Source: https://patents.google.com/patent/US20140088568
Timestamp: 2018-02-19 18:43:53
Document Index: 605746458

Matched Legal Cases: ['art 34', 'art 36', 'art 34', 'arts 34', 'art 36', 'art 34', 'art 34', 'art 36']

US20140088568A1 - Drainage cannula with anchor tab - Google Patents
Drainage cannula with anchor tab
US20140088568A1
US20140088568A1 US13892131 US201313892131A US20140088568A1 US 20140088568 A1 US20140088568 A1 US 20140088568A1 US 13892131 US13892131 US 13892131 US 201313892131 A US201313892131 A US 201313892131A US 20140088568 A1 US20140088568 A1 US 20140088568A1
US13892131
A drainage cannula having one of three different types of anchor tabs is disclosed. The anchor tab prevents movement of the cannula after positioning a distal portion of the cannula inside of the patient's body and securing the anchor tab to the patient's body (e.g., skin). Additionally, pinching mechanism is disclosed to selectively occlude the cannula.
This application is a continuation in part application of U.S. patent application Ser. No. 13/828,442, filed on Mar. 14, 2013, the entire content of which is expressly incorporated herein by reference.
The various embodiments disclosed herein relate to a drainage cannula with an anchor tab and a pinch mechanism or valve in use with the cannula.
After surgery, a dead space within the patient's body is typically created. Bodily fluid is aggregated within this dead space and must be drained to prevent infections and collection of bodily fluids which will require evacuation. To this end, a drainage cannula is inserted into a patient's body to drain the bodily fluid from the patient. A portion of the cannula is disposed inside the patient's body under the skin while another portion of the cannula is disposed outside the patient's body. Bodily fluid created within the patient's body flows out of the cannula into a reservoir for disposal at a later time. Unfortunately, the cannula is capable of shifting and the apertures formed on the cannula disposed within the body can be exposed to the environment. In this unfortunate event, bodily fluid will leak out of those apertures exposed to the environment and create sanitary issues. Moreover, the portion of the cannula that was previously disposed within the body and is now exposed to the environment is now contaminated. One cannot merely reinsert or push the cannula back into the patient's body. Otherwise, the exposed and contaminated portion of the cannula would cause an infection in the patient's body. Another problem of the prior art drainage cannula is that one of the apertures formed on the proximal side may become exposed to the atmosphere. In this case, the closed vacuum suction being used to draw bodily fluid from the patient to a reservoir would lose suction and prevent the withdrawal of bodily fluid from the patient. As discussed previously, the cannula cannot be merely reinserted or pushed into the patient's body due to contamination of the exposed portion of the drainage cannula. Instead, the exposed aperture may be covered with tape to reestablish the vacuum in the drainage cannula. If the drainage cannula shifts a significant distance so that a significant number of apertures are now exposed to the environment or the apertures are no longer properly positioned within the patient's body, the doctor must reestablish the drain. To do so, the patient must be anesthetized, opened up and the drainage cannula repositioned.
In order to prevent the drainage cannula from shifting out of the patient's body, complex suturing methods are used in an attempt to secure the drainage cannula in position. In particular, a series of sutures are made on the exposed portion of the drainage cannula that ties the exposed portion of the drainage cannula to the skin of the patient. Unfortunately, this does not provide proper securement of the drainage cannula and still allows the drainage cannula to shift out of the patient's body.
Accordingly, there is a need in the art for an improved drainage cannula which can be easily secured in a desired position within/upon a patient to prevent unintentional cannula shifting.
The drainage cannula with anchor tab disclosed herein addresses the needs discussed above, discussed below and those that are known in the art.
The drainage cannula disclosed herein has one of three different types of anchor tabs. The first type of anchor tab is a punctureable anchor tab that is secured to a proximal portion which remains exposed to the environment while the distal portion of the drainage cannula remains inserted inside of the patient's body. The punctureable tab is punctured with a needle and thread to suture the puncturable tab to the patient's body after positioning the drainage cannula in the patient's body. The second type of anchor tab is a tab having a preformed hole formed there through. In this manner, the needle does not need to puncture through the tab. Rather, the needle is inserted through the through hole of the tab and sutured to the patient's body. The third type of anchor tab includes first and second parts that form a fastening system. The first and second parts are removably attachable to each other. The first part is attached to the proximal portion of the cannula. The second part is attached to the patient's body. After inserting the cannula into the patient's body and positioning the apertures formed on the distal portion of the cannula at the proper position where the bodily fluid is being generated, the first and second parts are attached to each other to prevent movement of the cannula while draining bodily fluid.
More particularly, a drainage cannula securable to mitigate inadvertent movement is disclosed. The cannula may comprise an elongate hollow tube and a means for securing a proximal portion of the tube to a body of a patient. The elongate hollow tube may have a distal portion and a proximal portion. The distal portion may have an aperture for aspirating bodily fluid and a proximal portion disposed outside of a body during use. The means for securing the proximal portion to the body may be attached to the proximal portion.
The means for securing may be a puncturable tab extending out of the proximal portion. The puncturable tab may be flexible or rigid. Alternatively, the means for securing may be a tab extending out of the proximal portion. This tab may have a hole therethrough. This tab may be flexible or rigid. Alternatively, the means for securing may have first and second parts which are removable securable to each other. The first and second parts of the means for securing may be hooks and loops.
The distal portion of the cannula may have a plurality of apertures.
In another aspect, a method of draining bodily fluid from a body in a secure manner is disclosed. The method comprising the steps of inserting a distal portion of a drainage cannula into an opening in the body with an aperture formed in the distal portion disposed within the body; closing the opening in the body; and step for securing a proximal portion of the drainage cannula to the body.
The closing step may include the step of suturing the opening in the body to close the opening in the body.
The step for securing may include the step of puncturing a tab extending from the proximal portion of the cannula with a thread and suturing the tab to the body. Alternatively, the step of securing may include the step of threading a suture through a hole in a tab extending from the proximal portion of the cannula with a thread and suturing the tab to the body. Alternatively, the step of securing may include the step of securing a first part of a two part removably attachable mechanism to the body and securing the first part to a second part of the two part removably attachable mechanism which is attached to the proximal portion.
In another aspect, a drainage cannula for draining bodily fluid from a patient is disclosed. The cannula may comprise an elongate flexible tube and a pinching mechanism. The elongate flexible tube may have a lumen for flowing fluid from a body of the patient to a reservoir system. The tube may define a wall thickness. The tube may have a plurality of holes at a distal portion which is disposed under the skin of the patient during use and a proximal portion is connectable to a suction and reservoir system. The pinching mechanism may be disposed about the tube. The pinching mechanism may have a closed loop defining an enlarged section and a narrow section. The enlarged section may define an interior cavity sufficient to allow fluid to flow through the lumen of the tube when the tube is disposed within the enlarged section. The narrow section may define a gap which is equal to or less than twice the wall thickness of the tube to occlude the tube to stop flow of fluid through the lumen of the tube when the tube is disposed within the narrow section.
The cannula may further comprise a tether attached to the pinching mechanism and an exterior surface of the tube for retaining the pinching mechanism. The narrow section may have opposed parallel flat surfaces. The flat surfaces may each have a length about ½ a circumference of the tube.
The cannula may further comprise a means for securing the proximal portion of the tube to the body of the patient. The means for securing may be an anchor tab attached to the proximal portion of the tube and securable to the body of the patient. The means for securing may be removably attachable to the proximal portion of the tube.
In another aspect, a drainage cannula for draining bodily fluid from a patient is disclosed. The cannula may comprise an elongate flexible tube and a pinching mechanism. The elongate flexible tube may have a lumen for flowing fluid from a body of the patient to a reservoir system. The tube may define a wall thickness. The tube may have a plurality of holes at a distal portion which is disposed under the skin of the patient during use and a proximal portion which is connectable to a suction and reservoir system. The pinching mechanism may be disposed about the tube to occlude the tube. The pinching mechanism having a horseshoe configuration defining an opening and an inner cavity. The opening may be sufficiently large to allow the tube to be pushed into the inner cavity. The inner cavity may be sufficiently small to occlude the lumen of the tube to stop flow of fluid through the lumen of the tube when the tube is disposed within the inner cavity.
The cannula may further comprise a tether attached to the pinching mechanism and an exterior surface of the tube for retaining the pinching mechanism.
A width of the inner cavity may be greater than or equal to a width of the opening.
Distal tips of the pinching mechanism may be flared outward to assist in insertion of the tube through the opening and into the inner cavity.
FIG. 1 is a perspective view of a drainage cannula illustrating a first embodiment of an anchor tab;
FIG. 2 is a flow chart of utilizing the drainage cannula with anchor tab;
FIG. 3 is a perspective view of the drainage cannula illustrating a second embodiment of the anchor tab;
FIG. 4 is a perspective view of the drainage cannula illustrating a third embodiment of the anchor tab;
FIG. 5A is a perspective view of the first embodiment of the anchor tab fabricated as a separate retrofit anchor tab;
FIG. 5B is a perspective view of the second embodiment of the anchor tab fabricated as a separate retrofit anchor tab;
FIG. 5C is a perspective view of the third embodiment of the anchor tab fabricated as a separate retrofit anchor tab;
FIG. 6 illustrates an internal valve;
FIG. 7 illustrates a first embodiment of a pinching mechanism incorporated into a tube having an anchor tab;
FIG. 8 is a cross sectional view of the tube shown in FIG. 7;
FIG. 8A is a cross section view of the tube and pinching mechanism of FIG. 8 in a different position;
FIG. 9 is a cross sectional view of the tube illustrating a tether;
FIG. 10 illustrates a second embodiment of the pinching mechanism incorporated into the tube having the anchor tab;
FIG. 11 is a cross sectional view of the tube shown in FIG. 10;
FIG. 11A is a cross sectional view of the tube and pinching mechanism shown in FIG. 10 in a different position;
FIG. 12 illustrates the first embodiment of the pinching mechanism with a tube having a different anchor tab;
FIG. 13 illustrates the first embodiment of the pinching mechanism with a tube having still another embodiment of the anchor tab;
FIG. 14 illustrates the second embodiment of the pinching mechanism with a tube having a different anchor tab; and
FIG. 15 illustrates the second embodiment of the pinching mechanism with a tube having still another embodiment of the anchor tab.
Referring now to the drawings, a drainage cannula 10 with anchor tabs 12, 14, 16 is shown. The anchor tabs 12, 14, 16 are easily securable to the patient to prevent the drainage cannula 10 from shifting after placement in the body 18 of the patient. In this manner, the drainage cannula 10 will not inadvertently shift or dislodge from the patient's body upon movement of the patient. As a result, there is no opportunity for the apertures 20 formed on the distal portion 24 of the cannula 10 to slip out and become exposed to the ambient air environment thereby causing a leak of bodily fluid. The benefit of such configuration provides more mobility to the patient and facilitates more efficient and sanitary drainage of bodily fluid from the patient. Additionally, a pinch valve or pinching mechanism is disclosed herein to aid in use of the cannula 10.
More particularly, referring now to FIG. 1, the drainage cannula 10 is shown positioned within the patient's body for draining bodily fluid. In particular, the patient's body 18 has an opening 20. The drainage cannula 10 is inserted through the opening 20 and positioned within the patient's body 18 so that all of the apertures 22 formed on the distal portion 24 are disposed within the patient's body 18. A proximal portion 26 of the cannula 10 is exposed to the environment and protrudes out of the opening 20.
The proximal portion 26 of the cannula 10 incorporates an anchor tab 12. This anchor tab 12 is securable to the patient with a suture. The anchor tab 12 may be fabricated from a material that can be punctured with a needle. By way of example and not limitation, the anchor tab 12 may be fabricated from a plastic material, metallic material and other materials known in the art and developed in the future.
In use, a medical professional will insert the cannula 10 shown in FIG. 1 into the opening 20 of the patient's body. The cannula 10 is inserted 100 (see FIG. 2) until all the apertures 20 of the distal portion 24 of the cannula 10 are disposed within the patient's body. Moreover, the apertures 20 are positioned so as to be effective at draining bodily fluid from a local area of the patient's body that needs to be drained. Next, the body opening 20 is closed 102 by methods known in the art or developed in the future. By way of example and not limitation, the body opening 20 may be closed with a medical grade sealant or suturing. Thereafter, a step for securing the cannula 10 to the patient's body to prevent movement of the cannula 10 while draining bodily fluid from the patient's body 18 is performed. The step for securing the cannula 10 as shown in FIG. 1 includes the step of suturing the anchor tab 12 to the skin of the patient. To this end, the anchor tab 12 being fabricated from a punctureable material is punctured with a needle having a thread. The medical professional sutures the tab 12 to the skin of the patient which limits movement of the cannula 10 so that the apertures 22 formed on the distal portion 24 of the cannula 10 are not exposed to the environment.
Referring now to FIG. 3, a cannula 10 with a different type of tab 14 is shown. The tab 14 is attached to the proximal portion 26 of the cannula 10. The tab 14 may be identical to tab 12 discussed in relation to FIG. 1 except that the tab 14 has an aperture 42 so that the medical professional does not need to pierce the tab 14 with a needle to suture the tab 14 to the patient's body. In this embodiment, the step for securing the cannula includes the step of threading a needle and thread into the aperture 42 and suturing the tab 14 to the patient's body.
Referring now to FIG. 4, a tab 16 is shown. The tab 16 extends from the proximal portion 26 of the cannula 10. The tab 16 is part of a two-part fastening system, namely, a hooks and loops fastening system. One or both sides of the tab 16 has the first part 34 of the hooks and loops fastening system. A patch 42 has the second part 36 of the hooks and loops fastening system. The patch 42 may be secured to the patient's body adjacent to the opening 20. Patch 42 may be secured to the patient's body by way of adhesive or suturing or other methods known in the art or developed in the future. In this embodiment, the step for securing the cannula includes the step of securing the patch 42 to the patient's body and securing the first and second parts of the hooks and loops fastening system to each other.
Although the tab 16 has been described in relation to a hooks and loops fastening system, it is contemplated that the tab 16 may be incorporated into a two (2) part fastening system such as snaps or other two (2) part fastening systems known in the art or developed in the future.
Although the process of utilizing the drainage cannula 10 with anchor tabs 12, 14, 16 has been described with the step for securing 104 as being performed after closing the body opening 102, it is also contemplated that the step for securing 104 may be performed before the step of closing the body opening 102.
Each of the embodiments of the cannula 10 shown in FIGS. 1, 3 and 4 is shown as being straight. However, it is also contemplated that the cannula 10 may be bent so that the distal portion 24 may be positioned deep beneath the skin of the patient's body 18 while the proximal portion 26 lays generally flat upon the skin of the patient's body 18. The bend formed in the cannula 10 may occur at the transition region 28 between the distal portion 24 and the proximal portion 26 of the cannula 10. Additionally or alternatively, the bend formed in the cannula 10 may occur at a portion of the length of the cannula 10. By way of example and not limitation, the distal portion 24 and/or the proximal portion 26 may be curved.
The cannula 10 shown in FIGS. 1, 3 and 4 may be fabricated from a metallic material and be substantially rigid. However, it is also contemplated that the cannula 10 may be fabricated from a generally flexible material such as plastic. In each of these cases, the tabs 12, 14 and 16 may be attached to the proximal portion 26 of the cannula 10 by one or more methods. By way of example and not limitation, the tabs 12, 14, 16 may be fabricated as a separate component from the cannula 10, as shown in FIGS. 5A-5C. In particular, the tabs 12 and 14 may have a film 28 with a pressure sensitive adhesive 30 disposed underneath the film 28. To utilize the tabs 12 and 14, the film 28 is adhered to the proximal portion 20 of the cannula 10. Thereafter, the tabs 12 and 14 may be secured to the patient as discussed above. In certain instances, the tabs 12 and 14 may be fabricated so as to be integral with the cannula 10. By way of example and not limitation, the tabs 12 and 14 if fabricated from a plastic material may be formed during an injection molding process used to form the cannula 10. In this manner, no after work is required to attach the tabs 12, 14 to the cannula. The same may be true if the cannula 10 is fabricated from a metallic material. The tabs 12, 14 may be formed by the same process as the cannula 10 during manufacture of the cannula 10.
The tab 16 shown in FIG. 5C illustrates a first and second part 34, 36 of a hooks and loops fastening system. The first and second parts 34, 36 may be hooks and loops, respectively or vice versa loops and hooks, respectively. Preferably, the second part 36 is hooks. The distal portion 38 of the first part 34 of the hook and loop system may have a pressure sensitive adhesive 40 which is used to secure the first part 34 to the proximal portion 26 of the cannula 10. The second part 36 may be secured to the cannula 10 shown in FIGS. 1, 3 and 4 and have a plurality of apertures 22 formed on the distal portion 24 of the cannula 10. Although a plurality of apertures 22 are shown, it is also contemplated that the cannula 10 may have a limited number of apertures 22 and may even have a single aperture at the distal end 30 of the cannula 10. These apertures 22 are positioned at the locations within the patient's body where bodily fluid is being produced and must be drained.
In each of the three embodiments discussed herein, the cannula 10 may be fluidically attached to a suction and reservoir system 44. In particular, the proximal portion 26 of the cannula 10 has an opening which is connected to a tube. The tube is connected to a vacuum pump (e.g., mechanical pump or bulb system) which creates a vacuum to draw bodily fluid from the patient's body to a reservoir.
The suction and reservoir system 44 may be a suction bulb. The suction bulb creates suction within the drainage cannula 10 to withdraw bodily fluid from the patient's body due to the resiliency of the suction bulb. The suction bulb is initially depressed and a tube from the drainage cannula 10 is connected to the suction bulb. The resiliency of the material from which the suction bulb is made expands the suction bulb to create a vacuum which draws the bodily fluid from the patient's body into the suction bulb. After a period of time, the suction bulb will have expanded and provide minimal suction and be incapable of withdrawing bodily fluid from the patient's body. Additionally, the suction bulb acts as a reservoir and may be full of bodily fluid. In this event, it is advisable to drain the suction bulb or replace the suction bulb with a new suction bulb. In either instance, the suction bulb must be disconnected from the tube. In disconnecting the suction bulb from the tube, the bodily fluid in the tube may leak and cause sanitary issues for the medical professional or patient changing out the old bulb. To prevent leakage of the bodily fluid within the tube, a pinch mechanism 48 may be incorporated into the tube 50. The pinch valve may have an internal mechanism by which flow of bodily fluid within the tube 50 may be shut or open. For example, as shown in FIG. 6, the tube 50 may have an internal valve 52 defined by first and second flats 54, 56. The pinch valve 48 may incorporate a mechanical system by which opposed forces 58 deform the tube 50. Upon deformation under the force of opposed forces 58, the first and second flaps 54, 56 open up and allow bodily fluid to flow therethrough. To change out the bulb, the mechanical system for applying the opposed forces 58 are removed so that the first and second flaps 54, 56 remain closed as shown in FIG. 6. The pinch valve 48 may also be an external mechanical system by which fluid flowing through the tube 50 is stopped. To this end, the pinch valve 48 may be a cam action lever having a stopped position and an open position wherein fluid flowing through the tube 50 is stopped when the cam action lever is in the stopped position and fluid flowing through the tube 50 is allowed to continue when the cam action lever is in the open position.
The system and method described herein in relation to the drainage cannula 10 with anchor tabs 12, 14, 16 benefits the doctor in that the doctor does not have to open up the patient and reestablish the drainage cannula. Additionally, it is easier for the caregiver to address the patient's needs in changing out the suction bulb and provide for a more sanitary condition. Additionally, the patient benefits because the patient does not need to go through another procedure and can live under sanitary conditions. Moreover, the patient's ability to heal is further facilitated by use of the drainage cannula 10 with anchor tabs 12, 14, 16 disclosed herein.
Referring now to FIG. 7, an alternate embodiment of the pinch valve is shown as pinch mechanism 58. The pinch mechanism 58 may have two different positions as shown in FIGS. 8, 8A. These two positions reflect the occluded position shown in FIG. 8A and the opened position shown in FIG. 8. When the pinch mechanism 58 is in the position shown in FIG. 8A, the lumen 60 of the tube 50 is occluded so that fluid does not flow through the tube 50. When the pinch mechanism 58 is in the position shown in FIG. 8, the lumen 60 of the tube 50 is open so that fluid is allowed to flow through the tube 50.
The pinch mechanism 58 may have an enlarged section 62 and a narrow section 64. The enlarged section 62 may have a bulbous inner configuration and be sufficiently large to allow the tube 50 to fully expand as shown in FIG. 8 when the tube 50 is disposed in the enlarged section 62. Preferably, the enlarged section 62 may define an inner diameter 66 that is equal to or greater than an outer diameter 68 of the tube 50 so that the enlarged section 62 does not clamp down on the tube 50 and reduce the flow of fluid through the tube 50 when the tube 50 is disposed in the enlarged section 62. The tube 50 may be traversed between the enlarged section and the narrow section 64. The narrow section 64 may have opposed parallel inner surfaces 70. The opposed parallel flat inner surfaces 70 may be positioned so that a midpoint 74 of the tube 50 when occluded as shown in FIG. 8A is aligned to the flat opposed parallel inner surfaces 70. Preferably, the length 76 of the surface 70 is about one half the length 78 of the tube 50 when occluded, as shown in FIG. 8A. The purpose is to prevent the tube 50 from being pushed to the enlarged section 62 when positioned as shown in FIG. 8A.
The opposed parallel inner surfaces 70 may be gaped apart by distance 82 wherein the gap 82 is equal to or less than two times the thickness 84 of the tube 50 so that the tube 50 is occluded when the tube 50 is positioned in the narrow section 64 as shown in FIG. 8.
The pinch mechanism 58 may be a closed loop so that the pinch mechanism 58 cannot be inadvertently removed from the tube 50 when transitioning the pinch mechanism 58 between the occluded position (see FIG. 8A) and the open position (see FIG. 8). Additionally, the pinch mechanism 58 may be attached to the tube 50 by way of the tether 80. One end of the tether 80 is permanently affixed to the exterior surface of the pinch mechanism 58 to mitigate interference of the operation of the pinch mechanism 58 when transitioning between the two positions shown in FIGS. 8 and 8A. The other end of the tether 80 may be permanently affixed to the exterior surface of the tube 50, as shown in FIGS. 7 and 9. The tether 80 may be fabricated from a flexible plastic material, cord, metallic material or other materials known in the art or developed in the future. The tether 80 may be attached to the pinch mechanism 58 and the tube 50 by way of an adhesive, sonic welding, embedment and other methods known in the art or developed in the future.
To operate the pinch mechanism 58, the user either pushes the enlarged section 62 in the direction of arrow 83 (see FIG. 8A) to traverse the tube 50 into the enlarged section 62 and allow fluid to flow through the tube 50. To occlude the tube 50 and prevent fluid from flowing through the tube 50, the user may push the pinch south 58 in the direction of arrow 86 (see FIG. 8).
The pinch mechanism 58 may be fabricated from a generally rigid material so that the tube 50 remains occluded when the tube 50 is disposed in the narrow section 64 as shown in FIG. 8A. If the pinch mechanism 58 is fabricated from a more flexible material, then the gap 82 between the parallel surfaces 70 may be reduced to allow for the outward flexing that might occur when the tube 50 is disposed in the narrow section 64.
To install the cannula 10, the pinching mechanism 58 is used when first installing the drainage cannula into the patient. When the cannula is first inserted into the patient's body, the patient's bodily fluid may seep into the cannula and leak out of the proximal end of the cannula. To prevent such leakage, the medical professional, engages the pinching mechanism 58 to occlude the tube 50 by traversing the tube 50 to the narrow section 64 (see FIG. 8A). Bodily fluid is not allowed to flow through and leak out of the proximal end of the tube. When the suction and reservoir system 44 is connected to the tube 50, the user pushes the pinching mechanism 58 in the direction of arrow 83 shown in FIG. 8A. The tube 50 enters the enlarged section and the tube 50 is no longer occluded. Bodily fluid is allowed to flow through the tube 50. When the reservoir is full and needs to be replaced, the user occludes the tube 50 by pushing the pinching mechanism in the direction of arrow 86 shown in FIG. 8 to traverse the tube 50 into the narrow section 64. The reservoir is replaced and after replacement, the pinching mechanism 58 is traversed back to the position shown in FIG. 8 by pushing the pinching mechanism in the direction of arrow 83.
Referring now to FIG. 10, another embodiment of the pinch mechanism 88 is shown. The pinch valve 88 may be disposed over the tube 50 as shown in FIG. 11A to occlude the lumen 60 of the tube 50. The pinch mechanism 88 may also be removed off of the tube 50 as shown in FIGS. 10 and 11 which allows the tube 50 to naturally expand and allow fluid to flow through the lumen 60 of the tube 50. The pinch mechanism 88 may also be attached to the tube 50 by way of tether 80 as described above in relation to FIGS. 7-9.
The pinch mechanism 88 may have a horse shoe configuration as shown in FIG. 11. The pinch mechanism 88 may have a narrow opening 90 defining a width 92. The pinch mechanism 88 may expand from the narrow opening 90 into an inner cavity 94 in which the tube 50 is disposed when the pinch mechanism 88 is being used to occlude the lumen 60 of the tube 50. The inner cavity 94 may also define a lateral width 96. Preferably, the lateral width 96 is greater than the width 92 of the opening 90 so that the tube 50 remains within the pinch mechanism 88 when the tube 50 is disposed within the pinch mechanism 88. However, it is also contemplated that the lateral width 96 may be equal to the width 92 of the opening 90. Moreover, an internal length 98 is preferably greater than a flattened length 100 of the tube 50 such as when the tube 50 is disposed within the pinch mechanism 88 (see FIG. 11A).
The pinch mechanism 88 may also be fabricated from a generally rigid material to prevent any type of opening or flex when the tube 50 is being inserted into the pinch mechanism 88 or when the tube 50 is disposed within the pinch mechanism 88. However, it is also contemplated that the pinch mechanism 88 may be fabricated from a generally resilient material to allow the opening 90 to be enlarged to assist in the insertion of the tube 50 into the inner cavity 90 of the pinch mechanism 88. However, in all circumstances, the pinch mechanism is sufficient to squeeze and occlude the lumen 60 of the tube 50.
In use, the pinching mechanism 88 is used when first installing the drainage cannula into the patient. When the cannula is first inserted into the patient's body, the patient's bodily fluid may seep into the cannula and leak out of the proximal end of the cannula. To prevent such leakage, the medical professional, engages the pinching mechanism 88 to occlude the tube 50. Bodily fluid is not allowed to flow through and leak out of the proximal end of the tube. When the suction and reservoir system 44 is connected to the tube 50, the user pushes and/or pulls the pinching mechanism 88 off of the tube 50 as shown in FIG. 11. The pinching mechanism is removed from the tube 50 and the tube 50 is no longer occluded. Bodily fluid is allowed to flow through the tube 50. When the reservoir is full and needs to be replaced, the user occludes the tube 50 by pushing the pinching mechanism 88 back onto the tube 50 as shown in FIG. 11A. The reservoir is replaced and after replacement, the pinching mechanism 88 is removed from the tube. The pinching mechanism 88 is secured to the tube 80 by way of tether.
The pinch mechanisms 58, 88 discussed above were discussed in relation to the anchor embodiment wherein the anchor tab 12 is fabricated from a material that can be punctured with a needle. However, it is also contemplated that the pinch mechanisms 58, 88 may also be applied to the other anchor tabs 14, 16/42 shown in FIGS. 12-15.
The above description is given by way of example, and not limitation. Given the above disclosure, one skilled in the art could devise variations that are within the scope and spirit of the invention disclosed herein, including various ways of fabricating the cannula. Further, the various features of the embodiments disclosed herein can be used alone, or in varying combinations with each other and are not intended to be limited to the specific combination described herein. Thus, the scope of the claims is not to be limited by the illustrated embodiments.
1. A drainage cannula securable to mitigate inadvertent movement, the cannula comprising:
an elongate hollow tube having a distal portion and a proximal portion, the distal portion having an aperture for aspirating bodily fluid and a proximal portion disposed outside of a body during use;
a means for securing the proximal portion to the body, the means for securing being attached to the proximal portion.
2. The cannula of claim 1 wherein the means for securing is a puncturable tab extending out of the proximal portion.
3. The cannula of claim 1 wherein the means for securing is a tab extending out of the proximal portion, the tab having a hole therethrough.
4. The cannula of claim 1 wherein the means for securing has first and second parts which are removable securable to each other.
5. The cannula of claim 4 wherein the first and second parts of the means for securing are hooks and loops.
6. The cannula of claim 2 wherein the puncturable tab is flexible.
7. The cannula of claim 3 wherein the tab is rigid.
8. The cannula of claim 1 wherein the distal portion has a plurality of apertures.
9. A method of draining bodily fluid from a body in a secure manner, the method comprising the steps of:
inserting a distal portion of a drainage cannula into an opening in the body with an aperture formed in the distal portion disposed within the body;
closing the opening in the body;
step for securing a proximal portion of the drainage cannula to the body.
10. The method of claim 9 wherein the closing step includes the step of suturing the opening in the body to close the opening in the body.
11. The method of claim 9 wherein the step for securing includes the step of puncturing a tab extending from the proximal portion of the cannula with a thread and suturing the tab to the body.
12. The method of claim 9 wherein the step of securing includes the step of threading a suture through a hole in a tab extending from the proximal portion of the cannula with a thread and suturing the tab to the body.
13. The method of claim 9 wherein the step of securing includes the step of securing a first part of a two part removably attachable mechanism to the body and securing the first part to a second part of the two part removably attachable mechanism which is attached to the proximal portion.
14. A drainage cannula for draining bodily fluid from a patient, the cannula comprising:
an elongate flexible tube having a lumen for flowing fluid from a body of the patient to a reservoir system, the tube defining a wall thickness, the tube having a plurality of holes at a distal portion which is disposed under the skin of the patient during use and a proximal portion is connectable to a suction and reservoir system;
a pinching mechanism disposed about the tube, the pinching mechanism having:
a closed loop defining an enlarged section and a narrow section, the enlarged section defining an interior cavity sufficient to allow fluid to flow through the lumen of the tube when the tube is disposed within the enlarged section, the narrow section defining a gap which is equal to or less than twice the wall thickness of the tube to occlude the tube to stop flow of fluid through the lumen of the tube when the tube is disposed within the narrow section.
15. The cannula of claim 14 further comprising a tether attached to the pinching mechanism and an exterior surface of the tube for retaining the pinching mechanism.
16. The cannula of claim 14 wherein the narrow section has opposed parallel flat surfaces.
17. The cannula of claim 16 wherein the flat surfaces is about ½ a circumference of the tube.
18. The cannula of claim 14 further comprising a means for securing the proximal portion of the tube to the body of the patient.
19. The cannula of claim 18 wherein the means for securing is an anchor tab attached to the proximal portion of the tube and securable to the body of the patient.
20. The cannula of claim 18 wherein the means for securing is removably attachable to the proximal portion of the tube.
21. A drainage cannula for draining bodily fluid from a patient, the cannula comprising:
a pinching mechanism disposed about the tube, the pinching mechanism having a horseshoe configuration defining an opening and an inner cavity, the opening being sufficiently large to allow the tube to be pushed into the inner cavity, the inner cavity being sufficiently small to occlude the lumen of the tube to stop flow of fluid through the lumen of the tube when the tube is disposed within the inner cavity.
22. The cannula of claim 21 further comprising a tether attached to the pinching mechanism and an exterior surface of the tube for retaining the pinching mechanism.
23. The cannula of claim 21 wherein a width of the inner cavity is greater than or equal to a width of the opening.
24. The cannula of claim 23 wherein the distal tips of the pinching mechanism is flared outward to assist in insertion of the tube through the opening and into the inner cavity.
25. The cannula of claim 21 further comprising a means for securing the proximal portion of the tube to the body of the patient.
26. The cannula of claim 25 wherein the means for securing is an anchor tab attached to the proximal portion of the tube and securable to the body of the patient.
27. The cannula of claim 25 wherein the means for securing is removably attachable to the proximal portion of the tube.
US13892131 2013-03-14 2013-05-10 Drainage cannula with anchor tab Abandoned US20140088568A1 (en)
US13828442 US9480827B2 (en) 2013-03-14 2013-03-14 Drainage cannula with anchor tab
US13892131 US20140088568A1 (en) 2013-03-14 2013-05-10 Drainage cannula with anchor tab
PCT/US2014/018758 WO2014158616A1 (en) 2013-03-14 2014-02-26 Drainage cannula with anchor tab
EP20140773296 EP2968845A4 (en) 2013-03-14 2014-02-26 Drainage cannula with anchor tab
US13626442 Continuation-In-Part US8496766B1 (en) 2009-10-31 2012-09-25 Gas generant with auto-ignition function
US20140088568A1 true true US20140088568A1 (en) 2014-03-27
ID=50339583
US13892131 Abandoned US20140088568A1 (en) 2013-03-14 2013-05-10 Drainage cannula with anchor tab
US (1) US20140088568A1 (en)
US6247211B1 (en) * 1999-11-10 2001-06-19 Medcare Medical Group, Inc. Medical tubing tethering device
US6491679B1 (en) * 1997-10-20 2002-12-10 Rodney Okamoto System for infusing intravenous nutrition solutions
US6221064B1 (en) 2001-04-24 Tube coupling device for connecting a tubular rigid stem to a flexible catheter tube
US4531935A (en) 1985-07-30 Cardioplegia/air aspiration cannula
US5649550A (en) 1997-07-22 Surgical retractor liner and integral drape assembly
US6945932B1 (en) 2005-09-20 Surgical access device
US5688246A (en) 1997-11-18 Microcannula
US5320110A (en) 1994-06-14 Pleural biopsy syringe-needles
US20040092956A1 (en) 2004-05-13 Catheter for removal of solids from surgical drains
US20050267417A1 (en) 2005-12-01 Irrigating biopsy inlet valve
US7798998B2 (en) 2010-09-21 Elastically deformable surgical access device
US5807341A (en) 1998-09-15 Medical catheter dressing device
US20100249694A1 (en) 2010-09-30 Trocar for a single port surgery