Device and system for draining a body cavity and methods related thereto

• US 5,989,234 A
• Filed: 01/14/1997
• Issued: 11/23/1999
• Est. Priority Date: 01/14/1997
• Status: Expired due to Term

• Current Assignee: Technology Holding Company II (Teleflex Incorporated)
• Original Assignee: Deknatel Technology Corporation
• Inventors: Carlone, Anthony R., Valerio, Michael A., Travers, Lawrence F., Phung, Trinh, Santos, Victor E.
• Primary Examiner(s): McDermott, Corrine
• Assistant Examiner(s): Cho, David J.
• Application Number:
  US08/783,177
• Time in Patent Office: 1,043 Days
• Field of Search: 604/317, 604/318, 604/320, 604/321, 604/322, 604/323, 604/324
• US Class Current: 604/321
• CPC Class Codes: A61M 1/61 Two- or three-bottle systems for underwater drainage, e.g. for chest cavity drainage
• CPC Class Codes: A61M 2209/082 Mounting brackets, arm supports for equipment

Abstract

Featured is a device for draining fluids and/or gas from body cavities, including at least a pressure control chamber and a collection chamber being fluidly coupled by a one-way valve thereby establishing a waterless seal between the collection chamber, including the patient, and the suction source. The pressure control chamber also includes a waterless suction pressure control regulator that controls and maintains the suction pressure at or about a selected value. Preferably, the regulator includes a spring operated valve. The device also includes a vent path arrangement having an intermediate chamber and at least two passages that are perpendicular to two adjacent surfaces within the intermediate chamber. The two passages and intermediate chamber are arranged so liquid in the collection chamber does not flow and contaminate the upstream portions of the device when the device is resting on its front side or backside. Also featured is an autotransfusion system including a drainage device and a bag assembly attached thereto. The device and bag assembly are fluidly coupled so the differential pressure established by the device causes the blood from the patient to drain into the bag assembly. In an alternate embodiment, the drainage device is configured to continuously collect and filter a patient'"'"'s blood and continuously output it for re-infusion back into the patient.

Claims

1. A drainage device comprising:

at least two chambers, a pressure regulation chamber and a collection chamber, being fluidly coupled by means of a vent pathway;

wherein the vent pathway includes an intermediate chamber and at least first and second passages, each passage being in fluid communication with the interior of the intermediate chamber;

wherein an opening is provided in the first passage, distal from the intermediate chamber, to fluidly couple the first passage and the pressure regulation chamber;

wherein an opening is provided in the second passage, distal from the intermediate chamber, to fluidly couple the second passage and the collection chamber; and

wherein the first passage and the second passage are arranged so an axis of the first passage and an axis of the second passage are each at an angle with respect to a front surface of the drainage device.

2. The drainage device of claim 1 further comprising a third passage being spaced from the first and second passages and communicating with the interior of the intermediate chamber and wherein an opening is provided in the third passage, distal from the intermediate chamber, to fluidly couple the third passage and the collection chamber, where the third passage is arranged so an axis thereof is at an angle with respect to the drainage device front surface.

3. The drainage device of claim 2 wherein the second and third passage openings are arranged with respect to the collection chamber so each opening is above the fluid level in the collection chamber when the device is in an upright position and when the device is lying on a back surface.

4. The drainage device of claim 3 wherein the first passage opening is arranged so the level of fluid in the flow path upstream of the first passage is below the first passage opening when the device is in an upright position and when the device is lying on a back surface.

5. The drainage device of claim 3 wherein the long axis of each of the first, second and third passages are essentially parallel to each other.

6. The drainage device of claim 3 wherein the first passage communicates with an aperture in a first interior surface of the intermediate chamber, wherein the second and third passage openings communicate with apertures in a second interior surface of the intermediate chamber, and wherein the first and second interior surfaces are parallel adjacent surfaces.

7. The drainage device of claim 6 wherein the first and second interior surfaces are arranged so the first surface is above the level of fluid in the collection chamber when the drainage device is lying on the front surface.

8. The drainage device of claim 6 wherein the long axis of the first passage is perpendicular to the first interior surface and wherein the long axis of each of the second and third passages is perpendicular to the second interior surface.

9. The drainage device of claim 1 wherein the pressure regulation chamber is fluidly interconnected to a port to atmosphere and a suction line port being interconnected to a suction source and wherein the drainage device further comprises:

a suction pressure regulator valve that selectively controls the suction pressure, being developed within the pressure regulation chamber and being applied to the collection chamber, to a selected one of a number of predetermined suction pressure levels;

wherein the pressure regulation valve includes a mechanism for biasing the regulation valve closed when the suction pressure of the suction source is less than the selected predetermined suction pressure level, thereby isolating the suction line port from the atmospheric port, and for opening the valve when the suction pressure of the suction source exceeds the selected predetermined suction pressure level, whereby the atmospheric port is fluidly interconnected to the suction line port so as to maintain the suction pressure being applied at about the selected predetermined suction pressure level; and

wherein the pressure regulation chamber and the collection chamber are in selective fluid communication with each other by means of a one-way valve disposed therebetween, where in one position the one-way valve isolates the regulation and collection chambers from each other so gas does not flow to the collection chamber and where, in another position, the one-way valve puts the chambers in fluid communication with each other so suction pressure from the pressure regulation chamber is applied to the collection chamber to thereby cause the drainage of fluids from a body cavity.

10. The drainage device of claim 9 further comprising an air leak meter chamber being fluidly coupled to the collection chamber and the one-way valve, the air leak chamber including a flow meter responsive to the gas flow from the collection chamber and providing an indication of a relative flow rate of the gas flowing from the collection chamber to the pressure regulation chamber.

11. The drainage device of claim 9 further comprising a negative pressure indicator fluidly coupled to the collection chamber so the indicator provides an indication of the presence of negative pressure conditions within the collection chamber.

12. The drainage device of claim 9 further comprising a drain port fluidly coupled to the collection chamber to drain fluid from the collection chamber.

13. The drainage device of claim 12 wherein the collection chamber is divided into at least first and second compartments, each compartment being fluidly coupled, wherein the drain port is fluidly coupled to the second compartment and wherein the drainage device further includes:

a port connected to a patient drain line that is fluidly coupled to the first compartment;

a filter element drain port disposed in an aperture between the first and second compartments to filter the liquid being collected and drained from the first compartment.

14. The drainage device of claim 9 further including at least one hanger mount on the drainage device and at least one hanger, each hanger being removably and rotatably secured on the hanger mount, wherein each hanger includes a hub and an attachment member secured to the hub, the attachment member including a flexure area proximate the hub so the attachment member can be bent at least in one direction with respect to the hanger mount.

15. The drainage device of claim 1, wherein the first passage axis and the second passage axis are arranged so as to be substantially perpendicular to the drainage device front surface.

16. The drainage device of claim 1, wherein the intermediate chamber is remote from the drainage device front surface.

17. The drainage device of claim 1 wherein the first passage opening defines a plane that is essentially parallel to the first passage axis, the second passage opening defines a plane that is essentially parallel to the second passage axis, and the third passage opening defines a plane that is essentially parallel to the third passage axis.

36. The drainage device of claim 6 wherein the first interior surface is above the second interior surface when the drainage device is lying on a front surface.

37. The drainage device of claim 6 wherein a stepped wall is disposed between the first interior surface and the second interior surface and wherein the stepped wall projects above the interior surfaces so the top of the wall is above the level of fluid in the collection chamber when the drainage device is lying on the front surface.

18. A drainage device comprising:

at least two chambers, a pressure regulation chamber and a collection chamber, being fluidly coupled by means of a vent pathway;

wherein the vent pathway includes an intermediate chamber and at least first and second passages, each passage being in fluid communication with the interior of the intermediate chamber;

wherein an opening is provided in the first passage, distal from the intermediate chamber, to fluidly couple the first passage and the pressure regulation chamber;

wherein an opening is provided in the second passage, distal from the intermediate chamber, to fluidly couple the second passage and the collection chamber; and

wherein the first passage and the second passage are arranged so the first and second passages traverse between the respective passage opening and the intermediate chamber in a generally front to back direction.

19. The drainage device of claim 18 further comprising a third passage being spaced from the first and second passages and communicating with the interior of the intermediate chamber and wherein an opening is provided in the third passage, distal from the intermediate chamber, to fluidly couple the third passage and the collection chamber, where the third passage is arranged so the third passages traverse between the opening and the intermediate chamber in a generally front to back direction.

20. A drainage device comprising:

at least two chambers, a pressure regulation chamber and a collection chamber, and three ports, where one of the ports, the drain line port is in fluid communication with the collection chamber;

a suction pressure regulator valve that selectively controls the suction pressure, being developed within the pressure regulation chamber and being applied to the collection chamber, to a selected one of a number of predetermined suction pressure levels;

wherein the pressure regulation chamber includes two compartments that are selectively and fluidly interconnected to each other by means of the pressure regulation valve, where one of the ports, the atmospheric port, is in fluid communication with one compartment and another one of the ports, the suction line port, is in fluid communication with the other of the regulation chamber compartments and a suction source;

wherein the pressure regulation value includes a mechanism for biasing the regulation valve closed when the suction pressure of the suction pressure level, thereby isolating the suction line port from the atmospheric port, and for opening the valve when the suction pressure of the suction source exceeds the selected predetermined suction pressure level, whereby the atmospheric port is fluidly interconnected to the second compartment so as to maintain the suction pressure being applied at about the selected predetermined suction pressure level; and

wherein the pressure regulation chamber and the collection chamber are in selective fluid communication with each other by means of a one-way valve disposed therebetween, where in one position the one-way valve isolates the regulation and collection chambers from each other so gas does not flow to the collection chamber and where, in another position, the one-way valve puts the chambers in fluid communication with each other so suction pressure from the pressure regulation chamber is applied to the collection chamber to thereby cause the drainage of fluids from a body cavity.

21. The drainage device of claim 20 further comprising an air leak meter chamber being fluidly coupled to the collection chamber and the one-way valve, the air leak chamber including a flow meter responsive to the gas flow from the collection chamber and providing an indication of a relative flow rate of the gas flowing from the collection chamber to the pressure regulation chamber.

22. The drainage device of claim 21 wherein the air flow meter includes a downwardly sloped member having a passage there-through and a plurality of apertures communicating with the passage, wherein the downwardly sloped member cooperates with the apertures so gas from the collection chamber flows through successively lower apertures as the flow rate of the gas from the collection chamber increases.

23. The drainage device of claim 20 further comprising a negative pressure indicator fluidly coupled to the collection chamber so the indicator provides an indication of the presence of negative pressure conditions within the collection chamber.

24. The drainage device of claim 23 wherein the negative pressure indicator includes a message post encased by a flexible membrane, wherein the interior of the flexible membrane is fluidly coupled to the collection chamber so the flexible material collapses upon the message post and renders the message thereon visible.

25. The drainage device of claim 20 further comprising a drain port fluidly coupled to the collection chamber to drain fluid from the collection chamber.

26. The drainage device of claim 25 wherein the collection chamber is divided into at least first and second compartments, each compartment being fluidly coupled, wherein the drain port is fluidly coupled to the second compartment and wherein the drainage device further includes:

a port connected to a patient drain line that is fluidly coupled to the first compartment;

a filter element drain port disposed in an aperture between the first and second compartments to filter the liquid being collected and drained from the first compartment.

27. The drainage device of claim 20 further including at least one hanger mount on the drainage device and at least one hanger, each hanger being removably and rotatably secured on the hanger mount, wherein each hanger includes a hub and an attachment member secured to the hub, the attachment member including a flexure area proximate the hub so the attachment member can be bent at least in one direction with respect to the hanger mount.

28. An autotransfusion system comprising a drainage device and a bag assembly removably secured thereto, wherein the drainage device includes:

at least two chambers, a pressure regulation chamber and a collection chamber, and three ports, where one of the ports, the drain line port is in fluid communication with the collection chamber;

a suction pressure regulator valve that selectively controls the suction pressure, being developed within the pressure regulation chamber and being applied to the collection chamber, to a selected one of a number of predetermined suction pressure levels;

wherein the pressure regulation chamber includes two compartments that are selectively and fluidly interconnected to each other by means of the pressure regulation valve, where one of the ports, the atmospheric port, is in fluid communication with one compartment and another one of the ports, the suction line port, is in fluid communication with the other of the regulation chamber compartments and a suction source;

wherein the pressure regulation valve includes a mechanism for biasing the regulation valve closed when the suction pressure of the suction source is less than the selected predetermined suction pressure level, thereby isolating the suction line port from the atmospheric port, and for opening the valve when the suction pressure of the suction source exceeds the selected predetermined suction pressure level, whereby the atmospheric port is fluidly interconnected to the second compartment so as to maintain the suction pressure being applied at about the selected predetermined suction pressure level; and

wherein the pressure regulation chamber, the collection chamber and the bag assembly are in selective fluid communication with each other by means of a one-way valve disposed therebetween, where in one position the one-way valve isolates the regulation chamber from the bag assembly and the collection chamber so gas does not flow to the collection chamber and the bag assembly and where, in another position, the one-way valve puts the chambers and bag assembly in fluid communication with each other so suction pressure from the pressure regulation chamber is applied to the collection chamber to thereby cause the drainage of fluids from a body cavity to the bag assembly.

29. The autotransfusion system of claim 28 wherein the drainage device further includes:

a vent pathway fluidly coupling the collection chamber and the one-way valve;

wherein the vent pathway includes an intermediate chamber and at least first and second passages, each passage being in fluid communication with the interior of the intermediate chamber;

wherein an opening is provided in the first passage, distal from the intermediate chamber, to fluidly couple the first passage and the one-way valve, where the first passage opening defines a plane that is essentially parallel to a long axis of the first passage; and

wherein an opening is provided in the second passage, distal from the intermediate chamber, to fluidly couple the second passage and the collection chamber, where the second passage opening defines a plane that is essentially parallel to a long axis of the second passage.

30. The autotransfusion system of claim 29 further comprising a third passage being spaced from the first and second passages and communicating with the interior of the intermediate chamber and wherein an opening is provided in the third passage, distal from the intermediate chamber, to fluidly couple the third passage and the collection chamber, where the third passage opening defines a plane that is essentially parallel to a long axis of the third passage.

31. The autotransfusion system of claim 30 wherein the second and third passage openings are arranged with respect to the collection chamber so each opening is above the fluid level in the collection chamber when the device is in an upright position and when the device is lying on a back surface.

32. The autotransfusion system of claim 31 wherein the first passage opening is arranged so the level of fluid in the flow path upstream of the first passage is below the first passage opening when the device is in an upright position and when the device is lying on a back surface.

33. The autotransfusion system of claim 31 wherein the first passage communicates with an aperture in a first interior surface of the intermediate chamber and wherein the second and third passage openings communicate with apertures in a second interior surface of the intermediate chamber, wherein the first and second interior surfaces are parallel adjacent surfaces, and wherein the first interior surface is above the second interior surface when the drainage device is lying on a front surface.

34. The autotransfusion system of claim 33 wherein the first and second interior surfaces are arranged so the first surface is above the level of fluid in the collection chamber when the drainage device is lying on the front surface.

35. The autotransfusion system of claim 28 wherein the drainage device further includes at least one hanger mount disposed on the drainage device and at least one hanger, each hanger being removably and rotatably secured on the hanger mount, wherein each hanger includes a hub and an attachment member secured to the hub, the attachment member including a flexure area proximate the hub so the attachment member can be bent at least in one direction with respect to the hanger mount.