Clamp

Abstract: A clamping device is disclosed for securing a cannula (13) in an epidural needle (10). The clamping device comprises a cylindrical housing (28) seated in an epidural needle (10), the housing having a pair of diametrically opposed holes (40, 42) in which the arms (48, 50) of a clip (44) are inserted to loosely receive the cannula (13) or engage the cannula (13) as desired. The clip has a shank (46) with a head (68) at one end with a diameter greater than the diameter of the holes (40, 42). The flexible arms (48, 50) have barbed tips (50, 60) at the distal ends (54, 56) thereof which cooperate with the housing wall whereby the clip (44) can move freely transversely within the housing (28) between the head (68) and the barbed tips (58, 60).

Description: This invention relates to the field of catheters and, more particularly, relates to a clamping device for locking a cannula in a housing. US Patent No. 4973312 issued 27 November 1990, discloses a system for the insertion of a flexible catheter through the epidural space and dura-arachnoid membrane into the subarachnoid space of a spine. The system comprises a hollow needle having a sharpened entry end for insertion into the epidural space and an exit end having a hub, a cannula with a distal end adapted for placement into and for axial movement within the hollow needle whereby said cannula can be advanced forwardly within the hollow needle for abutment of the distal end against the dura-arachnoid membrane to place tension on the dura-arachnoid membrane, and securing means adapted to be attached to the hub at the exit end of the hollow needle for locking the cannula within the hollow needle from axial movement. A further example of prior art systems is given in US-A-4 392 857. An aim of the present invention is to provide a clamping device for securing the cannula to the epidural needle while the cannula exerts pressure on the dura. In accordance with the broad aspect of the present invention, the clamping device for frictionally securing a tube along its length without occluding said tube comprises a clip having a pair of opposed flexible arms joined at one end by a shank defining a tapered slot therebetween, characterized in that it further comprises an elongated open-ended, hollow cylindrical housing for receiving said tube axially therein, said housing having a housing wall with a pair of diametrically opposed holes formed transversely therein, the clip being inserted in snug-fitting relation through the holes formed in the housing wall perpendicular to the axis of the housing whereby the tube is loosely received for sliding engagement between the opposed arms of the clip upon retraction of the clip within the housing and whereby the tube is frictionally gripped by the opposed arms upon extension of the clip within the housing. Preferably, the clamping device clip shank has a head at one end with a diameter greater than the diameter of the holes wherein the opposed flexible arms have barbed tips at the distal ends thereof cooperating with the housing wall whereby the clip can move freely transversely within the housing between the head and the barbed tips. The clamping device of the present invention will now be described, by way of example only, with reference to the accompanying drawings, in which: Fig. 1 is an elevation of an epidural needle with a cannula extending therethrough, secured by the clamping device of the invention, inserted into the epidural space of a spine; Fig. 2 is a perspective view of the clamping device shown in Fig. 1, partly cut away, securing the cannula from axial movement; Fig. 3 is a section along line 3-3 of Fig. 2 showing the clip in a retracted position within the housing; Fig. 4 is a section corresponding to Fig. 3 showing the clip in a fully extended cannula-engaging position within the housing; Fig. 5 is a section corresponding to Fig. 3 showing the clip in a partially retracted cannula-engaging position within the housing; and Fig. 6 is a section corresponding to Fig. 3 showing the clip in a retracted position which frees the cannula from the clip arms. Fig. 1 of the drawings illustrates the placement of a hollow epidural needle 10 having a sharpened end 12 together with a cannula 13 extending therethrough and inserted into the back 14 of a patient between the spinous processes 16 of the vertebrae and through the ligamentum flavum 18 into the epidural space 20. The opposite end of needle 10 has a hub 22 having a conventional conical interior for receiving the forward tapered extension 24 of a clamping device 26 for securing the cannula from axial movement, to be described in detail with reference to Figs. 2 to 6. Clamping device housing 28 is an elongated cylindrical thin-walled hollow sleeve or housing preferably made of a plastics material having an open end 30, with a enlarged head 32, and an opposite end with a tapered extension 24 and a shoulder 36. The extension 24 makes a snug friction fit with hub 22 of epidural needle 10. The cannula 13 passes loosely through the housing 28 and the needle 10 to extend into the epidural space 20. A pair of diametrically opposed transverse holes 40, 42 are formed in sleeve 28. Holes 40, 42 can be rectangular, e.g. elongated, square, or round or oval in shape. A clip 44 having a shank 46 and opposed spaced-apart arms 48, 50 extending axially from shank 46, formed from a flexible plastics material has a shape corresponding with the shape of holes 40, 42 for a snug sliding fit therein. A tapered slot 52 is defined between arms 48, 50 and has a width greater than the diameter of cannula 13 at the distal ends 54, 56 and a width less than the diameter of cannula 13 adjacent shank 46 for reasons which will become evident as the description proceeds. The distal ends 54, 56 of arms 48, 50 preferably have pointed tips 58, 60 with a spacing less than the height of holes 40, 42 and outer barbs 58, 60 with a spacing greater than the height of openings 40, 42 to facilitate insertion of the clip 44 into holes 40, 42 and to restrain clip 44 from removal from housing 28. In operation, the tubular cannula 13, which extends through epidural needle 10 between arms 48, 50 of clip 44, as shown in Figs. 2 and 3, is extended into the epdiural space 20 for abutment against the dura-arachnoid membrane 62 to place the membrane 62 in tension, as described in US Patent 4973312, incorporated herein by reference. The clip 44 is then extended transversely through the housing 28, as shown in Fig. 4, to push the cannula 13 against the interior of the housing 28 and to force the cannula towards the narrow end of slot 52 to pinch the cannula between arms 48, 50. Arms 48, 50 preferably are broad, i.e. sufficiently wide to avoid crushing the cannula. The clip 44 can then slide freely within housing 28 in holes 40, 42, as shown in Fig. 5, with the cannula 13 securely gripped thereby to maintain a desired tension on membrane 62. When it is desired to release the cannula 13 the clip 44 is gripped by a head 68 and retracted within the housing 28 to the position shown in Fig. 6 whereby the cannula abuts the interior of the housing 28 and is pulled free from the grip of arms 48, 50 adjacent shank 46.

Claims: A clamping device for frictionally securing a tube along its length without occluding said tube comprising a clip (44) having a pair of opposed flexible arms (48, 50) joined at one end by a shank (46) defining a tapered slot (52) therebetween, characterized in that it further comprises an elongated open-ended, hollow cylindrical housing (28) for receiving said tube axially therein, said housing (28) having a housing wall with a pair of diametrically opposed holes (40, 42) formed transversely therein, the clip (44) being inserted in snug-fitting relation through the holes (40, 42) formed in the housing wall perpendicular to the axis of the housing (28) whereby the tube is loosely received for sliding engagement between the opposed arms (48, 50) of the clip (44) upon retraction of the clip (44) within the housing (28) and whereby the tube is frictionally gripped by the opposed arms (48, 50) upon extension of the clip (44) within the housing (28). A clamping device as claimed in Claim 1, characterised in that the clamping device clip shank (46) has a head (68) at one end with a diameter greater than the diameter of the holes (40, 42) and wherein the opposed flexible arms (48, 50) have barbed tips (58, 60) at the distal ends (54, 56) thereof cooperating with the housing wall whereby the clip (44) can move freely transversely within the housing (28) between the head (68) and the barbed tips (58, 60). A clamping device as claimed in Claim 2 and a tube, characterised in that the tapered slot has a width adjacent to the clip shank (46) less than the diameter of the tube whereby the tube is frictionally gripped between the opposed arms (48, 50) against the housing wall for securement of the tube without occlusion of the tube upon extension of the clip (44) into the housing (28). A clamping device as claimed in Claim 3, characterised in that the barbed tips (58, 60) are pointed and the spacing of the points is less than the width of the holes (40, 42) to facilitate insertion of the arms (48, 50) into the holes (40, 42) and wherein the width of barbs (58, 60) is greater than the width of the holes (40, 42) to restrain the clip (44) from withdrawal from the housing (28). A clamping device as claimed in Claim 1, characterised in that the clip (44) is formed from a flexible plastics material. A clamping device as claimed in Claim 5, characterised in that the clip (44) has a rectangular cross-section. A clamping device as claimed in Claim 5, characterised in that the clip (44) has a round cross-section. A clamping device as claimed in Claim 5, characterised in that the clip (44) has an oval cross-section. A clamping device as claimed in Claim 3, characterised in that the hollow cylindrical housing (28) has a tapered extension at one end for insertion into a hub (22) of an epidural needle (10) and wherein said tube is a cannula (13) inserted into the epidural needle (10).

Inventors: ANDREW DANIEL E, ANDREW, DANIEL E
Applicants: ANDREW DANIEL E, ANDREW, DANIEL E
Application year: 1993
Main classification: A61M39
IPC codes: A61M25, A61B17