Body cavity drainage devices and related methods

• US 10,232,150 B2
• Filed: 03/15/2013
• Issued: 03/19/2019
• Est. Priority Date: 03/11/2010
• Status: Active Grant

• Current Assignee: Lazarus Medical Technologies, LLC
• Original Assignee: Merit Medical Systems, Inc.
• Inventors: Lazarus, Harrison M.
• Primary Examiner(s): Mensh, Andrew J
• Application Number:
  US13/840,986
• Publication Number:
  US 20130211385A1
• Time in Patent Office: 2,195 Days
• Field of Search: 604540
• CPC Class Codes: A61M 1/84 Drainage tubes; Aspiration tips for negative pressure wound therapy A61M1/90; for surgical cutting instruments A61B17/32
• CPC Class Codes: A61M 1/87 Details of the aspiration tip, not otherwise provided for
• CPC Class Codes: A61M 2025/0037 characterized by lumina being arranged side-by-side
• CPC Class Codes: A61M 2025/004 characterized by lumina being arranged circumferentially
• CPC Class Codes: A61M 2025/0063 having means, e.g. stylets, mandrils, rods or wires to reinforce or adjust temporarily the stiffness, column strength or pushability of catheters which are already inserted into the human body
• CPC Class Codes: A61M 2025/015 Details of the distal fixation of the movable mechanical means
• CPC Class Codes: A61M 2210/101 Pleural cavity
• CPC Class Codes: A61M 25/003 characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves catheter tips A61M25/0067
• CPC Class Codes: A61M 25/0041 pre-formed, e.g. specially adapted to fit with the anatomy of body channels urethral catheters A61F2/04
• CPC Class Codes: A61M 25/0054 with regions for increasing flexibility
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires
• CPC Class Codes: A61M 25/0155 with hydraulic or pneumatic means, e.g. balloons or inflatable compartments
• CPC Class Codes: A61M 27/00 Drainage appliance for wounds or the like , i.e. wound drains, implanted drains negative pressure wound therapy devices A61M1/90; implements for holding wound open A61B17/02 ; middle ear drainage A61F11/202

Abstract

Body cavity drainage devices and associated methods are disclosed herein. In some embodiments a body cavity drainage device comprises a drainage tube having a proximal end and a distal end; and an automated means to move the distal end of the drainage tube about a body cavity of a patient. In some embodiments, the distal end of the drainage tube may be moved by one or more of the application of a magnetic field, the insertion or withdrawal of fluid from a closed lumen, and manipulation by an external motion generator. In additional embodiments, a body cavity drainage device includes at least a second open lumen for the insertion of a fluid into a body cavity. In yet further embodiments, an internal tissue may be massaged from within a body cavity of a patient.

Claims

1. A body cavity drainage device for a patient, comprising:

a drainage tube having a proximal end, a distal end, and a wall, the distal end being configured to be inserted into a body cavity of the patient defined by soft tissue during use of the body cavity drainage device, the drainage tube defining an open lumen extending centrally therethrough, the drainage tube comprising;

a plurality of openings extending through a sidewall of the drainage tube proximate the distal end and providing fluid communication between a body cavity of the patient and the open lumen; and

an activation device attached to the proximal end of the drainage tube and configured to be positioned at least partially external to the patient during use of the body cavity drainage device, the activation device operably connected to the first and second flexible members and configured to apply a tension to the first and second flexible members to bend the drainage tube, wherein the activation device comprises;

an outlet port in fluid communication with the open lumen of the drainage tube;

a control device comprising a lever configured to be manually manipulated by a user;

a pinion gear rigidly attached to the control device such that the pinion gear and the control device have a common axis of rotation;

a first rack meshed with the pinion gear;

a second rack meshed with the pinion gear; and

first and second flexible members extending along a length of the drainage tube and attached to the drainage tube at or near the distal end of the drainage tube, each of the first and second flexible members attached to the first and second racks, respectively, wherein the first and second flexible members are woven from an outside surface of the drainage tube through the plurality of openings extending through the sidewall of the drainage tube into the open lumen as the first and second flexible members extend from the first and second racks to the distal end of the drainage tube.

2. The body cavity drainage device of claim 1, wherein the drainage tube comprises a polyvinyl chloride material, a polyurethane material, or a silicone material.

3. The body cavity drainage device of claim 1, wherein the drainage tube comprises a material exhibiting a Shore A durometer measurement of between about 75 A and about 95 A.

4. The body cavity drainage device of claim 1, wherein the distal end of the drainage tube comprises a radially outer surface that is curved when viewed in cross section.

5. The body cavity drainage device of claim 4, wherein each opening of the plurality of openings comprises a diameter between about 0.125 inch and about 0.375 inch.

6. The body cavity drainage device of claim 1, wherein each opening of the plurality of openings into the open lumen is spaced along one or more helical paths extending along at least a portion of a length of the drainage tube.

7. A body cavity drainage device for a patient, comprising:

a drainage tube having a proximal end and a distal end and defining an open lumen extending centrally therethrough, the drainage tube comprising;

an activation device disposed at the proximal end of the drainage tube, the activation device comprising;

an outlet port in fluid communication with the drainage tube;

a control device comprising a lever configured to be manually manipulated by a user;

a pinion gear rigidly attached to the control device such that the pinion gear and the control device have a common axis of rotation;

a first rack meshed with the pinion gear;

a second rack meshed with the pinion gear; and

first and second flexible members extending along a length of the drainage tube and attached to the drainage tube at or near the distal end of the drainage tube, each of the first and second flexible members attached to the first and second racks, respectively, wherein the first and second flexible members are woven from an outside surface of the drainage tube through the plurality of openings extending through the sidewall of the drainage tube into the open lumen as the first and second flexible members extend from the first and second racks to the distal end of the drainage tube.

8. The body cavity drainage device of claim 7, wherein the distal end of the drainage tube comprises laterally extending protrusions for massaging internal body tissue.

13. The body cavity drainage device of claim 7, wherein the outlet port is configured for connection to a vacuum source for removal of material from a body cavity of the patient.

15. The body cavity drainage device of claim 7, wherein the distal end of the drainage tube is configured to rotate at least about 360 degrees from a first curved position to a second, opposite curved position.

16. The body cavity drainage device of claim 7, wherein the outlet port comprises an integral extension of the drainage tube.

18. The body cavity drainage device of claim 7, wherein the drainage tube further comprises an axial opening in the distal end of the drainage tube.

20. The body cavity drainage device of claim 7, wherein each of the first and second racks has an arcuate shape.

9. A body cavity drainage device for a patient, comprising:

a drainage tube having a proximal end and a distal end and defining an open lumen extending centrally therethrough, the drainage tube comprising;

a plurality of openings extending through a sidewall of the drainage tube proximate the distal end and providing fluid communication between a body cavity of the patient and the open lumen; and

an activation device disposed at the proximal end of the drainage tube, the activation device comprising;

an outlet port in fluid communication with the open lumen of the drainage tube;

a pinion gear attached to an automated control device, wherein the automated control device comprises at least one of a linear actuator, a magnetic field generating device, or an electronic stepper motor;

a first rack meshed with the pinion gear;

a second rack meshed with the pinion gear; and

first and second flexible members extending along a length of the drainage tube and attached to the drainage tube at or near the distal end of the drainage tube, each of the first and second flexible members attached to the first and second racks, respectively, wherein the first and second flexible members are woven from an outside surface of the drainage tube through the plurality of openings extending through the sidewall of the drainage tube into the open lumen as the first and second flexible members extend from the first and second racks to the distal end of the drainage tube.

10. The body cavity drainage device of claim 9, wherein the distal end of the drainage tube comprises laterally extending protrusions for massaging internal body tissue.

11. The body cavity drainage device of claim 9, wherein the first and second flexible members comprise metallic wires, the metallic wires comprising at least one of steel, titanium, or nitinol.

12. The body cavity drainage device of claim 9, wherein the first and second flexible members comprise fibrous material, the fibrous material comprising at least one of nylon, polyester, cotton, silk, or sinew.

14. The body cavity drainage device of claim 9, wherein the first and second flexible members are laterally enclosed within a wall of the drainage tube.

17. The body cavity drainage device of claim 9, wherein the outlet port comprises an integral extension of the drainage tube.

19. The body cavity drainage device of claim 9, wherein the drainage tube further comprises an axial opening in the distal end of the drainage tube.