Catheter and intestine tube and method of using the same

• US 4,134,405 A
• Filed: 01/10/1977
• Issued: 01/16/1979
• Est. Priority Date: 01/10/1977
• Status: Expired due to Term

• Current Assignee: Julie A. Smit
• Original Assignee: Julie A. Smit
• Inventors: Smit, Julie A.
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Thaler, Michael H.
• Application Number:
  US05/757,929
• Time in Patent Office: 736 Days
• Field of Search: 128/DIG. 9, 128/303 R, 128/350 R, 128/349 R, 128/348, 128/132 R, 128/1 R, 3/1
• US Class Current: 606/108
• CPC Class Codes: A61F 5/0076 preventing normal digestion, e.g. Bariatric or gastric sleeves
• CPC Class Codes: A61F 5/0089 Instruments for placement or removal
• CPC Class Codes: A61M 2025/0681 Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers

Abstract

A first part of the inventive instrument comprises an insertion and removal device in the form of a catheter which may be inserted through the mouth, pharynx, and esophagus into the stomach. The catheter includes an outer sheath which protects the human body while a tool extending coaxially through an inner sheath is being manipulated. The tool includes a remotely operated pair of tweezers for holding or releasing a loop on insertion or seizing and holding the loop on removal of the second part of the inventive instrument. The second part of the instrument comprises a tube for implantation in the small intestine. While it is so implanted, the tube prevents food from being there absorbed by the body. The tube may be used to treat obesity or alcoholism, or to cover an ulcer and give it an opportunity to heal without exposure to digesting food.

Claims

1. An instrument comprising an open-ended, thin-walled, balloon-like tube shaped to extend through at least a portion of an alimentary canal, the diameter and length of said tube being selected to treat an absorption-related disease, means for implanting said tube through a patient'"'"'s mouth and throat, means for securing said tube entirely within the alimentary canal of an animal body for the purpose of passing digesting food solids and thereby treating absorption-related diseases, whereby a patient may consume whole food through the mouth, said whole food becoming partially digested in the stomach before coming into contact with said implanted instrument;

and means for controlling a transfer of food chemicals from said digesting food solids through the walls of said implanted instrument to the alimentary canal by preventing or altering the transfer of said food chemicals between said implanted instrument and the walls of the alimentary canal.

2. The instrument of claim 1 and semi flexible means in said tube to provide an interrupted rigid mode of operation to facilitate insertion of said tube into said alimentary canal and a flexible mode of operation to enable said tube to be inserted without twisting.

3. The instrument of claim 1 and means for removably anchoring said tube in place inside a stomach so that said tube extends into but does not pass through said alimentary canal.

4. The instrument of claim 3 wherein said anchoring means comprises a ring having two distinct characteristics by which it has a rigid mode when said ring is pulled by the body in a direction which is away from the implanted position and a flexible mode for collapsing when said ring is pulled in the opposite direction to remove the implant, said anchor ring being attached to the end of said tube which may enter the body last during the implantation.

5. The instrument of claim 1 and means for inserting and removing said tube means into said alimentary canal via the throat, mating capture means on the ends of said tube and said inserting means which ends do not add any encumberances to the entrance and exit of food solids in said tube, said insertion means comprising a catheter having said capture means for capturing and holding said capture means on said tube while it is being inserted into or removed from said alimentary canal, and for releasing said tube after it is implanted, whereby said catheter may be removed while the implant is in place.

6. The instrument of claim 5 and slow dissolved means for streamlining the end of said catheter to enable insertion thereof without snagging, said slow dissolve means dissolving in the stomach or intestine when pushed out the end of said catheter.

7. The instrument of claim 5 wherein said capturing and holding means comprises an electro-magnet.

8. The instrument of claim 5 and slow dissolve means for streamlining the end of said tube to enable insertion thereof without snagging, said slow dissolve means dissolving in the stomach or intestine when pushed out the end of said catheter.

9. The instrument of claim 1 wherein the wall of the tube of said implanted instrument is flexible to have a small outer dimension when empty of said digesting food solids and to expand to a larger outer diameter when said digesting food solids pass through said tube, the wall of said implanted tube being proportioned for said food solids to be transported, responsive to peristaltic intestinal action.

10. The instrument of claim 1 wherein a multiplicity of holes are formed within the thin wall of said implanted tube to enable a transfer of food chemicals to take place, whereby intestinal tube secretions may enter said tube through said hles to further digest said food chemicals within said instrument, and said food chemicals within said instrument may leave said tube through said holes to be absorbed by the digestive tract.

11. The instrument of claim 1 wherein the thin walls of said implanted tube has a soft, crushable texture to enable digesting food solids to be transported through said implant by peristaltic means.

12. An instrument for controlling absorption through the walls of a passageway within an animal body, said instrument comprising an open-ended tube implant means having physical characteristics which fit entirely within the passageway and being shaped to extend through a selected portion of said body passageway, the walls of said tube means being impervious to chemicals of adjacent substances likely to be transported through said body passageway, said implant tube being open on both ends for enabling passage of said adjacent substance as it travels through said passageway, means comprising holes periodically piercing said tube for enabling the passage of controlled amounts of body fluids between the substance in said tube and said body passageway, semiflexible means in said tube to provide a rigid mode of operation to facilitate insertion of said tube into said body passageway and a flexible mode of operation to enable said tube to be inserted without twisting, said anchoring means comprises a semiflexible ring which has a rigid mode when pulled by the body in a direction which is away from the implanted position and a flexible mode for collapsing when pulled in the opposite direction to remove the implant, said anchor ring being attached to the end of said tube which may enter the body last during the implantation, means for inserting and removing said implant means in said body, said insert means comprising a catheter having means for capturing and holding said implant means while it is being inserted or removed and for releasing said implant means after it is implanted, said capturing and holding means being a pair of tweezers and said catheter including a confining portion into which said tweezers may be drawn to close and confine the said tweezers opening automatically when pushed out of said confining portion.

13. The instrument of claim 12 and magnet material on said implant means, magnetic means positioned on said catheter and near said tweezers for attracting said magnetic material, said tweezers, magnetic material, and magnetic means being aligned in mutually interrelated positions so that said tweezers grip and capture said magnetic means when said magnet attracts said magnetic material.

14. The instrument of claim 13 and means in said catheter near said tweezers for curling, guiding and directing the end of said catheter.

15. The instrument of claim 14 where said guiding and directing means comprises a series of semi-circumferential wedge slots cut therein, with a cord loosely running through the slots, said cord being attached to the distal end of said catheter, whereby said slots tend to close and the catheter tends to curl when said cord is pulled.

16. An instrument for controlling absorption through the walls of a passageway within an animal body, said instrument comprising an open-ended tube implant means having physical characteristics which fit entirely within the passageway shaped to extend through a selected portion of said body passageway, the walls of said tube means being impervious to chemicals of adjacent substances likely to be transported through said body passageway, means for inserting and removing said implant means in said body, said insert means comprising a catheter having means for capturing and holding said implant means while it is being inserted or removed and for releasing said implant means after it is implanted, whereby said catheter may be removed while the implant is in place, said catheter having three coaxial parts, a first of said three parts being a sheath for preventing irritation of the body when the inner parts are manipulated therein, other of parts including an inner tube and a flexible stiffening means with tool control means extending down the center of said coaxial parts, said tool being a pair of tweezers and said control means comprising means for pushing said tweezers out or pulling them into said catheter.

17. The instrument of claim 16 and safety means at the top of said catheter for preventing said tool from being accidentally pushed out of said catheter and for preventing said three parts from moving relative to each other.

18. A process for controlling the transfer of chemicals between foods in the intestine and body fluids, said process comprising:

(a) implanting a thin-walled open-ended tube totally within the gastrointestinal tract for passing digesting food solids which are eaten by the person with the implant, said implant controlling the transfer of said chemicals between said solid food and the walls of said gastrointestinal tract, said implant being contained in its entirety within the gastrointestinal tract while it is implanted; and

(b) using the implant while it is totally contained within said gastrointestinal tract for controlling an amount of such chemical transfer.

19. The process of claim 18 and the added step of restricting said transfer to cause weight loss.

20. The process of claim 18 and the added step of adding bulk to said implant for stimulating the squeezing peristal tic movements for extended periods of time during the passage of said food through said intestine to cause weight gain.

21. The process of transporting digesting food solids which are eaten in a normal manner by an animal, said food solids passing from the stomach through the animal'"'"'s digestive tract, said process comprising the step of partially lining said gastrointestinal tract with a tube which is shaped and proportioned to fit against the interior of said gastrointestinal area, the walls of said tube being thin enough to transport food by normal peristaltic contractions of the animal'"'"'s stomach and intestine and controlling chemical transfer between food solids while in said tube and said digestive tract, by forming a multiplicity of holes in said tube to enable controlled amounts of said food chemicals to escape from said tube through said holes and into the digestive tract.

22. The process of claim 21 wherein said digesting food solids are consumed in normal form, and not in digested or partially digested form, through the mouth of said animal having said digestive tract, said food becoming partially digested before coming into contract with said partially lined tract.