US3623484A - Telescoping shunt system for physiological fluid - Google Patents
Telescoping shunt system for physiological fluid Download PDFInfo
- Publication number
- US3623484A US3623484A US843517A US3623484DA US3623484A US 3623484 A US3623484 A US 3623484A US 843517 A US843517 A US 843517A US 3623484D A US3623484D A US 3623484DA US 3623484 A US3623484 A US 3623484A
- Authority
- US
- United States
- Prior art keywords
- catheter
- sleeves
- tubular
- retaining sleeves
- outer sleeve
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/10—Tube connectors; Tube couplings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
- A61M27/002—Implant devices for drainage of body fluids from one part of the body to another
- A61M27/006—Cerebrospinal drainage; Accessories therefor, e.g. valves
Definitions
- ABSTRACT This invention relates to an auxiliary device for use with and in physiological shunt circuits for the drainage of unwanted fluids from one part of the body to another.
- a telescopic section is incorporated into a shunt catheter so that when one end of the system is implanted in an area of the body to be drained (such as the ventricles of the brain) and the other end of the system is implanted in a portion of the body into which the fluid must be drained (such as the heart), then, when there is bodily growth which would require elongation of the system, the telescopic portion will elongate and thus prolong the period before the system or some part of it must be replaced to compensate for nonnal growth.
- the catheter incorporating the telescopic section is made in two segments having flanged ends which contact the inside of a silicone rubber cylinder and are fluidtight, but can move longitudinally under tensile loads applied as a consequence of the growth of the child.
- the flanged ends may be radiopaque in order that the elongation may be checked by X- ray. These ends are held against withdrawal.
- TELESCOPING SHUNT SYSTEM FOR PHYSIOLOGICAL FLUID to auxiliary devices for use in Still another object of the invention is to provide means on ic portion and thereby providing elongation.
- FIG. 1 shows the presently preferred embodiment of the invention in the body ofa child
- F IG. 2 is a cross section of a portion of the invention shown in Fig. 1, taken at line 2 2 therein;
- FIG. 3 is a cross section taken at line 3-ofFlG. 2.
- a telescopic catheter 10 as shown in FIG. 1, is incoris fixed to the body at a location between the two ends of one arm of the system (the arm sometimes herein called a drainage catheter"), which arm is divided into two adjacent portions in this device.
- the portions of the drainage catheter are called the proximal catheter l1 and the distal catheter 12.
- the proximal catheter 1] and the distal catheter 12 have enlarged cylindrical flanges l3 and 14 which act as pistons and make a sliding sealing fit inside of retainer sleeves l and 16.
- Flanges l3 and 14 may be made radiopaque by applying a coating of, or by impregnation with, radiopaque material such as barium sulfate in order to visualize the flanges to X-ray in the implanted device.
- An outer sleeve 17 encases the retaining sleeves l5 and 16.
- the three sleeves may be held assembled by an air-curing silicone rubber cement. All sleeves and the catheter tubes 11 and 12 may conveniently be made of silicone rubber.
- another catheter 18 (sometimes herein called a drainage catheter) is implanted so as to drain a region having unwanted fluids, such as the ventricles of the brain in cases of hydrocephalus.
- This catheter has a central passage and openings thereinto so as to collect fluid from this region.
- the proximal catheter portion 11 is sutured to the lozenge 19, which fixes its free end.
- Retainer sleeve 16 is sutured to the jugular vicinity by attachment of a suture to a groove 19a this suturing being done at the end 20, and these will become encased in fibrous tissue in the superior vena cava, and thereby prevent too-easy withdrawal therefrom.
- the flanges are held against removal by the reduced portions 22 and 23, which are smaller than the flanges, so the device cannot be disassembled by an axial pull.
- This telescopic joint markedly improves the function of the for example, in a single-line patent, wherein no pump is used.
- the device is easily manufactured, and elegant in concept.
- a catheter for use in a physiological fluid shunt system comprising: a first and a second tubular catheter each of said tubular retaining sleeves having a cylindrical inner wall with a reduced end adapted to overhang and retain against removal a respective one of said flanges and to make a close engagement with the outer wall of the respective catheter portion, said flanges making a sliding fluid-sealing fit with respective inner walls of said retaining sleeves; and an outer sleeve, said outer sleeve being bonded to and joining together and fluidly sealing the retaining sleeves, the retaining sleeves projecting beyond the ends of the outer sleeve.
- a catheter according to claim 1 in which a groove is provided in the outer wall of one of said retainer sleeves to provide a point of attachment for a suture.
- a catheter according to claim 1 in which one of said catheter portions carries protrusions on its surface near its end away from the sleeves, said protrusions being adapted to engage with fibrous body materials to prevent too-easy withdrawal.
- a catheter according to claim 3 in which said enlarged shoulders on said tubular catheter are radiopaque, and in which the catheter and said sleeves are made of silicone rubber.
- a physiological fluid shunt system which comprises: a
- telescopic coupling means comprising: an enlarged cylindrical flange on each of the catheter portions; a pair of tubular retaining sleeves, each of said tubular retaining sleeves having a cylindrical inner wall with a reduced end adapted to overhang and retain against removal a respective one of the said flanges and to make a close engagement with the outer wall of the respective catheter portion, said flanges making a sliding fluid-sealing fit with respective inner walls of said retaining sleeves; and an outer sleeve, said outer sleeve being bonded to and joining together and fluidly sealing the retaining sleeves, the retaining sleeves projecting beyond the ends of the outer sleeve.
- a system according to claim 7 in which a vided in the outer wall of one of said vide a point of attachment for a suture.
- one of said catheter portions carries protrusions on its surface near its end away from the sleeves, said protrusions being adapted to engage with fibrous body materials to prevent too-easy withdrawal.
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- Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pulmonology (AREA)
- Neurology (AREA)
- Ophthalmology & Optometry (AREA)
- Otolaryngology (AREA)
- External Artificial Organs (AREA)
Abstract
Description
Claims (9)
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US84351769A | 1969-07-22 | 1969-07-22 |
Publications (1)
Publication Number | Publication Date |
---|---|
US3623484A true US3623484A (en) | 1971-11-30 |
Family
ID=25290236
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US843517A Expired - Lifetime US3623484A (en) | 1969-07-22 | 1969-07-22 | Telescoping shunt system for physiological fluid |
Country Status (1)
Country | Link |
---|---|
US (1) | US3623484A (en) |
Cited By (20)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3738365A (en) * | 1969-07-22 | 1973-06-12 | R Schulte | Spring reinforced extensible catheter |
US3913587A (en) * | 1973-12-10 | 1975-10-21 | Dow Corning | Implantable extendable member |
FR2495474A1 (en) * | 1980-12-04 | 1982-06-11 | Sommers Michael | A CATHETER ASSEMBLY FOR A PHYSIOLOGICAL FLUID DERIVATION DEVICE, A CAP FOR THE END OF THIS DEVICE, SUCH A DEVICE, A SURGICAL TROCART AND METHOD FOR INSERTING THE CATHETER, A SLOW-PRESSURE SLOW VALVE, AND A CATHETER FASTENING ATTACHMENT TO THE BODY |
US4398910A (en) * | 1981-02-26 | 1983-08-16 | Blake L W | Wound drain catheter |
US4548201A (en) * | 1982-04-20 | 1985-10-22 | Inbae Yoon | Elastic ligating ring clip |
US4583967A (en) * | 1984-02-13 | 1986-04-22 | Cordis Corporation | Telescoping catheter shunt system |
US4632668A (en) * | 1984-12-31 | 1986-12-30 | University Of Virginia Alumni Patents Foundation | Ventricular catheter |
WO1991004068A1 (en) * | 1989-09-14 | 1991-04-04 | Schoener Wolfgang | Implantable catheter made of high cold flown material |
FR2661604A1 (en) * | 1990-05-07 | 1991-11-08 | Ravel Technologies | Prostate prosthesis, a device for its introduction or removal, and a device for its adjustment |
WO1992000043A1 (en) * | 1990-06-28 | 1992-01-09 | Schneider (Usa) Inc. | Self-expanding prosthesis having stable axial length |
US5360414A (en) * | 1992-10-08 | 1994-11-01 | Yarger Richard J | Tube for draining body cavities, viscera and wounds |
US5728061A (en) * | 1988-10-07 | 1998-03-17 | Ahmed; Abdul Mateen | Device and method for treating hydrocephalus |
US6010479A (en) * | 1994-09-02 | 2000-01-04 | Dimitri; Mauro | Specific catheter for percutaneous gastrostomy |
US6193682B1 (en) | 1998-03-16 | 2001-02-27 | Abdul Mateen Ahmed | Low profile neonatal hydrocephalus device and methods |
US6478789B1 (en) | 1999-11-15 | 2002-11-12 | Allegiance Corporation | Wound drain with portals to enable uniform suction |
US20040249360A1 (en) * | 1999-03-22 | 2004-12-09 | Spehalski Stephan R. | Steerable wound drain device |
US20070129663A1 (en) * | 2005-12-01 | 2007-06-07 | Medtronic, Inc. | Implantable cerebrospinal fluid flow device and method of controlling flow of cerebrospinal fluid |
JP2008517683A (en) * | 2004-10-25 | 2008-05-29 | コロプラスト アクティーゼルスカブ | Male telescopic catheter |
US8777931B2 (en) | 2011-08-19 | 2014-07-15 | Alcon Research, Ltd. | Retractable luer lock fittings |
WO2019099740A1 (en) * | 2017-11-15 | 2019-05-23 | Alcyone Lifesciences, Inc. | Drug delivery systems and methods |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
BE664424A (en) * | ||||
US330392A (en) * | 1885-11-17 | Expansion-joint | ||
US358074A (en) * | 1887-02-22 | Coupliire foe lubricatoks | ||
US1130358A (en) * | 1914-02-19 | 1915-03-02 | Elmer E Whitney | Trombone-slide. |
US3456965A (en) * | 1967-02-23 | 1969-07-22 | Baxter Laboratories Inc | Means for coupling a pair of fluid conduits |
US3492996A (en) * | 1966-02-09 | 1970-02-03 | Dow Corning | Ventriculo-atrial shunt |
-
1969
- 1969-07-22 US US843517A patent/US3623484A/en not_active Expired - Lifetime
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
BE664424A (en) * | ||||
US330392A (en) * | 1885-11-17 | Expansion-joint | ||
US358074A (en) * | 1887-02-22 | Coupliire foe lubricatoks | ||
US1130358A (en) * | 1914-02-19 | 1915-03-02 | Elmer E Whitney | Trombone-slide. |
US3492996A (en) * | 1966-02-09 | 1970-02-03 | Dow Corning | Ventriculo-atrial shunt |
US3456965A (en) * | 1967-02-23 | 1969-07-22 | Baxter Laboratories Inc | Means for coupling a pair of fluid conduits |
Cited By (33)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3738365A (en) * | 1969-07-22 | 1973-06-12 | R Schulte | Spring reinforced extensible catheter |
US3913587A (en) * | 1973-12-10 | 1975-10-21 | Dow Corning | Implantable extendable member |
FR2495474A1 (en) * | 1980-12-04 | 1982-06-11 | Sommers Michael | A CATHETER ASSEMBLY FOR A PHYSIOLOGICAL FLUID DERIVATION DEVICE, A CAP FOR THE END OF THIS DEVICE, SUCH A DEVICE, A SURGICAL TROCART AND METHOD FOR INSERTING THE CATHETER, A SLOW-PRESSURE SLOW VALVE, AND A CATHETER FASTENING ATTACHMENT TO THE BODY |
US4382445A (en) * | 1980-12-04 | 1983-05-10 | Cosmos Research Associates | Physiological fluid shunt system and improvements therefor |
US4398910A (en) * | 1981-02-26 | 1983-08-16 | Blake L W | Wound drain catheter |
US4548201A (en) * | 1982-04-20 | 1985-10-22 | Inbae Yoon | Elastic ligating ring clip |
US4583967A (en) * | 1984-02-13 | 1986-04-22 | Cordis Corporation | Telescoping catheter shunt system |
US4632668A (en) * | 1984-12-31 | 1986-12-30 | University Of Virginia Alumni Patents Foundation | Ventricular catheter |
US5728061A (en) * | 1988-10-07 | 1998-03-17 | Ahmed; Abdul Mateen | Device and method for treating hydrocephalus |
US5468221A (en) * | 1989-09-14 | 1995-11-21 | Schoener; Wolfgang | Implantable catheter made of high cold flow material |
WO1991004068A1 (en) * | 1989-09-14 | 1991-04-04 | Schoener Wolfgang | Implantable catheter made of high cold flown material |
FR2661604A1 (en) * | 1990-05-07 | 1991-11-08 | Ravel Technologies | Prostate prosthesis, a device for its introduction or removal, and a device for its adjustment |
WO1992000043A1 (en) * | 1990-06-28 | 1992-01-09 | Schneider (Usa) Inc. | Self-expanding prosthesis having stable axial length |
US5360414A (en) * | 1992-10-08 | 1994-11-01 | Yarger Richard J | Tube for draining body cavities, viscera and wounds |
US6010479A (en) * | 1994-09-02 | 2000-01-04 | Dimitri; Mauro | Specific catheter for percutaneous gastrostomy |
US6193682B1 (en) | 1998-03-16 | 2001-02-27 | Abdul Mateen Ahmed | Low profile neonatal hydrocephalus device and methods |
US7658735B2 (en) | 1999-03-22 | 2010-02-09 | Spehalski Stephan R | Steerable wound drain device |
US20040249360A1 (en) * | 1999-03-22 | 2004-12-09 | Spehalski Stephan R. | Steerable wound drain device |
US8834453B2 (en) | 1999-03-22 | 2014-09-16 | Allegiance Corporation | Steerable wound drain device |
US8545481B2 (en) | 1999-03-22 | 2013-10-01 | Allegiance Corporation | Steerable wound drain device |
US20100198171A1 (en) * | 1999-03-22 | 2010-08-05 | Spehalski Stephan R | Steerable wound drain device |
US6478789B1 (en) | 1999-11-15 | 2002-11-12 | Allegiance Corporation | Wound drain with portals to enable uniform suction |
US20090137985A1 (en) * | 2004-10-25 | 2009-05-28 | Allan Tanghoej | Male telescope catheter |
JP4700059B2 (en) * | 2004-10-25 | 2011-06-15 | コロプラスト アクティーゼルスカブ | Male telescopic catheter |
US8361057B2 (en) | 2004-10-25 | 2013-01-29 | Coloplast A/S | Male telescope catheter |
JP2008517683A (en) * | 2004-10-25 | 2008-05-29 | コロプラスト アクティーゼルスカブ | Male telescopic catheter |
US8333728B2 (en) * | 2005-12-01 | 2012-12-18 | Medtronic, Inc. | Implantable cerebrospinal fluid flow device and method of controlling flow of cerebrospinal fluid |
US20070129663A1 (en) * | 2005-12-01 | 2007-06-07 | Medtronic, Inc. | Implantable cerebrospinal fluid flow device and method of controlling flow of cerebrospinal fluid |
US8777931B2 (en) | 2011-08-19 | 2014-07-15 | Alcon Research, Ltd. | Retractable luer lock fittings |
WO2019099740A1 (en) * | 2017-11-15 | 2019-05-23 | Alcyone Lifesciences, Inc. | Drug delivery systems and methods |
US10668247B2 (en) | 2017-11-15 | 2020-06-02 | Alcyone Lifesciences, Inc. | Therapy specific, pre-programmed auto injection device |
US10675438B2 (en) | 2017-11-15 | 2020-06-09 | Alcyone Lifesciences, Inc. | Therapy specific, pre-programmed auto injection device |
US11850374B2 (en) | 2017-11-15 | 2023-12-26 | Alcyone Therapeutics, Inc. | Therapy specific, pre-programmed auto injection device |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: AMERICAN HOSPITAL SUPPLY CORPORATION; ONE AMERICAN Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:AMERICAN HEYER- SCHULTE CORPORATION;REEL/FRAME:004099/0695 Effective date: 19830121 |
|
AS | Assignment |
Owner name: AMERICAN HEYER-SCHULTE CORPORATION Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:HEYER-SCHULTE CORPORATION;REEL/FRAME:004245/0660 Effective date: 19800623 |
|
AS | Assignment |
Owner name: BAXTER TRAVENOL LABORATORIES, INC. A CORP. OF DE Free format text: MERGER;ASSIGNOR:AMERICAN HOSPITAL SUPPLY CORPORATION INTO;REEL/FRAME:004760/0345 Effective date: 19870126 |
|
AS | Assignment |
Owner name: BAXTER INTERNATIONAL INC. Free format text: CHANGE OF NAME;ASSIGNOR:BAXTER TRAVENOL LABORATORIES, INC., A CORP. OF DE;REEL/FRAME:005050/0870 Effective date: 19880518 |