Low profile jejunal adapter for a gastrojejunal feeding system

• US 6,458,106 B1
• Filed: 02/17/2000
• Issued: 10/01/2002
• Est. Priority Date: 02/17/2000
• Status: Expired due to Term

• Current Assignee: Cardinal Health Ireland Unlimited Company (Cardinal Health, Inc.)
• Original Assignee: Sherwood Services AG
• Inventors: Meier, Kevin C., Von Dyck, Peter M., Ruddell, Scott Alan, Fournie, Glenn G.
• Primary Examiner(s): Casler, Brian L.
• Assistant Examiner(s): HAN, MARK K
• Application Number:
  US09/505,520
• Time in Patent Office: 957 Days
• Field of Search: 604/910, 604/264, 604/174, 604/175, 604/533, 604/535, 604/537, 604/538, 604/539, 604/246, 604/247, 604/256
• US Class Current: 604/264
• CPC Class Codes: A61J 15/0015 Gastrostomy feeding-tubes insertion tools or methods A61B17/34
• CPC Class Codes: A61J 15/0038 expandable, e.g. umbrella type
• CPC Class Codes: A61J 15/0042 inflatable
• 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 15/0069 Tubes feeding directly to the intestines, e.g. to the jejunum
• CPC Class Codes: A61J 15/0073 Multi-lumen tubes
• CPC Class Codes: A61J 15/0096 Provisions for venting

Abstract

The present invention is a low profile jejunal adapter for a low profile gastrostomy tube. Once properly attached, the jejunal adapter converts the low profile gastrostomy tube into a gastrojejunostomy tube. Specifically, the jejunal adapter includes a feeding tube which is positioned within the jejunum of a patient and a venting lumen which provides for simultaneous venting of gases collected in the patient'"'"'s stomach while fluid is being fed to the jejunum through the feeding tube. In a preferred embodiment, the length of the feeding tube is adjustable to accommodate various patients. In an alternative embodiment, the length of the feeding tube is fixed to reduce the manufacturing costs of this device. The jejunal adapter of this invention also includes a cap retention mechanism for securing the cap of the gastrostomy tube and a latch mechanism adapted to secure the jejunal adapter to the gastrostomy tube.

Claims

1. A gastrojejunal feeding system comprising:

an adapter, said adapter including a body having a protrusion extending from said body with a primary lumen formed through said protrusion, said body further including a channel formed through said body in communication with said primary lumen and extending through said body at a generally perpendicular angle relative to said primary lumen;

a gastrostomy tube, said gastrostomy tube having a distal end and a proximal end with a lumen formed therebetween, said distal end in communication with a visceral organ of a patient and said proximal end being attachable to said protrusion of said adapter; and

a feeding tube having a distal end and a proximal end, said proximal end being insertable through said gastrostomy tube and said adapter;

wherein said feeding tube extends from said adapter at a low profile relative to a patient.

2. The gastrojejunal feeding system according to claim 1, wherein said body further includes a primary port formed adjacent said channel.

3. The gastrojejunal feeding system according to claim 2, wherein said proximal end of said feeding tube extends from said adapter at a low profile relative to a patient from said primary port.

4. The gastrojejunal feeding system according to claim 1, wherein said body further includes a venting lumen formed through said protrusion, said body further including a venting port in communication with said venting lumen.

5. The gastrojejunal feeding system according to claim 4, wherein said body further including a tubular extension in communication with said venting port.

6. The gastrojejunal feeding system according to claim 1, wherein said adapter further including a means for releasably latching said adapter to said gastrostomy tube.

7. The gastrojejunal feeding system according to claim 6, wherein said means for releasably latching comprises a leg extending from said body, said means further comprising a finger formed at a free end of said leg and extending at a generally perpendicular angle relative to said leg.

8. The gastrojejunal feeding system according to claim 1, wherein said proximal end of said gastrostomy tube comprises an external retention member and a cap formed with said external retention member and wherein said body further includes a means for securing said cap to said adapter.

9. The gastrojejunal feeding system according to claim 8, wherein said means for securing said cap comprises a U-shaped groove formed in said body, said means for securing said cap further comprising a U-shaped undercut formed in said body adjacent said U-shaped groove.

10. The gastrojejunal feeding system according to claim 1, wherein said distal end of said feeding tube terminates within a jejunum of a patient.

11. The gastrojejunal feeding system according to claim 10, wherein fluid may be supplied to a jejunum of a patient through said feeding tube.

12. The gastrojejunal feeding system according to claim 11, wherein gas contained within a visceral organ of a patient may be evacuated through said venting lumen and out said tubular extension of said adapter.

13. The gastrojejunal feeding system according to claim 12, wherein said adapter may evacuate gas from a visceral organ of a patient while supplying fluid to a jejunum of a patient.

14. The gastrojejunal feeding system according to claim 1, wherein gas contained within a visceral organ of a patient may be evacuated through said venting lumen and out said tubular extension of said adapter.

15. A gastrojejunal feeding system comprising:

an adapter, said adapter including a body having a protrusion extending from said body and a primary lumen formed through said protrusion, said body further including an open channel in communication with said primary lumen, said body further including a venting lumen formed through said protrusion;

a gastrostomy tube, said gastrostomy tube having a distal end and a proximal end with a lumen formed therebetween, said distal end being in communication with a visceral organ of a patient and said proximal end being attachable to said protrusion of said adapter, said primary lumen and said venting lumen being in communication with said lumen of said gastrostomy tube; and

a feeding tube having a distal end and a proximal end, said distal end being insertable through said gastrostomy tube and said adapter, said feeding tube being adapted to transport fluid therethrough;

wherein said adapter may provide fluid to a jejunum while simultaneously evacuating gas from a visceral organ of a patient.

16. The gastrojejunal feeding system according to claim 15, wherein said body further includes a venting port in communication with said venting lumen.

17. The gastrojejunal feeding system according to claim 16, wherein said body further includes a tubular extension connected to said venting port.

18. The gastrojejunal feeding system according to claim 17, wherein gas is evacuated from said adapter through said tubular extension.

19. The gastrojejunal feeding system according to claim 15, wherein said body further includes a means for releasably latching said adapter to said gastrostomy tube.

20. The gastrojejunal feeding system according to claim 19, wherein said means for releasably latching includes a leg extending from said body, said means further including a finger formed at a free end of said leg and extending approximately perpendicular angle relative to said leg.

21. The gastrojejunal feeding system according to claim 15, wherein said gastrostomy tube includes an external retention member and a cap formed with said external retention member, wherein said body includes an upper surface defining a means for securing said cap.

22. The gastrojejunal feeding system according to claim 21, wherein said means for securing said cap comprises a U-shaped groove formed through said upper surface, said means for securing said cap further comprising a U-shaped undercut formed through said upper surface adjacent said U-shaped groove.

23. The jejunal adapter according to claim 22, wherein said body further includes a means for releasably latching said body to a low profile gastrostomy tube.

24. The jejunal adapter according to claim 23, wherein said means for releasably latching comprises a leg extending perpendicular relative to said body, said means further comprising a finger formed at a distal end of said leg and extending approximately perpendicular relative to said leg.

25. The gastrojejunal feeding system according to claim 15, wherein gas is evacuated from a visceral organ of a patient through said venting lumen.

26. A method for a feeding fluid to a jejunum while simultaneously evacuating gas from a visceral organ of a patient using a gastrojejunal feeding system comprising an adapter, the adapter including a body having a protrusion extending from the body with a primary lumen in communication with a channel formed through a body, the body further including a venting lumen with a tubular extension attached to the venting lumen and a primary port in communication with the channel, the tubular extension including a cap for sealing the tubular extension, a gastrostomy tube having a distal end and a proximal end with a lumen formed therebetween, the distal end being in communication with a visceral organ of a patient and the proximal end being attachable to the protrusion of the adapter, the primary lumen and the venting lumen being in communication with the lumen of the gastrostomy tube, a feeding tube having a distal end and a proximal end, the method comprising the steps of:

a) threading the distal end of the feeding tube through the primary lumen;

b) directing the distal end of the feeding tube through the gastrostomy tube;

c) feeding the distal end of the feeding tube through a visceral organ and into the jejunum of a patient;

d) attaching the adapter to the gastrostomy tube;

e) directing the proximal end of the feeding tube along the channel and outward through the primary port;

f) cutting off the proximal end of the feeding tube and attaching the proximal end of the feeding tube to a feeding set in communication with a source of fluid;

g) providing fluid to a jejunum of a patient through the feeding tube; and

h) removing the cap from the tubular extension and permitting gas to evacuate from a visceral organ of a patient.

27. The method according to claim 26, wherein said step d) further includes the step of attaching the feeding set to a source of fluid.

28. The method according to claim 26, wherein said step e) includes directing the proximal end of the feeding tube outward through the primary port at a low profile relative to a patient.

29. The method according to claim 26, wherein said step (d) includes inserting the protrusion of the adapter into the lumen of the gastrostomy tube.

30. A jejunal adapter for use with a gastrostomy tube in communication within a visceral organ of a patient comprising:

a body including a protrusion extending from said body with a primary lumen formed through said body, said body further including a channel in communication with said primary lumen and extending through said body at a generally perpendicular angle relative to said primary lumen, said body further a venting lumen formed through said protrusion; and

a feeding tube insertable through said body and the gastrostomy tube, wherein fluid may be provided to a jejunum of a patient while simultaneously evacuating gas from a visceral organ.

31. The jejunal adapter according to claim 30, wherein fluid is provided to a jejunum through said feeding tube.

32. The jejunal adapter according to claim 30, wherein gas is evacuated from a visceral organ through said venting lumen.

33. The jejunal adapter according to claim 30, wherein said body further includes a venting port and a tubular extension attached to said venting port.

34. The jejunal adapter according to claim 33, wherein gas is evacuated from said body through said tubular extension.

35. A jejunal adapter for use in providing fluid to a jejunum through a gastrostomy tube in communication with a visceral organ of a patient comprising:

a body including a protrusion extending from said body with a primary lumen formed through said body, said body further including a channel in communication with said primary lumen and extending through said body at a generally perpendicular angle relative to said primary lumen, said body further a venting lumen formed through said protrusion; and

an elongated feeding tube, a portion of said feeding tube being fixedly attached to said body and insertable through the gastrostomy tube, wherein fluid may be provided to a jejunum while simultaneously evacuating gas from a visceral organ.

36. The jejunal adapter according to claim 35, wherein a portion of said feeding tube is fixedly attached to said body at said primary lumen and said channel.

37. The jejunal adapter according to claim 35, wherein said feeding tube has a predetermined length.

38. A method for feeding fluid to a jejunum while simultaneously evacuating gas from a visceral organ of a patient using a gastrojejunal feeding system comprising an adapter, the adapter including a body having a protrusion extending from the body with a primary lumen in communication with a channel formed through the body, the body further including a venting lumen with a tubular extension attached to the venting lumen, the tubular extension having a cap for sealing the tubular extension a gastrostomy tube having a distal end and a proximal end with a lumen formed therebetween, the distal end being in communication with a visceral organ of a patient and the proximal end being attachable to the protrusion of the adapter, the primary lumen and the venting lumen being in communication with the lumen of the gastrostomy tube, a feeding tube having a distal end and a proximal end, a portion of the feeding tube being fixedly attached to the body of the adapter, the method comprising the steps of:

a) directing the distal end of the feeding tube through the gastrostomy tube;

b) feeding the distal end of the feeding tube through a visceral organ and into a jejunum of a patient;

c) attaching the adapter to the gastrostomy tube;

d) cutting the proximal end of the feeding tube and attaching the proximal end of the feeding tube to a feeding set in communication with a source of fluid;

e) providing fluid to a jejunum of a patient through the feeding tube; and

f) removing the cap from the tubular extension and permitting gas to evacuate from a visceral organ of a patient.