Corporeal access tube assembly

• US 5,891,113 A
• Filed: 05/02/1997
• Issued: 04/06/1999
• Est. Priority Date: 01/11/1996
• Status: Expired due to Term

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Quinn, David G.
• Primary Examiner(s): Coggins, Wynn Wood
• Assistant Examiner(s): Finkel, Sharon
• Application Number:
  US08/850,694
• Time in Patent Office: 704 Days
• Field of Search: 604/96, 604/100, 604/103, 604/158, 604/164, 604/174, 604/175, 604/177, 604/178, 604/179, 604/246, 604/247, 604/256, 604/264, 604/280, 604/282, 604/283, 604/705, 604/153
• US Class Current: 604/526
• CPC Class Codes: A61J 15/0015 Gastrostomy feeding-tubes insertion tools or methods A61B17/34
• CPC Class Codes: A61J 15/0019 inserted by using a pull-wire
• CPC Class Codes: A61J 15/0026 Parts, details or accessories for feeding-tubes external tubes from medical containers to a connector outside of the body A61M39/08
• CPC Class Codes: A61J 15/0038 expandable, e.g. umbrella type
• CPC Class Codes: A61J 15/0042 inflatable
• CPC Class Codes: A61J 15/0057 fixing a tube end, i.e. tube not protruding the fixing means
• 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 15/0073 Multi-lumen tubes
• CPC Class Codes: A61M 2025/0008 having visible markings on its surface, i.e. visible to the naked eye, for any purpose, e.g. insertion depth markers, rotational markers or identification of type
• CPC Class Codes: A61M 2025/0073 Tip designed for influencing the flow or the flow velocity of the fluid, e.g. inserts for twisted or vortex flow general flow characteristics A61M2206/10
• 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 25/005 with embedded materials for reinforcement, e.g. wires, coils, braids
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/0069 Tip not integral with tube
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence
• CPC Class Codes: Y10S 128/26 Cannula supporters
• CPC Class Codes: Y10S 604/905 Aseptic connectors or couplings, e.g. frangible, piercable

Abstract

A corporeal access tube assembly including a tube segment in which a coil spring is embedded along a portion of the segment. A retention balloon is secured to the tube segment around a portion which does not contain the coil spring. The balloon is inflated into a preformed shape when in operation but its walls are not stretched to any noticeable extent. A bolus on one end of the tube segment includes a stylet pocket in which a stylet is inserted to stretch the balloon axially and decrease its size radially for purposes of insertion and removal of the tube assembly.

Claims

1. A corporeal access tube assembly, comprising:

a) a tube segment having a silicone rubber body;

b) said silicone rubber body including one elongated body portion containing a coil spring extending along its length;

c) said one elongated body portion and said coil spring forming a generally cylindrical wall having an inner surface and an outer surface, said cylindrical wall in said one elongated body portion being supported by said coil spring;

d) said silicone rubber body including another body portion which is coextensive with and adjacent to said one elongated body portion and forms a generally cylindrical wall having an inner surface and an outer surface, said inner surfaces of said one body portion and said other body portion defining an unobstructed fluid flow passage through said tube segment body, said cylindrical wall in said other body portion having no coil spring support;

e) a retention member mounted on and encircling said other body portion, said retention member including a balloon fastened to said outer surface of said cylindrical wall in said other body portion; and

f) a lumen extending through said body portions into communication with said balloon, said lumen extending through said one body portion outside of said coil spring and inside of said outer surface in said one body portion.

2. A corporeal access tube assembly, comprising:

a) a tube segment having a silicone rubber body;

b) said silicone rubber body including one elongated body portion containing a coil spring extending along its length;

c) said one elongated body portion and said coil spring forming a generally cylindrical wall having an inner surface and an outer surface, said spring forming a generally cylindrical wall having an inner surface and an outer surface, said cylindrical wall in said one elongated body portion being supported by said coil spring;

d) said silicone rubber body including another body portion which is coextensive with and adjacent to said one elongated body portion and forms a generally cylindrical wall having an inner surface and an outer surface, said inner surfaces of said one body portion and said other body portion defining an unobstructed fluid flow passage through said silicone rubber body, said cylindrical wall in said other body portion having no coil spring support;

e) said tube segment having an inlet end and an outlet end;

f) a fluid flow opening to said flow passage on one of said tube segment ends and a connector on the other of said tube segment ends; and

g) a retention member mounted on and encircling said other body portion;

h) said retention member including a balloon comprising a casing having a pair of annular beads defining its inner diameter, each of said annular beads being fastened to said outer surface of the cylindrical wall in said other body portion.

3. The corporeal access tube assembly of claim 2 further characterized by and including:

i) a lumen extending through said body portions into communication with said balloon.

4. The corporeal access tube assembly of claim 2 further characterized in that:

i) said fluid flow opening is in a bolus fastened to said other body portion and said connector is fastened to said one body portion.

5. The corporeal access tube assembly of claim 2 further characterized in that:

i) said connector includes a unitary body, cap and flexible arm joining said body and cap;

j) a connector passage through said body and a one-way valve mounted in said connector passage;

k) said cap including a plug adapted to seat in said connector passage and seal said connector passage.

6. The corporeal access tube assembly of claim 5 further characterized in that:

l) said connector body is formed of silicone rubber.

7. The corporeal access tube assembly of claim 6 further characterized in that:

m) said plug has an annular locking shoulder extending around it; and

n) an annular locking depression is formed in said connector passage for receiving said annular locking shoulder.

8. A corporeal access tube assembly, comprising:

a) a segment of tube having an inlet end and a discharge end;

b) said tube segment including a cylindrical body wall formed of rubber-like material and having an outer surface and an inner surface;

c) said inner surface defining a generally cylindrical fluid flow passage which is unobstructed through said tube segment between said inlet and discharge ends;

d) the body wall in a portion of said tube segment containing an elongated coil spring which supports said wall in said portion of said tube segment;

e) the body wall in another portion of said tube segment containing no supporting coil spring;

f) a fluid flow opening to said tube segment passage on one of said tube segment ends and a connector on the other of said tube seen ends;

g) a balloon encircling said other portion of said tube segment and connected to said tube segment, said balloon comprising a casing having a pair of annular beads defining its inner diameter, each of said annular beads being fastened to said outer surface of said cylindrical body wall in said over portion; and

h) a balloon deflation lumen extending longitudinally through said tube segment between said inlet end and said balloon.

9. A feeding tube assembly comprising:

a) a tube segment having an inlet end and a discharge end;

b) said tube segment including a body formed of rubber-like material and having a cylindrical wall with an outer surface and an inner surface;

c) said inner surface defining a generally cylindrical fluid flow passage through said tube segment;

d) the body in one portion of said tube segment containing an elongated coil spring which supports said cylindrical wall in said one portion of said tube segment;

e) the body in another portion of said tube segment containing no supporting coil spring;

f) a balloon encircling said other portion of said tube segment and connected to said tube segment, said balloon comprising a casing having a pair of annular beads defining its inner diameter, each of said inner beads being fastened to said outer surface of said cylindrical wall in said other body portions;

g) a bolus fastened to the discharge end of said tube segment; and

h) a connector fastened to the inlet end of said tube segment.

10. The feeding tube assembly of claim 9, further characterized in that:

j) said bolus has an axially extending pocket formed therein for receiving the tip of a stylet.

11. A feeding tube assembly, comprising:

a) a tube segment having an inlet end and a discharge end;

b) said tube segment including a cylindrical body wall formed of rubber-like material and having an outer surface and an inner surface;

c) said inner surface defining a generally cylindrical passage through said tube segment;

d) a wall support structure associated with said body wall formed of rubber-like material and having an outer surface and an inner surface;

c) said inner surface defining a generally cylindrical passage through said tube segment;

d) a wall support structure associated with said cylindrical body wall along only a portion of said tube segment;

e) a balloon encircling another portion of said tube segment containing no wall support structure and connected to said tube segment, said balloon comprising a casing having a pair of annular beads defining its inner diameter, each of said annular beads fastened to said outer surface of the cylindrical body wall in said other body portion of said tube segment;

f) a bolus fastened to the discharge end of said tube segment; and

g) a connector fastened to the inlet end of said tube segment;

h) said bolus having a pocket formed therein for receiving the tip of a stylet;

i) said other body portion of said tube segment being stretchable by the action of a stylet seated in said pocket so as to stretch the balloon axially and reduce its dimensions radially.

12. The feeding tube assembly of claim 11 further characterized in that:

i) said rubber-like material is silicone rubber.

13. The feeding tube assembly of claim 12 further characterized in that:

j) said wall support structure comprises a coil spring.

14. A gastrostomy tube assembly adapted to extend into a patient'"'"'s stomach through a stoma and be retained therein by a retention member inside the stomach, comprising:

a) a tube segment having a body formed of rubber-like material;

b) said body including one elongated body portion containing a coil spring extending along its length;

c) said one elongated body portion and said spring forming a generally cylindrical wall having an inner surface and an outer surface, said cylindrical wall in said one elongated body portion being supported by said coil spring, at least a portion of said one elongated body portion adapted to be disposed in the stoma when a retention member is retaining the tube assembly;

d) said body including another body portion which is coextensive with and adjacent to said one elongated body portion and forms a generally cylindrical wall having an inner surface and an outer surface, said wall in said other body portion having no coil spring support whereby it can be readily deformed radially inwardly;

e) said tube segment passage having an inlet end and an outlet end;

f) a fluid flow opening to said tube segment passage on one of said tube segment ends and a connector on the other of said tube segment ends; and

g) a retention member mounted on and encircling said other body portion.