Body fluid transfer device

• US 4,850,955 A
• Filed: 12/02/1986
• Issued: 07/25/1989
• Est. Priority Date: 12/02/1986
• Status: Expired due to Fees

• Current Assignee: DBI Acquisition, Inc.
• Original Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Inventors: Newkirk, John B.
• Primary Examiner(s): Richman, Barry S.
• Assistant Examiner(s): NOT, DEFINED
• Application Number:
  US06/936,888
• Time in Patent Office: 966 Days
• Field of Search: 604/8-10, 604/185, 137/510
• US Class Current: 604/9
• CPC Class Codes: A61M 27/002 Implant devices for drainage of body fluids from one part of the body to another intraocular A61F9/00781; middle ear A61F11/202

Abstract

A biomedical implantable shunt is provided having an enlarged generally circular pump body and a perforated distal and proximal catheter attached to said body. The catheters are intended to have excess length so they can be cut to proper length as necessary to fit a specific patient. The pump body includes a vestibule at the outlet end directly connected to the distal catheter. A pair of one-way miter valves are provided within the pump body. The inlet valve is directly connected to the entrance provided for the proximal catheter while the outlet valve is positioned within the vestibule which is connected to the distal catheter. A longitudinal ridge is provided in the base member of the pump body with one end of the ridge positioned directly under the inlet valve to eliminate the possibility of the valve becoming sealed in the closed position during the pumping operation. Additional longitudinal as well as transverse ridges can be provided in the base section as well as the interior of the pump dome to provide strength and rigidity within the pump body. The pump body portion of the shunt is formed as a one-piece integral unit by means of injection molding. Two separate mold cores are provided which are cantilevered with the pump body core supported by the vestibule core. The vestibule core is in turn supported from the interior of the mold so as to hold both cores in proper position and alignment during the molding process. The inlet and outlet apertures for the proximal and distal catheters respectively, are sized according to the elasticity and tear-resistance of the materials used in the molding process so that the cores can be extracted from the article without tearing or otherwise injuring the pump body material.

Claims

1. A body fluid drainage device which can be implanted subcutaneously in a patient and operated by pressure applied through the skin of the patient, the drainage device comprising:

(a) a pump body means having an internal cavity, said pump body means having substantially flat base means and a hollow dome means having a perimeter which is sealingly attached around its perimeter to said base means, said hollow dome means having an outer central portion and an inside and outside surface, said hollow dome means further including a sidewall and a major diameter at the perimeter attached to said base means, said base means having an outer edge and is sized the same or slightly larger than the major diameter of said dome means, the outer central portion of said dome means being truncated to form a generally centered flat surface which is substantially parallel to said base means so as to reduce the height of said dome means in order to mitigate stresses applied to the skin of the patient, said pump body means having an inlet and an outlet opening positioned in the sidewall of said dome means, the outlet opening being formed as a hollow vestibule means formed in the sidewall of said dome means;

(b) at least first and second one-way vales are positioned within said pump body means, said first valve being mounted in said inlet opening with said second valve mounted within said vestibule means whereby liquid can only flow through said body means from said inlet through said outlet openings when a pressure differential across the device is sufficient to cause both valves to open and when the dome means is compressed toward the base means during a pumping cycle;

(c) a first catheter adapted to be implanted in a body cavity of the patient which has excess fluids, said catheter having first and second open ends, a substantial portion of said catheter adjacent to said first end being perforated to facilitate entry of the excess fluid from the body cavity to the pump body means, the second end of said catheter being sealingly attached to the inlet opening in said pump body means;

(d) a second catheter for transferring the fluid from the pump body means, an end of said second catheter being sealingly connected to the outlet opening of said vestibule means to allow the fluid to pass out of said pump body means;

(e) said first one-way valve is a miter valve which includes top and bottom flattened adjoining portions having different mechanical characteristics so that superior external pressure depresses one portion of the valve more than the other so as to provide a differential movement of the flattened adjoining portions to provide a rubbing action to aid in preventing the valve from becoming clogged; and

(f) at least one ridge is formed on the surface of said base means coinciding with the cavity of said pump body means, at least a portion of said ridge is positioned under said first one-way miter valve to prevent the valve from becoming sealed when the dome means is compressed during a pumping cycle.

2. A drainage device as defined in claim 1 wherein said pump body means and both catheters are formed from a silicon rubber.

3. A drainage apparatus as defined in claim 1 wherein said ridge formed on the inner surface of said base means is adapted to add rigidity and stiffness to said base means for improving the function of said pump body means.

4. A drainage device as defined in claim 1 wherein one or more ridges are formed on the inner surface of said dome means, said ridges being aligned substantially longitudinally along the line between the inlet and outlet openings whereby the strength and support of the dome means is increased to allow the dome means to return to its original position after being compressed.

5. A drainage device as defined in claim 1 wherein said base means and dome means are formed substantially in a circular configuration having a diameter which is within the range of 40 to 60 millimeters and an overall height of between 20 to 24 millimeters.

6. A drainage device as defined in claim 5 wherein the size of the cavity of the pump means is selected so that a minimum of 10 millimeters of fluid is moved through the outlet opening of said pump body means upon each compression of said dome means.

7. A drainage device as defined in claim 1 wherein attaching means is secured to the edge of said base means, said attaching means being adapted to hold the device in proper position within a patient by sutures.

8. A drainage device as defined in claim 7 wherein said attaching means includes one or more tabs which are spaced around the edge of said base means, each of said tabs having a hole provided centrally therein for suturing the device in place.

9. A drainage device as defined in claim 1 wherein the flat surface of said dome means has a diameter which is the same as or greater than one-half of the maximum diameter of said dome means.

10. A drainage device as defined in claim 1 wherein the thickness of said base means is at least twice the thickness of the sidewall of said dome means.

11. A drainage device as defined in claim 1 wherein said dome means, base means and vestibule means are molded as a one-piece unit, the inlet opening into said pump means being formed as an inlet aperture in the sidewall of said dome means, a connector means having an inner and outer end and a through passageway formed therein, said inner end of the connector means being adhesively mounted in said inlet aperture to enclose said aperture, and said first catheter is fixedly attached to the outer end of said connector means while the first one-way vavle is connected to the inner end of said connector means.