U.S. patent number 3,669,099 [Application Number 04/881,065] was granted by the patent office on 1972-06-13 for method and apparatus for everting a flexible probe into a cavity.
Invention is credited to Daniel Silverman.
United States Patent |
3,669,099 |
Silverman |
June 13, 1972 |
METHOD AND APPARATUS FOR EVERTING A FLEXIBLE PROBE INTO A
CAVITY
Abstract
In this invention a flexible thin-walled tubing probe is everted
into a body cavity carrying with it a medical instrument which can
be a long slender cylindrical means. The length of tubing is
everted and folded over itself to provide a double-walled tubing
having an outer wall, an inner wall, with an annular space between,
and with a central longitudinal passage inside the inner wall. The
two ends are sealed to close this volume and means are provided to
fill the closed annular volume with a gas or liquid. The sealed
tubing ends are attached, sealed to, or held in contact with a
short cylindrical, tube which is used as a handle or nozzle,
through which the tubing is everted into a body cavity. The long
cylindrical element presses on the other folded (back) end of the
tubing. This causes fluid to be moved from the back end to the
front end, causing the tubing to be everted through the nozzle. The
cylindrical element meanwhile moves forward with the tubing,
through the nozzle, into the cavity. Various methods of sealing and
attaching the tubing to the nozzle are illustrated.
Inventors: |
Silverman; Daniel (Tulsa,
OK) |
Family
ID: |
25377707 |
Appl.
No.: |
04/881,065 |
Filed: |
December 1, 1969 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
|
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498653 |
Oct 20, 1965 |
3502069 |
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Current U.S.
Class: |
600/581; 604/159;
156/287; 604/523 |
Current CPC
Class: |
A61M
31/00 (20130101); A61M 25/0119 (20130101); A61B
1/00151 (20130101); A61B 10/02 (20130101); A61M
2025/0062 (20130101) |
Current International
Class: |
A61B
1/00 (20060101); A61M 31/00 (20060101); A61B
10/00 (20060101); A61M 25/01 (20060101); A61b
005/00 () |
Field of
Search: |
;128/1.2,2,262,343,348-351,356 ;25/128D ;264/165 ;156/287,294
;137/219 |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
IBM Technical Disclosure Bulletin (Garvin) Vol. 10, No. 12, May
1968.
|
Primary Examiner: Truluck; Dalton L.
Parent Case Text
This invention is a continuation-in-part of my copending
application Ser. No. 498,653 entitled "Method and Apparatus for
Placing in and Retrieving a Tubular Probe from a Body Cavity,"
filed Oct. 20, 1965 now U. S. Pat. No. 3,502,069.
Claims
I claim:
1. Apparatus for the insertion into and the removal of a flexible
eversible tubular probe from an elongated constricted cavity,
comprising,
a. an eversible tubular probe comprising
a length of eversible tubing, one portion of said tubing inverted
over itself and folded to produce an annular cylindrical container
having an inner and an outer wall with an annular volume
therebetween, and an inner longitudinal passage defined by said
inner wall,
b. means including at least the two ends of said eversible tubing
to seal said annular container, and sealing said container, to form
a closed annular volume,
c. said closed annular volume filled with fluid, whereby said
longitudinal passage will be constricted at least to a small
diameter,
d. substantially rigid tubular handle means surrounding and in
intimate contact with at least a portion of said fluid filled probe
at a first end thereof, the second end of said probe extending
axially out of a second end of said handle means, said handle means
tapering to a smaller diameter at the first end thereof,
e. and including tubular guide means extending from said handle
means and enclosing said fluid filled probe substantially to the
second end thereof, the outer end of said guide means closed with a
plate having a central opening, and
f. including slender cylindrical means slidably received in said
opening adapted to press through said central opening on said
second end of said probe along its axis.
2. Apparatus as in claim 1 in which said sealing means includes
said tubular handle means.
3. Apparatus as in claim 2 in which the end of said outer wall of
said tubing is sealed to a second end of said tubular handle means,
the end of said inner wall is passed through said handle means and
sealed to the first end of said handle means.
4. Apparatus as in claim 3 including means to fill said annular
volume with fluid comprising conduit means through the wall of said
handle means.
5. Apparatus as in claim 2 in which the ends of both said outer and
said inner walls are sealed to one end of said handle means.
6. Apparatus as in claim 1 in which said inner and said outer walls
are sealed together circumferentially to form said closed annular
volume and one end of said sealed tubing with annular volume filled
with fluid is inserted into said handle means.
7. Apparatus as in claim 1 in which said tapering portion has at
least one circumferential convolution on its inner surface.
8. Apparatus as in claim 1 including means to introduce fluid into
said closed annular volume comprising conduit means through the
wall of said closed annular volume.
9. Apparatus as in claim 1 including means to introduce fluid into
said closed annular volume comprising means to fill said annular
container with liquid before said container is sealed to form said
closed annular volume.
10. Apparatus as in claim 1 in which said cylindrical means
comprises rod like means.
11. Apparatus as in claim 10 in which said rod like means comprises
fiber optical means.
12. Apparatus as in claim 1 in which said cylindrical means
comprises non-collapsible tubular means.
13. Apparatus as in claim 12 in which said tubular means includes
removable closure means on the end pressing on said tubing.
14. Apparatus as in claim 12 in which said tubular means includes
handle means on the end opposite to that which presses on said
tubing.
15. Apparatus as in claim 12 in which said tubular means is
constructed of a material having low coefficient of surface
friction.
16. Apparatus as in claim 12 in which said tubular means has a
plurality of longitudinal disconnected slits in its wall.
17. Apparatus as in claim 1 in which said guide means at one end is
attached to the second end of said handle means, said guide means
closed at the other end, completely enclosing said probe, and
including also cover means to enclose and seal the first end of
said handle means.
18. The method of everting a tubular surgical probe into an
elongated animal-body cavity, said probe comprising a length of
eversible tubing, one portion of said tubing inverted over itself
and folded to produce an annular cylindrical container having an
inner wall and an outer wall with an annular volume therebetween,
and an inner longitudinal passage inside said inner wall, sealing
means including at least the ends of said inner and said outer
walls to form a closed annular volume, said closed annular volume
filled with fluid, at least a first end of said fluid filled probe
inside of and in intimate contact with a substantially rigid
tubular handle means, and extending out of a second end of said
handle means, and including tubular guide means extending from said
handle means and enclosing said fluid filled probe substantially to
the second end thereof, comprising the steps of
a. placing the first end of said handle means at the mouth of said
body cavity, and
b. pressing the second end of said fluid filled surgical probe
toward the second end of said handle means, with a slender
cylindrical means adapted to press on said second end of said probe
along its axis.
19. The method of claim 18 including the step of continuing to
press on said probe by said cylindrical means until said first end
progresses through said handle means, into said cavity, and through
said probe.
20. The method of claim 18 including the additional step of pulling
the second end of said cylindrical means out of said handle means
to cause said probe to be retrieved from said cavity and to be
intraverted into and through said handle means.
21. The method of claim 19 in which said cylindrical means is a
slender flexible non-collapsible tube, with the additional step,
after said tube has progressed through said probe of inserting into
and pressing a rod-like instrument means through said tube until
its first end extends into said cavity past the first end of said
tube.
22. The method as in claim 19 including the additional step of
removing fluid from said annular space until said inner passage is
open.
23. The method as in claim 22 including the additional step, after
substantially all fluid is removed from said annular space, of
retrieving together said cylindrical means and said probe.
24. The method as in claim 18 in which said cylindrical means is a
slender flexible non-collapsible tubular means, said tubular means
having a plurality of longitudinal, disconnected slits in its
wall.
25. The method as in claim 18 in which said cylindrical means is a
slender flexible non-collapsible tubular means, said tubular means
made of a material having low coefficient of surface friction and
having removable closure means on the end pressing on said
tubing.
26. The method as in claim 18 in which said cylindrical means
comprises fiber optical means.
27. The method as in claim 18 in which said cylindrical means is a
slender flexible non-collapsible tubular means including handle
means on the end opposite to that which presses on said tubing.
Description
This invention is in the field of medical instrumentation. More
particularly it concerns means for introducing instrument means
into body cavities or conduits for treatment or inspection. It
concerns the use of an eversible flexible thin-walled tubing to be
everted into the cavity or conduit, to line the walls thereof and
to carry into the cavity, inside this lining, a physical medical
element, which can be a capsule of medication, a tube for
introducing or withdrawing fluid from the cavity, fiber optical or
other means for examining the cavity, devices for treating the
walls, etc. The device itself, though generally a long slender
cylindrical element, need not be a smooth cylinder, but can have a
non-cylindrical outer contour.
In the prior art, as represented by my U. S. Pat. No. 3,168,092,
such eversible tubings are everted from a pressure-sealed rigid
instrument casing into which the tubing is placed, with one end of
the tubing sealed circumferentially over an opening in the casing.
Means are provided to introduce fluid under pressure into the
chamber, which progressively forces the tubing out of the chamber
through the opening, causing it to be everted. As it progresses
into the cavity, it "rolls" onto the walls of the cavity without
sliding or irritation, the interior fluid pressure in the tubing
causing the cavity to be distended and the walls gently pushed
aside. As the tubing moves into the cavity it can carry medication,
an instrument capsule, or a long slender instrument which moves
into the cavity inside the lining provided by the previously
everted tubing.
In this invention the tubing can be everted from a casing by fluid
pressure, as in the prior art. However, even if everted in this way
it differs from the prior art in that the tubing is first everted
and folded over itself to form a double-walled tubing, with an open
central passage through the inside wall. Thus, when the tubing is
everted into the cavity, there is an open passage into the cavity
beyond the tubing, whereas in the prior art, the end of the tubing
in the cavity is closed.
This invention has the further advantage over the prior art
instruments in that it can be everted into a cavity or conduit
without having a pressure sealed casing, simply by mechanical
pressure on the back end of the tubing (the end opposite the end
that is being everted into the cavity). The means to press on the
back end can be a medical instrument or device, which progressively
moves forward with the everting tubing into the cavity, and
eventually is exposed beyond the end of the tubing as it is held
(by fluid pressure inside the annular space between the double
walls of the tubing) in the central passage inside the inner
tubing. The medical device should be longer than the folded tubing
so that it can be exposed on the front end while still extending on
the back end as a handle. Pulling on the back end of the medical
device reverses the procedure and causes the tubing to be retrieved
out of the cavity and inverted back to its original condition.
The principal object of this invention is therefor to provide a new
and novel means for everting a tubing into a constricted cavity or
conduit and to have the everted tubing open at the front end so as
to have an open central passage. It is also an important object of
this invention to evert the tubing into the cavity by mechanical
means as well as by fluid means. It is another important object to
have an everting system which does not require a rigid pressure
retaining casing and fluid pump means, and to provide a simple,
inexpensive and disposable device.
These and other important objects and the principles of this
invention will be made clear from the following description of the
various embodiments of this invention taken in conjunction with the
attached drawings, in which:
FIGS. 1 and 1a illustrate embodiments of this invention as
illustrated in part in my copending application Ser. No.
498,653.
FIGS. 2 and 3 illustrate two embodiments which are variations of
FIG. 1, in which fluid pressure is used to evert the tubing. In
FIG. 2, the central passage through the tubing is closed off by
means of a pressure clip. In FIG. 3 it is closed off by inflating
the annular volume inside the double-walled tubing with fluid to
close off the central passage.
FIG. 4 illustrates a modification of FIG. 3 in which pressure of a
pushrod on the end of the inflated tubing causes it to be
everted.
FIG. 5 illustrates another method of sealing the double-walled
tubing to a tubular handle.
FIG. 6 illustrates the method of using the tubing assembly of FIG.
5.
FIGS. 7 and 7a illustrate the forward end of the everted tubing
when the push-rod or -tube has progressed entirely through the
tubing. FIG. 7a illustrates certain features of a push-tube.
FIGS. 8 and 8a illustrate embodiments in which the double-walled
tubing is filled with fluid before being placed in intimate contact
with the handle or nozzle; FIG. 8a illustrates a feature of the
nozzle.
FIGS. 9 and 10 illustrate two methods of filling and sealing the
double-walled tubing. FIG. 10 includes a handle or nozzle attached
to and made part of the tubing.
Referring now to the drawings, and in particular to FIG. 1, I show
an embodiment which is illustrated as FIG. 14c in my copending
application Ser. No. 498,653. This comprises a tubular casing 10.
At one end is attached a long flexible eversible thin-walled tubing
14 which has been everted over itself to form two walls 11 and 14
extending from a fold 12, with an annular volume 13 therebetween,
and a central passage 17 inside of the inner wall 14. The two ends
of the tubing are sealed together by annular ring 20 and attached
to the end of casing 10 by means 15, 16. The ends can be sealed
separately to ring means 20, and then attached to the casing, as
shown, or they can be sealed together and then attached to the
casing, or they can be sealed separately to the casing as in FIG.
1a. Each of these three systems will be described more fully.
Suffice it to say that the everted and folded tubing is sealed to
enclose a sealed annular volume 13 into which volume fluid can be
introduced, by means such as pipe 18, or other means as will be
illustrated in connection with other figures.
The illustration in FIG. 1 shows the probe or tubing 11, 14 after
it has been everted from the casing 10. One way of everting the
tubing from the casing 10 is illustrated in FIG. 2. Here I show the
double-walled tubing inverted into the tubular casing 10. The end
12 is closed and attached to removable metal spring clip 26 which
effectively seals closed the central passage 17. The casing 10 is
closed by back wall 28 and has a pipe 24 and valve 25 through the
wall, through which fluid can be introduced under pressure into the
space 19. This pressure causes the tubing to be everted out of the
front end of casing 10, carrying with it the clip 26. The clip 26
is attached by a fixed length of tension member or cord 27 which is
attached at 29 to the back wall 28. As the tubing 11, 14 is
everted, the clip moves out until the cord 27 is stretched taut,
and then, as the tubing moves farther the clip is pulled off the
tubing, and the tubing is then in the form and position illustrated
in FIG. 1.
In FIG. 1 I show the annular space 13 between inner and outer walls
14, 11 provided with a pipe 18 through which fluid can be
introduced into the annular space 13. As fluid is introduced
through pipe 18, the volume 13 expands, the outer wall extends to
its maximum diameter, and the inner wall 14 is compressed to the
position 14' (FIG. 1). In this position of wall 14', the inner
passage 17 is effectively closed off.
In FIG. 3, I show the double-walled tubing 11, 14 in the inverted
position inside the casing, with the inner space 13' in expanded
condition and with walls 11', 14'. Now, if fluid is introduced
through pipe 24 into the closed space 19, since the internal
passage 17 is closed off, the pressure in space 19 will force the
tubing to be everted from the casing 10.
In FIG. 4 I show a variation of FIG. 3, in which the tubing 11',
14' is everted mechanically instead of by fluid pressure. In FIG.
4, the back wall 30 has an opening 31 through which a long slender
cylindrical element 32 is inserted and pressed into the center of
the tubing. Pressure by member 32 on the tubing at 33 causes fluid
from the back 12 of the tubing 11' to be pushed forward into the
front end, causing the tubing 11' to be everted out of the casing
10. As this action progresses, the element 32 becomes enclosed
deeper and deeper into the tubing 11', where it is pressed on
laterally by the enclosing tubing due to the fluid pressure in
space 13'. Thus longitudinal force on member 32 will cause the
tubing to be everted, while tension on member 32 will cause the
tubing to be inverted and drawn back into the casing. Fluid
pressure in space 19 is not required to evert the tubing if the
member 32 is used, and with the opening 31 the pressure inside the
space 19 is the same as outside of the casing.
The member 32 can be a rod, as shown in FIG. 4, or a tube, as shown
in FIG. 6. Also, the cylindrical member can be a medical
instrument, such as a fiber optics assembly as shown in FIG. 8, and
so on. The slender elongated element need not be a smooth
cylindrical element, since the tubing 11' will accommodate itself
to a variable contour of the element. The element must be longer
than the tubing (or it must have a handle extension) if it is to be
able to evert the full length of tubing and still provide a length
for handling at the back end.
In FIG. 5 I show another way in which the enclosed annular space 13
can be formed. In FIG. 1 the tubing is everted and folded on itself
and sealed to a thin ring 20. In FIG. 1a the two ends of 11 and 14
are sealed separately to the outside and the inside of the end of
the casing 10.
In FIG. 5 I show the two ends sealed respectively to the two ends
of a length of tubular casing or a handle 39 (one end passing
through the interior of 39). The seal can be performed by means of
ring 34 at one end and 35 at the other end. The pipe 37 through
which fluid is introduced into the internal annular space 13 passes
through the wall of tube 39. It is clear therefor that the ends of
the tubing after folding can be sealed directly together (as will
be described in connection with FIGS. 8 and 9), or sealed to a thin
ring and then attached to a casing as in FIG. 1, or the ends can be
sealed separately to a tubular handle as in FIGS. 1a, 5 and 10. The
essential requirements being the folded tubing with the annular
space filled with fluid, the annular space sealed, and the tubing
placed in operating contact with a tubular handle or nozzle. The
contact can be by deliberate attachment or sealing or by simply
being confined within a tube with frictional contact or tapering
diameter to hold the tubing in contact with the tube as will be
described in connection with FIG. 8.
In FIG. 6 I show a variation of FIG. 5, in which the handle 40 has
two smaller diameter stepped ends. The ends of the tubing 47, 51
are placed over the ends respectively of the handle, and locked in
position on one end by means of nozzle or nose piece 52, with
tubing-directing opening 54, and on the other end by tube or casing
48, which is used essentially as a guide for the tubing 46, and at
the back end 56, through opening 58 as a guide for the cylindrical
element 60, which in this case is illustrated as a flexible
thickwalled tube of small bore.
When fluid is introduced through pipe 41 into the annular space 13,
the inner wall 43 will be compressed. Then pressure on tube 60,
forcing it to the left and its end 61 will cause the tubing at 62
to press on the fluid, transferring some fluid to the front end 53
causing the tubing at 53 to move forward to 53' to be everted. The
tubing end at 62 moves to 62' while the end of the tube 60 at 61
moves to 61' and the tubing at 53 moves to 53'. As 60 is pushed in,
to the left, the tubing 53 will be everted out of the nose piece 52
and into the mouth of a cavity 44 represented as confined by walls
49. To invert the tubing back into the tube 48, the tube 60 is
pulled to the right until all the tubing is back in the tube 48 and
the end wall 62' of tubing 46 reaches position 62.
FIG. 7 illustrates the forward end 53" of the everted tubing when
the front end 61 of the tube 60 has progressed all the way through
the inner passage 17 inside the tubing 49 and is exposed to the
space 44 inside the cavity walls 49. In this position the tube 60
can pass fluid into the cavity space 44, or drain fluid out of that
space. It may also be desirable to place a control means 59 (FIG.
6) in the tube 60 such as a valve or check valve, for the purpose
of controlling the flow of fluid out of or into the space 44. Such
means are illustrated in my copending application S.N. 565,556
entitled "Medical Instrument for Everting a Thinwalled Flexible
Tubing and Method," filed July 15, 1966 now U. S. Pat. No.
3,506,011. Tube 60 can also be used for introducing instruments
into the space 44, such as fiber optics viewing means, or sensors
of various types.
To this end I show in FIG. 7a a variation of FIG. 7 in which the
tube 60 has additional features. For example, the front end 61 has
movable closure means that can mechanically close off the end 61 of
the tube 60 to prevent the tubing 46 from being forced into the
tube 60 at 62 (FIG. 6) by pressure in the annular space 13. This
can be an orange peel type of closure with a plurality of flexible
petals 33 which can be pushed aside as the cylindrical instrument
35 is inserted into and through the tube 60. Also at the back end
of the tube 60 is a flange or handle 37 by means of which a manual
holding force 39 can be placed on the tube 60 as the instrument 35
is forced into the tube 60 by force 41. A third feature is a series
of discontinuous spaced longitudinal slits 45 along the length of
the tube to increase its flexibility and to permit it to follow a
tortuous passage through which it might be led by the tubing 46. By
this means a very flexible tube 60 can be led through a tortuous
passage with ease, whereas the less flexible instrument 35 would
not follow. Then after the tube 60 is in place the instrument 35 is
inserted, and by being forced into the tube 60 is caused to
traverse the tortuous path. The handle 37 facilitates the
introduction of instrument 35.
I show at 45' a closer spacing of slits to make the front end of
the tube as flexible as possible since it is always the front end
that is most difficult to lead around a bend. The rounded end 33
should assist in leading the tube 60 around bends. It will be
desirable also to make the tube 60 out of some material that has a
low coefficient of friction on its surface. One such material is
Teflon, a product of the duPont Company, and well known for this
property.
In FIG. 8 I show another embodiment which is a variation of FIG. 6.
In FIG. 8 I show the two ends 70, 71 of the tubing sealed to each
other, to close the annular volume 68, after fluid is introduced
into (to fill) the space 68. Although a gas can be used for this
purpose, a liquid is preferred to a gas, to fill the space 68,
since the eversion of the tubing at one end responds more rapidly
to pressure on the other end, because of the incompressibility of
the liquid.
This tubing inverted on itself and folded at 86, filled with liquid
and with the two ends 70, 71 sealed together, is inserted into a
nose piece, nozzle or handle, 72. The front end of the nozzle 72
tapers down to a smaller diameter opening 72'. I envisage as shown
in FIG. 8a that the inner wall of the nozzle 72 will have one or
more ridges or convolutions 73 into which the tubing 88 will be
pressed to provide a firm anchor for the tubing inside the nozzle
as the inner wall 66 is everted out of the nozzle. At its other end
the nozzle has a step 74 over which is slipped a tubular guide 76.
This has a back end wall 78 with opening 80, through which a
cylindrical element 82 is inserted. This element 82 is illustrated
as being a fiber optics element with lenses 83 at each end. Any
other type of slender cylindrical element can be used, such as a
rod, tube, etc. Since fiber optical devices are well known in the
art no further description is required.
As the end 84 of the element 82 presses on the end 86 of the
tubing, fluid in 68 is pushed forward to evert the tubing at 88
forward to 88', and farther, out through the opening 72' into the
cavity space 44. When the end 84 passes completely through the
tubing 84 (as in FIG. 7) the front lens 83 will image the internal
walls 49 onto the fiber optics bundle and back to the rear lens
83'. To invert the tubing back into the casing, the cylindrical
element 82 is pulled back.
It will be clear from the description of FIGS. 6, 7 and 8 that the
tube 60 can have a large enough internal diameter so that the fiber
optics device 82 can be inserted through the tube 60 into the space
44 after the tube 60 has been inserted into the cavity. Because of
the possible stiffness of the fiber optics element compared to the
tube 60, it may be easier to insert the tube 60 and then insert the
fiber optics into the cavity through the tube 60 rather than
directly, as in FIG. 8.
FIG. 9 illustrates one way in which the everted, folded-back tubing
with outer wall 92, fold 97, inner wall 94 and annular space 93 is
filled with liquid to a level 98. The two ends 96, 95 can be sealed
together as shown at 99, or in overlapped relative position as in
FIG. 8. The sealing can be by cementing or by heat sealing or
welding of the material of the tubing if thermoplastic, and so on,
as is well known in the art. The material of which the tubing is
made is not critical so long as it has the proper strength and
flexibility, and many materials well known in the art can be used,
such as polyethylene, rubber, viscose cellulose, etc.
In FIG. 10, I show a further variation of FIG. 9 in which the two
ends of the walls 92, 94 are sealed together and into and to a
cylindrical nozzle or nose piece 102 inside slot 101. The nozzle
has retaining and sealing walls 104, 105 to hold the tubing. Also,
there are means to slide and hold at 106 a length of tube 108 as a
guide for the tubing. The nozzle tapers to a smaller diameter at
103. The tubing can be filled with liquid 93 to level 98 before
being sealed into the nozzle. However, if the nozzle is made of
elastomeric material the tubing can be sealed into slot 101 before
filling, and it can be filled with liquid through a needle 110
piercing the nozzle, such as at 111. After filling through 111 the
needle 110 is withdrawn and the hole will seal itself.
A disposable dust cap 116 is provided which covers the nozzle and
is positioned by shoulders 118 to protect and keep clean the nozzle
and tubing. Similarly the opening 114 in the back end of the casing
108 is closed with a disposable plug 112. Thus the entire tubing
and nozzle can be sterilized in assembled condition, and be
protected by the casing 108, plug 112 and cover 116 until ready for
use. At that time the cover 116 is removed, the tubing is filled
with fluid by needle 110. The needle is removed, plug 112 removed,
the pusher element inserted and the device is ready for use.
While I have shown a number of embodiments, they all have one thing
in common: The tubing is formed by everting and folding
approximately one-half of the length over the other half to form an
outer wall, and an inner wall, with an internal passage inside the
inner wall. When the internal annular space is filled with a fluid,
such as a gas under pressure, or a liquid, then the inner wall will
be compressed, reducing or closing off the inner passage. When this
tubing is sealed to a ring, a length of tube, a handle, or just
sealed to itself and filled with liquid, and inserted into a
tubular guide and handle, it can be everted through the handle (and
into a cavity) at one end by pressing on the other end.
It is important to have a handle with which to hold the end of the
filled tubing, so that as it is everted, it can be directed into a
specific cavity or conduit. Where the tubing ends are sealed to a
substantially rigid tube or tubular casing, as in FIGS. 5 and 6,
that tube can be the handle (or at least part of the handle, with
the tube 48 being another part). When the tubing is sealed to a
ring, and the sealed ends fastened to a tube or casing as in FIGS.
1, 1a and 2, the tube or casing is the handle. In FIG. 8, where the
end of the filled tubing is inserted into the nozzle or nose piece
72, with its tapering inner wall, the nozzle 72 and/or the casing
76 which fits and fastens to the nozzle, can be the handle.
While may invention can be used with a handle but without a guide
such as 76, the guide or casing is preferred because the liquid
filled tubing is heavy, very pliant, and hard to push on unless it
is properly contained or guided. Thus the casing 76 guides and
holds the tubing and also guides the pushing element 82.
While I have shown a number of embodiments, these are only by way
of example, and various modifications and variations can be made to
the embodiments shown by one skilled in the art, all of which are
considered to be part of this invention.
* * * * *