Irising drainage device and irising rectal catheter

Abstract

An irising drainage device is disclosed, including an irising collection funnel having a plurality of overlapping petals extending from an annulus defining a central aperture and a conduit extending from the annulus away from the irising collection funnel. The conduit includes a lumen in fluid communication with the central aperture. An irising rectal catheter is disclosed, including an irising collection funnel having a plurality of overlapping elastically deformable petals extending from an annulus defining a central aperture and an elastomeric tube extending from the central aperture away from the irising collection funnel. The elastomeric tube includes a lumen in fluid communication with the central aperture. The irising collection funnel is configured to elastically narrow in response to a radially inward pressure and expand with reduction of the radially inward pressure. The plurality of elastically deformable overlapping petals, the annulus, and the elastomeric tube are integrally formed with one another.

Claims

1. An irising drainage device, comprising: an irising collection funnel including a plurality of overlapping petals extending from an annulus defining a central aperture; and a conduit extending from the annulus away from the irising collection funnel, the conduit having a lumen in fluid communication with the central aperture, wherein the irising drainage device is a rectal catheter.

2. The irising drainage device of claim 1, wherein the irising collection funnel has a base conformation of the plurality of overlapping petals in the absence of external stimuli and is configured to elastically narrow in response to a radially inward pressure, with the plurality of overlapping petals increasing in overlap with one another, and expand back toward the base conformation with reduction of the radially inward pressure, with the plurality of overlapping petals decreasing in overlap with one another.

3. The irising drainage device of claim 1, wherein the conduit is an elastomeric tube.

4. The irising drainage device of claim 1, wherein the plurality of overlapping petals includes at least three overlapping petals.

5. The irising drainage device of claim 1, wherein each of the plurality of overlapping petals is integrally formed with the annulus.

6. The irising drainage device of claim 1, wherein the annulus is integrally formed with the conduit.

7. The irising drainage device of claim 1, wherein each of the plurality of overlapping petals is elastically deformable.

8. The irising drainage device of claim 1, wherein each of the plurality of overlapping petals includes at least one primary support rib extending radially outward along each of the plurality of overlapping petals and exerting a radially outward biasing pressure on each of the plurality of overlapping petals.

9. The irising drainage device of claim 8, wherein the at least one primary support rib is disposed on a radially inward side of each of the plurality of overlapping petals.

10. The irising drainage device of claim 8, wherein each of the plurality of overlapping petals is formed of a petal material composition and the at least one primary support rib is formed of a rib material composition, and the petal material composition is compositionally distinct from the rib material composition.

11. The irising drainage device of claim 8, wherein each of the plurality of overlapping petals further includes a plurality of secondary support ribs extending laterally from the at least one primary support rib along a length of the at least one primary support rib.

12. The irising drainage device of claim 1, wherein each of the plurality of overlapping petals elastically attaches to the annulus.

13. The irising drainage device of claim 1, wherein the plurality of overlapping petals sequentially overlap one another about a periphery of the irising collection funnel.

14. The irising drainage device of claim 1, wherein the plurality of overlapping petals non-sequentially overlap one another about a periphery of the irising collection funnel.

15. The irising drainage device of claim 1, wherein the plurality of overlapping petals includes a first plurality of overlapping petals which sequentially overlap one another about a periphery of the irising collection funnel and a second plurality of overlapping petals which non-sequentially overlap one another about a periphery of the irising collection funnel.

16. The irising drainage device of claim 1, wherein the irising collection funnel has a material composition selected from the group consisting of silicones, rubbers, nylons, polyurethanes, polyethylene terephthalates, latex, thermoplastic elastomers, polyimides, polyesters, and combinations thereof.

17. An irising rectal catheter, comprising: an irising collection funnel including a plurality of overlapping elastically deformable petals extending from an annulus defining a central aperture; and an elastomeric tube extending from the central aperture away from the irising collection funnel, the elastomeric tube having a lumen in fluid communication with the central aperture, wherein: the irising collection funnel has a base conformation of the plurality of overlapping petals in the absence of external stimuli and is configured to elastically narrow in response to a radially inward pressure, with the plurality of overlapping petals increasing in overlap with one another, and expand back toward the base conformation with reduction of the radially inward pressure, with the plurality of overlapping petals decreasing in overlap with one another; the plurality of elastically deformable overlapping petals, the annulus, and the elastomeric tube are integrally formed with one another; the plurality of elastically deformable overlapping petals sequentially overlap one another about a periphery of the irising collection funnel; and when inserted into a patient, the irising collection funnel conforms spatially to a rectal cavity of the patient, and the elastomeric tube extends from the annulus which is disposed in the rectal cavity through an anus of the patient to an external environment.

18. An irising drainage device, comprising: an irising collection funnel including a plurality of overlapping petals extending from an annulus defining a central aperture; and a conduit extending from the annulus away from the irising collection funnel, the conduit having a lumen in fluid communication with the central aperture, wherein each of the plurality of overlapping petals includes at least one primary support rib extending radially outward along each of the plurality of overlapping petals and exerting a radially outward biasing pressure on each of the plurality of overlapping petals, and wherein each of the plurality of overlapping petals further includes a plurality of secondary support ribs extending laterally from the at least one primary support rib along a length of the at least one primary support rib.

19. The irising drainage device of claim 18, wherein the irising drainage device is a catheter or a surgical drain.

20. An irising drainage device, comprising: an irising collection funnel including a plurality of overlapping petals extending from an annulus defining a central aperture, the plurality of overlapping petals having radially inward sides and radially outward sides; and a conduit extending from the annulus away from the irising collection funnel, the conduit having a lumen in fluid communication with the central aperture, wherein the irising collection funnel is formed such that the plurality of petals elastically expand against a wall of a cavity in which the irising collection funnel is inserted with the radially outward sides of the plurality of overlapping petals contacting the wall of the cavity about a periphery of the irising collection funnel while the irising collection funnel collects fluid disposed in the cavity through the central aperture and transfers the fluid out from the cavity through the conduit.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) FIG. 1(a) is a perspective view of an irising drainage device in a base conformation, according to an embodiment of the present disclosure.

(2) FIG. 1(b) is a top view of the irising drainage device of FIG. 1(a), according to an embodiment of the present disclosure.

(3) FIG. 2(a) is a perspective view of the irising drainage device of FIG. 1(a) in a narrowed conformation, according to an embodiment of the present disclosure.

(4) FIG. 2(b) is a perspective view of the irising drainage device of FIG. 1(a) in an alternative narrowed conformation, according to an embodiment of the present disclosure.

(5) FIG. 2(c) is a top view of the irising drainage device of FIG. 2(a), according to an embodiment of the present disclosure.

(6) FIG. 3(a) is a perspective view of the irising drainage device of FIG. 1(a) in an intermediate conformation, according to an embodiment of the present disclosure.

(7) FIG. 3(b) is a top view of the irising drainage device of FIG. 3(a), according to an embodiment of the present disclosure.

(8) FIG. 4(a) is diagrammatic view of a rectal catheter disposed in a rectum, according to an embodiment of the present disclosure.

(9) FIG. 4(b) is an expanded view of the rectal catheter of FIG. 4(a) showing deformation of the irising drainage device due to rectal wall pressure, according to an embodiment of the present disclosure.

(10) FIG. 5(a) is a perspective view of an irising drainage device in a base conformation with non-sequentially overlapping petals, according to an embodiment of the present disclosure.

(11) FIG. 5(b) is a top view of the irising drainage device of FIG. 5(a), according to an embodiment of the present disclosure.

(12) FIG. 6(a) is a perspective view of an irising drainage device having sequentially and non-sequentially overlapping petals, according to an embodiment of the present disclosure.

(13) FIG. 6(b) is a top view of the irising drainage device of FIG. 6(a), according to an embodiment of the present disclosure.

(14) Wherever possible, the same reference numbers will be used throughout the drawings to represent the same parts.

DETAILED DESCRIPTION OF THE INVENTION

(15) Embodiments of the present disclosure, in comparison to devices not utilizing one or more features disclosed herein, decrease device costs, decrease device complexity, increase device durability, increase patient comfort, decrease involuntary contractions (peristalsis) of the rectum attempting to expel the device, allow for continuous use for longer periods than prior solutions, potentially even continuous use in excess of thirty days, decrease occurrence of health complications such as rectal mucosal ischemia, necrosis, ulceration, bleeding, and fatal hemorrhage, decrease resistance to removal of the device, or combinations thereof.

(16) Referring to FIGS. 1(a), 1(b), 2(a), 2(b), 2(c), 3(a), and 3(b), in one embodiment, an irising drainage device 100 includes an irising collection funnel 102 and a conduit 104. The irising collection funnel 102 includes a plurality of overlapping petals 106 extending from an annulus 108 defining a central aperture 110. The conduit 104 extends from the annulus 108 in a direction away from the irising collection funnel 102, and the conduit 104 includes a lumen 112 in fluid communication with the central aperture 110. As used herein, “irising” refers to the expansion and contraction of the irising collection funnel 102 (as the plurality of overlapping petals 106 increase and decrease in overlap with one another) as viewed from the top (end on to the irising collection funnel 102 distal from the conduit 104) of the irising collection funnel.

(17) The irising drainage device 100 may be any suitable device, including, but not limited to, a catheter, a rectal catheter, a colostomy catheter, a surgical drain, or combinations thereof. In one embodiment (as shown in FIG. 4(a)), wherein the irising drainage device 100 is a rectal catheter 400, when inserted into a patient 402, the irising collection funnel 102 conforms spatially to a rectal cavity 404 of the patient 402, and the conduit 104 extends from the annulus 108 which is disposed in the rectal cavity 404 through an anus 406 of the patient to an external environment 408. The irising drainage device 100 may be deformed to an oblong cross-section due to the shape of the rectal cavity 404 (as shown in FIG. 4(b)). In another embodiment, the conduit 104 may extend from one internal environment through an orifice into a different internal environment. The irising drainage device 100 may be used in any human or animal cavity which communicates to another space, whether internal or external, and may be used similarly in non-living systems, such as a tap for a fluid containing vessel. The irising drainage device 100 may be used for removal of fluids having varying viscosities or amounts of solid matter.

(18) In one embodiment, the irising collection funnel 102 has a base conformation of the plurality of overlapping petals in the absence of external stimuli, as shown in FIGS. 1(a) and 1(b). The irising collection funnel 102 is configured to elastically narrow in response to a radially inward pressure 114, with the plurality of overlapping petals 106 increasing in overlap with one another, as shown in FIGS. 2(a), 2(b), and 2(c). FIGS. 2(a) and 2(b) illustrate alternative narrowing configurations. In FIG. 2(a), a lower portion of the irising collection funnel 102 adjacent to the conduit 104 maintains a wide conformation which is understood to be somewhat more difficult to pass through an anus 406, but which may be appropriate where more rigid or thicker materials are desirable for greater strength and shape integrity. In contrast, in FIG. 2(b) the lower portion of the irising collection funnel 102 adjacent to the conduit 104 narrows significantly with the irising collection funnel 102 elongating accordingly for more facile passage of the irising collection funnel 102 through the anus 406 during insertion and removal procedures. In both embodiments, the irising collection funnel 102 expands back toward the base conformation with reduction of the radially inward pressure 114, with the plurality of overlapping petals 106 decreasing in overlap with one another, as shown in FIGS. 3(a) and 3(b).

(19) By way of example, in one embodiment, wherein the irising collection device 100 is a rectal catheter, the irising collection funnel 102 elastically narrows in response to a radially inward pressure 114 as the irising collection funnel 102 passes through an anus 406, and then expands back partially toward the base confirmation after the irising collection funnel 102 passes through the anus 406 and enters into a rectal cavity 404, wherein the expansion of the plurality of overlapping petals 106 toward the base configuration is constrained by the walls of the rectal cavity 404. In a further embodiment, once the irising collection funnel 102 is disposed in the rectal cavity 404 and the plurality of overlapping petals 106 is constrained by the walls of the rectal cavity 404, the irising collection funnel 102 is configured to elastically contract and expand under the intermittent stimulation of peristalsis of the wall of the rectal cavity 404, and this elastic contraction and expansion of the irising collection funnel 102 rubs the plurality of overlapping petals against one another. The rubbing of the plurality of overlapping petals against one another under the influence of peristalsis may loosen effluent residuals clinging to the plurality of overlapping petals 106, cleaning the plurality of overlapping petals 106 and increasing passage of effluent through the annulus 108. It is noted than in an individual suffering from diarrhea, peristalsis is increased over typical bodily function, further increasing passage of effluent through the annulus 108.

(20) For purposes of insertion of the irising collection funnel 102 through the anus 406 and into the rectal cavity 404, it is noted that the irising collection funnel 102 may be constrained or lubricated, or both for ease of insertion, patient comfort, and to prevent any of the plurality of overlapping petals 106 from being undesirably deformed or bent backward. Any suitable constraint or lubrication system may be used, including, but not limited to, a lubricated over-tube which is removed once the irising collection funnel 102 is in place. In some embodiments, an over-tube may be used for the removal of the irising collection funnel 102 from the rectal cavity 404 through the anus 406. In other embodiments, the removal of the irising collection funnel 102 from the rectal cavity 404 through the anus 406 may be performed by pulling the conduit 104, with or without a lubricant being applied.

(21) The conduit 104 may have any suitable cross-sectional conformation, including, but not limited to, a circle, an ellipse, a triangle, a quadrilateral, a square, a rectangle, a pentagon, a hexagon, a heptagon, an octagon, or any combination thereof. In one embodiment, the conduit 104 is an elastomeric tube 116.

(22) In one embodiment, the conduit 104 terminates at the annulus 108, and only the plurality of overlapping petals 106 expend beyond the annulus away from the conduit 104.

(23) The plurality of overlapping petals 106 may include any suitable number of petals 106, including, but not limited to, at least three overlapping petals 106, alternatively at least four overlapping petals 106, alternatively at least five overlapping petals 106, alternatively at least six overlapping petals 106, alternatively at least seven overlapping petals 106, alternatively at least eight overlapping petals 106, alternatively at least nine overlapping petals 106, alternatively at least 10 overlapping petals.

(24) Each of the plurality of overlapping petals 106 may be attached to the annulus 108, joined to the annulus 108, or integrally formed with the annulus 108. As used herein, “attached” indicates that a petal 106 is discontinuous from the annulus 108. Suitable attachments include, but are not limited to, a non-living hinge. As used herein, “joined” indicates that a petal 106 is continuous with, but not integrally formed with, the annulus 108, such that there is a melt joint, weld joint, braze joint, or adhesive joint between the petal 106 and the annulus 108. As used herein, “integrally formed with” indicates that the petal 106 and the annulus 108 are continuous with one another and that there is no joint, such that the distinction between the petal 106 and the annulus 108 is limited to geometry. The plurality of overlapping petals 106 may all be attached to the annulus 108, all be joined to the annulus 108, all be integrally formed with the annulus 108, or the plurality of overlapping petals 106 may include any suitable combination of individual petals 106 which are attached to the annulus 108, joined to the annulus 108, or integrally formed with the annulus 108.

(25) The annulus 108 may be attached to the conduit 104, joined to the conduit 104, or integrally formed with the conduit 104. As used herein, “attached” indicates that the conduit 104 is discontinuous from the annulus 108. Suitable attachments include, but are not limited to, a snap fit. As used herein, “joined” indicates that the conduit 104 is continuous with, but not integrally formed with, the annulus 108, such that there is a melt joint, weld joint, braze joint, or adhesive joint between the conduit 104 and the annulus 108. As used herein, “integrally formed with” indicates that the conduit 104 and the annulus 108 are continuous with one another and that there is no joint, such that the distinction between the conduit 104 and the annulus 108 is limited to geometry.

(26) Each of the plurality of overlapping petals 106 may be elastically deformable, inelastically deformable, or rigid. As used herein, “deformable” and “rigid” are differentiated by whether a pressure of more than 75 mmHg is required to deform a petal 106 (rigid) or whether a pressure of 75 mmHg or less will reform a petal 106 (deformable). The plurality of overlapping petals 106 may all be elastically deformable, all be inelastically deformable, all be rigid, or the plurality of overlapping petals 106 may include any suitable combination of individual petals 106 which are elastically deformable, inelastically deformable, or rigid.

(27) Each of the plurality of overlapping petals 106 may elastically attach to the annulus 108 or rigidly attach to the annulus 108. The plurality of overlapping petals 106 may all elastically attach to the anulus 108, all rigidly attach to the anulus 108, or the plurality of overlapping petals 106 may include any suitable combinations of individual petals 106 which elastically attach to the anulus 108 or rigidly attach to the anulus 108.

(28) Each of the plurality of overlapping petals 106 may include at least one primary support rib 118 extending radially outward along each of the plurality of overlapping petals 106 and exerting a radially outward biasing pressure on each of the plurality of overlapping petals 106. Each of the plurality of overlapping petals 106 may include any suitable number of primary support ribs 118, including, but not limited to, one primary support rib 118, two primary support ribs 118, three primary support ribs 118, or more than three primary support ribs 118. The at least one primary support rib 118 may be disposed on a radially inward side 120 of each of the plurality of overlapping petals 106 or be embedded within each of the plurality of overlapping petals 106. Each of the plurality of overlapping petals 106 has a petal material composition and the at least one primary support rib 118 has a rib material composition. The rib material composition may be identical to or distinct from the petal material composition. The at least one primary support rib 118 may include a spring. Suitable springs include, but are not limited to, torsion springs, flat springs, cantilever springs, leaf springs, or combinations thereof.

(29) The petal material composition may include, but is not limited to, silicones, SILASTIC, rubbers, nylons, polyurethanes, polyethylene terephthalates, latex, thermoplastic elastomers, polyimides, polyesters, or combinations thereof. Any of the foregoing materials may be medical grade materials.

(30) The plurality of overlapping petals 106 may have any suitable hardness, including, but not limited to, a hardness of Shore A hardness of between 1 and 50, alternatively between 1 and 10, alternatively between 5 and 15, alternatively between 10 and 20, alternatively between 15 and 25, alternatively between 20 and 30, alternatively between 25 and 35, alternatively between 30 and 40, alternatively between 35 and 45, alternatively between 40 and 50, or any combination or sub-range thereof.

(31) Each petal 106 may have any suitable dimensions. Suitable lengths (measured from the annulus 108 to the furthest extent of the petal 106) include, but are not limited to, between 1 inch and 3 inches, alternatively between 1 inch and 1.5 inches, alternatively between 1.25 inches and 1.75 inches, alternatively between 1.5 inches and 2 inches, alternatively between 1.75 inches and 2.25 inches, alternatively between 2 inches and 2.5 inches, alternatively between 2.25 inches and 2.75 inches, alternatively between 2.5 inches and 3 inches, or any combination or sub-range thereof. Suitable widths (measured perpendicular to the length) at the widest portion of the petal 106 include, but are not limited to, between 0.5 inches and 3 inches, alternatively between 0.5 inch and 1 inch, alternatively between 0.75 inches and 1.25 inches, alternatively between 1 inch and 1.5 inches, alternatively between 1.25 inches and 1.75 inches, alternatively between 1.5 inches and 2 inches, alternatively between 1.75 inches and 2.25 inches, alternatively between 2 inches and 2.5 inches, alternatively between 2.25 inches and 2.75 inches, alternatively between 2.5 inches and 3 inches, or any combination or sub-range thereof. Suitable thicknesses (measure from the radially inward side 120 to the radially outward side 124) at the thickest portion of the petal 106 include, but are not limited to, between 0.05 inches and 0.075 inches, alternatively between 0.05 inch and 0.06 inches, alternatively between 0.055 inches and 0.065 inches, alternatively between 0.06 inches 0.07 inches, alternatively between 0.065 inches and 0.075 inches. The thickness may be uniform across the petal or may vary across the petal. The thickness of the petal 106 may change along the length of the petal 106, across the width of the petal 106, or both. The petal 106 may be thickest across the width of the petal 106 at the center of the petal 106 and decrease in thickness laterally to the edges of the petal 106, or the petal 106 may be thickest across the width of the petal 106 at the edges of the petal 106 and decrease in thickness toward the central of the petal 106. The petal 106 may be thickest along the length of the petal 106 at the center of the petal 106 and decrease in thickness toward the annulus 108 and toward the furthest extent of the petal 106 from the annulus 108, or the petal 106 may be thickest adjacent to the annulus 108 and decrease in thickness along the length of the petal 106 toward the furthest extent of the petal 106 from the annulus 108, or the petal may be thickest at the furthest extent of the petal 106 from the annulus 108 and decrease in thickness along the length of the petal 106 toward the anulus 108. The thickness of the petal 106 may vary in any combination of the afore-described changes in thickness along the length and across the width of the petal 106.

(32) The rib material composition may include, but is not limited to, silicones, SILASTIC, rubbers, nylons, polyurethanes, polyethylene terephthalates, latex, thermoplastic elastomers, polyimides, polyesters, metals, steels, carbon steels, stainless steels, spring steels, titanium, shape-memory alloys, pseudoelastic alloys, or combinations thereof. Any of the foregoing materials may be medical grade materials.

(33) Each of the plurality of overlapping petals 106 may further include a plurality of secondary support ribs 122 extending laterally from the at least one primary support rib 118 along a length 126 of the at least one primary support rib 118. The plurality of secondary support ribs 122 may be disposed on a radially inward side 120 of each of the plurality of overlapping petals 106 or be embedded within each of the plurality of overlapping petals 106. Each of the plurality of secondary support ribs 122 has a secondary rib material composition. The secondary rib material composition may be identical to or distinct from the rib material composition and may be identical to or distinct from the petal material composition. The plurality of secondary support ribs 122 may include a spring. Suitable springs include, but are not limited to, torsion springs, flat springs, cantilever springs, leaf springs, or combinations thereof.

(34) The secondary rib material composition may include, but is not limited to, silicones, SILASTIC, rubbers, nylons, polyurethanes, polyethylene terephthalates, latex, thermoplastic elastomers, polyimides, polyesters, metals, steels, carbon steels, stainless steels, spring steels, titanium, shape-memory alloys, pseudoelastic alloys, or combinations thereof. Any of the foregoing materials may be medical grade materials.

(35) Each of the plurality of overlapping petals 106 may include any suitable surface roughness on the radially inward side 120 of each of the plurality of overlapping petals 106 and any suitable surface roughness on the radially outward side 124 of each of the plurality of overlapping petals 106. In one embodiment, the surface roughness of the radially inward side 120 and radially outward side 124 of each of the plurality of overlapping petals 106 (excluding the presence of any primary support ribs 118 and secondary support ribs 122 disposed on the radially inward side 120) is the same. In another embodiment, the surface roughness of the radially inward side 120 is less than the surface roughness of the radially outward side 124 of each of the plurality of overlapping petals 106 (excluding the presence of any primary support ribs 118 and secondary support ribs 122 disposed on the radially inward side 120). Suitable surface roughness for the radially outward side 124 of each of the plurality of overlapping petals 106 includes, but is not limited to, surface roughness (Ra) less than 1.6 μm, alternatively less than 1.4 μm, alternatively less than 1.2 μm, alternatively less than 1.0 μm, alternatively less than 0.8 μm, alternatively less than 0.6 μm, alternatively less than 0.4 μm, alternatively less than 0.2 μm, alternatively less than 0.1 μm.

(36) Referring to FIGS. 1(a), 1(b), 2(a), 2(b), 2(c), 3(a), and 3(b), in one embodiment the plurality of overlapping petals 106 sequentially overlap one another about a periphery 128 of the irising collection funnel 102.

(37) Referring to FIGS. 5(a) and 5(b), in another embodiment the plurality of overlapping petals 106 non-sequentially overlap one another about a periphery 128 of the irising collection funnel 102.

(38) Referring to FIGS. 6(a) and 6(b), in one embodiment, the plurality of overlapping petals 106 includes a first plurality of overlapping petals 602 which sequentially overlap one another about a periphery 128 of the irising collection funnel 102 and a second plurality of overlapping petals 604 which non-sequentially overlap one another about a periphery 128 of the irising collection funnel 102.

(39) The irising collection funnel 102 may have any suitable material composition, including, but not limited to, silicones, SILASTIC, rubbers, nylons, polyurethanes, polyethylene terephthalates, latex, thermoplastic elastomers, polyimides, polyesters, or combinations thereof. Any of the foregoing materials may be medical grade materials.

(40) While the foregoing specification illustrates and describes exemplary embodiments, it will be understood by those skilled in the art that various changes may be made and equivalents may be substituted for elements thereof without departing from the scope of the invention. In addition, many modifications may be made to adapt a particular situation or material to the teachings of the invention without departing from the essential scope thereof. Therefore, it is intended that the invention not be limited to the particular embodiment disclosed as the best mode contemplated for carrying out this invention, but that the invention will include all embodiments falling within the scope of the appended claims.