Magnetically guided device for insertion through a nasal passageway

• US 20030154986A1
• Filed: 08/27/2002
• Published: 08/21/2003
• Est. Priority Date: 02/19/2002
• Status: Active Grant

• Current Assignee: iBIONICS Inc.
• Original Assignee: iBIONICS Inc.
• Inventors: Sellers, D. Matthew, Fariss, Bruce L., Cooper, Ivan N.
• Granted Patent: US 6,701,918 B2
• Time in Patent Office: Days
• US Class Current: 128/207.14
• CPC Class Codes: A61J 15/0003 Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth
• CPC Class Codes: A61J 15/0088 for sensing parameters related to the device
• CPC Class Codes: A61J 15/0096 Provisions for venting
• CPC Class Codes: A61M 16/0411 with means for differentiating between oesophageal and tracheal intubation
• CPC Class Codes: A61M 16/0486 Multi-lumen tracheal tubes
• CPC Class Codes: A61M 16/0488 Mouthpieces; Means for guiding, securing or introducing the tubes guiding or introducing with laryngoscopes A61B1/267; holding devices on the body A61M25/02
• CPC Class Codes: A61M 2210/1032 Trachea
• CPC Class Codes: A61M 2210/105 Oesophagus
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers

Abstract

A magnetically guided device for insertion through a patient'"'"'s nasal passageway of a tube for feeding or lavage of a target organ. The device includes a flexible tube having an insertion end sized for insertion through the patient'"'"'s nasal cavity, pharynx and esophagus. The tube insertion end includes a magnetic member rotatably coupled to the insertion end and a porous tube segment spaced-apart proximal of the magnetic member. The magnetic member is rotatable within the insertion end and is responsive to an externally positioned magnetic field that is moved relative to the patient for guiding the insertion end through internal passageways and into the target organ within the patient. A method for insertion and positioning of a magnetically guided tube for feeding or for lavage of a target organ within a patient is also disclosed.

Claims

1. A medical device for insertion through a patient'"'"'s internal passageways and into a target organ, comprising:

a flexible tube for transfer of fluids between a patient'"'"'s target organ and the exterior of the patient;

said tube having an insertion end sized for insertion into an opening in the patient;

a magnetic member rotatably coupled to said tube insertion end, said magnetic member rotates without occluding the flow of fluids through said tube; and

a magnetic field positioned external of the patient, said external magnetic field is manipulated to affect the orientation of said magnetic member within the patient;

whereby said external magnetic field is moved relative to the patient for guiding said magnetic member and said insertion end through a preferred passageway and into the target organ within the patient.

2. The medical device of claim 1 wherein said insertion end including a porous tube segment proximal to said rotatable magnetic member within said insertion end, said porous tube segment allows transfer of fluids from said flexible tube and into the target organ upon passage of said insertion end into the target organ of the patient.

3. The medical device of claim 2 wherein the opening of the patient is the patient'"'"'s nasal cavity and the preferred passageway is the esophagus of the patient.

4. The medical device of claim 3 wherein said porous tube segment includes at least two holes disposed on opposed sides of said porous tube segment, said holes provide for transfer of fluids from said flexible tube and into the target organ.

5. The medical device of claim 3 wherein said porous tube segment includes a plurality of holes disposed on opposed sides of said porous tube segment, said holes provide for transfer of fluids from said target organ and into said flexible tube for removal to a collection container releasably connected to a proximal tube end maintained external of the patient.

6. The medical device of claim 3 wherein said rotatable magnetic member includes a spherical magnet enclosed distal of said porous tube segment, said spherical magnet is disposed distally apart from said porous tube segment, said spherical magnet rotates when in the presence of said external magnetic field moved along a dermal surface of the patient.

7. The medical device of claim 3 wherein said rotatable magnetic member is composed of ferro-magnetic material responsive to movement of said external magnetic field moved along a dermal surface of the patient.

8. The medical device of claim 5 wherein said flexible tube includes a first and a second conduit within said tube for transfer of air through the first conduit and transfer of liquids through the second conduit, said second conduit provides removal of liquids from the stomach, said second conduit is connected to said plurality of holes of said porous tube segment proximal of said insertion end, said first conduit is connected to at least one hole of said plurality of holes of said porous tube segment.

9. The medical device of claim 8 wherein said external magnetic field includes at least one external magnet positioned against a dermal surface of the patient proximal to the passageway inside the patient, said at least one external magnet is manipulated along the dermal surface proximal to the internal passageway of the patient into which said insertion end is to be inserted.

10. The medical device claim 9 wherein said external magnetic field positioned external of the patient further includes at least one second external magnet positioned against a second location on the dermal surface of the patient proximal to the preferred passageway inside the patient, said at least one second external magnet is manipulated along the second location on the dermal surface proximal to the preferred passageway of the patient into which said insertion end is to be inserted.

11. A medical device for insertion of a tube through a nasal passageway and into a target organ within a patient, comprising:

a flexible tube having an insertion end sized for insertion through the patient'"'"'s nasal cavity and through an internal passageway for extension into a target organ within the patient;

a magnetic member rotatably disposed within said insertion end;

a porous segment proximal to said insertion end, said porous segment is spaced-apart from said magnetic member, said porous segment allows passage of gas and liquid between said flexible tube and the target organ; and

a magnetic field positioned external of the patient, said external magnetic field is manipulated to affect the orientation of said magnetic member within the patient;

whereby upon insertion of said insertion end through the patient'"'"'s nasal cavity and through the internal passageway of the patient, said rotatable magnetic member and insertion end are guided into the target organ when in the presence of said external magnetic field moved relative to the patient.

12. The medical device of claim 11 wherein said rotatable magnetic member is disposed within an end enclosure for unhindered rotation during transfer of air or liquids through said porous segment of said insertion end.

13. The medical device of claim 12 wherein said flexible tube includes at least two internal conduits extended through an interior of the axial length of said flexible tube, said at least two conduits are separately connected in fluid communication with said porous segment of said insertion end.

14. The medical device of claim 13 wherein said external magnetic field includes an external magnet positioned against a dermal surface of the patient proximal to the passageway inside the patient, said external magnet is manipulated along the dermal surface proximal to the internal passageway leading to the target organ within the patient, said external magnet having a magnetic field of sufficient strength to guide said rotatable magnetic member and insertion end into the target organ in the patient.

15. The medical device of claim 14 wherein said external magnetic field further includes a second external magnet positioned against a second location on the dermal surface of the patient proximal to the passageway inside the patient, said second external magnet is manipulated along the second location on the dermal surface proximal to the target organ in the patient into which said insertion end is inserted.

16. A medical device for insertion of a tube through a patient'"'"'s nasal cavity and into a target organ, comprising:

a tube for transfer therethrough of fluids between a patient'"'"'s target organ and the exterior of the patient, said tube having an insertion end sized for insertion into a nasal opening and through internal passageways leading to a target organ within the patient,

a porous tube segment proximal to said insertion end, said porous tube segment provides for transfer of fluids between said tube and the target organ within the patient;

a magnetic member rotatably disposed within said insertion end, said magnetic member is distal of said porous tube segment whereby said magnetic member rotates without occluding the transfer of fluids through said porous tube segment; and

a magnetic field positioned external of the patient, said external magnetic field is moved proximal to the patient for guidance of said magnetic member and said insertion end through the internal passageway and into the target organ within the patient.

17. The medical device of claim 16 wherein said rotatable magnetic member is composed of ferro-magnetic material responsive to movement of said external magnetic field moved proximal to and along a dermal surface of the patient.

18. The medical device of claim 17 wherein said external magnetic field includes an external magnet positioned against the dermal surface of the patient for guidance of said magnetic member and said insertion end through the target organ and into a second target organ within the patient.

19. A method for insertion of a magnetically guided tube through a patient'"'"'s internal passageways and into a target organ of a patient, comprising the steps of:

using a fluids transfer tube including an insertion end having a magnetic member disposed in a rotating configuration therein;

inserting said fluids transfer tube through a nasal cavity of the patient;

guiding said fluids transfer tube through the patient'"'"'s nasal cavity and through internal passageways leading to a target organ by guiding the path of said magnetic member and said insertion end into the respective internal passageways by positioning an external magnetic field proximal to a dermal surface of the patient;

positioning said external magnetic field along the dermal surface of the patient for remotely adjusting the position of said magnetic member and said insertion end within the respective internal passageways for insertion into the target organ; and

transferring fluids between said fluids transfer tube and the target organ, said step of transferring fluids does not interfere with the rotation of said magnetic member within said insertion end positioned within the target organ in the patient.

20. The method for insertion of claim 19 wherein said step of positioning further includes a step of repositioning said external magnetic member along the dermal surface of the patient for guiding said magnetic member and said insertion end into a second target organ within the patient.