Low profile adaptor for use with a medical catheter

• US 6,666,853 B2
• Filed: 03/27/2002
• Issued: 12/23/2003
• Est. Priority Date: 03/27/2002
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Chu, Michael S. H., Bouphavichith, Laddvanh
• Primary Examiner(s): Casler, Brian L.
• Assistant Examiner(s): MAIORINO, ROZ
• Application Number:
  US10/107,948
• Publication Number:
  US 20030187424A1
• Time in Patent Office: 636 Days
• Field of Search: 604/523-537, 604/246, 604/250, 604/178, 604/164.07
• US Class Current: 604/533
• CPC Class Codes: A61J 15/0015 Gastrostomy feeding-tubes insertion tools or methods A61B17/34
• 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 15/0057 fixing a tube end, i.e. tube not protruding the fixing means
• CPC Class Codes: A61M 2025/028 having a mainly rigid support structure
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body

Abstract

A low profile adaptor for use with a medical catheter, such as a gastrostomy feeding tube. In one embodiment, the adaptor comprises a body, a clamp and a cap. The body includes a base portion and a sleeve portion, the base portion being dimensioned to engage the skin of a patient and having a transverse bore, the sleeve portion extending upwardly from the base portion and having a longitudinal slot aligned with the transverse bore and a transverse slot intersecting the longitudinal bore. The clamp, which is slidably mounted on the base portion and across the transverse slot of the sleeve, comprises a plate having a transverse opening. The transverse opening has a wide region alignable with the longitudinal bore and correspondingly dimensioned and a narrow region alignable with the longitudinal bore. In use, a medical catheter is inserted up through the base portion and the sleeve portion, including the transverse opening of the clamp situated within the sleeve, and is then inverted over the top edge of the sleeve. The cap is then threadingly mounted on top of the sleeve so as to secure the inverted end of the catheter to the exterior of the sleeve. The cap is provided with an opening through which access to the catheter may be gained. By aligning the wide region or the narrow region of the clamp with the longitudinal bore of the sleeve, one can open or close, respectively, the catheter to the passage of fluids therethrough.

Claims

1. An adaptor well-suited for use with a medical catheter, the medical catheter having a proximal end, said adaptor comprising:

(a) a sleeve, said sleeve having a longitudinal bore up through which the proximal end of the medical catheter may be inserted;

(b) means for securing the medical catheter to said sleeve; and

(c) means for alternately opening and closing the medical catheter to the passage of fluid therethrough.

2. The adaptor as claimed in claim 1 further comprising a base, said sleeve extending upwardly from said base, said base having a transverse opening aligned with said longitudinal bore.

3. The adaptor as claimed in claim 1 wherein said sleeve includes an external barb over which the proximal end of the medical catheter may be inverted.

4. The adaptor as claimed in claim 1 wherein said sleeve further comprises a transverse slot, said transverse slot intersecting said longitudinal bore, and wherein said alternately opening and closing means comprises a clamp movable within said transverse slot between a first position in which said clamp compresses to closure the medical catheter and a second position in which said clamp does not compress the medical catheter.

5. The adaptor as claimed in claim 4 wherein said clamp is slidably mounted within said transverse slot and has a transverse opening, said transverse opening having a wide circular portion and a narrow slit portion, said narrow slit portion being aligned with said longitudinal bore of said sleeve in said first position, said wide circular portion being aligned with said longitudinal bore in said second position.

6. The adaptor as claimed in claim 4 wherein said clamp is slidably mounted within said transverse slot and has a transverse opening, said transverse opening being only partially aligned with said longitudinal bore of said sleeve in said first position and being fully aligned with said longitudinal bore in said second position.

7. The adaptor as claimed in claim 4 wherein said clamp is a slidably mounted within said transverse slot and has an end, said end intersecting said longitudinal bore of said sleeve in said first position and not intersecting said longitudinal bore of said sleeve in said second position.

8. The adaptor as claimed in claim 4 wherein said clamp is pivotally mounted to intersect said longitudinal bore of said sleeve in said first position and not to intersect said longitudinal bore of said sleeve in said second position.

9. The adaptor as claimed in claim 1 wherein said sleeve further comprises a transverse slot, said transverse slot intersecting said longitudinal bore, and wherein said alternately opening and closing means comprises a pair of clamps movable within said transverse slot between a first position in which said clamps jointly compress to closure the medical catheter and a second position in which said clamps do not compress the medical catheter.

10. The adaptor as claimed in claim 9 wherein each of said clamps is slidably mounted within said transverse slot and has an inside end, said inside end intersecting said longitudinal bore of said sleeve in said first position and not intersecting said longitudinal bore of said sleeve in said second position.

11. The adaptor as claimed in claim 9 wherein each of said clamps is pivotally mounted to intersect said longitudinal bore of said sleeve in said first position and not to intersect said longitudinal bore of said sleeve in said second position.

12. The adaptor as claimed in claim 2 wherein said sleeve further comprises a transverse slot, said transverse slot intersecting said longitudinal bore, and wherein said alternately opening and closing means comprises a clamp positioned on said base and movable within said transverse slot between a first position in which said clamp compresses to closure the medical catheter and a second position in which said clamp does not compress the medical catheter.

13. The adaptor as claimed in claim 12 wherein said clamp has a transverse opening, said transverse opening having a wide region through which the medical catheter may pass in a transversely uncompressed state and a narrow region through which the medical catheter may pass in a transversely compressed state.

14. The adaptor as claimed in claim 1 wherein said alternately opening and closing means comprises a plug removably insertable into the proximal end of the medical catheter.

15. The adaptor as claimed in claim 1 wherein said securing means comprises a band removably mounted around the exterior of said sleeve for securing a medical catheter therebetween.

16. The adaptor as claimed in claim 1 wherein said securing means comprises a tubular member removably inserted into said sleeve for securing a medical catheter therebetween.

17. The adaptor as claimed in claim 1 wherein said securing means comprises a cap removably mounted onto said sleeve, said cap having an opening at its top end for insertion of a tube therethrough.

18. The adaptor as claimed in claim 17 wherein said alternately opening and closing means comprises a plug removably insertable through said opening in said cap and into the proximal end of the medical catheter.

19. The adaptor as claimed in claim 18 wherein plug is connected to said cap by a strap.

20. The adaptor as claimed in claim 17 wherein said cap further has an internal thread, wherein said sleeve further has an external thread and wherein said cap is removably screwed onto said sleeve by threaded engagement of said internal thread with said external thread.

21. The adaptor as claimed in claim 20 wherein said cap further has one or more recesses adapted to receive a tool for screwing said cap onto said sleeve and for unscrewing said cap from said sleeve.

22. The adaptor as claimed in claim 2 wherein said base further comprises a transverse slot, said transverse slot intersecting said transverse opening, and wherein said alternately opening and closing means comprises a clamp slidable within said transverse slot between a first position in which said clamp compresses to closure the medical catheter and a second position in which said clamp does not compress the medical catheter.

23. The combination of a medical catheter and the adaptor of claim 1, the medical catheter having a proximal end inserted up through the longitudinal bore of said sleeve and inverted over the top of said sleeve.

24. The combination as claimed in claim 23 wherein said sleeve further has a barb, said inverted medical catheter being positioned over said barb.

25. The combination as claimed in claim 24 wherein said medical catheter is a gastrostomy feeding tube, said gastrostomy feeding tube having an internal bolster disposed at its distal end.

26. An adaptor well-suited for use with a medical catheter, the medical catheter having a proximal end, said adaptor comprising:

(a) a body, said body having a base and a sleeve, said base having a transverse bore, said sleeve extending upwardly from said base and having a longitudinal bore and a transverse slot, said longitudinal bore being aligned with said transverse bore of said base, said transverse slot intersecting said longitudinal bore, said transverse bore of said base and said sleeve being appropriately dimensioned to permit a medical catheter to be inserted up through said transverse bore of said base and said longitudinal bore of said sleeve and then inverted over the top of said sleeve;

(b) a clamp mounted on said base and movable within said transverse slot between a first position in which said clamp transversely compresses to closure the medical catheter and a second position in which said clamp does not transversely compress the medical catheter;

(c) means for securing the inverted proximal end of a medical catheter to said sleeve.

27. The adaptor as claimed in claim 26 wherein said clamp comprises a slide having a transverse opening, said transverse opening having a wide region through which a medical catheter may pass uncompressed and a narrow region through which a medical catheter may pass in a compressed state.

28. The adaptor as claimed in claim 27 wherein said base has a top surface upon which are formed a first detent and a second detent and wherein said clamp has a bottom surface in which are provided a first recess and a second recess, said first detent and said first recess being positioned to align said wide region with said longitudinal bore of said sleeve, said second detent and said second recess being positioned to align said narrow region with said longitudinal bore of said sleeve.

29. The adaptor as claimed in claim 28 wherein said securing means comprises a cap removably mountable on said sleeve, said cap being provided with an opening alignable with said longitudinal bore of said sleeve.

30. The combination of a medical catheter and the adaptor of claim 29, the medical catheter extending up through said transverse bore of said base and said longitudinal bore of said sleeve, the medical catheter having a proximal end turned over the top of said sleeve and secured thereto by said cap.

31. The combination as claimed in claim 30 wherein said medical catheter is a gastrostomy feeding tube, said gastrostomy feeding tube having an internal bolster disposed at its distal end.