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US3645268A - Disposable, presterilized, self-locating and piercing evacuator with ejector tube - Google Patents

Disposable, presterilized, self-locating and piercing evacuator with ejector tube Download PDF

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US3645268A
US3645268A US3645268DA US3645268A US 3645268 A US3645268 A US 3645268A US 3645268D A US3645268D A US 3645268DA US 3645268 A US3645268 A US 3645268A
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evacuator
body
portion
end
means
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Dagoberto Capote
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DAGOBERTO CAPOTE
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DAGOBERTO CAPOTE
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F11/00Methods or devices for treatment of the ears, e.g. surgical; Protective devices for the ears, carried on the body or in the hand; Non-electric hearing aids
    • A61F11/002Surgical middle ear ventilation or drainage, e.g. permanent; Implants therefor

Abstract

The present invention is a simple, inexpensive and consequently disposable, self-piercing and locating combination evacuator and ejector tube which can be encased in a sheath, presterilized ready for use, and includes a spearhead-type body with spaced cutting edges diverging from a pointed top rearwardly, and with a shoulder or flange spaced beyond the rear limits of said cutting edges, with a reduced portion therebetween so that when the device is used to pierce a membrance such as an eardrum, skin or other body portion, such skin or membrane will be disposed in such reduced portion with the handle or ejector tube removed, and the device left in the incision until healing has occurred, whereupon it can be readily removed. Thus the evacuator is of a construction to have superior holding qualities, to provide minimum interference with nature''s healing, and is of a composition readily recognizable as suitable for implantation in the human body.

Description

United States Patent Capote Feb. 29, 1972 [54] DISPOSABLE, PRESTERILKZED, SELF- LOCATING AND PIERCING EVACUATOR WITH EJECTOR TUBE 21 Appl. No.: 883,718

[56] References Cited UNITED STATES PATENTS 3,358,684 12/1967 Marshall ..l28/2l4.4

3.5 30,860 9/1970 Majoros.... 1,465,793 8/ l 923 Schilling ..222/90 OTHER PUBLICATIONS Sheehy. Collar Button Tube for Chronic Serous Otitis, ln Trans. Amer. Acad. Ophth. and Otol. V0. 68, 1964, pp. 888- 889.

Morgan, Myringotomy Tube lnserter, ln. Arch. Otolaryng. Vol. 84. Sept. 1966. p. 131.

Christopher, Textbook of Surgery, 8th Ed. 1961. pp. 241- 242.

Primary ExaminerChanning L. Pace Attorney-A. Yates Dowell and A. Yates Dowell, Jr.

[57] ABSTRACT The present invention is a simple, inexpensive and consequently disposable, self-piercing and locating combination evacuator and ejector tube which can be encased in a sheath, presterilized ready for use, and includes a spearhead-type body with spaced cutting edges diverging from a pointed top rearwardly, and with a shoulder or flange spaced beyond the rear limits of said cutting edges, with a reduced portion therebetween so that when the device is used to pierce a membrance such as an eardrum, skin or other body portion, such skin or membrane will be disposed in such reduced portion with the handle or ejector tube removed, and the device left in the incision until healing has occurred, whereupon it can be readily removed. Thus the evacuator is of a construction to have superior holding qualities, to provide minimum interference with natures healing, and is of a composition readily recognizable as suitable for implantation in the human body.

3 Claims, 5 Drawing Figures PAIENTEUFEB29I912 3,645,268

INVENTOR NEYS DISPOSABLE, PRESTERILIZED, SELF-LOCATING AND PIERCING EVACUATOR WITH EJECTOR TUBE BACKGROUND OF THE INVENTION 1 Field of the Invention The invention is in the field of surgical instruments particularly suitable for use in the treatment of the human body in the area of the ears and other membranes in the body where evacuation or the like is desired.

2. Description of the Prior Art Various types of surgical instruments have been provided including those for puncturing the tympanic membrane which closes externally the cavity of the middle ear, and myringotomy tube inserters for inserting relatively short plastic tube lengths to maintain openings in such tympanic membrane. The use of these prior art devices has required too much time and the application of the same has depended largely upon the skill of the user with excessive injury as well as a psychological frightening effect on the patient.

SUMMARY OF THE INVENTION AND OBJECTS This invention is a simple, presterilized, small, disposable body which can be easily and quickly applied by a physician, with negligible opportunity for error and minimum injury to and frightening of a patient, to allow discharge from an inner area to the exterior through a membrane such as the eardrum or through the skin or other portion of the body. Such device is self-orienting and overinsertion-preventing and somewhat similar to a spearhead with multiple, spaced, inclined cutting edges for facilitating insertion through such membrane, beyond the rear limits of which cutting edges is a reduced portion with an annular flange for limiting the penetration through the pierced membrane, skin, or other body part, somewhat the way an earring is fitted to the ear, and requiring minimum skill in applying, and the device also ofiers minimum interference to nature's healing after drainage has been accomplished and is of a character readily and easily removable after healing has occurred. A holder for the tool and the tool itself are of plastic or other suitable material acknowledged as suitable for implantation within the human body.

It is an object of the invention to provide a simple, inexpensive, and consequently disposable, self-piercing and locating combination evacuator with a disposable ejector tube and which can be presterilized and the application of which can be accurately and effectively accomplished with the requirement of minimum skill with minimum injury to, and frightening of, a patient.

Another object of the invention is to provide an otology drainage implant for the middle ear or other area having a collection of fluid in the tissues of the body, and which implant is a self-piercing evacuator or drainage member with a disposable, plastic ejector-locator of a material recognized as suitable for human implantations such as Teflon, polyethylene, Delrin, Nylon, stainless steel, Titanium, cobalt chrome alloys, or other recognized substances.

A further object of the invention is to provide a self-piercing, self-locating evacuator with a plastic cover maintaining the device sterilized until used and of a character to prevent overinsertion as well as to offer minimum interference with the healing process.

BRIEF DESCRIPTION OF THE DRAWING FIG. 1 is a perspective of the self-piercing, self-locating evacuator of the present invention;

FIG. 2, a front elevation; and FIGS. 3, 4 and 5, views illustrating the succemive steps in the application of the device to the tympanic membrane or eardrum of the human body.

DESCRIPTION OF THE PREFERRED EMBODIMENT Referring to the drawing, the evacuator of the present in vention is generally in the form of a hollow elongated body having a conical penetrating point 10' with multiple piercing or cutting edges 11, three of which have been found satisfactory for an incision of the tympanic membrane 12, or an operation referred to in the medical profession as myringotomy. The evacuator or drainage member also may be used to remove accumulated liquid from beneath the skin of other parts of the body.

At the rear extremities of the conical point 10' of the evacuator, the body is provided with a reduced portion 15 with an annular flange 16 providing an area in which the pierced membrane 12 is adapted to be received. The flange 16 serves to prevent excessive penetration or overinsertion and also serves to be gripped for removal of the evacuator after drainage and healing of the membrane which has been pierced.

The body 10 has a central axial bore 17 extending therethrough and terminating in openings 17 located in the conical point 10' between the cutting edges 11. The bore 17 provides a drain passageway so that liquids can enter through the openings 17' and pass through the bore 17 to the exterior of the tympanic membrane 12.

With reference to FIGS. 1, 3 and 4, an applicator instrument is provided for inserting the evacuator into the membrane 12 or other tissue. Such applicator instrument includes a holding member or rod 19 having a reduced portion 18 at one end defining a shoulder 20. The reduced end portion 18 is of a size to be frictionally received within the bore 17 of the evacuator with the flange 16 in engagement with the shoulder 20. The rod 19 is axially slidably mounted within a sleeve 21, one edge of which defines a shoulder 22 against which the flange l6 normally abuts.

The opposite end of the rod 19 extends outwardly beyond the sleeve 21 and is connected to such sleeve by a spring yoke 23, as illustrated in FIG. 3. The spring yoke 23 normally maintains the flange 16 of the evacuator against the shoulder 22 of the sleeve. When the evacuator has been inserted, the rod 19 is moved axially rearwardly to separate the reduced end portion 18 from the bore 17 of the evacuator while the shoulder 22 prevents rearward movement of the evacuator.

In order to facilitate the introduction of the holder with the evacuator on the end thereof, a funnel-type guide member 24 may be provided, such guide member having a flared outer end 25 and a reduced or relatively small end 26 which is adapted to extend into the ear channel 27 leading to the tympanic membrane which closes externally the cavity over the middle car.

In order to have the evacuator ready for use, it and its holder preferably are provided with a plastic cover which may be readily removed prior to the otology implant for drainage of the middle ear or for implant in another area where there is a localized collection of fluid, such as pus in the tissues of the body.

In the use of the device the sleeve 21 is gripped with the thumb and forefinger and the device is inserted through a funnel-type guide when it is to be used in the area of the ear. A slight force is applied axially to the sleeve 21 to cause the evacuator to pierce the membrane until stopped by the flange 16. Thereafter, the reduced end portion 18 is retracted from the bore 17 of the evacuator and the applicator instrument is removed leaving the evacuator in position.

I claim:

1. An evacuator for insertion in living tissue to drain fluids therefrom, said evacuator comprising a hollow elongated body, stop means at one end of said body to substantially prevent overinsertion in the tissue, a tapered generally conical portion at the opposite end of said body and terminating in a penetrating point remote from said stop means, a reduced diameter portion connecting said conical portion to said stop means, and said body having an axial bore extending from the end adjacent said stop means and communicating with the surface of said conical portion through an opening on said surface to provide a passageway substantially through said body so that fluids from the tissue can flow through said passageway and drain from said body, whereby axial movement of said evacuator in the direction of the tapered portion pierces the living tissue and continued axial movement imbeds said conical portion within the tissue and said stop means resists overinsertion of the evacuator into the tissue.

2. The structure of claim 1 including a plurality of cutting edges located along said generally conical portion and extending from said penetrating point to a position adjacent to said reduced diameter portion.

3. The combination of an evacuator for insertion in living tissue to drain fluids therefrom and an instrument for inserting the evacuator into the tissue, said evacuator comprising a hollow elongated body, stop means at one end of said body, a tapered generally conical portion at the opposite end of said body and terminating in a penetrating point remote from said stop means, a reduced diameter portion located between said conical portion and said stop means, said body having an axial bore extending from the end adjacent said stop means and communicating with the surface of said conical portion through an opening on said surface to provide a passageway substantially through said body so that fluids from the tissue can flow through said passageway and drain from said body, said instrument comprising an elongated sleeve, rod means axially slidably mounted within said sleeve, said rod means having a reduced portion at one end, said reduced portion normally extending outwardly of one end of said sleeve and frictionally engaging the bore of said evacuator, the opposite end of said rod means extending outwardly from the opposite end of said sleeve, resilient means connecting the opposite end of said rod means to the opposite end of said sleeve and adapted to urge the stop means of said evacuator into engagement with said one end of said sleeve, whereby axial movement of said sleeve in one direction causes said evacuator to penetrate the tissue after which said rod means can be moved in the opposite direction to cause the reduced portion of said rod means to be withdrawn from the bore of said evacuator while said sleeve prevents axial movement of said evacuator.

Claims (3)

1. An evacuator for insertion in living tissue to drain fluids therefrom, said evacuator comprising a hollow elongated body, stop means at one end of said body to substantially prevent overinsertion in the tissue, a tapered generally conical portion at the opposite end of said body and terminating in a penetrating point remote from said stop means, a reduced diameter portion connecting said conical portion to said stop means, and said body having an axial bore extending from the end adjacent said stop means and communicating with the surface of said conical portion through an opening on said surface to provide a passageway substantially through said body so that fluids from the tissue can flow through said passageway and drain from said body, whereby axial movement of said evacuator in the direction of the tapered portion pierces the living tissue and continued axial movement imbeds said conical portion within the tissue and said stop means resists overinsertion of the evacuator into the tissue.
2. The structure of claim 1 including a plurality of cutting edges located along said generally conical portion and extending from said penetrating point to a position adjacent to said reduced diameter portion.
3. The combination of an evacuator for insertion in living tissue to drain fluids therefrom and an instrument for inserting the evacuator into the tissue, said evacuator comprising a hollow elongated body, stop means at one end of said body, a tapered generally conical portion at the opposite end of said body and terminating in a penetrating point remote from said stop means, a reduced diameter portion located between said conical portion and said stop means, said body having an axial bore extending from the end adjacent said stop means and communicating with the surface of said conical portion through an opening on said surface to provide a passageway substantially through said body so that fluids from the tissue can flow through said passageway and drain from said body, said instrument comprising an elongated sleeve, rod means axially slidably mounted within said sleeve, said rod means having a reduced portion at one end, said reduced portion normally extending outwardly of one end of said sleeve and frictionally engaging the bore of said evacuator, the opposite end of said rod means extending outwardly from the opposite end of said sleeve, resilient means connecting the opposite end of said rod means to the opposite end of said sleeve and adapted to urge the stop means of said evacuator into engagement with said one end of said sleeve, whereby axial movement of said sleeve in one direction causes said evacuator to penetrate the tissue after which said rod means can be moved in the opposite direction to cause the reduced portion of said rod means to be withdrawn from the bore of said evacuator while said sleeve prevents axial movement of said evacuator.
US3645268A 1969-12-10 1969-12-10 Disposable, presterilized, self-locating and piercing evacuator with ejector tube Expired - Lifetime US3645268A (en)

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Cited By (39)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3888258A (en) * 1972-11-07 1975-06-10 Taichiro Akiyama Drain for the eardrum and apparatus for introducing the same
US3897786A (en) * 1971-02-05 1975-08-05 Richards Mfg Co Disposable myringotomy apparatus
US3913584A (en) * 1974-06-28 1975-10-21 Xomox Corp Combination myringotomy scalpel, aspirator and otological vent tube inserter
US4174716A (en) * 1977-12-19 1979-11-20 Richards Manufacturing Co., Inc. Myringotomy tube
US4468218A (en) * 1982-09-24 1984-08-28 Armstrong Beverly W Ventilation tube for the middle ear and method of implanting same
US4585446A (en) * 1984-03-16 1986-04-29 Joseph Kempf Dialysis needle
US4589879A (en) * 1983-11-04 1986-05-20 Baxter Travenol Laboratories, Inc. Cannula assembly having closed, pressure-removable piercing tip
FR2583976A1 (en) * 1984-04-17 1987-01-02 Richards Medical Cy Prosthetic device allowing two-way communication between the atmosphere gas and a body cavity, including myringotomy tube
US4964850A (en) * 1986-05-07 1990-10-23 Vincent Bouton Method for treating trans-nasal sinus afflictions using a double t-shaped trans-nasal aerator
US5057082A (en) * 1988-11-04 1991-10-15 Plastic Injectors, Inc. Trocar assembly
US5425718A (en) * 1993-10-22 1995-06-20 Tay; Sew-Wah Self-sticking needle assembly and method for insertion into an artery
US5431655A (en) * 1988-10-24 1995-07-11 Cook Incorporated Intraosseous needle
US5496329A (en) * 1993-09-08 1996-03-05 Alpha Surgical, Inc. Method and apparatus for implanting a medical ventilation tube
US5601559A (en) * 1988-10-24 1997-02-11 Cook Incorporated Intraosseous needle
WO1997017918A1 (en) * 1995-11-16 1997-05-22 Advanced Microbotics Corporation Myringotomy tube
US5665094A (en) * 1995-11-13 1997-09-09 Goldenberg; Robert Arlin Apparatus for aspirating and collecting middle ear specimens
US5957947A (en) * 1997-07-18 1999-09-28 Wattiez; Arnaud Single use trocar assembly
US5976115A (en) * 1997-10-09 1999-11-02 B. Braun Medical, Inc. Blunt cannula spike adapter assembly
US6206852B1 (en) * 1999-12-15 2001-03-27 Advanced Cardiovascular Systems, Inc. Balloon catheter having a small profile catheter
US6500157B2 (en) * 1998-09-03 2002-12-31 Ronald B. Luther Intravenous infusion needle with soft body
US6629959B2 (en) 1996-02-27 2003-10-07 Injectimed, Inc. Needle tip guard for percutaneous entry needles
US6767341B2 (en) * 2001-06-13 2004-07-27 Abbott Laboratories Microneedles for minimally invasive drug delivery
US20040198200A1 (en) * 2003-02-12 2004-10-07 Jong-Won Lee Pad conditioner of CMP equipment
US20050182385A1 (en) * 2004-01-20 2005-08-18 Epley John M. Minimally invasive, sustained, intra-tympanic drug delivery system
US7066908B2 (en) 2001-07-25 2006-06-27 Injectimed, Inc. Method and apparatus for indicating or covering a percutaneous puncture site
US20070167910A1 (en) * 2005-11-09 2007-07-19 Hyprotek, Inc. Syringe Devices, Components of Syringe Devices, and Methods of Forming Components and Syringe Devices
EP1846095A2 (en) * 2005-01-20 2007-10-24 Epley Medical LLC Minimally invasive, sustained, intra-tympanic drug delivery system
US20070249996A1 (en) * 2004-10-13 2007-10-25 Hyprotek, Inc. Syringe Devices and Methods for Mixing and Administering Medication
US20070260274A1 (en) * 2006-05-02 2007-11-08 Gimmi Gmbh Instrument for producing a skin opening for minimally invasive surgery
US20090088698A1 (en) * 2007-09-27 2009-04-02 Tyco Healthcare Group Lp Blood Collection Needle Assembly
US20090099535A1 (en) * 2005-06-20 2009-04-16 Yuean Wang Disposable Needle for Syringes and Infusions and the Manufacture Thereof
US7534231B2 (en) 1996-02-27 2009-05-19 Injectimed, Inc. Needle tip guard for percutaneous entry needles
US20110201996A1 (en) * 2008-08-27 2011-08-18 Melder Patrick C Nasal ventilation system and method of using same
US8002737B2 (en) 2007-10-04 2011-08-23 Hyprotek, Inc. Mixing/administration syringe devices, protective packaging and methods of protecting syringe handlers
US20130102858A1 (en) * 2010-06-18 2013-04-25 St. Jude Medical Ab Implantable sensor device and system
US20140107593A1 (en) * 2012-10-16 2014-04-17 Spinesmith Partners, L.P. Fenestrated needle for delivering therapeutic reagents into soft tissue
US20160262793A1 (en) * 2006-05-02 2016-09-15 Gimmi Gmbh Instrument for producing a skin opening for minimally invasive surgery
US9522097B2 (en) 2007-10-04 2016-12-20 Hyprotek, Inc. Mixing/administration syringe devices, protective packaging and methods of protecting syringe handlers
US9687273B2 (en) 2013-09-11 2017-06-27 Gimmi Gmbh Endoscopic surgical instruments and related methods

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* Cited by examiner, † Cited by third party
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Cited By (69)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3897786A (en) * 1971-02-05 1975-08-05 Richards Mfg Co Disposable myringotomy apparatus
US3888258A (en) * 1972-11-07 1975-06-10 Taichiro Akiyama Drain for the eardrum and apparatus for introducing the same
US3913584A (en) * 1974-06-28 1975-10-21 Xomox Corp Combination myringotomy scalpel, aspirator and otological vent tube inserter
US4174716A (en) * 1977-12-19 1979-11-20 Richards Manufacturing Co., Inc. Myringotomy tube
US4468218A (en) * 1982-09-24 1984-08-28 Armstrong Beverly W Ventilation tube for the middle ear and method of implanting same
US4589879A (en) * 1983-11-04 1986-05-20 Baxter Travenol Laboratories, Inc. Cannula assembly having closed, pressure-removable piercing tip
US4585446A (en) * 1984-03-16 1986-04-29 Joseph Kempf Dialysis needle
FR2583976A1 (en) * 1984-04-17 1987-01-02 Richards Medical Cy Prosthetic device allowing two-way communication between the atmosphere gas and a body cavity, including myringotomy tube
US4964850A (en) * 1986-05-07 1990-10-23 Vincent Bouton Method for treating trans-nasal sinus afflictions using a double t-shaped trans-nasal aerator
US5431655A (en) * 1988-10-24 1995-07-11 Cook Incorporated Intraosseous needle
US5601559A (en) * 1988-10-24 1997-02-11 Cook Incorporated Intraosseous needle
US5057082A (en) * 1988-11-04 1991-10-15 Plastic Injectors, Inc. Trocar assembly
US5496329A (en) * 1993-09-08 1996-03-05 Alpha Surgical, Inc. Method and apparatus for implanting a medical ventilation tube
US5425718A (en) * 1993-10-22 1995-06-20 Tay; Sew-Wah Self-sticking needle assembly and method for insertion into an artery
US5665094A (en) * 1995-11-13 1997-09-09 Goldenberg; Robert Arlin Apparatus for aspirating and collecting middle ear specimens
US5649932A (en) * 1995-11-16 1997-07-22 Advanced Microbotics Corporation Myringotomy tube
WO1997017918A1 (en) * 1995-11-16 1997-05-22 Advanced Microbotics Corporation Myringotomy tube
US20100137815A1 (en) * 1996-02-27 2010-06-03 Kuracina Thomas C Needle tip guard for percutaneous entry needles
US7534231B2 (en) 1996-02-27 2009-05-19 Injectimed, Inc. Needle tip guard for percutaneous entry needles
US6629959B2 (en) 1996-02-27 2003-10-07 Injectimed, Inc. Needle tip guard for percutaneous entry needles
US5957947A (en) * 1997-07-18 1999-09-28 Wattiez; Arnaud Single use trocar assembly
US5976115A (en) * 1997-10-09 1999-11-02 B. Braun Medical, Inc. Blunt cannula spike adapter assembly
US6500157B2 (en) * 1998-09-03 2002-12-31 Ronald B. Luther Intravenous infusion needle with soft body
US6863662B2 (en) 1998-09-03 2005-03-08 Ronald B. Luther Intravenous infusion needle with soft body
US6206852B1 (en) * 1999-12-15 2001-03-27 Advanced Cardiovascular Systems, Inc. Balloon catheter having a small profile catheter
US20030195479A1 (en) * 2001-04-30 2003-10-16 Kuracina Thomas C. Needle tip guard for percutaneous entry needles
US6860871B2 (en) 2001-04-30 2005-03-01 Injectimed, Inc. Needle tip guard for percutaneous entry needles
US6767341B2 (en) * 2001-06-13 2004-07-27 Abbott Laboratories Microneedles for minimally invasive drug delivery
US6980855B2 (en) 2001-06-13 2005-12-27 Hospira, Inc. Microneedles for minimally invasive drug delivery
US20040186419A1 (en) * 2001-06-13 2004-09-23 Cho Steve T. Microneedles for minimally invasive drug delivery
US7066908B2 (en) 2001-07-25 2006-06-27 Injectimed, Inc. Method and apparatus for indicating or covering a percutaneous puncture site
US20040198200A1 (en) * 2003-02-12 2004-10-07 Jong-Won Lee Pad conditioner of CMP equipment
US7840260B2 (en) * 2004-01-20 2010-11-23 Yainax Medical, LLC Iontophoretic intra-tympanic drug delivery system
US20080132824A1 (en) * 2004-01-20 2008-06-05 Epley John M Iontophoretic intra-tympanic drug delivery system
US20050182385A1 (en) * 2004-01-20 2005-08-18 Epley John M. Minimally invasive, sustained, intra-tympanic drug delivery system
US7351246B2 (en) * 2004-01-20 2008-04-01 Epley John M Minimally invasive, sustained, intra-tympanic drug delivery system
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EP1846095A2 (en) * 2005-01-20 2007-10-24 Epley Medical LLC Minimally invasive, sustained, intra-tympanic drug delivery system
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US20090099535A1 (en) * 2005-06-20 2009-04-16 Yuean Wang Disposable Needle for Syringes and Infusions and the Manufacture Thereof
US20070167910A1 (en) * 2005-11-09 2007-07-19 Hyprotek, Inc. Syringe Devices, Components of Syringe Devices, and Methods of Forming Components and Syringe Devices
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