US2431587A - Cannula button for surgical operations and method of use - Google Patents

Cannula button for surgical operations and method of use Download PDF

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Publication number
US2431587A
US2431587A US578627A US57862745A US2431587A US 2431587 A US2431587 A US 2431587A US 578627 A US578627 A US 578627A US 57862745 A US57862745 A US 57862745A US 2431587 A US2431587 A US 2431587A
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disc
vein
button
use
method
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US578627A
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Charles F Schnee
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Charles F Schnee
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/0247Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/0247Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0276Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing or removing fluids into or out of the body

Description

I NOV. 25, 1947. I c, SCHNEEI 2,431,587

CANNULA BUTTON FOR SURGICAL OPERATIONS AND METHOD OF USE Filed Feb. 19, 1945 B Z INVENTOR.

ATToRNEX v Patented Nov. 25, 1947 CANNULA BUTTON FOR SURGICAL OPERA- TIONS AND METHOD OF USE Charles F. Schnee, Maspeth, N. Y.

Application February 19, 1945, Serial No. 578,627

1 Claim. 1

This invention relates generally to surgical instruments and methods and more particularly to a cannula button for use in removing excess fluid from the abdomen in cases of ascites.

Devices and methods have heretofore been used for this purpose but these have not proven entirely satisfactory. Some of them were temporary expedients used at the time of the operation or at best for a period while the patient was hospitalized. In others, a connection was made between the abdomen and a vein in the thigh of the leg but such connection soon clogged up or became broken.

A primary object of the present invention is to overcome the above-mentioned defects and shortcomings of the present known devices and methods.

A further object is to provide a method and means for positively directing the excess liquid from the abdomen to a vein in the thigh, and so into the general circulation that it may be excreted through the kidneys.

Another object is to provide an improved device for forming a positive and rigid connection between the abdomen and a vein in the thigh.

Yet another object is to provide means for preventing the connection between the abdomen and the vein from becoming clogged up or broken.

Still another object is to provide means for facilitating fastening the abdominal wall and vein to the device.

A still further object is to provide such an instrument that is readily and easily mounted in position.

Another object is to provide an instrument of this kind that may remain permanently in the body without injury or deleterious results.

Another object is to provide such an instrument that is simple in construction and inexpensive to manufacture.

Further objects and advantages of the present invention will be apparent from the description thereof to follow taken in connectionwith the accompanying drawing in which- Figure 1 is a sectional view of the human abdomen showing one form of my improved cannula button in position in the wall of the abdomen and connected to a vein.

Figure 2 is a side view of the improved cannula button shown in Figure 1, parts being shown in section.

Figure 3 is a front view thereof.

Figure 4 is a rear View thereof.

Figure 5 is a side view of a modified form of cannula button.

The improved instrument is in the form of a cannula button I made of any suitable metal, a known metal alloy having the approximate composition of sixty-five percent cobalt, thirty percent (30%) chromium, and five percent (5%) molybdenum having been found in practice to be very satisfactory for this purpose, said alloy being non-corrosive and producing no reaction in living tissues when embedded therein. The form of button shown in Figures 1 to 4, inclusive, comprises a disc member 2 with a central opening 3. Secured to the periphery of the disc in any suitable manner and extending outwardly from one face thereof is a dome-shaped guard member 4 which as shown is preferably a hollow hemisphere. This guard member has a solid wall portion 5 at its apex, the remainder of the wall being formed with a plurality of perforations 6. A tubular shank or stem 1 extends laterally from the opposite face of the disc and has one end suitably fastened to the walls of the disc opening 3 and has its other free end 8 bent at right angles to the plane of the shank. A retaining bead or flange 9 may be formed on the outer free edge of the angular end 8.

The disc is provided with a number of openings I0 adjacent the periphery and a number of radially disposed eyelet members ll adjacent its central opening, three of such openings and eyelet members being shown, but any desired number may be provided.

The technique for using the improved cannula button is as follows:

An incision is made in the abdominal wall I8l2 into the peritoneal cavity I3 sufi'iciently large to permit the disc and dome-shaped guard member to be inserted into said cavity. The disc is then fastened to the wall by sutures l4 passing through the openings ID in the disc. The peritoneal incision is then closed by suturing its margins over the disc 2, permitting shank l to pass outward into the abdominal wall 11.

A vein in the thigh, such as the saphenous vein l5, having first been completely severed across at a point below its connection to the femoral vein [6 and its severed portion suitably closed, is stretched or threaded through the abdominal wall I1 under the skin 18 upwardly to a point above the femoral vein and to a point adjacent the incision in the abdominal wall. This stretched or reflected portion of the vein I5 is slipped or threaded over the tubular shank 1, for the entire length of said shank, and its end is then fastened to the eyelet members H by means of sutures l9.

The fluid in the peritoneal cavity will pass through the perforations in the dome-shaped guard into the tubular shank and saphenous vein I 5, finding an outlet in the femoral vein [6, The solid portion of the wall of said uard will guard off internal organs from coming up against the openings in the button.

In Figure 5 I have shown a modified form of cannula button in which the tubular shank 20 is arcuate-shaped instead of angular as shown in Figures 1 and 2. This hape facilitates threading of the vein It on to the shank. The shank 20 may also be longer than the shank 1 thereby making provision for abdominal walls of varying thickness.

It will be seen from the foregoing that I have invented a new method and instrument for removing excess fluid which accumulates in the abdomen of patients suffering with various types member, said disc having a central opening communicating with the passage in the tubular member, and a dome-shaped guard member secured to said disc, said guard member having perforations communicating with the openings in the disc and tubular member, said disc having openings adjacent its periphery for suturing the abdominal Wall thereto, and said disc also having eyelet members adapted for fastening a vein of the human body to the disc,

CHARLES F. SCHNEE.

REFERENCES CITED The following references are of record in the file of this patent:

UNITED STATES PATENTS Number Name Date 1,863,057 Innes June 14, 1932 FOREIGN PATENTS Number Country Date 414,177 France Aug. 27, 1910 847,229 France Dec. 7, 1938 OTHER REFERENCES Commissioners Manuscript Decisions, vol, 24, page 349.

Vol. IIIOperative Surgery by Bickham, pages 843, 844 and 845.

US578627A 1945-02-19 1945-02-19 Cannula button for surgical operations and method of use Expired - Lifetime US2431587A (en)

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Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3042021A (en) * 1958-11-25 1962-07-03 Read Thane Bypass type insert plug for body passageway
US3298372A (en) * 1963-12-17 1967-01-17 Feinberg Maurice Surgical hydrocephalus shunt sleeve for placement in a vertebra
US4368737A (en) * 1980-07-07 1983-01-18 Purdue Research Foundation Implantable catheter
US4375816A (en) * 1979-10-17 1983-03-08 Michele Labianca Catheters for shunting systems for the treatment of hydrocephalus
US4729761A (en) * 1985-11-27 1988-03-08 White Thomas C Tissue-implantable, fluid-dissipating device
US5702414A (en) * 1995-05-14 1997-12-30 Optonol Ltd Method of implanting an intraocular implant
US5897521A (en) * 1997-06-30 1999-04-27 Medilyfe, Inc. Sinusal intubation device
US5968058A (en) * 1996-03-27 1999-10-19 Optonol Ltd. Device for and method of implanting an intraocular implant
US6203513B1 (en) 1997-11-20 2001-03-20 Optonol Ltd. Flow regulating implant, method of manufacture, and delivery device
US6543452B1 (en) 2000-11-16 2003-04-08 Medilyfe, Inc. Nasal intubation device and system for intubation
US6558342B1 (en) 1999-06-02 2003-05-06 Optonol Ltd. Flow control device, introducer and method of implanting
US20080097354A1 (en) * 2006-08-29 2008-04-24 Francois Lavigne Stent for irrigation and delivery of medication
US20090204053A1 (en) * 2008-02-11 2009-08-13 Optonol Ltd. Devices and methods for opening fluid passageways
US20100274259A1 (en) * 1997-11-20 2010-10-28 Optonol Ltd. Fluid drainage device, delivery device, and associated methods of use and manufacture
US7862531B2 (en) 2004-06-25 2011-01-04 Optonol Ltd. Flow regulating implants

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR414177A (en) * 1910-03-26 1910-08-27 Sylvain Riviere Antimétéorisateur device for use by animals weathered
US1863057A (en) * 1930-03-03 1932-06-14 George A Innes Surgical drain
FR847229A (en) * 1938-12-07 1939-10-05 A feeding device for people gastrostomy

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR414177A (en) * 1910-03-26 1910-08-27 Sylvain Riviere Antimétéorisateur device for use by animals weathered
US1863057A (en) * 1930-03-03 1932-06-14 George A Innes Surgical drain
FR847229A (en) * 1938-12-07 1939-10-05 A feeding device for people gastrostomy

Cited By (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3042021A (en) * 1958-11-25 1962-07-03 Read Thane Bypass type insert plug for body passageway
US3298372A (en) * 1963-12-17 1967-01-17 Feinberg Maurice Surgical hydrocephalus shunt sleeve for placement in a vertebra
US4375816A (en) * 1979-10-17 1983-03-08 Michele Labianca Catheters for shunting systems for the treatment of hydrocephalus
US4368737A (en) * 1980-07-07 1983-01-18 Purdue Research Foundation Implantable catheter
US4729761A (en) * 1985-11-27 1988-03-08 White Thomas C Tissue-implantable, fluid-dissipating device
US5702414A (en) * 1995-05-14 1997-12-30 Optonol Ltd Method of implanting an intraocular implant
US6468283B1 (en) 1995-05-14 2002-10-22 Optonol, Ltd. Method of regulating pressure with an intraocular implant
US7481816B2 (en) 1995-05-14 2009-01-27 Optonol Ltd. Intraocular implant, delivery device, and method of implantation
US5968058A (en) * 1996-03-27 1999-10-19 Optonol Ltd. Device for and method of implanting an intraocular implant
US5897521A (en) * 1997-06-30 1999-04-27 Medilyfe, Inc. Sinusal intubation device
US8313454B2 (en) 1997-11-20 2012-11-20 Optonol Ltd. Fluid drainage device, delivery device, and associated methods of use and manufacture
US6510600B2 (en) 1997-11-20 2003-01-28 Optonol, Ltd. Method for manufacturing a flow regulating implant
US6203513B1 (en) 1997-11-20 2001-03-20 Optonol Ltd. Flow regulating implant, method of manufacture, and delivery device
US8486086B2 (en) 1997-11-20 2013-07-16 Optonol, Ltd Flow regulating implant, method of manufacture, and delivery device
US20100274259A1 (en) * 1997-11-20 2010-10-28 Optonol Ltd. Fluid drainage device, delivery device, and associated methods of use and manufacture
US7670310B2 (en) 1997-11-20 2010-03-02 Optonol Ltd Flow regulating implants
US6726664B2 (en) 1999-06-02 2004-04-27 Optonol Ltd. Flow control device, introducer and method of implanting
US6558342B1 (en) 1999-06-02 2003-05-06 Optonol Ltd. Flow control device, introducer and method of implanting
US6543452B1 (en) 2000-11-16 2003-04-08 Medilyfe, Inc. Nasal intubation device and system for intubation
US8034016B2 (en) 2004-06-25 2011-10-11 Optonol, Ltd. Flow regulating implants and methods of implanting
US7862531B2 (en) 2004-06-25 2011-01-04 Optonol Ltd. Flow regulating implants
US20090275882A1 (en) * 2006-08-29 2009-11-05 Francois Lavigne Stent for irrigation and delivery of medication
US20090275903A1 (en) * 2006-08-29 2009-11-05 Francois Lavigne Stent for irrigation and delivery of medication
US7547323B2 (en) 2006-08-29 2009-06-16 Sinexus, Inc. Stent for irrigation and delivery of medication
US20080097354A1 (en) * 2006-08-29 2008-04-24 Francois Lavigne Stent for irrigation and delivery of medication
US8277504B2 (en) 2006-08-29 2012-10-02 Intersect Ent, Inc. Stent for irrigation and delivery of medication
US8277503B2 (en) 2006-08-29 2012-10-02 Intersect Ent, Inc. Stent for irrigation and delivery of medication
US8109896B2 (en) 2008-02-11 2012-02-07 Optonol Ltd. Devices and methods for opening fluid passageways
US20090204053A1 (en) * 2008-02-11 2009-08-13 Optonol Ltd. Devices and methods for opening fluid passageways
US9173774B2 (en) 2010-03-26 2015-11-03 Optonol Ltd. Fluid drainage device, delivery device, and associated methods of use and manufacture

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