Low profile adaptor for gastrostomy feeding tube

• US 5,549,657 A
• Filed: 05/12/1994
• Issued: 08/27/1996
• Est. Priority Date: 05/12/1994
• Status: Expired due to Term

• Current Assignee: C.R. Bard, Inc. (Becton Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton Dickinson & Co)
• Inventors: Stern, David R., Gauderer, Michael, Solbjor, Albert N.
• Primary Examiner(s): MCDERMOTT, CORRINE MARIE
• Application Number:
  US08/241,846
• Time in Patent Office: 838 Days
• Field of Search: 604/104, 604/105, 604/167, 604/237, 604/247, 604/268, 604/270, 604/271, 604/283, 604/174, 604/246, 604/249, 604/250, 604/280, 604/256
• US Class Current: 604/537
• CPC Class Codes: A61J 15/0015 Gastrostomy feeding-tubes insertion tools or methods A61B17/34
• CPC Class Codes: A61J 15/0034 Retainers adjacent to a body opening to prevent that the tube slips through, e.g. bolsters
• CPC Class Codes: A61J 15/0057 fixing a tube end, i.e. tube not protruding the fixing means
• 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
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body

Abstract

A low profile adaptor is disclosed for use with a gastrostomy feeding tube which has been inserted by means of conventional endoscopic procedures or with a replacement feeding tube inserted through the patient'"'"'s stomach. The tube is cut to the approximate length by the surgeon. The adaptor comprises an anti-reflux valve assembly having a stem which can be plugged into the open end of the feeding tube. The valve assembly contains a seal which functions as a one-way valve to prevent reflux of gastric contents but which permits the introduction of feeding solution into the feeding tube. A clamp is placed around the feeding tube and the valve stem and locked into place to secure the valve assembly to the feeding tube at a location flush with the patient'"'"'s skin. A silicone cover is placed around the clamp to protect the patient from skin irritation caused by the clamp, and also to protect the clamp and valve assembly from contamination.

Claims

1. An adaptor combination for use with a gastrostomy feeding tube having a retention member at its distal end and an open proximal end, comprising:

an anti-reflux valve with an inlet and an outlet, said valve having a stem at its outlet constructed to be received into the feeding tube proximal end, said stem being tapered and including a waist portion, and a seal contained therein to event prevent reflux adapted to receive therethrough a supply tube to supply a feeding solution through said valve to the gastrostomy feeding tube;

a clamp constructed to clamp the gastrostomy feeding tube to said stem when said stem is received therein, said clamp being positioned over said waist portion when said stem is received in said gastrostomy feeding tube, to engage the gastrostomy feed tube against said stem waist portion; and

a cover constructed to fit over and substantially cover said clamp.

2. The adaptor combination of claim 1, wherein said clamp includes male and female sections pivotally connected to each other at one end thereof and mating locking means at the opposite end of each said section for locking said male and female sections together to clamp said feeding tube to said anti-reflux valve stem.

3. The adaptor combination of claim 1, wherein said cover is of flexible material and includes a valve cap for covering said inlet and seal of said anti-reflux valve.

4. The adaptor combination of claim 1, further comprising a connector for supplying a feeding solution to said gastrostomy feeding tube, said connector including means for attaching onto said anti-reflux valve when engaged therewith and including a supply tube insertable through said seal to supply feeding solution to the gastrostomy feeding tube open proximal end when said means for attaching is engaged with said anti-reflux valve, said connector being rotatable relative to said valve.

5. The adaptor combination of claim 1 further comprising a gastrostomy feeding tube having a retention member in the form of a dome at its distal end with a portion for engaging tissue of a patient'"'"'s body and an opening through which the feeding solution passes, the open proximal end of said gastrostomy feeding tube fitting over said valve stem to be clamped thereto by said clamp.

6. The adaptor combination of claim 1 wherein said valve and clamp are to be disposed on the exterior of the body of a patient'"'"'s, and further comprising a gastrostomy feeding tube to extend through the patient body tissue, the open proximal end of said gastrostomy feeding tube connected to said valve stem by said clamp exterior of the body of the patient.

7. The adaptor combination of claim 6 further comprising a dome at the distal end of said gastrostomy feeding tube positioned to reside within the body of the patient to prevent said feeding tube from being pulled out, said dome having an opening through which the feeding solution is discharged into the patient'"'"'s body.

8. The adaptor combination of claim 1 wherein said seal comprises a substantially flat gasket having a slit through which a feeding solution supply tube can pass.

9. In combination:

a gastrostomy feeding tube having a distal end, a retention dome at the distal end and an open proximal end;

an anti-reflux valve having an inlet and an outlet, said valve including a self-sealing gasket at its inlet which prevents reflux and is adapted to receive a supply tube to supply a feeding solution through said valve to the gastrostomy feeding tube proximal end, said valve including a stem received within said open proximal end of said feeding tube;

a clamp constructed to clamp said gastrostomy feeding tube to said stem when received in said tube and comprising male and female sections having first and second ends, and being pivotally attached to each other at said first ends thereof and including mating interlocking means at the second ends thereof for locking said clamping means to said feeding tube and said valve stem; and

a cover of resilient material for substantially covering said clamp, said cover including a cap constructed to fit over and cover said reflux valve gasket.

10. The combination of claim 9 wherein said stem of said valve is tapered and includes barbed and waist portions, said clamp adapted to engage said stem waist portion.

11. The combination of claim 10, further comprising:

a connector for supplying a feeding solution to said gastrostomy feeding tube, said connector including means to attach onto said anti-reflux valve and including a hollow tube insertable through said gasket, said connector being rotatable relative to said valve assembly.

12. The combination of claim 9, wherein said gasket is substantially flat and includes a Y-shaped slit, and said cap includes a centering bead adapted to contact said slit when covering said gasket.

13. The combination of claim 9, wherein a pocket is formed within the exterior surface of said dome and adapted to receive an obturator.