Low-profile enterostomy device

• US 7,682,346 B2
• Filed: 06/30/2004
• Issued: 03/23/2010
• Est. Priority Date: 02/18/2000
• Status: Active Grant

• Current Assignee: Zevex (Moog Incorporated)
• Original Assignee: Zevex (Moog Incorporated)
• Inventors: McNally, David J., Flores, Alejandro
• Primary Examiner(s): Lucchesi; Nicholas D
• Assistant Examiner(s): Bouchelle; Laura A
• Application Number:
  US10/881,744
• Publication Number:
  US 20050004540A1
• Time in Patent Office: 2,092 Days
• Field of Search: 604/910, 604/32, 604/335, 604/248, 604/101.03, 604/332, 604/334, 604/338
• US Class Current: 604/332
• CPC Class Codes: A61J 15/0015 Gastrostomy feeding-tubes insertion tools or methods A61B17/34
• CPC Class Codes: A61J 15/0042 inflatable
• CPC Class Codes: A61J 15/0065 Fixing means and tube being one part
• CPC Class Codes: A61J 15/0069 Tubes feeding directly to the intestines, e.g. to the jejunum

Abstract

An enterostomy device for providing fluids and nutrients through a stoma formed through the abdominal wall of a patient is described. The enterostomy device, which may be configured as either a gastrostomy device or a jejunostomy device, comprises a low-profile retaining member which is configured to be unobtrusively positioned within the stomach or the intestine, and which is configured to provide sufficient surface area for contacting the stomach or intestine to prevent unintentional removal or release of the enterostomy device from the patient. The enterostomy device is also structured with a low-profile port hub for facilitating the inflation of the retaining member and feeding and venting through the stoma.

Claims

1. An enterostomy device comprising:

a hollow stoma tube having a first end and a second end;

a port disposed on the first end of the stoma tube and configured for passing fluids therethrough, the port being movable between a first position wherein fluid may be injected into but not withdrawn from the stoma tube, a second position wherein fluid may be withdrawn from but not injected into the stoma tube, and a third position wherein the port is not in fluid communication with the stoma tube;

an inflatable retaining member, the inflatable retaining member being attached to the stoma tube adjacent the second end of the stoma tube such that the inflatable retaining member is spaced apart from the stoma tube and wherein the inflatable retaining member is spaced apart from the stoma tube by an noninflatable skirt of material; and

an inflation line disposed along the stoma tube and in fluid communication with the inflatable retaining member.

2. The enterostomy device of claim 1, wherein the inflatable retaining member is an inflatable ring.

3. The entersotomy device of claim 1, wherein the inflatable retaining member is connected to the stoma tube via a generally planar connecting member.

4. The enterostomy device of claim 3, wherein the connecting member is not inflatable.

5. The enterostomy device according to claim 1, wherein the port is movable between a first position wherein fluid may enter but not exit from the stoma tube, a second position whereby fluid may exit but not enter the stoma tube, and a third position which prevents the flow of fluid through the stoma tube.

6. The enterostomy device of claim 5, wherein the device further comprises a plurality of valves, one valve of said plurality of valves being disposed in communication with the first position for allowing fluid flow into the stoma tube while inhibiting flow out of the stoma tube into the port, another valve of said plurality of valves being disposed in communication with the second position for allowing fluid flow out of the stoma tube and into the port while inhibiting fluid flow from the port into the stoma tube.

7. The enterostomy device of claim 1, wherein the device further comprises a plurality of valves for selectively allowing flow of fluid from the port into the stoma tube and from the stoma tube into the port while preventing the opposite flow.

8. An entersotomy device comprising:

a stoma tube having a first end and a second end;

a port disposed on the first end of the stoma tube and configured for passing fluids therethrough, the port being movable between a first position wherein fluid may be injected into but not withdrawn from the stoma tube, a second position wherein fluid may be withdrawn from but not injected into the stoma tube, and a third position wherein the port is not in fluid communication with the stoma tube; and

wherein the port comprises;

a center portion having a first passage and a second passage, the first and second passages being disposed in fluid communication with the bore of the stoma tube; and

an outer portion, the outer portion being movable relative to the center portion and having the port disposed thereon;

an inflatable retaining member disposed adjacent the second end of the stoma tube; and

an inflation line disposed along the stoma tube and configured for inflation of the inflatable retaining member.

9. The enterostomy device of claim 8, wherein moving the port to the first position aligns the port with the first passage and wherein moving the port to the second position aligns the port with the second passage.

10. The enterostomy device of claim 8, wherein the first passage comprises a one-way valve configured for allowing fluid to move into the bore of the stoma tube and the second passage comprises a one-way valve configured for allowing fluid to move out of the bore of the stoma tube.

11. The enterostomy device of claim 8, wherein then inflatable retaining member is attached to the stoma tube via a connecting member.

12. The enterostomy device of claim 11, wherein the connecting member comprises a generally planar and flexible material.

13. The enterostomy device of claim 11, wherein the connecting member is uninflatable.

14. The enterostomy device of claim 8, wherein the port is substantially perpendicular to the stoma tube.

15. The enterostomy device of claim 8, wherein the device further comprises a plurality of valves, one valve of said plurality of valves being disposed in communication with the first position for allowing fluid flow into the stoma tube while inhibiting flow out of the stoma tube into the port, another valve of said plurality of valves being disposed in communication with the second position for allowing fluid flow out of the stoma tube and into the port while inhibiting fluid flow from the port into the stoma tube.

16. An enterostomy device comprising:

a stoma tube having a first end and a second end;

a port disposed in fluid communication with the first end and configured for the passage of fluid through the stoma tube;

a retaining member connected to the stoma tube, the retaining member having a first portion and a second portion, wherein the first portion is generally non-inflatable and wherein the retaining member has a first end which is connected to the stoma tube and a second end, and wherein the second portion is inflatable and is connected to the second end of first portion; and

an inflation tube disposed along the stoma tube and configured for inflating the second portion of the retaining member.

17. The enterostomy device of claim 16, wherein the first portion of the retaining member comprises a sheet of flexible material.

18. The enterostomy device of claim 16, wherein the second portion of the retaining member comprises a ring.

19. The enterostomy device of claim 16, wherein the port is movable between a first position wherein fluid may be introduced into the stoma tube but not withdrawn, a second position wherein fluid may be withdrawn from the stoma tube but not introduced, and a third position wherein fluid flow through the stoma tube is inhibited.

20. An enterostomy device comprising:

a stoma tube having a first end and a second end;

a port configured for the transmission of fluids into and out of the first end of the stoma tube;

an inflatable retaining member disposed proximate the second end of the stoma tube and connected to the stoma tube via a skin; and

an inflation line disposed along the stoma tube, the inflation line extending between the first end of the stoma tube and along the skirt so as to be in fluid connection with the inflatable retaining member.

21. The enterostomy device of claim 20, wherein the inflatable retaining member is attached to the second end of the stoma tube.

22. The enterostomy device of claim 20, wherein the skin is uninflatable.

23. The enterostomy device of claim 20, wherein the port is movable between a first position wherein fluid may be introduced into but not withdrawn from the stoma tube, a second position wherein fluid may be withdrawn from but not introduced into the stoma tube, and a third position wherein fluid flow through the stoma tube is inhibited.

24. The enterostomy device of claim 23, wherein the device further comprises a plurality of valves, one valve of said plurality of valves being disposed in communication with the first position for allowing fluid flow into the stoma tube while inhibiting flow out of the stoma tube into the port, another valve of said plurality of valves being disposed in communication with the second position for allowing fluid flow out of the stoma tube and into the port while inhibiting fluid flow from the port into the stoma tube.

25. An enterostomy device comprising:

a stoma tube having a first end and a second end;

a port configured for the transmission of fluids through the stoma tube;

a plurality of valves disposed in communications with the port and the stoma tube for selectively choosing between allowing flow from the port into the stoma tube and allowing flow from the stoma tube into the port while preventing the opposite flow;

an inflatable retaining member disposed adjacent the second end of the stoma tube and wherein the inflatable retaining member is spaced apart from the stoma tube by an noninflatable skirt of material; and

an inflation line disposed along the stoma tube, the inflation line extending to the second end of the stoma tube and configured for inflation of the inflatable retaining member.