Catheter with adjustable external locking bolster
First Claim
1. An indwelling medical device wherein said device consists of:
- a flexible distal tip with an opening therein,a flexible tubular member with a lumen connected to the opening on the distal tip to form a fluid passageway between the tip and the tubular member to outside the body, saiddistal tip adapted to be located within the body and the tubular member proximal to the distal tip such that after placement a portion of the tubular member exists outside the body, saidflexible tubular member having multiple engagement elements located on its outside surface, saidengagement elements on the outside surface of the tubular member clearly visible outside the body after placement, anda separate external coupling incorporating at least one matching engagement element capable of selective engagement with at least one of said elements on the outside surface of the tubular member wherein said engagement takes place outside the body, theseparate coupling further capable of being selectively positioned on the tubular member such that the coupling can rest close to the skin surface,a compression element capable of locking the coupling to the tubular member after selective positioning of the coupling on the tubular member, saidcompression element preventing engaged elements on both the coupling and the tubular member from disengagement such that the coupling and the tubular member become fixed together so that the external coupling prevents inward migration of the tubular member within the body.
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Accused Products
Abstract
A catheter with an adjustable, external locking bolster. The catheter is for insertion into a body and includes a distal tip which is positioned inside the body, and a tubular member which is in communication with the distal tip. A portion of the tubular member exists outside the body and is provided on its outer surface with engagement elements. An external coupling has matching engagement elements for selective, adjustable securement to the tubular member. A compression element is provided which locks the external coupling to the tubular element and prevents slippage. The adjustable engagement allows a low profile, close to the skin appearance, while the compression element securely locks the external coupling to the tubular member.
92 Citations
30 Claims
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1. An indwelling medical device wherein said device consists of:
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a flexible distal tip with an opening therein, a flexible tubular member with a lumen connected to the opening on the distal tip to form a fluid passageway between the tip and the tubular member to outside the body, said distal tip adapted to be located within the body and the tubular member proximal to the distal tip such that after placement a portion of the tubular member exists outside the body, said flexible tubular member having multiple engagement elements located on its outside surface, said engagement elements on the outside surface of the tubular member clearly visible outside the body after placement, and a separate external coupling incorporating at least one matching engagement element capable of selective engagement with at least one of said elements on the outside surface of the tubular member wherein said engagement takes place outside the body, the separate coupling further capable of being selectively positioned on the tubular member such that the coupling can rest close to the skin surface, a compression element capable of locking the coupling to the tubular member after selective positioning of the coupling on the tubular member, said compression element preventing engaged elements on both the coupling and the tubular member from disengagement such that the coupling and the tubular member become fixed together so that the external coupling prevents inward migration of the tubular member within the body. - View Dependent Claims (2, 3, 4, 5, 6, 7)
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8. An indwelling medical catheter for draining or infusion of fluids consisting of:
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a distal tip for positioning inside the body, an opening in said distal tip, an inner fluid passageway in said catheter connected to said distal tip, said passageway extending substantially the full length of the catheter from said distal tip to outside the body, an outer on said passageway wherein said outer wall extends outside the body and said outer wall incorporates a series of engagement elements wherein said elements also extend outside the body, an external bolster with at least one matching engagement element, said bolster capable of selective engagement with any of the engagement elements located on the outer wall of the passageway, a said bolster further capable of being adjustably positioned on said outer wall such that the external bolster rests close to the skin surface outside the body, a compression element capable of locking the bolster in place on the outer wall of the passageway, said compression element once in place in the locking mode preventing engaged elements between the bolster and outer wall from being disengaged to prevent slippage of the bolster on the outer wall of the passageway. - View Dependent Claims (9, 10, 11, 12, 13, 14, 15)
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16. An indwelling medical device wherein said device consists of:
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a flexible distal tip with an opening therein, a flexible hollow catheter proximal to said distal tip with an internal passageway connected to the opening on said distal tip, said passageway in direct fluid communication with the opening in said distal tip, said catheter further having a series of engagement elements progressively located on an outside wall of the catheter, at least a portion of the catheter including engagement elements extending outside the body after placement of the distal tip inside the body, a separate external coupling with an opening therein, said opening including matching engagement elements, said opening and said matching engagement elements cooperating with the engagement elements on the outside wall of the catheter to form an interlocking connecting between the coupling and the catheter, said coupling capable of engagement with any of the elements on the outside wall of the catheter such that the coupling can be positioned and engaged so that the coupling can rest close to the skin surface, a compression element in conjunction with the coupling such that the coupling can be locked in position with the catheter after compression of the element such that the coupling and catheter cannot be disengaged without relieving the compression element. - View Dependent Claims (17, 18, 19, 20, 21, 22)
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23. A gastrostomy feeding device comprising:
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a distal tip with an opening therein, a hollow catheter proximal to the distal tip connected to the distal tip and extending rearward therefrom, a hollow catheter lumen in direct fluid communication with the distal tip opening, said hollow catheter having an outside wall with a series of engagement elements which are clearly visible outside the body, said distal tip with outwardly extending retaining means, a said distal tip including retaining means adapted for contact with the inner wall of the stomach to prevent outward migration of the device after placement, and a separate external bolster with at least one matching engagement element capable of interlocking with said engagement elements which are clearly visible outside the body one the hollow catheter wall, said separate external bolster further capable of being selectively positioned on the hollow catheter such that the bolster can rest close to the skin surface while still engaged with the elements clearly visible outside the body on the hollow catheter, a compression element applying inward compressive force on the external bolster in the area of its said at least one matching engagement element to securely interlock the bolster to the hollow catheter to prevent inward migration of the catheter inside the body. - View Dependent Claims (24, 25, 26, 27, 28, 29, 30)
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Specification