Gastrostomy feeding device

• US 4,666,433 A
• Filed: 10/22/1985
• Issued: 05/19/1987
• Est. Priority Date: 11/05/1984
• Status: Expired due to Term

• Current Assignee: Ballard Medical Products (Kimberly-Clark Corporation)
• Original Assignee: Medical Innovations Corporation (Kimberly-Clark Corporation)
• Inventors: Parks, Stephen K.
• Primary Examiner(s): Pellegrino, Stephen C.
• Application Number:
  US06/790,242
• Time in Patent Office: 574 Days
• Field of Search: 604/97, 604/96, 604/104, 604/175, 604/174, 604/178, 604/180, 604/280, 188/DIG. 26
• US Class Current: 604/178
• CPC Class Codes: A61J 15/0015 Gastrostomy feeding-tubes insertion tools or methods A61B17/34
• CPC Class Codes: A61J 15/0034 Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters
• CPC Class Codes: A61J 15/0038 expandable, e.g. umbrella type
• CPC Class Codes: A61J 15/0042 inflatable
• CPC Class Codes: A61J 15/0061 fixing at an intermediate position on the tube, i.e. tube protruding the fixing means
• CPC Class Codes: A61J 15/0069 Tubes feeding directly to the intestines, e.g. to the jejunum
• CPC Class Codes: A61M 2025/0233 specifically adapted for attaching to a body wall by means which are on both sides of the wall, e.g. for attaching to an abdominal wall
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body
• CPC Class Codes: Y10S 128/12 Pressure infusion

Abstract

A device is disclosed for supplying food and medication to a patient, and for drainage and/or decompression, the device being inserted through a stoma and into the patient'"'"'s stomach.

The device is secured in place by an inflatable balloon or a mushroom tip within the stomach, and by an adjustable ring on the abdominal wall. The adjustable ring also prevents ingestion of the device into the stomach. During use, the ring can be retracted to permit cleaning of the stoma area. The ring can be perforated and ribbed to provide improved ventilation of the stoma area during use.

The device can be used with conventional surgically formed procedures, and is replaceable at considerably longer intervals than present devices. Servicing of the device can be made at home, rather than at a hospital.

Claims

1. A gastrostomy catheter device for feeding into a patient'"'"'s stomach, comprising:

a. an elongate feeding tube, including an outer extension from the patient'"'"'s stomach, the tube having a feeding inlet end mounted on the outer extension and an outlet end positioned within the patient'"'"'s stomach;

b. an expandable mushroom tip positioned at the outlet end of the tube;

c. a closure plug for the feeding inlet and secured to the feeding tube by an integral band; and

,

d. a locking ring positioned medially along the outer extension of the tube, and sized to frictionally engage the tube, and slidably mounted therealong, and adjustable solely by frictional engagement with the tube to accommodate to the size of the wearer, the locking ring providing a plurality of perforations and spaced ridges to enable air circulation between the locking ring and patient'"'"'s body;

whereby,

i. when the mushroom tip is contracted, the feeding tube may be inserted through a stoma and into the patient'"'"'s stomach;

ii. when the mushroom tip is expanded, it will secure the device within the patient'"'"'s stomach and form a seal adjacent the stoma;

iii. securement of the ring to the tube being provided solely by frictional engagement therebetween, to secure the device within the patient'"'"'s body and to prevent undesirable movement of the ring along the tube, whether in the dry state or when lubricated by body fluids, the locking ring being manually adjustable along the tube to accommodate to the size of the patient, and the mushroom tip and ring both functioning to maintain the device in place in the patient;

iv. retraction of the ring being entirely against the force of frictional engagement to enable the stoma and adjacent areas to be cleaned; and

,

v. when the mushroom tip is contracted, retraction of the ring enables the device to be removed from the patient.

2. The catheter of claim 1, constructed of a medical grade silicone elastomer, and the like.

3. The catheter of claim 2, in which the spaced ridges of the locking ring are arranged concentrically of the ring.

4. The catheter device of claim 1, in which the locking ring defines spaced ridges directed radially outwards from the ring.

5. A method for gastrostomy feeding, comprising:

a. inserting a gastrostomy tube though a stoma and into a patient'"'"'s stomach; and

,

b. supplying food through the tube to the patient'"'"'s stomach, the said tube comprising;

1. an elongate feeding tube, including an outer extension from the patient'"'"'s stomach, the tube having a feeding inlet end mounted on the outer extension and an outlet end positioned within the patient'"'"'s stomach;

2. an expandable mushroom tip positioned at the outlet end of the tube;

7. The method of claim 5, in which the tube and locking ring are constructed of a medical grade silicon elastomer, and the like.

8. The method of claim 5, in which the spaced ridges of the locking ring are arranged concentrically of the ring.

9. The method of claim 5, in which the locking ring defines spaced ridges directed radially outwards from the ring.

6. a closure plug for the feeding inlet and secured to the feeding tube by an integral band;

and,

4. a locking ring positioned medially along the outer extension of the tube, and sized to frictionally engage the tube, and slidably mounted therealong, and adjustable solely by frictional engagement with the tube to accommodate to the size of the wearer, the locking ring providing a plurality of perforations and spaced ridges to enable air circulation between the locking ring and patient'"'"'s body;

whereby,

i. when the mushroom tip is contracted, the feeding tube may be inserted through a stoma and into the patient'"'"'s stomach;

ii. when the mushroom tip is expanded, it will secure the device within the patient'"'"'s stomach and form a seal adjacent the stoma;

iii. securement of the ring to the tube being provided solely by frictional engagement therebetween, to secure the device within the patient'"'"'s body and to prevent undesirable movement of the ring along the tube, whether in the dry state or when lubricated by body fluids, the locking ring being manually adjustable along the tube to accommodate to the size of the patient, and the mushroom tip and ring both functioning to maintain the device in place in the patient;

iv. retraction of the ring being entirely against the force of frictional engagement to enable the stoma and adjacent areas to be cleaned; and

,

v. when the mushroom tip is contracted, retraction of the ring enables the device to tbe removed from the patient.