U.S. patent number 3,741,217 [Application Number 05/172,537] was granted by the patent office on 1973-06-26 for retractable closure cap.
This patent grant is currently assigned to The Kendall Company. Invention is credited to Anthony J. Ciarico.
United States Patent |
3,741,217 |
Ciarico |
June 26, 1973 |
RETRACTABLE CLOSURE CAP
Abstract
A closure cap for an irrigation side arm in a liquid drainage
system including a drainage lumen and a channel extending through
the side arm and communicating with the drainage lumen. The closure
cap includes an annular rim removably secured to the outer end of
the side arm, a stem having a bottom end and a top end, and a
flexible wall extending between the rim and the stem adjacent the
bottom end of the stem. The stem is movable between an inner
position with the bottom stem end and wall received in the side arm
channel, and an outer position with the bottom stem end removed
from the channel and the wall folded through the rim substantially
out of the channel, with the stem having a sufficient length to
extend beyond the rim in the inner position.
Inventors: |
Ciarico; Anthony J. (Waukegan,
IL) |
Assignee: |
The Kendall Company (Walpole,
MA)
|
Family
ID: |
22628129 |
Appl.
No.: |
05/172,537 |
Filed: |
August 17, 1971 |
Current U.S.
Class: |
604/256; 138/89;
285/901; 604/27; 138/96R; 604/540 |
Current CPC
Class: |
A61M
39/20 (20130101); Y10S 285/901 (20130101) |
Current International
Class: |
A61M
39/20 (20060101); A61M 39/00 (20060101); A61m
025/00 (); A61m 035/00 () |
Field of
Search: |
;128/252,262,349
;215/11C |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Medbery; Aldrich F.
Claims
I claim:
1. In a liquid drainage system including a drainage lumen, an
irrigation side arm having a channel extending through the side arm
and communicating with said drainage lumen, and a closure cap for
said side arm channel, the improvement in combination therein
wherein said cap comprises:
a rim removably secured to the outer end of said side arm;
a stem having a bottom end and a top end; and
a flexible wall extending between said rim and the stem adjacent
said bottom end of said stem, said stem being movable between an
inner position with said bottom end of the stem and wall received
in the side arm channel and an outer position with the bottom end
of the stem removed from said channel and said wall folded through
the rim substantially out of said channel, said stem having a
sufficient length to extend beyond the rim in said inner position,
said closure cap constituting means preventing the passage of fluid
between the side arm channel and the outside of the closure cap
when said rim is secured to the outer end of the side arm.
2. In the combination of claim 1, a closure cap wherein a
substantial portion of said wall engages the inner surface of said
side arm channel in the inner stem position.
3. In the combination of claim 1 wherein said side arm channel is
tapered toward the drainage lumen, a closure cap wherein said wall
and one stem end have a frustro-conical shape with said stem in the
inner position.
4. In the combination of claim 1, a closure cap wherein said rim
includes a first annular flange having its inner edge connected to
one end of the flexible wall, and a second annular flange depending
from the first flange, with the inner surface of the second flange
frictionally engaging the outer surface of the side arm adjacent
its outer end to releasably retain the cap in position on the side
arm.
5. In the combination of claim 1, a closure cap wherein the wall
has a sufficient length to move said one stem end out of the rim in
the outer stem position.
6. In the combination of claim 1, a closure cap wherein said wall
has a sufficient length to position the one stem end adjacent a
juncture of the side arm channel and the drainage lumen in said
inner stem position.
7. In the combination of claim 1 wherein said drainage system
includes an irrigation connector having a main arm tubular portion
with said lumen extending longitudinally through the main arm
portion and with said side arm projecting outwardly from the main
arm portion.
8. In the combination of claim 1 wherein said drainage system
includes an irrigation connector having a first tubular portion
with the drainage lumen extending through the first tubular
portion, a side arm extending from the first tubular portion with
said channel being generally aligned with the lumen in the first
portion, and a second tubular portion offset at an angle from the
first portion with the drainage lumen extending through the second
portion and communicating with the lumen in the first portion and
said channel.
9. An irrigation connector comprising:
a. a main arm body portion having a drainage lumen passing
therethrough and having a first end thereof in communication with a
drainage lumen of a tube from a body cavity and a second end
thereof in communication with a drainage lumen of a tube for
connection to a liquid collector unit;
b. a side arm extending from said main arm body portion of the
connector and having a channel passing therethrough, one end of
which interconnects with the drainage lumen at a juncture
intermediate said first and second ends, and the other end of which
terminates at an outer open end of said side arm to provide access
for the introduction of an irrigating fluid therein; and
c. a closure cap comprising,
a rim removably secured to the outer end of said side arm,
a stem having a bottom end and a top end, and
a flexible wall extending between said rim and the stem adjacent
said bottom end of said stem, said stem being movable between an
inner position with said bottom end of the stem and wall received
in the side arm channel and an outer position with the bottom end
of the stem removed from said channel and said wall folded through
the rim substantially out of said channel, said stem having a
sufficient length to extend beyond the rim in said inner position,
said closure cap constituting means preventing the passage of fluid
between the side arm channel and the outside of the closure cap
when said rim is secured to said side arm.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates to irrigation connectors for a liquid
drainage system, and more particularly to a closure cap for such
irrigation connectors.
2. Description of the Prior Art
In the past, various types of systems have been utilized to drain
liquids from a cavity in a patient's body, such as the bladder. The
procedure generally utilized to accomplish drainage is to introduce
a catheter into the cavity, and connect the catheter through a
drainage tube to a receptacle for collecting the liquid.
However, during use of such systems, it is sometimes necessary to
periodically irrigate the catheter, or force liquid through it in
the reverse direction, to alleviate a blocked condition in the
catheter due to the accumulation of sediments and clots, or to
apply medication to the cavity through the catheter. Since it is
necessary to minimize the possibility of infection to the patient,
such systems are preferably of the closed type to prevent
contamination to the system and possible infection to the patient.
Consequently, it has proven difficult to irrigate the catheter,
while maintaining aseptic conditions in the drainage system.
In an attempt to solve this problem, Vaillancourt et al. U.S. Pat.
No. 3,513,849 discloses an adapter which is connected between a
catheter and a drainage tube. Although Vaillancourt et al. shows a
cap for closing the end of a channel through which irrigation of
the catheter is accomplished, it has been determined that the plug
portion of such a cap may easily become contaminated when it is
removed from the channel to perform irrigation. Accordingly, it is
desirable to protect the inner portions of the cap from
contamination during the period of time the cap is removed from the
channel, while at the same time preventing the accumulation of
sediments and clots in the portion of the channel in which the cap
is received.
Cathcart, U.S. Pat. No. 3,084,693 and Minteer U.S. Pat. No.
3,332,424 show catheters which unfold for insertion into the
urethra.
SUMMARY OF THE INVENTION
The principal feature of the present invention is the provision of
a closure cap for an irrigation side arm in a liquid drainage
system, which is protected from contamination while the cap is
removed from the side arm.
The closure cap of the present invention includes an annular rim
removably secured to the outer end of the side arm, a stem having a
bottom end and a top end, and a flexible wall extending between the
rim and the stem adjacent the bottom end of the stem. The stem is
movable between an inner position with the bottom stem end and wall
received in a channel extending through the side arm, and an outer
position with the bottom stem end removed from the channel and the
wall folded through the rim substantially out of the channel, with
the stem having a sufficient length to extend beyond the rim in the
inner position.
A feature of the invention is that in the inner stem position the
bottom stem end prevents the accumulation of clots and sediments in
the side arm channel.
Another feature of the invention is that the wall surface exposed
to the side arm channel in the inner stem position is protected
from contamination in the outer position when the cap is removed
from the side arm.
Further features will become more fully apparent in the following
description of the embodiments of this invention and from the
appended claims.
DESCRIPTION OF THE DRAWINGS
In the drawings:
FIG. 1 is a side elevational view of the closure cap of the present
invention as positioned on the side arm of an irrigation connector,
with a stem of the cap in an inner position during liquid drainage
through the connector;
FIG. 2 is a sectional view of the closure cap and connector of FIG.
1, with the stem of the cap in its inner position;
FIG. 3 is a perspective view of the closure cap of the present
invention;
FIG. 4 is a sectional view of the cap and connector of FIG. 3, with
the stem partially retracted from a channel in the connector side
arm;
FIG. 5 is a sectional view of the closure cap and connector of
FIGS. 2 and 4, with the stem retracted from the side arm channel to
an outer position; and
FIG. 6 is a sectional view of the closure cap as positioned on
another structure of an irrigation connector, with the stem in its
inner position.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring now to FIGS. 1 and 2, the numeral 20 designates generally
a portion of a liquid drainage system wherein an irrigation
connector 26 is positioned between and interconnects with a
catheter 22 (only the proximal end of which is shown) and a
drainage tube 28. The drainage tube 28 is received in one end 30 of
the connector 26, and the adapter 24 is received in the other end
32 of the connector, while the proximal end of the catheter 22 is
positioned on an end of the adapter 24 extending from the connector
26. During drainage of liquid from a cavity in a patient's body,
liquid passes from the cavity through a drainage lumen 34 which
extends longitudinally through the catheter 22, the adapter 24, a
main arm tubular portion 35 in the connector 26, and the tube 28,
from which it passes into a receptacle (not shown) for
collection.
The connector 26 includes a side arm 36 projecting outwardly from
the main arm portion 35. A channel 38 extends through the side arm
36 and communicates with the drainage lumen 34 at an opening 40.
The opening 40 is at the juncture of the channel 38 with the
drainage lumen 34 and is located intermediate the ends of the main
arm 35 of the connector. A cap, generally designated 42, is
removably positioned on the outer open or access end 44 of the side
arm 36 to close the channel 38 and prevent contamination to the
system 20 during drainage. The cap 42 includes an annular rim 46
extending around the periphery of and removably secured to the
outer end 44 of the side arm 36. The rim 46 has a first annular
flange 48 and a second annular flange 50 depending from the first
flange 48, with the inner surface of the second flange 50
frictionally engaging the outer surface of the side arm 36 adjacent
its outer end 44. A circumferential groove 52 in the inner surface
of the second flange 50 receives a circumferential rim 54
projecting outwardly from the outer surface of the access end 44 of
the side arm to releasably lock the cap 42 in position on the side
arm 36.
The closure cap 42 includes a flexible wall 56 extending between an
inner edge of the annular rim 46 and a stem 58 adjacent one of its
ends 60 at the bottom of the stem. The stem 58 is movable between
an inner position, as shown in FIGS. 1 and 2, and an outer
position, as shown in FIG. 5. As illustrated in FIG. 2, when the
stem 58 is in its inner position the one or bottom stem end 60 and
wall 56 are received in the side arm channel 38, and the stem 58
has a sufficient length to extend beyond the rim 46 to permit
grasping of the outer or top stem end 62. As the stem 58 is
retracted from the channel 38, as shown in FIG. 4, the wall 56
folds through the annular rim 46, and as the stem is fully
retracted to its outer position, as shown in FIG. 5, the wall 56 is
folded substantially through the rim 46 out of the channel 38.
The closure cap 42 is shown by itself in FIG. 3 with its stem
depressed in the state the closure cap normally assumes for closing
the channel 38. The length of the flexible wall 56, as measured
from the bottom end 60 of the stem 58 in its inner position to the
inner edge of the annular rim 46, is determined generally by the
length of the channel 38 from the open, access end 44 of the side
arm 36 to the juncture of the channel 38 with the drainage lumen 34
at the opening 40. Thus, the length of the wall 56 is such to
prevent the bottom 60 of the stem 58 from protruding into the
drainage lumen 34 at the opening 40. Since the one stem end 60 must
pass through the annular rim 46 when the stem is moved between its
inner and outer positions, preferably the wall and one stem end
have a frustro-conical shape when the stem is in its inner
position, as shown in FIG. 2. Moreover, with such a shape, if the
wall 56 engages the surface of the side arm channel 38 in the inner
stem position, the channel 38 is tapered toward the lumen 34, and
generally conforms to the tapered configuration of a syringe tip
which is inserted for irrigation. The wall 56 is shown attached to
the stem at the very bottom edge thereof at the end 60. It is to be
appreciated that the wall may be joined to the stem at a location
recess from the bottom 60 of the stem and that the annular surface
of the stem adjacent the bottom end 60 may be the surface which
sealingly engages the inner surfaces of the channel 38 when the
stem is depressed into its closed position. The closure cap 42 is
attached to a ring 66 by a strap 68, and the tubular portion 35 of
the connector 26 is received in the ring 66 to retain the cap to
the connector during irrigation of the catheter.
In order to irrigate the catheter 22, the stem 58 is withdrawn to
its outer position as previously described with reference to FIG. 5
and then the cap 42 is removed from the side arm to expose the
open, access end 44 for the introduction of an irrigating fluid
into the channel 38. During introduction of the irrigating fluid,
the drainage lumen 34 must be closed to the flow of the irrigating
fluid on the downstream (draining) side of the opening 40. A
convenient manner of accomplishing this is by means of a syringe
filled with an irrigating fluid. The tip of the syringe is inserted
into the channel 38 through the access end 34 of the side arm. The
central portion of connector tubular portion 35 is then flexed, and
the syringe tip is inserted into a restricted portion 64 of the
lumen 34, which makes a sealing engagement with the tip to prevent
passage of irrigation fluid into the tube 28. Upon activation of
the syringe, the irrigation fluid is injected through the tip and
adapter 24 into the catheter 22.
In the inner position of the stem 58, as shown in FIG. 2, a first
surface 70 of the wall 56 is exposed in the side arm channel 38,
while a second opposite wall surface 72 is exposed to the
atmosphere. When the stem 58 is moved to its outer position, as
shown in FIG. 5, the folded wall 56 forms a pocket for the first
surface 70. Thus, when the cap 42 is removed from the side arm 36,
the wall surface 70 is prevented from touching an object external
from the channel 38, which might result in contamination to the
system 20 when the cap is replaced on the side arm 36 for further
drainage after irrigation is completed. Moreover, the one stem end
60 is recessed in the pocket formed by the folded wall 56, and is
also protected from contamination. Preferably, the wall 56 has a
sufficient length to move the one stem end 60 out of the rim 46 in
the outer stem position, affording additional protection to the one
stem end 60.
The use of the closure cap 42 in another structure of the
irrigation connector 26 is illustrated in FIG. 6. In this
embodiment, the main drainage arm of the connector comprises a
first and second tubular portion, 80, 82, offset at an angle from
each other and having the drainage lumen extending therethrough.
The side arm 36 extends from the first tubular portion 80 such that
the side arm channel thereof is generally aligned with the lumen 34
in the first portion 80. In this embodiment the draining liquid
will follow an angular path through the main arm of the connector
and the irrigating fluid during the irrigation step will follow a
generally aligned, straight path from the channel 38 into the lumen
34 in the first tubular portion 80 of the connector. The closure
cap 42 is shown in FIG. 6 with the stem 58 in its inner position,
closing off the opening of channel 38 at the juncture of the side
arm 36 with the first tubular portion 80.
In order to irrigate the catheter, the stem 58 is moved to its
outer position, and the closure cap 42 is removed from the access
44 of the side arm 36, as previously described. Next, the tip of
the syringe is inserted through the side arm channel 38, past the
juncture of the portion of lumen 34 in the tubular portion 82 of
the connector, and into the restricted portion 64, which makes
sealing engagement with the tip of the syringe to prevent passage
of irrigation fluid into the tube 28. Finally, irrigation fluid is
injected through the adapter into the catheter.
The foregoing detailed description is given for clearness of
understanding only, and no unnecessary limitations should be
understood therefrom, as modifications will be obvious to those
skilled in the art.
* * * * *