Flexible pneumostoma management system and methods for treatment of chronic obstructive pulmonary disease

• US 8,430,094 B2
• Filed: 02/18/2009
• Issued: 04/30/2013
• Est. Priority Date: 02/19/2008
• Status: Expired due to Fees

• Current Assignee: Portaero, Inc
• Original Assignee: Portaero, Inc
• Inventors: Tanaka, Don, Wiesman, Joshua P., Plough, David C.
• Primary Examiner(s): Ostrup, Clinton T
• Application Number:
  US12/388,458
• Publication Number:
  US 20090205646A1
• Time in Patent Office: 1,532 Days
• Field of Search: 128/200.24, 128/200.25, 128/202.27, 128/205.12, 128/205.19, 128/205.24, 604/45, 604/174, 604/175, 604/180, 604/304, 604/307, 604/386
• US Class Current: 128/200.24
• CPC Class Codes: A61B 2017/00809 Lung operations
• CPC Class Codes: A61K 9/007 Pulmonary tract; Aromatherapy
• CPC Class Codes: A61M 1/04 Artificial pneumothorax apparatus
• CPC Class Codes: A61M 11/00 Sprayers or atomisers specially adapted for therapeutic purposes in general B05B; aerosol containers B65D83/14
• CPC Class Codes: A61M 11/005 using ultrasonics spraying or atomising liquids using ultrasonic vibrations in general B05B17/06
• CPC Class Codes: A61M 11/042 electrical
• CPC Class Codes: A61M 13/00 Insufflators for therapeutic or disinfectant purposes , i.e. devices for blowing a gas, powder or vapour into the body hand-held units in which gas flow is produced by muscular energy at the moment of use B05B11/062
• CPC Class Codes: A61M 15/0085 using ultrasonics spraying or atomising liquids using ultrasonic vibrations in general B05B17/06
• CPC Class Codes: A61M 15/009 using medicine packages with incorporated spraying means, e.g. aerosol cans pocket atomiser of the injector type A61M11/08
• CPC Class Codes: A61M 15/02 with activated or ionised fluids, e.g. electrohydrodynamic [EHD] or electrostatic devices; Ozone-inhalators with radioactive tagged particles
• CPC Class Codes: A61M 16/0816 Joints or connectors
• CPC Class Codes: A61M 16/0833 T- or Y-type connectors, e.g. Y-piece
• CPC Class Codes: A61M 16/202 electrically actuated
• CPC Class Codes: A61M 2039/0252 for access to the lungs
• CPC Class Codes: A61M 2039/0276 for introducing or removing fluids into or out of the body
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2202/025 Helium
• CPC Class Codes: A61M 2202/064 Powder
• CPC Class Codes: A61M 2205/075 Bulb type
• CPC Class Codes: A61M 2205/7518 bacterial
• CPC Class Codes: A61M 2205/7536 : allowing gas passage, but preventing liquid passage, e.g. liquophobic, hydrophobic, water-repellent membranes
• CPC Class Codes: A61M 25/02 : Holding devices, e.g. on the body
• CPC Class Codes: A61M 25/04 : in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence
• CPC Class Codes: A61M 25/10 : Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61M 27/00 : Drainage appliance for wounds or the like , i.e. wound drains, implanted drains negative pressure wound therapy devices A61M1/90; implements for holding wound open A61B17/02 ; middle ear drainage A61F11/202
• CPC Class Codes: A61M 39/02 : Access sites
• CPC Class Codes: A61M 39/0247 : Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053

Abstract

A flexible pneumostoma management device maintains the patency of a pneumostoma while controlling the flow of material through the pneumostoma. The pneumostoma management device includes a pneumostoma vent having a tube which enters the pneumostoma to allow gases to escape the lung, a flange and a filter/valve to control flow of materials through the tube. The flange is a thin flexible patch which conforms and attaches to the chest of the patient. The flange secures the tube in position in the pneumostoma.

Claims

1. A pneumostoma management device adapted to allow gases to exit parenchymal tissue of a lung through a pneumostoma in a chest of a patient, wherein the pneumostoma management device comprises;

a tube adapted to be inserted into the chest through the pneumostoma,

the tube having a lumen, a proximal end and a distal end

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of the lung;

a flange connected to the proximal end of the tube such that an opening in the flange connects to the lumen of the tube,

the flange projecting a sufficient distance from the tube to preclude passage of flange into the pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest of the patient;

the flange having an adhesive coating adapted to releasably secure the flange to the chest of the patient; and

a hydrophobic filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lumen of the tube pass through the filter.

2. The pneumostoma management device of claim 1, further comprising:

a chest mount which comprises a patch;

the patch being sufficiently thin and flexible to conform to the chest of the patient the patch having an aperture larger in diameter than the tube;

the chest mount having a distal surface having an adhesive coating adapted to releasably secure the chest mount to the chest of the patient;

whereby the chest mount is adapted to be secured to the chest of the patient by the adhesive coating on the distal surface, the tube is selectively inserted into a pneumostoma through the aperture in the patch, and the pneumostoma management device is selectively secured to the chest mount by the adhesive coating on the flange.

3. The pneumostoma management device of claim 1, wherein the flange and tube are formed in one piece.

4. The pneumostoma management device of claim 1, wherein the tube is an extruded tube which is formed separately from the flange and then bonded to the flange.

5. The pneumostoma management device of claim 1, wherein the tube is connected substantially centrally to the flange.

6. The pneumostoma management device of claim 1, wherein the filter is too large to fit through the lumen of the tube.

7. A medical device to allow gases to exit a lung through a pneumostoma and from parenchymal tissue of a lung in a chest of a patient, wherein the medical device comprises;

a substantially planar flange having a contact surface adapted to contact the chest of the patient and an outer surface;

the flange being substantially larger in size than a pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest;

the contact surface having an adhesive coating adapted so that the flange can be releasably secured to the chest of the patient,

the flange having an opening;

a tube projecting from the flange;

the tube adapted to be inserted into the chest through the pneumostoma and into the parenchymal tissue of the lung,

the tube having a lumen, a proximal end and a distal end,

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of the lung,

the proximal end of the tube being connected to the flange such that the opening in the flange communicates with the lumen of the tube; and

a filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lung pass through the filter.

8. The medical device of claim 7, further comprising:

a chest mount which comprises a patch at least as large in diameter as the flange;

the patch being sufficiently thin and flexible to conform to the chest of the patient the patch having an aperture larger in diameter than the tube;

the chest mount having a distal surface having an adhesive coating adapted to releasably secure the chest mount to the chest of the patient;

whereby the chest mount is adapted to be secured to the chest of the patient by the adhesive coating on the distal surface of the chest mount, the tube is selectively inserted into a pneumostoma through the aperture in the patch, and the pneumostoma vent is selectively secured to the chest mount by the adhesive coating on the flange.

9. The medical device of claim 7, wherein the flange and tube are formed in one piece.

10. The medical device of claim 7, wherein the tube is an extruded tube which is formed separately from the flange and then bonded to the flange.

11. The medical device of claim 7, wherein the filter is too large to fit into through the lumen of the tube.

12. A pneumostoma management device adapted to allow gases to exit a lung through a pneumostoma and from parenchymal tissue of a lung in a chest of a patient, wherein the pneumostoma management device comprises;

a tube adapted to be inserted into the chest through the pneumostoma,

the tube having a lumen, a proximal end and a distal end

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of the lung; and

a flange connected to the proximal end of the tube such that an opening in the flange connects to the lumen of the tube,

the flange projecting a sufficient distance from the tube to preclude passage of flange into the pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest of the patient;

the flange having an adhesive coating adapted to releasably secure the flange to the chest of the patient; and

a filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lumen of the tube pass through the filter.

13. The pneumostoma management device of claim 12, wherein the flange and tube are formed in one piece.

14. A pneumostoma management device adapted to allow gases to exit parenchymal tissue of a lung through a pneumostoma in a chest of a patient, wherein the pneumostoma management device comprises;

a tube adapted to be inserted into the chest through the pneumostoma,

the tube having a lumen, a proximal end and a distal end

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of the lung;

a flange connected to the proximal end of the tube such that an opening in the flange connects to the lumen of the tube,

the flange projecting a sufficient distance from the tube to preclude passage of flange into the pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest of the patient;

the flange having an adhesive coating adapted to releasably secure the flange to the chest of the patient; and

a filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lumen of the tube pass through the filter, and a plug wherein the plug is substantially impermeable and is larger in diameter than the filter, and wherein the plug has an adhesive coating that allows the plug to be selectively secured to the flange and/or filter such that the plug obstructs the filter and substantially prevents the passage of solids, liquids and gases through the tube.

15. A pneumostoma management device adapted to allow gases to exit parenchymal tissue of a lung through a pneumostoma in a chest of a patient, wherein the pneumostoma management device comprises;

a tube adapted to be inserted into the chest through the pneumostoma,

the tube having a lumen, a proximal end and a distal end

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of the lung;

a flange connected to the proximal end of the tube such that an opening in the flange connects to the lumen of the tube,

the flange projecting a sufficient distance from the tube to preclude passage of flange into the pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest of the patient;

the flange having an adhesive coating adapted to releasably secure the flange to the chest of the patient,

wherein the adhesive coating comprises a hydrocolloid adhesive configured and adapted to releasably secure the flange to the chest of the patient; and

a filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lumen of the tube pass through the filter.

16. A pneumostoma management device adapted to allow gases to exit parenchymal tissue of a lung through a pneumostoma in a chest of a patient, wherein the pneumostoma management device comprises;

a tube adapted to be inserted into the chest through the pneumostoma,

the tube having a lumen, a proximal end and a distal end,

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of the lung;

a flange connected to the proximal end of the tube such that an opening in the flange connects to the lumen of the tube,

the flange projecting a sufficient distance from the tube to preclude passage of flange into the pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest of the patient;

the flange having an adhesive coating adapted to releasably secure the flange to the chest of the patient; and

a filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lumen of the tube pass through the filter, wherein the filter is substantially flush with the flange.

17. A pneumostoma management device adapted to allow gases to exit parenchymal tissue of a lung through a pneumostoma in a chest of a patient, wherein the pneumostoma management device comprises;

a tube adapted to be inserted into the chest through the pneumostoma,

the tube having a lumen, a proximal end and a distal end

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of the lung;

a flange connected to the proximal end of the tube such that an opening in the flange connects to the lumen of the tube,

the flange projecting a sufficient distance from the tube to preclude passage of flange into the pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest of the patient;

the flange having an adhesive coating adapted to releasably secure the flange to the chest of the patient; and

a filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lumen of the tube pass through the filter;

wherein the flange, filter and adhesive coating is less than 5 mm in thickness in combination.

18. A medical device to allow gases to exit a lung through a pneumostoma and into parenchymal tissue of a lung in a chest of a patient, wherein the medical device comprises;

a substantially planar flange having a contact surface adapted to contact the chest of the patient and an outer surface;

the flange being substantially larger in size than a pneumostoma and into parenchymal tissue of a lung,

the flange being sufficiently thin and flexible to conform to the chest;

the contact surface having an adhesive coating adapted so that the flange can be releasably secured to the chest of the patient,

the flange having an opening;

a tube projecting from the flange;

the tube adapted to be inserted into the chest through the pneumostoma,

the tube having a lumen, a proximal end and a distal end

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of a lung,

the proximal end of the tube being connected to the flange such that the opening in the flange communicates with the lumen of the tube;

a filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lung pass through the filter; and

a plug wherein the plug is substantially impermeable and is larger in diameter than the filter; and

wherein the plug has an adhesive coating that allows the plug to be selectively secured to the flange and/or filter such that the plug obstructs the filter and substantially prevents passage of solids, liquids and gases through the medical device.

19. A medical device to allow gases to exit a lung through a pneumostoma and from parenchymal tissue of a lung in a chest of a patient, wherein the medical device comprises;

a substantially planar flange having a contact surface adapted to contact the chest of the patient and an outer surface;

the flange being substantially larger in size than a pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest;

the contact surface having an adhesive coating adapted so that the flange can be releasably secured to the chest of the patient,

wherein the adhesive coating comprises a hydrocolloid adhesive configured adapted to releasably secure the flange to the chest of the patient,

the flange having an opening;

a tube projecting from the flange;

the tube adapted to be inserted into the chest through the pneumostoma and into parenchymal tissue of a lung,

the tube having a lumen, a proximal end and a distal end,

the distal end of the tube having at least one opening adapted to admit gases from the and parenchymal tissue of the lung,

the proximal end of the tube being connected to the flange such that the opening in the flange communicates with the lumen of the tube; and

a filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lung pass through the filter.

20. A medical device to allow gases to exit a lung through a pneumostoma and from parenchymal tissue of a lung in a chest of a patient, wherein the medical device comprises;

a substantially planar flange having a contact surface adapted to contact the chest of the patient and an outer surface;

the flange being substantially larger in size than a pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest;

the contact surface having an adhesive coating adapted so that the flange can be releasably secured to the chest of the patient,

the flange having an opening;

a tube projecting from the flange;

the tube adapted to be inserted into the chest through the pneumostoma and into parenchymal tissue of a lung,

the tube having a lumen, a proximal end and a distal end,

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of the lung,

the proximal end of the tube being connected to the flange such that the opening in the flange communicates with the lumen of the tube; and

a filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lung pass through the filter, wherein the filter is substantially flush with the flange.

21. A medical device to allow gases to exit a lung through a pneumostoma and from parenchymal tissue of a lung in a chest of a patient, wherein the medical device comprises;

a substantially planar flange having a contact surface adapted to contact the chest of the patient and an outer surface;

the flange being substantially larger in size than a pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest;

the contact surface having an adhesive coating adapted so that the flange can be releasably secured to the chest of the patient,

the flange having an opening;

a tube projecting from the flange;

the tube adapted to be inserted into the chest through the pneumostoma and into parenchymal tissue of a lung,

the tube having a lumen, a proximal end and a distal end,

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of the lung,

the proximal end of the tube being connected to the flange such that the opening in the flange communicates with the lumen of the tube; and

a filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lung pass through the filter;

wherein the flange, filter and adhesive coating is less than 5 mm in thickness in combination.

22. A medical device to allow gases to exit a lung through a pneumostoma and from parenchymal tissue of a lung in a chest of a patient, wherein the medical device comprises;

a tube adapted to be inserted into the chest through the pneumostoma and into parenchymal tissue of the lung,

the tube having a lumen, a proximal end and a distal end,

the distal end of the tube having an atraumatic tip,

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of the lung;

a flange connected to the proximal end of the tube such that an opening in the flange connects to the lumen of the tube,

the flange projecting a sufficient distance from the tube to preclude passage of flange into the pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest of the patient;

the flange having an adhesive coating adapted to releasably secure the flange to the chest of the patient; and

a filter secured to one of the flange and tube such that gases passing through the medical device pass through the filter.

23. The pneumostoma management device adapted to allow gases to exit parenchymal tissue of a lung through a pneumostoma in a chest of a patient, wherein the pneumostoma management device comprises;

a tube adapted to be inserted into the chest through the pneumostoma,

the tube having a lumen, a proximal end and a distal end

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of the lung;

wherein the distal end of the tube has an atraumatic tip;

a flange connected to the proximal end of the tube such that an opening in the flange connects to the lumen of the tube,

the flange projecting a sufficient distance from the tube to preclude passage of flange into the pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest of the patient;

the flange having an adhesive coating adapted to releasably secure the flange to the chest of the patient; and

a filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lumen of the tube pass through the filter.

24. A pneumostoma management device adapted to allow gases to exit a lung through a pneumostoma and from parenchymal tissue of a lung in a chest of a patient, wherein the pneumostoma management device comprises;

a tube adapted to be inserted into the chest through the pneumostoma,

the tube having a lumen, a proximal end and a distal end

the distal end of the tube having at least one opening adapted to admit gases from the parenchymal tissue of the lung, wherein the distal end of the tube has an atraumatic tip;

a flange connected to the proximal end of the tube such that an opening in the flange connects to the lumen of the tube,

the flange projecting a sufficient distance from the tube to preclude passage of flange into the pneumostoma,

the flange being sufficiently thin and flexible to conform to the chest of the patient; and

the flange having an adhesive coating adapted to releasably secure the flange to the chest of the patient, wherein the adhesive coating comprises a hydrocolloid adhesive configured and adapted to releasably secure the flange to the chest of the patient;

a hydrophobic filter disposed over the opening in the flange and secured to one of the flange and tube such that gases passing into and out of the lumen of the tube pass through the filter, wherein the filter is substantially flush with the flange.