US504424A - Oscar de pezzer - Google Patents

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US504424A
US504424A US504424DA US504424A US 504424 A US504424 A US 504424A US 504424D A US504424D A US 504424DA US 504424 A US504424 A US 504424A
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instrument
enlargement
flexible
stem
form
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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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M25/04Holding devices, e.g. on the body in the body, e.g. expansible

Description

Nb Model.)

0. DE PEZZER. SURGICAL CATHETER.

No.504,42 4. I Patented se 1; .5,1a-9s.

ATTORNEYS UNITED STATES PATENT OFFICE.

OSCAR DE PEZZER, OF PARIS, FRANCE.

SURGICAL CATH ETER.

SPECIFICATION forming part of Letters Patent No. 504,424, dated September 5, 1893.

Application filed December 8, 1891. Serial No. 414,389. (No model.) Patented in France April 2, 1891, No. 212,525; in Belgium July 28, 1891, no. 95,806, and in England July 28, 1891, No. 12,833.

To all whom it may concern.-

Be itknown thatI, OSCARDE PEZZER, of the city of Paris, France, have invented Improvements in Catheters or Flexible Drain-Tubes for Surgical Use, (for which I have obtained Letters Patent in France, for fifteen years, dated April 2, 1891, No. 212,525; in Belgium, for fifteen years, dated July 28, 1891, No. 95,805, and in England, for fourteen years, dated July 28, 1891, No. 12,833,) of which the following is a full, clear, and exact description.

My invention relates to an improvement in surgical instruments of the kind known variously as catheters or drain tubes which are intended to be introduced into the natural cavities of the body such as the bladder, the urethra, the ureters, the kidneys, lungs, (00., or into accidental or surgically-made cavities for the purpose of evacuating liquid secretions which are not expelled in the normal manner, and the invention has for its object to provide an instrument of the kind which while possessing a high degree of flexibility will maintain itself permanently in position in the cavity into which it may be introduced without any extraneous means of attachment or fixation,

whereas it has heretofore been necessary in certain cases requiring a catheter to be permanently retained in the bladder for instance, to employ either a rigid instrument or a flexible one secured in position by a means of attachment which will prevent its expulsion by the natural contractions of the organ in question.

To obviate this objection, my invention con-' sists essentially in providing the end of the instrument to be introduced intothe cavity with a flexible self-expanding disk shaped bulbous or other shaped enlargement of a much greater diameter than that of the stem, and which is capableof being extended longitudinally and contracted in diameter by means of a mandrel inserted through the instrument, to permit the easy introduction of the latter into the cavity of the body, and which when so introduced will, on the withdrawal of the mandrel, automatically re-expand and by regaining its original form will retain the instrument in positiont Reference is to be had to the accompanying drawings, forming part of this specification, wherein I have represented various examples of the improvement as applied in difierent forms to instruments of different sizes or for different corporal uses.

Figure 1 is an external view, and Fig. 2 a longitudinal section, of a catheter with a disk shaped bulbous enlargement. Figs. 3 and 4 show similar views of a modified form of flattened enlargement which permits of this part of the instrument applying itself against the walls of the neck of the bladder and of so occupying the minimum of space when this organ is empty and contracted. This flattened form of enlargement may be hollow, as shown, or solid and in that case of less thickness. Fig. 5 is a view, drawn to a larger scale than Fig. 1, showing the form the instrument is made to assume while distended by the mandrelor probe for introduction into a cavity.

The same letters of reference indicate like parts in all the figures.

a is the flexible tubular stem of the instrument terminating in the hollow self-expanding flexible enlargement 17 generally made of the same material as the tube which is preferably pure caoutchouc such as that known commercially in France under the name of feuille Anglaise or mackintosh. This enlargement is pierced with one or more holes 0 communicatingwith the bore of the stem a. The outer end of the stemis also provided with an opening or outlet (1.

In order to introduce the instrument into the cavity of the body, a probe or mandrel e is pushed through the stem until the enlargement is so far elongated longitudinally and contracted in diameter, that it forms temporarily a prolongation of the same or less diameter as the stem a, as shown in Fig. 5, and while maintained in this form it may be easily inserted through the urethra for example.

When the mandrel e is subsequently withdrawn, the enlargement regains its normal bulbous form, as shown in Figs. 1, 2, 3 and 4 and so prevents the expulsion of the instru ment by the contractions of the bladder without the use of any extraneous means of fixation while permitting its easy withdrawal by pulling on the outer end of the instrument.

The instrument may be introduced for example after hypogastric or perineal cutting; in

the case of a female it may be introduced by 5 the meatus by folding it in a suitable clip.

I claim-- As a new article of manufacture, an elastic flexible catheter, having a tubular stem provided at the end to be inserted into a 10 cavity with a perforated disk shaped enlargement whose faces extend at substantially right angles to the stem substantially as described. l l

The foregoing specification of my improvements in catheters or flexible drain-tubes for IS surgical use signed by me this 16th day of November, 1891.

OSCAR DE PEZZER.

Witnesses:

ROBT. M. HOOPER, ALBERT MOREAU.

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Cited By (57)

* Cited by examiner, † Cited by third party
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US2525183A (en) * 1947-03-20 1950-10-10 Jehu M Robison Antral pressure device
US2649092A (en) * 1949-10-26 1953-08-18 American Cystoscope Makers Inc Catheter
US3344791A (en) * 1965-02-12 1967-10-03 John W Foderick Bulbous urinary catheter with axial extension means
US3397699A (en) * 1966-05-05 1968-08-20 Gerald C. Kohl Retaining catheter having resiliently biased wing flanges
US3460541A (en) * 1966-10-06 1969-08-12 George O Doherty Endotracheal intubation tubes
US3709220A (en) * 1970-10-23 1973-01-09 A Boyden Applicator for an internal prophylactic appliance
US4306566A (en) * 1978-06-07 1981-12-22 Gesco International, Inc. Cholangiogram catheter
US4368737A (en) * 1980-07-07 1983-01-18 Purdue Research Foundation Implantable catheter
US4553959A (en) * 1982-01-27 1985-11-19 The Victoria University Of Manchester Urethral catheter
US4573576A (en) * 1983-10-27 1986-03-04 Krol Thomas C Percutaneous gastrostomy kit
US5203773A (en) * 1991-10-18 1993-04-20 United States Surgical Corporation Tissue gripping apparatus for use with a cannula or trocar assembly
US5730724A (en) * 1995-11-24 1998-03-24 Manan Medical Products, Inc. Drainage catheter apparatus
US6350252B2 (en) 1998-01-23 2002-02-26 Heartport, Inc. Methods and devices for occluding the ascending aorta and maintaining circulation of oxygenated blood in the patient when the patient's heart is arrested
US6673060B1 (en) 2000-04-25 2004-01-06 Manan Medical Products, Inc. Drainage catheter and method for forming same
US20050240147A1 (en) * 2004-04-21 2005-10-27 Exploramed Ii, Inc. Devices, systems and methods for diagnosing and treating sinusitus and other disorders of the ears, nose and/or throat
US20060004323A1 (en) * 2004-04-21 2006-01-05 Exploramed Nc1, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
US20060210605A1 (en) * 2004-04-21 2006-09-21 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US20070167682A1 (en) * 2004-04-21 2007-07-19 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US20070293726A1 (en) * 2004-04-21 2007-12-20 Eric Goldfarb Endoscopic methods and devices for transnasal procedures
US20080082045A1 (en) * 2006-09-15 2008-04-03 Eric Goldfarb Methods and devices for facilitating visualization in a surgical environment
US20080097239A1 (en) * 2004-04-21 2008-04-24 Acclarent, Inc. Devices, Systems and Methods for Treating Disorders of the Ear, Nose and Throat
US20080183128A1 (en) * 2007-01-24 2008-07-31 John Morriss Methods, devices and systems for treatment and/or diagnosis of disorders of the ear, nose and throat
US20080228085A1 (en) * 2006-09-15 2008-09-18 Acclarent, Inc. Sinus illumination lightwire device
US20080243140A1 (en) * 2001-02-06 2008-10-02 Acclarent, Inc. Spacing devices for releasing active substances in the paranasal sinus
US20080269643A1 (en) * 2007-04-30 2008-10-30 John Morriss Methods and devices for ostium measurement
US20090125046A1 (en) * 2002-09-30 2009-05-14 Becker Bruce B Method for treating obstructed paranasal frontal sinuses
US20090227900A1 (en) * 2008-03-10 2009-09-10 Isaac Kim Corewire design and construction for medical devices
US7720521B2 (en) 2004-04-21 2010-05-18 Acclarent, Inc. Methods and devices for performing procedures within the ear, nose, throat and paranasal sinuses
US20100241155A1 (en) * 2009-03-20 2010-09-23 Acclarent, Inc. Guide system with suction
US8080000B2 (en) 2004-04-21 2011-12-20 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8114113B2 (en) 2005-09-23 2012-02-14 Acclarent, Inc. Multi-conduit balloon catheter
US8114062B2 (en) 2004-04-21 2012-02-14 Acclarent, Inc. Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders
US8190389B2 (en) 2006-05-17 2012-05-29 Acclarent, Inc. Adapter for attaching electromagnetic image guidance components to a medical device
US8388642B2 (en) 2005-01-18 2013-03-05 Acclarent, Inc. Implantable devices and methods for treating sinusitis and other disorders
US8414473B2 (en) 2004-04-21 2013-04-09 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8435290B2 (en) 2009-03-31 2013-05-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US8439687B1 (en) 2006-12-29 2013-05-14 Acclarent, Inc. Apparatus and method for simulated insertion and positioning of guidewares and other interventional devices
US8485199B2 (en) 2007-05-08 2013-07-16 Acclarent, Inc. Methods and devices for protecting nasal turbinate during surgery
US8702626B1 (en) 2004-04-21 2014-04-22 Acclarent, Inc. Guidewires for performing image guided procedures
US8747389B2 (en) 2004-04-21 2014-06-10 Acclarent, Inc. Systems for treating disorders of the ear, nose and throat
US8764729B2 (en) 2004-04-21 2014-07-01 Acclarent, Inc. Frontal sinus spacer
US8864787B2 (en) 2004-04-21 2014-10-21 Acclarent, Inc. Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis
US8894614B2 (en) 2004-04-21 2014-11-25 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis
US8932276B1 (en) 2004-04-21 2015-01-13 Acclarent, Inc. Shapeable guide catheters and related methods
US8951225B2 (en) 2005-06-10 2015-02-10 Acclarent, Inc. Catheters with non-removable guide members useable for treatment of sinusitis
US8979888B2 (en) 2008-07-30 2015-03-17 Acclarent, Inc. Paranasal ostium finder devices and methods
US9039680B2 (en) 2004-08-04 2015-05-26 Acclarent, Inc. Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders
US9072626B2 (en) 2009-03-31 2015-07-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US9089258B2 (en) 2004-04-21 2015-07-28 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9101384B2 (en) 2004-04-21 2015-08-11 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, Nose and/or throat
US9155492B2 (en) 2010-09-24 2015-10-13 Acclarent, Inc. Sinus illumination lightwire device
EP2844329A4 (en) * 2012-05-01 2015-12-09 Merit Medical Systems Inc Catheter with distal diffuser
US9351750B2 (en) 2004-04-21 2016-05-31 Acclarent, Inc. Devices and methods for treating maxillary sinus disease
US9399121B2 (en) 2004-04-21 2016-07-26 Acclarent, Inc. Systems and methods for transnasal dilation of passageways in the ear, nose or throat
US9433437B2 (en) 2013-03-15 2016-09-06 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis
US9468362B2 (en) 2004-04-21 2016-10-18 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9629684B2 (en) 2013-03-15 2017-04-25 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis

Cited By (125)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2525183A (en) * 1947-03-20 1950-10-10 Jehu M Robison Antral pressure device
US2649092A (en) * 1949-10-26 1953-08-18 American Cystoscope Makers Inc Catheter
US3344791A (en) * 1965-02-12 1967-10-03 John W Foderick Bulbous urinary catheter with axial extension means
US3397699A (en) * 1966-05-05 1968-08-20 Gerald C. Kohl Retaining catheter having resiliently biased wing flanges
US3460541A (en) * 1966-10-06 1969-08-12 George O Doherty Endotracheal intubation tubes
US3709220A (en) * 1970-10-23 1973-01-09 A Boyden Applicator for an internal prophylactic appliance
US4306566A (en) * 1978-06-07 1981-12-22 Gesco International, Inc. Cholangiogram catheter
US4368737A (en) * 1980-07-07 1983-01-18 Purdue Research Foundation Implantable catheter
US4553959A (en) * 1982-01-27 1985-11-19 The Victoria University Of Manchester Urethral catheter
US4573576A (en) * 1983-10-27 1986-03-04 Krol Thomas C Percutaneous gastrostomy kit
US5203773A (en) * 1991-10-18 1993-04-20 United States Surgical Corporation Tissue gripping apparatus for use with a cannula or trocar assembly
US5730724A (en) * 1995-11-24 1998-03-24 Manan Medical Products, Inc. Drainage catheter apparatus
US6350252B2 (en) 1998-01-23 2002-02-26 Heartport, Inc. Methods and devices for occluding the ascending aorta and maintaining circulation of oxygenated blood in the patient when the patient's heart is arrested
US6673060B1 (en) 2000-04-25 2004-01-06 Manan Medical Products, Inc. Drainage catheter and method for forming same
US8740929B2 (en) 2001-02-06 2014-06-03 Acclarent, Inc. Spacing device for releasing active substances in the paranasal sinus
US20080243140A1 (en) * 2001-02-06 2008-10-02 Acclarent, Inc. Spacing devices for releasing active substances in the paranasal sinus
US8764786B2 (en) 2002-09-30 2014-07-01 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
US20090125046A1 (en) * 2002-09-30 2009-05-14 Becker Bruce B Method for treating obstructed paranasal frontal sinuses
US8317816B2 (en) 2002-09-30 2012-11-27 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
US8100933B2 (en) 2002-09-30 2012-01-24 Acclarent, Inc. Method for treating obstructed paranasal frontal sinuses
US9457175B2 (en) 2002-09-30 2016-10-04 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
US9055965B2 (en) 2004-04-21 2015-06-16 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US20080097516A1 (en) * 2004-04-21 2008-04-24 Acclarent, Inc. Devices, Systems and Methods for Treating Disorders of the Ear, Nose and Throat
US20080097515A1 (en) * 2004-04-21 2008-04-24 Acclarent, Inc. Devices, Systems and Methods for Treating Disorders of the Ear, Nose and Throat
US20080154237A1 (en) * 2004-04-21 2008-06-26 Acclarent, Inc. Apparatus and Methods for Dilating and Modifying Ostia of Paranasal Sinuses and Other Intranasal or Paranasal Structures
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US20100298862A1 (en) * 2004-04-21 2010-11-25 Acclarent, Inc. Apparatus and Methods for Dilating and Modifying Ostia of Paranasal Sinuses and Other Intranasal or Paranasal Structures
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