U.S. patent number 3,665,928 [Application Number 04/864,141] was granted by the patent office on 1972-05-30 for self propelled catheter.
Invention is credited to Louis R. M. Del Guercio.
United States Patent |
3,665,928 |
Del Guercio |
May 30, 1972 |
SELF PROPELLED CATHETER
Abstract
A catheter effective for self movement within a passageway
comprises an elongated tube having a first channel extending
axially thereof and a member operatively hingedly connected to the
forward end of the tube. The member is provided with means such as
a plurality of angularly projecting parts for gripping the walls of
the passageway. Means are provided to oscillate the member within
the passageway so that the projecting parts alternately grip one
side wall of the passageway and then another. The oscillating means
preferably comprises a fluid system which includes two channels
connecting with the channel of the elongated tube, extending
forwardly and outwardly therefrom, and provided with openings
proximate the oscillating member. When a fluid is forced through
the main channel it is directed by fluid control means to enter one
and then the other of the laterally extending channels to
pressurize different surface parts of the member, thereby to cause
the oscillation thereof.
Inventors: |
Del Guercio; Louis R. M.
(Larchmont, NY) |
Family
ID: |
25342621 |
Appl.
No.: |
04/864,141 |
Filed: |
October 6, 1969 |
Current U.S.
Class: |
604/95.03 |
Current CPC
Class: |
A61M
25/0116 (20130101) |
Current International
Class: |
A61M
25/01 (20060101); A61m 025/00 () |
Field of
Search: |
;128/240,241,276,2,348-351,DIG.9 ;254/134.6 ;15/104.05 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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|
|
|
|
|
|
1,213,571 |
|
Mar 1966 |
|
DT |
|
1,278,965 |
|
Nov 1961 |
|
FR |
|
Primary Examiner: Truluck; Dalton L.
Claims
I claim:
1. A catheter effective for movement within a passageway defined by
a plurality of walls comprising a catheter tube, a member
operatively hingedly connected to the forward end of said tube for
side-to-side oscillation, means operatively connected to said
member and effective to grip the walls of the passageway as said
member advances therethrough, and means operatively connected to
said tube and effective to oscillate said member from side to side,
whereby said gripping means alternately engages the opposite walls
of the passageway, thereby to advance said tube along said
passageway, said tube having a channel extending axially thereof
and communicating with said member, said channel being adapted to
receive and pass a fluid toward said member, and means operatively
connected to said channel and effective to oscillate said member in
response to the flow of fluid through said channel.
2. In the catheter of claim 1, said tube having second and third
channels communicating with said first channel and extending toward
said member, each of said second and third channels having an
opening in registration with said member, said openings being
laterally spaced from each other and proximate to different surface
parts of said member, and fluid control means operatively connected
to said first channel and effective to direct a fluid passing
through said first channel alternately to one and then the other of
said second and third channels, thereby to cause said fluid to pass
through one and then the other of said openings in said channels,
whereby said member is caused to oscillate.
3. In the catheter of claim 2, a second tube operatively connected
catheter tube, said second tube being in communication with the
openings in said second and third channels and being effective to
draw a fluid from said openings after the fluid passes through said
channels.
4. The catheter of claim 2, in which said fluid control means
comprises a first control tube having first and second orifices and
a passageway therebetween, said first orifice being positioned in
registration with and proximate to one of said surface parts on
said member and said second orifice connecting with said first
channel in a position to direct a fluid in said first channel
toward (a) said second or (b) said third channel in response to (a)
the substantial constriction of said first orifice when said
surface part is in a first position and (b) the substantial opening
of said orifice when said surface part is in a second position.
5. In the catheter of claim 4, a second control tube having first
and second orifices and a passageway therebetween, said first
orifice of said second control tube being positioned in
registration with and proximate to the other of said surface parts
of said member, and said second orifice of said second control tube
connecting with said first channel opposite to said second orifice
of said first control tube and in a position to direct a fluid in
said first channel toward (a) said third and (b) said second
channel in response to the (a) construction and (b) opening of said
first orifice of said second tube by said other surface part when
said member oscillates.
6. The catheter of claim 5, in which said first and second control
tubes have parts extending axially of said first tube and parts
extending laterally of said tube, said lateral parts terminating at
said second orifices.
7. In the catheter of claim 6, a constricted nozzle at a part of
said first channel positioned rearwardly of said second and third
channels, said second orifices of said first and second control
tubes being positioned proximate said nozzle.
8. The catheter of claim 3, in which said fluid control means
comprises a first control tube having first and second orifices and
a passageway therebetween, said first orifice being positioned in
registration with and proximate to one of said surface parts on
said member and said second orifice connecting with said first
channel in a position to direct a fluid in said first channel
toward (a) said second or (b) said third channel in response to (a)
the substantial construction of said first orifice when said
surface part is in a first position and (b) the substantial opening
of said orifice when said surface part is in a second position.
9. In the catheter of claim 8, a second control tube having first
and second orifices and a passageway therebetween, said first
orifice of said second control tube being positioned in
registration with and proximate to the other of said surface parts
of said member, and said second orifice of said second control tube
connecting with said first channel opposite to said second orifice
of said first control tube and in a position to direct a fluid in
said first channel toward (a) said third and (b) said second
channel in response to the (a) constriction and (b) opening of said
first orifice of said second tube by said other surface part when
said member oscillates.
10. The catheter of claim 9, in which said first and second control
tubes have parts extending axially of said first tube and parts
extending laterally of said tube, said lateral parts terminating at
said second orifices.
11. In the catheter of claim 10, a constricted nozzle at a part of
said first channel positioned rearwardly of said second and third
channels, said second orifices of said first and second control
tubes being positioned proximate said nozzle.
12. The catheter of claim 11, in which said means for gripping the
walls of said passageway comprise a plurality of projecting parts
operatively connected to the outer surface of said member.
13. In the catheter of claim 11, a flexible collar operatively
connected between said member and said catheter tube.
14. The catheter of claim 11, in which said catheter tube is
provided with a plurality of openings for drainage of material from
the passageway into which said catheter advances.
15. In the catheter of claim 7, a flexible collar operatively
connected between said member and said catheter tube.
Description
This invention relates generally to medical devices, and more
specifically to a self propelled catheter.
Catheters are employed in a wide variety of applications for
medical purposes. A catheter is generally defined as an elongated
tube which is inserted into a body cavity for the purposes of
injecting or withdrawing fluids or other materials. Usually such a
device is manually inserted into an opening in the body, and
carefully forced into the proper area of the body. Such a procedure
is often accompanied by discomfort and even pain, and a number of
attempts have been made to ease the difficulty accompanying the
insertion of such a device.
One important application for such a device is to clear an
intestinal obstruction. Generally the elimination of such an
obstruction involves decompression of the distended intestinal
tract by aspiration of liquid and gas through a catheter. Passage
of the catheter from the stomach through the pyloric sphinctor into
the duodenum and the small intestine is usually difficult.
Generally, fluoroscopy is required for accurate placement of the
tube at the pyloric canal where the obstruction is generally found.
Many techniques and devices have been developed to assist the
passage of a catheter into the duodenum. Tubes having weighted
front ends are currently employed for this purpose. Electromagnets
and remotely guided mechanical devices have also been used, but
without much success.
One of the primary difficulties thus far experienced in devices of
this type is that the catheter, in order to negotiate the tortuous
body passages involved, must be composed of a material which is
soft and flexible. This requirement in turn causes the advancement
of such a device through a body passage and particularly the narrow
outlet of the stomach to be especially difficult, primarily because
the front end of the device may be impeded in its advance, as by
the coarse folds of the mucosal lining of the stomach. In addition,
the remaining portion of the tube often winds about itself in the
distended stomach portion and is difficult to remove without
injury.
While self propelled devices have been developed to avoid these
difficulties, their complexity and the associated equipment
required renders such devices generally disadvantageous to
manufacture and employ. Furthermore, they are generally too large
for most applications of the number of moving parts which are
required to operate the device.
It is the primary object of this invention therefore to provide a
catheter which is characterized by its simplicity of structure, low
cost, and ease of manipulation.
It is another object of this invention to provide a catheter which
is characterized by a self propulsion system which enables the
catheter to advance under its own power along the walls of the
passageway with a minimum of moving parts.
Broadly, the objects of the invention are achieved by a catheter
which is effective for self movement within a passageway and which
comprises an elongated tube having a first channel extending
axially therein, a member operatively hingedly connected to the
forward end of the tube, means operatively connected to the member
and effective to grip the walls of the passageway as the member
advances therethrough, and means operatively connected to the tube
and effective to oscillate the member, thus causing the gripping
means alternately to engage the opposite walls of the passageway,
thereby to advance the tube along the passageway. In the preferred
embodiment a fluid is caused to flow through the first channel in
the tube and to pressurize the member at one part of a surface and
then another part in accordance with a fluid flow path which is
controlled by a fluid control means operatively connected to the
tube. The flow path is defined by second and third channels in the
tube which communicate with the first channel and extend forwardly
and outwardly toward the member. Each of the second and third
channels is provided with an opening in registration with the
member. The openings are laterally spaced from each other and
proximate to different surface parts of the member.
In order to ensure a continuous flow of fluid through the catheter
a second tube is provided. This second tube communicates with the
forward opening in the second and third channels and is effective
to draw the fluid from these openings out of the catheter. Thus,
fluid is passed down into the catheter, enters the first channel,
diverges to either of the second or third channels, egresses from
the openings at the end of the channel to which it is diverted, and
then is drawn through the second tube for passage out of the system
or for recirculation within the first channel.
When the catheter is to be employed as a self propelled intestinal
tube such as for the elimination of blockages in the stomach area,
a plurality of holes are placed in the outer surface of the
elongated tube and connect with the first channel. Thus, after the
catheter has oscillated down the passageway to the blockage in the
stomach area, a reverse flow of fluid is effected by providing a
suction pressure on the first channel, thereby to suck the stomach
obstructions, for example, through the holes in the tube surface.
The second tube may be open to the atmosphere at this time to serve
as an air vent.
The divergence of the stream of fluid passing through the first
channel of the catheter to one or the other of the laterally
extending channels connecting with the first channel occurs in
accordance with known fluid flow principles. It is known, for
example, that a low pressure region is formed near a wall by
molecules from a jet stream which sweep other molecules out of a
region between the wall and the jet stream. The jet stream is
therefore said to entrain fluid on both sides. Because of the
presence of the walls, some of the molecules are evacuated between
the jet and each wall thereby causing the low pressure region into
which there is a counter flow of fluid along the wall. Because of
the turbulent fluctuations, the jet stream will momentarily bend or
deflect toward one of the walls in the passageway. This tends to
reduce the counter flow, thereby lowering the pressure between the
jet stream and that wall to a greater extent than between the jet
stream and the opposite wall. The jet stream therefore is quickly
attracted to the wall to which it is deflected. Initially, the jet
stream will randomly orient itself to either of the opposite walls
defining the passageway through which it passes.
It has been determined that the jet stream can be shifted by the
use of certain controls. For example, if openings are provided in
the opposite walls of the channel through which the jet stream
passes, they may be employed as controls to direct the stream to
one wall or another. For example, if one of the openings is blocked
or constructed, the pressure on that wall at that opening will be
lower than on the opposite wall at the unrestricted opening. As a
result, the jet stream will deflect toward the lower pressure
region. Additional control can be provided by supplying an external
pressure to either of the openings so that a greater differential
pressure between the openings will be placed upon the jet stream
passing therebetween. If the low pressure region is alternated
between openings the jet stream will be alternately deflected to
one or to the other side of the channel.
This principle of fluid flow control is employed in the present
invention to provide the fluid control means which acts on the
fluid in the catheter. The fluid control means is effective to
direct the passage of fluid from the first channel to one and then
the other of the second and third channels. Automatic and
continuous direction and control of the passing fluid is achieved
by providing first and second control tubes within the catheter
which extend from the openings in the second and third channels
rearward to communicate with the first channel on opposite sides
thereof. As the fluid passes these control tubes in the first
catheter channel it is directed to either the second or third
channels by a controlling pressure at the orifice of the control
tubes. These control tubes are positioned on opposite sides of the
main stream of fluid flow so that a difference in pressure at the
orifices in the control tubes will cause a divergence of the fluid
toward the area of lowest pressure.
Each of the control tubes is provided with an orifice proximate to
a part of the oscillating member. These orifices are alternately
closed or constructed by the movement of the member from one
position to another during its oscillation. As a result, the
control tube having the blocked orifice experiences a reduction in
pressure which is transmitted to that portion of the tube which
connects directly with the first channel. The passing fluid stream
is therefore attracted to the control tube having reduction in
pressure and is thereby diverted to the channel closest to that
control tube. Upon passing through that channel the fluid stream
pressurizes the member to again shift positions and the opposite
tube is there constricted. As a result, the control tube having the
blocked orifice experiences a reduction in pressure which is
transmitted to that portion of the tube which connects directly
with the first channel. The passing fluid stream is therefore
attracted to the control tube having reduction in pressure and is
thereby diverted to the channel closest to that control tube. Upon
passing through that channel the fluid stream pressurizes the
member to again shift positions and the opposite tube is therefore
constricted. As a result, the fluid stream is diverted back to its
original position and passes through the other of the channels. The
cycle is continued until the oscillating member strikes an
impenetrable object or until the fluid is no longer passed through
the catheter. Additional control is provided by having the orifices
at the forward end of the control tubes communicate with the
openings in the second and third channels which are also proximate
the oscillating member. With this construction, the pressure formed
at the output end of the channel through which the fluid passes is
sufficient to shift the member, and also to increase the pressure
at the orifice of the control tube with which it is in
communication. Thus, the pressure of that control tube increases
and the increase is transmitted to the orifice of that tube
positioned at the intersection with the fluid stream in the first
channel. This then provides a positive force on the fluid stream in
the first channel to supplement the reduction in pressure at the
opposite control tube due to the simultaneous blockage of its
orifice by the member.
To the accomplishment of the foregoing, and to such other objects
as may hereinafter appear, the present invention is directed to a
self propelled catheter as defined in the appended claims, and as
described in the following drawings wherein:
FIG. 1 is a pictorial view of a catheter embodying the principles
of the invention;
FIG. 2 is an enlarged fragmentary perspective view of a portion of
the catheter illustrated in FIG. 1;
FIG. 3 is a cross sectional view taken on line 3--3 of FIG. 2;
FIG. 4 is a fragmentary cross sectional view taken on line 4--4 of
FIG. 3; and
FIGS. 5 through 11 are cross sectional views taken respectively
along the lines 5--5, 6--6, 7--7, 8--8, 9--9, 10--10 and 11--11 of
FIG. 3.
Referring now to the drawings and specifically FIGS. 1 through 4, a
catheter generally designated 10 comprises an elongated tube 12
having an opening 14 at one end and attached to an extended tip
member 16 at the other end. A second tube 18 communicates with an
interior chamber 19 of the tube 12 at the joint 20 and extends
substantially parallel to the tube 12 along its length. The tubes
12 and 18 may be joined together at several points 21 by any
suitable bonding method in order that they be held in close contact
during the operation of the device. The second tube 18 is also
provided with an opening 22 at its rearward end for the purpose of
inserting and withdrawing fluids.
The tube 12 is assembled in two parts 24 and 26. The part 24
contains the interior chamber 19 and carries the tip member 16. The
part 26 is provided with a plurality of holes 28 positioned
circumferentially about the outer surface of the tube 12 below the
interior chamber 19 and connecting with the interior passage 40.
These openings 28 are more clearly illustrated in FIG. 2, and are
employed for the aspiration of liquids and gases from the interior
of the body passageway through which the catheter is employed, for
example, as an intestinal tube for the elimination of an
obstruction in the stomach.
As illustrated in FIG. 2, the member 16 is provided with a
plurality of rearwardly and outwardly angular projecting parts 30
which are effective to grip the walls of the passageway into which
the catheter 10 is inserted. The member 16 is operatively connected
to the tube 12 by means of the flexible collar 32. This collar 32
is composed of a material such as rubber which is soft and flexible
so as to permit lateral oscillatory movement of the member 16. The
member 16 at its lower end is provided with a pair of laterally
spaced downwardly facing surfaces 60 and 62.
The means for oscillating the member 16 from side to side as it
passes through a passageway may best be explained with reference to
the fluid control system illustrated in FIGS. 2 through 11, As
shown in FIGS. 2 and 3, the interior section of the tube 12 is
provided with a plurality of channels 34, 36 and 38. The first
channel 34 communicates directly with the main passage 40 in tube
part 26 through a construction 42, and as it extends upwardly it
diverges into channels 36 and 38, the latter terminating at
openings 56 and 58 respectively which are located respectively
opposite the surfaces 60 and 62 of member 16. As shown best in
FIGS. 2, 10 and 11, the interior chamber 19 is defined at the front
portion of the catheter by the member 16, at the rear portion by
the widest segment 43 of tapered tube section 45 and at the upper
and lower portions by the inner surface of tube 12. This chamber 19
communicates directly with the interior of tube 18 (FIG. 10) and
with the openings 56 and 58 an channels 36 and 38. A triangularly
shaped splitter 64 has its vertex 66 positioned at the junction of
channels 34, 36 and 38. This splitter 64 provides an effective
partition between the channels 36 and 38 and aids in the direction
of the fluid into and through one or the other of the channels 36
and 38. This splitter is also clearly shown in FIG. 4. Positioned
to either side of the channels 34, 36, 38 are control tubes 44 and
46. These control tubes 44 and 46 are provided with openings 48 and
50 at one end which communicate directly with the channel 34. The
tubes 44 and 46 terminate at their own ends in openings 52 and 54.
These openings 52 and 54 communicate with the openings 56 and 58 in
the channels 36 and 38 respectively, and are also located
respectively opposite the member surfaces 60 and 62.
In the operation of the catheter 10 a fluid is forced through the
opening 14 in the tube 12, and into the main passage 40 in the
direction of the arrow 68 of FIG. 3. The fluid is then caused to
flow through the construction 42 into the channel 34. As explained
above, when the fluid passes through the constriction 42 and
effectively becomes a jet stream due to the increase in velocity,
it will inherently seek one of the opposite walls 70 and 72 which
define the various channels within the tube 12. For illustrative
purposes, the fluid is indicated by means of several arrows as
seeking to attach to the wall 70. Thus, the fluid flows into the
channel 36 and out of the opening 56. Suction pressure applied
through the opening 22 in the tube 18 is effective to draw the
fluid from the opening 56 out of the tube 12 through chamber 19 and
into the tube 18.
The passage of the fluid through the opening 56 has several
effects. First it causes a pressure at the surface 60 of member 16
sufficient to shift the member 16 to the position shown in FIG. 3.
In addition, surface 60 no longer blocks the orifice 52 of the
control tube 44 and the pressure at present at the orifice 50 of
the tube 44 is increased. The effect of this increased pressure is
to cause the fluid continuously flowing through the channel 34 to
be deflected to the opposite wall 72. Additional assurance of this
deflection is achieved because of the shifting of the member 16 to
the position shown in FIG. 3. In the position shown, the surface 58
constricts the space 74 between the surface 62 and the openings 54
and 58. The result of this construction is a reduction in the
pressure present at the orifice 48 of tube 46. This reduced
pressure attracts the fluid stream into the wall 72 as it passes
through the nozzle 42 into the channel 34. Thus, the fluid is
directed into the channel 38 and reverses the cycle above
described. That is, the member 16 is caused to again shift by the
fluid passing out of the opening 58. The pressure of the fluid is
effectively applied to the surface 62 of the member 16 causing the
hingedly mounted member 16 to shift to the opposite position.
Consequently, the pressure increases at the opening 48 of the tube
46 and simultaneously decreases at the opening 50 of tube 44 due to
the construction of the space 76 proximate the openings 52 and 56.
The fluid stream is therefore deflected back to channel 36.
Continued passage of fluid into the tube 12 causes automatic
oscillation of the member 16. The oscillation will continue until
the member 16 reaches an impenetrable obstacle or until the forcing
of fluid into the channel 40 is discontinued. The smooth step by
step advance of the catheter 12 is achieved by the gripping action
of the parts 30 as the member 16 is oscillated. These parts seize
the passageway wall such as the lining of the stomach and lightly
press against this lining to pull the entire tube forward. Upon the
shifting of the member 16 to the opposite position the parts
contact the opposite wall and continue to pull the tube forward.
For this purpose the parts are composed of a firm but soft and
flexible plastic rubber or the like. A suitable material is
polyvinyl plastic. Obviously the tips of parts 30 should not be so
sharp as to inflict injury upon sensitive areas such as that of the
stomach wall or other internal cavity of the body.
FIGS. 5 through 11 illustrate by means of cross sectional views the
interior configuration of the tube 12. As noted in FIG. 5 the
channels 36 and 38 are substantially rectangular in cross section
while the control tubes 44 and 46 are generally circular in cross
section. The cross sectional areas of the tubes 44 and 46 are
preferably small relative to those of the channels 36 and 38. The
fluid control is effected by the tubes because of the ability to
vary the pressure at the several tube openings and this in turn is
due in part to the relative constricted size of the tubes. As noted
also in FIG. 5, the channels 36 and 38 are laterally spaced from
each other proximate the member 16 so that they might be in
registration with separated parts of the member 16, i.e., surfaces
60 and 62. The lateral displacement ensures that the pressure
provided at these openings will be sufficient to shift the member
from one position to another.
It will be noted in FIGS. 6 and 7 that the channels 36 and 38
converge rearwardly of member 16 and eventually communicate with
and merge into the channel 34. The control tubes 44 and 46 are
generally parallel to each other and extend substantially parallel
to the longitudinal axis of the tube 12. These tubes are provided
with laterally extending arms 78 and 80 shown in FIG. 8. The arms
78 and 80 intersect the channel 34 proximate the constriction 42 at
a position such as to impress a force on the passing fluid stream
in a direction substantially perpendicular to its direction of
movement. The stream is therefore readily diverted in the direction
of applied pressure. As illustrated in FIG. 9 the control tubes 44
and 46 do not extend beyond the initial opening in the construction
42.
FIG. 10 indicates the intersection of the suction tube 18 and the
chamber 19 in tube 12. As above indicated the tube 18 is employed
during the operation of the system to withdraw fluid from the
openings 56 and 58 in channels 36 and 38 to thereby complete the
flow of the fluid through the system. The suction pressure provided
in this tube 18 such as by suitable conventional pumping means (not
shown) operatively connected to opening 22 is effective to draw
substantially all of the fluid flowing through main passage 40 into
tube 12. The fluid in passage 40 therefore does not escape through
openings 28 as the catheter 10 oscillates through an internal body
cavity since the pressure in the body cavity is greater than that
provided in tube 18. When the advance of the catheter through a
body cavity is terminated, the tube 18 may be open to the
atmosphere and a suction pressure applied to the passage 40 through
opening 14 in tube 12 and aspiration of fluids from the body cavity
through openings 28 may thereby be effected.
FIG. 11 further illustrates that the main channel 40 forms a
substantial part of the interior of the tube 12 rearwardly of the
constriction 42. This illustration also indicates that the tube 18
extends longitudinally of the tube 12 along the outer surface
thereof. It is apparent that the catheter may be modified to
incorporate the passageway of the tube 18 within the interior
section of the tube 12 instead of by means of an outer tube.
It will be appreciated that the catheter of the invention is simple
to manufacture, inexpensive, and efficient in operation. No moving
parts other than the oscillating tip are required, and the passage
of the catheter into a body cavity is achieved without adverse
effects on the patient.
While only one embodiment has been described, a wide variety of
modifications may be made, all within the scope of the
invention.
* * * * *