Laparoscopic jejunostomy instrumentation kit

• US 5,318,543 A
• Filed: 10/08/1992
• Issued: 06/07/1994
• Est. Priority Date: 10/08/1992
• Status: Expired due to Term

• Current Assignee: Abbott Laboratories
• Original Assignee: Abbott Laboratories
• Inventors: Danis, Roger G., Senokozliff-Englehart, Andrea L., McCamish, Mark A., Ross, Jeffrey R.
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): Gutowski, Anthony
• Application Number:
  US07/958,409
• Time in Patent Office: 607 Days
• Field of Search: 604/51, 604/54, 604/158, 604/160, 604/161, 604/164, 604/178, 604/264, 604/280, 604/174, 606/108, 606/191, 206/364-366, 206/571
• US Class Current: 604/170.01
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 2017/0416 Packages or dispensers for suture anchors or for anchor applicators
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0479 Packages or dispensers for MIS suturing instruments
• CPC Class Codes: A61B 2050/0065 Peelable cover
• CPC Class Codes: A61B 2050/314 Flexible bags or pouches
• CPC Class Codes: A61B 50/33 Trays
• CPC Class Codes: A61J 15/0007 inserted by using a guide-wire guide wires A61M25/09
• CPC Class Codes: A61J 15/0023 inserted by using a sheath
• 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: A61J 2205/00 General identification or selection means

Abstract

A laparoscopic jejunostomy instrumentation kit includes components for securing a patient'"'"'s intestine in apposition to the patient'"'"'s abdominal wall and for creating a stoma through the patient'"'"'s abdominal wall and intestinal wall, a jejunostomy tube, and an enclosure for containing the other components of the kit. In preferred embodiments the kit includes T-Fastener assemblies, needles, syringes, a dilator, a peel-away sheath and a gastrostomy tube.

Claims

1. A laparoscopic jejunostomy instrumentation kit comprising:

(a) means for securing a patient'"'"'s intestine in apposition to the patient'"'"'s abdominal wall;

(b) means for creating a stoma through the abdominal wall and intestinal wall, wherein said means for creating a stoma comprises a needle, a guidewire which is insertable through a bore in the needle, a peel-away sheath having a bore extending therethrough, and a dilator having a bore extending therethrough, the dilator being insertable through the bore in said peel-away sheath and said guidewire being insertable through the bore in said dilator;

(c) a jejunostomy tube;

(d) an external retaining device which has the capacity to guide the jejunostomy tube through a 90°

bend without kinking the jejunostomy tube; and

(e) an enclosure for containing the components of the kit.

2. A laparoscopic jejunostomy instrumentation kit according to claim 1 wherein the means for securing the patient'"'"'s intestine in apposition to the patient'"'"'s abdominal wall comprises at least three T-Fastener assemblies.

3. A laparoscopic jejunostomy instrumentation kit according to claim 2 wherein the means for securing the patient'"'"'s intestine in apposition to the patient'"'"'s abdominal wall further comprises a slotted needle and a stylet insertable therein for placing the T-Fastener assemblies.

4. A laparoscopic jejunostomy instrumentation kit comprising:

(a) at least three T-Fastener assemblies;

(b) a slotted needle and a stylet which is insertable therein for placing the T-Fastener assemblies;

(c) a guidewire;

(d) a peel-away sheath having a bore extending therethrough;

(e) a dilator having a bore extending therethrough, the dilator being insertable through the bore in said peel-away sheath, and said guidewire being insertable through the bore in said dilator;

(f) a jejunostomy tube;

(g) an external retaining device which has the capacity to guide the jejunostomy tube through a 90°

bend without kinking the jejunostomy tube; and

(h) an enclosure containing the components of the kit.

5. A laparoscopic jejunostomy instrumentation kit comprising:

(a) at least three T-Fastener assemblies;

(b) a slotted needle and a stylet which is insertable therein for placing the T-Fastener assemblies;

(c) a second needle;

(d) a syringe which is attachable to said second needle;

(e) a guidewire which is insertable into a bore through said second needle;

(f) a peel-away sheath having a bore extending therethrough;

(g) a dilator having a bore extending therethrough, the dilator being insertable through the bore in said peel-away sheath, and said guidewire being insertable through the bore in said dilator;

(h) a jejunostomy tube;

(i) an external retaining device which has the capacity to guide the jejunostomy tube through a 90°

bend without kinking the jejunostomy tube; and

(j) an enclosure containing the components of the kit.