U.S. patent number 3,830,238 [Application Number 05/304,329] was granted by the patent office on 1974-08-20 for surgical drainage system with pressure measuring device.
This patent grant is currently assigned to Deknatel Inc.. Invention is credited to Robert E. Bidwell, Leonard D. Kurtz.
United States Patent |
3,830,238 |
Kurtz , et al. |
August 20, 1974 |
SURGICAL DRAINAGE SYSTEM WITH PRESSURE MEASURING DEVICE
Abstract
A surgical drainage system includes a container for the
collection of fluids drained from a cavity such as a pleural cavity
and a drainage tube for placing the collection chamber in fluid
communication with the cavity to be drained. A check valve is
provided on the drainage tube to permit the flow of fluids from the
cavity to be drained into the collection chamber but prevents the
passage of fluid from the container into the drainage tube. A
pressure measuring device is provided in the drainage tube which
provides means for determining the pressure conditions existing
within the pleural cavity.
Inventors: |
Kurtz; Leonard D. (Woodmere,
NY), Bidwell; Robert E. (Melville, L. I., NY) |
Assignee: |
Deknatel Inc. (Queens Village,
Long Island, NY)
|
Family
ID: |
23176056 |
Appl.
No.: |
05/304,329 |
Filed: |
November 7, 1972 |
Current U.S.
Class: |
604/318; 604/319;
604/118; 604/350 |
Current CPC
Class: |
A61M
1/0001 (20130101); G01L 7/022 (20130101) |
Current International
Class: |
A61M
1/00 (20060101); G01L 7/02 (20060101); A61f
005/44 () |
Field of
Search: |
;128/1R,2.08,275-278,349-350,DIG.17 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Rosenbaum; Charles F.
Attorney, Agent or Firm: Larson, Taylor and Hinds
Claims
What is claimed as new and is desired to be secured by letters
Patent is:
1. In a device for collecting fluids drained from a body cavity
comprising in combination, a collection chamber, a passageway into
the collection chamber and adapted to be connected with the body
cavity to be drained, valve means for permitting the flow of fluid
from the body cavity into the collection chamber through the
passageway, and pressure measuring means for measuring pressure
variation in the body cavity, said pressure measuring means sensing
the pressure variations at a location between said valve means and
the body cavity.
2. In a device according to claim 1 wherein said pressure measuring
means is disposed in the passageway between said valve means and
the body cavity.
3. In a device according to claim 1 wherein said pressure measuring
means includes an accordion shaped enclosed tube having the
internal chamber therein in communication with said passageway.
4. In a device according to claim 3 wherein said accordion shaped
enclosed tube is of a resilient material and elongates in response
to increased pressure within said passageway and contracts in
response to decreased pressure within said passageway.
5. In a device for collecting fluids drained from a body cavity
comprising, in combination, a collection chamber, an inlet tube
extending into said collection chamber, a resilient check valve
means mounted on the inner end of said inlet tube whereby when said
inlet tube is connected with a body cavity to be drained said check
valve means permits the flow of fluid from the body cavity into the
collection chamber and prevents reverse flow, and pressure
measuring means in communication with said inlet tube between the
check valve means and the body cavity for measuring the pressure
variations in the body cavity.
6. In a device according to claim 5 wherein said pressure measuring
means is disposed in said collection chamber.
7. In a device according to claim 5 wherein said pressure measuring
means includes an accordion shaped enclosed tube having the
internal chamber therein in communication with said inlet tube.
8. In a device according to claim 5 and further including a
U-shaped passageway connecting said pressure measuring means with
said inlet tube to prevent the passage of liquids into said
pressure measuring means.
Description
BACKGROUND OF THE INVENTION
This invention relates to a drainage device and more particularly
to a one bottle system provided with a check valve which permits
the passage of fluids to pass from the cavity being drained into
the collection chamber which prevents the flow of liquid from the
collection chamber into the drainage tube during conditions of high
negativity within the pleural cavity. The system is further
provided with a pressure measuring device comprising a bellows or
accordion like element which is connected to the drainage tube and
which will expand to show reduced negativity within the pleural
cavity and which contracts to indicate a condition of high
negativity within the pleural cavity.
Surgical drainage devices to provide means for draining pleural
cavities are presently in existence. Such devices are shown for
examples in U.S. Pat. No. 3,363,626 issued Jan. 16, 1968 and such
devices generally comprise three bottle systems including a
collection chamber, an underwater seal chamber and a manometer
chamber. Such underwater devices are generally used by connecting
the device to a suction pump and providing an increased degree of
negativity on the pleural cavity, such negativity being measured by
the manometer chamber.
However, in many instances it is unnecessary to provide additional
suction and in such cases the three bottle system such as disclosed
in the prior patent hereinbefore referred to is used as a two
bottle system comprising a collection chamber and an underwater
seal chamber. An underwater seal is necessary in such an
arrangement to prevent communication of the collection chamber with
atmosphere. Furthermore, the underwater seal provides a means for
determining the degree of negativity existing in the pleural
cavity.
In prior application Ser. No. 256,158 filed May 24, 1972 for
"Surgical Drainage System" there is disclosed a check valve which
is adapted to be inserted in the thoracotomy tube interconnecting
the body cavity to be drained with the collection chamber. Such a
valve permits the flow of liquid from the body cavity into the
collection chamber but prevents the backflow of liquids into the
pleural cavity during conditions of high negativity within the
pleural cavity. Such a valve closes off the drainage tube and
permits the pleural cavity to develop whatever degree of high
negativity is required for the particular circumstances.
According to the present invention a one bottle system is provided
and a one way flap or check valve is connected to the end of the
inlet tube into the collection chamber. The underwater seal is
eliminated and the function of the underwater seal in providing
means for measuring the pressure within the pleural cavity is
replaced by means of a bellows or accordion like structure which is
formed of a resilient material and is connected in the passageway
between the one way valve and the pleural cavity. During exhalation
when higher pressures are reached within the pleural cavity the
accordion like structure will expand, giving an indication of a
higher pressure within the pleural cavity. Upon inhalation when
lower pressures are reached within the pleural cavity the accordion
like structure will contract, thereby giving an indication of a
higher degree of negativity within the pleural cavity. Thus, a
clear indication of the pressure conditions existing within the
pleural cavity are given without the need for an underwater
seal.
An object of the present invention is to provide a surgical
drainage device in a one bottle system which includes means for
measuring the pressure conditions within the pleural cavity.
Another object of the present invention is to provide a one bottle
drainage system including a check valve to prevent backflow of
fluids from the collection chamber into the pleural cavity and
including a pressure measuring device for indicating varying
pressure conditions within the pleural cavity.
Other objects and many of the attendant advantages of the present
invention will become more readily apparent upon consideration of
the following detail specification in connection with the
accompanying drawing wherein:
FIG. 1 is a vertical sectional view of the surgical drainage system
according to the present invention,
FIG. 2 is a plan view along the line 2--2 of FIG. 1 and
FIG. 3 is a partial elevational view showing a low pressure
condition.
In FIG. 1 there is shown a collection chamber which is of
polyethylene or polystyrene or may be made of any other suitable
material. The collection chamber is formed with a bottom wall 2 and
side walls 3. An air tight rubber gasket 4 encloses the top of the
collection chamber so that the chamber is air tight.
An inlet tube 5 passes through an opening in the gasket 4 and
extends downwardly into the interior of the collection chamber.
Extending over an end of the inlet tube 5 is a valve member 6
formed of a resilient material such as latex rubber and this valve
has a pair of lips 7 and 8 which cooperate to provide an elongated
slit so as to provide a passageway from the inlet tube 5 into the
interior of the collection chamber 1 when the lips are separated or
open. During reduced pressure conditions within the inlet 5 the
lips 7 and 8 close to close the passageway into the interior of the
collection chamber 1. The construction of the valve member 6 may be
as disclosed in prior application Ser. No. 256,158 filed May 23,
1972.
Secured to the inlet tube 5 adjacent the lower end portion thereof
is a block 9 having a passageway 10 therein. At the lower end of
the block 9 there is provided a boss 11 and disposed over this boss
is the end portion of a bellows or accordion shaped sleeve member
12. Member 12 has a closed lower end and may be made of a resilient
material such as latex rubber.
The passageway 10 in block 9 provides a passageway between the
inlet 5 and the interior of the member 12. It can be seen that the
passageway 10 has an inverted U-shaped configuration for purposes
that will be more clear hereinafter.
The operation of the presently disclosed surgical drainage system
is as follows. The end portion of tube 5 extending outwardly of the
collection chamber 1 is connected with a thoracotomy tube. The
other end of the thoracotomy tube extends into the patient's
pleural cavity in the usual manner. Liquids and gasses pass through
the thoracotomy tube and upon reaching the valve 6 the lips 7 and 8
open to permit the fluids to pass into the collection chamber 1.
During exhalation, when a higher pressure exists within the pleural
cavity, this higher pressure will cause the accordion or bellows
shaped pressure measuring element 12 to expand. During inhalation,
when the pressure within the pleural cavity is lowered, the
pressure measuring element 12 will be constracted as shown in FIG.
3. Thus, the member 12, provides the pressure measuring means which
serves as an indication of the pressure conditions existing within
the pleural cavity. During inhalation when a lowered pressure
condition exists in the pleural cavity the lips 7 and 8 of valve 6
will close, preventing the return of gasses and liquid through the
valve 6 into the thoracotomy tube. Thus, the clock valve 6 permits
the development of a high degree of negativity within the pleural
cavity.
The present invention provides a simplified surgical drainage
system including one bottle and requiring no underwater seal. It is
not necessary in such a system to position the one way valve or the
pressure measuring means in the precise location shown. For
example, the one way valve could be located at any desired position
in the tube connecting the pleural cavity and collection chamber
with the pressure measuring means disposed adjacent thereto. The
system permits the free passage of fluids from the pleural cavity
into the collection chamber and yet prevents back-flow of the
fluids into the thoracotomy tube from the collection chamber
thereby maintaining the degree of negativity required in the
pleural cavity for the patient to breathe. The Physician may
readily determine the pressure conditions existing within the
pleural cavity by observing the movement of the member 12.
Conditions of high negativity which may indicate the necessity for
further surgical procedures are indicated by extensive contraction
of the element 12. A gauge or scale may be provided on the face of
the collection chamber so that the extent of movement of member 12
may be more accurately determined.
The presently disclosed one way valve and pressure measuring means
may also be used in combination with more conventional two and
three bottle drainage systems. In such systems the one way valve
may be located either in the tube connecting the plural cavity and
collection chamber or adjacent the outlet of the collection
chamber. The pressure measuring means may be located adjacent the
one way valve to indicate the pressure fluctuations in the pleural
cavity.
Obviously many modifications and variations of the present
invention are possible in light of the above teachings.
* * * * *