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WO1993025264A1 - Dispositif de fixation d'un tube de drainage et ensemble tube de drainage - Google Patents

Dispositif de fixation d'un tube de drainage et ensemble tube de drainage Download PDF

Info

Publication number
WO1993025264A1
WO1993025264A1 PCT/DK1993/000203 DK9300203W WO9325264A1 WO 1993025264 A1 WO1993025264 A1 WO 1993025264A1 DK 9300203 W DK9300203 W DK 9300203W WO 9325264 A1 WO9325264 A1 WO 9325264A1
Authority
WO
WIPO (PCT)
Prior art keywords
drainage tube
component
flange
adhesive layer
patient
Prior art date
Application number
PCT/DK1993/000203
Other languages
English (en)
Inventor
John HØRBY
Original Assignee
Nikomed Aps
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from DK81292A external-priority patent/DK81292D0/da
Priority claimed from DK128992A external-priority patent/DK128992D0/da
Application filed by Nikomed Aps filed Critical Nikomed Aps
Publication of WO1993025264A1 publication Critical patent/WO1993025264A1/fr

Links

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
    • A61M2025/0246—Holding devices, e.g. on the body fixed on the skin having a cover for covering the holding means
    • 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

Definitions

  • a device for fixating a drainage tube, and a drainage tube assembly is provided.
  • the present invention generally relates to the technique of apply- ing and fixating a drainage tube relative to a skin surface part of a patient or person, and more precisely a device for fixating a drainage tube relative to a skin surface part of a patient or person.
  • a drainage tube It is a well-known technique to enter a drainage tube through the skin of a patient or person in order to drain liquid from a cavity with- in the patient or person, e.g. after a surgical operation.
  • the drainage tube is also used for creating a vacuum with ⁇ in the cavity which is drained by means of the drainage tube.
  • An example of such an application is the treatment of a collapsed lung, in which application the cavity of the thorax of the patient in question is eva- cuated through a pleural drainage tube in order to cause an adhesion of the pulmonary pleura of the patient to the costal pleura of the patient.
  • the drainage tube such as a pleural drainage tube which is used for venting the cavity of the thorax of the patient, the lung of whom has collapsed
  • the drainage tube has been fixated and sealed in a manual operation in which the medical doctor who applies the pleural drainage tube arranges one or more vaseline-impregnated wads round the pleural drainage tube at the entrance of the pleural drainage tube through the skin of the patient and compresses the vaseline-impregnated wads in or ⁇ der to create a sealing at the entrance.
  • the vaseline-im ⁇ pregnated wads and the pleural drainage tube as well are fixated by means of plaster.
  • An object of the present invention is to provide a device for fix ⁇ ating a drainage tube, which device to any substantial extent eliminates the risk that the drainage tube is bent at the entrance of the skin of the patient in question and further to any substantial extent eliminates the risk of creation of kinks of the drainage tube.
  • a particular advantage of the device according to the present in ⁇ vention lies in that a single unitary structure is provided which ren- ders it possible, in a single and easily performable operation, to cre ⁇ ate a fixation of the drainage tube and also create a sealing of the entrance of the drainage tube through the skin of the patient.
  • a particular feature of the device according to the present inven ⁇ tion lies in that the device according to the present invention consti- tutes a disposable unitary strucure which has been presterilized and simply is applied as a plaster structure to the skin of the patient af ⁇ ter the device has, so to speak, been threaded on the drainage tube and is shifted along the drainage tube as a single unitary structure.
  • a device for fixating a drainage tube relative to a skin surface part of a patient or person comprising in accordance with the present inven- tion: a support component including a flange part and a tubular part, said flange part and said tubular part being integrally connected, said tubular part having a through-going passage for receiving said drainage tube, and said flange part having a surface part to be arranged in faci- al contact with said skin surface part, a plaster component including a support foil having opposite first and second side surfaces, said first side surface being provided with an adhesive layer, said plaster component being adhered to said flange part of said support component through a part of said adhesive layer, said plaster component having an exposed part of said adhesive layer to be arranged in contact with said skin surface part so as to fixate said surface part of said flange part relative
  • the support component of the device according to the present inven ⁇ tion provides, on the one hand, a support of the entrance of the drain ⁇ age tube through the skin of the patient, which entrance is prevented from creating bends or kinks of the drainage tube due to the tubular part which receives the drainage tube and provides, on the other hand, a reliable fixation of the drainage tube due to the provision of the flange part which is arranged in facial contact with the skin surface part of the patient and fixated relative to the skin surface part by means of the plaster component.
  • the drainage tube is locked to the tubular part of the support component by means of the locking component of the device.
  • the exposed part of the adhesive layer of the plaster component is preferably covered by means of a cover sheet, which is removed prior to use.
  • the surface part of the flange part of the support component may be provided with an adhesive layer for adhering to the skin surface part of the pa ⁇ tient or person.
  • the adhesive layer of the flange part of the support component is a biologically compatible glue layer, such as a hydro-colloid layer which is glued to the surface part of the flange part by means of e.g. an adhesive layer, a glue or the like.
  • the device according to the present invention is provided with an adhesive layer at the surface part of the flange part of the support component, the cover sheet preferably also covers the adhesive layer of the surface part of the flange part.
  • the flange part of the support component may be of a rectangular or a curved geometrical configuration or any alternative appropriate confi ⁇ guration fulfilling the basic object of the present invention.
  • the flange part of the support component may e.g. be of a plane configura- tion or of an overall conical configuration or any alternative appropri ⁇ ate configuration.
  • the flange part of the support component is preferably of an annular configuration which flange part encircles the tubular part which consequently constitutes a part protruding from an encircling flange part.
  • the flange part and the tubular part are integrally connected, ei ⁇ ther directly or in accordance with the presently preferred embodiment of the device according to the present invention through a conical part which serves two purposes, viz. the purpose of creating means for main ⁇ taining the flange part and the tubular part of the support component in appropriate distance from the entrance of the drainage tube through the skin surface part of the patient, and consequently the purpose of pre ⁇ venting that the support component is arranged in direct contact with the tissue at the entrance of the drainage tube through the skin surface part of the patient or person, and the additional purpose of providing a space below the conical part of the support component after the device is applied to the skin surface part of the patient or person, in which space a sealing material is preferably received or arranged.
  • the device according to the present invention preferably comprises a plug or sponge of a biologically non-aggressive and wound-care or wound-treat ⁇ ment compatible material, which plug or sponge has a through-going hole and is arranged within the conical part of the support component, serv ⁇ ing the purpose of filling out and sealing the above described space be- low the conical part of the support component.
  • the plaster component of the device according to the present inven ⁇ tion may be of any appropriate configuration, serving the purpose of providing a reliable and lasting fixation of the flange part of the sup ⁇ port component relative to the skin surface part of the patient.
  • the flange component of the support component preferably is constituted by an annular flange component encircling the tubular part
  • the plaster component preferably has an aperture through which the tubular part of the support component protrudes.
  • the present invention also relates to a drainage tube assembly com- prising a drainage tube and a device for fixating the drainage tube re ⁇ lative to a skin surface part of a patient or person, the device com ⁇ prising: a support component including a flange part and a tubular part, said flange part and said tubular part being integrally connected, said tubular part having a through-going passage for receiving said drainage tube, and said flange part having a surface part to be arranged in faci ⁇ al contact with said skin surface part, a plaster component including a support foil having opposite first and second side surfaces, said first side surface being provided with an adhesive layer, said plaster component being adhered to said flange part of said support component through a part of said adhesive layer, said plaster component having an exposed part of said adhesive layer to be arranged in contact with said skin surface part so as to fixate said surface part of said flange part relative to said skin surface part, and a locking component for locking said drainage tube relative to said tubular part of said support component.
  • the drainage tube assembly according to the present invention con- sequently comprises a device according to the present invention and further a drainage tube which is of an elongated tubular configuration, i.e. a conventional configuration per se, however, further being pro ⁇ vided with a positioning indication allowing an exact positioning of the drainage tube relative to the patient as the positioning indication simply indicates how far the drainage tube is to be entered into the pa ⁇ tient in question, particularly into the cavity of the thorax of the pa ⁇ tient in question, for properly and correctly positioning the drainage tube. It is to be realized that in case the drainage tube is not cor ⁇ rectly entered and positioned relative to the patient, great harm may in some instances be incurred to the patient as e.g.
  • the drainage tube assembly pre ⁇ ferably comprises a device for fixating the drainage tube relative to the skin surface part of the patient or person in question which device according to the teachings of the present invention may comprise any of the features and characteristics discussed above.
  • the assembly further comprises a removable plug body for sealing an outer end of the drainage tube and for supporting the outer end of the drainage tube during the introduction of the outer end of the drainage tube through the through-going passage of the tubular part of the support component.
  • a removable plug body for sealing an outer end of the drainage tube and for supporting the outer end of the drainage tube during the introduction of the outer end of the drainage tube through the through-going passage of the tubular part of the support component.
  • the thorax of the patient or person in question through the drainage tube during the process of introducing the outer free end of the drainage tube through the through-going passage of the tubular part of the support component and during the process of applying and fixating the device to the skin surface part of the patient or person in question is to a great extent eliminated.
  • the removable plug body for sealing the outer free end of the drainage tube is used for its intentional purpose, the drainage tube has to be locked by means of locking instruments such as a conventional forceps usually used during surgery.
  • the plug body is fitted into the outer end of the drainage tube in a tight fit and presents a blunt end body part protruding from the outer end of the drainage tube.
  • the removably plug body constitutes a separate component which is easily fitted into the outer free end of the drainage tube and maintained in position relative to the drainage tube through the tight fit established between the plug body and the drainage tube and also easily introduced into the through-going passage of the tubular part of the support component of the device as the plug body presents a blunt end body part.
  • Fig. 1 is a schematical view of the application of a first embodi ⁇ ment of a drainage tube assembly comprising a device according to the present invention for fixating a drainage tube, and more precisely a pleural drainage tube at the thorax of a patient,
  • Figs. 2 and 3 are schematical views illustrating the technique of applying the first embodiment of a drainage tube assembly comprising the device shown in Fig. 1 at the thorax of a patient for fixating the pleu- ral drainage tube relative to the thorax of the patient and further for sealing the entrance of the pleural drainage tube into the thorax of the patient,
  • Fig. 4 is a partly sectional view of the first embodiment of the drainage tube assembly comprising the device according to the present invention shown in Figs. 1-3 applied to a skin surface part of the tho ⁇ rax of a patient and fixating the pleural drainage tube and further sealing the entrance of the pleural drainage tube into the thorax
  • Fig. 5 is an exploded view of the first embodiment of the device of the drainage tube assembly according to the present invention, illustra ⁇ ting the structure of the device,
  • Fig. 6 is a partly sectional view similar to the view of Fig. 4, illustrating a second embodiment of the drainage tube assembly according to the present invention
  • Fig. 7 is an exploded view similar to the view of Fig. 5, illu ⁇ strating the structure of the second embodiment of the device of the drainage tube assembly according to the present invention also shown in Fig. 6, and Figs. 8 and 9 are schematic views similar to the views of Figs. 2 and 3 illustrating a further embodiment of the drainage tube assembly comprising a device similar to the device shown in Figs. 1, 2, 3, 4 and 5, and the pleural drainage tube shown in Figs. 1-6 and further compri ⁇ sing a blunt end sealing plug body.
  • a first embodiment of a drainage tube assembly com ⁇ prising a drainage tube and a device for fixating the drainage tube, and specifically a pleural drainage tube, is shown.
  • the first embodiment of the drainage tube assembly according to the present invention further serves the overall purpose of providing a drainage tube assembly and a device which render it extremely simple and far less complicated than hitherto to fixate and seal a pleural drainage tube to the thorax of a patient, further providing a reliable and last- ing fixation and sealing.
  • the first embodiment of the device is in its entirety designated the reference numeral 10 and cen ⁇ trally comprises a flange component 12 comprising an annular flange part 14, a conical part 16, and a tubular part 17 which is provided with a central through-going hole.
  • the component 12 is a component which is in ⁇ tegrally cast from a biologically acceptable plastic material, e.g. po ⁇ lyethylene, polypropylene or the like.
  • the tubular part 17 is at its outer circumferential surface provided with a glue layer 18 serving the purpose of fixating and sealing a hose component 20 relative to the tu ⁇ bular part 17 of the flange component 12.
  • the hose component 20 is, as is evident from Fig. 5, provided with two outwardly protruding gripping tags, the purpose of which will be evident from the below detailed de ⁇ scription of the technique of applying the first embodiment 10 of the device according to the present invention to the thorax of a patient.
  • One of the gripping tags of the hose component 20 is designated the re ⁇ ference numeral 21.
  • the flange component 12 is at its lower side surface, i.e. opposite to the side surface from which the conical part 16 and the tubular part 17 protrude, provided with an annular adhesive tape 22 which is provided with adhesive layers at opposite side surfaces and which serves the pur ⁇ pose of fixating a biologically compatible or acceptable glue material constituted by an annular hydro-colloid component 24 relative to the an ⁇ nular flange part 14 of the flange component 12.
  • the side surface of the component 24 opposite to the side surface which is adhered to the lower side surface of the annular flange part 14 of the flange component 12 by means of the annular adhesive tape 22 is to be arranged in contact with and adhered to a skin surface part of the patient to whom the device 10 is applied.
  • the device 10 is provided with a plaster component 26 which is provided with a central aperture 27.
  • the plaster component 26 is arranged on top of the annular flange component 14 covering the upper side surfaces of the annular flange part 14 and the conical part 16 of the flange component 12 and further protruding beyond the outer rim of the annular flange part 14 of the flange component 12.
  • the pla- ster component 26 is, as will be understood, provided with an adhesive layer at its lower side surface, by means of which the plaster component 26 adheres to the flange component 12 and further to the skin surface part of the patient to whom the device 10 is applied.
  • cover sheets 34 and 36 are provided, covering the exposed adhesive layer of the plaster component 26 and the exposed lower side surface of the annular hydro-colloid component 24.
  • the cover sheets 34 and 36 are of substantially identical configuration and adjoin one another along a line of separation 38 extending substantially diametrically across the plaster component 26.
  • the adjoined cover sheets 34 and 36 are centrally provided with an aperture 35 through which a sealing component consti ⁇ tuted by two foam plugs 30 and 32 is exposed.
  • the foam plugs 30 and 32 are provided with through-going hols and are glued together so as to constitute a single integral foam plug which is further glued to the lower side surface of the conical part 16 of the flange component 12.
  • the foam plugs 30 and 32 differ from one another in that the foam plug 32 to be arranged in direct contact with the tissue of the entrance of the pleural drainage tube through the thorax is impregnated with vase- line in order to provide a sealing round this entrance of the drainage tube through the tissue of the patient and round the drainage tube, i.e. relative to the incision, the drainage tube and the surrounding skin surface and tissue, and to prevent that the foam plug 32 adjoins the tissue of the entrance and further provides a biologically acceptable contact between the foam plug 32 and the tissue.
  • the aperture 35 of the cover sheets 34 and 36, and further the foam plugs 30 and 32, are covered by a cover 40 which is glued to the lower, exposed side surfaces of the cover sheets 34 and 36 by means of adhesive tape or adhesive glue.
  • the device 10 is, as shown in Fig. 1, adapted to be arranged at the thorax of a patient 2, the sternum of whom is designated the reference numeral 4, and one rib of whom is designated the reference numeral 6.
  • a pleural drainage tube 8 is introduced into the cavity between the costal pleura and the pulmonary pleura as the lung of the patient has collapsed due to e.g. perforation, through a costal interspace and is fixated and sealed relative to the thorax of the patient 2 by means of the device 10.
  • the pleural drainage tube 8 is introduced to a specific distance or position relative to the thorax of the patient in question, which distance or position is indicated to the person, such as the doctor or nurse, fixating the pleural drainage tube by means of a positioning in ⁇ dication constituted by a circumferential mark 9 of the pleural drainage tube 8, which circumferential mark informs the doctor or nurse to what distance or depth the pleural drainage tube has been introduced.
  • the pleural drainage tube is introduced to a certain depth so as to conceal the circumferential mark 9 within the thorax of the patient 2.
  • the circumferential mark 9 may be positioned a short distance from the device 10, informing the doctor or nurse that the pleural drainage tube or the outermost end of the pleural drainage tube has been introduced into the thorax of the patient to a certain depth within the thorax of the patient.
  • the device 10 is applied in accordance with a technique which is disclosed in Figs. 2 and 3.
  • the pleural drainage tube 8 has been introduced into the above described cavity of the thorax of the patient to the intentional position relative thereto as indicated by the posi ⁇ tioning indication or circumferential mark 9, and optionally fixated re ⁇ lative to the skin of the patient by means of short segments of thread, as is illustrated in the lower right-hand part of Fig. 2, the cover 40 is removed, uncovering the vaseline-impregnated foam plug 32 through the aperture 35 of the cover sheets 34 and 36.
  • the outer end of the pleural drainage tube 8 is introduced through the trough-going holes of the foam plugs 30 and 32 and further through the through-going hole of the tubular part 17 of the flange component 12, as is illustrated in Fig. 2, which through-going holes are in re ⁇ gistration. Thereupon, the cover sheets 34 and 36 are removed, exposing the adhesive layer of the plaster component 26, and further the outer or lower exposed side surface of the annular hydro-colloid component 24.
  • the device 10 is as a unitary structure shifted along the pleural drain- age tube 8 and is brought into facial contact with the outer skin sur ⁇ face of the thorax of the patient.
  • the adhesive layer at the lower side surface of the plaster compo ⁇ nent 26 adheres to the skin surface part of the patient and the annular hydro-colloid component 24 also adheres to the skin surface part of the patient.
  • the annular hydro-colloid component 24 additionally serves the purpose of providing a seal between the lower side surface of the annu ⁇ lar flange part 14 of the flange component 12 and an annular skin sur- face part of the patient, which skin surface part encircles the pleural drainage tube 8 and further the aperture of the skin through which the pleural drainage tube is entered into the cavity of the thorax.
  • the foam plugs 30 and 32 are substantially compressed and provide a filling-out of the cavity below the conical part 16 of the flange compo- nent 12 and providing a hermetical seal below the flange component 12, and consequently between the aperture of the skin through which the pleural drainage tube 8 is entered into the cavity of the thorax and the environment.
  • the hose 20 is shifted from its position shown in Figs. 2 and 5 in which the hose is turned inside down to its position shown in Fig. 1 in which the hose is pulled out and encircles a segment of the pleural drainage tube for hermetically seal- ing the interspace between the tubular part 17 of the flange component 12 and the pleural drainage tube 8 as one of the gripping tags 21 of the hose is gripped by a person, e.g. a medical doctor or nurse who applies the device 10 and who grips the gripping tag 21 by means of the thumb and the forefinger of his or her hand 3.
  • a person e.g. a medical doctor or nurse who applies the device 10 and who grips the gripping tag 21 by means of the thumb and the forefinger of his or her hand 3.
  • Fig. 4 a partly sectional view illustrates the device 10 after the device has been applied as discussed above with reference to Figs. 2 and 3.
  • Fig. 4 clearly illustrates the facial adhesive contact between the device 10 and the outer skin surface of the patient 2 through the plaster component 26 and further through the annular hydro-colloid com- ponent 24 which is glued or adhered to the lower side surface of the an ⁇ nular flange part 14 of the flange component 12 through the annular ad ⁇ hesive tape 22.
  • the substantially compressed and deformed foam plugs 30 and 32 are also illustrated in Fig.
  • Fig. 4 serving the purpose of providing, as discussed above, a hermetic seal and a wound-care or wound-treatment compatible fixation of the pleural drainage tube at the entrance of the pleural drainage tube through the aperture of the thorax.
  • the fixation and sealing capability of the hose 20 is also clearly illustrated in Fig. 4 as the hose 20 is pulled out around the pleural drainage tube 8, providing a tight fit round the pleural drainage tube 8. From Fig. 4, it is also evident in what way the flange component 12 supports the pleural drainage tube 8 at the entrance through the skin of the patient and pre ⁇ vents that bends or kinks of the pleural drainage tube 8 be created.
  • Fig. 4 also illustrates the preferred positioning of the circumferential mark 9 concealed within the thorax of the patient, informing the doctor or nurse that the pleural drainage tube 8 has been introduced into the thorax of the patient in question to the correct depth or position.
  • Figs. 6 and 7 are views similar to the views of Figs. 4 and 5, re- spectively, illustrating a second or alternative embodiment according to the present invention, which embodiment is designated the reference nu ⁇ meral 50 in its entirety.
  • the device 50 comprises a component 52 similar to the component 12 of the device 10 described above with reference to Figs. 1-5, which component 52 comprises a conical flange part 54 and an upwardly protruding tubular part 56 which is provided with a through-go ⁇ ing hole and outer thread.
  • the drainage tube e.g. the pleural drainage tube 8 shown in Figs.
  • 0-ring 58 provides an 0-ring sealing well-known in the art per se.
  • the device 50 is provided with a plaster component 62 which is also provided with a central aperture 63 serving the same purpose as the aperture 27 of the plaster component 26.
  • the device 50 further comprises an annular compo ⁇ nent 64 which may constitute a sponge similar to the plug 32, or alter ⁇ natively constitute a component similar to the annular hydro-colloid component 24.
  • the component 64 may constitute a component which is glued or adhered to the lower side surface of the flange component 52, or al- ternatively constitute a separate component which is mounted in a sepa ⁇ rate application step on the drainage tube, such as the pleural drainage tube 8 shown in Fig. 6.
  • the second embodiment 50 shown in Fig. 7 comprises two cover sheets 66 and 68 which are adjoined along a line of separation 70.
  • Fig. 6 a sectional view similar to the view of Fig. 4 is shown illustrating the second embodiment 50 of the device according to the present invention applied to a drainage tube, and more precisely the pleural drainage tube 8.
  • the component 64 constitutes a com ⁇ ponent similar to the component 22 shown in Fig. 4, i.e. an annular hy ⁇ dro-colloid component serving the purpose of providing an adhesion of the flange of the annular flange component 52 to the skin surface part of the patient 2, whereas a separate sponge or wound treatment component is provided, designated the reference numeral 72.
  • Fig. 6 also illustra ⁇ tes the above described alternative positioning of the circumferential mark 9 a short distance from the device 50.
  • FIG. 8 an alternative or modified embodiment of the device ac- cording to the present invention is shown designated the reference nume ⁇ ral 10' in its entirety.
  • the device 10' is of a structure similar to the structure of the device 10 described above with reference to Fig. 1, 2, 3, 4 and 5, however, differing from the above described embodiment in that the cover sheets 34 and 36 are substituted by cover sheets 34' and 36' which are of a somewhat reduced size as compared to the size of the cover sheets 34 and 36, still covering the entire lower side surface of the plaster component 26 prior to the removal of the cover sheets.
  • the embodiment 10' also differs from the above described preferred em ⁇ bodiment 10 in that the flange component 12 comprises a tubular part 17' of a folded structure allowing that the tubular part 17' is bent without causing a collapse of the drainage tube 8 received within the tubular part 17'.
  • the device 10' of the drainage tube assembly is shown in the state in which the drainage tube 8 has been introduced through the tubular part 17' of the device 10' after the introduction of the pleural drainage tube 8 into the cavity of the thorax of the patient or person.
  • the drainage tube shown in Fig. 8 is provided with a further compo ⁇ nent constituting a removable plug body designated the reference numeral 80 in its entirety.
  • the removably plug body 80 basically serves the main purpose of sealing the outer free end of the pleural drainage tube 8 du ⁇ ring the process of fixating the pleural drainage tube relative to the thorax of the patient or person in question.
  • the removable plug body 80 constitutes a sealing plug body as is evident from Fig. 9 which plug body comprises a blunt end part 82 protuding from the outer free end of the pleural drainage tube 8 as is shown in Fig.
  • the removable plug body 80 further serves the additional purpose of supporting the outer free end of the pleural drainage tube 8 and consequently preventing that the outer free end is collapsed during the process of introducing the outer free end of a pleural drainage tube through the tubular part 17' of the device 10' or provided the removable plug body 80 is used in con ⁇ nection with the above described first and second embodiments of the de ⁇ vice introduced through the tubular part 17 of the first embodiment of the device 10 described above with reference to Figs.
  • the blunt end part 82 of the re ⁇ movable plug body 80 allows that the plug body 80 and consequently the pleural drainage tube 8 is easily introduced through the tubular part of the device for fixating the pleural drainage tube in accordance with the teachings of the present invention.
  • a conventional sealing mean suchs as a forceps may be elimiated.
  • the doctor or nurse applying the drainage tube and further the device for fixating the drainage tube relative to the thorax of the patient or person in question normally uses two forceps for preventing that the cavity into which the drainage tube is introduced is evacuated or vented unintentionally through the drainage tube which has to be ' kept sealed or closed during the processes of introducing the pleural drainage tube and of fixating the pleural drainage tube.
  • Fig. 9 the device 10' is shown after the device has been ap ⁇ plied to the skin surface part of the patient or person in question and further illustrates the removable plug body 80 after the removable plug body 80 has been removed from the drainage tube 8. It is to be realized that the embodiments described above with re ⁇ ference to Figs. 1-9 may be modified in numerous ways and further com ⁇ bined so as to provide a device for fixating a drainage tube and option ⁇ ally for sealing the drainage tube or the aperture of the skin surface part through which the drainage tube extends.
  • the device comprises a flange component and a plaster component
  • the other components described above such as the hydro-colloid component, the sealing components constituted by the hose 20 or alternatively the mesh ⁇ ing threads and the sealing 0-ring 58 shown in Fig. 7 may be omitted or alternatively substituted by any other appropriate sealing means such as wedge-shaped sealing means, adhesion tape or the like.
  • the foam plugs 30 and 32 described above are preferably glued to the inner side surface of the conical part 16 of the flange component 12 and further glued together, so as to constitute a single integral component, the foam plugs 30 and 32 and any components similar to these plugs, such as the sponge 72 shown in Fig. 6, or alternatively the component 64, also shown in Fig.
  • the drainage tube which may constitute a pleural drainage tube or any alternative drainage tube which need to be sealed or, alternatively, need not be sealed.
  • the component 12 was cast from polyethylene.
  • the outer diameter of the component 12 was 70 mm
  • the inner diameter of the annular flange — ⁇ part 14 of the component 12 was 35 mm.
  • the thickness of the annular flange part 14 and the conical part 16 was 0.85 mm
  • the wall thick ⁇ ness of the tubular part 17 was 1 mm.
  • the inner diameter of the through- going hole of the tubular part 17 was 12 mm.
  • the height of the conical part 16 was 8 mm, and the length of the tubular part 17 was 16 mm.
  • the hose 20 was made from latex rubber of a thickness of 1.1 mm.
  • the annular adhesive tape 22 was a 0.07 mm thick double-sided adhesive tape.
  • the an ⁇ nular hydro-colloid component 24 had a thickness of 2.0 mm.
  • the outer diameter of the components 22 and 24 were 70 mm and the through-going apertures of the annular components 22 and 24 had a diameter of 35 mm.
  • the vaseline-impregnated foam plug 32 was made from polyurethane foam (16 kg/m 3 ) and had a height of 5 mm and an outer diameter of 30 mm.
  • the foam plug 30 was also made from polyurethane foam (16 kg/m 3 ) and had a height of 7 mm and an outer diameter of 23 mm.
  • the through-going holes of the plugs 30 and 32 were of a diameter of 10 mm.
  • the plaster compo ⁇ nent 26 was of the material non-woven polyester (MICR0TAPE ® ) and mea ⁇ sured 120 mm x 120 mm.
  • the diameter of the aperture 27 of the plaster component 26 had a diameter of 35 mm.
  • the cover sheets 34 and 36 were made from siliconized polyester and together measured 140 mm x 140 mm, providing a central aperture of a diameter of 35 mm.
  • the cover 40 was cast from PVC.
  • the pleural drainage tube 8 was a Charrier 28-32 PVC tube of a length of 70 cm.
  • the pleural drainage tube 8 was at its distal end pro ⁇ vided with a total of eight holes.
  • the marking 9 was constituted by a circumferential mark provided at a distance of 17 cm from the distal end of the pleural drainage tube 8.

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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)
  • Media Introduction/Drainage Providing Device (AREA)
  • External Artificial Organs (AREA)

Abstract

Un ensemble tube de drainage selon l'invention comprend un tube de drainage (8) et un dispositif (10') de fixation du tube drainage par rapport à une zone de l'épiderme d'un patient ou d'une personne. Ledit dispositif (10') se compose d'un élément de support (12) comprend une partie tubulaire (17) raccordées en une seule pièce au moyen d'une partie conique (16). La partie tubulaire (17') est traversée de part en part par un passage destiné à recevoir le tube de drainage (8), et la surface de la partie bride est conçue pour être mise en contact facial avec l'épiderme du patient ou de la personne concernée. Ledit dispositif (10') comprend également un élément en sparadrap (26) comprenant une feuille de support présentant une première et une seconde surface opposées. La première surface étant enduite d'une couche adhésive assurant l'adhérence de l'élément de support (12) à la bride et à l'épiderme du patient ou de la personne concernée. Ce dispositif (10') comprend aussi un élément de blocage (20) destiné à bloquer le tube de drainage (8) par rapport à la partie tubulaire (17') de l'élément de support (12). Le tube de drainage selon l'invention présente une configuration tubulaire oblongue et comporte un répère de positionnement (9).
PCT/DK1993/000203 1992-06-18 1993-06-17 Dispositif de fixation d'un tube de drainage et ensemble tube de drainage WO1993025264A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
DK0812/92 1992-06-18
DK81292A DK81292D0 (da) 1992-06-18 1992-06-18 Indretning til fiksering af et draen
DK128992A DK128992D0 (da) 1992-10-22 1992-10-22 Fikstur
DK1289/92 1992-10-22

Publications (1)

Publication Number Publication Date
WO1993025264A1 true WO1993025264A1 (fr) 1993-12-23

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Application Number Title Priority Date Filing Date
PCT/DK1993/000203 WO1993025264A1 (fr) 1992-06-18 1993-06-17 Dispositif de fixation d'un tube de drainage et ensemble tube de drainage

Country Status (1)

Country Link
WO (1) WO1993025264A1 (fr)

Cited By (34)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995033508A1 (fr) * 1994-06-02 1995-12-14 Nikomed Aps Dispositif pour la fixation d'un drain et systeme de drain
FR2734161A1 (fr) * 1995-05-16 1996-11-22 Le Beguec Pierre Dispositif de fixation pour drain chirurgical
EP0743865A1 (fr) * 1994-01-07 1996-11-27 Omar Amirana Dispositif chirurgical de retenue adhesif
WO1997021459A1 (fr) * 1995-12-13 1997-06-19 Nikomed Aps Dispositif pour fixer un drain
WO1998047433A1 (fr) * 1997-04-21 1998-10-29 Btg International Limited Instrument chirurgical
US6273873B1 (en) 1996-10-04 2001-08-14 Maersk Medical A/S Fixation device for fixating a catheter relative to a skin surface part of a person
DE10100756A1 (de) * 2001-01-10 2002-08-14 Universitaetsklinikum Freiburg Vorrichtung zur Durchführung einer perkutanen Intervention in den Bereich einer menschlichen oder tierischen Lunge
WO2006085085A1 (fr) 2005-02-11 2006-08-17 Unomedical Limited Dispositif de fixation d'un tube par rapport a la peau d'un patient et assemblage du tube et du dispositif
WO2007006306A3 (fr) * 2005-07-08 2007-04-12 Coloplast As Orifice d'acces
US7766880B1 (en) 1997-08-21 2010-08-03 Sull Limited Method of securing a line to a patient, fasteners and their use to secure a line to a patient
WO2010142955A1 (fr) * 2009-06-09 2010-12-16 Polarseal Tapes And Conversions Appareil d'actionnement
CN101217994B (zh) * 2005-07-08 2011-06-01 科洛普拉斯特公司 通路端口
CN102256657A (zh) * 2008-12-22 2011-11-23 犹诺医药有限公司 包括粘合垫的医疗器械
KR101133854B1 (ko) * 2011-06-29 2012-04-06 김재홍 의료용 드레인 고정장치
US8361034B2 (en) 2005-07-13 2013-01-29 Braidlock Limited Method and apparatus for securing a line to a patient
CN103111008A (zh) * 2013-02-27 2013-05-22 王海帆 能实现流量和流速调节的引流管固定装置
CN103170048A (zh) * 2013-04-16 2013-06-26 孟钧 一种改良的引流管固定装置
CN103170049A (zh) * 2013-04-16 2013-06-26 安徽奥弗医疗设备科技有限公司 一种快门式引流管固定装置
WO2014160469A1 (fr) * 2013-03-13 2014-10-02 Beckersmith Medical, Inc. Tube d'évacuation de fluide ayant un raccord
US9072871B2 (en) 2008-10-28 2015-07-07 Braidlock Limited Methods and apparatus for securing a line
WO2016034508A1 (fr) 2014-09-02 2016-03-10 Helse Stavanger Hf Dispositif de fixation de tube
CN105879195A (zh) * 2016-06-01 2016-08-24 遵义医学院附属医院 一次性胸腔引流管固定装置
US9604033B2 (en) 2014-06-27 2017-03-28 Harrison M. Lazarus Body cavity drainage devices with locking devices and related methods
US9649415B2 (en) 2014-06-27 2017-05-16 Harrison M. Lazarus Surgical kits for body cavity drainage and related methods
US9821097B2 (en) 2014-06-27 2017-11-21 Merit Medical Systems, Inc. Body cavity drainage devices including drainage tubes having inline portions and related methods
GB2556107A (en) * 2016-11-21 2018-05-23 Brightwake Ltd Medical tube clamp
US10029036B2 (en) 2014-06-27 2018-07-24 Merit Medical Systems, Inc. Placement tools for body cavity drainage devices and related methods
US10232150B2 (en) 2010-03-11 2019-03-19 Merit Medical Systems, Inc. Body cavity drainage devices and related methods
WO2019075509A1 (fr) * 2017-10-17 2019-04-25 Get Ip Pty Ltd Agencement de montage de cathéter pour fixer un cathéter à un patient
US10286183B2 (en) 2015-11-25 2019-05-14 Merit Medical Systems, Inc. Steerable sheath catheter and methods of use
KR200489503Y1 (ko) * 2018-01-24 2019-06-27 주식회사 유니메딕스 배액관 고정부재
JP2020081537A (ja) * 2018-11-28 2020-06-04 株式会社ハイレックスコーポレーション 挿通部材固定装置
US11559662B2 (en) 2018-04-13 2023-01-24 Merit Medical Systems, Inc. Steerable drainage devices
WO2023199022A1 (fr) * 2022-04-11 2023-10-19 Convatec Limited Composant plâtre et dispositif de perfusion

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2898917A (en) * 1958-04-07 1959-08-11 American Cystoscope Makers Inc Surgical retaining device
US3683911A (en) * 1970-08-13 1972-08-15 Pelam Inc Protective seal for catheter
US4419094A (en) * 1981-06-08 1983-12-06 The Kendall Company Suprapubic catheter system
SE435134B (sv) * 1977-04-28 1984-09-10 Kendall & Co Hemostaskateter med indikeringsanordning
GB2191407A (en) * 1986-06-13 1987-12-16 Hollister Inc Catheter retention device and method
US4767411A (en) * 1987-07-14 1988-08-30 Edmunds L Henry Protective catheter sleeve

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2898917A (en) * 1958-04-07 1959-08-11 American Cystoscope Makers Inc Surgical retaining device
US3683911A (en) * 1970-08-13 1972-08-15 Pelam Inc Protective seal for catheter
SE435134B (sv) * 1977-04-28 1984-09-10 Kendall & Co Hemostaskateter med indikeringsanordning
US4419094A (en) * 1981-06-08 1983-12-06 The Kendall Company Suprapubic catheter system
GB2191407A (en) * 1986-06-13 1987-12-16 Hollister Inc Catheter retention device and method
US4767411A (en) * 1987-07-14 1988-08-30 Edmunds L Henry Protective catheter sleeve

Cited By (50)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0743865A1 (fr) * 1994-01-07 1996-11-27 Omar Amirana Dispositif chirurgical de retenue adhesif
EP0743865A4 (fr) * 1994-01-07 1997-07-16 Omar Omirana Dispositif chirurgical de retenue adhesif
EP1029555A3 (fr) * 1994-06-02 2000-09-06 Maersk Medical A/S Dispositif de fixation d'un drain
EP1719537A3 (fr) * 1994-06-02 2006-11-29 Unomedical A/S Dispositif de fixation d'un drain
US5685859A (en) * 1994-06-02 1997-11-11 Nikomed Aps Device for fixating a drainage tube and a drainage tube assembly
EP1029555A2 (fr) 1994-06-02 2000-08-23 Maersk Medical A/S Dispositif de fixation d'un drain
WO1995033508A1 (fr) * 1994-06-02 1995-12-14 Nikomed Aps Dispositif pour la fixation d'un drain et systeme de drain
FR2734161A1 (fr) * 1995-05-16 1996-11-22 Le Beguec Pierre Dispositif de fixation pour drain chirurgical
WO1997021459A1 (fr) * 1995-12-13 1997-06-19 Nikomed Aps Dispositif pour fixer un drain
US6273873B1 (en) 1996-10-04 2001-08-14 Maersk Medical A/S Fixation device for fixating a catheter relative to a skin surface part of a person
WO1998047433A1 (fr) * 1997-04-21 1998-10-29 Btg International Limited Instrument chirurgical
US6482175B1 (en) 1997-04-21 2002-11-19 Btg International Limited Two-part surgical incision implement for forming an opening in the skin
US8435216B2 (en) 1997-08-21 2013-05-07 Braidlock Limited Method of securing a line to a patient, fasteners, and their use to secure a line to a patient
US7766880B1 (en) 1997-08-21 2010-08-03 Sull Limited Method of securing a line to a patient, fasteners and their use to secure a line to a patient
DE10100756A1 (de) * 2001-01-10 2002-08-14 Universitaetsklinikum Freiburg Vorrichtung zur Durchführung einer perkutanen Intervention in den Bereich einer menschlichen oder tierischen Lunge
WO2006085085A1 (fr) 2005-02-11 2006-08-17 Unomedical Limited Dispositif de fixation d'un tube par rapport a la peau d'un patient et assemblage du tube et du dispositif
WO2007006306A3 (fr) * 2005-07-08 2007-04-12 Coloplast As Orifice d'acces
CN101217994B (zh) * 2005-07-08 2011-06-01 科洛普拉斯特公司 通路端口
US8231580B2 (en) 2005-07-08 2012-07-31 Coloplast A/S Access port
US8361034B2 (en) 2005-07-13 2013-01-29 Braidlock Limited Method and apparatus for securing a line to a patient
US10632288B2 (en) 2008-10-28 2020-04-28 Braidlock Limited Methods and apparatus for securing a line
US9072871B2 (en) 2008-10-28 2015-07-07 Braidlock Limited Methods and apparatus for securing a line
US10561824B2 (en) 2008-10-28 2020-02-18 Braidlock Limited Methods and apparatus for securing a line
CN102256657A (zh) * 2008-12-22 2011-11-23 犹诺医药有限公司 包括粘合垫的医疗器械
WO2010142955A1 (fr) * 2009-06-09 2010-12-16 Polarseal Tapes And Conversions Appareil d'actionnement
US10232150B2 (en) 2010-03-11 2019-03-19 Merit Medical Systems, Inc. Body cavity drainage devices and related methods
KR101133854B1 (ko) * 2011-06-29 2012-04-06 김재홍 의료용 드레인 고정장치
CN103111008A (zh) * 2013-02-27 2013-05-22 王海帆 能实现流量和流速调节的引流管固定装置
WO2014160469A1 (fr) * 2013-03-13 2014-10-02 Beckersmith Medical, Inc. Tube d'évacuation de fluide ayant un raccord
CN103170048A (zh) * 2013-04-16 2013-06-26 孟钧 一种改良的引流管固定装置
CN103170049A (zh) * 2013-04-16 2013-06-26 安徽奥弗医疗设备科技有限公司 一种快门式引流管固定装置
US9649415B2 (en) 2014-06-27 2017-05-16 Harrison M. Lazarus Surgical kits for body cavity drainage and related methods
US9821097B2 (en) 2014-06-27 2017-11-21 Merit Medical Systems, Inc. Body cavity drainage devices including drainage tubes having inline portions and related methods
US11058806B2 (en) 2014-06-27 2021-07-13 The Seaberg Company, Inc. Body cavity drainage devices including drainage tubes having inline portions and related methods
US10029036B2 (en) 2014-06-27 2018-07-24 Merit Medical Systems, Inc. Placement tools for body cavity drainage devices and related methods
US9604033B2 (en) 2014-06-27 2017-03-28 Harrison M. Lazarus Body cavity drainage devices with locking devices and related methods
WO2016034508A1 (fr) 2014-09-02 2016-03-10 Helse Stavanger Hf Dispositif de fixation de tube
US10286183B2 (en) 2015-11-25 2019-05-14 Merit Medical Systems, Inc. Steerable sheath catheter and methods of use
CN105879195A (zh) * 2016-06-01 2016-08-24 遵义医学院附属医院 一次性胸腔引流管固定装置
GB2556107A (en) * 2016-11-21 2018-05-23 Brightwake Ltd Medical tube clamp
GB2556107B (en) * 2016-11-21 2022-05-04 Brightwake Ltd Medical tube clamp
WO2019075509A1 (fr) * 2017-10-17 2019-04-25 Get Ip Pty Ltd Agencement de montage de cathéter pour fixer un cathéter à un patient
AU2018352463B2 (en) * 2017-10-17 2022-11-17 P6 Medical Pty Ltd A catheter mounting arrangement for securing a catheter to a patient
KR200489503Y1 (ko) * 2018-01-24 2019-06-27 주식회사 유니메딕스 배액관 고정부재
US11559662B2 (en) 2018-04-13 2023-01-24 Merit Medical Systems, Inc. Steerable drainage devices
JP2020081537A (ja) * 2018-11-28 2020-06-04 株式会社ハイレックスコーポレーション 挿通部材固定装置
WO2020111183A1 (fr) * 2018-11-28 2020-06-04 株式会社ハイレックスコーポレーション Dispositif de fixation d'élément d'insertion
JP7115682B2 (ja) 2018-11-28 2022-08-09 株式会社ハイレックスコーポレーション 挿通部材固定装置
US12029867B2 (en) 2018-11-28 2024-07-09 Hi-Lex Corporation Inserting member fixing device
WO2023199022A1 (fr) * 2022-04-11 2023-10-19 Convatec Limited Composant plâtre et dispositif de perfusion

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