公开(公告)号：US4921138A

公开(公告)日：1990-05-01

申请号：US226380

申请日：1988-07-29

Applicant: David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen

Inventor： David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen

IPC: A61M5/14 ,  A61M5/162 ,  B67B7/86 ,  F01K23/10

CPC classification number: F01K23/101 ,  A61M5/1417 ,  A61M5/162 ,  B67B7/26 ,  B67B7/28 ,  A61M2005/1623

Abstract: An improved device for aspetic dispensing of enteral feeding solutions from shape retentive, pre-filled containers. The device including a distensible hanger member formed around only the end panels of the container to suspend the container in an orientation to define only a single uppermost corner and a single lowermost corner. The device further including corner attachment members for firmly securing a therapeutic fluid dispensing column only to the uppermost and lowermost corners of the container. The fluid dispensing column having venting and dispensing spikes. The spikes having an outer configuration which forms leak-proof seals with an aperture formed in the container. The spikes further including an arrangement of laterally opposed inlet ports joined to a large diameter axial bore.

Abstract translation: 一种改进的装置，用于从形状保持性，预填充的容器中分泌肠内喂养溶液。 该装置包括仅在容器的端板周围形成的可扩张的吊架构件，以将容器悬挂在仅限定单个最上角和单个最下角的方向上。 该装置还包括用于将治疗性流体分配柱仅牢固地固定到容器的最上部和最下角的角部附接构件。 流体分配塔具有排气和分配尖峰。 具有外部构造的钉形成具有形成在容器中的孔的防漏密封件。 尖钉还包括连接到大直径轴向孔的横向相对的入口端口的布置。

公开(公告)号：US4795430A

公开(公告)日：1989-01-03

申请号：US144527

申请日：1988-01-15

Applicant: David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen

Inventor： David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen

IPC: A61F2/958 ,  A61J15/00 ,  A61M29/02

CPC classification number: A61J15/0019 ,  A61J15/0042 ,  A61M25/10 ,  A61J15/0073

Abstract: A unique device for intubating an ostomy, formed by a percutaneous endoscopic technique including a multi-lumen tube, having at least a fluid delivery lumen and an inflation lumen. The tube includes a port near one end to dispose the inflation lumen to ambient air and an outlet at an other end to convey fluid from within the fluid lumen into a patient. A retention member, preferably an inflatable cuff, is joined near the other end of the tube and is inflatable and deflatable through the inflation lumen. In a deflated state, the cuff assumes an edge-free outer configuration to facilitate intubation of the device into the patient. In a fully inflated state, the cuff assumes an outer configuration defining an edged, generally flat surface to more diffusely contact and abut against inner tissue surfaces surrounding the gastrostomy. Joined to the one end of the tube is an elongated tapered sleeve which encloses the one end of the tube. The tapered end of the sleeve carries a suture loop for use in intubating the device. The sleeve includes a skirt portion which creates a circumferential air-tight seal about the tube to selectively seal the ambient air port. The skirt portion is air pressure responsive to permit escape of air from the inflation lumen through the port but preventing the ingress of air into the inflation lumen through the port.

Abstract translation: 用于插管造口术的独特装置，其通过包括多腔管的经皮内窥镜技术形成，所述多腔管至少具有流体输送腔和充气腔。 管包括靠近一端的端口，以将充气腔设置到环境空气中，另一端的出口将流体从流体腔内输送到患者体内。 保持构件，优选地是可充气的袖带，在​​管的另一端附近接合，并且可膨胀并且可以通过膨胀内腔放气。 在放气状态下，袖带呈现无边缘的外部构造以便于装置插入患者体内。 在完全充气的状态下，袖带呈现限定边缘的大致平坦表面的外部构造，以更加扩散地接触并邻接胃造口术周围的内部组织表面。 连接到管的一端是细长的锥形套筒，其包围管的一端。 套筒的锥形端部装有用于插管装置的缝线环。 套筒包括裙部，其围绕管产生周向气密密封，以选择性地密封环境空气端口。 裙部是空气压力，其响应于允许空气从充气腔排出通过端口，但是防止空气通过端口进入膨胀腔。

公开(公告)号：US4834712A

公开(公告)日：1989-05-30

申请号：US144470

申请日：1988-01-15

Applicant: David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen ,  Michael Q. Thompson

Inventor： David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen ,  Michael Q. Thompson

IPC: A61J15/00 ,  A61M25/02

CPC classification number: A61M25/02 ,  A61J15/0015 ,  A61J15/0061 ,  A61M2025/0233 ,  Y10S128/26

Abstract: The invention is a device for angular fixation of a delivery or drainage tube at, for example, the point where that tube exits through the skin from a body cavity. The tube may be used for delivery, extraction, or evacuation of fluids or gases through a surgically formed stoma in a patient. In the enteral feeding, or delivery, embodiment, an enteral feeding tube extends outwardly from the patient to support the components of the device. The components include a sleeve disposed along and movable along the feeding tube and a base elbow unit through which the feeding tube passes. The base elbow unit includes a subdermal portion, a sleeve engaging portion, and a generally cylindrical tube-engaging portion. The feeding tube is movable from a first, substantially straight position to a second, acutely angled position. In this second, acutely angled position, the tube is immobilized by locking engagement to the tube engaging portion. The device includes an interlocking tab at one end of the sleeve, which tab enables locking engagement of the sleeve engaging portion of the base elbow unit when the tube is in its second, acutely angled position.

Abstract translation: 本发明是一种用于在输送或排出管的角度固定的装置，例如在该管从体腔通过皮肤离开的点处。 管可以用于通过患者的外科手术形成的造口输送，提取或排出流体或气体。 在肠内喂养或递送实施例中，肠内喂养管从患者向外延伸以支撑装置的部件。 这些部件包括沿着供给管设置并沿着可移动的套筒和一个基本的弯头单元，进给管通过该套筒。 基部弯头单元包括皮下部分，套筒接合部分和大致圆柱形的管接合部分。 进料管可从第一，基本上直的位置移动到第二，锐角位置。 在该第二个锐角位置中，通过与管接合部分的锁定接合固定管。 该装置在套筒的一端包括一个互锁接头，当该管处于其第二个锐角位置时，该接头使得该基部肘部单元的套筒接合部能够锁定接合。

公开(公告)号：US4981471A

公开(公告)日：1991-01-01

申请号：US352092

申请日：1989-05-15

Applicant: David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen

Inventor： David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen

IPC: A61F2/958 ,  A61J15/00

CPC classification number: A61J15/0019 ,  A61J15/0042 ,  A61M25/10 ,  A61J15/0073

Abstract: A device for intubating an ostomy, formed by a percutaneous endoscopic technique including a multi-lumen tube, having at least a fluid delivery lumen and an inflation lumen. The tube includes a port near one end to dispose the inflation lumen to ambient air and an outlet at an other end to convey fluid from within the fluid lumen into a patient. An inflatable member, is joined near the other end of the tube and is inflatable and deflatable through the inflation lumen. In a deflated state, the member assumes an edge-free outer configuration to facilitate intubation of the device into the patient. In a fully inflated state, the member assumes an outer configuration defining an edged, generally flat surface to more diffusely contact and abut against inner tissue surfaces surrounding the gastrostomy. Joined to the one end of the tube is an elongated tapered sleeve which encloses the one end of the tube. The tapered end of the sleeve carries a suture loop for use in intubating the device. The tube seals the ambient air port through use of a pressure responsive skirt portion disposed from the sleeve or through use of a frangible plug. Deflation of the member is accomplished by a unique deflation collar having a tapered passage. The inflatable member is drawn through the tapered passage.

Abstract translation: 用于插管造口术的装置，其通过包括多腔管的经皮内窥镜技术形成，所述多腔管至少具有流体输送腔和充气腔。 管包括靠近一端的端口，以将充气腔设置到环境空气中，另一端的出口将流体从流体腔内输送到患者体内。 可膨胀构件在管的另一端附近接合并且可膨胀并且可通过膨胀内腔放气。 在放气状态下，该构件采取无边缘的外部构造以便于装置插入患者体内。 在完全膨胀的状态下，构件呈现限定边缘的大致平坦表面的外部构造，以更加扩散地接触和抵靠围绕胃造口术的内部组织表面。 连接到管的一端是细长的锥形套筒，其包围管的一端。 套筒的锥形端部装有用于插管装置的缝线环。 管通过使用从套筒设置的压力响应裙部或通过使用易碎塞来密封环境空气端口。 构件的通气是通过具有锥形通道的独特的通风颈圈实现的。 可膨胀构件通过锥形通道被拉伸。

公开(公告)号：US4900306A

公开(公告)日：1990-02-13

申请号：US291115

申请日：1988-12-28

Applicant: David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen

Inventor： David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen

IPC: A61F2/958 ,  A61J15/00 ,  A61M25/00

CPC classification number: A61J15/0019 ,  A61J15/0042 ,  A61M25/10 ,  A61J15/0073

Abstract: A unique device for intubating an ostomy, formed by a percutaneous endoscopic technique including a multi-lumen tube, having at least a fluid delivery lumen and an inflation lumen. The tube includes a port near one end to dispose the inflation lumen to ambient air and an outlet at an other end to convey fluid from within the fluid lumen into a patient. A retention member, preferably an inflatable cuff, is joined near the other end of the tube and is inflatable and deflatable through the inflation lumen. In a deflated state, the cuff assumes an edge-free outer configuration to facilitate intubation of the device into the patient. In a fully inflated state, the cuff assumes an outer configuration defining an edged, generally flat surface to more diffusely contact and abut against inner tissue surfaces surrounding the gastrostomy. Joined to the one end of the tube is an elongated tapered sleeve which encloses the one end of the tube. The tapered end of the sleeve carries a suture loop for use in intubating the device. The tube seals the ambient air port through use of a pressure responsive skirt portion disposed from the sleeve or through use of a frangible plug.

Abstract translation: 用于插管造口术的独特装置，其通过包括多腔管的经皮内窥镜技术形成，所述多腔管至少具有流体输送腔和充气腔。 管包括靠近一端的端口，以将充气腔设置到环境空气中，另一端的出口将流体从流体腔内输送到患者体内。 保持构件，优选地是可充气的袖带，在​​管的另一端附近接合，并且可膨胀并且可以通过膨胀内腔放气。 在放气状态下，袖带呈现无边缘的外部构造以便于装置插入患者体内。 在完全充气的状态下，袖带呈现限定边缘的大致平坦表面的外部构造，以更加扩散地接触并邻接胃造口术周围的内部组织表面。 连接到管的一端是细长的锥形套筒，其包围管的一端。 套筒的锥形端部装有用于插管装置的缝线环。 管通过使用从套筒设置的压力响应裙部或通过使用易碎塞来密封环境空气端口。

公开(公告)号：US4895275A

公开(公告)日：1990-01-23

申请号：US238391

申请日：1988-08-30

Applicant: David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen

Inventor： David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen

IPC: B67B7/46 ,  B67B7/86

CPC classification number: B67B7/26

Abstract: A device for dispensing enteral feeding solutions and other therapeutic fluids from penetrable, shape retentive containers comprising a unitary dispensing spike for penetrating a topside panel of such containers which are suspended in an orientation to define an uppermost end and a lowermost end. The dispensing spike of the present invention includes an ambient air vent integrally formed therein. The present invention further includes a fluid visualization chamber which permits a user to determine the volume of fluid within the container.

Abstract translation: 一种用于从可穿透形状的保持性容器分配肠内喂食溶液和其它治疗液体的装置，包括用于穿透这样的容器的顶部面板的单一分配尖钉，所述顶部面板悬挂在定向上以限定最上端和最下端。 本发明的分配尖钉包括一体地形成在其中的环境空气排出口。 本发明还包括允许使用者确定容器内的流体体积的流体可视化室。

公开(公告)号：US4594074A

公开(公告)日：1986-06-10

申请号：US731443

申请日：1985-05-06

Applicant: Erik Andersen ,  Robert B. Edwards, II ,  David G. Quinn

Inventor： Erik Andersen ,  Robert B. Edwards, II ,  David G. Quinn

IPC: A61J15/00 ,  A61M25/00

CPC classification number: A61J15/00 ,  A61J15/0026

Abstract: An improved, non-occluding high fluid flow enteral feeding tube including a non-collapsible bolus carried on a distal end of the tube. The bolus having at least one opening defining a tube outlet. The one opening being defined by generally vertical bolus side walls having a selected transverse sectional height ranging from a height equal to at least one-half the inner diameter of the tube to no more than a height equal to the sum of the tube inner diameter and the thickness of the tube wall. The bolus further including an upwardly inclining internal bolus floor to gradually direct fluid from the tube, through the bolus and out of the opening minimizing disturbance of fluid flow rate.

Abstract translation: 一种改进的，非阻塞的高流体流入肠饲管，其包括承载在管的远端上的不可折叠的推注。 推注体具有至少一个限定管出口的开口。 一个开口由大致垂直的弹丸侧壁限定，具有选定的横截面高度，其高度等于管的内径的至少一半的高度，不超过等于管内径和 管壁的厚度。 推注还包括向内倾斜的内推剂地板，以逐渐引导来自管的流体，通过推注并离开开口使流体流速的扰动最小化。

公开(公告)号：US4496347A

公开(公告)日：1985-01-29

申请号：US422564

申请日：1982-09-24

Applicant: David MacLean ,  Robert B. Edwards, II

Inventor： David MacLean ,  Robert B. Edwards, II

IPC: A61J15/00 ,  A61M23/00 ,  A61M25/00

CPC classification number: A61J15/0007

Abstract: A stylet to be used in combination with a feeding tube assembly for administration or aspiration of fluids to a patient comprising a wire with an elongated loop of variable length and width at its distal end. The width of the loop may be adjusted so as to be greater than the diameter of any apertures in feeding tubes thereby preventing the stylet from exiting the tube assembly and minimizing the possibility of injury to a patient during stylet intubation.

Abstract translation: 与供给管组件一起使用的管心针，用于向患者施用或抽吸流体，其包括在其远端具有可变长度和宽度的细长环的线。 可以调节环的宽度以便大于进料管中的任何孔的直径，从而防止探针离开管组件并使在探针插管期间患者受伤的可能性最小化。

公开(公告)号：US4490143A

公开(公告)日：1984-12-25

申请号：US422565

申请日：1982-09-24

Applicant: David G. Quinn ,  Robert B. Edwards, II

Inventor： David G. Quinn ,  Robert B. Edwards, II

IPC: A61J15/00 ,  A61J7/00

CPC classification number: A61J15/0007

Abstract: A feeding assembly for the administration of fluids to a patient comprising a tube having a rigid bolus near its distal end to facilitate the peristaltic movement of the assembly during insertion. The bolus has openings for fluid flow, said openings are oriented to prevent the tip of a stylet from escaping from the tube assembly to minimize the possibility of injury to a patient during stylet intubation.

Abstract translation: 用于向患者施用流体的进料组件，包括在其远端附近具有刚性弹丸的管，以便于插入期间组件的蠕动运动。 推注具有用于流体流动的开口，所述开口被定向以防止探针的尖端从管组件逸出，以最小化在探针插管期间患者受伤的可能性。

公开(公告)号：US4529102A

公开(公告)日：1985-07-16

申请号：US460073

申请日：1983-01-21

Applicant: David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen

Inventor： David G. Quinn ,  Robert B. Edwards, II ,  Erik Andersen

IPC: A61J1/00 ,  A61J1/05 ,  A61M5/14

CPC classification number: A61J1/10 ,  A61J1/12 ,  A61J2200/76

Abstract: An enteric feeding bag having unique fluid dispensation features comprising a supplying chamber within the bag being coupled to an inlet, a feeding chamber of smaller volume than the supplying chamber being coupled to an inlet, a feeding chamber of smaller volume than the supplying chamber being coupled to an outlet, a channel placing the chambers in selective fluid communication upon tilting of the bag, a partition between the chambers having at least one aperture to receive a clamp in which the aperture coincides with volumetric graduations on the feeding chamber, an elongated flap appended to the exterior peripheral edge of the feeding chamber also having at least one aperture horizontally coinciding with the aperture on the partition and, a clamp inserted through the apertures for transversely sealing together the side walls of the feeding chamber at one aperture.

Abstract translation: 一种具有独特流体分配特征的肠道喂养袋，其特征在于包括：袋内的供应室与入口相连接，与供给室相比体积小的进料室与入口相连， 一个出口，一个通道，使得这些腔室在袋子倾斜时将它们选择性地流体连通，两个腔室之间的隔板具有至少一个孔口，用于容纳夹子，孔中的孔与进料室上的体积刻度重合， 还具有至少一个与分隔件上的孔水平重合的孔的进料室的外周边缘，以及插入穿过孔的夹具，用于将进料室的侧壁横向地密封在一个孔。