U.S. patent number 3,788,318 [Application Number 05/261,793] was granted by the patent office on 1974-01-29 for expandable cannular, especially for medical purposes.
Invention is credited to Andress Dusseau, Sung Soo Kim.
United States Patent |
3,788,318 |
Kim , et al. |
January 29, 1974 |
EXPANDABLE CANNULAR, ESPECIALLY FOR MEDICAL PURPOSES
Abstract
An expandable tube, referred to herein as a cannula, is formed
by arranging at least one sheet of thin flexible material to form a
tube while providing teeth or the like on the interengaging
surfaces to permit controlled expansion of the tube by adjusting
the surfaces over one another.
Inventors: |
Kim; Sung Soo (Fort Wayne,
IN), Dusseau; Andress (Geneva, IN) |
Family
ID: |
22994893 |
Appl.
No.: |
05/261,793 |
Filed: |
June 12, 1972 |
Current U.S.
Class: |
604/164.03;
606/198; 604/104 |
Current CPC
Class: |
A61M
5/00 (20130101); A61M 25/0662 (20130101); A61B
17/3439 (20130101) |
Current International
Class: |
A61M
5/00 (20060101); A61B 17/34 (20060101); A61M
25/06 (20060101); A61m 005/00 () |
Field of
Search: |
;128/347-351,341,343,345,214R,215,214.4,221,3-9,17,18,20,242 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Truluck; Dalton L.
Attorney, Agent or Firm: Jeffers; Albert L. Rickert; Roger
M.
Claims
What is claimed is:
1. A cannula for insertion into the body vascular system comprising
an elongated tubular portion open at both ends having slidably
received therein a removable piercing instrument having a body
piercing point protruding from one end of said elongated tubular
portion, said tubular portion comprising at least two sheet
elements concave toward the axis of said tubular portion, said
sheet elements having circumferential portions thereof in
overlapping face to face engagement along substantially the entire
longitudinal length of said tubular portion, and interengaging
teeth formed on the opposed faces of said circumferential portions
of said sheet elements and also extending along at least a portion
of the longitudinal length of said tubular portion; said teeth
being circumferentially inclined to permit relative radial movement
of said circumferential portions of said sheet elements in a
direction to expand said tubular portion while preventing relative
movement of said circumferential portions in the opposite
direction, and adjustable means including means connected to said
sheet elements and operable to adjust said overlapping regions
relatively in at least the direction to increase the diameter of
the tubular portion.
2. A cannula according to claim 1 in which each sheet element has
teeth formed on the inside at a first circumferential portion at
one end and on the outside at a second circumferential portion at
the other end, said elements being disposed with the said one end
of each element overlapping the outside of the said other end of
the other element.
3. A cannula according to claim 1 in which one said element is
provided with teeth on the radially outer side and the other said
element is provided with teeth on the radially inner side and the
elements are disposed in concentric engagement with said one
element inside said other element.
4. A cannula according to claim 1 in which said tubular portion
comprises a single sheet element wound into a spiral form about the
axis of said tubular portion and having the inside of the outer end
and the outside of the inner end provided with interengaging teeth,
said teeth being inclined to permit relative movement of said ends
in a direction to expand said cannula while preventing relative
movement thereof in the opposite direction.
5. A cannula according to claim 1 which includes a guide ring on
said cannula at one end and said adjusting means comprises finger
piece means connected to said tubular portion and adjustable
circumferentially of said ring.
6. A cannula according to claim 1 which includes a guide ring at
one end of said cannula surrounding said tubular portion, said
adjusting means including finger piece means connected to said
sheet means and projecting radially therefrom outwardly beyond said
guide ring and adjustable circumferentially of said guide ring.
7. A cannula according to claim 6 which includes means anchoring at
least one point along the circumference of said sheet means to said
guide ring.
8. A cannula according to claim 6 which includes flange means at
the guide ring end of said cannula.
9. A cannula according to claim 8 in which said flange means is
attached to said guide ring.
10. A cannula according to claim 6 in which said guide ring is
circumferentially slotted for receiving said finger piece
means.
11. A cannula according to claim 6 which includes rod means
extending axially along said sheet means in a region thereof
circumferentially near said finger piece means.
12. A cannula according to claim 11 in which said rod means is
connected to said finger piece means whereby the control action
afforded by said finger piece means is effective over the entire
axial length of said sheet means.
13. A cannula according to claim 12 in which said sheet means is a
resilient plastic material and said rod means is imbedded
therein.
14. A cannula according to claim 1 in which a circumferential
portion of each said element is disposed inside the circumferential
portion of the other said element, and means connected to at least
the outer side edges of said sheet elements for adjusting said
sheet elements relative to each other to vary the diameter of said
tubular portion.
Description
The present invention relates to an expandable tube, or cannula,
especially for medical purposes.
Cannula are often used for medical purposes. A cannula may be
defined as an elongated tube formed of plastic or metal large
enough so that at least a small needle can be passed therethrough.
A cannula is employed to provide access to a blood vessel or a body
cavity to introduce fluid into the blood vessel or to withdraw
fluid from a body cavity. In one case, a cannula is provided to
give access to a vein with a tube being introduced into the vein
through the cannula to remain therein during the supply of fluid to
the vein.
In another case, such as Seldinger procedure, a cannula is
introduced into a blood vessel and a wire is inserted through the
cannula, whereupon the cannula is withdrawn and a larger cannula,
or a catheter, is guided along the wire and introduced into the
vessel.
Due to the great many purposes to which a cannula can be put, a
variety of sizes of cannula is provided so as to be able to meet
each situation. The placing of cannula is often a difficult
procedure requiring the cut down procedure and highly skilled
personnel and many times resulting in great discomfort to the
patient.
With the foregoing in mind, a primary objective of the present
invention is the provision of a cannula which can be radially
expanded from a small diameter size to a larger diameter size.
Another object of the invention is the provision of a cannula which
can be radially expanded thereby permitting the formation of a
relatively large access passage from a preliminary relatively small
puncture or incision.
Another object of the present invention is the provision of a
cannula which is expandable and which thereby eliminates the need
for surgical procedure to search for a vein or artery of ample size
to receive a large nonexpandable cannula.
Still another object of the present invention is the provision of
an expansible cannula which is relatively easy to use thereby
permitting an emergency situation to be met rapidly and
efficiently.
A further object of this invention is to provide the larger cannula
through which a large catheter, such as diagnostic angiographic
catheter, cardiac catheterization catheter or an electrode of a
temporary pace maker, can be introduced to desired level of blood
vessel thereby eliminating the necessity of performing the
Seldinger procedure.
BRIEF SUMMARY OF THE INVENTION
According to the present invention, either a single thin flexible
sheet, or multiple sheets, are formed to define a tubular
configuration about a predetermined axis with portions of the
sheet, or sheets, in overlapping face to face engagement. The
overlapped portions of the sheet, or sheets, are provided with
interengaging teeth, somewhat like saw teeth, which permit
expansion of the cannula by movement of the aforementioned
overlapping portions in one direction relative to each other while
preventing movement thereof in the opposite direction.
The cannula may be formed of sheet metal, such as stainless steel,
or it may advantageously be formed of plastic material. One end of
the cannula is adapted for introduction into the body and the other
end is provided with a guide ring having a flange and with the
guide ring cooperating with control elements for controlling the
expansion of the cannula.
The cannula is tubular and open at both ends and is thereby adapted
for receiving a piercing instrument for making a preliminary
puncture in the body to receive the end of the cannula. The
piercing instrument has an axial canal or bore for receiving a
stylette which can be removed from the piercing instrument to
indicate by blood flow that the piercing guide is in the proper
location.
The foregoing objects as well as still other objects and advantages
of the present invention will become more apparent upon reference
to the following detailed specification taken in conjunction with
the accompanying drawings in which:
FIG. 1 is a side elevational view of a cannula according to the
present invention in minimum diameter position.
FIG. 2 is a view like FIG. 1 but shows the cannula in maximum
expanded position.
FIG. 3 is a plan sectional view indicated by line III--III on FIG.
1 and showing details of construction of the cannula.
FIG. 4 is a view like FIG. 3 but shows a modification.
FIG. 5 is a view like FIG. 3 but shows a still further
modification.
FIG. 6 is a view like FIG. 5 but shows the cannula in contracted
position.
FIG. 7 is a view like FIG. 3 showing another modification.
FIG. 8 is a side view of a still further modification.
FIG. 9 is a section on line IX--IX of FIG. 8.
FIG. 10 is a fragmentary perspective view of a portion of FIG.
8.
DETAILED DESCRIPTION OF THE INVENTION
Referring to the drawings somewhat more in detail, the cannula
shown in FIGS. 1 to 3 comprises an elongated tubular portion 10
open at both ends and having mounted on one end a guide ring 12
which is provided with slot means 14 through which extend one or
more side bars, or finger piece means 16 which form the control
means for controlling the expansion of the cannula.
Guide ring 12 is preferably provided with an upstanding flange 18.
The cannula, when in collapsed position as shown in FIG. 1, is
adapted for receiving a piercing instrument 20 introduced into the
cannula from the guide ring end thereof and having a piercing point
22 projecting from the other end of the cannula.
When point 22 is introduced into the body, as for example, by
piercing the skin and entering the vein or artery, the instrument
will guide the tubular portion 10 of the cannula through the
pierced aperture and into the artery or vein, whereupon the
piercing instrument can be withdrawn and the cannula can then be
expanded to the desired size.
FIG. 3 will show that tubular portion 10 is formed of two sheet
elements 22 and 24 with each less than completely circular and
which are coaxial with the axis 26 of tubular portion 10. Each of
the elements 22 and 24 is provided on the inside near one end with
teeth 28 and on the outside near the other end with teeth 30. The
teeth 28 of each of the elements 22 and 24 cooperate with the teeth
30 on the other thereof to permit expanding of the cannula while
preventing collapsing thereof so that in the event the cannula is
subjected to external pressure when in use, it will not
collapse.
It will be seen that the elements 22 and 24 are advantageously
formed with a somewhat resilient plastic material and could also
comprise a metal, such as stainless steel, if so desired.
Each of the elements 22 and 24 is provided with a control post 32
extending radially therefrom and through a corresponding aperture
34 in guide ring 12. Further near the free outer end of each of the
elements 22 and 24, there is provided the aforementioned side bar,
or finger piece, 16 slidable in the respective slot 14 in guide
ring 12.
It will be evident that the finger pieces 16 can be moved along the
respective slots 14 provided therefor and thereby effect expansion
of the cannula radially and that the cannula will remain in any
adjusted position thereof, even though subjected to considerable
external pressure.
In the arrangement of FIG. 4, disposed inside a guide ring 40 is an
outer element 42 forming less than a complete circle and therein is
an inner element 44 also forming somewhat less than a complete
circle with the axial regions of separation of the ends of the
elements diametrically opposite each other. Inner element 44 has
external teeth 46 thereon and outer element 42 has internal teeth
44 thereon cooperating in the same manner as teeth 28 and 30
pertaining to the first described modification.
The free ends of the inner member are provided with respective
finger pieces 48 which extend through circumferential slot means
formed in the outer elements 42 and in guide ring 40 so that
movement of finger pieces 48 away from each other will effect
expansion of the cannula radially.
FIG. 5 shows a modification similar to that of FIG. 4 and wherein
there is disposed within guide ring 50 an inner toothed element 52
and an outer toothed element 54 with the elements cooperating in
the same manner as described in connection with FIG. 4. However, in
FIG. 5, inner element 52 has a control post 56 thereon extending
through an aperture 58 in guide ring 50 while the free ends of
outer element 54 are provided with the finger pieces 60 moveable
along slots 62 in guide ring 50 for expanding the cannula.
FIG. 6 shows the FIG. 5 modification in contracted position.
FIG. 7 shows a modification in which a single sheet-like flexible
element 70 is wound up in the form of a spiral with the
interengaging faces of the spiral having teeth 72 somewhat like saw
teeth and so inclined as to permit the interengaged surfaces of the
wound up sheet to move over each other in the expanding direction
of the cannula while preventing movement in the opposite direction.
In the modification of FIG. 7 the outer end of the cannula is
surrounded by a guide ring 74 and the free outer end of element 70
is provided with a finger piece 76 extending radially through guide
ring 74 and moveable circumferentially thereof along slot 78.
Similarly, the inner end of the wound up sheet is provided with a
finger piece 80 extending radially through the guide ring and
circumferentially adjustable thereof along slot 82. Finger piece 80
also projects through a circumferential slot in the convolution of
element 70 immediately radially outwardly therefrom to permit
adjusting movements of finger piece 80.
At some intermediate point along the wound up element 72 there is
provided a control post 84 fixed to the element and extending
radially therefrom through an aperture 86 provided in guide ring
74.
In each of the modifications illustrated and described, the cannula
is adapted to expand from an initial starting diameter, which can
be made quite small and is locked in each position of radial
expansion.
The cannula is provided, at the end opposite the end which is
introduced into the body, with a guide ring having elements thereon
and flanged for manipulation of the cannula and flanged for
receiving a connecting portion such as connector to I.V. tubing or
connector to syringe and to guide a piercing instrument or the like
therein.
FIGS. 8, 9 and 10 show a modification adaptable to any of the
foregoing modifications illustrated. In FIG. 8, the tubular portion
10 of the cannula, which may be made up of one or more sheets of
flexible material, has thereon, at at least the outermost edge of
the sheet means, a stiffening rod 90 extending axially along the
edge of the sheet means and advantageously connected at its upper
end to the finger piece or side bar pertaining to the respective
sheet means.
More than one of the side rods 90 could be employed wherever
stiffening of the tubular portion of the cannula was desired and
wherever it was desired to effect fine control over the adjustment
of the cannula over the entire length thereof.
Side rod 90 can be of any cross sectional configuration and may be
round as shown in FIG. 10 and is adapted for being imbedded in the
respective sheet means 92 to which it pertains so that no forwardly
facing edge is formed by the end of the side rod. The side rod
could, of course, be ribbon-like and it would be stiff in the
circumferential direction of the cannula while remaining flexible
in the lateral direction thereof.
Modifications may be made within the purview of the appended
claims.
* * * * *