U.S. patent number 3,809,087 [Application Number 05/361,026] was granted by the patent office on 1974-05-07 for closed wound suction apparatus having biased plate members.
Invention is credited to Royce C. Lewis, Jr..
United States Patent |
3,809,087 |
Lewis, Jr. |
May 7, 1974 |
CLOSED WOUND SUCTION APPARATUS HAVING BIASED PLATE MEMBERS
Abstract
Continuous suction apparatus for post operative wounds comprised
of contiguous plates superimposed upon one another in aligned
relationship, and having guide means associated therewith so that a
distracting force biases the plates apart from one another. A
disposable, collapsible bag has opposed faces thereof removably
affixed to the adjacent faces of the plate members so that when the
plates are pulled apart by the distracting force, a reduced
pressure is effected within the interior of the bag. A disposable
plastic tubing is placed in communication with the interior of a
wound and the interior of the bag so that any secretion formed
within the wound is immediately withdrawn into the sterile
disposable bag, thereby greatly facilitating healing of the
wound.
Inventors: |
Lewis, Jr.; Royce C. (Lubbock,
TX) |
Family
ID: |
23420350 |
Appl.
No.: |
05/361,026 |
Filed: |
May 17, 1973 |
Current U.S.
Class: |
604/134 |
Current CPC
Class: |
A61M
1/0011 (20130101) |
Current International
Class: |
A61M
1/00 (20060101); A61m 001/00 () |
Field of
Search: |
;128/145.5-,145.7,226,230,276-278 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Rosenbaum; Charles F.
Attorney, Agent or Firm: Bates; Marcus L.
Claims
1. Closed wound suction apparatus for providing continuous suction
in post operative wounds comprising spaced contiguous plate
members, each plate member having a face, said plate members being
arranged to provide opposed faces, spaced guide means by which said
members are superimposed one upon another and movable in aligned
relationship with respect to one another;
biasing means by which one said plate member is urged to move away
from the other said plate member;
a collapsible bag, said bag having opposed surfaces thereon, means
by which said opposed surfaces are removably affixed to said
opposed faces of said plate members;
means forming an inlet to said bag, a tubing said tubing having one
end thereof affixed to said inlet and a free end thereof for
placement within a wound;
whereby, when said bag is partially collapsed and said free end of
the tubing is surgically placed within a wound, any secretions
formed within
2. The apparatus of claim 1 and further including means forming an
adhesive, said opposed surfaces of said bag being coated with said
adhesive to provide for said means by which said opposed surfaces
of said
3. The apparatus of claim 1 wherein said bag is provided with a
plurality of accordian like folds formed between said opposed
surfaces thereof so that said opposed surfaces may be distracted
relative to one another when said faces of said plate members are
distracted relative to one another.
4. The apparatus of claim 1 wherein said guide means includes
spaced posts affixed about a marginal edge of one said plate
member, and spaced housings affixed about a marginal edge of the
remaining plate member with each housing and post being aligned
respective to one another so that the
5. The apparatus of claim 4, wherein said biasing means is a spring
located within said housing, and arranged in compression with one
end biasing one plate in a first direction and another end biasing
the remaining plate in a direction opposed to said first direction,
thereby biasing the plates
6. The apparatus of claim 4 wherein said biasing means is a
resilient elongate member located with one end affixed to a post
and the other end affixed to a housing with said resilient member
being placed in tension so
7. The apparatus of claim 1, wherein said collapsible bag is made
of plastic, and is provided with accordian like folds about the
periphery
8. The apparatus of claim 1, wherein a one-way check valve means is
flow connected in series relationship between said bag and the free
end of said tubing so that flow from the wound can flow through the
check valve and
9. The apparatus of claim 1 wherein said bag and said tubing are
packaged in sterile condition in a container so that a plurality of
bags and tubes may be supplied for a single plate apparatus,
thereby enabling a used bag
10. The apparatus of claim 1 wherein said opposed surfaces of said
bag are provided with a coating of an adhesive material to provide
for said means by which said opposed surfaces are removably affixed
to said opposed faces of said plate members;
said opposed surfaces of said bag having a protective coating
removably attached to the adhesive coating so that the protective
coating may be removed, thereby enabling the bag to be secured to
the plate by the exposed adhesive material;
said bag is provided with a plurality of accordian like folds
between said opposed surfaces so that said opposed surfaces may be
distracted relative to one another when said faces of said plates
are distracted relative to one another.
Description
BACKGROUND OF THE INVENTION
Surgical evacuator apparatus of the prior art which establish
closed wound drainage generally are dependent upon complicated
mechanism for effecting a negative pressure for causing accumulated
fluids within the wound to be drained externally. A primary problem
of these prior art apparatus is maintenance, sterility, cost,
dependability, and the requirement that a highly trained technician
be available for supervising the operation thereof. In most prior
art surgical evacuator devices, the accumulation of fluids must be
emptied from the reservoir from time to time, thereby bringing
about an extremely dangerous condition in that the fluid contained
within the reservoir accidentally could be forced back into the
wound itself through the same tube from which the fluids drain from
the wound. Furthermore, where suction producing chambers of the
prior art are employed, it is possible for the patient to roll over
onto the suction chamber, thereby collapsing the container a
sufficient amount to produce a hydrostatic head which in turn could
cause the before mentioned backflow to occur into the wound.
Accordingly, it is desirable to have closed wound suction apparatus
for providing continuous suction in post operative wounds which
avoids the practice of the before mentioned dangers, which is low
in cost, simple to operate, and which includes a sterile packaged
assembly of the components which are to be placed in fluid
communication with the wound with the packaged sterile apparatus
being sufficiently low in cost to permit it to be discarded after
each use.
SUMMARY OF THE INVENTION
This invention comprehends a closed wound suction apparatus for
providing continuous suction in post operative wounds so that any
secretions are immediately withdrawn into a sterile bag and not
allowed to accumulate in the wound. The apparatus is comprised of
spaced contiguous plate members having guide means by which the
members may be superimposed one upon the other and moved into
abutting engagement with one another, with one face of one plate
being abuttingly received by the opposed face of the remaining
plate member.
Biasing means urges one plate away from the other while the guide
means maintain the plates in parallel aligned relationship. A
collapsible bag is sandwiched between the opposed faces of the
plates and has opposed outwardly directed wall surfaces thereof
removably attached to the opposed faces of the plates. As the
biasing means moves the plates away from one another, the bag is
urged into a partially opened configuration, thereby reducing the
pressure therewithin relative to ambient.
One end of the tubing is placed in communication with the interior
of the bag and the remaining end is placed in communication with a
closed wound enabling reduced pressure to be effected within the
interior of the closed wound itself, thereby causing any secretions
formed within the wound to flow through the tube and into the
disposable bag.
A primary object of the present invention is the provision of
improvements in closed wound suction apparatus.
Another object of the invention is the provision of a closed wound
suction system having disposable fluid carrying components.
A further object of this invention is to provide a closed system
for subjecting a wound to a positive drainage, thereby preventing
accumulation of fluids therewithin.
A still further object of this invention is to provide a surgical
evacuator device having a disposable collapsible bag associated
therewith into which fluids from a wound are caused to flow.
Another and still further object is to provide a sterile evacuator
device for removing fluids from a closed wound, wherein the fluid
contacting components of the device are packaged in a sterile
container and may be discarded after use.
These and various other objects and advantages of the invention
will become readily apparent to those skilled in the art upon
reading the following detailed description and claims and by
referring to the accompanying drawings.
The above objects are attained in accordance with the present
invention by the provision of a combination of elements which are
fabricated in a manner substantially as described in the above
abstract and summary.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of one embodiment of the present
invention;
FIG. 2 is an enlarged, side elevational view of the apparatus
disclosed in FIG. 1;
FIG. 3 is a cross-sectional view taken along line 3--3 of FIG. 4;
while FIG. 4 is a cross-sectional view taken along line 4--4 of
FIG. 3;
FIG. 5 is an enlarged, fragmentary, part cross-sectional view of
part of the apparatus disclosed in the foregoing figures;
FIG. 6 is a broken, part cross-sectional view taken along line 6--6
of FIG. 5;
FIG. 7 is a fragmentary, part cross-sectional view similar to FIG.
5, which sets forth another embodiment of the present
invention;
FIG. 8 is a fragmentary, part cross-sectional view, similar to FIG.
5, which sets forth still another embodiment of the present
invention;
FIG. 9 is a reduced top plan view of a collapsible bag used in
conjunction with the apparatus disclosed in the foregoing figures
with some parts thereof being broken away so as to disclose some of
the parts therebelow;
FIG. 10 is a side elevational view of the bag apparatus disclosed
in FIG. 9, with the bag being in expanded configuration;
FIG. 11 is a side elevational view of the bag disclosed in FIG. 9
with the bag being disclosed in the fully collapsed
configuration;
FIG. 12 sets forth a top elevational view of a modification of the
apparatus disclosed in the foregoing figures;
FIG. 13 is a part diagrammatical, part schematical illustration of
one use of the present invention;
FIG. 14 is an enlarged, detailed, fragmentary, part cross-sectional
representation of the check-valve assembly disclosed in FIG.
13;
FIG. 15 is a disassembled, fragmentary representation of a
modification of part of the apparatus of FIG. 5;
FIG. 16 is similar to FIG. 5 and sets forth still another
embodiment thereof; and
FIG. 17 is similar to FIG. 16 and sets forth a modification
thereof.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
FIG. 1, together with FIGS. 2 - 6, disclose a closed wound suction
apparatus 15 made in accordance with the present invention. The
apparatus is comprised of spaced contiguous plate members 16, 17
movable respective to one another. Hereinafter the movable plate 16
is referred to as the "movable plate" and plate 17 is referred to
as the "fixed plate."
One of a plurality of biasing means 18 provides a distracting force
by which the plates are urged to move away from one another. Spaced
guide means in the form of a female member or housing 20
telescopingly receives a post 19 in a slidable manner
therethrough.
Each plate member has an adjacent opposed bag receiving face 21 and
22, respectively, which can be moved substantially into abutting
engagement with one another, or into abutting engagement with
opposed faces of the bag when the bag is placed in sandwiched
relationship therebetween.
A recessed peripheral marginal edge portion 23 of the plate extends
about the entire perimeter thereof. One plate member is apertured
at 24 for receiving the neck or inlet of a collapsible bag
therethrough. Annular stop means 25 defines the upper terminal end
of the housing. The internal wall surface 26 of the housing and the
external wall surface of the post 19 forms the annulus 26'. Biasing
means in the form of a coil spring 27 is concentrically arranged
relative to the housing and to the post, with one terminal end of
the spring abuttingly engaging the cup-like annular groove 28 at
the base of the post while the remaining terminal end of the spring
abuttingly engages the before mentioned annular stop means 25.
The terminal end 29 of the post is provided with pin 30, thereby
capturing stop washer 31 therebelow. Peripheral shoulder 32 defines
the outermost edge portion of each of the plate members.
The collapsible bag 34 preferably has a side wall thereof formed
into pleats 35 in the nature of an accordian, with opposed outer
surfaces 36, 37 of the bag being provided with an adhesive material
39 by which the face of the bag can be releasibly secured to the
face of the plate. Protective overlay paper 38 isolates the
adhesive until it is needed in order to releasibly secure the bag
to the plate. The side wall of the bag must be sufficiently
resilient to be easily made into the accordian-like configuration,
yet the bag must have a structural integrity sufficient to avoid
rupture while in use.
As seen in the embodiment of FIG. 7, the post 19 extends into and
terminates within the interior of the housing 120. The housing is
closed at 125 and open at the opposite end to form a post receiving
chamber 126'. Spring 127 is disposed within the chamber with the
free terminal end of the post and the innermost portion of the
chamber receiving the compressed spring therebetween. The spring
preferably is affixed to the closure member 125 so that it will not
become dislocated during disassembly.
In the embodiment of FIG. 8, the post 119 is provided with a
removable cap 231, and is apertured at 45. Pin 46 is received
through aperture 45 when plate face 21 is placed in close proximity
of plate face 22, thereby holding the plates adjacent to one
another.
In FIG. 9, numeral 34 indicates a square bag, while in FIG. 12,
numeral 134 indicates a round bag.
In FIGS. 10 and 11, inlet 42 provides a means by which a tubing
connection can be made to effect a flow passageway into the
interior of the disposable bag.
FIG. 12 illustrates a closed wound suction apparatus made in a
manner similar to FIG. 4, but with the plate members being circular
in configuration, and with the round plastic bag 139 lying between
the contiguous plate members.
FIGS. 13 and 14 illustrate a check valve 50 series connected
between inlet 42 of the collapsible bag and an elongate plastic
tubing 53. Tubing 53 has a marginal free end portion thereof
apertured in the illustrated manner of numeral 51, with the
apertured portion of the tubing being placed within the interior of
a closed wound diagrammatically illustrated by the numeral 52. The
check valve can be anchored by a conventional clamp 54 in close
proximity to the inlet 42, if desired. Numeral 55 illustrates
reinforcement provided on the bag neck so as to increase the
structural integrity of the inlet portion thereof.
Annular abutment 56 prevents the depending end 57 of the check
valve assembly from being excessively telescoped into the bag
inlet. A circumferentially extending depression 58 enables
fastening means in the form of a clamp, or a rubber band, to be
placed thereabout so as to positively secure the check valve
assembly to the inlet. Ball 59 is captured within the check valve
assembly by transverse pin 60 so that the ball is retained closely
adjacent to a valve seat 61. The ball will sealingly engage the
seat should backflow inadvertently occur through the tubing.
Looking now to the details of FIGS. 16 and 17, there is disclosed a
guide means 118 in the form of the before mentioned post 119 which
is slidably received in a reciprocating manner by the housing 120.
Spaced hooks 65, 66, respectively, are attached to the terminal end
of the post and of the housing, respectively, to provide purchase
for the free ends of a spring 127.
In FIG. 17, a rubber band 227 has been substituted for the tension
spring 127 of FIG. 16. The number of and the elasticity of the
rubber bands determine the biasing force of the biasing means.
In operation, the apparatus is placed in a standby configuration by
allowing the plates to be displaced from one another a maximum
amount, thereby enabling the movable plate to be removed from the
apparatus. The collapsible bag is unpackaged from its sterile
container, and the protective overlay is removed from the adhesive
located on one face of the bag. The bag is then placed upon the
fixed plate so that the exposed adhesive securely holds the bag to
the plate face. The protective paper is next removed from the
remaining side of the bag, thereby exposing the adhesive bearing
area thereof. The movable plate member is properly assembled to the
fixed member and face 21 brought to bear against the remaining
exposed adhesive. Bag neck inlet 42 at this time will be telescoped
through aperture 24, thereby enabling the check valve assembly 50
to be assembled thereto in the illustrated manner of FIGS. 13 and
14.
The apertured free marginal end of the plastic tubing is surgically
placed in the operative wound and brought percutaneously to emerge
from the skin some distance from the wound itself, whereupon the
wound is then closed by suturing. The remaining end of the tubing
is connected to the check valve assembly in the illustrated manner
of FIG. 14. Before effecting the connection at 50, the collapsible
bag is fully collapsed by moving the movable plate member towards
the fixed plate member, thereby completely collapsing the bag, and
expelling air therefrom. With the bag held in a collapsed
configuration, the tubing connection at the check valve assembly is
effected, whereupon the plate members are then permitted to be
detracted from one another by the biasing means. This action
produces a reduced pressure within the entire system, including the
closed wound itself.
Any secretions, including blood, are immediately withdrawn as they
are formed within the wound. The suction established within the
sterile bag causes a continuous flow of the fluids from the wound
with the fluids accumulating within the sterile bag.
As the fluids accumulate within the sterile bag, should bacteria
inadvertently be introduced into the system, the contaminated fluid
cannot be reintroduced into the wound because of the presence of
the check valve assembly 50 should the direction of flow
inadvertently be reversed. Should it become necessary to change a
bag, it is preferred that a tube clamp be placed upstream of the
check valve, and the check valve inserted into the inlet of another
closed wound suction apparatus of the present invention. Should a
second unit be unavailable for use, it is merely necessary to
assemble the unit with a new bag being sandwiched between the
opposed plate members, whereupon the check valve assembly can then
be plugged into the neck or inlet of the new sterile bag.
The used bag is easily removed from the plate members by grasping
an edge portion of one of the opposed faces of the bag and pulling
the bag at an acute angle from the plate member, similar to the
manner in which a piece of masking tape is removed from a polished
surface. The used bag can be sealed and destroyed in the usual
manner. The adhesive is selected from any commercially available
non-hardening material. The protective paper may be provided with a
coating of silicon material to facilitate its release from the
adhesive.
In order to remove the plate member 16 from the assembly of FIG. 5,
pin 30 and washer 31 are removed from the post, whereupon the
housing can then be telescoped off the post as the plate is lifted
free of its guide means. Where keeper 131 is used in lieu of the
pin and washer arrangement, the handle 144 is pulled with
sufficient force to cause the spaced legs forming the split washer
143 to be released from the annular groove 130 of post 119.
In removing the plate member from the assembly of FIG. 7, the plate
is merely lifted upward, carrying spring 127 therewith. Reversal of
this procedure is necessary for reassembly of the apparatus.
In order to disassemble the apparatus disclosed in the embodiment
of FIG. 8, cap 231 is unscrewed from the threaded upper marginal
end portion 230 of the post 119 in order to remove the movable
plate member from the fixed plate member. After the bag has been
assembled to the opposed plate members, the air is expelled from
the bag in the before described manner, and the plates are left
contiguous to one another until the system is placed in use by
anchoring the post to the housing by means of the pin 46 which is
placed within the aperture 45, so that the pin bears against the
housing closure 25, thereby preventing further movement of the post
relative to the movable plate. As seen in the illustration of FIGS.
1 and 13, the apparatus can be placed upright on a plate member or
inverted so that it is supported by the guide means.
The major components of the present invention preferably are made
of molded plastic, although it could equally well be fabricated
from aluminum, steel, or alloys.
* * * * *