U.S. patent number 3,771,527 [Application Number 05/176,761] was granted by the patent office on 1973-11-13 for surgical drainage tube.
Invention is credited to Joseph L. C. Ruisi.
United States Patent |
3,771,527 |
Ruisi |
November 13, 1973 |
SURGICAL DRAINAGE TUBE
Abstract
A surgical drainage tube comprising inner and outer concentric
tubular portions, each having apertures adjacent their distal ends,
means connecting the proximal end of the inner tube to a source of
suction, and a cap closing off the proximal end of the outer tube
with the inner tube extending through said cap, said cap being
constructed of a penetratable self-sealing material whereby fluids
may be injected through said cap to the annular chamber located
between said inner and outer tubes, in order that desired fluids
may be introduced to the cavity being drained, while suction is
simultaneously taking place.
Inventors: |
Ruisi; Joseph L. C. (Westerly,
RI) |
Family
ID: |
22645712 |
Appl.
No.: |
05/176,761 |
Filed: |
August 16, 1971 |
Current U.S.
Class: |
604/43;
604/96.01 |
Current CPC
Class: |
A61M
1/85 (20210501) |
Current International
Class: |
A61M
1/00 (20060101); A61m 027/00 () |
Field of
Search: |
;128/35R,349R,349B,240,241,276,262 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Laudenslager; Lucie H.
Claims
What is claimed is:
1. A surgical drainage tube comprising an elongated outer tubular
portion, an inner tubular portion extending coaxially therein, said
inner portion being of substantially less diameter than said outer
portion whereby an annular chamber exists therebetween, apertures
in said tubular portions adjacent their distal end, means
connecting the proximal end of said inner tubular portion to a
source of suction, and a penetratable, self-sealing, disc-like cap
closing off the proximal end of said annular chamber, the outer
surface of said cap being exposed and readily accessible for
penetration in order that fluids may be periodically and/or
selectively injected under pressure through said cap to said
annular chamber.
2. In the drainage tube of claim 1, an inflatable cuff secured to
and surrounding the outer surface of said outer tubular portion
adjacent the proximal end thereof.
3. In the drainage tube of claim 1, the proximal end of said
tubular portion having a divergent conical portion, whereby the
diameter of said cap is larger than the diameter of the distal
portion of said outer tubular portion in order to increase the size
of said cap and hence facilitate the injection of fluids
therethrough.
Description
BACKGROUND AND OBJECTS OF THE INVENTION
Drainage tubes are well known in the medical field and are
conventionally used for draining off blood during surgical
procedures, for routine post-operative drainage, for drainage of
abscess cavities, etc. There are, however, cetain disadvantages and
problems insofar as existing drainage tubes are concerned.
First and foremost, the drainage tubes presently in use are limited
to the single function of draining. Expressed differently, it is
frequently desirable during the draining procedure to flush the
cavity being drained with a sterile flushing solution, such as a
saline solution, distilled water or the like. Furthermore, it is
frequently desirable to introduce medication, such as antibiotics,
to the cavity being drained. As previously mentioned, however, the
existing drainage tubes are not capable of performing these
additional functions.
Also, one of the problems frequently encountered in existing
drainage tubes is clogging of the tube so as to impede or block the
desired draining.
Accordingly, it is a primary object of the present invention to
provide a drainage tube which permits the desired drainage of body
cavities either during or after surgical procedures and which
additionally is so constructed as to permit introduction of sterile
flushing solutions and/or medications such as antibiotics either
while drainage is simultaneously taking place or without any
drainage taking place. Thus, in effect, the present invention
provides a multipurpose drainage device.
A further object of the present invention is the provision of a
drainage device of the character described wherein inner and outer
concentric tubes are provided with suction being applied to the
inner tube, whereby the presence of the outer tube helps prevent
undesirable clogging of the device.
A further object is the provision of a drainage tube of the
character described which is relatively simple and economically
feasible to manufacture, but which nevertheless is highly
effective, not only for drainage purposes, but also for the
introduction of sterile flushing solutions and medications when
desired.
Other objects, features and advantages of the invention will become
apparent as the description thereof proceeds when considered in
connection with the accompanying illustrative drawings.
DESCRIPTION OF THE DRAWINGS
In the drawings which illustrate the best mode presently
contemplated for carrying out the present invention:
FIG. 1 is an elevational view of a surgical drainage tube
constructed in accordance with the present invention;
FIG. 2 is a sectional view thereof;
FIG. 3 is an enlarged section taken on line 3--3 of FIG. 1; and
FIG. 4 is an enlarged fragmentary view showing the inflatable cuff
which forms a part of the present invention in actual use.
DESCRIPTION OF THE INVENTION
It has been found desirable to provide a drainage tube effectively
usable for a number of different surgical situations. For example,
the drainage tube of the present invention may be used to close an
intestinal fistula without interfering with surgery taking place.
It also may be used for draining purposes in cases of bile
peritonitis following accidental extrusion of T-tube in common duct
drainage. Other uses of the present invention are for
intra-abdominal drainage, such as routine postoperative dainage,
and sub-diaphragmatic or sub-hepatic abscess drainage. It is also
effectively usable in the drainage of abscess cavities, drainage
following radical mastectomy, and drainage in pneumothorax or
hemothorax cases.
In addition to the drainage function in cases of the type above
described, the present invention has a multipurpose construction
which permits the tube to be used for infusion of antibiotic
solutions or enzymes and/or for the infusion of sterile flushing
solutions, such as a saline solution or distilled water. As will
hereinafter become apparent, the infusion of antibiotics and/or
flushing solutions may be done simultaneously while drainage is
taking place, or drainage may be discontinued during such infusion,
if necessary or desirable.
Referring now to the drawings, a drainage tube comprising the
present invention is shown generally at 10, said tube having an
outer tubular portion 12 and an inner concentric tubular portion
14. It will be noted that the diameter of inner tubular portion 14
is substantially less than the diameter of outer tubular portion
12, whereby to define an annular chamber 16 therebetween. The
distal end of tubular portion 14 is open as at 18 and is spaced
from the distal end of outer tubular portion 12 which is closed as
at 20. Adjacent its distal end, the outer tubular portion 12 is
provided with a plurality of longitudinally and circumferentially
spaced apertures 22, while inner tubular portion 14 is similarly
provided with a plurality of longitudinally and circumferentially
spaced apertures 24.
Both of the tubular portions 12 and 14 are constructed of any
suitable inert, nontoxic material, such as a soft plastic or
Silastic, it being obvious that since the tube 10 is to be inserted
into a body cavity, it must be flexible and pliant so as to reduce
irritation and trauma to a minimum.
In order to maintain inner tubular portion 14 properly centered
within outer tubular portion 12, the latter is provided with a
plurality of integral, inwardly extending ribs 26 which extend
longitudinally of tubular portion 12 and which engage the outer
surface of inner tubular portion 14 at spaced points so as to
maintain the latter properly centered, as shown most clearly in
FIG. 3.
Adjacent its proximal end 28, outer tubular portion 12 has fixedly
secured thereto by any suitable sealing means a tubular connector
30, the divergent end of which is covered by a penetratable,
self-sealing cap 32. It will be understood that the cap 32 is
secured to the end of connector 30 so as to make sealing engagement
therewith, and it will further be understood that the cap 32 is
constructed of a penetratable, self-sealing material, such as a
pregnable latex, whereby a hypodermic needle or the like may be
inserted therethrough to introduce a desired fluid to chamber 16,
as will hereinafter be more fully described, but wherein when the
hypodermic needle is withdrawn, the opening formed by said needle
will automatically seal. As will be noted, cap 32 is provided with
a central aperture 34 through which inner tubular portion 14
extends in sealing engagement. At its proximal end 36, inner
tubular portion 14 has secured thereto a funnel-like connector 38
which in turn is adapted to be connected to a source of suction,
not shown.
In order to prevent undesirable extrusion of the cavity being
drained, there is secured to the tube 10 an inflatable rubber cuff
or collar 40 having a flexible inflating tube 42 extending
therefrom. As will be noted, the cuff 40 is secured by any suitable
means to the outer surface of outer tubular portion 12 at a point
adjacent to the proximal end of the latter, said inflatable cuff
surrounding said outer tubular portion. Thus, when the tube 10 is
inserted through the body wall 44 into a body cavity, the cuff 40,
being deflated during the introduction of the tube 10, will offer
minimum resistance to the insertion of the latter. Once the tube 10
has been fully inserted, however, the inflatable cuff 40 may be
inflated from outside the body wall, since during inflation of the
tube 10, the inflating tube 42 is positioned so as to extend
through the opening 46 in body wall 44 to a point exteriorly
thereof, as illustrated in FIG. 4. Thus, the cuff 40 may be
inflated from outside the body wall to prevent inadvertent removal
of the tube 10 from the body cavity. Of course, when it is desired
to remove the tube 10 from the body cavity, the cuff 40 is
deflated, and then the tube is withdrawn through opening 46.
With the tube 10 inserted in the body cavity, as illustrated in
FIG. 4, and with the connector 38 connected to a source of suction,
it will be seen that a negative pressure will be imparted to the
body cavity through the apertures 24 and the apertures 22. It has
been found that by locating the suction tube 14 within outer
tubular portion 12, undesirable clogging of the tube 14 has been
greatly minimized. It has further been found that the desired
suction action is further enhanced by having the distal end of
tubular portion 12 closed, while at the same time the distal end of
tubular portion 14 is open.
It is frequently desirable during the drainage procedure to
simultaneously flush the body cavity by introducing thereto a
sterile flushing solution, such as a saline solution, distilled
water, or the like. This may easily be done by introducing the
flushing solution under pressure by means of a hypodermic needle or
the like through sealing cap 32; whereby if the pressure of the
flushing solution is maintained greater than the negative pressure
of the suction, the flushing solution will be forced out through
the openings 22 to effect the desired flushing action in the body
cavity. By the same token, medicinal solutions such as antibiotics
or enzymes may be introduced through sealing cap 32, it being
understood that if it is desired to maintain the flushing solution
or the medicinal solution in the body cavity for a period of time,
the source of suction to inner tubular portion 14 may be shut
off.
It has also been found that introduction of a constant flow of
saline solution through chamber 16 of tube 10 helps minimize
clogging of the suction tube 14.
While there is shown and described herein certain specific
structure embodying the invention, it will be manifest to those
skilled in the art that various modifications and rearrangements of
the parts may be made without departing from the spirit and scope
of the underlying inventive concept and that the same is not
limited to the particular forms herein shown and described except
insofar as indicated by the scope of the appended claims.
* * * * *