U.S. patent number 3,856,020 [Application Number 05/397,520] was granted by the patent office on 1974-12-24 for trocar-catheter assembly.
Invention is credited to Stephen Robert Kovac.
United States Patent |
3,856,020 |
Kovac |
December 24, 1974 |
TROCAR-CATHETER ASSEMBLY
Abstract
A catheter device is provided including a catheter element and a
flexible plate element wherein the catheter element has a body
inserting section extending from one side of the flexible plate
element and a tube connecting section extending from the other side
of the flexible plate element, the tube connecting section being
attached to the flexible plate element with the through bore
thereof being generally parallel to or at an acute angle to a plane
passing through the flexible plate element.
Inventors: |
Kovac; Stephen Robert (Ladue,
MO) |
Family
ID: |
23571519 |
Appl.
No.: |
05/397,520 |
Filed: |
September 17, 1973 |
Current U.S.
Class: |
604/170.03;
128/DIG.26; 604/99.04; 604/177 |
Current CPC
Class: |
A61M
25/02 (20130101); A61M 2025/0266 (20130101); Y10S
128/26 (20130101) |
Current International
Class: |
A61M
25/02 (20060101); A61m 025/02 (); A61m
005/14 () |
Field of
Search: |
;128/347,35V,35R,348,349,349BV |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Medbery; Aldrich F.
Attorney, Agent or Firm: Kovac; Michael
Claims
I claim:
1. A trocar catheter for use in penetrating body cavities
including: a one-piece catheter device including a flexible plate
element, a catheter tube extending from one side of the flexible
plate element and a curved flexible elbow section extending from
the other side of the flexible plate element and having a through
bore which communicates with the through bore of said catheter
tube, means to permit the through bores of said catheter tube and
flexible curved elbow section to be held and aligned including
having a curved elbow section flexibly mounted on a portion of said
plate element of said catheter device, and a rigid trocar slidably
and removably received within the curved elbow section and catheter
tube to align the communicating through bores thereof.
2. The trocar catheter as defined in claim 1 wherein said flexible
plate element defines a means for providing a straight bore and for
gripping said plate element and said hub to facilitate the
introduction of said trocar in one position and to mount said
catheter on the body in a second position including grooves formed
said plate on opposite sides of the curved elbow section to provide
a pair of flexible selectively positionable wing elements.
3. The trocar catheter as defined in claim 2 wherein said curved
elbow section is attached to one of said flexible wing
elements.
4. The trocar catheter as defined in claim 1 and further including
an inside catheter device having a catheter tube section adapted to
be inserted within the curved elbow section and catheter tube of
said one-piece catheter device and a valve attachment including a
male fitting complementarily shaped relative to the through bore of
said elbow section for releasably locking engagement therewith,
said valve attachment being provided with a valve element for
opening and closing the communicating through bores of said
catheter tube and curved elbow section when said valve attachment
is releasably locked within said curved elbow section.
5. The trocar catheter as defined in claim 4 and further including
an integral strap and plug element attached to said flexible plate
for plugging off the communicating through bores of said catheter
tube and curved elbow section.
Description
SUMMARY OF THE INVENTION
The present invention discloses a butterfly catheter device which
is used to introduce or withdraw fluids from the body. The present
invention also discloses a suprapubic cystotomy device for bladder
control following gynecological and urological repair. Both of the
devices have common inventive elements which will become apparent
from the discussion which is to follow.
Butterfly catheter devices are commonly provided with flexible wing
elements having a hollow needle insert molded therebetween. Medical
personnel grip and pinch the flexible wings of the butterfly
catheter device to facilitate insertion of the hollow needle into
the body to permit fluids to be introduced or withdrawn from the
body. Once the butterfly catheter is inserted, tape is used to
attach the wings of the catheter device to the body. In addition to
discomfort caused by the angle of inclination of the hollow needle
relative to the body, there is no current way of keeping the
incision area free from germs and bacteria. The catheter device of
the present invention overcomes these disadvantages as will become
apparent.
The suprapubic cystotomy technique has received renewed interest by
surgeons performing gynecological and urological repair since
patients following post-operative surgery can attempt to relieve
their bladder in the usual manner without subjecting themselves to
infection and/or discomfort. Suprapubic cystotomies are performed
by puncturing the skin, flesh and bladder with a needle and
inserting a drainage tube into the bladder through the needle
puncture. The drainage tube is connected to a urinary collection
bag.
Several commercial devices have been developed in order to take
advantage of the suprapubic cystotomy technique. For example, in
U.S. Pat. No. 3,568,679, a plastic locking plate device has been
developed for locking a plastic tube inserted into the bladder to
prevent any withdrawal of the plastic group from the locking plate
device or withdrawal of the plastic tube into the bladder.
Unfortunately, this device has not functioned as desired because it
is relatively simple for the patient to inadvertently pull the tube
from the bladder. Also, this device includes a number of separate
elements which are difficult to assembly and/or connect relative to
one another.
Another type of device that is currently under development is
similar to the trocar catheter device shown in U.S. Pat. No.
3,459,189. With this device, it is necessary for the doctor to rest
his forearms on the pubic area and use two arms in inserting the
device because of the size of the trocar. Further, neither of the
devices can be operated without nurse assistance.
Accordingly, it is an object of the present invention to provide a
new and improved catheter device which overcomes the aforementioned
disadvantages.
More specifically, it is an object of the present invention to
provide a catheter device for introducing or withdrawing fluids
from the body while providing a sanitary and comfortable mounting
relative to the body.
Another specific object of the present invention is to provide a
trocar catheter device for use in penetrating body cavities which
is easily positioned by the physician in the proper location,
difficult to dislodge from the body member, and is easy to use by
the patient without nurse assistance.
These and other objects and advantages of the present invention are
achieved by a catheter device which includes a catheter element and
a flexible plate element, the catheter element includes a body
inserting section which extends from one side of the flexible plate
element and a tube connecting section which extends from the other
side of the flexible plate element, the tube connecting section is
fixedly attached to the flexible plate element with the through
bore of the tube connecting section being generally parallel to or
at an acute angle to a plane passing through the flexible plate
element.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of a trocar catheter device which is
constructed in accordance with the teachings of the present
invention;
FIG. 2 is a side perspective view of the trocar catheter device as
it is being positioned relative to a body cavity;
FIG. 3 is a top perspective view of the trocar catheter device
which illustrates the flexibility of the plate element thereof;
FIG. 4 is an end elevational view depicting the on/off valve
arrangement which is used in conjunction with the catheter
device;
FIG. 5 is a perspective view of another form of catheter device
which is used in introducing or withdrawing fluids from the
body;
FIG. 6 is a top plan view of the catheter device shown in FIG.
5;
FIG. 7 is a side elevational view of the catheter device shown in
FIG. 5 and
FIG. 8 is a perspective view of the catheter device shown in FIG. 5
in mounted position relative to the wrist area of an arm.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
The present invention discloses a trocar catheter device as shown
in FIGS. 1-4 of the drawings and a catheter device for introducing
and withdrawing fluids from the body as shown in FIGS. 5-8 of the
drawings.
Referring first to the trocar catheter device illustrated in FIGS.
1-4 of the drawings, it will be seen that the method of inserting
the trocar catheter device is shown in FIGS. 2-3 of the drawings
while the operation of the trocar catheter device when positioned
relative to a body cavity is illustrated in FIGS. 1-4 of the
drawings.
The trocar catheter device shown in FIGS. 2-3 of the drawings is
generally represented by the numeral 10 and includes a 1-piece
catheter device 12 which is associated relative to a rigid trocar
14. The 1-piece catheter device 12 includes a flexible plate
element in the shape of a circular disc 16 having formed grooves 18
therein in order to provide a pair of flexible wing elements 20 for
gripping by the fingers of the user as illustrated in FIG. 2 of the
drawings to facilitate introduction of the trocar catheter 10. The
1-piece catheter device 12 further includes a cylindrically-shaped
catheter tube 22 which extends from the lower side of the flexible
plate element 16. On the upper side of the flexible plate element
16, there is provided a pre-cast curved elbow section 24 which is
bonded along a portion thereof to the flexible plate element 16.
The elbow section 24 has a through bore 26 which communicates with
the through bore 28 of the catheter tube 22. The through bores 24
and 28 of the elbow section 26 and catheter tube 22 are adapted to
be aligned relative to one another in order to receive the rigid
trocar 14 shown in FIGS. 2-3 of the drawings. This is made possible
by virtue of the manner in which the curved elbow section 24 is
attached to one of the flexible wing elements 20 so that the
through bores 24 and 28 can be aligned relative to one another.
Specifically, it will be seen that the elbow section 24 is attached
between the formed grooves 18 as well as intersecting one of the
formed grooves 18. Thus, the curved elbow section 24 can be
straightened when the rigid trocar 14 is inserted within the bore
26 thereof.
With the rigid trocar 14 slidably positioned within the through
bores 26, 28 of the elbow section and catheter tube 24, 22
respectively, the flexible wing elements 20 of the flexible plate
element 16 can be gripped as is shown in FIG. 2 of the drawings for
inserting the trocar catheter device 10 into the stomach wall in
order to position the catheter tube 22 relative to the body cavity
30. When this is achieved, the rigid trocar 14 may be withdrawn
from the trocar catheter device leaving the 1-piece catheter device
12 inserted in the body so that the catheter tube 22 and its
through bore 28 connects the body cavity 30 through the elbow
section and its bore 26. The rear faces of the flexible wing
elements 20 may be coated with an adhesive and removable cover
elements for attaching the flexible plate 16 to the stomach wall or
other body part. Alternatively, the flexible plate element 16 may
be provided with openings around the periphery thereof for
stitching the flexible plate element 16 against the stomach wall or
other body part to maintain the catheter tube 22 in position
relative to the body cavity 30.
As seen in FIG. 1 of the drawings, an integral strap and plug
element 32, 34 respectively shown in hidden lines may be attached
to the flexible plate element for plugging off the communicating
through bores 28, 26 of the catheter tube and curved elbow section
22, 24 respectively. This can be done after the rigid trocar 14 has
been removed from the 1-piece catheter device 12 as well as any
time that the patient wants to disconnect himself from the urine
collecting bag or other container as will be appreciated.
In order to connect the 1-piece catheter device to a urine
collecting bag or other container, there is provided an inside
catheter device 36 which includes a catheter tube section 38 which
extends through the bores 26, 28 of the elbow section and catheter
tube 24, 22 respectively. The catheter tube section 38 has at its
free end a series of openings 40 to permit fluid within the cavity
30 to be withdrawn up the catheter tube section and into the urine
collecting bag which is connected to the inside catheter device 36.
The inside catheter device 36 further includes a male fitting 42
which is complementary shaped relative to the through bore 26 of
elbow section 24 for releasable locking engagement therewith as is
best illustrated in FIG. 1 of the drawings. The male fitting 42 is
part of a valve attachment 44 which includes the valve element 46
for opening and closing the communicating through bores 26, 28 of
the elbow section 24 and catheter tube 22 respectively with the
urine collecting bag. The tube and the urine collecting bag or
other container (both of which are not shown) are attached to the
fitting 48 which is positioned adjacent to valve attachment 44.
In view of the foregoing, it will be seen that the trocar catheter
device can provide ease of operation from both the physician and
the patient's view and comfort to the patient without inadvertent
removal of the device from the patient's body.
Reference is now made to FIGS. 5-8 of the drawings for a
description of the catheter device which is used to introduce or
remove fluid from a body. As will be seen, the catheter device 50
includes a hollow needle 52 having a sharpened section 54 at one
end thereof for insertion into a body member and a hub section 56
at the other end thereof for attachment to a connecting tube 58
which connects the catheter device 50 to a bag or container (not
shown) for introducing or withdrawing fluids from the body.
The hollow needle 52 is integrally attached, by insert molding, to
a flexible plate element 60 which is made from a flexible plastic
material as the 1-piece catheter device 12 in the FIGS. 1-4
embodiment. The hollow needle 52 is attached to the flexible plate
60 at an acute angle thereto with the sharpened section 54 and a
portion of the hollow needle 52 extending below the flexible plate
element 60 while the hub section 56 and the remaining portion of
the hollow needle 52 extends above the flexible plate element 60.
The remaining portion of the hollow needle 52 which extends above
the flexible plate element 60 is integrally encased within an
enlarged section 62 of the flexible plate element by the insert
molding process.
As will be seen in FIGS. 5-6 and 8 of the drawings, the flexible
plate element 60 has parallel grooves 64 formed therein on opposite
sides of the enlarged section 62 to form a pair of wings 66 to
facilitate gripping thereof by the fingers of a user as illustrated
in FIG. 5 of the drawing.
As best seen in FIGS. 6-7 of the drawings, the sharpened section 54
and preferably also at least a portion of the hollow needle 52
below flexible plate element 60 extends beyond the periphery of the
flexible plate element 60 in order that the needle can first come
into contact with the portion of the body where fluids are to be
introduced or withdrawn and then allow the flexible plate element
60 to overlie the incision area. This is important since the
flexible plate element 60 on the lower surface thereof is
preferably provided with an antiseptic adhesive with a removable
covering thereover which is removed to expose the antiseptic
adhesive in order to keep the area in and around the incision made
by the hollow needle 52 protected from germs and bacteria. Further,
the angle of inclination of the hollow needle 52 relative to the
flexible plate element 60 provides substantial comfort to the
patient as compared with current butterfly catheter devices wherein
the hollow needles lie essentially in the same plane of the
butterfly wings. This tends to cause the skin to be pulled or
strained in the vicinity of the incision when the butterfly wings
are taped to the patient's skin. The acute angle relationship of
the hollow needle 52 relative to the flexible plate element 60 in
the catheter device 50 does not cause pulling or strain on the
skin, and at the same time, allows the flexible plate element 60 to
cover the incision area to keep the area free from bacteria and
other germs.
From the foregoing, it will now be seen that the trocar catheter
device of FIGS. 1-4 and the catheter device for introducing or
withdrawing fluids relative to a body member as shown in FIGS. 5-8
provide many distinct and improved advantages over existing prior
art devices as will now be apparent.
* * * * *