EP0804258A1 - Soupape de catheter et systeme de catheter comprenant une telle soupape - Google Patents

Soupape de catheter et systeme de catheter comprenant une telle soupape

Info

Publication number
EP0804258A1
EP0804258A1 EP96900090A EP96900090A EP0804258A1 EP 0804258 A1 EP0804258 A1 EP 0804258A1 EP 96900090 A EP96900090 A EP 96900090A EP 96900090 A EP96900090 A EP 96900090A EP 0804258 A1 EP0804258 A1 EP 0804258A1
Authority
EP
European Patent Office
Prior art keywords
valve
opening
catheter
flow path
openings
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.)
Withdrawn
Application number
EP96900090A
Other languages
German (de)
English (en)
Inventor
Thomas Friis J Rgensen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Unomedical AS
Original Assignee
Maersk Medical AS
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Maersk Medical AS filed Critical Maersk Medical AS
Publication of EP0804258A1 publication Critical patent/EP0804258A1/fr
Withdrawn legal-status Critical Current

Links

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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0488—Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/049—Mouthpieces
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/74—Suction control
    • A61M1/741—Suction control with means for varying suction manually
    • A61M1/7411—Suction control with means for varying suction manually by changing the size of a vent
    • 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0463—Tracheal tubes combined with suction tubes, catheters or the like; Outside connections
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/75—General characteristics of the apparatus with filters
    • A61M2205/7518—General characteristics of the apparatus with filters bacterial

Definitions

  • Valve for catheter and catheter system comprising such a valve
  • the present invention relates to a valve for adjusting the suction pressure in a suction catheter, said valve comprising a valve housing with at least a first opening connectable to a catheter, and at least a second opening connectable to a vacuum source, closing means arranged in the valve housing for shutting off the flow path between said openings, and means for influencing the closing means so as to establish flow communication between said openings.
  • Such valve is used in particular in connection with a so-called closed catheter system wherein a catheter is connected to the one opening of the valve and extends through a connec ⁇ ting piece for connection with the intubation tube of an intubated patient, and wherein a flexible sleeve is provided between the valve and the connecting piece which allows the catheter to slide through the connecting piece, said sleeve being deformed and thus introduced into the respiratory tracts of the patient in order to discharge secretion therefrom by suction, secretion which would otherwise be impossible for the patient himself to discharge.
  • the valve device is influenced and the suction pressure of the suction source will thus cause the catheter to draw in the secretion through its suction opening.
  • the catheter may be withdrawn from the patient's respiratory tracts, and due to the flexible sleeve enclosing the catheter between the valve and the connecting piece the catheter is prevented from being in direct contact with the surroundings. Consequently undesired bacteria growth is avoided and the same catheter may hence be used several times for performing the suction procedure on the same patient which results in reduced material consumption compared to the situation when a new catheter is to be used for each suction procedure.
  • a suction pressure within the range of 300-400 mmHg (below atmospheric pressure which is usually about 760 mmHg) is commonly used in connection with such suction catheters.
  • this pressure on the suction side of the disconnecting means may be increased to about 700 mmHg. Since the catheter has been introduced into the respiratory tracts of the patient to discharge secretion by suction, this subat ⁇ mospheric pressure increased upon activation of the valve will consequently occur at the suction end of the valve, which pressure may cause the catheter to engage firmly with e.g. lung tissue and thus inflict damage thereto with ensuing haemorraghe ⁇ .
  • Such measure means that the suction pressure source will always draw in air from the surroundings in a non-activated state of the valve when the opening facing the catheter is closed, and establishment of a subatmospheric pressure which exceeds the intended one will thus not occur whereby the risk of tissue damage is reduced.
  • this flow path between the surroundings and the second opening is provided in such a manner that the communication may shut off in a stepless manner which allows for stepless adjustment of the suction pressure from the intended suction pressure to a lower suction pressure which is determined by the flow resistances in the catheter system as a whole.
  • the flow path is provided integrally with the means for influencing the closing means so as to allow the flow path to be shut off by means of a finger by manually activating the opening means opening. This allows for simple and effective operation of the valve.
  • the means for activating the closing means are displaceable along an axis in the valve housing, and the first and the second openings are displaced relative to each other along this axis.
  • This permits the use of a cup-like, flexible closing device which, in its unloaded state, closes the first opening and which is deformed under the influence of the pressure by the actuating means, whereby flow communication is establis- hed between the first and the second openings.
  • Such closing body is simple and reliable.
  • a filter material is conveniently provided in connection with the flow path between the surroundings and the second opening.
  • these portions are provided with a mutual fitting which ensures a sufficiently sealing connec ⁇ tion between said portions by influencing the means for opening the flow path between the first and the second openings.
  • the invention relates to a catheter system compri ⁇ sing a valve as described above wherein the valve is connec ⁇ ted to a catheter which is connected to the first opening of the valve, wherein this catheter further extends through a connecting piece which is optionally in connection with the intubation tube of an intubated patient through an endotra- cheal mouthpiece, and wherein a flexible sleeve material is arranged between the valve and the connecting piece, which material may be deformed by the introduction of the catheter into the respiratory tracts of the patient.
  • scraping means may be provided for scraping off coatings, and/or a rinsing duct for the introduction of rinsing fluid.
  • Figure 1 shows a valve according to the invention in a non-activated state
  • Figure 2 shows a valve according to the invention in an activated state, wherein the closing means are deformed for opening the connection between the first and the second openings,
  • Figure 3 shows the valve according to Figure 2 wherein the the flow connection between the surroundings and the second opening is closed by means of a finger
  • Figure 4 shows a valve according to the invention in connection with a so-called closed valve system.
  • FIGS 1-4 illustrate a valve comprising a valve housing 1, a first opening 2 for connection with a catheter, a second opening 3 for connection with a suction pressure source (not shown) , a closing body 4 for shutting off the flow path between the first and the second openings, the first opening 2 of the housing 1 being covered as shown in Figure 1.
  • an activation button 5 is provided in the housing 1.
  • a flow connection 6 is provided in the form of a conduit, which is in connection with the second opening 3 and thus in connec ⁇ tion with the suction source, the closing body 4 covering only the first opening 2.
  • the closing body 4 comprises a cylindrical portion and a substantially planar portion which ends the cylindrical portion and forms an abutment for the activation button 5.
  • this cup-like design of the closing body is very efficient.
  • Figure 1 shows the valve according to the invention in a non- activated state wherein it shuts off the flow path between the openings 2 and 3.
  • Figure 2 the valve is shown in an activated state where the activation button 5 is depressed into the valve housing 1 whereby a central rod-shaped body on the activation button 5 deforms the closing body 4 so as to establish a flow communication between the openings 2 and 3.
  • Activation of the valve through the depression of the activation body 5 makes it possible to partially or complete ⁇ ly shut off the flow path 6 between the surroundings and the second opening 3 by means of a finger.
  • Complete covering by a finger will mean that the suction pressure of the suction source occurs at its peak value at the suction end of the catheter whereas a partial covering will allow adjustment of the suction pressure to a lower value.
  • Figure 4 illustrates the valve according to Figures 1-3 in a non-activated state wherein a catheter 7 is caused to communicate with the first opening 2 by means of a connecting funnel.
  • the opposite end of the catheter i.e. the suction end, extends through a connecting piece 9 which has been inserted into an opening in an intermediate portion, a so- called endotracheal mouthpiece 11 which is in turn connected to the intubation tube (not shown) of an intubated patient.
  • Such endotracheal mouthpiece further comprises openings for connection to a respirator or the like.
  • a flexible sleeve 8 is arranged between the connec- ting piece, which connects the catheter 7 to the valve, and the connecting piece.
  • a flexible sleeve 8 is arranged in the connecting piece 9 .
  • a rinsing gate 10 is also provided which is used for the introduction of rinsing fluid for rinsing off secretion sticking to the catheter.
  • the flexible sleeve 8 Upon displacement of the catheter 7 through the connecting piece and the intermediate piece for introduction thereof into the respiratory tracts of the patient, the flexible sleeve 8 will fold in the displacement direction of the catheter.
  • the suction procedure may be initiated by influencing the valve as described in connection with Figures 1-3.
  • the catheter may be withdrawn from the patient and it will subsequently occupy the position shown in Figure 4, which is a resting position between multiple suctions.
  • the catheter may be used several times during a period of up to 24 hours.

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Vascular Medicine (AREA)
  • Pulmonology (AREA)
  • Otolaryngology (AREA)
  • Emergency Medicine (AREA)
  • External Artificial Organs (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

Une soupape, qui permet de régler la pression d'aspiration d'un cathéter d'aspiration, comprend un corps de soupape (1) doté d'au moins une première ouverture (2) raccordable à un cathéter (7) et d'au moins une deuxième ouverture (3) raccordable à une source de vide, un dispositif d'obturation (4) disposé dans le corps (1) pour fermer le trajet d'écoulement reliant ces ouvertures, et un dispositif (5) qui intervient de façon appropriée sur ce dispositif d'obturation (4) pour établir un flux entre ces ouvertures (2, 3). Le trajet d'écoulement (6) est établi dans la soupape entre l'environnement et la deuxième ouverture (3) pour prévenir l'établissement d'une pression d'aspiration accrue du côté de la soupape tourné vers la source de vide.
EP96900090A 1995-01-11 1996-01-10 Soupape de catheter et systeme de catheter comprenant une telle soupape Withdrawn EP0804258A1 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DK003295A DK3295A (da) 1995-01-11 1995-01-11 Ventil til sugekateter, samt katetersystem omfattende en sådan ventil
DK32/95 1995-01-11
PCT/DK1996/000009 WO1996021476A1 (fr) 1995-01-11 1996-01-10 Soupape de catheter et systeme de catheter comprenant une telle soupape

Publications (1)

Publication Number Publication Date
EP0804258A1 true EP0804258A1 (fr) 1997-11-05

Family

ID=8088982

Family Applications (1)

Application Number Title Priority Date Filing Date
EP96900090A Withdrawn EP0804258A1 (fr) 1995-01-11 1996-01-10 Soupape de catheter et systeme de catheter comprenant une telle soupape

Country Status (6)

Country Link
EP (1) EP0804258A1 (fr)
AU (1) AU4328796A (fr)
DE (1) DE804258T1 (fr)
DK (1) DK3295A (fr)
ES (1) ES2107991T1 (fr)
WO (1) WO1996021476A1 (fr)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3534058B2 (ja) * 1999-10-29 2004-06-07 株式会社ジェイ・エム・エス 吸引コネクタ、およびそれを用いた吸引カテーテル
GB0225075D0 (en) * 2002-10-29 2002-12-04 Smiths Group Plc Valves
ES2245881B1 (es) * 2004-06-09 2007-09-16 Joan Conejero Sugrañes Valvula para regular automaticamente el vaciado vesical en enfermos sondados.
WO2006014431A2 (fr) * 2004-07-07 2006-02-09 Egret Medical Products, Inc. Ensemble catheter d'aspiration

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3335727A (en) * 1965-03-02 1967-08-15 Victor T Spoto Valve controlled coronary profusion suction tube
US3517669A (en) * 1968-03-12 1970-06-30 Becton Dickinson Co Valved suction catheter
US3991762A (en) * 1974-09-30 1976-11-16 Radford F Richard Aspirating device for patient ventilation apparatus
US4356823A (en) * 1980-05-30 1982-11-02 Jackson Richard R Suction control
US5215522A (en) * 1984-07-23 1993-06-01 Ballard Medical Products Single use medical aspirating device and method
US5013300A (en) * 1989-03-09 1991-05-07 Williams James D Apparatus for suction lipectomy surgery

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of WO9621476A1 *

Also Published As

Publication number Publication date
DK3295A (da) 1996-07-12
WO1996021476A1 (fr) 1996-07-18
ES2107991T1 (es) 1997-12-16
DE804258T1 (de) 1998-03-05
AU4328796A (en) 1996-07-31

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