Multipurpose tamponade and thrombosclerotherapy tube
First Claim
1. A multipurpose tamponade and thrombosclerotherapy tube comprising:
- an elongated transparent tube including a closed end and an opposite open end having at least one window aperture in the tube spaced from the closed end thereof,an inflatable balloon mounted over the tube at a spaced interval from the window aperture,a catheter bonded to the tube and extending therealong, said catheter having one end within the balloon and having side openings spaced at intervals along said end within the balloon,a substantially cylindrical cap mounted to said open end of the tube and extending outwardly therefrom and having a catheter coupling opening in the cylindrical wall thereof, and,a flexible nipple diaphragm mounted over the extending open end of said cap, said diaphragm having a closable aperture to permit entry into the tube and provide an effective tube seal said diaphragm further permitting release of pressure in the tube through said aperture.
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Accused Products
Abstract
A multipurpose tamponade and thrombosclerotherapy tube for the endoscopic thrombosclerosis of esophageal varices and which permits effective gastric lavage at the same time that controlled esophageal tamponade is taking place. The invention comprises a tube-balloon assembly which includes a transparent polyvinyl tube of predetermined dimensions having a pair of opposing windows located at a spaced distance from its distal end. A latex balloon is mounted over the tube at an intermediate position and connected to a manometer by means of a polyvinyl catheter. The proximal end of the outer tube is connected to an irrigating system and a large siphon for gastric drainage. A metal cap fits snugly into the proximal outer tube and comprises a copper member having a latex nipple diaphragm mounted thereover which provides a seal and yet includes a small opening allowing passage of an endoscope.
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Citations
12 Claims
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1. A multipurpose tamponade and thrombosclerotherapy tube comprising:
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an elongated transparent tube including a closed end and an opposite open end having at least one window aperture in the tube spaced from the closed end thereof, an inflatable balloon mounted over the tube at a spaced interval from the window aperture, a catheter bonded to the tube and extending therealong, said catheter having one end within the balloon and having side openings spaced at intervals along said end within the balloon, a substantially cylindrical cap mounted to said open end of the tube and extending outwardly therefrom and having a catheter coupling opening in the cylindrical wall thereof, and, a flexible nipple diaphragm mounted over the extending open end of said cap, said diaphragm having a closable aperture to permit entry into the tube and provide an effective tube seal said diaphragm further permitting release of pressure in the tube through said aperture. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. The method of performing endoscopic thrombosclerosis for the emergency treatment of bleeding esophageal varices in patients comprising the steps of:
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providing an elongated transparent tube having a closed end and an open end with at least one window aperture in the tube spaced from the closed end, an inflatable balloon mounted over the tube at a spaced interval from the window aperture and a catheter bonded to the tube and having an opening within the balloon for inflation purposes and further including a cap and a flexible nipple diaphragm with a sealable aperture mounted over the cap at the open end of said tube, inserting an endoscope through the sealable aperture in the diaphragm and advancing the endoscope to the tube window to view the presence of blood, inflating the balloon to a predetermined pressure to minimize blood flow through the paraesophageal varices, moving the outer tube with the balloon deflated until the esophagogastric junction is located through the window, providing a needle injector for injection of the varix, and delivering one or two varices into the windows with slight rotating movements applied to the tube. - View Dependent Claims (11, 12)
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Specification