Low profile gastrostomy device with one-way cross-slit valve

• US 5,411,491 A
• Filed: 05/28/1993
• Issued: 05/02/1995
• Est. Priority Date: 05/28/1993
• Status: Expired due to Fees

• Current Assignee: Abbott Laboratories
• Original Assignee: Abbott Laboratories
• Inventors: Hirsch, William H., Goldhardt, Donald J.
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): GRING, NOELLE K
• Application Number:
  US08/069,035
• Time in Patent Office: 704 Days
• Field of Search: 604/27, 604/28, 604/30, 604/34, 604/9, 604/167, 604/247, 604/256, 604/332, 604/335
• US Class Current: 604/247
• CPC Class Codes: A61J 15/0015 Gastrostomy feeding-tubes insertion tools or methods A61B17/34
• 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 15/0092 Valves on feeding tubes tube valves A61M39/22
• CPC Class Codes: A61M 2025/0233 specifically adapted for attaching to a body wall by means which are on both sides of the wall, e.g. for attaching to an abdominal wall

Abstract

The one-way cross-slit valve of the invention is made of an elastomeric material and has a hollow cylindrical body with first and second ends and an axis and a passageway through the body, the passageway being entirely intercepted by a ridge and valley wall or web structure integrally joined to the cylindrical body. There are just two ridges in the form of lands that extend diametrically and intersect at a right angle at about the axis of the valve body and are slitted at the intersection to provide duckbill valve action. The ridges constitute the apices of mutually intersecting partially folded wall portions that are V-shaped in section, the V'"'"'s spreading towards the first end where the intersecting walls join and form the valleys and the one-way action of the valve allowing fluid to move only towards the second end. The novel low profile gastrostomy tube combines a conventional dome and tubular shaft with the one-way cross-slit valve of the invention.

Claims

1. A one-way cross-slit valve formed of an elastomeric material and comprising a foreshortened hollow cylindrical body having first and second ends, a body wall, and an axis and a passageway entirely through the body, the passageway being intercepted by and movement of any fluid therethrough controlled by a transversely extending continuous ridge and valley wall structure, there being two ridges extending substantially diametrically and intersecting at about the axis of the cylindrical body, the ridges constituting apices of folds in the ridge and valley wall structure, and the apices being both slit therethrough the wall at the intersection to provide a cross-slit, the ridge and valley wall structure being integrally formed with and circumferentially confined by the cylindrical body wall whereby the cylindrical body wall provides hoop strength confinement for the apices, and wherein said cross-slit is essentially coplanar with said cylindrical body second end.

2. The one-way cross-slit valve of claim 1 wherein the ridge and valley wall structure comprises two wall portions, each partially folded along a line, the lines each constituting an apex of the partially folded wall, the wall portions being V-shaped in section with the V'"'"'s opening towards the first end of the cylindrical body and the apices facing the second end of the cylindrical body.

3. The one-way cross-slit valve of claim 2 wherein the apices meet at about the axis of the cylindrical body at about a right angle to each other and substantially within a common plane to form four quadrants, each wall portion ending about midway around a quadrant where it meets and merges and is integrally joined to the mutually intersecting wall portion to form one of the valleys which each extend radially outward from the intersection of the apices.

4. The one-way cross-slit valve of claim 3 wherein the valleys each extend at an angle to the common plane and generally in the direction of the first end of the cylindrical body as well as radially outwardly from the intersection of the apices.

5. The one-way cross-slit valve of claim 4 wherein the apices are flattened to form lands within which the slits are located, the slits crossing at the intersection of the apices.

6. The one-way cross-slit valve of claim 5 wherein the lands are about 0.005 to about 0.25 inch wide.

7. The one-way cross-slit valve of claim 5 wherein the lands are about 0.005 to about 0.025 inch wide.

8. The one-way cross-slit valve of claim 5 wherein the lands are about 0.008 to about 0.02 inch wide.

9. The one-way cross-slit valve of claim 5 wherein the lands are about 0.005 to about 0.030 inch thick.

10. The one-way cross-slit valve of claim 5 wherein the lands are about 0.010 to about 0.025 inch thick.

11. The one-way cross-slit valve of claim 5 wherein the slits are each independently about 1.5 to about 2.5 millimeters in length.

12. A gastrostomy tube comprising a tubular shaft having inner and outer ends and an apertured dome attached at and surrounding the inner end thereof and a one-way cross-slit valve mounted at an end thereof to intercept and control passage of fluid therethrough, the dome having an apex, a bottom wall surrounding the inner end of the tubular shaft and a defining sidewall and being substantially circular in section and the sidewall being substantially uniform in thickness from adjacent the apex to the bottom wall, the one-way cross-slit valve comprising a foreshortened hollow cylindrical body having first and second ends, a body wall and an axis and a passageway entirely through the body, the passageway being intercepted by and movement of any fluid therethrough controlled by a transversely extending continuous ridge and valley wall structure, there being two ridges extending substantially diametrically and intersecting at about the axis of the cylindrical body, the ridges constituting apices of folds in the ridge and valley wall structure, and the apices being both slit therethrough the wall at the intersection to provide a cross-slit, the ridge and valley wall structure being integrally formed with and circumferentially confined by the cylindrical body wall whereby the cylindrical body wall provides hoop strength confinement for the adieus, and, wherein said cross-slit is essentially coplanar with said cylindrical body second end.

13. The gastrostomy tube of claim 12 wherein the dome has three or four apertures about equally spaced about the sidewall.

14. The gastrostomy tube of claim 12 wherein the one-way cross-slit valve is positioned within the dome.

15. The gastrostomy tube of claim 12 wherein a retention flange is attached to and surrounds the outer end of the tubular shaft.

16. The gastrostomy tube of claim 15 wherein the retention flange is integrally molded to the outer end of the tubular shaft.