U.S. patent number 3,661,144 [Application Number 04/858,305] was granted by the patent office on 1972-05-09 for suction apparatus for body cavities.
This patent grant is currently assigned to Hans Gram. Invention is credited to Jorgen Albrecht Jensen, Jorgen Gars Jensen.
United States Patent |
3,661,144 |
Jensen , et al. |
May 9, 1972 |
SUCTION APPARATUS FOR BODY CAVITIES
Abstract
An apparatus for removal, by scraping or cutting, of a sample of
the internal wall of body cavities and collecting the sample in a
container. It consists of a cylindrical container, adapted to be
held in one hand and carrying a cannula, the end of which is
closed, with a sharp-edged slot being provided closely behind the
end. The cannula, during use, is rigidly connected with the
container so that it can be manoeuvered therewith using the
container as a handle device. The container has a sieve to
longitudinally divide the container and to retain the sample, while
permitting passage of liquids therethrough, and is connectable with
a vacuum tube.
Inventors: |
Jensen; Jorgen Albrecht
(Sonderborg, DK), Jensen; Jorgen Gars (Farum,
DK) |
Assignee: |
Hans Gram (Klampenborg,
DK)
|
Family
ID: |
8133654 |
Appl.
No.: |
04/858,305 |
Filed: |
September 16, 1969 |
Foreign Application Priority Data
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Sep 17, 1968 [DK] |
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4454/68 |
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Current U.S.
Class: |
600/571; 604/22;
604/264; 606/160 |
Current CPC
Class: |
A61M
1/79 (20210501) |
Current International
Class: |
A61M
1/00 (20060101); A61b 010/00 () |
Field of
Search: |
;128/2R,2B,2F,276-278,304 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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1,181,368 |
|
Nov 1964 |
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DT |
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143,510 |
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Feb 1961 |
|
SU |
|
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Howell; Kyle L.
Claims
What is claimed is:
1. A suction type catheter assembly for use particularly in
performing a uterine curettage and the like wherein body tissue
specimens are more easily obtained from various body cavities
including the uterus, said catheter assembly comprising, in
combination:
a. a combined hollow handle and tissue specimen collection
container having a longitudinal center axis and longitudinally
opposed ends; said handle/container facilitating well-controlled
manipulation of said catheter during operative use thereof;
b. an elongated thin walled rigid cannula of relatively small
diameter to facilitate insertion into small diameter body orifices
and narrow body cavities, said cannula having one end connected
rigidly to one longitudinal end of said handle/container, and an
opposite rounded end portion with a sharp-edged aperture formed
adjacent said rounded end;
c. said cannula having a further pressure equalizing aperture
adjacent the handle/container adapted for selective degrees of
closure by the user's finger for controlling the amount of suction
through said cannula during use;
d. said handle/container being divided longitudinally into two
concentric compartments by means of a longitudinally disposed
cylindrical filtering seive which serves to pass fluids while
retaining the removed specimen tissue within said handle/container
for subsequent clinical examination; and
e. one of said compartments being connected to said cannula and the
other being connected to a vacuum source for suction of specimen
tissue material from a body cavity through said cannula and into
said container.
2. A catheter assembly as defined in claim 1 wherein said
longitudinal end of the handle/container to which the cannula is
attached is removably and sealingly connected thereto.
3. A catheter assembly as defined in claim 1 wherein said
handle/container is constructed so that the opposed longitudinal
ends are both detachably connected therewith.
4. A catheter assembly as defined in claim 1 wherein said container
is fabricated of a disposable lightweight, relatively inexpensive
plastic material to be used only once.
5. A catheter assembly as defined in claim 1 wherein said
handle/container is provided with tube connection means in at least
one end thereof for effecting said connection with said vacuum
source and with said cannula.
Description
In surgery the suction withdrawal of blood and fluid from wounds
and body cavities is well known. In later years such method has
also been applied when emptying the uterus of pregnant women of
abortion tissue, amniotic fluid, and blood in connection with
induced abortions.
For this purpose an apparatus has been used, consisting of a tube
to be inserted in the uterus and having a closed, rounded end and
an opening in the side very close to the end of the tube, said tube
being connected to a vacuum source through a suction flask. The
diameter of the tube must necessarily be 8-12 mm in order to allow
the pregnancy product to pass. Also the suction flask must have a
sufficient volume in order to hold the rather great amount of
tissue and fluid which has been so withdrawn. The use of this
apparatus implies hospitalizing and is carried out under general
anesthesia or local anesthesia.
It has now turned out that a suction method of a similar nature
could be used in such cases where the object is to take specimen
samples of or to remove parts of the surface layer of the inner
wall of a body cavity for diagnostic or therapeutic purposes.
Examples of such body parts from which the mentioned specimens are
taken may include the inner wall of the uterus, and the
endometrium.
The present invention relates to an apparatus adapted for such
purposes and capable of being used for ambulant treatment. Like the
above mentioned apparatus it comprises a suction tube, hereinafter
termed "cannula," having a side opening immediately behind its
rounded, closed end, said cannula being connected with a vacuum
source through a container intended for holding the withdrawn
material. According to the invention the apparatus is characterized
in that the cannula is in rigid connection with the said container
in such position that the container, the size of which is such that
it can be readily held with one hand, may serve as a handle for the
cannula by means of which the cannula can be inserted into the
cavity during operation and that, after having been brought into
contact with the wall of the cavity, it can be moved in a
well-controlled manner relatively to said wall, the cannula being
provided at a suitable operating distance from the container with a
pressure equalizing opening adapted to be closed by means of a
finger. The presence of this pressure equalizing opening permits
the use of cannulae having a diameter down to 3 mm, which is
necessary in order to allow easy insertion into the uterus without
the application of a general or local anesthesia and avoid the
normal hospitalizing of 4 days for such operations.
In this way the side opening of the cannula which opening normally
has the shape of an elongated slot, can be brought into contact
with the wall of the cavity and that by means of the edge of the
slot, which for this purpose may be sharp, material such as
epithelium tissue or coatings can be removed by cutting or
scraping, said removed material then being carried forth to the
container by suction through the cavity of the cannula. When the
side opening at the end of the tube is moved towards the wall and
the pressure equalizing opening is closed, the suction through the
side opening will draw the tube into contact with the wall of the
cavity. When such contact has been achieved, the cannula can be
either turned or moved along the wall according to the object or
the operation and the shape of the slot in the end side of the
cannula. If the tube is thereby adhering too strongly to the wall
so as to prevent or unduly impede the movement along the wall, the
suction can be reduced by complete or partial pressure
equalization. In the same way alternating opening and closing of
the pressure equalizing opening can promote the passage through the
cannula of tissue pieces, the size of which tend to obstruct the
transport through the cannula en route to the reception container.
The container in this way provides a safe handle for the
maneuvering of the cannula. According to the invention the
handle/container may be produced of a light weight and cheap
material for use only once, for instance a polymer. After the
operation the whole apparatus can then be sent to a laboratory for
testing, and the work involved in cleaning and sterilizing for
re-use and the uncertainty connected thereto is thus avoided.
Preferably, the container can be provided with a sieve in front of
the connection opening to the vacuum source in order to retain
tissue samples thus collected by cutting or scraping. The cannula
may be connected to the container by inserting through an opening
provided in a removable lid. The said lid with the cannula attached
can be removed and be replaced by another sterile and closely
fitting lid which is more appropriate for use during the
transportation and storing of the container until the contents
thereof can be tested.
The connection to the vacuum source can be effected by means of a
hose union which, when the hose has been removed, can be closed
with a closely fitting, sterile cap. The hose might, however, be
placed also on the same lid as the cannula and is then removed
together with the cannula, as an alternative form.
For further explanation of the invention reference is made to the
drawing in which some embodiments and details are shown,
FIGS. 1 and 2 show an embodiment adapted for repeated use, FIG. 1
representing shows another axial sectional view through the
container and the cannula, FIG. 2 the same viewed from the side,
perpendicular to the section shown in FIG. 1,
FIGS. 3 and 4 show another embodiment of the end of the cannula in
two projections at right angle to each other,
FIG. 5 shows a side view of an embodiment having a container, the
bottom of which is removable,
FIG. 6 an embodiment in which the lid, to which the cannula is
fastened, is interchangeable,
FIG. 7 shows a cap for the closing of the hose union or stud to the
vacuum source according to the embodiment of FIG. 6, and
FIG. 8 shows compositely half plan and cross-sectional views of a
lid to be placed on the container according to the embodiment of
FIG. 6 after removal of the lid connected to the cannula.
In FIG. 1, 1 is a container comprising a cylinder 6 of glass or
transparent polymer, which can be sterilized, and end closing lids
4 and 5. The lids can be placed on the cylinder 6 using gaskets 7
for sealing. Between the lids preferably a cylindrical form sieve 8
is placed, and both lids are operatively screwed together to
concentrically hold the cylinder 6 and the sieve 8 by means of a
nipple 3 which is provided at one end with a connecting stud 12 for
attachment of a vacuum hose, and an extension tube 13 having holes
14 and terminating at an opposite end with a screw thread by means
of which it can be screwed into a complementally threaded central
recess in the lid 4. The extension tube passes through a central
opening 15 provided in the lid 5, and the nipple 3 is tightened for
sealed engagement against it by means of an interposed gasket
11.
In one side the lid 4 is provided with an opening 10, being
threaded in part of its length, into which a threaded end of a
cannula 2 is screwed. The cannula has a closed, rounded end 9 and
closely behind the same it has a side slot 17. In the side of the
cannula close to the container 1 there is provided a pressure
equalizing opening 16, which is seen in FIG. 2. This opening 16 is
placed in such position that the operator, when embracing the
container 1 with his hand, can easily open and close the pressure
equalizing opening with a finger.
FIGS. 3 and 4, which need no further explanation, show different
views of a modified embodiment of the end part of the cannula
2.
In the embodiment of FIG. 5, which is intended to depict one suited
for being used only once, the container is made of transparent
polymer, and only one end thereof is open and closed with a lid 5
provided with the vacuum connecting stud 12 which may also be made
of polymer. The lid 5 encloses the opening of the container 1
resiliently and vacuum tight. The other end of the container is
made in one piece with the cylindrical walls of the container,
which end constitutes its front end, and this part carries the
cannula 2 which is secured therein. The apparatus is used in the
same way as the apparatus shown in FIGS. 1 and 2; after use,
however, the lid 5 is removed and is replaced by a different lid as
will be explained in connection with FIGS. 7 and 8 mentioned
below.
In FIG. 6 the container 1 is also a transparent polymer container
with a sieve 8. In this embodiment, however, it is not the cannula
but the vacuum connecting stud 12 that is placed in or integrally
formed with the firm bottom of the container 1. In the lid, which
by analogy with FIG. 1 is designated 4, the cannula 2 is similarly
placed. After the operation this lid is removed and is replaced by
a sterile lid 20 which is shown in FIG. 8. At the same time a
sterile cap 21, shown in FIG. 7, is placed on the opening of the
vacuum connection stud 12. Then the container 1 can be stored or
sent to the laboratory for testing of the tissue retained
therein.
* * * * *