Collapsible retention bolster for gastrostomy and other ostomy tubes

• US 6,039,714 A
• Filed: 05/12/1998
• Issued: 03/21/2000
• Est. Priority Date: 05/12/1998
• Status: Expired due to Fees

• Current Assignee: Nestec SA (Nestle SA)
• Original Assignee: Novartis Nutrition AG
• Inventors: Cracauer, Raymond F., Michels, Lester D.
• Primary Examiner(s): McDermott, Corrine
• Assistant Examiner(s): Hayes, Michael J.
• Application Number:
  US09/076,443
• Time in Patent Office: 679 Days
• Field of Search: 604/29, 604/93, 604/103-107, 604/174, 604/177, 604/178, 604/264, 604/523, 604/536, 604/500, 128/DIG. 26
• US Class Current: 604/174
• 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 15/0038 expandable, e.g. umbrella type
• CPC Class Codes: A61J 15/0061 fixing at an intermediate position on the tube, i.e. tube protruding the fixing means
• 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 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence

Abstract

The present invention is an improved ostomy fluid tube and method for its use comprising a collapsible retention bolster for securing the tube to the inner stomach wall and fascia. The retention means comprise several resilient leaf or petal-shaped flanges circumferentially arranged about the feeding tube at a distal point thereon. The otherwise flat, circumferentially arranged flanges possess notches or grooves which facilitate collapse or folding of the retention means for easier removal through an ostomy or other internal cavity.

Claims

1. A collapsible retention bolster for securing an ostomy tube to the inner wall of a body cavity lining of a patient comprising:

a. a central circular base extending outwardly from a central bore with two or more radially disposed, spaced grooves cut therein; and

b. two or more flexible flanges that are grooved along their central axis and extend outwardly from said base portion spaced about the periphery thereof and from between the grooves in said base.

2. The collapsible retention bolster of claim 1 wherein said ostomy tube is selected from the group consisting of gastrostomy feeding tubes, jejunal feeding tubes, colonostomy tubes, ileostomy tubes, gallbladder tubes, urinary catheters, intraperitoneal catheters and the like.

3. The collapsible retention bolster of claim 2 wherein said grooves are placed substantially equidistantly within said circular base.

4. The collapsible retention bolster of claim 3 wherein said grooves are v-shaped.

5. The collapsible retention bolster of claim 4 wherein said flexible flanges are tapered.

6. The collapsible retention bolster of claim 5 wherein said grooves of said tapered flanges are wider at the distal end of the flange than at the end proximate to the central circular base.

7. The collapsible retention bolster of claim 6 wherein the center of said central circular base portion is a substantially circular opening or bore passing therethrough for insertion of and attachment to said ostomy tube.

8. The collapsible retention bolster of claim 7 wherein said flexible flanges are tapered such that the thickness of each flange is greater at the proximal end wherein it is joined to or a part of the periphery of said central circular base than the thickness of the distal end of each flange that is the point farthest removed from said base.

11. A device for securing an ostomy tube to the outer skin and inner wall of a body cavity of a patient comprising an external and internal member wherein the external member comprises a stopping means for placement against the outer skin, and an internal member comprising the collapsible retention bolster of claim 1.

12. A method for securing a gastrostomy feeding tube to the abdomen and stomach of a patient comprising passing said tube through the central bore of the retention bolster of claim 1, surgically incising an opening in the skin, fascia and stomach mucosa of said patient, pulling said tube down through the esophagus and digestive system to a point wherein said retention bolster is flush with the stomach lining and passing the portion of said tube that is external to the patient'"'"'s body through a second, rigid retention bolster that is positioned flush onto the outer skin of said patient.

9. The collapsible retention bolster of claim which is capable of engaging a gastrostomy tube on one side of the central base portion and is confluent with said central bore.

10. The collapsible retention bolster of claim 9 wherein said gastrostomy tube attaches to said bolster on each side of the tube at the central base and is confluent with said central bore.

13. An improved gastrostomy or jejunal feeding tube for the nutritional or medicinal treatment of a patient, said improvement comprising a collapsible retention bolster with two or more flexible flanges extending radially from a central circular base extending outwardly from a central bore, which flanges are tapered across the width and grooved for securing said tube to the inner lining or mucosa of the patient'"'"'s stomach or intestine.

14. A collapsible retention bolster for securing an gastrostomy or jejunal feeding tube to the abdomen and lining of a patient comprising:

a. a central circular base portion with at least two equidistantly spaced grooves cut therein; and

b. at least two tapered flexible flanges extending from said base portion equidistantly spaced about the periphery thereof and extending from between each of the grooves in said base.

15. The collapsible retention bolster of claim 14 wherein said equidistantly spaced grooves cut within said circular base are v-shaped.

16. The collapsible retention bolster of claim 15 wherein said tapered flanges are also grooved along their central axis.

17. The collapsible retention bolster of claim 16 wherein said grooves of said tapered flanges are wider at the distal end of the flange than at the end proximate to the central circular base.

18. The collapsible retention bolster of claim 17 wherein the center of said central circular base portion is a substantially circular opening or bore passing therethrough for insertion of and attachment to said gastrostomy feeding tube.

19. The collapsible retention bolster of claim 18 wherein said flexible flanges are tapered such that the thickness of each flange is greater at the proximal end wherein it is joined to or a part of the periphery of said central circular base than the thickness of the distal end of each flange that is the point farthest removed from said base.

20. The collapsible retention bolster of claim 19 which is capable of engaging a gastrostomy of jejunal tube on one side of the central base portion and is confluent with said central bore.

21. The collapsible retention bolster of claim 20 wherein said gastrostomy tube attaches to said bolster on each side of the tube at the central base and is confluent with said central bore.

22. The gastrostomy feeding tube of claim 21 wherein said tube is easily withdrawn from the patient through an ostomy by pulling the tube and its retention bolster which results in the collapse of the retention bolster and substantially reduces the surface area and diameter thereof.

23. The gastrostomy feeding tube of claim 22 wherein said reduction in the surface area and diameter of the retention bolster is a result in the lateral collapsing and/or folding of a circular central base and equidistantly arranged flanges radiating therefrom that comprise the retention bolster.

24. The gastrostomy feeding tube of claim 23 wherein said tube is adapted to be secured to the abdomen and stomach of a patient by positioning a rigid, substantially circular retention basket externally onto the skin of said patient, passing said tube therethrough and securing it to the inner wall or stomach of the patient using the collapsible retention bolster.

25. The gastrostomy feeding tube of claim 24 wherein said central base and said flanges are grooved.

26. The gastrostomy feeding tube of claim 25 wherein said grooves are v-shaped and are wider at their distal end than at their proximate end.