Cardiac output probe assembly

• US 5,291,896 A
• Filed: 08/21/1991
• Issued: 03/08/1994
• Est. Priority Date: 08/21/1991
• Status: Expired due to Term

• Current Assignee: Baxter International Inc.
• Original Assignee: Baxter International Inc.
• Inventors: Bobo, Donald E. Jr., Evans, David J., Fonger, James D., Currier, Clifford E., Swendson, David L.
• Primary Examiner(s): JAWORSKI, FRANCIS J
• Application Number:
  US07/748,484
• Time in Patent Office: 930 Days
• Field of Search: 128/642, 128/662.04-662.06, 128/419 P, 128/419 PT, 128/785-786, 604/43, 604/264
• US Class Current: 600/526
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/411 Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance
• CPC Class Codes: A61B 5/416 the spleen
• CPC Class Codes: A61K 31/445 Non condensed piperidines, e.g. piperocaine
• CPC Class Codes: A61M 27/00 Drainage appliance for wounds or the like , i.e. wound drains, implanted drains negative pressure wound therapy devices A61M1/90; implements for holding wound open A61B17/02 ; middle ear drainage A61F11/202
• CPC Class Codes: A61P 31/04 Antibacterial agents
• CPC Class Codes: A61P 35/00 Antineoplastic agents
• CPC Class Codes: A61P 37/06 Immunosuppressants, e.g. drugs for graft rejection
• CPC Class Codes: C07D 498/18 Bridged systems

Abstract

A cardiac output probe assembly is disclosed wherein the assembly includes a chest tube which carries a cardiac output probe therein. The chest tube includes a main lumen for draining fluids from the thoracic cavity of the chest and a secondary lumen which carries leads attached to the probe. The probe is attached to the pulmonary artery or aorta vessel with detachable tines and/or sutures. The tines are uniquely configured to ensure that good contact between the probe and vessel is maintained. When cardiac output monitoring is complete, a pulling force is applied to the probe leads extending out through a proximal end of the tube. The pulling force detaches the tines and sutures, releasing the probe from connection with the vessel. Further withdrawal of the leads through the tube retracts the probe within the tube, where it is housed until the tube is removed from the thoracic cavity.

Claims

1. A medical device for use on extravascular tissue within a living body, comprising:

a temporarily implantable cardiac output probe comprising an attachment portion which is adapted to detachably fasten said implantable probe to the extravascular tissue;

a line, connected to said implantable probe, said attachment portion being configured to cause release of said implantable probe in response to a force on said line; and

a chest tube having a generally smooth outer surface to permit said chest tube to be inserted into and enclosed within the thoracic cavity of the living body and to be withdrawn from the living body by pulling thereon, said tube sized to permit said line to pass therethrough, and having a mouth portion which receives said implantable probe prior to withdrawal of said chest tube from the thoracic cavity.

2. The device of claim 1, wherein said chest tube comprises a wound drain.

3. The device of claim 2, wherein said chest tube has drain holes proximal to one end thereof.

4. The device of claim 1, wherein said implantable probe comprises a transducer which produces electrical signals.

5. The device of claim 1, where said line comprises a wire for carrying electrical signals.

6. The device of claim 1, wherein said tube has two lumens, one of which is substantially larger than the other.

7. The device of claim 6, wherein said line is disposed in the smaller of said two lumens.

8. The device of claim 7, wherein the smaller of said lumens has a slit therein extending from a proximal end of said tube through only a selected portion of said chest tube to permit said line to be removed from said lumen so that said tube can be cut to proper size without cutting said line.

9. The device of claim 6, wherein the smaller of the two lumens terminates at a location spaced from said mouth portion.

10. The device of claim 1, wherein said mouth portion is sized to permit said implant to fit therein.

11. The device of claim 10, wherein said mouth portion is formed by a shield portion of substantially semicircular cross section, said shield portion being disposed on one side of said tube.

12. The device of claim 11, wherein said tube comprises two lumens, one being substantially smaller than the other, the smaller of the two lumens being disposed on the same side of said tube as said shield portion.

13. The device of claim 1, wherein said chest tube is flexible.

14. The device of claim 1, wherein said implantable probe additionally comprises a body portion, and wherein said attachment portion comprises at least one tine, attached to said body portion.

15. The device of claim 14, wherein a distal end portion of said tine is spaced from a surface of said body portion to permit said distal end to be inserted into tissue, such that tissue is between the tine and the surface of said body portion.

16. The device of claim 15, wherein said tine extends in a direction generally parallel to said surface of said body portion, and wherein said tine is resilient so as to forcibly bias the tissue between said tine and said surface of said body portion against said surface of said body portion.

17. The device of claim 16, wherein said tine has a proximal end portion which is attached to said body portion and which extends outwardly from said surface of said body portion.

18. The device of claim 17, wherein said tine has a curved intermediate portion between said proximal end portion and said distal end portion.

19. The device of claim 1, wherein said attachment portion comprises a suture tie portion configured to receive a suture for attaching said implantable probe to the extravascular tissue.

20. The device of claim 1, wherein said attachment portion comprises a notched region across which at least one suture is placed to attach said implantable probe to the extravascular tissue.

21. A method of removing a temporarily implantable cardiac output probe, detachably attached to tissue within a living body, said method comprising:

applying force to a line which is connected to said implantable probe;

utilizing said force to detach said implantable probe from the tissue;

utilizing said force to draw said implantable probe to a mouth portion of a chest tube enclosed within the thoracic cavity of the living body; and

withdrawing said chest tube from the living body.

22. The method of claim 21, wherein the step of withdrawing comprises retaining the implantable probe at the mouth of the chest tube during the withdrawing.

23. The method of claim 22, wherein the mouth portion opens laterally to one side of the chest tube, said method additionally comprising guiding said line along a path disposed on the opposite side of said chest tube.

24. The method of claim 23, wherein the step of guiding said line comprises passing said line through a lumen having a distal end spaced from said mouth portion.

25. The method of claim 21, additionally comprising the step of draining bodily fluids through said chest tube.

26. A method of performing a surgical procedure so that an attached temporarily implantable cardiac output probe may be readily removed without further surgery, said method comprising:

attaching a temporarily implantable cardiac output probe to tissue within a living body; and

placing a chest tube in the living body such that (i) a distal end of said chest tube is in general proximity to said implantable probe, (ii) a proximal end of said chest tube extends out of the living body, (iii) a line attached to said implantable probe passes through a lumen of said chest tube, and (iv) a portion of said line and a portion of said chest tube are accessible from outside the living body.

27. A method of surgically attaching a temporarily implantable cardiac output probe and safely removing the implantable probe with further surgery, said method comprising:

attaching a temporarily implantable cardiac output probe to tissue within a living body;

placing a chest tube having a receptacle at its distal end in the living body such that the distal end of said chest tube is in general proximity to said implantable probe and a proximal end of said chest tube extends out of the living body;

attaching a line to said implantable probe and passing said line through a lumen of said chest tube so that a portion of said line and a portion of said chest tube are accessible from outside the living body;

applying force to said line to remove said implantable probe from the tissue and to place said implantable probe in the receptacle of said chest tube; and

removing said chest tube and said implantable probe from the living body.

28. A medical device for use on extravascular tissue within a living body, comprising:

a temporary implant comprising an attachment portion which is adapted to detachably attach fasten said probe to the extravascular tissue;

a line, connected to said implant, said attachment portion being configured to cause release of said implant in response to a force on said line; and

a chest tube having a generally smooth outer surface to permit said chest tube to be inserted into and enclosed within the thoracic cavity of the living body and to be withdrawn from the living body by pulling thereon, said tube sized to permit said line to pass therethrough, and having a mouth portion which is sized to permit said implant to fit therein and which receives said implant prior to withdrawal of said chest tube from the thoracic cavity.

29. The device of claim 28, wherein said mouth portion is formed by a shield portion of substantially semicircular cross section, said shield portion being disposed on one side of said tube.