Methods and systems for providing fluid communication with a gastrostomy tube

• US 8,858,533 B2
• Filed: 06/29/2005
• Issued: 10/14/2014
• Est. Priority Date: 06/29/2004
• Status: Active Grant

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Downing, Anthony, Wilkie, James, Court, Ronald, Jacques, Steven, Gauderer, Michael W.
• Primary Examiner(s): Eisenberg, Rebecca E
• Application Number:
  US11/629,724
• Publication Number:
  US 20070276356A1
• Time in Patent Office: 3,394 Days
• Field of Search: 604/174, 604/164.04, 604/164.07, 604/165.01, 60416701-16704, 604/175, 604/537, 604/539, 604/910, 604533-535
• US Class Current: 604/539
• CPC Class Codes: A61J 15/0015 Gastrostomy feeding-tubes insertion tools or methods A61B17/34
• CPC Class Codes: A61J 15/0053 Means for fixing the tube outside of the body, e.g. by a special shape, by fixing it to the skin holding devices, e.g. on the body A61M25/02, mouthpieces for tracheal tubes A61M16/0488; transcutaneous access sites A61M39/0247
• CPC Class Codes: A61J 15/0092 Valves on feeding tubes tube valves A61M39/22
• CPC Class Codes: A61M 2039/1077 Adapters, e.g. couplings adapting a connector to one or several other connectors
• CPC Class Codes: A61M 2039/242 designed to open when a predetermined pressure or flow rate has been reached, e.g. check valve actuated by fluid
• CPC Class Codes: A61M 2039/2426 Slit valve
• CPC Class Codes: A61M 39/10 Tube connectors; Tube couplings A61M39/02 takes precedence; connecting needles to syringes or hubs A61M5/34; connecting catheter tubes to hubs A61M25/0014
• CPC Class Codes: A61M 39/1011 Locking means for securing connection; Additional tamper safeties A61M39/16 takes precedence
• CPC Class Codes: A61M 39/12 for joining a flexible tube to a rigid attachment
• CPC Class Codes: A61M 39/24 Check- or non-return valves

Abstract

A low profile adaptor is disclosed to reduce the length of a gastrostomy tube that has been inserted by means of conventional endoscopic procedures or with a replacement feeding tube inserted into the patient'"'"'s stomach. The gastrostomy tube is cut to the appropriate length by the physician. The adaptor comprises a stem which is inserted into the open end of the gastrostomy tube. The valve assembly contains a seal that functions as a one-way valve to prevent reflux of gastric contents but permits the introduction of feeding solution into the feeding tube. A lock and key mechanism is incorporated into the hub of the gastrostomy tube to prevent disconnection of the feeding tube. A cover is placed over the opening of the adapter to prevent contamination of the lumen of the gastrostomy tube.

Claims

1. A system for providing fluid communication with a gastrostomy tube comprising:

a connector including a stem upon which an end region of a gastrostomy tube is positionable, the stem defining a bore for communicating with a lumen defined by the gastrostomy tube; and

a locking region extending from, and monolithic with, the connector, the locking region positioned around at least a portion of the stem and including at least one radially inwardly extending protrusion, the locking region radially inwardly biased to compress at least a portion of the end region of the gastrostomy tube between the stem and the locking region.

2. The system of claim 1, further comprising a compression device configured to radially inwardly bias the locking region, the compression device comprising a compression sleeve configured to be positionable about the locking region of the connector and to bias the locking region radially inwardly.

3. The system of claim 2, wherein the compression device further comprises a connector cap.

4. The system of claim 3, wherein the connector cap includes an engagement structure configured to engage to a feeding tube assembly.

5. The system of claim 1, wherein the stem includes at least one barb and the at least one inwardly radially extending protrusion is positioned adjacent to the at least one barb of the stem.

6. The system of claim 5, wherein the at least one barb comprises a single barb and the at least one inwardly radially extending protrusion is longitudinally positioned farther from a distal end of the stem than a longitudinal position of a maximum radial extent of the single barb.

7. The system of claim 1, further comprising a one-way valve configured to prevent fluid flow through the one-way valve from the lumen of the gastrostomy tube through the bore of the stem.

8. The system of claim 7, wherein the one-way valve further comprises a protruding region including concave sidewalls.

9. The system of claim 7, wherein the one-way valve is configured to allow fluid flow in response to contact with a syringe.

10. A system for providing fluid communication with a gastrostomy tube comprising:

a stem upon which an end region of a gastrostomy tube is positionable, the stem extending from a base element and defining a bore for communicating with a lumen defined by the gastrostomy tube; and

a compression structure comprising a plurality of tines extending from the base element and circumferentially spaced around at least a portion of the stem, wherein an exterior surface of each of the tines is threaded to engage a compression sleeve that radially compresses the plurality of tines against at least a portion of the end region of the gastronomy tube positionable upon the stem.

11. The system of claim 10, further comprising a one-way valve configured to prevent fluid flow through the valve from the lumen of the gastrostomy tube through the bore of the stem.

12. A system for providing fluid communication with a gastrostomy tube comprising:

a connector including a stem upon which an end region of a gastrostomy tube is positionable, the stem defining a bore for communicating with a lumen defined by the gastrostomy tube; and

a locking region extending from, and monolithic with, the connector, the locking region positioned around at least a portion of the stem, the locking region including a compression device comprising a compression sleeve configured to radially inwardly bias the locking region to compress at least a portion of the end region of the gastrostomy tube between the stem and the locking region.

13. The system of claim 12, further comprising a one-way valve configured to prevent fluid flow through the one-way valve from the lumen of the gastrostomy tube through the bore of the stem.

14. The system of claim 12, wherein the compression device further comprises a connector cap.

15. The system of claim 14, wherein the connector cap includes an engagement structure configured to engage to a feeding tube assembly.

16. A system for providing fluid communication with a gastrostomy tube comprising:

a connector including a stem upon which an end region of a gastrostomy tube is positionable, the stem defining a bore for communicating with a lumen defined by the gastrostomy tube; and

a locking region extending from, and monolithic with, the connector, the locking region including a plurality of tines positioned around a circumference of the stem, the locking region radially inwardly biased to compress at least a portion of the end region of the gastrostomy tube between the stem and the locking region.

17. The system of claim 16, wherein the stem includes at least one barb and the plurality of tines are positioned adjacent to the at least one barb of the stem.

18. The system of claim 17, wherein the at least one barb comprises a single barb and the plurality of tines are longitudinally positioned farther from a distal end of the stem than a longitudinal position of a maximum radial extent of the single barb.

19. The system of claim 16, further comprising a one-way valve configured to prevent fluid flow through the one-way valve from the lumen of the gastrostomy tube through the bore of the stem.

20. The system of claim 16, further comprising a compression device comprising a compression sleeve configured to radially inwardly bias the locking region.

21. The system of claim 20, wherein the compression device further comprises a connector cap.

22. The system of claim 21, wherein the connector cap includes an engagement structure configured to engage to a feeding tube assembly.

23. A system for providing fluid communication with a gastrostomy tube comprising:

a stem upon which an end region of a gastrostomy tube is positionable, the stem defining a bore for communicating with a lumen defined by the gastrostomy tube;

a one-way valve configured to prevent fluid flow through the valve from the lumen of the gastrostomy tube through the bore of the stem; and

a compression structure comprising a plurality of tines circumferentially spaced around at least a portion of the stem, wherein an exterior surface of each of the tines is threaded to engage a compression sleeve that radially compresses the plurality of tines against at least a portion of the end region of the gastronomy tube positionable upon the stem.

24. The system of claim 23, wherein the stem extends from a base element and each of the plurality of tines extend from the base element.