U.S. patent number 3,777,761 [Application Number 05/272,871] was granted by the patent office on 1973-12-11 for post operative drainage tubes with suture strip and method of use.
Invention is credited to David S. Sheridan.
United States Patent |
3,777,761 |
Sheridan |
December 11, 1973 |
POST OPERATIVE DRAINAGE TUBES WITH SUTURE STRIP AND METHOD OF
USE
Abstract
Post-operative drainage tubes, e.g., thoracic catheters,
intercostal catheters and sump drain tubes, have a suture strip
secured in piggy-back relation thereto. The drainage tube may then
be fixed to the body of a patient by a suture which engages the
suture strip, e.g., by being threaded through the joint between the
suture strip and the drainage tube.
Inventors: |
Sheridan; David S. (Argyle,
NY) |
Family
ID: |
23041651 |
Appl.
No.: |
05/272,871 |
Filed: |
July 18, 1972 |
Current U.S.
Class: |
604/175;
128/DIG.26 |
Current CPC
Class: |
A61M
25/02 (20130101); A61M 2025/0286 (20130101); Y10S
128/26 (20130101) |
Current International
Class: |
A61M
25/02 (20060101); A61m 025/02 () |
Field of
Search: |
;128/348,349R,35R,351,334,335,335.5,33R,DIG.26 ;174/47,41,7A |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
|
|
|
|
|
|
|
458,201 |
|
Mar 1928 |
|
DD |
|
747,691 |
|
Apr 1956 |
|
GB |
|
Primary Examiner: Truluck; Dalton L.
Claims
The embodiments of the invention in which an exclusive property or
right is claimed are defined as follows:
1. In a post-operative drainage tube comprising an elongated
tubular member formed of non-fibrous flexible water-proof plastic
material, a proximal end portion adapted to be pulled through the
body of a patient when the tube is inserted for drainage of
material from the patient and a distal end portion comprising side
openings in the tubular member through which material can enter the
drainage tube from the patient, the improvement which comprises a
suture strip formed of flexible waterproof plastic material welded
to the exterior surface of said tubular member in superimposed
relationship therewith, the joint between said tubular member and
suture strip being capable of easy penetration by a suture needle
to permit securing of the drainage tube by suturing to the body of
a patient into which the drainage tube is inserted.
2. A drainage tube of claim 1 wherein said tubular member is made
of colorless, transparent plastic material.
3. A drainage tube of claim 2 wherein the plastic material of said
suture strip contains a dye whereby the suture strip is clearly
distinguishable by color from the colorless tubular member.
4. In a post-operative drainage tube comprising an elongated
tubular member formed of non-fibrous flexible water-proof plastic
material, a proximal end portion adapted to be pulled through the
body of a patient when the tube is inserted for drainage of
material from the patient, said proximal end portion comprising a
closure cap, and a distal end portion comprising side openings in
the tubular member through which material can enter the drainage
tube from the patient, the improvement which comprises a suture
strip formed of flexible waterproof plastic material, said strip
being substantially circular in cross-section and welded to the
exterior surface of said tubular member in superimposed
relationship therewith substantially entirely along the length of
said tubular member, the joint between said tubular member and
suture strip being substantially a tangential contact between the
member and strip capable of easy penetration by a suture needle to
permit securing of the drainage tube by suturing to the body of a
patient into which the drainage tube is inserted.
5. A drainage tube of claim 4 wherein said suture strip has a small
section adjacent the distal end of the drainage tube removed to
create an indication of the location of a side opening in said
tubular member.
6. A drainage tube of claim 4 wherein said tubular member is formed
of transparent, colorless plastic material and said suture strip is
colored so that it is clearly distinguishable from the tubular
member.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates to improvements in the construction of
post-operative drainage tubes, e.g., thoracic catheters,
intercostal catheters and sump drain tubes, and to new methods for
securing post-operative drainage tubes in position relative to the
body of a patient into which a drainage tube has been inserted.
2. Description of the Prior Art
There are a variety of medico-surgical tubes which are employed in
connection with surgical operations for post-operative drainage
purposes to remove fluids and other matter from body cavities of a
patient. These include thoracic catheters intercostal catheters
(see U.S. Pat. Nos. 3,190,290 and 3,295,527) and sump drain
catheters (see U.S. Pat. No. 3,314,430). Such drainage tubes may be
provided with special features such as a capped proximal end to
permit smooth installation in a patient without ripping, coring or
tearing of body tissue of the patient (see U.S. Pat. No.
3,589,368). The improvements of the present invention may be
applied to all of these forms of post-operative drainage tubes and
similar medico-surgical tubes which now exist or may be developed
in the future.
Post-operative drainage tubes when placed in a patient for removal
of fluid from body cavity of the patient must be made secure so
they cannot slip outward or penetrate further into the body. The
existing drainage tubes do not provide means for readily and safely
accomplishing the required fixing of the position of the drainage
tube relative to the patient's body. It is standard practice for
the surgeon or other person installing a post-operative drainage
tube in a patient to stitch a suture through the skin or other
tissue of the patient and then tie an end of the suture around the
drainage tube. Such a procedure is awkward and may not insure a
satisfactory securement in the position of the drainage tube
because of the possibility of slippage between the loop of the
suture relative to the wall of the drainage tube. Accordingly,
there is a need for improvements in methods by which post-operative
drainage tubes can be fixed in position relative to the body of the
patient and in the construction of such tubes to render them
adaptable to new methods of securement.
OBJECTS
A principal object of this invention is the provision of new
improvements in post-operative drainage tubes. Further objects to
include the provision of:
1. New methods for securing post-operative drainage tubes in
position relative to the body of a patient in which a drainage tube
has been inserted.
2. Thoracic catheters, intercostal catheters, sump drain tubes and
similar medico-surgical devices with improved construction
rendering them capable of easy securement by surgeon or other
person to the body of a patient in which the tube has been inserted
for post-operative drainage purposes.
Other objects and further scope of applicability of the present
invention will become apparent from the detailed description given
hereinafter; it should be understood, however, that the detailed
description, while indicating preferred embodiments of the
invention, is given by way of illustration only, since various
changes and modifications within the spirit and scope of the
invention will become apparent to those skilled in the art from
this detailed description.
SUMMARY OF THE INVENTION
These objects are accomplished according to the present invention
by providing post-operative drainage tubes comprising an elongated
tubular member formed of non-fibrous flexible water-proof plastic
material with a suture strip formed of flexible water-proof plastic
material secured to the exterior surface of the tubular member in
superimposed relationship, i.e., piggy-back relation, with a joint
between the tubular member and the suture strip which is capable of
easy penetration by a suture needle to permit securing the drainage
tube by suturing to the body of a patient into which the drainage
tube is inserted.
The objects are also accomplished by a method of securing
post-operative drainage tubes to the body of a patient to which the
drainage tubes is inserted comprises:
a. providing a suture strip formed of flexible water-proof plastic
material secured to the exterior surface of the drainage tube in
piggy-back relation therewith and
b. securing the drainage tube to the body of a patient into which
the drainage tube is inserted by a suture which engages the suture
strip.
In one embodiment of the invention, the new drainage tube securing
method involves penetrating the joint between the suture strip and
the drainage tube with a suture needle and threading the suture
which secures the drainage tube to the patient through the opening
in the joint formed by the needle penetration. In another
embodiment, a short portion of the suture strip is released from
the drainage tube by cutting the joint between the suture strip and
the drainage tube and the suture attached to the body of the
patient is tied to the released short portion of the suture
strip.
BRIEF DESCRIPTION OF THE DRAWING
FIG. 1 is a plan view of one embodiment of a post-operative
drainage tube in accordance with the invention.
FIG. 2 is an enlarged sectional end view illustrating the method of
use of post-operative drainage tubes of the invention.
FIG. 3 is a fragmentary side view partly in section, showing a
post-operative drainage tube of the invention secured in position
relative to the body of a patient into which the drainage tube has
been inserted.
FIG. 5 is a fragmentary side view illustrating yet another method
of use of a drainage tube of the invention.
FIGS. 6-8 are sectional end views illustrating various
cross-sectional shapes of suture strips for post-operative drainage
tubes of the invention.
FIG. 9 is an enlarged sectional end view of a modified form of
drainage tube of the invention.
DESCRIPTION OF PREFERRED EMBODIMENTS
A post-operative drainage tube 2 of the invention comprises an
elongated tubular member 4 having a distal end 6 provided with
fluid entrance eyes 8 and a proximal end 10 provided with a closure
cap 12 (see U.S. Pat. No. 3,589,368) joined to the distal end 6 by
the central body portion 14.
A suture strip 16 made of flexible water-proof plastic material is
secured to the exterior surface 18 of the tubular member 4 in
superimposed or piggy-back relationship. The suture strip 16 may be
placed on the tubular member 4 by continuous extrusion of both
through a suitably shaped die. Alternatively, the tubular member 4
and suture strip 16 may be separately formed, preferably by
extrusion, and may be attached together such as by thermal welding
or solvent cementing. Advantageously, tubular member 4 is formed of
clear, transparent plastic material while the suture strip is
colored for contrast with a dye. Alternatively, a suture strip 16
may also be clear or it may be rendered opaque by addition of
fillers including X-ray opaque fillers such as barium compounds,
tin powder and the like. Suture strips may run parallel with the
tubular member 14 as shown in FIG. 1 or may be manually placed and
welded as a ring 20 as seen in FIG. 9. A plurality of such rings
may be spaced along the tubular member 4 being distributed at
portions of the drainage tube 2 where it is most likely the
drainage tube will exit through the chest or abdomen of a patient
in which the tube has been inserted.
FIG. 2 illustrates the use of a suture strip 16 of circular
cross-section. Suture strips of other cross-sections may, however,
be employed such as the oval cross-section strip 22 of FIG. 6, the
square or rectangular cross-section strip 24 of FIG. 7 or the
triangular cross-section strip 26 of FIG. 8. The oval or round
configuration is preferred to eliminate any possible tissue damage
due to sharp edges and also improves the ease of placement of the
point of a suture needle in the operation of securing the drainage
tube to the body of a patient.
Small sections of the suture strip 16 may be removed so as to
create a marking or indication 28 of some predetermined position in
the distal end of the drainage tube, the location of a specific eye
8A or similar feature of the drainage tube. Where the suture strip
16 would contain X-ray opaque filler, the removed marker portion 28
could be determined or located with the drainage tube installed in
the body of a patient by X-ray film or fluoroscoping.
The strength with which the joint between the tubular member 4 and
the suture strip 16 is formed can be varied either in the integral
extrusion method, welding method or cementing method. For example,
in the integral extrusion method, the area of contact between the
suture strip 16 and the tubular member 4 may be varied at the joint
30 between them. In the thermal welding method, the strength of the
joint can be controlled by the heat and pressure used in welding
the suture strip to the tubular member. In the cementing procedure,
the amount and/or type of solvent or cement used to form the joint
may be varied to obtain the desired strength of joint.
Advantageously, the strength of the joint 30 between the tubular
member 4 and the suture strip 16 will be controlled so that the
suture strip 16 would under no condition of normal use of the
drainage tube 2 accidentally separate, but the joint would be
capable of easy penetration by a suture needle (see FIG. 2) or
could be cut without difficulty permitting the suture strip 16 to
be peeled from the tubular member 4 (see FIGS. 4 and 5). Those
skilled in the art of fabrication of extruded tubes of plastic
material will have no difficulty in obtaining a desired controlled
strength of joint between the suture strip and tubular member
following a brief testing of joint strengths to accommodate the
fabrication procedures to specific flexible water-proof plastic
materials being employed in the operations.
The novel form of post-operative drainage tubes of the invention
make possible new methods of securing such tubes to the body of a
patient into which the drainage tube is inserted for removal of
fluids or other matters from body cavities of the patient.
Variations of the method are possible as illustrated in FIGS. 2-5.
In all of the methods, securement of the drainage tube to the
patient's body is attained by engaging the suture strip 16 with a
suture that also engages tissue of the patient's body. Variations
in the new methods involve different ways in which the suture may
engage the suture strip. As illustrated in FIGS. 2 and 3, this may
be accomplished by penetrating the joint 30 between the suture
strip and tubular member 4 with a suture needle 32 to thread the
suture 34 through an opening in the joint 30 formed by the needle
penetration. As shown in FIG. 3, the suture 34 can also be threaded
through the skin 36 adjacent the opening in the flesh 38 of the
patient through which the proximal end 10 of the drainage tube 2
extends.
In another embodiment of the methods, a short portion 40 of the
suture strip 16 may be released without breakage from the drainage
tube by cutting the joint 30 between the suture strip 16 and the
tubular member 4 to form a small unattached loop 42 through which
the suture 34 may be passed for attachment to the body of a patient
in a similar manner as illustrated in FIG. 3.
In another embodiment of the new methods, a short portion 44 of the
suture strip 16 may be released by cutting through the joint 30
between the suture strip 16 and the tubular member 4 and the
resulting loop severed to create an unattached end 46. One or more
sutures 34 may be tied or looped around this short portion 44 of
the suture strip 16 and these in turn attach to the body of a
patient by threading through the skin or flesh as illustrated in
FIG. 3.
Tubular members 4 and suture strip 16 are preferably made from the
same flexible water-proof plastic material, exclusive of any dye
which may be contained in the suture strip in order to provide
contrast between the strip and the tubular member 4. However, it is
possible to make the suture strip from different plastic material
than the tubular member 4. Advantageously, the plastic material
utilized in forming the tubular member 4 will be clear plastic free
of dyes and pigments so that the tube will be transparent to permit
visual inspection of the tube for possible obstruction or foreign
matter within the bore of the tube. Dyes, however, can be
incorporated in the plastic material of which the tubular member 4
is made without destroying the transparency should it be desired to
give a distinct color to tubular member for color coding or other
purposes. Any suitable flexible plastic material may be used in the
formation in the new drainage tubes such as vinyl chloride
homopolymers or copolymers with other vinyl esters such as vinyl
acetate and particularly such polymers which have been compounded
with suitable plasticizers to give polymers which have been
compounded with suitable plasticizers to give good flexibility to
the tubes over a broad range of temperatures. Other plastic
materials from which the products can be formed include flexible or
pliable forms of nylon, polyolefin resins, polyurethanes, polyester
plastics, acrylic polymers, cellulose esters, vinylidene chloride
polymers and the like. Eyes or openings 8 in required number may be
formed in any suitable manner in the drainage tubes (see U.S. Pat.
No. 3,375,828) and a portion or the whole of one or both inner and
outer surfaces of the drainage tube may be provided, if desired,
with a frosted surface (see U.S. Pat. No. 3,508.554).
* * * * *