|
|US8398581||25 Ago 2006||19 Mar 2013||Irras Ab||Fluid exchange catheter system|
|US8517973||16 Feb 2011||27 Ago 2013||Sequana Medical Ag||Implantable fluid management system for the removal of excess fluid|
|US8771221||7 Mar 2013||8 Jul 2014||Sequana Medical Ag||Implantable fluid management device for the removal of excess fluid|
|US8882699||22 Ago 2013||11 Nov 2014||Sequana Medical Ag||Implantable fluid management system for the removal of excess fluid|
|US9421347||22 Ago 2013||23 Ago 2016||Sequana Medical Ag||Implantable fluid management system for the removal of excess fluid|
|US20050171467 *||30 Ene 2004||4 Ago 2005||Jaime Landman||Multiple function surgical device|
|US20060074388 *||30 Sep 2004||6 Abr 2006||Alan Dextradeur||Fluid management flow implants of improved occlusion resistance|
|US20080200877 *||25 Ago 2006||21 Ago 2008||Estelle Enterprises Limited||Fluid Exchange Catheter System|
|US20080214982 *||31 Oct 2007||4 Sep 2008||Alan Dextradeur||Fluid management flow implants of improved occlusion resistance|
|US20100228179 *||9 Mar 2009||9 Sep 2010||Thomas Gordon A||No clog shunt using a compact fluid drag path|
|US20110178455 *||16 Feb 2011||21 Jul 2011||Burnett Daniel R||Implantable fluid management system for the removal of excess fluid|
|DE2745015A1 *||4 Oct 1977||6 Abr 1978||Olympus Optical Co||Liq. absorber for endoscope - has suction pipe applicator with absorption element at distal end|
|EP0066685A1 *||1 Abr 1982||15 Dic 1982||National Aeronautics And Space Administration||Ion beam Sputter-etched ventricular catheter for hydrocephalus shunt|
|EP2086466A2 *||31 Oct 2007||12 Ago 2009||NovaShunt AG||An implantable fluid management device for the removal of excess fluid|
|EP2086466A4 *||31 Oct 2007||26 Oct 2011||Sequana Medical Ag||An implantable fluid management device for the removal of excess fluid|
|WO2007026182A1 *||25 Ago 2006||8 Mar 2007||Estelle Enterprises Limited||Fluid exchange catheter system|
|Clasificación de EE.UU.||604/268|
|Clasificación internacional||A61M25/00, A61M27/00, A61M1/00|
|Clasificación cooperativa||A61M27/006, A61M1/008, A61M25/007|
|Clasificación europea||A61M25/00T10C, A61M1/00T|
|30 Ene 1990||AS||Assignment|
Owner name: BAXTER INTERNATIONAL INC.
Free format text: CHANGE OF NAME;ASSIGNOR:BAXTER TRAVENOL LABORATORIES, INC., A CORP. OF DE;REEL/FRAME:005050/0870
Effective date: 19880518
|2 Mar 1987||AS||Assignment|
Owner name: BAXTER TRAVENOL LABORATORIES, INC. A CORP. OF DE
Free format text: MERGER;ASSIGNOR:AMERICAN HOSPITAL SUPPLY CORPORATION INTO;REEL/FRAME:004760/0345
Effective date: 19870126
|16 Abr 1984||AS||Assignment|
Owner name: AMERICAN HEYER-SCHULTE CORPORATION
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:HEYER-SCHULTE CORPORATION;REEL/FRAME:004245/0660
Effective date: 19800623
|22 Feb 1983||AS||Assignment|
Owner name: AMERICAN HOSPITAL SUPPLY CORPORATION; ONE AMERICAN
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:AMERICAN HEYER- SCHULTE CORPORATION;REEL/FRAME:004099/0695
Effective date: 19830121