Percutaneous obturatable internal anchoring device

• US 5,248,302 A
• Filed: 08/05/1992
• Issued: 09/28/1993
• Est. Priority Date: 08/05/1992
• Status: Expired due to Term

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Biosearch Medical Products, Inc. (Hydromer, Inc.)
• Inventors: Marsh, Ronald, Patrick, Algird
• Primary Examiner(s): WEISS, JOHN
• Application Number:
  US07/925,967
• Time in Patent Office: 419 Days
• Field of Search: 604/174, 604/178, 604/177, 604/93, 604/103, 604/105, 604/106, 604/107, 604/264, 604/280, 604/247, 604/104, 128/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 15/0019 inserted by using a pull-wire
• CPC Class Codes: A61J 15/0038 expandable, e.g. umbrella type
• CPC Class Codes: A61J 15/0065 Fixing means and tube being one part
• CPC Class Codes: A61J 15/0069 Tubes feeding directly to the intestines, e.g. to the jejunum
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence
• CPC Class Codes: Y10S 128/26 Cannula supporters

Abstract

An internal anchoring device to which a tubular member is attached for introduction/removal of fluids/gases into and out of viscera of a patient. The internal anchoring device is a discontinuous flexible body having a silhouette approximating a truncated pyramid when in a relaxed position. The internal anchoring device provides increased anchoring capability over devices of the prior art yet, at the same time, is easily obturated, thereby facilitating placement/removal.

Claims

1. A device designed to pass through an opening in the wall of the abdomen and stomach or other viscera of a patient and to be selectively operated between a relaxed retaining position and a flexed elongated position for insertion into and removal from said patient, said device comprising:

a hollow tubular member having an inner end and an outer end and a longitudinal passage extending therethrough;

an anchoring device joined to said outer end, said anchoring device having a discontinuous flexible body with a silhouette approximating a truncated pyramid in the relaxed position, the base of said pyramid attached to said tubular member and the truncated apex of said pyramid having a guidance passage aligned with said longitudinal passage for directing a linear elongated body being advanced through said tubular member into said patient; and

means for facilitating deformation of said flexible body from said relaxed position to said flexed elongated position formed interiorly of said truncated pyramid.

2. The device according to claim 1, wherein said discontinuous flexible body comprises a plurality of angularly-shaped retaining arms, each of said arms having a first segment extending generally perpendicularly from said tubular member and forming said base of said pyramid, and a second segment extending from said first segment to said truncated apex and joined thereto to form the sides of said pyramid.

3. The device according to claim 2, wherein said first and second arm segments form an angle of from about 40°

to about 60°

in the relaxed position.

4. The device according to claim 3, wherein said first and second arm segments form an angle of 50°

in the relaxed position.

5. The device according to claim 2, wherein each of said arms has a curvilinear cross-section to facilitate insertion into and removal from a patient and to cradle against the viscera wall of said patient to minimize trauma.

6. The device according to claim 5, wherein said cross-section is an arc of a circle having radii of from about 1/4 inch to about 3/4 inch.

7. The device according to claim 6, wherein said cross-section is an arc of a circle having a radius of 1/2 inch.

8. The device according to claim 1, wherein said anchoring device is a separate component which further comprises a sleeve extending from said base of said pyramid and sized for connection to said outer end of said tube.

9. The device according to claim 1, wherein said inner end of said tubular member further comprises an extension with a reduced cross-section and a means for withdrawing said tubular member through the viscera of said patient.

10. The device according claim 9, wherein said means for withdrawing is a loop of strand material.

11. The device according claim 9, wherein said strand material is selected from the group consisting of wire, thread and plastic filament.

12. The device according to claim 1, wherein said inner end of said tubular member further comprises an extension configured to pass over a guide wire.

13. The device according to claim 1, wherein said tubular member further comprises graduated indicia on the outer surface to indicate length of tube insertion into said patient.

14. The device according to claim 9, wherein said tubular member is formed with an approximately 90°

bend.

15. The device according to claim 14, wherein said 90°

bend is formed in said tubular member at a distance of from about 2 to about 4 inches from said outer end.

16. The device according to claim 1, further comprising a sealable cap fitting connected to said inner end.

17. The device according to claim 16, wherein said cap fitting includes an attached cap which when removed from said fitting allows access to said viscera of said patient.