Peritoneal fluid treatment apparatus, package and method

• US 4,479,792 A
• Filed: 09/24/1982
• Issued: 10/30/1984
• Est. Priority Date: 08/22/1980
• Status: Expired due to Fees

• Current Assignee: Baxter International Inc.
• Original Assignee: Harrison Lazarus, James A. Nelson
• Inventors: Nelson, James A., Lazarus, Harrison
• Primary Examiner(s): YASKO JR, JOHN D
• Application Number:
  US06/423,034
• Time in Patent Office: 767 Days
• Field of Search: 604/29, 604/164, 128/654, 128/656, 128/658, 128/753, 128/754
• US Class Current: 604/29
• 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 50/33 Trays
• CPC Class Codes: A61M 25/0111 Aseptic insertion devices

Abstract

The cannula of a conventional intravascular catheter is placed into the peritoneal cavity through a small shallow incision in antiseptically prepared skin. The stylet or trocar of the conventional catheter is removed; and a stainless steel elongated flexible guide is inserted through the catheter'"'"'s cannula into the peritoneal cavity. The catheter'"'"'s cannula is removed and a flexible elongated cannula inserted into the cavity over the guide and secured in place with a suture. Fluid operation means is connected to the elongated cannula by connector means to permit fluid treatment after removal of the guide. Apparatus to effect peritoneal fluid treatment are placed in sterile openable sealed packages for storage and transport.

Claims

1. A method for peritoneal fluid treatment in which:

a portion of the skin surface about the peritoneum is sterilized using skin preparation means;

a local anesthetic is administered to said sterilized skin surface;

a short, small, shallow incision is made in the area of said sterilized skin;

an intravascular catheter of the type having a first cannula connected to a hub and removable placement means is inserted through said incision and into the peritoneal cavity;

the placement means of said intravascular catheter is removed and said first cannula left inserted;

flexible guide means are inserted into the peritoneal cavity through said first cannula;

said first cannula is removed leaving said guide means inserted;

a second cannula which is elongated and flexible is inserted into the peritoneal cavity over said guide means;

said guide means is removed; and

fluid operation means is connected to said second cannula by connector means adapted to one end of said cannula to effect fluid treatment operations.

2. The method of claim 1 wherein said second cannula is secured in place by suture means before performance of fluid operations in which fluids are introduced and thereafter extracted from the peritoneal cavity.

3. A method for peritoneal fluid treatment in which:

a portion of the skin surface about the peritoneum is sterilized using skin preparation means;

a local anesthetic is administered to said sterilized skin surface;

a nick-type incision is made in the area of said sterilized skin using incision means;

a hollow first cannula is placed through said incision and just slightly into the peritoneal cavity;

flexible guide means is inserted into the peritoneal cavity through said first cannula well into said cavity, said guide means being from about 20 to about 50 centimeters in length and from about 0.5 millimeters to about 2 millimeters in diameter for insertion into the peritoneal cavity through said first cannula, said guide means being sized in cross-section to fit within said first cannula and in length to be substantially longer than said first cannula, said guide means having a first end which is blunt for insertion into the peritoneal cavity, and said guide means being a stainless steel piano-wire-like wire made of a refractory metal having substantial flexibility from its first end to a point from about one-third to one-half the length of said guide means measured from said first end and thereafter said guide means has less flexibility along its length to its second end;

said first cannula is removed leaving said guide meams inserted;

a second cannula which is elongated and flexible is inserted into the peritoneal cavity over said guide means, said second cannula being a flexible plastic-like tube having a plurality of spaced apart apertures formed in it from its second end to a point about one-third to one-half along its length and secured in placed by suture means before performance of fluid operations in which fluids are introduced and thereafter extracted from the peritoneal cavity;

said guide means is removed; and

fluid operation means is connected to said second cannula by connector means adapted to one end of said cannula to effect fluid treatment operations.

4. The method of claim 3 wherein said fluid operation means is a fluid container connectable by means to said connector means, said fluid container having a first position in which said container is elevated above the connector so that fluid therewithin flows out into the patient, and a second position in which said container is lowered below the patient to establish a siphon and extract fluid from the patient into the container.

5. The method of claim 3 wherein said peritoneal fluid operation means includes an aspirator connectable to said connector means to extract fluid from said patient.

6. A method for peritoneal fluid treatment in which:

a portion of the skin surface about the peritoneum is prepared for incision making;

a local anesthetic is selectively administered to the prepared skin surface;

a small incision is made within the prepared skin surface area;

a hollow first cannula is placed through the incision and just slightly into the peritoneal cavity;

flexible guide means is inserted into the peritoneal cavity, said guide means being sized in cross-section to fit within said first cannula and in length to be substantially longer than said first cannula;

said first cannula is removed leaving said guide means inserted;

a second cannula which is elongated and flexible is inserted into the peritoneal cavity over the guide means;

said second cannula is selectively secured in place using securing means;

said guide means is removed; and

fluid operation means is connected to said second cannula by connector means to effect fluid treatment operations.