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
  • A61M25/00—Catheters; Hollow probes
  • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
  • A61M25/02—Holding devices, e.g. on the body
• • 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
  • A61M25/00—Catheters; Hollow probes
  • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
  • A61M25/02—Holding devices, e.g. on the body
  • A61M2025/0266—Holding devices, e.g. on the body using pads, patches, tapes or the like
• • 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
  • A61M25/00—Catheters; Hollow probes
  • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
  • A61M25/02—Holding devices, e.g. on the body
  • A61M2025/028—Holding devices, e.g. on the body having a mainly rigid support structure
• • 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
  • A61M39/02—Access sites
  • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body

Definitions

• the invention relates to a device for holding at least one drain or the like, through an artificial opening in a patient's body.
• Drainage consists in putting the interior of the thorax or abdomen in communication with a suction system, in general to evacuate an effusion of the pleural or abdominal cavity or else to drain an operating site, or a hollow organ such as the stomach, intestine, bile ducts, esophagus.
• the fixation of the drain is conventionally ensured by a suture to the skin, a bandage being provided around the drain.
• Suture fixation is painful for the patient due to the pull on the drain and is a source of infection.
• the drain tends to bend near the opening in the patient's body, due to its connection to the suction system. This is also a source of pain for the patient.
• the presence of the dressings makes it difficult to access the drain to check its position or the presence of any secretions.
• the drain must be gradually removed from the patient's body, in two or three stages.
• the thread must be cut, possibly fixed to the skin with a new suture. It is also necessary to redo all the dressings and in particular to put in place a new pocket for collecting secretions.
• This device makes it possible to effectively maintain the drain on the patient's body, without the need for suturing to the skin.
• the invention aims to overcome these drawbacks by proposing a device for holding at least one drain or the like such as a probe, a blade or a microtubulated drain, making it possible to bend and orient the drain at its outlet from the orifice in the patient's body, without generating effort and therefore pain for the patient and without causing any risk of displacement of the drain.
• a device for holding at least one drain or the like such as a probe, a blade or a microtubulated drain
• the invention relates to a device for holding at least one drain or the like passing through an artificial cavity in the body of a patient, characterized in that it comprises at least one collection chamber for collecting any secretions, a base intended to be fixed to said body and surrounding each collection chamber, as well as at least one orifice in the collection chamber for the passage of a drain or the like, the axis of said orifice not being perpendicular to the plane of the base, in order to be able to bend the drain and thus orient it in relation to the patient's body.
• the orifice for the drain is extended by a support comprising a recess for the drain.
• the recess of the support is oriented so that its axis corresponds substantially to that of the orifice.
• the recess of the support is oriented so that its axis is inclined relative to that of the orifice.
• the support for the drain consists of two articulated parts.
• the support for the drain advantageously comprises means cooperating with the drain to fix it in position relative to the device.
• these fixing means consist of a skirt, in the extension of the support, this skirt converging towards the axis of the recess of the support and being intended to snap into a transverse groove provided on said drain , in particular by means of the bead which preferably terminates it.
• these fixing means consist of at least one protuberance provided on the wall of the recess of the support and intended to snap into a longitudinal or transverse groove provided on the drain.
• the base of the device according to the invention advantageously comprises an adhesive layer on its face intended to come into contact with the body of a patient.
• this adhesive layer can extend towards the outside of the base.
• this adhesive layer extends beyond the interior of the base to partially close the collection chamber.
• the adhesive layer is made of an adhesive gum capable of absorbing secretions.
• a collection chamber of the device according to the invention also includes an orifice for a pocket for collecting secretions.
• a collection chamber of the device according to the invention comprises at least one window, in particular for taking samples.
• the device according to the invention is preferably oriented on the patient's body to promote drainage by gravity.
• the device When the device has an orifice for a pocket for collecting secretions, these are then easily drained towards the pocket.
• FIG. 1 is a perspective view of a first example of a holding device according to the invention, with a drain;
• FIG. 2 is a cross-sectional view along II-II of Figure 1;
• - Figure 3 is a perspective view of a second embodiment of the holding device according to the invention, with a drain;
• Figure 4 is a perspective view of a third embodiment of a holding device according to the invention, in the unused state;
• Figure 5 is a perspective view of the holding device shown in Figure 4, used with a drain;
• Figure 6 is a perspective view of a fourth embodiment of the holding device according to the invention.
• FIG. 7 is a perspective view of a fifth embodiment of the holding device according to the invention.
• a holding device 1 according to the invention comprising a collection chamber 10, a base 11 surrounding the collection chamber 10 and an orifice 12 for the passage of a drain 2.
• the base 11 is intended to be fixed to the body of a patient, in particular by means of an adhesive layer 13 fixed to the base on its face 11a opposite to the collection chamber 10.
• This adhesive layer 13 can be placed on all or part of the face 11a of the base 11. It can also, as illustrated in FIGS. 1 and 2, extend beyond the external periphery 14 of the base 11 and also extend beyond the interior part 15 of the base, to partially close the collection chamber 10.
• the adhesive layer simply provides a passage for the drain 2.
• this adhesive layer 13 is made of an adhesive gum capable of absorbing secretions, for example a natural gum of the pectin or gelatin type or a gum described in document EP-92999, the content of which is included in the present application by reference.
• this adhesive layer 13 is protected by an appropriate film (not illustrated) which is removed before any use of the device 1.
• the chamber 10 has a domed or domed shape.
• the orifice 12 for the drain 2 is produced in the wall of the collection chamber 10, so that the axis 19 of the orifice 12 is not perpendicular to the plane of the base 11.
• the orifice 12 is therefore not made in the central part of the dome of the collection chamber 10, but in an offset position.
• the use of the holding device 1 according to the invention is as follows.
• a drain 2 is first placed in the body of a patient through the cavity 21 formed in the body.
• the drain 2 has two channels 22.
• the drain 2 In its lower part, intended to be placed in the body, the drain 2 has perforations 23 for the collection of secretions. In its upper part, intended to be placed outside the patient's body, the drain 2 has transverse grooves 24, continuous, the function of which will be explained later.
• the device 1 is made to slide along the upper part of the drain 2, until the base 11 comes to bear on the patient's body 20.
• the device 1 is then fixed to the patient's body by means of the adhesive layer 13.
• the device is fixed so that the left part of FIG. 3 corresponds to an upper part of the patient's body and the right part to a lower part.
• the axis of the orifice 12 is not perpendicular to the plane of the base 11. Therefore, passing through the orifice 12, the drain 2 is also not perpendicular to the base 11.
• the angle ⁇ less than 90 ° that the axis 19 of the orifice 12 makes with respect to the plane of the base 11 is between 5 and 85 degrees, and advantageously between 45 and 60 °. Thanks to this particular inclination of the axis of the orifice 12, the drain 2 can be inclined and in particular folded down towards the body 20 of the patient, without efforts being generated at the level of the cavity 21.
• the curvature imparted to the drain is not painful for the patient and it does not cause any displacement of the drain. This curvature is allowed thanks to the presence of the collection chamber.
• the holding device illustrated in FIGS. 1 and 2 also includes a support 16 which extends the orifice 12 towards the outside of the collection chamber 10.
• This support comprises a recess 17 allowing the passage of the drain.
• the support 16 is arranged so that the axis of the recess 17 corresponds substantially to that of the orifice 12.
• the support 16 At its free end, the support 16 comprises a skirt 18 which converges slightly towards the axis of the recess 17 and therefore towards the drain, when the device 1 is placed thereon.
• This skirt preferably ends with a bead 18a which is intended to cooperate with transverse grooves 24 of the drain to better fix the drain 2 relative to the device 1 and make the assembly sealed.
• the skirt 18 engages on different grooves.
• secretions can accumulate around the orifice 21. It can be liquids coming from inside the patient's body or even bleeding produced around the opening 21. These secretions are thus collected inside the collection chamber 10.
• This window can in particular be closed by a membrane or a transparent plug.
• the secretions accumulate in the lower part of the collection chamber (on the right in FIG. 3) and the window is preferably provided at this level.
• the holding device 1 illustrated in Figures 1 and 2 can be used in thoracic or abdominal surgery.
• the drain is not necessarily of round section, but can also be of oval section.
• FIG. 3 illustrates a second embodiment of the holding device according to the invention.
• This device 3 also includes a collection chamber 30 and a base 31 surrounding it.
• the collection chamber has the general shape of a cylinder trunk.
• the orifice 32 is extended by a support 36 comprising a recess 37 for the drain 8.
• the support 36 is made up of two articulated parts 36a and 36b. It is shown in the open position in FIG. 3.
• This figure shows that the axis of the recess 37 like that of the orifice 32 is not perpendicular to the base 31, thanks to the inclination of the upper face.
• the support 36 has, on its inner face, at least one protuberance 38.
• this protuberance 38 on the wall of the recess 37 is snapped into a longitudinal groove 84 provided on the drain 8. This protrusion 38 therefore makes it possible to better fix the drain 8 in position relative to the device 3.
• the articulated parts can be fixed, in the closed position, by a latching means.
• this means consists of a semi-cylindrical part 39a provided on the free lateral edge of the part 36a of the support and a groove 39b provided on the free lateral edge of the part 36b of the support and intended to receive the semi-cylindrical part 39a. They can also be fixed in the closed position, by means of the ring 9. The latter then snaps into the groove 90 provided at the base of the support 36.
• the protuberance 38 can be omitted.
• the support 36 is extended, like the support 16 illustrated in FIGS. 1 and 2, by a skirt slightly converging towards the axis of the recess 37. A bead can also be provided on the free annular edge of this skirt . The skirt is then intended to snap into a transverse groove provided on the drain.
• This embodiment is not illustrated in FIG. 3.
• another orifice 34 is formed on the upper wall 33 of the collection chamber 30. This orifice is extended by a skirt 35, intended for fixing a pocket for collecting secretions (not shown).
• the device of the invention is preferably oriented on the body of a patient so that the orifice 34 is located lower than the orifice 32.
• any secretions accumulate by gravity in the bottom of the collection chamber 30, which facilitates drainage and evacuation in the secretion collection pocket.
• the holding device 3 can in particular be used in abdominal or thoracic surgery, for drains of intermediate size, between 5 and 7 millimeters.
• the device 3 could also not include an orifice 34 for fixing a pocket for collecting secretions.
• the device 3 provides advantages similar to those of the devices 1 illustrated in FIGS. 1 and 2.
• the drain or the like placed in the device 3 may have a thickness less than that of the drain 2 used with the device 1.
• the drain 8 may also be smaller.
• the drain 8 is therefore less rigid than the drain 2 illustrated in FIGS. 1 and 2. It can be of round or oval section.
• Figures 4 and 5 illustrate a third embodiment of the holding device according to the invention.
• This device 4 comprises, like the device 3, a collection chamber 40 having the general shape of a cylinder trunk, with a base 41 surrounding the chamber 40.
• the collection chamber 40 therefore has an upper face 43 which is inclined relative to the plane of the base 41.
• the orifice 44 and the skirt 45 for fixing the secretion pocket could be omitted.
• the orifice 42 for a drain or the like is extended by a support 46 which consists of two elements 46a and 46b articulated with respect to one another.
• the support 46 which is in the form of a housing, is in the open position in FIG. 4 and in the closed position in FIG. 5.
• the support 46 includes a recess 47 for the passage of a drain 5.
• the support 46 When the device 4 is placed on a drain 5 or the like, the support 46 is first of all in the open position. The drain 5 then passes through the orifice 42, the drain 5 not being orthogonal to the plane of the base, thanks to the inclination of the orifice 42.
• the support 46 is closed by tilting the part 46a on the part 46b.
• the support 46 is held in the closed position, for example by snap-fastening.
• the upper part 46a of the support can then comprise, on its free longitudinal edge, a semi-cylindrical part 47a and the lower part 46b of the support, also on its free longitudinal edge, a groove 47b intended to receive the semi-cylindrical part 47a.
• the support 46 thus makes it possible to give the drain 5 an orientation different from that which the drain presents when it is in the orifice 42.
• the support 46 thus makes it possible to place the drain 5 in a position substantially parallel to the body of the patient.
• Means contributing to the maintenance of the drain in the housing 46 can be provided on the wall of the recess 47.
• these means are constituted by a ring or bead formed in two parts 48a and 48b and formed on the wall of the recess 47.
• This ring is intended to snaps in a transverse groove (not shown) provided on the drain 5 to contribute to the sealing of the assembly.
• the holding device 4 can also be used in thoracic or abdominal surgery for drains having an intermediate size of between 5 and 7 millimeters.
• the drain can either have an oval or round shape.
• FIG. 6 illustrates a fourth example of a holding device according to the invention.
• This device 6 comprises two collection chambers 60 and 62 with a base 61 surrounding these two chambers.
• the base 61 is not flat but has a slightly concave shape to match the shape of the patient's body and in particular the shape of the rib cage.
• Each chamber 60, 62 has the general shape of a truncated cylinder, the upper face 63, 64 of which is inclined relative to the base 61.
• each upper face 63, 64 there is an orifice for a drain or the like which is extended by a support 65, 66.
• Each support 65, 66 has a recess 67, 68 for a drain.
• the axis of the recess 67 is not perpendicular to the plane of the base, or even to the plane passing through the connection zone between the chamber 60 and the base 61. It is the same for the obviously 68.
• the collection chambers 60 and 62 are oriented differently relative to the base 61.
• This holding device 6 is therefore used in particular in thoracic surgery and for drains whose size will from 3 to 10 millimeters. Such a device makes it possible to fix several drains on the same base.
• FIG. 7 illustrates a fifth embodiment of the holding device according to the invention.
• This device 7 also includes a collection chamber 70 and a base 71 surrounding the chamber 70 and intended to be fixed to the body of a patient.
• the collection chamber 70 has an upper face 72 which is substantially parallel to the base 71.
• two holes 73, 74 are formed, the axes of which are preferably not perpendicular to the plane of the base.
• These orifices 73, 74 advantageously have an oval shape which saves a clearance for the passage of a drain or the like through them and facilitates the positioning of the device 7 on the body of a patient and the curvature of the drain.
• These orifices 73, 74 are extended by a support 76 which is common to the two orifices.
• This support constitutes a housing, the lower part 76b of which is formed in the upper wall 72 of the collection chamber, while the upper part 76a constitutes a cover, hinged on the collection chamber to close on the latter.
• the upper part 76a forming a cover may in this case comprise a semi-cylindrical part 78a on its free longitudinal edge and a corresponding groove 78b on the lower part 76b which is intended to receive the semi-cylindrical part 78a.
• the housing 76 defines two recesses 75, 77 extending each orifice 73, 74.
• the support 76 is produced so that drains or the like passing through the orifices 73, 74 then into the recesses 75, 77 are made substantially parallel to the base 71 and therefore to the patient's body.
• the device 7 is designed for parts of the body which are intended to come to bear in particular on a bed, to avoid any traction. It can therefore be used for example in back surgery.
• This device 7 is mainly intended for small drains, between 3 and 5 millimeters.
• the device 7 makes it possible to fold the drains without exerting traction and by protecting them thanks to the housing 76.
• the housing 76 could be designed to give other orientations to the drains.
• This housing itself fixes the drains or the like in position relative to the device 7.
• This fixing can be reinforced by means of rings or beads 78 provided in the recesses 75 and 77 and which cooperate with transverse grooves provided on the drains (not shown), their cooperation making the assembly watertight.
• a device according to the invention could comprise more than two collection chambers on the same base or even more than two orifices for drains on the same connection chamber.
• the relative position of the axis of the opening for a drain or the like and the axis of the drain support extending this orifice can be arbitrary and chosen according to the desired application.
• an opening for fixing a pocket for collecting secretions can be provided on any holding device according to the invention.
• the device according to the invention can also be used for holding probes, in particular nasogastric or blades, which have a corrugated structure or microtubule drains, which allow the evacuation of fluids by capillarity.
• Plugs are also provided whose shape is adapted to that of the opening for the drain or the recess of the support for the drain. These plugs are used to close the opening or recess when the drain is removed from the patient's body. When the device according to the invention is used in thoracic surgery, these plugs have a length sufficient to come into contact with the cavity in the patient's body and thus avoid any entry of air.

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• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Biophysics (AREA)
• Pulmonology (AREA)
• Engineering & Computer Science (AREA)
• Anesthesiology (AREA)
• Biomedical Technology (AREA)
• Heart & Thoracic Surgery (AREA)
• Hematology (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• External Artificial Organs (AREA)
• Motor Or Generator Frames (AREA)
• Thermotherapy And Cooling Therapy Devices (AREA)
• Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
• Magnetic Bearings And Hydrostatic Bearings (AREA)

Priority Applications (8)

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Publications (1)

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Family Applications (1)

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Cited By (2)

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Citations (6)

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• 1998
  • 1998-12-22 FR FR9816247A patent/FR2787336B1/fr not_active Expired - Fee Related
• 1999
  • 1999-12-22 CA CA002356333A patent/CA2356333C/en not_active Expired - Fee Related
  • 1999-12-22 EP EP99961150A patent/EP1140271B1/fr not_active Expired - Lifetime
  • 1999-12-22 AT AT99961150T patent/ATE245460T1/de active
  • 1999-12-22 DK DK99961150T patent/DK1140271T3/da active
  • 1999-12-22 JP JP2000589243A patent/JP4158134B2/ja not_active Expired - Fee Related
  • 1999-12-22 WO PCT/FR1999/003258 patent/WO2000037136A1/fr not_active Ceased
  • 1999-12-22 AU AU17857/00A patent/AU1785700A/en not_active Abandoned
  • 1999-12-22 US US09/868,999 patent/US6682506B1/en not_active Expired - Lifetime
  • 1999-12-22 ES ES99961150T patent/ES2204179T3/es not_active Expired - Lifetime
  • 1999-12-22 DE DE69909830T patent/DE69909830T2/de not_active Expired - Lifetime

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