System and method for rapid placement of chest tubes

• US 20050273116A1
• Filed: 02/02/2004
• Published: 12/08/2005
• Est. Priority Date: 01/31/2003
• Status: Active Grant

• Current Assignee: Chris K. Salvino, David G. Matsuura, Jim Trinchera, Philip J. Simpson, Walter Dean Gillespie
• Original Assignee: Chris Salvino, David G. Matsuura, Philip J. Simpson, Walter Dean Gillespie
• Inventors: Matsuura, David G., Trinchera, Jim, Simpson, Philip J., Gillespie, Walter Dean, Salvino, Chris K.
• Granted Patent: US 7,811,293 B2
• Time in Patent Office: Days
• US Class Current: 606/108
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• 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 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 17/3476 Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
• CPC Class Codes: A61B 2017/32006 with a cutting strip, band or chain, e.g. like a chainsaw
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 2017/3482 inside
• CPC Class Codes: A61B 2017/3486 Balloon
• CPC Class Codes: A61B 2017/3492 against the outside of the body

Abstract

A method and system are disclosed for rapid placement of tubes within a body cavity that includes placing a compliant cannula over a probe tip of a cutting device until the probe tip extends beyond the cannula, incising the tissue covering body cavity to create an opening therein, inserting the probe tip of the cutting device until the cannula placed thereon extends into the incision, removing the probe tip while leaving the cannula inserted within the incision, introducing a distal end or tip of a tube into the cannula a predetermined distance, and removing the cannula over the tube while retaining the tube in position within the body cavity. The device includes a sealing portion which attaches to the body without sutures and having an opening therethrough, and a tube which passes through the opening of the seal and mates thereto without sutures.

Claims

1. A method for rapid placement of tubes within a body cavity comprising the steps of

placing a compliant cannula over a probe tip of a cutting device until the probe tip extends beyond the cannula,

incising the tissue covering body cavity to create an opening therein,

inserting the probe tip of the cutting device until the cannula placed thereon extends into the incision,

removing the probe tip while leaving the cannula inserted within the incision, introducing a distal end or tip of a tube into the cannula a predetermined distance,

removing the cannula over the tube while retaining the tube in position within the body cavity.

2. The method of claim 1 further including the step of using the probe tip as a blunt tip obturator.

3. The method of claim 1 wherein the step of providing a compliant cannula includes providing a cannula which is substantially ovate in shape.

4. The method of claim 3 wherein the step of providing a compliant cannula includes providing a cannula preformed to have an ovate cross-section.

5. The method of claim 4 wherein the compliant cannula is formed of a relatively less compliant material.

6. The method of claim 3 wherein the step of providing a compliant cannula includes providing a tube preformed to have an ovate cross-section.

7. The method of claim 6 wherein the compliant cannula is formed of a relatively less compliant material.

8. The method of claim 3 wherein the step of providing a tubeless compliant cannula includes providing a cannula preformed to have an ovate cross-section.

9. The method of claim 8 wherein the tubeless compliant cannula is formed of a relatively less compliant material.

10. The method of claim 3 wherein the step of providing a tubeless compliant cannula includes providing a tube preformed to have an ovate cross-section.

11. The method of claim 10 wherein the compliant cannula is formed of a relatively less compliant material.

12. The method of claim 3 wherein the step of providing a tube includes providing a tube which is preferentially compliant.

13. The method of claim 12 wherein the step of providing a tube further includes providing a tube which has adequate section modulus to prevent kinking.

14. The method of claim 1 wherein the incising step includes incising the chest cavity.

15. The method of claim 14 wherein the step of providing a tube includes providing a chest tube.

16. The method of claim 1 wherein the incising step includes incising the abdominal cavity.

17. The method of claim 16 wherein the step of providing a tube includes providing an abdominal tube.

18. The method of claim 1 further including the steps of providing a seal and attaching the seal to the chest tube to form an air tight seal substantially where the seal contacts the body cavity.

19. The method of claim 9 wherein the step of providing a seal includes providing a pneumo seal which mates to the chest tube.

20. The method of claim 1 wherein the body cavity is a vein.

21. The method of claim 1 wherein the tube is a drainage tube.

22. The method of claim 1 wherein the tube is inserted into a body cavity of a human being.

23. A rapid tube insertion system for inserting tubes into body cavities comprising

a cutting device having a probe tip which extends distally,

a compliant cannula capable of being placed over the probe tip, the end of the probe tip extending beyond the cannula, the cannula being capable of being inserted into an incision into a body cavity, and

a tube having a distal end adapted to be inserted through the compliant cannula and a proximal portion extending outwardly therefrom, and the cannula being capable of being passed over the proximal portion of the tube.

24. The rapid tube insertion system of claim 23 wherein the body cavity is in a human being.

25. The rapid tube insertion system of claim 24 wherein the body cavity is a chest.

26. The rapid tube insertion system of claim 24 wherein the body cavity is a blood vessel.

27. The rapid tube insertion system of claim 24 wherein the tube is a drain tube.

28. The rapid tube insertion system of claim 23 wherein the compliant cannula has an ovate shape.

29. The rapid tube insertion system of claim 23 wherein the compliant cannula has a portion thereof formed of a less compliant material than the remainder thereof.

30. The rapid tube insertion system of claim 23 further including a seal which mates to the tube and is adapted to create an air-tight seal substantially at the junction of the seal and the body cavity.

31. The rapid tube insertion system of claim 30 wherein the tube includes a fitting for mating to the seal.

32. The rapid tube insertion system of claim 30 wherein the tube includes longitudinal reinforcement to prevent kinking.

33. A device for effecting a gas and fluid tight seal at the point of an incision into a body comprising

a sealing portion which attaches to the body without sutures and having an opening therethrough,

a tube which passes through the opening of the seal and mates thereto without sutures.

34. The device of claim 33 wherein the sealing portion conforms to the body.

35. The device of claim 33 wherein the sealing portion conforms to the tube.