Surgical kit for "push" type percutaneous endoscopic gastrostomy procedures

• US 20030159966A1
• Filed: 02/28/2002
• Published: 08/28/2003
• Est. Priority Date: 02/28/2002
• Status: Active Grant

• Current Assignee: Avent Incorporated (Avanos Medical, Inc.)
• Original Assignee: Kimberly-Clark Worldwide Incorporated (Kimberly-Clark Corporation)
• Inventors: McMichael, Donald J., Foster, Mark E.
• Granted Patent: US 6,907,992 B2
• Time in Patent Office: Days
• US Class Current: 206/570
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 2017/00362 Packages or dispensers for MIS instruments A61B2017/0479 takes precedence
• CPC Class Codes: A61B 2050/006 perpendicular to the lid plane, e.g. by a downward movement
• CPC Class Codes: A61B 2050/3008 having multiple compartments
• CPC Class Codes: A61B 50/30 Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40
• CPC Class Codes: A61B 50/33 Trays
• CPC Class Codes: A61J 15/0019 inserted by using a pull-wire
• CPC Class Codes: A61M 2209/06 Packaging for specific medical equipment

Abstract

A surgical kit is provided for a “push” percutaneous endoscopic gastrostomy (PEG) procedure. The kit includes offset planar surfaces and at least one article recess defined in the planar surfaces. The recesses are adapted to hold at least one article used in performing a “push” PEG procedure.

Claims

1. A kit adapted to be utilized in a “

push”

percutaneous endoscopic gastrostomy (PEG) procedure comprising;

a tray, said tray further comprising a plurality of planar surfaces and at least one recess disposed in at least one of the planar surfaces, each recess adapted to hold at least one article used in performing a “

push”

PEG procedure; and

a container adapted to fit at least partially within the tray, the container adapted to rest upon at least one of the plurality of planar surfaces, the container adapted to be reclosable and to retain at least one accessory article used in performing the “

push”

PEG procedure; and

wherein said planar surfaces are offset vertically and said recesses positioned within said tray such that articles in at least one upper said planar surface must be removed from said tray prior to access being provided to articles in at least one lower said planar surface, said articles correspondingly arranged in said tray such that access is provided to said articles in their order of use for the “

push”

PEG procedure.

2. The kit as in claim 1, further comprising a cover sealed to at least a portion of said tray.

3. The kit as in claim 2, wherein said cover is formed from a permeable web.

4. The kit as in claim 1, wherein at least one of said recesses contains at least a portion of a percutaneous endoscopic gastrostomy tube.

5. The kit as in claim 4, further comprising a retrieval snare disposed in a retrieval snare recess defined in one of said planar surfaces such that said retrieval snare is positioned over at least a portion of said percutaneous endoscopic gastrostomy tube.

6. The kit as in claim 1, wherein at least one of said recesses contains at least a portion of a percutaneous endoscopic gastrostomy tube, and further comprising a coiled guide wire disposed above said portion of said percutaneous endoscopic gastrostomy tube.

7. The kit as in claim 6, wherein said coiled guide is disposed in the same respective said recess as said portion of said percutaneous endoscopic gastrostomy tube such that said coiled guide wire must be removed from said tray prior to providing access to said percutaneous endoscopic gastrostomy tube.

8. The kit as in claim 1, wherein at least one of said recesses contains a feeding tube retention device received therein.

9. The kit as in claim 1, wherein said tray comprises a container recess disposed above a first said planar surface such that at least a portion of said container rests on said first planar surface, and further comprising at least one said recess defined in said first planar surface below said container.

10. The kit as in claim 1, further comprising at least one boss member extending upwardly from one of said planar surfaces, said boss member extending through at least a portion of one of said articles.

11. The kit as in claim 10, wherein said boss member extends through a handle portion of a snare device.

12. A surgical kit for use in performing a percutaneous endoscopic gastrostomy (PEG) “

push”

type procedure, comprising;

a tray, said tray further comprising

a first planar surface comprising at least one first planar recess disposed therein;

a second planar surface comprising at least one second planar recess disposed therein, said second planar surface being vertically displaced from said first planar surface;

a third planar surface comprising at least one third planar recess disposed therein, said third planar surface being vertically displaced from said first planar surface;

a removable container disposed within said tray, said container seated at least in part upon at least one of the plurality of planar surfaces, the container adapted to be reclosable and to retain additional articles useful in performing the PEG procedure;

a cover sealed over said tray; and

wherein each said recess contains at least one article useful in performing the “

push”

type PEG procedure, at least one of said articles being a PEG tube having an elongated tapered end for use in the “

push”

PEG procedure.

13. The kit as in claim 12, wherein at least one recess disposed in said first planar surface contains a guide wire over which said PEG tube is pushed in the PEG procedure.

14. The kit as in claim 12, wherein at least one recess disposed in said second planar surface contains at least a portion of said PEG tube.

15. The kit as in claim 14, wherein said PEG tube comprises a bumper, said bumper disposed within at least one recess in said second planar surface.

16. The kit as in claim 12, wherein at least one recess disposed in said third planar surface contains an introducer cannula.

17. The kit as in claim 12, wherein said cover is formed of a permeable web.

18. The kit as in claim 12, wherein at least one of said recesses disposed in said second planar surface contains an exterior tube retention device.

19. The kit as in claim 12, wherein said container rests on at least a portion of said first planar surface.

20. The kit as in claim 12, further comprising at least one boss extending upwardly from one of said planar surfaces and engaging one of said articles.

21. The kit as in claim 20, wherein said boss extends from said second planar surface and extends through a handle portion of a snare device.