U.S. patent number 3,717,151 [Application Number 05/123,291] was granted by the patent office on 1973-02-20 for flesh penetrating apparatus.
Invention is credited to Robert M. Collett.
United States Patent |
3,717,151 |
Collett |
February 20, 1973 |
FLESH PENETRATING APPARATUS
Abstract
A catheter apparatus for retention within the body of an animal
employing a sleeve assembly composed of an inner sleeve
telescopingly supported within an outer sleeve, a multiple radially
expandable finger assembly hingedly integrally connected at one end
to the outer sleeve and capable of being maintained in the radially
outermost position by the inner sleeve, the fingers being movable
substantially in line with the outer sleeve upon disassociation of
the inner sleeve.
Inventors: |
Collett; Robert M. (San
Fernando, CA) |
Family
ID: |
22407808 |
Appl.
No.: |
05/123,291 |
Filed: |
March 11, 1971 |
Current U.S.
Class: |
604/106 |
Current CPC
Class: |
A61M
25/02 (20130101); A61M 25/0606 (20130101); A61B
17/3421 (20130101); A61M 2025/0233 (20130101); A61B
2017/3484 (20130101) |
Current International
Class: |
A61M
25/06 (20060101); A61M 25/02 (20060101); A61b
017/34 (); A61m 027/00 () |
Field of
Search: |
;128/242,244,343,345,347,348,35R,35V,351 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Pace; Channing L.
Claims
I claim:
1. A catheter apparatus adapted to be inserted interiorly of an
animal body, said apparatus comprising:
a first sleeve and a second sleeve, said second sleeve slidably
mounted upon said first sleeve, the combined said sleeves having an
inner end and an outer end, said inner end adapted to be inserted
into the animal body;
a plurality of separate fingers attached to said inner end of said
second sleeve, the base of each of said fingers being pivotally
connected to said second sleeve, a shoulder located upon each of
said fingers at its said base;
each of said finger elements being movable between a first position
and a second position and a third position, the fingers in said
first position being in an exterior abutting relationship and in
substantial alignment with said second sleeve, said first position
being the normal position of said fingers during the insertion
movement of said apparatus within the animal body, said second
position being such that each of said fingers is substantially
perpendicular to the longitudinal axis of said second sleeve said
third position being such that said fingers extend beyond said
second sleeve and in substantial alignment with said axis, the
shoulders being in contact with said first sleeve when the fingers
are in said second position, thereby being prevented from movement
toward said third position, whereby said fingers may be moved into
said third position when said first sleeve is displaced interiorly
of said second sleeve so that said shoulders are no longer in
abutting contact with said first sleeve, whereby said fingers
substantially unhinder withdrawal movement of said apparatus from
said animal body.
2. The apparatus as defined in claim 1 including:
the outer extremity of each of said fingers being inclined, the
inclination being such that with said fingers in said first
position, said outer extremity being inclined outwardly away from
said second sleeve, thereby during insertion movement of said
apparatus within an animal body said inclined portion of said
fingers substantially unhinder insertion movement, and upon said
apparatus being completely inserted within the animal body slight
movement in reverse to the insertion movement causes said inclined
portions of said fingers to contact the animal body and forcibly
pivot said fingers to said second position.
3. The apparatus as defined in claim 1 wherein:
each of said fingers is equiangularly spaced from each other about
said second sleeve.
4. The apparatus as defined in claim 3 wherein:
each of said fingers is integrally connected to said second sleeve
through a plastic hinge.
5. The apparatus as defined in claim 1 wherein:
first means adjustably located upon said second sleeve adjacent
said outer end, with said fingers in said second position said
first means to contact the exterior surface of the animal body to
thereby effect a squeezing of the tissue of the animal between said
first means and said finger assembly.
6. The apparatus as defined in claim 5 wherein:
said first means comprises a collar slidably mounted upon said
second sleeve.
7. The apparatus as defined in claim 1 wherein:
said first sleeve is of a greater longitudinal length than said
second sleeve.
8. The apparatus as defined in claim 1 wherein:
securing means is connected between said first sleeve and said
second sleeve to fixedly retain the position of said sleeves in
respect to each other.
Description
BACKGROUND OF THE INVENTION
The field of this invention relates to medical devices and more
particularly to a device which provides access to an interior
cavity of an animal body.
In a certain area of medicine trocars are readily employed. A
trocar is a sharp pointed instrument which is used to insert a
cannula into a body cavity to be employed as a drainage outlet.
Basically, a cannula is an elongated rigid tubular element which is
to provide communication exteriorally of the body to within a
cavity of the body. For example, cannulas are frequently used upon
cattle to vent an animal's stomach upon it becoming bloated. Such a
disease is quite common in cattle and if a vent is not provided,
frequently the animal dies. Additionally, a passage which is
provided by a cannula can be employed to facilitate direct
insertion of medication into the stomach cavity of an animal.
Further, such devices may be applied to an infected wound which
requires drainage.
Although such devices are most frequently used upon the lower order
of animals, there are certain instances in which a trocar and
cannula can be applied to humans. The use of such an instrument in
humans would be primarily toward the application of medicines
within an internal cavity, such as the stomach, or to effect
drainage of an infected wound.
Trocars and cannulas may be made in numerous sizes. To effect
drainage of a wound a needle-like size may be adequate. However, to
effect insertion of such into the stomach cavity, a pencil size (or
larger) cannula may be desired. Heretofore, the trocar related to a
pointed instrument which is slidably contained within the cannula.
The trocar is caused to penetrate the flesh of the animal and to
extend a desired depth within the animal. The trocar carries along
with it the cannula. Upon the cannula reaching the desired depth,
the trocar is removed leaving an open passage to the particular
desired cavity within the animal. In most instances, it is
desirable to leave the cannula in position for a period of time of
several days. In the lower order of animals, it has not been
uncommon for such located cannulas to be dislodged from position
either falling exteriorly of the body or being caused to move
interiorly of the body as into the stomach cavity. In the past, in
an effort to prevent cannulas from moving into the stomach cavity,
a portion of the cannula is enlarged and is to extend exteriorly of
the body, thereby preventing such dislodgment from occurring.
However, no means is provided to prevent dislodgment of the device
exteriorly of the body.
In the past, trocars have been made of a stainless steel material
of extremely high precision. As a result, such devices have proved
most expensive, thereby making it a significant item of purchase
for the veterinarian or medical doctor.
It would be desirable to design a trocar and cannula which
facilitated entrance of the device interiorly of the body, such
device absolutely precluding accidental dislodgment of the device
once in position, and such a device being constructed simply and of
a low-cost material of construction.
SUMMARY OF THE INVENTION
The apparatus of this invention may provide for the employment of a
trocar which is slidably movable within a first sleeve. The trocar
can be formed of either a rigid plastic or a rigid metal material
with one end thereof being pointed. Basically, the trocar will be
of cylindrical configuration. However, polygonal shaped
configurations are not to be precluded. A second sleeve is to be
located about the first sleeve which is to be of a shorter
elongated length than the first sleeve. A combination of the first
sleeve and the second sleeve form what is frequently called the
cannula. The end of the second sleeve which is to be located within
the cavity of the animal includes a plurality of radially
extendable fingers. The fingers are hingedly pivoted with respect
to the first sleeve and are caused to come in contact with the
first sleeve upon being extended substantially at a right angle
with respect to the sleeve axis. Adjacent the opposite end of the
second sleeve and mounted thereupon for a sliding movement is an
annular collar. The annular collar is capable of unhindered
movement toward the fingers but incurs hindered movement away from
the fingers. The end of the second sleeve which is to extend
exteriorly of the body is externally threaded and is adapted to
cooperate with a nut. This end of the second sleeve is also
longitudinally slit a small amount with a plurality of
equiangularly spaced apart slits. This end of the second sleeve is
also tapered slightly so that upon moving a nut along the second
sleeve toward the collar effects contraction of the slits and
thereby a binding action to non-removably secure the second sleeve
to the first sleeve. Upon the nut being moved directly adjacent the
end of the second sleeve, the first sleeve is movable with respect
to the second sleeve. Upon sufficient extraction of the first
sleeve with respect to the second sleeve, the fingers rotate
approximately 90.degree. into substantial longitudinal alignment
with the axis of the first sleeve. As a result, no tissue damage
occurs during removal of the device due to the fingers being
extended. The cannula may be employed without a trocar by inserting
the cannula through an existing opening into a cavity. Existing
openings may comprise the mouth, nose, ear, or the like. Also,
existing openings may also be previous openings formed by a trocar.
Further, the cannula may be inserted by a trocar which surrounds
the cannula such as a hypodermic needle.
BRIEF DESCRIPTION OF THE DRAWING
FIG. 1 is a longitudinal cross-sectional view of the apparatus of
this invention showing the trocar and combined cannula during
partial insertion through the tissue of an animal;
FIG. 2 is a cross-sectional view of the apparatus of FIG. 1 taken
along line 2--2 of FIG. 1;
FIG. 3 is a cross-sectional view similar to FIG. 1 but showing the
cannula in the retained position with the trocar being removed
therefrom;
FIG. 4 is an end view of the cannula arrangement of this invention
taken along line 4--4 of FIG. 3;
FIG. 5 is a fragmentary cross-sectional view showing the fingers
mounted upon the second sleeve in the retracted position to
facilitate removal of the cannula from the tissue; and
FIG. 6 is a view similar to FIG. 5 showing the cannula during
partial removal through the tissue.
DETAILED DESCRIPTION OF THE SHOWN EMBODIMENT
Referring particularly to the drawing, there is shown in FIG. 1 the
apparatus 10 of this invention broadly including a trocar 12 and a
cannula assembly 14. The trocar 12 is in the general configuration
of a cylindrical rod which has the pointed end 16. It is to be
understood that the trocar can be made extremely small resembling a
needle or can be much larger as in the shape of a pencil or the
like. It is also to be understood that the trocar 12 can be in
other cross-sectional configurations such as square or rectangular
shape. It happens to be that the cylindrical shape depicted would
be the easiest to manufacture and also would be the easiest to be
inserted through the tissue 18 of the animal with minimum
damage.
The trocar 12 is slidably mounted in a snug fitting manner within
the first sleeve 20 of the cannula assembly 14. Telescopingly
mounted about the first sleeve 20 is a second sleeve 22. Both the
first sleeve 20 and the second sleeve 22 are to normally be
manufactured from the same material of construction as a rigid
plastic or other similar material. Also, the trocar 12 can be
either a plastic or metallic material. The second sleeve 22 is of a
shorter length than the first sleeve 20. The reason for the
difference in length will become readily apparent further on in
this specification.
Secured to one end of the second sleeve 22 is a plurality of
fingers 24. Each of the fingers 24 is to be formed of a plastic
material similar to the material of construction of the second
sleeve 22. Each of the fingers 24 is readily disposed with respect
to the second sleeve 22. It is to be noted that the number of
fingers 24 is to be strictly a matter of choice or design; however,
it has been found that eight in number proves to be most
satisfactory.
The base of each of the fingers 24 is connected by means of a
plastic hinge 26 to the second sleeve 22. Each of the plastic
hinges 26 forms an integral connection with the second sleeve 22
and with its respective finger 24. The plastic hinge 26 permits
pivotal movement of over 180.degree. from the position shown in
FIG. 1 of the drawing to the position shown in FIG. 6 of the
drawing. Each of the fingers 24 includes a shoulder 28 adjacent the
plastic hinge 26. The function of the shoulder 28 is to be
described further on in this specification. Each of the fingers 24
includes a flattened foot-like area 30 adjacent its extremity. The
function of the flattened area will also be described further on in
this specification.
At the other end of the second sleeve 22 are located a plurality of
equiangularly spaced apart longitudinal slits 32. The second sleeve
22 in the area adjacent the slits 32 s exteriorly threaded at 34. A
nut 36 is adapted to cooperate with the threads 34 and be movable
longitudinally upon the second sleeve 22. The second sleeve 22 in
the area of the threads 34 is of a steadily increasingly
circumference from the end of the second sleeve 22 to the
termination of the slits 32. As a result, by tightening nut 36, a
concentric contraction of the second sleeve 22 results which
effects a binding action upon the first sleeve 20. This binding
action is sufficient to firmly retain the second sleeve 22 together
with the first sleeve 20.
Located about the second sleeve 22 nearer the nut 36 than the
fingers 24 is an annular collar 38. The collar 38 is crimped at 40
in the aft direction with respect to the fingers 24. The function
of the crimping 40 will also be explained further on in this
specification. It is to be noted that the collar 38 is slidable
about the second sleeve 22 which will also be explained in the
following operation of the invention.
The operation of the apparatus 10 of this invention is as follows:
It will be presumed that an animal such as a cow has become bloated
in the stomach and the gas within the animal's stomach must be
vented to the ambient. The veterinarian then locates the first
sleeve 20 beyond the fingers 24 which are secured to the second
sleeve 22. The operator then tightens nut 36 securing the sleeve 20
and 22 in this arrangement. The fingers 24 are located adjacent the
exterior surface of the second sleeve 24. The trocar 12 is then
inserted within the first sleeve 20. The operator then places the
pointed end 16 adjacent the outer skin of the animal in the
particular desired location. The operator then impacts the aft end
of the trocar 12 causing the trocar 12 to penetrate the tissue 18.
It is upon the penetration of the trocar 12 is to the desired
depth, as in this instance to within the stomach cavity, the
cannula 14 is likewise to pass through the tissue 18 until the
fingers 24 entirely extend within the cavity. The operator then
removes the trocar 12 providing a vent opening from the ambient to
the stomach cavity by means of the passage within the first sleeve
20. The operator then grasps the exterior portion of the cannula
assembly 14 and exerts a force thereupon tending to draw such from
the animal. As a result, the free ends of each of the fingers 24
come into contact with the stomach wall 42 and are caused to pivot
substantially 90.degree. until the flattened areas 30 are in an
abutting relationship with the wall 42. The shoulder 28 of each of
the fingers 24 comes into abutting contact with the first sleeve 20
thereby preventing further pivotal movement of the fingers 24 past
the 90.degree. position. The operator can feel when this occurs
because further outward movement of the assembly 14 is vigorously
resisted.
The operator then moves the collar 38 along the second sleeve 22
until the collar comes into an abutting contactual relationship
with the outer surface 44 of the skin of the animal. The collar 38
is then moved an additionally small amount tending to compress the
tissue 18 between the collar 38 and the fingers 24. As a result, a
binding action occurs between the fingers 24 and the collar 38
tending to force the crimped portion 40 into greater frictional
engagement with the second sleeve 22. As a result of the foregoing,
the apparatus 10 of this invention has been installed within the
tissue of an animal and is to be firmly retained therein and not
capable of being accidentally dislodged. Not only has a vent been
provided within the stomach cavity but also a passage is provided
for the direct application of medicine or other compounds.
It is to be understood that it is not necessary for the device to
be inserted within an open cavity such as a stomach cavity. The
apparatus could be inserted within a wound which has become
infected. Upon being inserted the desired depth, the pull-back
motion upon the cannula assembly 14 would merely cause the fingers
24 to extend within the adjoining tissue. This extension of the
fingers 24 will not be sufficient as to cause significant damage to
the tissue. In this instance the drainage for the infected area of
the wound would be provided as well as a means to apply a
medication directly to the infected area.
To effect easy removal of the apparatus 10 of this invention the
procedure is as follows: The operator loosens nut 36 until the
first sleeve 20 can be moved relative to the second sleeve 22.
Movement of the first sleeve 20 with respect to the second sleeve
22 is accomplished until the forward end of the first sleeve 20 is
moved sufficiently to no longer be in cooperation with the shoulder
28 of the fingers 24. As a result, the fingers 24 are free to pivot
with respect to the second sleeve 22 to the position in substantial
alignment with the longitudinal axis of the second sleeve 22.
Thereby as the second sleeve 22 is withdrawn from the tissue 18,
the fingers 24 do not hinder the withdrawing movement.
Prior to reusage of the apparatus 10 of this invention, the fingers
will be manually pivoted up against the tube 22 as shown in FIG. 1
of the drawing. Also, prior to reusage, the collar 38 is to be
manually moved adjacent the threaded area 38. Movement of the
collar 38 is not difficult in this direction when there is no force
causing the crimped portion 40 to dig into the second sleeve 22. At
this time, the apparatus 10 of this invention is ready to be
reused.
Another primary advantage of the apparatus of this invention is
that the cannula assembly may be employed without the use of the
trocar 12. The cannula assembly 14 will be operated in a manner
similar to the above described operation. However, the collar 38
may not be employed if the cannula assembly 14 is conducted a
substantial distance through a natural cavity as the mouth or
through a blood vessel. Actually, it is envisioned that the cannula
assembly 14 may be conducted through a blood vessel and lodged in
place within the heart. In such instances the inner sleeve 20 may
be extended to a substantial length as well as the outer sleeve
22.
Another use contemplated for the apparatus 10 of this invention is
that various measurements could be taken by liquid gauges located
within the passage of the first sleeve 20. Also, each of the
fingers about the flattened areas 30 could have overlapping flaps
to protect the tissue in the cavity around the insertion hole.
Since the cannula assembly 14 is to be made of a plastic material,
it is to have no chemical reaction to tissue. Also, the cannula
assembly 14 need not be constructed entirely rigid. The center
portion of the cannula assembly may be flexible to facilitate
curved movement of the cannula assembly 14 through a body passage
(such as a blood vessel). It is only necessary for the ends of the
cannula assembly to be rigid to effect operation of the fingers 24
and the nut 36. Basically the uses of the apparatus 10 of this
invention are unlimited and up to the ingenuity of the
operator.
* * * * *