Drainage catheter with pig-tail straightener

Information

  • Patent Application
  • 20080097394
  • Publication Number
    20080097394
  • Date Filed
    August 22, 2006
    17 years ago
  • Date Published
    April 24, 2008
    16 years ago
Abstract
A drainage catheter, including a catheter tube body that can have a pig-tail loop in a distal end, a rigid member configured to be placed inside of the catheter, a pig-tail straightening sleeve configured to move axially along the tube body, the sleeve having a lip formed on an end of the sleeve, the lip being configured to be positioned towards the distal end of the tube body, thereby straightening the catheter tube body and facilitating entry of the rigid member into the catheter tube body when the pig-tail straightening sleeve is positioned to straighten the catheter tube body.
Description

BRIEF DESCRIPTION OF THE DRAWINGS

To further clarify the above and other advantages and features of the present invention, a more particular description of the invention will be rendered by reference to specific embodiments thereof which are illustrated in the appended drawings. It is appreciated that these drawings depict only typical embodiments of the invention and are therefore not to be considered limiting of its scope. The invention will be described and explained with additional specificity and detail through the use of the accompanying drawings in which:



FIG. 1A is a perspective view of a drainage catheter illustrating a catheter tube body in a pig-tail configuration and a pig-tail straightener sleeve;



FIG. 1B is a perspective view of a drainage catheter illustrating a pig-tail straightener positioned to straighten a catheter tube body and a rigid member partially within the catheter tube body of FIG. 1A;



FIG. 1C is a perspective view of the drainage catheter of FIG. 1A, with rigid members and pig-tail straightener sleeve, being placed within a body with rigid members;



FIG. 2 is a perspective view of the drainage catheter of FIG. 1A in place and secured with a pig-tail;



FIG. 3A is a cross-sectional view of an embodiment of a pig-tail straightener;



FIG. 3B is a cross-sectional view of an embodiment of a pig-tail straightener; and



FIG. 3C is a cross-sectional view of an embodiment of a pig-tail straightener.





DETAILED DESCRIPTION OF EXEMPLARY EMBODIMENTS

The present invention relates to catheters. In particular, the present invention relates to a drainage catheter including a catheter tube body configured to assume a pig-tail configuration in a distal end of the catheter tube body, at least one rigid member, such as a trocar, or cannula that can be placed inside of the catheter tube body, and a pig-tail straightener, such as a sleeve, for straightening the tube body to provide easier insertion of a rigid member into the catheter tube body.



FIGS. 1A-1C are perspective views of drainage catheter 10 illustrating a catheter tube body 12 having a distal end 13, a proximal end 16, a locking catheter hub 14 having a rotatable lever handle 28, securement suture 26, and pig-tail straightener sleeve 20.



FIG. 1A shows distal end 13 of catheter tube body 12 in a pig-tail configuration. Pig-tail configuration may also be any loop, bend, hook, spiral, twist, or similar alteration that would secure distal end 13 of catheter 10 in a desired location. Distal end 13 may be normally biased in a pig-tail configuration, as shown in FIG. 1A, or it may be normally straight, requiring modification to a pig-tail configuration through any number of methods.


In the example embodiments disclosed, drainage catheter 10 is configured to be utilized for potentially prolonged periods to drain fluid from a patient. Catheter hub 14 and rotatable lever handle 28 provide a simple and effective mechanism to allow a user to selectively implement and maintain the anchor configuration of a distal end 13 of catheter tube body 12. Rotatable lever handle 28 is adapted to secure a suture thread 26 to maintain the anchor configuration of distal end 13 of catheter tube body 12 so that the position of catheter tube body 12 is secured within a patient's body 18 (as shown in FIGS. 1C-2). The rotatable lever handle 28 has a released position for allowing movement of the suture, and a secured position for preventing movement of the suture. Rotatable lever handle 28 is shown in the released position in FIG. 1A.


To maintain the desired positioning of distal end 13 within the patient 18, the practitioner grasps the free end of suture 26 extending from catheter hub 14. The user then pulls suture 26 in a rearward direction away from distal end 13 of catheter tube body 12 such that distal end 13 forms a pig-tail type anchor configuration. The anchor loop configuration in distal end 13 of catheter tube body 12 maintains the position of distal end 13 in patient 18, even where the wall of a body cavity is insufficiently rigid to secure traditional catheter securement devices.


Typically, once distal end 13 of catheter tube body 12 is positioned in the pig-tail configuration, the drainage catheter 10 will remain positioned within the body of the patient for a considerable period of time to facilitate ongoing drainage of the volume of bodily fluid from the patient.


In the illustrated embodiment, locking catheter hub 14 is utilized in connection with catheter tube body 12 of drainage catheter 10. Catheter tube body 12 comprises an elongate tubular member having a drainage lumen for allowing the fluid to exit patient 18, through the distal end 13 of catheter tube body 12. The configuration of catheter tube body 12 allows fluids to be drained from a patient 18 through drainage catheter 10, exiting at proximal end 16.


Pig-tail straightener 20 may have a sleeve body 24 slidably engaged with catheter tube body 12. Pig-tail straightener 20 may be a sleeve or tube having an inner diameter larger than the outer diameter of catheter tube body 12, allowing pig-tail straightener 20 to slide along the length of catheter tube body 12. Pig-tail straightener 20 includes lip 22 to facilitate sliding pig-tail straightener 20 from a proximal location near hub 14, as illustrated in FIG. 1A, to a distal location covering, at least in part, distal end 13 of catheter tube body 12. Lip 22 may be a raised ring around one end of pig-tail straightener 20, as illustrated in FIGS. 1A-IC, 3A-3B such that lip 22 has a diameter greater than the diameter of sleeve body 24. Alternatively, lip 22 may be a rounding of the distal end of sleeve body 24 such that a smooth edge is presented, as shown in FIGS. 3A-3C. In FIG. 3A, lip 22a is a rounded projection extending from sleeve body 24a, such that lip 22a has a diameter greater than the diameter of sleeve body 24a. In FIG. 3B, lip 22b is a gradually expanding projection extending from sleeve body 24b, such that lip 22b has a diameter greater than the diameter of sleeve body 24b. In FIG. 3C, sleeve body 24c has thick walls allowing lip 22a to have a rounded end. In other embodiments, the lip may include a rounded end formed on the gradually expanding projection extended from the sleeve body.


As pig-tail straightener 20 is moved distally, lip 22 engages distal end 13, straightening the pig-tail to a straight configuration, as illustrated in FIG. 1B. Lip 22 is sufficiently rounded or smooth to slide along catheter tube body 12 rather than catching on or damaging catheter tube body 12. Once the catheter tube body 12 is in a straightened configuration, as shown for example in FIG. 1B, the catheter tube body may then be prepared to be introduced into a patient, as shown in FIG. 1C.


Distal end 13 is introduced into patient 18 at a position configured to optimize the drainage of fluid from patient 18. To facilitate the correct positioning of drainage catheter 10, distal end 13 can be introduced into patient 18 through an existing lumen, or made rigid by insertion of one or more rigid members 30, 36 into the lumen of catheter tube body 12. In this example embodiment, cannula 30 can be attached to drainage catheter 10 by engaging a threaded connecting member 17 at proximal end 16 with threaded end 32 of cannula 30. As illustrated in FIGS. 1B-1C, cannula 30 may be attached at one end to proximal end 16 of catheter tube body 12. Trocar 36 may also be introduced into catheter tube body 12 to allow drainage catheter 10 to be inserted directly into the patient 18 through an opening created by a sharp end of trocar 36.


Cannula 30 may have a blunt end and a lumen to allow passage of trocar 36 through cannula 30 and catheter tube body 12, creating a nested arrangement, as illustrated in FIGS. 1B-1C. Cannula 30 may have a threaded portion 33 to releasably engage threaded end 38 of trocar 36. Cannula 30 and trocar 36 may be the approximate length of catheter tube body 12 and contained entirely or substantially by catheter tube body 12.


With pig-tail straightener 20 in place over distal end 13, cannula 30 and/or trocar 36 may be inserted into catheter tube body 12 without catching on, puncturing, or otherwise damaging catheter tube body 12 with the distal end of cannula 30 or the sharp distal end of trocar 36.


As illustrated in FIG. 1C, drainage catheter 10 may be inserted into patient 18 with both cannula 30 and trocar 36 in place within catheter tube body 12. Alternatively, cannula 30 may be employed separately as may be expedient to a practitioner. Some embodiments of cannula 30 may be made of plastic, metal, or other appropriate material, and may have varying degrees of rigidity, depending on the required application.


As illustrated in FIG. 2, pig-tail straightener 20 is removed from catheter tube body 12 after insertion of rigid members 30, 36 and prior to placement of drainage catheter 10 in patient 18 by sliding pig-tail straightener off of distal end 13 of catheter tube body 12 and discarded as appropriate.


As will be appreciated by those skilled in the art, a variety of types and configurations of catheters can be utilized for draining bodily fluids from a patient without departing from the scope and spirit of the present invention. For example, in one embodiment, the fluids to be drained exit from a portion of the drainage catheter other than the catheter hub. In another embodiment, the drainage catheter 10 is adapted to be positioned adjacent an organ or in the vasculature of the patient. In another embodiment, the drainage catheter 10 is introduced utilizing a guidewire or rigid stylet.


In some embodiments, a kit according to the present invention may include, in addition to the components discussed above, additional tubing, sterile gloves, sterilization pads, additional members configured to be inserted into the drainage catheter such as diagnostic testing implements or devices, structural support elements, or other devices and implements used in conjunction with drainage catheters.


The present invention may be embodied in other specific forms without departing from its spirit or essential characteristics. The described embodiments are to be considered in all respects only as illustrative and not restrictive. The scope of the invention is, therefore, indicated by the appended claims rather than by the foregoing description. All changes which come within the meaning and range of equivalency of the claims are to be embraced within their scope.

Claims
  • 1. A drainage catheter, comprising: a tube body having a proximal end and a distal end;a rigid member configured to be placed inside of the tube body; anda sleeve configured to move axially along the tube body, the sleeve having a smooth portion formed on an end of the sleeve, the smooth portion being configured to be positioned towards the distal end of the tube body.
  • 2. The drainage catheter of claim 1, wherein the distal end of the tube body is configured to be secured in a pig-tail position.
  • 3. The drainage catheter of claim 2, wherein the tube body is at least partially biased into the pig-tail position.
  • 4. The drainage catheter of claim 2, wherein the tube body is a soft, pliable material.
  • 5. The drainage catheter of claim 2, wherein the sleeve is configured to hold the distal end of the tube body in a straightened configuration when placed at the distal end of the tube body.
  • 6. The drainage catheter of claim 1, wherein the rigid member is at least one of a cannula or trocar.
  • 7. The drainage catheter of claim 1, wherein the sleeve is configured to hold the distal end of the tube body in a straightened position for inserting the rigid member into the tube body.
  • 8. The drainage catheter of claim 1, wherein the smooth portion is a lip.
  • 9. The drainage catheter of claim 8, wherein the lip has a greater external diameter than the sleeve.
  • 10. The drainage catheter of claim 8, wherein the lip includes a rounded portion on the inside of the sleeve.
  • 11. The drainage catheter of claim 8, wherein the lip includes a rounded portion on the outside of the sleeve.
  • 12. The drainage catheter of claim 9, wherein the lip includes a rounded portion on the inside of the sleeve.
  • 13. The drainage catheter of claim 9, wherein the lip includes a rounded portion on the outside of the sleeve.
  • 14. A catheter kit, comprising: a drainage catheter, the drainage catheter including: a tube; anda catheter hub operably coupled to the tube;at least two rigid members each configured to be slidably received substantially within the tube; anda sleeve configured to straighten the tube to facilitate entry of at least one of the at least two rigid member into the tube.
  • 15. The catheter kit of claim 14, wherein at least one of the at least two rigid members is configured to rotatably attach to the catheter hub.
  • 16. The catheter kit of claim 14, wherein the sleeve includes a lip configured to facilitate straightening of the tube.
  • 17. The catheter kit of claim 16, wherein the sleeve is configured to slidably engage the tube such that the sleeve slides along an exterior surface of the tube.
  • 18. The catheter kit of claim 17, wherein the lip is located on an end of the sleeve, and wherein the lip is configured to be oriented toward a distal, curved end of the tube.
  • 19. The catheter kit of claim 14, wherein the at least two rigid members are configured to be inserted simultaneously within the tube.
  • 20. The catheter kit of claim 19, wherein one of the at least two rigid members is configured to be placed substantially within the other rigid member.