TARGETED SUCTION CATHETER
20220379089 · 2022-12-01
Inventors
Cpc classification
A61M25/008
HUMAN NECESSITIES
A61M1/87
HUMAN NECESSITIES
A61M25/0105
HUMAN NECESSITIES
A61M25/0074
HUMAN NECESSITIES
A61M25/0068
HUMAN NECESSITIES
A61B1/05
HUMAN NECESSITIES
International classification
Abstract
A suction catheter assembly structured to be movably positioned within a lumen of the body including an elongated base having a channel extending interiorly along the length thereof and further structured to connect the channel to a source of negative pressure. A tip is fixedly or removably connected to a distal end of said base and includes an inlet port and a flow path disposed in fluid communication with the channel. A viewing structure is connected to and movable with the base and is oriented relative thereto to define a line of sight providing observation of a path of travel of said base within the body lumen or medical tubing and is disposed laterally outward from at least a majority of a length of said flow path and the inlet port in substantially aligned, parallel relation to a central axis of said channel.
Claims
1. A suction catheter assembly structured to be steerable within a body lumen or medical tubing comprising: an elongated base including a channel extending interiorly along a length thereof, said base structured to connect said channel to a source of negative pressure, said base including sufficient rigidity along a length thereof to facilitate at least a rotational steering thereof along and through a lumen, a tip connected to a distal end of said base in laterally deflected, offset relation to a central axis of said base, said tip formed of a flexible material having memory capabilities and including a flow path disposed in fluid communication with said channel, and said tip including an inlet port disposed in fluid communication with said channel, via said flow path.
2. The suction catheter assembly as recited in claim 1 wherein said memory capabilities comprise an angular reorientation of said base, out of said laterally deflected, offset relation to a central axis of said base, concurrent to said tip being subjected to an external force.
3. The suction catheter assembly as recited in claim 2 wherein said memory capabilities further comprise said tip being realigned into an original laterally deflected, offset relation to the central axis of said base, concurrent to a removal of the external force.
4. The suction catheter assembly as recited in claim 1 wherein the said base includes a variable degree of rigidity along a length thereof from a proximal end to a distal end.
5. The suction catheter assembly as recited in claim 1 further comprising a handle connected to a proximal end of said base; said tip fixedly positioned relative to said handle concurrent to said laterally deflected, offset relation to the central axis of said base.
6. The suction catheter assembly as recited in claim 1 further comprising a trap assembly including an access port and a collection structure, said access port disposed in fluid communication with said channel and said collection structure and structured to direct secretions passing along a flow path of said channel into said collection structure.
7. The suction catheter assembly as recited in claim 6 wherein said access port is integrated into a handle of the catheter assembly in fluid communication with an interior of said channel and the source of negative pressure connected to said base.
8. The suction catheter assembly as recited in claim 1 further comprising a viewing structure disposed in substantially aligned, parallel relation to a central axis of said base.
9. The suction catheter assembly as recited in claim 8 wherein said viewing structure is mounted on said tip, along an inside radius thereof, adjacent a distal end of said base, said viewing structure oriented to define a line of sight disposed in laterally outward, spaced relation to a flow path within said channel and in substantially aligned, parallel relation to a central axis of said channel.
10. The suction catheter assembly as recited in claim 8 further comprising an end cap connected to a distal end of said base and including a conduit disposed within said channel and structured to retain a wire harness of said viewing structure therein.
11. The suction catheter assembly as recited in claim 1 further comprising a flexible material sleeve disposable between and extended covering relation to at lease said base and said tip and a collapsed, compact, non-covering relation to said base and said tip; said sleeve connected adjacent a proximal end of said base.
12. A suction catheter assembly structured to be steerable within a body lumen or medical tubing comprising: an elongated base including a channel extending interiorly along the length thereof, said base structured to connect said channel to a source of negative pressure, said base including sufficient rigidity along a length thereof to facilitate at least a rotational steering thereof along and through a lumen, a tip connected to a distal end of said base in laterally deflected, offset relation to a central axis of said base; said tip including a flow path disposed in fluid communication with said channel, a viewing structure mounted on said base adjacent a distal end thereof and disposed in substantially aligned, parallel relation to a central axis of said base, said viewing structure oriented to define a line of sight disposed in laterally outward, spaced relation to a flow path of said channel and in substantially aligned, parallel relation to a central axis of said channel, and said tip including an inlet port disposed in fluid communication with said channel, via said flow path.
13. The suction catheter assembly as recited in claim 12 wherein said tip is formed of a flexible material having memory capabilities; said memory capabilities comprising an angular reorientation of said base, out of said laterally deflected, offset relation to said central axis of said base, concurrent to said tip being subjected to an external force.
14. The suction catheter assembly as recited in claim 13 wherein said memory capabilities further comprise said tip being realigned into an original laterally deflected, offset relation to the central axis of said base, concurrent to a removal of the external force.
15. The suction catheter assembly as recited in claim 12 further comprising an end cap connected to a distal end of said base and including a conduit disposed within said channel and structured to retain a wire harness of said viewing structure therein, on an interior of said channel.
16. The suction catheter assembly as recited in claim 12 wherein the said base includes a variable degree of rigidity along a length thereof from a proximal end to a distal end.
17. The suction catheter assembly as recited in claim 15 wherein said variable degree of rigidity being sufficient to facilitate said rotational steering and longitudinal steering of said base and said tip within and along a length of a body lumen.
18. The suction catheter assembly as recited in claim 12 further comprising a handle connected to a proximal end of said base; said tip fixedly positioned relative to said handle concurrent to said laterally deflected, offset relation to the central axis of said base.
19. The suction catheter assembly as recited in claim 12 further comprising a trap assembly including an access port and a collection structure, said access port disposed in fluid communication with said channel and said collection structure, said access port structured to direct secretions passing along said flow path and said channel into said collection structure.
20. The suction catheter assembly as recited in claim 18 further comprising a handle, said access port is integrated into said handle in fluid communication with an interior of said channel and the source of negative pressure connected to said base.
21. A suction catheter assembly structured to be steerable within a body lumen or medical tubing comprising: an elongated base including a channel extending interiorly along the length thereof, said base structured to connect said channel to a source of negative pressure, said base including sufficient rigidity along a length thereof to facilitate at least a rotational steering thereof along and through a lumen, a tip connected to a distal end of said base and including a flow path disposed in fluid communication with said channel, a viewing structure mounted on said base adjacent a distal end thereof and disposed in substantially aligned, parallel relation to a central axis of said base, said viewing structure oriented to define a line of sight in substantially aligned relation to a central axis of said channel, a sleeve formed of a flexible material and disposable between an extended covering relation to at lease said base and said tip and a collapsed, compact, non-covering relation to said base and said tip; said sleeve structured to facilitate a sterile environment of said base and said tip when in said extended covering relation, and said tip including an inlet port disposed in fluid communication with said channel, via said flow path.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0028] For a fuller understanding of the nature of the present invention, reference should be had to the following detailed description taken in connection with the accompanying drawings in which:
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[0051] Like reference numerals refer to like parts throughout the several views of the drawings.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
[0052] With initial reference to
[0053] As a generally represented in
[0054] The opposite or distal end 17 of the base 12 includes a tip generally indicated as 20 connected thereto. As represented in the embodiment of
[0055] One feature of the suction catheter assembly 10 of the present invention is the provision of a viewing structure, generally indicated as 30, which in the embodiment of
[0056] As represented in
[0057] As also represented in
[0058] The disposition and orientation of the viewing structure 30, specifically including, but not limited to, a lens and/or viewing aperture (not shown) associated therewith, is such as to prevent or significantly restrict visual interference. More specifically, the viewing structure 30 and the operative components thereof (lens, viewing aperture, etc.) are disposed on the remainder of the base 12 in a location which prevents secretions, collected aspirate or other substances, blocking or otherwise interfering with the line of sight 300 along the body lumen or medical tubing, as generated by the viewing structure 30. Accordingly, the tip 20 including the inlet port 24 and at least a portion of the interior flow path 22 thereof may be connected to the base 12 in a deflected, laterally offset disposition relative to the base 12 and/or a central axis of the interior channel 14. However, the position of said tip 20, relative to said handle or control hub 18 is fixed, concurrent to the deflected, laterally offset relation to the base, thereby enabling an operator to be continuously aware of the position and orientation of the tip 20 relative to said handle or control of 18. As such, a positional marking or other positional indicator may be placed on an exterior portion of the handle or control hub 18 in order to provide an indication of the position, location etc. of the tip when in a body or artificial lumen. Similarly, and/or alternatively, a positional indicator 205 may be placed on a monitor 200 as represented in and described with reference to in
[0059] Further, in embodiments where the viewing structure 30 is connected to the base 12, such as adjacent a distal end 17 thereof, the viewing structure 30 is cooperatively disposed in a non-interfering relation to the tip 20 and/or inlet port 24, such as being spaced laterally outward from the tip 20 and/or inlet port 24 at least a predetermined distance schematically represented as 400 in
[0060] Moreover, as indicated, the viewing structure is disposed to define a line of sight 300 within the body lumen or medical tubing and along the path of travel of the catheter assembly 10. Due to the non-interfering location of the viewing structure 30 a predetermined, laterally spaced distance 400 from the inlet port 24 and at least a majority of the length of the tip 20, the generated line of sight 300 will extend outwardly from the viewing structure 30 in the non-interfering, laterally spaced relation 400 to the inlet port 24 of the tip 20 and at least a majority of a length the interior flow path 22. For purposes of clarity, additional descriptive terms of the location and or orientation of the viewing structure 30 and the generated line of sight 300 include the viewing structure 30 and line of sight 300 being in substantially aligned, parallel relation to the central axis of the interior channel 14 of the base 12. In more specific terms, at least one embodiment of the suction catheter assembly 10 comprises the viewing structure 30 mounted on or connected to the base 12, preferably adjacent to a distal end 17 to which the tip 20 is connected. In such a disposition and orientation, the viewing structure 30 will generate or define the line of sight 300 which is spaced laterally outward from the inlet port 24, at least a portion of the flow path 22 and in substantially parallel aligned relation to the interior channel 14 of the base 12 and/or the central axis thereof.
[0061] Mounting or connection of the viewing structure 30, including the aforementioned camera and light source are represented in different operative embodiments of the present invention. Accordingly, the viewing structure 30 may be disposed in an at least partially enclosed position within the body of the base 12 as represented in at least
[0062] Alternatively, and as represented in
[0063] Further, one or more additional embodiments of the suction catheter assembly 10 of the present invention includes the inlet port 24 being at least partially defined by its surrounding, outer periphery 24′ being disposed in a plane which is angled or beveled relative to the central axis of the flow path 22, as represented in
[0064] However, in cooperation with this angled or beveled orientation of the inlet port 24, as defined by its outer periphery 24′, at least a portion of the tip 20 is formed of a flexible, deformable material structured to eliminate or significantly restrict any damage to the interior surface of the body lumen or medical tubing. Therefore, the material from which at least the outer or distal end 25 of the tip 20, contiguous to the outer periphery 24′ of the inlet port 24 is formed, has sufficient flexibility or “softness” to be easily deformed when engaging the interior wall surface of the body lumen or medical tubing and providing the aforementioned physical action on a located secretion, etc. Such flexibility will thereby prevent or significantly restrict the possibility of damage to the interior surfaces of the body lumen or medical tubing, when such scooping or scraping action is performed. It is emphasized that the above noted flexible material characteristics may extend along a majority and/or an entirety of the length of the tip 20, from the outer periphery 24′ of the inlet port 24 inwardly towards the proximal end 25 thereof connected to the distal end 17 of base 12.
[0065] More specifically, in clinical use, a catheter assembly and/or endoscope is structured to travel along the inside contours of natural body cavities or tubes, or through other medical devices (such as endotracheal tubes or other similar tube-like devices). The fixed inner dimensions of the anatomical cavity or the inner dimensions of another medical device through which the endoscope is coursing creates a limitation on the maximal outer diameter of the endoscope that can be used, which in turn places a limitation on the size of the hollow working channel that can be incorporated into an endoscope design. However, many clinical scenarios, such as during a bronchoscopy for the removal of respiratory secretions, would benefit from use of the largest hollow channel possible to facilitate removal of thick, tenacious secretions. These secretions cannot be removed through endoscopes with smaller hollow channels. As such, it would be beneficial to maximize the hollow channel for secretion removal or for the introduction of larger interventional instruments through the hollow channel, while maintaining the outer diameter of the endoscope of sufficiently small size to fit inside the body cavity or other medical device through which the endoscope is introduced. One or more embodiments of the present invention achieves this desirable improvement over other endoscopes.
[0066] As recognized, conventional or existing endoscopes are comprised of a tube with a camera at the distal tip, and the tip may be moved relative to the body of the endoscope by way of cables that are attached to the distal tip of the endoscope and attached to a deflection control mechanism at the handle. These cables require their own channels in the endoscope tube, and these channels limit the amount of area within the tube available to maximize the size of the hollow working channel used for suctioning or passage of interventional instruments. The present invention overcomes such problems by eliminating any cables or cords, that run along additional channels in the endoscope tube. As a result, the cross-sectional area for the passage of fluids or instruments is maximized while maintaining an appropriate outer diameter.
[0067] Accordingly, rather than having a movable tip as it is conventionally utilized on existing prior art endoscopes the steering of the catheter assembly is facilitated or achieved by virtue of the deflection of the distal tip 20 as described above, connected to the distal end 17 of the base 12 at an angle offset from the central axis of the tubular base 12, as represented in at least
[0068] Further, as represented in
[0069] Moreover, in at least one embodiment to be described in greater detail hereinafter and schematically represented in
[0070] As represented in
[0071] Also, at least one embodiment of the suction catheter assembly 10 of the present invention includes the flexible, deformable material, as described herein, extending along at least a portion of the length of the tip 20, and becoming progressively less flexible or deformable towards the distal end 17 of the base 12, to which the tip 20 is connected. In addition, in each of the structural modifications defining one or more embodiments of the present invention, the flexible, deformable material includes an inherent “memory” as set forth herein, which facilitates the tip 20 including the periphery of the periphery 24′ of the inlet port 24 returning to at an original shape, dimension and intended operative orientation. as at least partially represented in
[0072] Moreover, when the tip 20 is deformed, such as by when exposed to an external force, the original angular orientation and/or deformed orientation when exposed to an external force, the tip 20 may assume an angular orientation of generally between about 5° and 90° relative to the length and/or axis of the tubular base 12, thereby incorporating any practical angle of orientation of the tip 20 which would be appropriate or required for clinical usage.
[0073] Also, it is to be further noted that the orientation of the inlet port 24, as at least partially defined by the surrounding periphery 24′ thereof, may be other than the angled or beveled orientation, as represented in
[0074] As at least generally set forth above, factors associated with a successful collection of secretions, etc. from within a body lumen or medical tubing at least partially depends on the accurate locating of the secretions, etc. to be collected. As is recognized in the prior art, the asymmetric configuration or disposition of the primary branches of the lungs tend to direct a catheter to and through the right branch thereof. Therefore, the ability to “steer” the suction catheter assembly 10, in each of its embodiments, will render its operation significantly more efficient. As also noted herein, steering factors associated with known or conventional medical instruments such as, but not limited to a bronchoscope, involve relatively complex and or bulky steering structure.
[0075] Therefore, one operative and structural feature of the suction catheter assembly 10 of the present invention includes the ability to position the inlet port 24 of the tip 20 in a desired location on the interior of the body lumen or medical tubing by integrated steering capabilities, which are distinguishable from add-on structural and operative components to accomplish steering. Such integrated steering capabilities eliminate the necessity of having numerous and sometimes complex steering components of the type normally associated with prior art catheters and/or bronchoscope structures. More specifically and with primary reference to
[0076] As indicated, the sufficient rigidity of the at least tubular base 12 also facilitates a longitudinally directed “pushing” force being applied thereto so as to position it along the length of the body or artificial lumen. Moreover, this combination or variance and/or different gradients of rigidity along at least the tubular base 12 and to certain extent the tip 20, can be achieved through the use of different plastics or other appropriate materials, and/or varying thicknesses of the same plastic or materials, resulting in a construct of a catheter assembly 10 and/or at least the tubular body 12 with optimal push ability and rotational control at the proximal end and along at least a majority of the base 12, while preserving flexibility and reversible deformity (memory) of the preferentially deflected tip 20 at the distal end 17 of the base 12.
[0077] Moreover, in at least one embodiment of the catheter assembly 10 is structured to define a gradient of rigidity for the handle 18, base 12 and possibly the tip 20. The material or materials used in at least the tubular base 12 must further be capable of allowing flexibility of the base 12 as it bends away from the original, possibly straight-line orientation relative to the handle 18 in its resting state, without kinking. This is advantageous for preservation of the hollow interior channel 14 during clinical use. Further, in at least one embodiment a higher rigidity proximal portion, as at the proximal end 15, transitions after between at least 5 mm and up to 2 cm or possibly longer to a substantial midpoint of the tubular base 12. Thereafter or at an outer portion of the base 12, a lesser degree of rigidity extends to the distal end 17. Such variance or gradients in rigidity extending along the length of at least the tubular base 12 should be sufficient to facilitate rotation of the tip 20 through rotational manipulation of the handle or control hub 18, while still allowing sufficient flexibility to facilitate a bending or flexure of the tubular base 12 as it conforms to the interior configuration of the lumens, through which it passes. Such rigidity also facilitates an operator to “push” the catheter assembly 10, substantially longitudinally, through and along the length of a body or artificial lumen. However, such rigidity should be such as to not interfere with an appropriate amount of flexure or bending of at least the tubular base 12 so as to conform to the overall configuration of the lumen through which it passes.
[0078] As also indicated herein the tip 20 may be of a softer material in order to prevent damage to interior tissue of a human lumen and may be somewhat narrower than that of the tubular base 12, with a rounded extremity adjacent the perimeter 24′ and/or inlet port 24 and or extremity 25. As represented in
[0079] Therefore, the application of such rotational force 500 of the base 12 will result in the axial rotation of the length thereof. In cooperation therewith, the laterally outward spacing 400 (see
[0080] As represented in
[0081] In more specific terms, and with reference to
[0082] As is common practice, the catheter assembly 10 will be initially packaged and provided to medical personnel in a sterile condition. When removed from the packaging the elongated sleeve 40 will be disposed in its enclosing, covering position relative to a majority of the catheter and/or at least a portion thereof which is inserted into and through the body lumen or medical tubing via the introductory coupler 50. Accordingly, immediately prior to use and introduction of the catheter assembly 10 into the body lumen or medical tubing, the overlying, covering relation of the sleeve relative to the base 12 and the tip 20 will maintain the sterility thereof as originally established during or prior to packaging of the catheter assembly 10.
[0083] The opposite or distal end 44 of the sleeve 40 is preferably connected to the introductory coupler 50, by a flexible sealing member “S” such as, but not limited to, a washer-type structure (see
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[0085] However, subsequent to the intended drainage of aspirate or other substance from an intended bronchial passage, the base 12 and the tip 20 will be slowly withdrawn from the body lumen or medical tubing through and at least partially out of the introductory coupler 50. Upon such withdrawal of the catheter assembly 10, the sleeve 40 will then assume its original elongated orientation as represented in
[0086] It is recognized that drainage of the bronchial area, or other area of the patient's body, may be repeatedly required over a given period of time. Therefore, the maintenance of sterility, except for exposure to the patient, of the base 12 and tip 20 allows reuse of the catheter assembly 10 and thereby results in a significant savings to a medical care facility and/or patient by eliminating the utilization of different drainage catheter assemblies for each of a possible plurality of repeated drainage procedures.
[0087] Yet additional structural features of the present invention include the aforementioned introductory coupler and or valve assembly 50, which includes a central passage 53, 54 disposed in interconnecting relation between the corresponding end 44 of the sleeve 40 as well as the tip and base 20 and 12 respectively of the catheter assembly 10. As is common, introductory couplers of the type disclosed and utilized may have a variety of different structural and operative configurations, as schematically represented in
[0088] Therefore, in order to eliminate or restrict such inadvertent passage of the tip 20 through the introductory coupler 50 and maintain its intended travel through the primary passage 53, 54, a guide member 59 will be disposed, dimensioned and configured to guide or direct appropriate travel of the tip 20 into and through the primary or central passage 53, 54, as represented in at least
[0089] Yet another embodiment of the present invention comprises a specimen or secretions trap or trap assembly generally indicated as 60 in
[0090] Yet another embodiment of the present invention is represented in
[0091] Also as represented in
[0092] Since many modifications, variations and changes in detail can be made to the described embodiments of the invention, it is intended that all matters in the foregoing description and shown in the accompanying drawings be interpreted as illustrative and not in a limiting sense. Thus, the scope of the invention should be determined by the appended claims and their legal equivalents.