U.S. patent number 3,823,720 [Application Number 05/264,757] was granted by the patent office on 1974-07-16 for surgical drain.
Invention is credited to David E. Tribble.
United States Patent |
3,823,720 |
Tribble |
July 16, 1974 |
SURGICAL DRAIN
Abstract
A surgical drain is disclosed in the form of a drainage catheter
about the inner or distal end of which a nylon net is wrapped and
retained in position loosely by a plurality of ties with the net
and catheter being encased in a thin rubber sheath in a loose
manner so that air can flow into the sheath when the outer or
proximal end of the catheter is connected to suction; an additional
feature resides in an irrigation catheter extending through and
along the length of the sheath for providing an irrigation
discharge outwardly of the distal end of the sheath for discharging
internally of the sheath for internally flushing the sheath for
discharge via the suction catheter.
Inventors: |
Tribble; David E. (Columbia,
SC) |
Family
ID: |
23007469 |
Appl.
No.: |
05/264,757 |
Filed: |
June 21, 1972 |
Current U.S.
Class: |
604/43 |
Current CPC
Class: |
A61M
27/00 (20130101); A61M 1/85 (20210501) |
Current International
Class: |
A61M
27/00 (20060101); A61M 1/00 (20060101); A61b
027/00 () |
Field of
Search: |
;128/276,278,348,349R,35R,240,241,260,268 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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|
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|
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|
|
358,933 |
|
Mar 1906 |
|
FR |
|
358,937 |
|
Jan 1906 |
|
FR |
|
847,475 |
|
Aug 1952 |
|
DT |
|
Primary Examiner: Truluck; Dalton L.
Attorney, Agent or Firm: Humphries, Esq.; Nathaniel A.
Claims
I claim:
1. A surgical drain having distal and proximal ends comprising a
thin-walled flexible tubular outer sheath having a proximal end
positionable externally of a body cavity to be drained and a distal
end positionable on the interior of the cavity, a suction drainage
catheter having means on an outer proximal end thereof for
connection to a source of suction and having an inner distal end
having inflow openings positioned in the interior of said flexible
tubular outer sheath adjacent the distal end of said sheath and
resilient mesh-like spacer means extending along the length of said
outer sheath on the interior of said outer sheath for maintaining
said outer sheath and said drainage catheter in spaced relationship
for providing a non-clogging air flow passage in the interior of
said tubular outer sheath externally of said drainage catheter for
permitting air to enter the proximal end of the outer sheath and
flow inwardly externally of the drainage catheter toward the distal
end of the drainage catheter to enhance drainage of the cavity and
prevent clogging of the drain.
2. The invention of claim 1 additionally including an irrigation
catheter extending through said sheath and having a discharge
opening adjacent the distal end of the sheath for enabling
irrigation of the cavity adjacent the distal end of the sheath.
3. The invention of claim 1 additionally including internal
irrigation means communicating with the interior of the proximal
end of said sheath for irrigating the interior of said sheath.
4. The invention of claim 3 wherein said mesh-like spacer means
comprises an air porous net extending about the outer periphery of
the drainage catheter of the interior of said sheath.
5. The invention of claim 4 wherein said internal irrigating means
comprises a needle inserted in the proximal end of said outer
sheath.
6. The invention of claim 1 wherein said sheath is a rubber-like
member and includes a plurality of apertures adjacent its distal
end.
7. The invention of claim 6 additionally including an irrigation
catheter extending through said sheath and having a discharge
opening adjacent the distal end of the sheath for enabling
irrigation of the cavity adjacent the inner end of the sheath.
8. The invention of claim 7 additionally including internal
irrigation means communicating with the interior of the proximal
end of said sheath for irrigating the interior of said sheath.
9. The invention of claim 8 wherein said spacer means comprises a
porous nylon net extending about the outer periphery of the
drainage catheter on the interior of said sheath.
10. The invention of claim 9 wherein said internal irrigation means
comprises a needle inserted in the upper end of said outer sheath.
Description
This invention is in the field of medical equipment and is
specifically directed to a new and improved surgical drain
insertable in a body cavity or wound for draining naturally
occurring liquid from the cavity. Even more specifically, the
invention is directed to a new and improved surgical drain
including irrigation means for irrigating both the interior of the
drain and the cavity with which it is associated.
The desirability of employing surgical drains has been recognized
by those of skill in the art for many years and numerous designs
have evolved for this purpose. Various structural features
incorporating different type materials and structural parts have
been employed in surgical drains previously in use and disposable
tube type plastic drains have become commercially available in
recent years. Drains of the foregoing type usually function quite
satisfactorily when serving to drain a thin fluid medium such as
urine or bile. Unfortunately, none of the presently known drains
provides satisfactory long-term drainage when the liquid being
drained is a thick exudate which has a tendency to clog or occlude
the drain to such an extent as to render it completely inoperative.
Drainage of such thick liquids of the last-mentioned type is a
particularly critical problem and must be effected in order to
avoid extremely serious consequences to the patient. While the best
of the presently known drain devices will usually function for a
short period of time, such devices unfortunately tend to clog and
become inoperative in a few short hours. Therefore, there is a
substantial need for a new and improved surgical drain capable of
functioning over a substantial period of time following
installation without clogging or otherwise becoming
inoperative.
For these reasons, it is the primary object of the subject
invention to provide a new and improved surgical drain means.
Achievement of the object of this invention is enabled through the
provision of a surgical drain formed of a drainage catheter having
a nylon net wrapped around its innermost end in a rather loose
plurality of convolutions and held in position by a plurality of
silk ties belting the net at spaced points along its length. The
drainage catheter and the encircling nylon net are positioned on
the interior of a flexible tubular sheath of rubber or equivalent
material so that the nylon net provides a porous space on the
interior of the sheath. The proximal end of the sheath extends
externally of the patient and the application of suction to the
drainage catheter creates a flow of air downwardly inside the
sheath externally of the drainage catheter which flow of air has a
beneficial effect upon the operation of the drain.
Additionally, an irrigation catheter extends internally of the
sheath along the entire length of the sheath and protrudes beyond
the innermost end of the sheath for enabling the discharge of
irrigation fluid in the innermost portions of the cavity in which
the drain is positioned.
In addition, a plastic needle extends into the proximal end of the
interior of the sheath for enabling the injection of irrigation
fluid into the interior of the sheath for flushing the sheath
either at timed intervals or continuously as desired. Tie means
extend through the sheath for retaining the plastic needle in
position and for also retaining the irrigation catheter in position
with respect to the sheath so that reliable structural integrity is
achieved.
The subject invention has been found to be extremely useful in
providing draining of serious life-threatening situations where
effective drainage over a substantial time period is imperative for
the receovery of the patient. Examples of such situations include
deep abcesses, contaminated traumatic wounds likely to become
severely infected, duodenal and bowel fistulas and pancreatic
trauma.
A better understanding of the subject invention will be enabled
when the following written description of the preferred embodiment
is read in conjunction with the appended drawings, in which:
FIG. 1 is a perspective view illustrating a typical usage of the
preferred embodiment in conjunction with an abdominal cavity;
FIG. 2 is an exploded perspective view of the various components of
the preferred embodiment;
FIG. 3 is a perspective view of an assembled drainage catheter and
nylon spacer net of the preferred embodiment;
FIG. 4 is a perspective view of the completely assembled preferred
embodiment; and
FIG. 5 is a sectional view taken along lines 5--5 of FIG. 4.
Attention is initially invited to FIG. 2 of the drawings which
illustrates the component parts of the preferred embodiment 18
which includes a drainage catheter 20 preferably of plastic
construction having a plurality of inflow openings 22 adjacent its
inner distal end and having an outer distal end fitting 24
connectable to a conventional suction source 19 as shown in FIG. 1.
Porous spacer means in the form of a nylon net 26 is wrapped about
the inner end of the drainage catheter 20 in a plurality of
convolutions held in position by three silk ties 28 belting the net
as shown in FIG. 3.
The spacer means 26 formed of the convolutions of nylon net and the
lower end of the catheter 20 about which the nylon net is wound are
positioned on the interior of a thin-walled rubber sheath 30 having
a plurality of inflow openings 32 adjacent its innermost distal
end. Sheath 30 is the type device frequently referred to as a
penrose drain.
An irrigation catheter 34 extends through the sheath 30 and has a
distal end which protrudes beyond the distal end of the sheath as
shown at 36 with a discharge opening 38 being provided in the
distal end of catheter 34.
Internal sheath irrigation means in the form of a plastic needle 39
extends into the interior of the sheath 30 adjacent the proximal
end thereof. Needle 39 is of the type frequently referred to as a
"rochester" needle and is held in position by a silk tie 40 as
shown in FIG. 4 of the drawings. Similarly, the irrigation catheter
34 is maintained in position by a silk tie 42 as is also
illustrated in FIG. 4.
FIG. 1 illustrates a typical usage of the preferred embodiment
which, in this case, is illustrated in conjunction with the
drainage of an abdominal cavity such as is involved in a pelvic
abcess.
It should be understood that the drain is capable of usage in a
variety of cavities requiring drainage and the size of the drain
can vary in accordance with the particular usage in which it is to
be employed.
In any event, the spacer means defined by the nylon net 26 serves
to space the outer sheath 30 away from the drainage catheter 20.
Consequently, an air passage is maintained throughout the entire
length of the interior of the sheath 30 and connection of the
suction fitting 24 to a source of suction 19 consequently results
in a continuous inflow of air into the interior of the sheath and
downwardly toward the inflow openings 22 of the drainage catheter
20. This inflow of air has been found to be extremely effective in
preventing clogging or occluding of the drain.
Additionally, irrigation of the wound can be effected by the
introduction of fluid via the irrigation catheter 34 either upon a
continuous basis or upon a cyclic timed basis as the case may
be.
Similarly, the internal irrigation means comprising the plastic
needle 39 can be either continuously or intermittently operated to
provide irrigation fluid to the interior of sheath 30 in an obvious
manner. Fluid provided by the needle 39 will be removed by means of
the openings 22 of the suction catheter.
The particular fluid provided by the plastic needle 39 and the
irrigation catheter 34 will depend upon the nature and condition of
the cavity being drained and can include an antibiotic or other
medicinal liquid specified by the attending physician. The
irrigating catheter 34 serves primarily to irrigate the abcessed
cavity or wound and the inflow openings 32 enable drainage of the
irrigating fluid to the suction catheter 20 in a self-evident
manner.
Numerous modifications of the subject device will undoubtedly occur
to those of skill in the art and it should be understood that the
spirit and scope of the invention is to be limited solely by the
appended claims.
* * * * *