US3595241A - Insured internal flow medicosurgical tubes - Google Patents

Insured internal flow medicosurgical tubes Download PDF

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US3595241A
US3595241A US800547A US3595241DA US3595241A US 3595241 A US3595241 A US 3595241A US 800547 A US800547 A US 800547A US 3595241D A US3595241D A US 3595241DA US 3595241 A US3595241 A US 3595241A
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tube
end portion
proximal end
medicosurgical
catheter
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David S Sheridan
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Malco Inc
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David S Sheridan
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M2025/0019Cleaning catheters or the like, e.g. for reuse of the device, for avoiding replacement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M2025/0057Catheters delivering medicament other than through a conventional lumen, e.g. porous walls or hydrogel coatings

Definitions

  • Medicosurgical tubes have a swab member positioned inside the tube so constructed or arranged that it may be pulled through the tube and out the proximal end. ln such a catheter, the lumen is positively protected throughout the tube length against the possibility of blood clots or other matter preventing liquid flow through the tube following the tube insertion procedure.
  • medicosurgical tube in which blockage of fluid passage through the tube by blood clots or other solid material may occur between the period of time when the tube is inserted into the patient and the beginning of actual use of the tube for liquid flow are those used for postsurgical drainage.
  • these are the thoracic or intercostal catheters designed for removal of pus, air, blood, serum or other fluids from the pleural cavity (see u.S. Pat. Nos; 3,l90,290 and 3,295,527
  • Such catheters are used following thoracotomy when a portion of one or more ribs may be removed to expose the heart, lungs or the like in extensive lung or cardiovascular surgery or sternotomy when the sternum is cut through and spread for exposure.
  • a principal object of this invention is the provision of new improvements in the construction of medicosurgical tubes and particularly postsurgical drainage tubes. Further objects in clude the provision of:
  • Postsurgical drainage tubes of improved construction which will ensure unblocked liquid flow through the tube as soon as this is required by procedures being applied to the patient in which the medicosurgical tube has been inserted.
  • medicosurgical tubes comprising a distal end portion having at least one fluid inlet opening therein, a proximal end portion having a fluid outlet opening and a central body portion joining the distal end portion to the proximal end portion, to contain a swab member positioned inside at least the distal end portion of the tube and with means associated with the swab member having an end extending externally of the medicosurgical tube through the proximal end outlet opening by which the swab member may be pulled through the tube and out the proximal end.
  • the swab member is a resilient cylinder of porous plastic material filling the inside of the tube from the distal end portion to the fluid outlet opening in the proximal end portion.
  • the swab member is short relative to the length of the medicosurgical tube and a filamentary member longer in length than the tube, is connected at one end to the swab member while the other end of the filamentary member extends externally of the tube through the proximal end outlet opening.
  • the externally extending end of the filamentary member is advantageously temporarily attached to the proximal end of the medicosurgical tube.
  • a member may be positioned inside at least the distal end portion of a medicosurgical tube and associated with an element extending externally of the tube by which the member may be pulled through the tube and out the proximal end after proper positioning of the tube within a patient without adversely affecting the flexibility of the tube, preventing its proper insertion in a patient or otherwise detrimentally affecting the required use or operation of the medicosurgical tube.
  • an internal flow insurance member can remain in the medicosurgical tube until the instant when the surgeon or other person using the tube on a patient decides that the time has arrived from beginning of liquid flow through the tube for drainage or other desired purpose. At such time, the internal flow insurance member is withdrawn through the proximal end of the medicosurgical tube leaving the tube unblocked with blood clots or other related solid material for the full lumen passage of required fluid.
  • FIG. 1 is a side elevational fragmentary view, partially in section, of a medicosurgical tube constructed for internal fluid flow in accordance with the invention.
  • FIG. 2 is a fragmentary side elevational view, partially in section, of the distal end portion of the tube shown in FIG. I but with the internal flow insurance member partially withdrawn in the tube towards the proximal end opening.
  • FIG. 3 is a perspective view partially in section, of an improved form of thoracic catheter incorporating the improvement features of the present invention.
  • FIG. 4 is a top elevational view, partially in section, of another form of catheter constructed in accordance with the invention.
  • the postsurgical drainage catheter 2 comprises a distal end portion 4, a proximal end portion 6 and a central body portion 8 which joins the distal end portion to the proximal end portion.
  • the distal end portion has a fluid inlet opening 10 in its tip and a plurality offluid inlet openings 12 through the side thereof.
  • the proximal end portion has a fluid outlet opening 14.
  • the tip 16 of the proximal end portion constitutes a straight extension of the central body portion 8, i.e., the tube is of substantially uniform diameter and wall thickness throughout its length.
  • the catheter 2 could be formed with portions of varying wall thickness or tapered sections in accordance with known manufacturing methods and techniques e.g., the proximal end could be formed as an integral outwardly tapered or funnel end.
  • a swab member 18 is positioned inside the distal end 4 filling the lumen 20 of the tube effectively closing the open end 10.
  • the swab member I8 is further positioned distally of all of the side extending inlet openings 12.
  • a filamentary member 22 longer in length than the tube 2 is connected at its end 24 to the swab member 18 while the other end 26 extends externally of the tube through the outlet opening 14.
  • the catheter 2 would be used by first inserting it in known fashion through an incision or opening in the patient into the desired cavity or body channel.
  • blood or other fluid could enter the lumen 20 of the tube through one or more of the inlet openings I2.
  • the blood or other material which had entered the tube could clot or otherwise solidify within the tube. If this occurred in prior known catheters, there would be effective blockage of fluid flow through the catheter.
  • the swab member 18 would be pulled through the catheter and out the proximal end by applying appropriate tension upon the externally extending end 26 of the filamentary member 22. Partial completion of this withdrawing procedure is illustrated in FIG. 2 which shows the swab member I8 being drawn along the inside of the tube toward the proximal end. Any clots of blood or equivalent solidified material within the lumen 20 of the tube would be effectively also withdrawn out the proximal end of the catheter through the action of the swab member 18.
  • the internal flow insurance feature of this invention may be constructed or arranged in another embodiment.
  • the thoracic catheter 30 ofimproved type as described and claimed in copending application entitled: MEDICOSURGICAL TUBES WITH CAPPED PROXIMAL END,” filed on Feb. 7, I969, Ser. No. 797,512 by David S. Sheridan and Isaac S. Jackson, comprises a distal end portion 32, a proximal end portion 34 and a central body portion 36.
  • the distal end portion has an X-ray opaque tip 38 with an inlet opening 40 and a plurality of sideentering inlet openings 42 and 44.
  • Depth markings 46 in the form of rings or other desired shape are placed upon the outside of the central body portion 36 of the catheter to designate the distance along the catheter from the proximal eye 44.
  • the surge or other user of the tube may employ these depth markings 46 to determine the distance from the incision or other opening through which the catheter 30 extends into the patient to the proximal eye 44.
  • Such distance measurement is employed in the catheter placement procedures to determine the position ofthe distal end portion ofthe catheter within the patient.
  • Measurement from the proximal eye 44 is used in placement of the markings 46 in view of the practice which is sometimes required under certain conditions of cutting off a section of the distal end portion 32 of the catheter. Such cutting reduces the length of the catheter and would render the depth marks 46 inaccurate if the distal tip 38 were used as the datum point for establishment of the markings 46.
  • the proximal end portion 34 0f the catheter comprises a closed cap 48 fixed to the catheter end 50.
  • the closed cap 48 has an elongated cylindrical portion 52 which tapers to a closed tip 54.
  • the closed cap is fixed to the end 50 by cement, solvent welding, heat fusion or in other suitable manner.
  • the swab member 56 is a resilient cylinder of porous plastic material longer in length than the tube of the catheter comprising the distal end portion 32, the central body portion 36 and the proximal end 50.
  • the distal end 58 of the swab member 56 extends substantially fully to the distal tip 38 while the proximal end 60 of the member 56 extends a substantial distance beyond the proximal end 50.
  • thoracic catheter 30 Use of the thoracic catheter 30 in accordance with established surgical procedure would involve insertion of the proximal end portion 34 of the catheter through the original incision in the patient made during the surgical operation. Also a second incision or stab wound is made in the patient and forceps are inserted through it to grasp the proximal end of the catheter inserted through the original incision. The catheter is pulled by grasping its tip 54 of the closed cap 48 and pulled into the body until the distal end portion 32 is properly positioned with the catheter leading out through the second incision. At such time, the catheter placement procedure has been completed and a leading section of the closed cap 48 is cut off by cutting through the walls of the cylindrical portion 52 of the cap 48.
  • the member 56 may be pulled out of the catheter,
  • the remaining portion of the cap 48 serves as a connecting means for joining the proximal end of the catheter to necessary auxiliary drainage equipment such as an underwater seal arrangement generally used with thoracic catheters.
  • the surgeon will not remove the member 56 completely out of the catheter until he has clamped off the catheter between the patient and the member 56.
  • the member 56 can be removed completely, the catheter connected to the drainage system and the clamp removed from the catheter. This procedure serves to keep nonsterile air from entering the pleural space of the patient and also keep the intrathoracic pressure normal.
  • the presence of the member 56 throughout the length of the catheter 30 during the placement procedure prevents entrance of blood or other fluid and formation of blood clots or the like from blocking the catheter lumen during and after the placement. Hence, the member 56 serves to ensure that internal flow through the catheter can be made as soon as the postsurgical drainage or other procedure requires it.
  • a catheter of extended length 58 having an open distal end 60 and several side entering eyes 62 is provided with a swab member 64 joined to a thread 66 formed of synthetic filaments which extends out from the catheter 58 through the proximal end opening 68.
  • Installation and use of the catheter 58 would follow normal established clinical procedures except that after required placement of the catheter within a body cavity or channel of the patient, and just prior to initiation of desired liquid flow through the catheter, the swab, member 64 would be withdrawn from the catheter by application of suitable tension on the filamentary member 66.
  • the new constructions for medicosurgical tubes of the invention are particularly suitable for use with disposablecatheters and the like designed for a single patient single end use.
  • Such disposable catheters are advantageously formed by extrusion of flexible nonfibrous plastic material such as plasticized polyvinyl chloride, polyethylene, polypropylene, nylon or the like of suitable formulation to give the desired flexibility and wall strength required for the particular shape or style of medicosurgical tube involved.
  • Transparent plastic material can be used to permit visual observation of the lumen of the catheter external of the patient during the clinical procedure.
  • pigmented plastic material which is opaque to visible light, X-ray radiation or both, may be used, and the catheters may be formed with an X-ray opaque longitudinal line or other markings in accordance with known practice in the art.
  • the new internal flow insurance features of the invention may be applied to catheters or other medicosurgical tubes formed of vulcanized rubber, braided fabric construction or the like.
  • the swab member 18 may be formed of any suitable material which would exhibit the necessary shelf life, would be nontoxic, compatible with the material from which the catheter is formed and capable of sterilization such as by exposure to ethylene oxide vapors,
  • the elongated cylindrical member 56 would be formed of material meeting these requirements.
  • Foamed or porous plastic material can advantageously be used for this purpose, e.g., the cylinder 56 or swab member 18 can be formed of polyethylene, polyurethane material, polyvinyl chloride plastic or equivalent material which has been extruded to have a foamed or porous structure using blowing agents or other techniques known to the plastics fabrication art for the creation of foamed or porous plastics.
  • a plastic foam of this type would be made of closed cell construction although an open cell construction could be employed.
  • the filamentary member 22 can be formed of any material having the nontoxic sterilization resistance and other features noted previously for the swab member or porous plug material. Threads or cords of natural fibers, such as cotton or linen, can be employed but, preferably, spun yarns or filaments or monofilaments formed of synthetic material such as nylon, polyesters, polypropylene or the like are used to provide the filamentary member 22. A small dab of cement or any other suitable means may be used to temporarily hold the exposed end of the filamentary member to the proximal end of the catheter.
  • the internal flow insurance feature of the invention is contemplated for use with all forms of medicosurgical tubes which require protection during the installation of the tube in a patient against possibility of lumen blockage by blood clotting or the like regardless of the exact relative dimensions, style, configuration or the like of the medicosurgical tube.
  • a medicosurgical tube in which blood clots or related solid material will not block fluid passage through the tube between the period of insertion of the tube in a patient and beginning of liquid flow through the tube which comprises a distal end portion having at least one fluid inlet opening therein, a proximal end portion and a central body portion joining the distal end portion to the proximal end portion, a resilient cylinder of plastic foam filling the inside of said tube extending from adjacent the distal end portion to beyond the proximal end portion, the end of said resilient cylinder extending beyond said proximal end portion constituting means by which said resilient cylinder may be pulled out of said tube following insertion thereof in a patient.
  • a medicosurgical tube of claim 1 which is a postsurgical drainage tube comprising a cap that covers the proximal end of said tube and encloses the end of said resilient cylinder that extend beyond said proximal end portion.
  • a medicosurgical tube of claim 2 that is a thoracic catheter.
  • a medicosurgical tube of claim 1 formed of extruded flexible nonfibrous plastic material.
  • a medicosurgical tube of claim 1 having a plurality of fluid inlet openings extending through the side of said distal end portion, the central body portion and proximal end portion of the tube being free of any such fluid openings, said resilient cylinder extending distally of all ofsaid side extending inlet openings.
  • a medicosurgical tube of claim 1 formed of extruded transparent nonfibrous plasticized vinyl chloride polymer.

Abstract

Medicosurgical tubes have a swab member positioned inside the tube so constructed or arranged that it may be pulled through the tube and out the proximal end. In such a catheter, the lumen is positively protected throughout the tube length against the possibility of blood clots or other matter preventing liquid flow through the tube following the tube insertion procedure.

Description

United States Patent [72] Inventor David S. Sheridan Hook Road. Argyle, N.Y. 12809 [21] App]. No. 800,547 [22] Filed Feb. 19, 1969 [45] Patented July 27, 1971 [54] INSURED INTERNAL FLOW MEDICOSURGICAL TUBES 6 Claims, 4 Drawing Figs.
521 0.5. CI. 128/350, 27/24, 128/269 [51] lnt.Cl 1 z5 00 [50] Field of Search 1. 128/348- [56] References Cited UNITED STATES PATENTS 7 396,754 111889 Mayfield 128/349 977,825 12/1910 Murphy I 128/269 1,767,073 6/1930 lngold 128/350 2,489,756 11/1949 De Baunm. 27/24 3,190,290 6/1965 Alley et 31.. 128/348 3,416,532 12/1968 Grossman 128/350 FOREIGN PATENTS 358,933 3/1906 France 128/350 430,953 10/1911 France 128/350 Primary Examiner Dalton L. Truluck Attorney-Kemon, Palmer and Estabrook ABSTRACT: Medicosurgical tubes have a swab member positioned inside the tube so constructed or arranged that it may be pulled through the tube and out the proximal end. ln such a catheter, the lumen is positively protected throughout the tube length against the possibility of blood clots or other matter preventing liquid flow through the tube following the tube insertion procedure.
PATENTEU JUL27 I91:
INVENTOR DAVID S SHERIDAN ATTORNEYS INSURED INTERNAL FLOW MEDICOSURGICAL TUBES BACKGROUND OF THE INVENTION enter from the body of the patient. The danger of blockageof a catheter by blood clots is frequently experienced after the time of placement of the catheter in the patient. Until the catheter is in place and attached to necessary auxiliary equipment, e.g., an underwater seal arrangement with or without a suction source used with thoracic catheters, there is no flow of fluid through the catheter. If the formation ofa blood clot occurs in a portion of the catheter external of the patient, blockage of the tube can be removed by physical manipulation, i.e., so-called milking" of the catheter. On the other hand, blockage of a portion of the tube located internally of the patient presents a serious problem and in a severe case may require removal of the catheter. Replacement with a new one can be detrimental to the patient.
The most common form of medicosurgical tube in which blockage of fluid passage through the tube by blood clots or other solid material may occur between the period of time when the tube is inserted into the patient and the beginning of actual use of the tube for liquid flow are those used for postsurgical drainage. Examples of these are the thoracic or intercostal catheters designed for removal of pus, air, blood, serum or other fluids from the pleural cavity (see u.S. Pat. Nos; 3,l90,290 and 3,295,527 Such catheters are used following thoracotomy when a portion of one or more ribs may be removed to expose the heart, lungs or the like in extensive lung or cardiovascular surgery or sternotomy when the sternum is cut through and spread for exposure. In the use of the postsurgical drainage tubes and of some other medicosurgical tubes, there is a critical period of time in which blood clots may form within the tube and block the lumen, preventing proper fluid drainage through the tube. Normal clotting time for blood is about 4 minutes and in view of the complex nature of insertion of postsurgical drainage tubes, particularly the intercostal or thoracic catheters, entrance of bloodinto the catheter and clotting therein can occur in the catheters which have been available heretofore.
Handling of a patient following surgery also presents possible clotting and blockage problems in rise of drainage tubes and catheters. Thus, after a drainage catheter has been placed through a stab wound and secured to the skin, closing of the major incision and related work may take up to 45 minutes. During this period there is a great possibility for formation of blood clots if steps are not taken to prevent this. One means of mitigating clot formation in the catheter is to connect it to necessary drainage equipment immediately after placement of the catheter in the patient. This can be complicated, however, particularly where the drainage system is of the three-bottle type, i.e., one trap bottle, one underwater seal and one vacuum pressure regulator. Sometimes as many as three drainage catheters are required, and each uses its own drainage system. When the surgery is completed, all this equipment must be moved into the recovery room. Hence, it would be advantageous to give the persons performing the surgical operation the choice of waiting until the patient is in the recovery room before connecting the drainage catheter to drainage equipment while ensuring that the catheter will not be blocked by a blood clot when that time arrives.
In view of the circumstances discussed above, there is a need for improvements in construction of medicosurgical tubes which would prevent blood clots or other solid material from blocking fluid passage through the tube when the tube has been inserted in the patient and before the proximal end is connected to auxiliary equipment so that the desired liquid flow through the tube will be ensured for the desired postsurgical drainage.
OBJECTS A principal object of this invention is the provision of new improvements in the construction of medicosurgical tubes and particularly postsurgical drainage tubes. Further objects in clude the provision of:
l. Medicosurgical tubes in which blood clots or other related solid material will not block fluid passage through the tube between the period of insertion of the tube in a patient and the beginning ofdesired liquid flow through the tube.
2. Postsurgical drainage tubes of improved construction which will ensure unblocked liquid flow through the tube as soon as this is required by procedures being applied to the patient in which the medicosurgical tube has been inserted.
3. New methods for the construction and use of medicosurgical tubes to prevent blockage of liquid flow through the tubes by the formation of blood clots or entrance of other solid material in the tube during the required period for installation of the tube in the patient.
Other objects and further scope of applicability of the present invention will become apparent from the detailed description givenhereinafter; it should be understood, however, that the detailed description, while indicating preferred embodiments of the invention, is given by way of illustration only, since various changes and modifications within the spirit and scope of the invention will become apparent to those skilled in the art from this detailed description.
SUMMARY OF THE INVENTION The foregoing objects are accomplished according to the present invention bymaking medicosurgical tubes comprising a distal end portion having at least one fluid inlet opening therein, a proximal end portion having a fluid outlet opening and a central body portion joining the distal end portion to the proximal end portion, to contain a swab member positioned inside at least the distal end portion of the tube and with means associated with the swab member having an end extending externally of the medicosurgical tube through the proximal end outlet opening by which the swab member may be pulled through the tube and out the proximal end.
The improved constructions of medicosurgical tubes are advantageously applied to postsurgical drainage tubes, particularly thoracic catheters. In a preferred embodiment of the invention, the swab member is a resilient cylinder of porous plastic material filling the inside of the tube from the distal end portion to the fluid outlet opening in the proximal end portion. In an alternate form of the invention, the swab member is short relative to the length of the medicosurgical tube and a filamentary member longer in length than the tube, is connected at one end to the swab member while the other end of the filamentary member extends externally of the tube through the proximal end outlet opening. In this latter embodiment, the externally extending end of the filamentary member is advantageously temporarily attached to the proximal end of the medicosurgical tube.
The success of the present invention is due in part to the discovery that a member may be positioned inside at least the distal end portion of a medicosurgical tube and associated with an element extending externally of the tube by which the member may be pulled through the tube and out the proximal end after proper positioning of the tube within a patient without adversely affecting the flexibility of the tube, preventing its proper insertion in a patient or otherwise detrimentally affecting the required use or operation of the medicosurgical tube. It has further been found that such an internal flow insurance member can remain in the medicosurgical tube until the instant when the surgeon or other person using the tube on a patient decides that the time has arrived from beginning of liquid flow through the tube for drainage or other desired purpose. At such time, the internal flow insurance member is withdrawn through the proximal end of the medicosurgical tube leaving the tube unblocked with blood clots or other related solid material for the full lumen passage of required fluid.
BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a side elevational fragmentary view, partially in section, of a medicosurgical tube constructed for internal fluid flow in accordance with the invention.
FIG. 2 is a fragmentary side elevational view, partially in section, of the distal end portion of the tube shown in FIG. I but with the internal flow insurance member partially withdrawn in the tube towards the proximal end opening.
FIG. 3 is a perspective view partially in section, of an improved form of thoracic catheter incorporating the improvement features of the present invention.
FIG. 4 is a top elevational view, partially in section, of another form of catheter constructed in accordance with the invention.
DESCRIPTION OF PREFERRED EMBODIMENTS Referring in detail to the drawings, and with particular reference to FIGS. 1 and 2, the postsurgical drainage catheter 2 comprises a distal end portion 4, a proximal end portion 6 and a central body portion 8 which joins the distal end portion to the proximal end portion. The distal end portion has a fluid inlet opening 10 in its tip and a plurality offluid inlet openings 12 through the side thereof. The proximal end portion has a fluid outlet opening 14. As illustrated, the tip 16 of the proximal end portion constitutes a straight extension of the central body portion 8, i.e., the tube is of substantially uniform diameter and wall thickness throughout its length. Alternatively, the catheter 2 could be formed with portions of varying wall thickness or tapered sections in accordance with known manufacturing methods and techniques e.g., the proximal end could be formed as an integral outwardly tapered or funnel end.
A swab member 18 is positioned inside the distal end 4 filling the lumen 20 of the tube effectively closing the open end 10. The swab member I8 is further positioned distally of all of the side extending inlet openings 12. A filamentary member 22 longer in length than the tube 2 is connected at its end 24 to the swab member 18 while the other end 26 extends externally of the tube through the outlet opening 14.
The catheter 2 would be used by first inserting it in known fashion through an incision or opening in the patient into the desired cavity or body channel. In this procedure, as with prior known catheters or equivalent medicosurgical tubes, there is a possibility that blood or other fluid could enter the lumen 20 of the tube through one or more of the inlet openings I2. further, in view of the time which might be required to effect the insertion of the catheter within the patient, the blood or other material which had entered the tube could clot or otherwise solidify within the tube. If this occurred in prior known catheters, there would be effective blockage of fluid flow through the catheter. In contrast, with catheters of the new type described herein, at the time that the surgeon or other party performing the procedure on the patient desired to initiate drainage of fluids from the patient or effect other liquid flow through the catheter, the swab member 18 would be pulled through the catheter and out the proximal end by applying appropriate tension upon the externally extending end 26 of the filamentary member 22. Partial completion of this withdrawing procedure is illustrated in FIG. 2 which shows the swab member I8 being drawn along the inside of the tube toward the proximal end. Any clots of blood or equivalent solidified material within the lumen 20 of the tube would be effectively also withdrawn out the proximal end of the catheter through the action of the swab member 18.
With particular reference to FIG. 3, the internal flow insurance feature of this invention may be constructed or arranged in another embodiment. Here the thoracic catheter 30 ofimproved type as described and claimed in copending application entitled: MEDICOSURGICAL TUBES WITH CAPPED PROXIMAL END," filed on Feb. 7, I969, Ser. No. 797,512 by David S. Sheridan and Isaac S. Jackson, comprises a distal end portion 32, a proximal end portion 34 and a central body portion 36. The distal end portion has an X-ray opaque tip 38 with an inlet opening 40 and a plurality of sideentering inlet openings 42 and 44. Depth markings 46 in the form of rings or other desired shape are placed upon the outside of the central body portion 36 of the catheter to designate the distance along the catheter from the proximal eye 44. The surge or other user of the tube may employ these depth markings 46 to determine the distance from the incision or other opening through which the catheter 30 extends into the patient to the proximal eye 44. Such distance measurement is employed in the catheter placement procedures to determine the position ofthe distal end portion ofthe catheter within the patient. Measurement from the proximal eye 44 is used in placement of the markings 46 in view of the practice which is sometimes required under certain conditions of cutting off a section of the distal end portion 32 of the catheter. Such cutting reduces the length of the catheter and would render the depth marks 46 inaccurate if the distal tip 38 were used as the datum point for establishment of the markings 46.
The proximal end portion 34 0f the catheter comprises a closed cap 48 fixed to the catheter end 50. The closed cap 48 has an elongated cylindrical portion 52 which tapers to a closed tip 54. The closed cap is fixed to the end 50 by cement, solvent welding, heat fusion or in other suitable manner.
The swab member 56 is a resilient cylinder of porous plastic material longer in length than the tube of the catheter comprising the distal end portion 32, the central body portion 36 and the proximal end 50. Thus, the distal end 58 of the swab member 56 extends substantially fully to the distal tip 38 while the proximal end 60 of the member 56 extends a substantial distance beyond the proximal end 50.
Use of the thoracic catheter 30 in accordance with established surgical procedure would involve insertion of the proximal end portion 34 of the catheter through the original incision in the patient made during the surgical operation. Also a second incision or stab wound is made in the patient and forceps are inserted through it to grasp the proximal end of the catheter inserted through the original incision. The catheter is pulled by grasping its tip 54 of the closed cap 48 and pulled into the body until the distal end portion 32 is properly positioned with the catheter leading out through the second incision. At such time, the catheter placement procedure has been completed and a leading section of the closed cap 48 is cut off by cutting through the walls of the cylindrical portion 52 of the cap 48. This will expose the end 60 of the member 56 and by grasping this end 60 with forceps while retaining the proximal end 34 of the catheter in the other hand, the member 56 may be pulled out of the catheter, The remaining portion of the cap 48 then serves as a connecting means for joining the proximal end of the catheter to necessary auxiliary drainage equipment such as an underwater seal arrangement generally used with thoracic catheters. During the connecting procedure, the surgeon will not remove the member 56 completely out of the catheter until he has clamped off the catheter between the patient and the member 56. When this has been done, the member 56 can be removed completely, the the catheter connected to the drainage system and the clamp removed from the catheter. This procedure serves to keep nonsterile air from entering the pleural space of the patient and also keep the intrathoracic pressure normal.
The presence of the member 56 throughout the length of the catheter 30 during the placement procedure prevents entrance of blood or other fluid and formation of blood clots or the like from blocking the catheter lumen during and after the placement. Hence, the member 56 serves to ensure that internal flow through the catheter can be made as soon as the postsurgical drainage or other procedure requires it.
With reference to FIG. 4, a catheter of extended length 58 having an open distal end 60 and several side entering eyes 62 is provided with a swab member 64 joined to a thread 66 formed of synthetic filaments which extends out from the catheter 58 through the proximal end opening 68. Installation and use of the catheter 58 would follow normal established clinical procedures except that after required placement of the catheter within a body cavity or channel of the patient, and just prior to initiation of desired liquid flow through the catheter, the swab, member 64 would be withdrawn from the catheter by application of suitable tension on the filamentary member 66.
The new constructions for medicosurgical tubes of the invention are particularly suitable for use with disposablecatheters and the like designed for a single patient single end use. Such disposable catheters are advantageously formed by extrusion of flexible nonfibrous plastic material such as plasticized polyvinyl chloride, polyethylene, polypropylene, nylon or the like of suitable formulation to give the desired flexibility and wall strength required for the particular shape or style of medicosurgical tube involved. Transparent plastic material can be used to permit visual observation of the lumen of the catheter external of the patient during the clinical procedure. Alternatively, however, pigmented plastic material which is opaque to visible light, X-ray radiation or both, may be used, and the catheters may be formed with an X-ray opaque longitudinal line or other markings in accordance with known practice in the art. Further, the new internal flow insurance features of the invention may be applied to catheters or other medicosurgical tubes formed of vulcanized rubber, braided fabric construction or the like. The swab member 18 may be formed of any suitable material which would exhibit the necessary shelf life, would be nontoxic, compatible with the material from which the catheter is formed and capable of sterilization such as by exposure to ethylene oxide vapors,
gamma ray radiation or similar techniques used in the manufacture of these devices. Likewise, the elongated cylindrical member 56 would be formed of material meeting these requirements. Foamed or porous plastic material can advantageously be used for this purpose, e.g., the cylinder 56 or swab member 18 can be formed of polyethylene, polyurethane material, polyvinyl chloride plastic or equivalent material which has been extruded to have a foamed or porous structure using blowing agents or other techniques known to the plastics fabrication art for the creation of foamed or porous plastics.
Preferably, a plastic foam of this type would be made of closed cell construction although an open cell construction could be employed.
The filamentary member 22 can be formed of any material having the nontoxic sterilization resistance and other features noted previously for the swab member or porous plug material. Threads or cords of natural fibers, such as cotton or linen, can be employed but, preferably, spun yarns or filaments or monofilaments formed of synthetic material such as nylon, polyesters, polypropylene or the like are used to provide the filamentary member 22. A small dab of cement or any other suitable means may be used to temporarily hold the exposed end of the filamentary member to the proximal end of the catheter.
It will be recognized from the foregoing description that the internal flow insurance feature of the invention is contemplated for use with all forms of medicosurgical tubes which require protection during the installation of the tube in a patient against possibility of lumen blockage by blood clotting or the like regardless of the exact relative dimensions, style, configuration or the like of the medicosurgical tube.
The embodiments of the invention in which l claim an exclusive property or right are defined as follows:
1. A medicosurgical tube in which blood clots or related solid material will not block fluid passage through the tube between the period of insertion of the tube in a patient and beginning of liquid flow through the tube which comprises a distal end portion having at least one fluid inlet opening therein, a proximal end portion and a central body portion joining the distal end portion to the proximal end portion, a resilient cylinder of plastic foam filling the inside of said tube extending from adjacent the distal end portion to beyond the proximal end portion, the end of said resilient cylinder extending beyond said proximal end portion constituting means by which said resilient cylinder may be pulled out of said tube following insertion thereof in a patient.
2. A medicosurgical tube of claim 1 which is a postsurgical drainage tube comprising a cap that covers the proximal end of said tube and encloses the end of said resilient cylinder that extend beyond said proximal end portion.
3. A medicosurgical tube of claim 2 that is a thoracic catheter.
4. A medicosurgical tube of claim 1 formed of extruded flexible nonfibrous plastic material.
5. A medicosurgical tube of claim 1 having a plurality of fluid inlet openings extending through the side of said distal end portion, the central body portion and proximal end portion of the tube being free of any such fluid openings, said resilient cylinder extending distally of all ofsaid side extending inlet openings.
6. A medicosurgical tube of claim 1 formed of extruded transparent nonfibrous plasticized vinyl chloride polymer.

Claims (6)

1. A medicosurgical tube in which blood clots or related solid material will not block fluid passage through the tube between the period of insertion of the tube in a patient and beginning of liquid flow through the tube which comprises a distal end portion having at least one fluid inlet opening therein, a proximal end portion and a central body portion joining the distal end portion to the proximal end portion, a resilient cylinder of plastic foam filling the inside of said tube extending from adjacent the distal end portion to beyond the proximal end portion, the end of said resilient cylinder extending beyond said proximal end portion constituting means by which said resilient cylinder may be pulled out of said tube following insertion thereof in a patient.
2. A medicosurgical tube of claim 1 which is a postsurgical drainage tube comprising a cap that covers the proximal end of said tube and encloses the end of said resilient cylinder that extend beyond said proximal end portion.
3. A medicosurgical tube of claim 2 that is a thoracic catheter.
4. A medicosurgical tube of claim 1 formed of extruded flexible nonfibrous plastic material.
5. A medicosurgical tube of claim 1 having a plurality of fluid inlet openings extending through the side of said distal end portion, the central body portion and proximal end portion of the tube being free of any such fluid openings, said resilient cylinder extending distally of all of said side extending inlet openings.
6. A medicosurgical tube of claim 1 formed of extruded transparent nonfibrous plasticized vinyl chloride polymer.
US800547A 1969-02-19 1969-02-19 Insured internal flow medicosurgical tubes Expired - Lifetime US3595241A (en)

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Cited By (49)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4148319A (en) * 1976-12-29 1979-04-10 Kasper Richard F Urinary retention catheter
US4317452A (en) * 1980-02-04 1982-03-02 C. R. Bard, Inc. Body fluid drain
US4377169A (en) * 1981-06-10 1983-03-22 Banks Bruce A Ion beam sputter-etched ventricular catheter for hydrocephalus shunt
US4432853A (en) * 1981-06-10 1984-02-21 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Method of making an ion beam sputter-etched ventricular catheter for hydrocephalus shunt
US4509947A (en) * 1982-08-02 1985-04-09 Medtronic, Inc. Self-cleaning drug delivery catheter and storage bladder
US4755175A (en) * 1985-07-15 1988-07-05 Leif Nilsson Catheter
US4767418A (en) * 1986-02-13 1988-08-30 California Institute Of Technology Luminal surface fabrication for cardiovascular prostheses
US4808158A (en) * 1985-07-01 1989-02-28 Stockert Instrumente Gmbh Vascular catheter
US5281205A (en) * 1992-03-11 1994-01-25 Mcpherson William E Vascular access system and clearing method
US5554138A (en) * 1994-12-12 1996-09-10 Medovations Thoracic catheter with elongated pulling lead
US5628733A (en) * 1994-03-03 1997-05-13 Izi Corporation Surgical drain
US6170137B1 (en) * 1998-09-03 2001-01-09 Mcintire Jerald R. Embalming fluid distribution tube
WO2001005210A3 (en) * 1999-07-19 2001-07-19 I Flow Corp Catheter for uniform delivery of medication
US20030181887A1 (en) * 1999-07-19 2003-09-25 Jose Castillo Deniega Catheter for uniform delivery of medication
US6676643B2 (en) 2000-03-24 2004-01-13 Nicor, Inc. Anesthesia conduction catheter
US20040054351A1 (en) * 1999-07-19 2004-03-18 Deniega Jose Castillo Catheter for uniform delivery of medication
US20040254528A1 (en) * 2003-06-12 2004-12-16 Adams Daniel O. Catheter with removable wire lumen segment
US20050154373A1 (en) * 2004-01-09 2005-07-14 Deutsch Harvey L. Drain with occlusion removing structure
US20060135941A1 (en) * 1999-07-19 2006-06-22 Porto James D Anti-microbial catheter
US20060190025A1 (en) * 2005-02-18 2006-08-24 Lehe Cathleen V Rapid exchange catheters and embolic protection devices
WO2006126002A1 (en) * 2005-05-26 2006-11-30 Pa Knowledge Limited Blood sampling catheter
EP1782855A1 (en) * 2005-11-03 2007-05-09 MEDICAL INSTRUMENTS S.p.A. Apparatus for delayed pericardial drainage
US20070282310A1 (en) * 2006-06-02 2007-12-06 Bengtson Bradley P Assemblies, systems, and methods for vacuum assisted internal drainage during wound healing
US20080147048A1 (en) * 2004-01-09 2008-06-19 Deutsch Harvey L Drain with Occlusion Removing Structure
US7452353B2 (en) 1999-07-19 2008-11-18 I-Flow Corporation Catheter for uniform delivery of medication
US20100106103A1 (en) * 2008-10-27 2010-04-29 Ziebol Robert J Device for delivery of antimicrobial agent into trans-dermal catheter
US20100318095A1 (en) * 2000-03-24 2010-12-16 Safe Bt, Inc. Anesthesia conduction catheter for delivery of electrical stimulus
US20120046626A1 (en) * 2007-02-09 2012-02-23 Sanders T Blane Apparatus and method for administering reduced pressure treatment to a tissue site
US8622995B2 (en) 2009-10-26 2014-01-07 Pursuit Vascular, Inc. Method for delivery of antimicrobial to proximal end of catheter
US8622996B2 (en) 2008-10-27 2014-01-07 Pursuit Vascular, Inc. Method for applying antimicrobial to proximal end of catheter
US20140276625A1 (en) * 2013-03-15 2014-09-18 Acclarent, Inc. Nasal fluid management device
US9078992B2 (en) 2008-10-27 2015-07-14 Pursuit Vascular, Inc. Medical device for applying antimicrobial to proximal end of catheter
US9408955B2 (en) 2013-03-15 2016-08-09 Acclarent, Inc. Nasal fluid management device
US9604041B2 (en) 2013-03-15 2017-03-28 Acclarent, Inc. Nasal fluid management device
US9849276B2 (en) 2011-07-12 2017-12-26 Pursuit Vascular, Inc. Method of delivering antimicrobial to a catheter
US10194852B2 (en) 2008-01-18 2019-02-05 Plaquetec Ltd. Catheter
US10525250B1 (en) 2018-11-07 2020-01-07 Pursuit Vascular, Inc. Infusion device with antimicrobial properties
US11160932B2 (en) 2008-06-19 2021-11-02 Excelsior Medical Corporation Antiseptic cap that releases a gas such as nitric oxide
US11229746B2 (en) 2006-06-22 2022-01-25 Excelsior Medical Corporation Antiseptic cap
US11400195B2 (en) 2018-11-07 2022-08-02 Icu Medical, Inc. Peritoneal dialysis transfer set with antimicrobial properties
US11433215B2 (en) 2018-11-21 2022-09-06 Icu Medical, Inc. Antimicrobial device comprising a cap with ring and insert
US11497904B2 (en) 2016-10-14 2022-11-15 Icu Medical, Inc. Sanitizing caps for medical connectors
US11517733B2 (en) 2017-05-01 2022-12-06 Icu Medical, Inc. Medical fluid connectors and methods for providing additives in medical fluid lines
US11517732B2 (en) 2018-11-07 2022-12-06 Icu Medical, Inc. Syringe with antimicrobial properties
US11534595B2 (en) 2018-11-07 2022-12-27 Icu Medical, Inc. Device for delivering an antimicrobial composition into an infusion device
US11541220B2 (en) 2018-11-07 2023-01-03 Icu Medical, Inc. Needleless connector with antimicrobial properties
US11541221B2 (en) 2018-11-07 2023-01-03 Icu Medical, Inc. Tubing set with antimicrobial properties
US11559467B2 (en) 2015-05-08 2023-01-24 Icu Medical, Inc. Medical connectors configured to receive emitters of therapeutic agents
US11590275B2 (en) * 2016-04-21 2023-02-28 Cambridge Enterprise Limited Apparatus and method for the treatment of defects internal of the body

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
MX144742A (en) * 1975-08-29 1981-11-19 Kendall & Co IMPROVEMENTS IN HYPERBARIC LIQUID SUCTION DEVICE USED AS A CONTRASTING MEDIA IN MYELOGRAPHIES
DE2908952C3 (en) * 1979-03-07 1981-12-03 Gerhard Hug Gmbh, 7801 Umkirch Drainage device
DE3033459C2 (en) * 1979-03-07 1985-07-18 Gerhard Hug Gmbh, 7801 Umkirch Drainage device

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US396754A (en) * 1889-01-29 Catheter
FR358933A (en) * 1905-10-27 1906-03-12 Joseph Robert Drains
US977825A (en) * 1910-01-08 1910-12-06 George N Murphy Surgical instrument.
FR430953A (en) * 1911-04-21 1911-10-28 Joseph Goldman Absorbent, decompressible and interchangeable drains for surgical uses
US1767073A (en) * 1927-09-17 1930-06-24 Carl F Ingold Catheter
US2489756A (en) * 1945-12-07 1949-11-29 Baun Lauren E De Embalming instrument
US3190290A (en) * 1962-02-08 1965-06-22 Brunswick Corp Intercostal catheters
US3416532A (en) * 1964-07-24 1968-12-17 Grossman Alan Richard Drainage tube with means for scraping away debris therewithin

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US396754A (en) * 1889-01-29 Catheter
FR358933A (en) * 1905-10-27 1906-03-12 Joseph Robert Drains
US977825A (en) * 1910-01-08 1910-12-06 George N Murphy Surgical instrument.
FR430953A (en) * 1911-04-21 1911-10-28 Joseph Goldman Absorbent, decompressible and interchangeable drains for surgical uses
US1767073A (en) * 1927-09-17 1930-06-24 Carl F Ingold Catheter
US2489756A (en) * 1945-12-07 1949-11-29 Baun Lauren E De Embalming instrument
US3190290A (en) * 1962-02-08 1965-06-22 Brunswick Corp Intercostal catheters
US3416532A (en) * 1964-07-24 1968-12-17 Grossman Alan Richard Drainage tube with means for scraping away debris therewithin

Cited By (105)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4148319A (en) * 1976-12-29 1979-04-10 Kasper Richard F Urinary retention catheter
US4317452A (en) * 1980-02-04 1982-03-02 C. R. Bard, Inc. Body fluid drain
US4377169A (en) * 1981-06-10 1983-03-22 Banks Bruce A Ion beam sputter-etched ventricular catheter for hydrocephalus shunt
US4432853A (en) * 1981-06-10 1984-02-21 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Method of making an ion beam sputter-etched ventricular catheter for hydrocephalus shunt
US4509947A (en) * 1982-08-02 1985-04-09 Medtronic, Inc. Self-cleaning drug delivery catheter and storage bladder
US4808158A (en) * 1985-07-01 1989-02-28 Stockert Instrumente Gmbh Vascular catheter
AU601949B2 (en) * 1985-07-15 1990-09-27 Leif Nilsson A catheter
US4755175A (en) * 1985-07-15 1988-07-05 Leif Nilsson Catheter
US4767418A (en) * 1986-02-13 1988-08-30 California Institute Of Technology Luminal surface fabrication for cardiovascular prostheses
US5281205A (en) * 1992-03-11 1994-01-25 Mcpherson William E Vascular access system and clearing method
US5628733A (en) * 1994-03-03 1997-05-13 Izi Corporation Surgical drain
US5554138A (en) * 1994-12-12 1996-09-10 Medovations Thoracic catheter with elongated pulling lead
US6170137B1 (en) * 1998-09-03 2001-01-09 Mcintire Jerald R. Embalming fluid distribution tube
US20090182304A1 (en) * 1999-07-19 2009-07-16 I-Flow Corporation Catheter for uniform delivery of medication
US7452353B2 (en) 1999-07-19 2008-11-18 I-Flow Corporation Catheter for uniform delivery of medication
US20020133142A1 (en) * 1999-07-19 2002-09-19 Deniega Jose Castillo Catheter for uniform delivery of medication
US20030158538A1 (en) * 1999-07-19 2003-08-21 Deniega Jose Castillo Catheter for uniform delivery of medication
US20030181887A1 (en) * 1999-07-19 2003-09-25 Jose Castillo Deniega Catheter for uniform delivery of medication
US6626885B2 (en) 1999-07-19 2003-09-30 I-Flow Corporation Method of fluid delivery and catheters for use with same
US9084870B2 (en) 1999-07-19 2015-07-21 Avent, Inc. Catheter for uniform delivery of medication
US8343135B2 (en) 1999-07-19 2013-01-01 Kimberly-Clark Worldwide, Inc. Anti-microbial catheter
US20040054351A1 (en) * 1999-07-19 2004-03-18 Deniega Jose Castillo Catheter for uniform delivery of medication
US20040116896A1 (en) * 1999-07-19 2004-06-17 Massengale Roger Dillard Method of fluid delivery and catheters for use with same
US20040199144A1 (en) * 1999-07-19 2004-10-07 Deniega Jose Castillo Catheter for uniform delivery of medication
US8328771B2 (en) 1999-07-19 2012-12-11 Roger Dillard Massengale Method for fluid delivery and catheters for use with same
US8048057B2 (en) 1999-07-19 2011-11-01 Kimberly-Clark Worldwide, Inc. Catheter for uniform delivery of medication
US8043465B2 (en) 1999-07-19 2011-10-25 I-Flow Corporation Catheter for uniform delivery of medication
US7004923B2 (en) 1999-07-19 2006-02-28 I-Flow Corporation Catheter for uniform delivery of medication
US20060135941A1 (en) * 1999-07-19 2006-06-22 Porto James D Anti-microbial catheter
US20060149192A1 (en) * 1999-07-19 2006-07-06 Deniega Jose C Catheter for uniform delivery of medication
US7959623B2 (en) 1999-07-19 2011-06-14 I-Flow Corporation Method of fluid delivery and catheters for use with same
US7780638B1 (en) 1999-07-19 2010-08-24 I-Flow Corporation Catheter for uniform delivery of medication
WO2001005210A3 (en) * 1999-07-19 2001-07-19 I Flow Corp Catheter for uniform delivery of medication
US20100000666A1 (en) * 1999-07-19 2010-01-07 I-Flow Corporation Catheter for uniform delivery of medication
US7569045B2 (en) * 1999-07-19 2009-08-04 I-Flow Corporation Catheter for uniform delivery of medication
US20090187152A1 (en) * 1999-07-19 2009-07-23 L-Flow Corporation Anti-microbial catheter
US8628633B2 (en) * 1999-07-19 2014-01-14 Kimberly-Clark Worldwide, Inc. Catheter for uniform delivery of medication
US7547302B2 (en) 1999-07-19 2009-06-16 I-Flow Corporation Anti-microbial catheter
US7527609B2 (en) 1999-07-19 2009-05-05 I-Flow Corporation Catheter for uniform delivery of medication
US7438711B2 (en) * 1999-07-19 2008-10-21 I-Flow Corporation Catheter for uniform delivery of medication
US6350253B1 (en) 1999-07-19 2002-02-26 I-Flow Corporation Catheter for uniform delivery of medication
US20090093790A1 (en) * 1999-07-19 2009-04-09 Iflow Corporation Method of fluid delivery and catheters for use with same
US7465291B2 (en) 1999-07-19 2008-12-16 I-Flow Corporation Method of fluid delivery and catheters for use with same
US7510550B2 (en) 1999-07-19 2009-03-31 I-Flow Corporation Catheter for uniform delivery of medication
US20100318095A1 (en) * 2000-03-24 2010-12-16 Safe Bt, Inc. Anesthesia conduction catheter for delivery of electrical stimulus
US7462177B2 (en) 2000-03-24 2008-12-09 Micor, Inc. Anesthesia conduction catheter
US6676643B2 (en) 2000-03-24 2004-01-13 Nicor, Inc. Anesthesia conduction catheter
US6689110B2 (en) 2000-03-24 2004-02-10 Micor, Inc. Anesthesia conduction catheter
US20040254528A1 (en) * 2003-06-12 2004-12-16 Adams Daniel O. Catheter with removable wire lumen segment
US20050245962A1 (en) * 2003-06-12 2005-11-03 Ev3 Inc. Catheter with removable wire lumen segment
US20080147048A1 (en) * 2004-01-09 2008-06-19 Deutsch Harvey L Drain with Occlusion Removing Structure
US20070049904A1 (en) * 2004-01-09 2007-03-01 The Catheter Exchange, Inc. Drain with occlusion removing structure
EP1701761A4 (en) * 2004-01-09 2007-02-21 Catheter Exchange Inc Drain with occlusion removing structure
US20050154373A1 (en) * 2004-01-09 2005-07-14 Deutsch Harvey L. Drain with occlusion removing structure
EP1701761A2 (en) * 2004-01-09 2006-09-20 The Catheter Exchange, Inc. Drain with occlusion removing structure
US20110230861A1 (en) * 2005-02-18 2011-09-22 Tyco Healthcare Group Lp Rapid exchange catheters and embolic protection devices
US7955351B2 (en) 2005-02-18 2011-06-07 Tyco Healthcare Group Lp Rapid exchange catheters and embolic protection devices
US20060190025A1 (en) * 2005-02-18 2006-08-24 Lehe Cathleen V Rapid exchange catheters and embolic protection devices
US9456889B2 (en) 2005-02-18 2016-10-04 Covidien Lp Rapid exchange catheters and embolic protection devices
US10537418B2 (en) 2005-02-18 2020-01-21 Covidien Lp Rapid exchange catheters and embolic protection devices
US20110212478A1 (en) * 2005-05-26 2011-09-01 Pa Knowledge Limited Catheter
US20090024057A1 (en) * 2005-05-26 2009-01-22 Pa Knowledge Limited Catheter
US10390746B2 (en) 2005-05-26 2019-08-27 Plaquetec Limited Catheter
WO2006126002A1 (en) * 2005-05-26 2006-11-30 Pa Knowledge Limited Blood sampling catheter
EP1782855A1 (en) * 2005-11-03 2007-05-09 MEDICAL INSTRUMENTS S.p.A. Apparatus for delayed pericardial drainage
US20070135795A1 (en) * 2005-11-03 2007-06-14 Medical Instruments S.P.A. Method and apparatus for delayed pericardial drainage
US7699831B2 (en) 2006-06-02 2010-04-20 Surgical Design Solutions, Llc Assemblies, systems, and methods for vacuum assisted internal drainage during wound healing
US20070282310A1 (en) * 2006-06-02 2007-12-06 Bengtson Bradley P Assemblies, systems, and methods for vacuum assisted internal drainage during wound healing
US8585683B2 (en) 2006-06-02 2013-11-19 Kci Medical Resources Assemblies, systems, and methods for vacuum assisted internal drainage during wound healing
US11684720B2 (en) 2006-06-22 2023-06-27 Excelsior Medical Corporation Antiseptic cap that releases a gas such as nitric oxide
US11229746B2 (en) 2006-06-22 2022-01-25 Excelsior Medical Corporation Antiseptic cap
US20120046626A1 (en) * 2007-02-09 2012-02-23 Sanders T Blane Apparatus and method for administering reduced pressure treatment to a tissue site
US8915896B2 (en) * 2007-02-09 2014-12-23 Kci Licensing, Inc. Apparatus and method for administering reduced pressure treatment to a tissue site
US11490841B2 (en) 2008-01-18 2022-11-08 Plaquetec Ltd. Catheter
US10357194B2 (en) 2008-01-18 2019-07-23 Plaquetec Ltd. Catheter
US10194852B2 (en) 2008-01-18 2019-02-05 Plaquetec Ltd. Catheter
US11160932B2 (en) 2008-06-19 2021-11-02 Excelsior Medical Corporation Antiseptic cap that releases a gas such as nitric oxide
US20100106103A1 (en) * 2008-10-27 2010-04-29 Ziebol Robert J Device for delivery of antimicrobial agent into trans-dermal catheter
US11351353B2 (en) 2008-10-27 2022-06-07 Icu Medical, Inc. Packaging container for antimicrobial caps
US9022984B2 (en) 2008-10-27 2015-05-05 Pursuit Vascular, Inc. Apparatus for delivery of device and antimicrobial agent into trans-dermal catheter
US9072868B2 (en) * 2008-10-27 2015-07-07 Pursuit Vascular, Inc. Device for delivery of antimicrobial agent into trans-dermal catheter
US9078992B2 (en) 2008-10-27 2015-07-14 Pursuit Vascular, Inc. Medical device for applying antimicrobial to proximal end of catheter
US10159829B2 (en) 2008-10-27 2018-12-25 Pursuit Vascular, Inc. Packaging container for antimicrobial caps
US8622996B2 (en) 2008-10-27 2014-01-07 Pursuit Vascular, Inc. Method for applying antimicrobial to proximal end of catheter
US9352142B2 (en) 2008-10-27 2016-05-31 Pursuit Vascular, Inc. Method for coating a catheter with an antimicrobial agent
US8622995B2 (en) 2009-10-26 2014-01-07 Pursuit Vascular, Inc. Method for delivery of antimicrobial to proximal end of catheter
US11826539B2 (en) 2011-07-12 2023-11-28 Icu Medical, Inc. Device for delivery of antimicrobial agent into a medical device
US9849276B2 (en) 2011-07-12 2017-12-26 Pursuit Vascular, Inc. Method of delivering antimicrobial to a catheter
US11389634B2 (en) 2011-07-12 2022-07-19 Icu Medical, Inc. Device for delivery of antimicrobial agent into trans-dermal catheter
US10071191B2 (en) 2013-03-15 2018-09-11 Acclarent, Inc. Nasal fluid management device
US9604041B2 (en) 2013-03-15 2017-03-28 Acclarent, Inc. Nasal fluid management device
US9408955B2 (en) 2013-03-15 2016-08-09 Acclarent, Inc. Nasal fluid management device
US20140276625A1 (en) * 2013-03-15 2014-09-18 Acclarent, Inc. Nasal fluid management device
US9408756B2 (en) * 2013-03-15 2016-08-09 Acclarent, Inc. Nasal fluid management device
US11559467B2 (en) 2015-05-08 2023-01-24 Icu Medical, Inc. Medical connectors configured to receive emitters of therapeutic agents
US11590275B2 (en) * 2016-04-21 2023-02-28 Cambridge Enterprise Limited Apparatus and method for the treatment of defects internal of the body
US11497904B2 (en) 2016-10-14 2022-11-15 Icu Medical, Inc. Sanitizing caps for medical connectors
US11517733B2 (en) 2017-05-01 2022-12-06 Icu Medical, Inc. Medical fluid connectors and methods for providing additives in medical fluid lines
US11517732B2 (en) 2018-11-07 2022-12-06 Icu Medical, Inc. Syringe with antimicrobial properties
US11534595B2 (en) 2018-11-07 2022-12-27 Icu Medical, Inc. Device for delivering an antimicrobial composition into an infusion device
US11541220B2 (en) 2018-11-07 2023-01-03 Icu Medical, Inc. Needleless connector with antimicrobial properties
US11541221B2 (en) 2018-11-07 2023-01-03 Icu Medical, Inc. Tubing set with antimicrobial properties
US11400195B2 (en) 2018-11-07 2022-08-02 Icu Medical, Inc. Peritoneal dialysis transfer set with antimicrobial properties
US10525250B1 (en) 2018-11-07 2020-01-07 Pursuit Vascular, Inc. Infusion device with antimicrobial properties
US11433215B2 (en) 2018-11-21 2022-09-06 Icu Medical, Inc. Antimicrobial device comprising a cap with ring and insert

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DE2007738A1 (en) 1970-10-15

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