Bowel management system with physiologic sensors

• US 8,075,540 B2
• Filed: 11/09/2004
• Issued: 12/13/2011
• Est. Priority Date: 11/09/2004
• Status: Expired due to Fees

• Current Assignee: Hollister Incorporated
• Original Assignee: Hollister Incorporated
• Inventors: von Dyck, Peter M., Minasi, John S., Schneider, James G., Martino, Nick
• Primary Examiner(s): Zalukaeva, Tatyana
• Assistant Examiner(s): Hanrahan, Benedict L
• Application Number:
  US10/984,621
• Publication Number:
  US 20060100595A1
• Time in Patent Office: 2,590 Days
• Field of Search: 604/317, 604/327, 604346-348, 600/29, 600/31, 600/549, 607/41
• US Class Current: 604/348
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/14503 invasive, e.g. introduced into the body by a catheter or needle or using implanted sensors A61B5/1459, A61B5/1464, A61B5/1473, A61B5/1482, A61B5/14865 take precedence
• CPC Class Codes: A61B 5/14539 for measuring pH
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/4255 Intestines, colon or appendix
• CPC Class Codes: A61B 5/6853 with a balloon
• CPC Class Codes: A61F 5/44 Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aidsabsorbent pads, e.g. sanitary towels, A61F13/15; drainage appliances for wounds A61M27/00; emptying devices for urine bags B65B69/0016; Colostomy devices adhesives for colostomy devices A61L24/00; materials for colostomy devices A61L28/00

Abstract

A bowel management system includes a rectal catheter; and at least one physiologic sensor. The rectal catheter has a portion in contact with a patient'"'"'s body internally thereof during use of the system, to thereby determine a preselected physiologic parameter of a patient having the rectal catheter inserted into the patient'"'"'s bowel. The position of the sensor relative to the rectal catheter portion is such that the sensor is disposed in close proximity to the internal tissue of the patient, or within the fecal flow, when the bowel management system is place for use within the patient.

Claims

1. A bowel management system comprising:

a rectal catheter defining a catheter drain lumen, a portion of the rectal catheter configured to be disposed in contact with a patient'"'"'s body internally thereof during use of the system, wherein the rectal catheter comprises a main catheter with a patient proximal end and a wall defining a major lumen, the patient proximal end being the portion configured to be disposed within the patient'"'"'s bowel during use of the system and the major lumen providing communication between the interior of the patient'"'"'s bowel and the exterior of the patient'"'"'s body and having a size large enough for permitting drainage of the patient'"'"'s bowel contents;

at least one physiologic sensor to thereby determine a preselected physiologic parameter of a patient having the rectal catheter inserted into the patient'"'"'s bowel, wherein the position of each of the sensors relative to the rectal catheter portion is such that the sensor is disposed in close proximity to the internal tissue of the patient when the bowel management system is placed for use within the patient; and

a dedicated cuff at the patient proximal end of the main catheter, one of the at least one physiologic sensors being disposed one of internally of the dedicated cuff, externally on the dedicated cuff, or embedded within the material of which the dedicated cuff is formed.

2. The bowel management system of claim 1, and further comprising a wire connected to the at least one physiologic sensor and extending to outside of the patient'"'"'s body in normal use position, to thereby transmit physiologic information from the patient to a caregiver.

3. The bowel management system of claim 1, wherein the at least one physiologic sensor is wireless.

4. The bowel management system of claim 1, wherein a second of the at least one physiologic sensors is disposed on the wall of the main catheter, externally to the catheter major lumen.

5. The bowel management system of claim 1, wherein a second of the at least one physiologic sensors is disposed internally on the wall of the main catheter, within the major lumen.

6. The bowel management system of claim 1, wherein a second of the at least one physiologic sensors is embedded within the catheter wall defining the major lumen.

7. The bowel management system of claim 1 and further comprising an inflatable cuff mounted to the patient proximal end of the main catheter to thereby retain the system within the patient'"'"'s bowel when the inflatable cuff is inflated.

8. The bowel management system of claim 7, wherein a second of the at least one physiologic sensors is disposed internally of the inflatable cuff.

9. The bowel management system of claim 7, wherein a second of the at least one physiologic sensors is disposed externally of the inflatable cuff on an external surface thereof.

10. The bowel management system of claim 7, wherein a second of the at least one physiologic sensors is embedded within material of which the inflatable cuff is formed.

11. The bowel management system of claim 1 and further comprising at least one small diameter tube connected to the main catheter and having a wall defining a minor lumen.

12. The bowel management system of claim 11, wherein a second of the at least one physiologic sensors is disposed within the minor lumen.

13. The bowel management system of claim 11, wherein the at least one small diameter tube is connected inside the major lumen of the main catheter.

14. The bowel management system of claim 11, wherein one of the at least one physiologic sensors is embedded within the wall of a small diameter tube connected to the main catheter.

15. The bowel management system of claim 1, and further comprising a retention device mounted to the patient proximal end of the main catheter to thereby retain the system within the patient'"'"'s bowel for extended periods of time.

16. The bowel management system of claim 15, wherein a second of the at least one physiologic sensors is disposed internally on the wall of the main catheter, within the lumen thereof.

17. The bowel management system of claim 15, wherein a second of the at least one physiologic sensors is disposed on the wall of the main catheter, externally to the main catheter lumen.

18. The bowel management system of claim 15, wherein a second of the at least one physiologic sensors is disposed internally of the retention device, substantially adjacent to the patient proximal end of the major lumen of the main catheter.

19. The bowel management system of claim 15, wherein a second of the at least one physiologic sensors is disposed externally of the retention device on an external surface thereof.

20. The bowel management system of claim 15, wherein a second of the at least one physiologic sensors is embedded within material of which the retention device is formed.

21. The bowel management system of claim 15, further comprising a dedicated cuff at the patient proximal end of the main catheter.

22. A bowel management system comprising:

a rectal catheter defining a catheter drain lumen insertable into a patient'"'"'s bowel having a patient proximal end and a wall defining a major lumen, the patient proximal end being the portion configured to be disposed within the patient'"'"'s bowel during use of the system and the major lumen providing communication between the interior of the patient'"'"'s bowel and the exterior of the patient'"'"'s body and having a size large enough for permitting drainage of the patient'"'"'s bowel contents; and

at least one physiologic sensor within a portion of the rectal catheter; and

a dedicated cuff at a patient proximal end of the rectal catheter, one of the at least one physiologic sensors being disposed one of internally of the dedicated cuff, externally on the dedicated cuff, or embedded within the material of which the dedicated cuff is formed.