Systems and methods for coupling a drainage catheter to a patient and decoupling the drainage catheter from the patient

• US 6,508,789 B1
• Filed: 06/05/2000
• Issued: 01/21/2003
• Est. Priority Date: 06/05/2000
• Status: Active Grant

• Current Assignee: Merit Medical Systems, Inc.
• Original Assignee: Merit Medical Systems, Inc.
• Inventors: Sinnott, Margaret Mary, Nelson, Arlin Dale, Whiting, John Heber Jr.
• Primary Examiner(s): Denion, Thomas
• Assistant Examiner(s): TRIEU, THAI BA
• Application Number:
  US09/586,635
• Time in Patent Office: 960 Days
• Field of Search: 604/164.02, 604/164.01, 604/95.01, 604/95.04, 604/95.05, 604/264, 604/9, 604/8, 604/280, 604/170.03, 604/533, 604/523, 604/905, 600/585
• US Class Current: 604/164.02
• CPC Class Codes: A61M 2025/015 Details of the distal fixation of the movable mechanical means
• CPC Class Codes: A61M 2025/0163 Looped catheters
• CPC Class Codes: A61M 2210/1085 Bladder
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence

Abstract

Systems and methods for coupling a catheter, such as a drainage catheter, to a patient'"'"'s body and decoupling the catheter from the body are disclosed. Embodiments of the present invention take advantage of the flexibility of a catheter cannula and allow for a self-contained system that secures the catheter cannula within the body while bodily fluid is draining. In one embodiment, the catheter is coupled to the body by compressing a proximal hub member to a distal hub member, causing the cannula to curl and form an anchoring configuration (i.e. a loop, pigtail, j-curve, malecot, etc.). In compressing the portions, one or more fingers within the proximal hub member force a cord into one or more corresponding channels within the distal hub member, thereby shortening the amount of cord in the cannula. The proximal and distal hub members can be locked together in the compressed position for as long as the catheter is to be coupled to the body. The catheter can be decoupled from the patient'"'"'s body by returning the hub to an extended position, pulling on the cord, or removing a wire to release the cord and allow for removal of the catheter cannula from the body.

Claims

1. In a catheter system adapted for draining undesired body fluid from a body cavity of a patient, a drainage catheter that facilitates secure placement and anchoring within the desired body cavity and subsequent release to facilitate removal of the catheter when desired, comprising:

a flexible cannula comprising an insertion end that includes at least one drainage opening for placement within a body cavity of a patient to permit drainage of undesired body fluids in the body cavity, and a connection end that terminates outside the patient'"'"'s body, the flexible cannula further comprising

a primary lumen extending through the entire length of the flexible cannula, and

a secondary lumen extending from the connection end of the flexible cannula and along at least a portion of the length of the primary lumen;

a cord extending from the connection end of said flexible cannula and running through the primary lumen to a point that is beyond the length of the secondary lumen;

a wire placed within said secondary lumen, and comprising

a first end over which the cord is secured for purposes of permitting the cord to be used to form the insertion end of the flexible cannula into an anchoring configuration once placed within the body cavity of the patient, and

a second end which terminates outside of the patient'"'"'s body so that said second end is grasped and pulled to effect release of the secured cord to thereby release the flexible cannula from the anchoring configuration when removal of the insertion end of the flexible cannula from the body cavity is desired; and

a hub mechanism joined to the connection end of the flexible cannula, and comprising

a channel that communicates with said primary lumen to permit fluid drainage therethrough,

means for tightening the cord when said means for tightening is secured over said first end of said wire, said means for tightening the cord being operable to move from a first position in which the cord is not tightened to a second position in which the cord is tightened so as to place the insertion end of the flexible cannula into said anchoring configuration, and

locking means for selectively locking the means for tightening into said second position, such that subsequent release of the anchoring configuration is effected only by pulling said wire to effect release of the secured cord over the wire.

2. A drainage catheter as defined in claim 1 wherein said means for tightening the cord comprises first and second hub members slidably joined with one another so as to be operable to slide from a first position in which the cord is not tightened to a second position in which the cord is tightened so as to place the insertion end of the flexible cannula into said anchoring configuration.

3. A drainage catheter as defined in claim 1 wherein said hub mechanism further comprises a side port having a lumen that communicates with second secondary lumen of the flexible cannula.

4. A drainage catheter as defined in claim 3 wherein said wire runs through the lumen of said side port and said secondary lumen.

5. A drainage catheter as defined in claim 4 further comprising a cap which is attached to said wire, so that when the cap is placed over said side port, the wire is fully positioned within said secondary lumen or the flexible cannula so as to secure said cord at said one end of the wire, and so that when the cap is removed from the side port, the cord is released from said one of the wire as the wire is withdrawn from said secondary lumen, thereby releasing the insertion end of the flexible cannula from the anchoring configuration.

6. In a catheter system adapted for draining undesired body fluid from a body cavity of a patient, a drainage catheter that facilitates secure placement and anchoring within the desired body cavity and subsequent release to facilitate removal of the catheter when desired, comprising:

a flexible cannula comprising an insertion end that includes at least one drainage opening for placement within a body cavity of a patient to permit drainage of undesired body fluids in the body cavity, and a connection end that terminates outside the patient'"'"'s body, the flexible cannula further comprising

a primary lumen extending through the entire length of the flexible cannula, and

a secondary lumen extending from the connection end of the flexible cannula and along at least a portion of the length of the primary lumen;

a cord extending from the connection end of said flexible cannula and running through the primary lumen to a point that is beyond the length of the secondary lumen;

a wire placed within said secondary lumen, and comprising

a first end over which the cord is secured for purposes of permitting the cord to be used to form the insertion end of the flexible cannula into an anchoring configuration once placed within the body cavity of the patient, and

a second end which terminates outside of the patient'"'"'s body so that said second end is grasped and pulled to effect release of the secured cord to thereby release the flexible cannula from the anchoring configuration when removal of the insertion end of the flexible cannula from the body cavity is desired; and

a hub mechanism joined to the connection end of the flexible cannula, and comprising

a channel that communicates with said primary lumen to permit fluid drainage therethrough,

first and second hub members slidably joined with one another so as to be operable to slide from a first position in which the cord is not tightened to a second position in which the cord is tightened so as to place the insertion end of the flexible cannula into said anchoring configuration, and

locking means for selectively locking the first and second hub members into said second position, such that subsequent release of the anchoring configuration is effected only by pulling said wire to effect release of the secured cord over the wire.

7. A drainage catheter as defined in claim 6 wherein said channel of the hub mechanism is formed so as to run through both said first and said members.

8. A drainage catheter as defined in claim 7 wherein said first position is provided when the first and second slidable hub members are extended away from one another.

9. A drainage catheter as defined in claim 8 wherein said second position is provided when the first and second slidable hub members are slid together.

10. A drainage catheter as defined in claim 9 wherein said locking means for selectively locking the first and second hub members into said second position comprises a protusion formed on one of said first and second hub members, and book formed on the other of said first and second hub member, so that the protusion and hook catch one another when the first and second hub members are slid together into said second position.

11. A drainage catheter as defined in claim 9 wherein said first and second hub members comprise at least one finger formed on one of said first and second hub members, and at least one corresponding channel for receiving said finger, formed on the other of said first and second hub members, so that said finger slides into said corresponding channel for receiving said finger as the first and second hub members slide together into said second position.

12. A drainage catheter as defined in claim 11 wherein said cord is positioned around said finger so that as the first and second hub members slide together into said second position, the cord is tightened as the finger slides into the corresponding channel for receiving the finger.

13. A drainage catheter as defined in claim 7 or 12 wherein said hub mechanism further comprises a side port having a lumen that communicates with second secondary lumen of the flexible cannula.

14. A drainage catheter as defined in claim 13 wherein said wire runs through the lumen of said side port and said secondary lumen.

15. A drainage catheter as defined in claim 14 further comprising a cap which is attached to said wire, so that when the cap is placed over said side port, the wire is fully positioned within said secondary lumen of the flexible cannula so as to secure said cord at said one end of the wire, and so that when the cap is removed from the side port, the cord is released from said one of the wire as the wire is withdrawn from said secondary lumen, thereby releasing the insertion end of the flexible cannula from the anchoring configuration.