Device for intubation of percutaneous endoscopic ostomy

Surgery – Means for introducing or removing material from body for... – Treating material introduced into or removed from body...

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128 6, A61M 2902

Patent

active

049003062

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.

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Gauderer and Ponsky, "A Simplified Technique for Constructing A Tube Feeding Gastrostomy", Reprint from SURGERY, Gynecology & Obstetrics, Jan., 1981, vol. 152, 82-85.
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Wu, Pietrocola and Welch, "New Method of Percutaneous Gastrostomy Using Anchoring Devices", AMERICA JOURNAL OF SURGERY, Am J. Surg 1987; 153: 230-232, Feb., 1987.

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