U.S. patent number 3,895,637 [Application Number 05/408,138] was granted by the patent office on 1975-07-22 for self propelled conduit traversing device.
Invention is credited to Daniel S. J. Choy.
United States Patent |
3,895,637 |
Choy |
July 22, 1975 |
Self propelled conduit traversing device
Abstract
A tubular organ traversing device includes a trailing inflatable
radially expandable anchor member having a high restraint gripping
periphery and a leading inflatable advancing member with a radially
expandable trailing section, having a surface engaging periphery of
less restraint than that of the anchor member and a longitudinally
expandable leading section. A multilumen flexible tube is secured
to and extends through the anchor member to a forward section of
the advancing member through an elastomeric axial well in its rear.
One lumen communicates with the anchor member and a second lumen to
the advancing member and the two lumens are connected by way of a
valve system to a pressurized fluid and exhaust and the valve
system is controlled to sequentially first deflate both members,
inflate the advancing member, inflate the anchor member, deflate
the advancing member and then deflate the anchor member to commence
the next cycle.
Inventors: |
Choy; Daniel S. J. (Stamford,
CT) |
Family
ID: |
23615007 |
Appl.
No.: |
05/408,138 |
Filed: |
October 19, 1973 |
Current U.S.
Class: |
604/95.03;
604/916 |
Current CPC
Class: |
A61M
25/0116 (20130101); A61M 25/00 (20130101); A61M
25/1002 (20130101); A61M 2025/1086 (20130101) |
Current International
Class: |
A61M
25/00 (20060101); A61M 25/10 (20060101); A61M
25/01 (20060101); A61m 025/00 (); A61b
019/00 () |
Field of
Search: |
;128/1R,2R,2M,3-8,348,349R,349B,349BV,35R,351,246,276,325,344,DIG.9 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
|
|
|
|
|
|
|
1,278,965 |
|
Nov 1961 |
|
FR |
|
1,170,586 |
|
May 1964 |
|
DT |
|
Primary Examiner: Truluck; Dalton L.
Attorney, Agent or Firm: Wolder & Gross
Claims
I claim:
1. A self propelled conduit traversing device comprising a
longitudinally extending flexible tubular member having first and
second lumens, an inflatable transversely expandable anchor member
connected to said tubular member and communicating with said first
lumen, an inflatable advancing member connected to said tubular
member and communicating with said second lumen and including a
transversely expandable section and a longitudinally expandable
section, said advancing member including a front wall affixed to
said tubular member and a rear wall having a central opening and an
axially extending elastomeric tube having a rear end joined to the
border of said opening and a front end secured to said tubular
member proximate said front end wall, said elastomeric tube
surrounding and being radially spaced from said tubular member, and
actuating means for connecting said first and second lumens to a
source of pressurized fluid and exhaust in a predetermined sequence
to expand and deflate said anchor member and advancing in
accordance with said sequence.
2. The device of claim 1 wherein said tubular member includes a
service third lumen projecting to the distal end of the forwardmost
of said anchor and advancing members.
3. The device of claim 1 wherein said anchor and advancing members
are longitudinally spaced along said tubular member, said advancing
member being disposed forwardly of said anchor member.
4. The device of claim 3 wherein said actuating means is programmed
to cyclically sequentially first deflate said anchor and advancing
members, inflate said advancing member, then inflate said anchor
member and then deflate said advancing member.
5. The device of claim 4 wherein said advancing member transversely
expanding section first fully expands then said longitudinally
extending section fully expands when said expanding member is
pressurized.
6. The device of claim 1 wherein said longitudinally expanding
section comprises an accordian pleated peripheral wall.
7. A self propelled conduit traversing device comprising a
longitudinally extending flexible tubular member having first and
second lumens, an inflatable transversely expandable anchor member
connected to said tubular member and communicating with said first
lumen, an inflatable advancing member connected to said tubular
member and communicating with said second lumen and including a
transversely expandable first section and a longitudinally
expandable second section in free fluid communication with said
first section and upon inflation of said advancing member, said
second section expanding subsequent to the expansion of said first
section, said advancing member including a front wall affixed to
said tubular member and a rear wall having a central opening and an
axially extending elastomeric tube having a rear end joined to the
border of said opening and a front end secured to said tubular
member proximate said front end wall, said elastomeric tube
surrounding and being radially spaced from said tubular member, and
actuating means for connecting said first and second lumens to a
source of pressurized fluid and exhaust in a predetermined sequence
to expand and deflate said anchor member, and advancing member in
accordance with said sequence.
8. The device of claim 7 wherein the wall thickness of said
transversely expandable section is less than the wall thickness of
said longitudinally expandable section.
Description
BACKGROUND OF THE INVENTION
The present invention relates generally to improvements in conduit
traversing devices and it relates more particularly to an improved
self propelling device for advancing a service member such as a
tube functioning as a catheter or for other desirable purposes
through a tubular organ.
It is frequently desirable and often necessary for a particular
purpose to advance a service device which may be an implement,
viewing device, camera, cleaning device or the like, to
predetermined areas in a small bore conduit which extends along an
irregular and often highly convoluted path. Thus, for example, when
an obstruction occurs in the intestine, it is desirable to remove
the waste materials that are being blocked, especially preceding
surgery, to remove such obstruction. The conventional procedure for
advancing a tube through the intestine is to insert the tube to a
comfortable depth and permit the natural peristaltic movement of
the intestine to advance the tube to the desired areas. However, by
reason of the slow rate of advance effected by peristalsis, the
procedure is highly time consuming, often requiring 18 or more
hours. In many cases surgery must be performed under emergency
conditions, and the time required to advance a tube through the
intestine by peristalsis is excessive and may result in a dangerous
and possibly fatal delay of surgery, so that the surgery is
accordingly performed in the absence of the removal of the waste
material and under correspondingly adverse conditions, with
frequent highly undesirable consequences. Many devices and
procedures have been heretofore proposed for advancing a tube or
other implement along the intestine, independently of the
peristalsis, but these devices possess numerous drawbacks and
disadvantages. They are unreliable, slow, uncomfortable, require a
high degree of skill, are complicated and of little versatility and
adaptability, and otherwise leave much to be desired.
SUMMARY OF THE INVENTION
It is a principal object of the present invention to provide an
improved conduit traversing device.
Another object of the present invention is to provide an improved
self propelled convoluted tube traversing device.
Still another object of the present invention is to provide an
improved self propelled device for traversing a tubular organ, such
as the intestine, to advance therethrough a waste removal tube or
other implement or device.
A further object of the present invention is to provide a device of
the above nature characterized by its great reliability, ease and
speed of operation, simplicity and ruggedness, and its great
versatility and adaptability.
The above and other objects of the present invention will become
apparent from a reading of the following description taken in
conjunction with the accompanying drawing which illustrates a
preferred embodiment thereof.
In a sense, the present invention contemplates the provision of an
improved longitudinally extending tubular member, having first and
second lumens, an inflatable transversely anchor member connected
to the tubular member and communicating with the first lumen, an
inflatable advancing member, connected to the tubular member and
communicating with the second lumen and including a transversely
expandable section and a longitudinally expandable section and
means for connecting the first and second lumens to a source of
pressurized fluid and exhaust in a predetermined sequence to
correspondingly sequentially expand and deflate the anchor member
and advancing member.
In the improved form of the preferred device, the tubular member
consists of three joined lumen defining tubes, the first tube
communicating with the anchor member through one, or more ports in
the tube, the second tube communicating through ports therein with
the advancing member and the third tube functioning as a service
tube and extending forwardly of the inflatable members. The anchor
member is a hollow cylinder formed of an elastomeric material and
has bosses formed on its outer peripheral face. The advancing
member is disposed forwardly of the anchor member and its rear
anchor defining section is radially expandable relatively short
member, having a curved smooth outer face and formed of an
elastomeric material, and its forward section is provided with
peripheral accordian pleats, so with inflation it extends and with
deflation, it contracts. An elastomeric tube extends coaxially
forwardly from the advancing section rear wall and joins the
advancing member a short distance rearwardly of its front wall, so
that the corresponding section of the tubular member advances with
the front wall. The first and second tubes are connected by way of
a timed valving system to pressure and exhaust to sequentially
expand the anchor member, expand the advancing member, deflate the
advancing member and deflate the anchor member.
The improved self propelled conduit traversing device is reliable,
simple and rugged, rapid, easy to operate, and of great versatility
and adaptability.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a block diagram and a longitudinal sectional view of a
preferred embodiment of the present invention, shown in a deflated
condition at a first step in its advancing cycle;
FIG. 2 is a side elevational view of the advancing assembly in the
second step of the cycle;
FIG. 3 is a view similar to FIG. 2 illustrating the third cycle
step;
FIG. 4 is a view similar to FIG. 2 illustrating the last cycle
step;
FIG. 5 is an enlarged fragmentary medial longitudinal sectional
view of the advancing member; and
FIG. 6 is a view similar to FIG. 5 of a modified form of the
advancing member.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring now to the drawings, particularly FIGS. 1 to 5 thereof,
which illustrate a preferred embodiment of the present invention,
the reference numeral 10 generally designates the improved device
which includes an advancing section 11 joined by a multilumen
tubular member 12 to an activating section 13. The tubular member
12 is formed of three isolated tubes 14, 16 and 17 respectively,
joined to each other or integrally formed as a unit of high
flexibility and of suitable length, so as to extend from the
activating section 13 to the desired area of the tubular organ and
being capable of easily following the various curves and
convolutions of the organ. The tubes 14 and 16 are sealed at their
distal ends.
The advancing section 11 is mounted on the distal end of the
tubular member 12 and includes a trailing inflatable anchor member
18 and a longitudinally spaced leading inflatable advancing member
19. The anchor member 18 is of tubular cylindrical configuration
and formed of an elastomeric material and includes relatively heavy
circular front and rear end walls 20 and 21 respectively, and a
relatively thin cylindrical peripheral wall 22. Outwardly directed
bosses or projections 23 are formed on the outside face of the
peripheral wall 22. The tubular member 12 extends coaxially through
anchor member 18 and is hermetically sealed to the end walls 20 and
21 and one or more ports 24 are formed in tube 14 between end walls
20 and 21 to provide fluid communication between the tube 14 and
the anchor member 18.
The advancing member 19 is integrally formed unit which is mounted
on the distal end of tubular member 12 forwardly of anchor member
18 and is of hollow tubular configuration and includes a radially
expandable trailing portion 26 and a longitudinally expandable
leading portion 27. The anchoring portion 26 is of an elastomeric
material with a relatively thin outwardly convex peripheral wall
and a relatively thick annular end wall 29, having a central
opening of greater diameter than the maximum transverse dimension
of tubular member 12.
The advancing portion 27 is in the shape of cylindrical bellows,
including a relatively thick accordian pleated peripheral wall, the
trailing edge of which joins the leading edge of the anchor portion
wall 28. The leading edge of wall 30 is joined to the peripheral
edge of an annular relatively thick end wall 32, whose central
opening is hermetically sealed to the tubular member 12 proximate
its distal end.
Projecting forwardly from and joined to the inside peripheral
border of the central opening of rear end wall 29, is a thin walled
elastomeric tube member 33, which may be peripherally reinforced by
thick peripheral ribs which prevent the collapse of the tube member
33. The leading end of tube member 33 is hermetically joined to
tube member 12 a short distance rearwardly of front wall 32, by a
thick annulus 34. One or more ports 35 are formed in tube 16
between walls 32 and 34 to provide communication between tube 16
and advancing member 19. It should be noted that the dimensions and
wall thicknesses of the advancing member 19 are such, as specified
above, that upon the inflation thereof such as by the introduction
of compressed air, the anchor portion 26 first expands radially and
the advancing portion 27 then expands longitudinally with no
significant radial expansion. Upon the reduction of the air
pressure in advancing member 19 it radially and longitudinally
returns to its normal contracted position under the elastomeric and
resilient properties of the material forming the advancing member
19.
The activating section 13 includes a solenoid actuated valve system
36 of known construction, having outlet ports connected to tubes 14
and 16 respectively, and a pair of inlet ports, one of which is
connected to exhaust or suction, and the other of which is
connected to a compressed air tank 37, which in turn is connected
to the outlet of a compressed air pump 38. A sequencing timer 39
actuates the valve system 36 to sequentially connect the tubes 14
and 16 to exhaust, connects tube 16 to compressed air, connect
tubes 14 and 16 to compressed air and then connects tube 16 to
exhaust, the cycle being periodically repeated.
In the operation and application of the device 10 described above,
the advancing section including the anchoring member 18 and the
advancing member 19 is inserted into the tubular organ T, for
example the intestine, as far as it can be conveniently, and
comfortably be effected, with the members 18 and 19 being in
deflated contracted condition as shown in FIG. 1. The timer 39 is
then actuated to effect the repeated pressure and exhaust cycle
specified above. First the advancing member 19 communicates with
the compressed air to first radially expand anchoring portion 26
and anchor it to tubular wall T and then longitudinally expand the
advancing portion 27 to advance walls 34 and 32 to pull tubular
member 12 and anchor member 18 forwardly as shown in FIG. 2. Then
anchor member 18 is inflated and expanded to firmly anchor it to
wall T, as shown in FIG. 3. Thereafter advancing member 19 is
deflated and contracted so that its rear portion advances
forwardly, as shown in FIG. 4, by reason of the section of tube 12
between members 18 and 19 being anchored against movement by the
expanded anchor member 18. Finally, anchor member 18 is deflated
and contracted to return the section to its initial condition as
shown in FIG. 1, and the cycle is periodically repeated to advance
the section 11 by increments along the tubular organ T carrying
with it the service tube 17 to the desired area of the tubular
organ T, and the timer is then deactuated to stop the advance of
the section 11. The area of the tubular organ T exposed to the
distal end of tube 17 may now be treated in the desired manner. It
should be noted that the tube 17 may be anchored in position by
inflating and expanding at least anchor member 18 during
treatment.
In FIG. 6 of the drawing there is illustrated another embodiment of
the present invention which differs from that first described only
in the construction of the outer peripheral wall of the advancing
member. Specifically, the modified advancing member 40 includes an
accordian pleated peripheral wall 41 which extends for the full
length of the advancing member 40 and terminates in relatively
thick front and rear end walls 42 and 43 respectively. The trailing
portion 44 of the accordian pleated wall is relatively thin and the
remaining portion 46 is relatively heavy. Thus, upon the inflation
of advancing member 40 the trailing anchor defining portion first
expands radially and then the remaining advancing portion expands
longitudinally with little or no radial expansion. In all other
respects and in its operation the device employing the advancing
member 40 is similar to that first described.
While there have been described and illustrated preferred
embodiments of the present invention, it is apparent that numerous
alterations, omissions and additons may be made without departing
from the spirit thereof.
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