The present invention generally relates to fluid delivery devices, such as for introducing fluid for inflating balloons placed in body lumens and for extracting fluids from the balloons for their deflation, e.g., for inflating and deflating balloons used to obstruct or reduce flow of gastric contents across the pyloric valve.
U.S. Pat. No. 9,125,660 describes an obstruction device (also called pyloric plug) for obstructing or reducing flow through a body lumen, in particular for obstructing or reducing flow of gastric contents across the pyloric valve (pylorus). The device is particularly useful in a transoral gastrointestinal procedure, but may be used in other laparoscopic, endoscopic, or natural orifice procedures in other body lumens. The plug is designed to be fully operative over a long time, and it can be removed and re-implanted.
The plug includes two balloons, one proximal and the other distal, mounted on a shaft. The proximal obstruction balloon is arranged to fit in the stomach, whereas the distal obstruction balloon is arranged to fit in the duodenum. When inflated, both balloons expand towards the pylorus from opposite sides on the pylorus, thus fixing the plug in place.
The plug is particularly useful to stop the flow of stomach contents to the proximal gut which includes the duodenum and the initial part of the jejunum. Such a need arises, for example, after creating an alternative path of flow through a gastro-jejunum anastomosis which bypasses the proximal gut. There could be other cases when this need arises, such as after surgery in the duodenum area or in the pancreas or bile outputs to the duodenum. Another indication could be the need to operate endoscopically on the stomach with an inflated stomach. In this case, the plug keeps the inflating air in the stomach and it does not bloat the intestine.
The present invention seeks to provide a coupling device for ensuring secure coupling of a catheter and needle through which fluid is required to flow for inflating and deflating items, such as balloons placed in body lumens, as is described more in detail hereinbelow. The device is particularly useful for inflating and deflating balloons located at proximal and distal sides of the pylorus, but may be used for other balloons and other inflatable devices as well.
One of the advantages of the inflation and deflation assembly of the invention over the prior art is that the coupling device allows for two-stage coupling of the catheter and needle. In the first stage, an interface member, to which the catheter is attached, is introduced into the coupling device with a relatively low insertion force. At this point, the force required to retract and withdraw the interface member and catheter is also a relatively low retraction force. In the second stage, the needle is introduced through the catheter and interface member into the coupling device and by doing so significantly increases the retraction force required to retract and withdraw the interface member and catheter. In this manner, the catheter and needle are securely held in the coupling device for the entire duration of inflation or deflation. The needle is also introduced with hardly any insertion force, but the presence of the needle prevents resilient fingers of the interface member from bending inwards. Any attempt to retract or pull out the catheter from the coupling device causes the resilient fingers to press outwards against the inner perimeter of the coupling device, and significantly increases the force required to retract the catheter from the coupling device. As long as the needle is inserted, the catheter will not pull out from the coupling device. The needle must be removed in order to decouple the catheter from the coupling device.
There is thus provided in accordance with an embodiment of the present invention an inflation and deflation assembly including an interface member including a proximal connector portion and distal resilient fingers cantilevered from an intermediate body portion distal of the proximal connector portion, and a coupling device formed with a lumen that has a proximal lumen portion and a distal lumen portion and a constriction portion intermediate the proximal lumen portion and the distal lumen portion. In a coupling orientation, the interface member is introduced into the coupling device and the resilient fingers bend radially inwards upon abutting and passing through the constriction portion.
The present invention will be understood and appreciated more fully from the following detailed description taken in conjunction with the drawings in which:
Reference is now made to
The inflation and deflation assembly includes an interface member 10, a catheter 12, a needle 14 and a coupling device 16 (
Reference is now made to
As seen in
Coupling device 16, in use, may be positioned in a balloon which is to be inflated or deflated.
One of the advantages of the inflation and deflation assembly over the prior art is that the coupling device 16 allows for two-stage coupling of the catheter 12 and needle 14, and there is no need for rotational alignment of the parts being coupled (since they are aligned at any arbitrary rotational angle), as is now explained with reference to
As seen in
In the second stage, shown in