Device for use in temporary insertion of a sensor within a patient's body

• US 5,775,328 A
• Filed: 06/26/1996
• Issued: 07/07/1998
• Est. Priority Date: 06/26/1996
• Status: Expired due to Term

• Current Assignee: Tobo, LLC
• Original Assignee: APF LLC (New York Private Bank & Trust Corp.)
• Inventors: Furnary, Anthony P., Lowe, Robert I.
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US08/672,484
• Time in Patent Office: 741 Days
• Field of Search: 128/662.05, 128/662.06, 128/637, 128/772, 128/DIG. 26, 604/27
• US Class Current: 600/458
• CPC Class Codes: A61B 8/06 Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/445 Details of catheter construction
• CPC Class Codes: A61M 2025/0166 Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided
• CPC Class Codes: A61M 25/0105 Steering means as part of the catheter or advancing means; Markers for positioning systems for detection of markers A61B

Abstract

A device for use in placing a non-sterile sensor probe such as an ultrasound scanning transducer in a desired position within a patient'"'"'s body, with a probe-receiving tube having a closed distal end so that a probe inserted within the tube through an open proximal end located outside the patient'"'"'s body is isolated from contact with or contamination of the interior of the patient'"'"'s body. The probe-receiving tube is attached to and extends alongside an elongate support member which aids in placement of the probe-receiving tube in a location proximate an organ to be observed by use of a sensor probe in the probe-receiving tube. The elongate support tube may be a chest drain tube.

Claims

1. A device for use in a medical procedure for placing a sensor probe temporarily in a desired location within a patient'"'"'s body, comprising:

(a) an elongate support member having a distal end portion and a proximal portion; and

(b) a thin-walled probe-receiving tube of flexible material integral with and extending closely alongside said distal end portion of said support member, said tube having a closed distal end defining an interior space within said tube.

2. The device of claim 1 including a fluid conduit extending along said support member toward said distal end thereof and communicating, at a location proximate said distal end, with said interior space within said probe-receiving tube.

3. The device of claim 2 wherein said elongate support member is a drain tube having a wall thicker than a wall of said distal end of said probe-receiving tube and wherein said fluid conduit includes a lumen defined in said wall of said drain tube.

4. The device of claim 3 wherein said conduit includes a branch tube communicating with said lumen in said proximal of said support member, said branch tube having proximal end and a selectively openable closure associated with said closed end.

5. The device of claim 1 wherein said elongate support member is a drain tube including an opening for draining material from said location within said patient'"'"'s body and wherein said probe-receiving tube includes a proximal portion at least part of which is unattached to said proximal portion of said elongate support member, said proximal portion of said probe-receiving tube having a wall which is thicker and substantially more difficult to collapse than said thin-walled distal portion.

6. The device of claim 1 wherein at least said distal portion of said probe-receiving tube is of material substantially transparent to ultrasound waves.

7. The device of claim 1 wherein said probe-receiving tube has an open proximal end.

8. The device of claim 1 wherein said distal end of said probe-receiving tube extends beyond said distal end portion of said elongate support member at least about 0.25 inch.

9. The device of claim 1 including structure defining a fastener passageway extending transversely of said device and located between said elongate support member and said probe-receiving tube in a location suitable for receiving a suture to attach said support member and said probe-receiving tube to said patient.

10. The device of claim 1 wherein said elongate support element is a drain tube for draining material from said patient'"'"'s body and is of stiff, but resiliently flexible material, and wherein a distal portion of said probe-receiving tube is easily collapsible.

11. The device of claim 1 wherein said probe-receiving tube includes a friction-inhibiting coating of material on its interior surface.

12. The device of claim 1 wherein said elongate support member is a chest drain tube for draining material from said patient'"'"'s chest.

13. The device of claim 12 wherein said chest drain tube is of non-circular cross-section shape and of thick-walled construction.

14. A method for enabling a sensor probe to be placed quickly in a desired location within a living patient, comprising:

(a) providing a probe-receiving tube having a flexible-walled, closed distal end portion integral with and located alongside and in close proximity with a relatively stiff elongate support member;

(b) thereafter inserting a distal portion of said support member together with said distal end portion of said tube into an interior cavity or a passageway into a body cavity of a living patient, leaving a proximal portion of said probe-receiving tube extending outside the patient;

(c) thereafter, temporarily inserting a sensor probe within said probe-receiving tube and into proximity with said distal end portion thereof, thereby placing said sensor probe in a desired location within said patient;

(d) utilizing said sensor probe to make a desired observation within said patient; and

(e) thereafter removing said sensor probe from said probe-receiving tube, while leaving said support member and said probe-receiving tube in place within said interior cavity or passageway.

15. The method of claim 14 wherein said support member is a chest drain tube for draining material from said patient'"'"'s chest cavity.

18. The method of claim 14 wherein said sensor probe is an ultrasound transducer, including the further step of providing a quantity of an acoustic coupling fluid within said probe-receiving tube together with said ultrasound transducer.

19. The method of claim 14 including the further steps of keeping said probe-receiving tube empty and collapsed when said sensor probe is not in place within said probe-receiving tube and inserting a sensor probe into said probe-receiving tube and into proximity with said distal end portion thereof at a substantially later time.

16. A method for enabling a sensor probe to be placed quickly in a desired location within a living patient, comprising:

(a) supporting a probe-receiving tube having a flexible-walled, closed distal end portion alongside and in close proximity with a relatively stiff elongate support member, said support member being a chest drain tube;

(b) inserting a distal portion of said support member and said distal end portion of said tube into an interior cavity or a passageway into a body cavity of a living patient and placing said distal end portion of said probe-receiving tube in proximity with the epicardium of said patient, leaving a proximal portion of said probe-receiving tube extending outside the patient;

(c thereafter, temporarily inserting a sensor probe within said probe-receiving tube and into proximity with said distal end portion thereof, thereby placing said sensor probe in a desired location within said patient;

d) utilizing said sensor probe to make a desired observation within said patient; and

(e) thereafter removing said sensor probe from said probe-receiving tube, while leaving said support member in place within said interior cavity or passageway.

17. The method of claim 16 wherein said sensor is an ultrasound imaging transducer, including the steps of installing said chest drain tube and said probe-receiving tube during a surgical procedure normally requiring installation of a chest drain tube, and inserting said ultrasound imaging transducer into proximity with a patient'"'"'s heart temporarily while said chest drain tube remains in place.

20. A device for use in a medical procedure for placing a sensor probe temporarily in a desired location within a patient'"'"'s body, comprising a thin-walled probe-receiving tube of flexible biologically compatible material, said tube having an internal size large enough to accept an ultrasound scanning probe, and having a closed distal end, a distal end portion of said tube being flexibly collapsible, and a proximal portion of said tube having a greater wall thickness so as to resist collapse and facilitate introduction of a sensor probe into said probe-receiving tube.