System for surgical drain fixation
Devices, systems and methods for fixation of medical articles which remain in a patient's body for a period of time are provided. The articles may be secured to the patient's skin by use of a device having an arcuate channel for holding the medical article. In one device, a base member including an arcuate channel receives the medical article, which base member has a plurality of protrusions which rest against the skin providing a gap for application of a polymerizable adhesive composition which polymerizes, forming a seal around the medical article and securing the medical article to the body. Alternatively, a device including a base member having an arcuate channel is provided adhered to a flexible member. The device receives the medical article and is positioned proximate to the patient's skin. Polymerizable adhesive composition is applied to the flexible member, securing the medical article to the patient's body upon polymerization.
1 . A device for securing an elongated medical article to the skin of a patient comprising:
a) a flexible member comprising a flexible material and a polymerization initiator or rate modifier permeated throughout at least a portion of said flexible material, said flexible member having a lower flexible member surface, an upper flexible member surface and an aperture through the flexible member; and
b) a base member comprising an upper base member surface,
a lower base member surface affixed to the upper flexible member surface,
an opening through the base member from the lower base member surface to the upper base member surface corresponding to the aperture in the flexible member,
fluid communication between the upper base member surface and the lower base member surface, and
an arcuate channel projecting from the upper base member surface in proximity to the opening through the base member.
2 . The device of claim 1 wherein the fluid communication between the upper base member surface and the lower base member surface comprises one or more polymerizable adhesive composition application holes.
3 . The device of claim 1 wherein the flexible material is a mesh.
4 . The device of claim 1 further comprising an attachment member for attaching an elongated medical article to the arcuate channel on the base member.
5 . The device of claim 1 wherein the flexible member further comprises a slit from the aperture to the perimeter of the flexible member and the base member further comprises a passageway from the opening to the perimeter of the base member, wherein the slit and the passageway are in corresponding position.
6 . A fixation system kit for securing an elongated medical article to the skin of a patient comprising:
a) a flexible member comprising a lower flexible member surface, an upper flexible member surface and an aperture through the flexible member;
b) a base member comprising an upper base member surface,
a lower base member surface affixed to the upper flexible member surface,
an opening through the base member from the lower base member surface to the upper base member surface corresponding to the aperture in the flexible member, and
an arcuate channel projecting from the upper base member surface in proximity to the opening through the base member; and
c) an effective amount of polymerizable adhesive composition.
7 . The fixation system kit of claim 6 wherein the base member further comprises fluid communication between the upper base member surface and the lower base member surface comprising one or more polymerizable adhesive composition application holes.
8 . The fixation system kit of claim 6 wherein the flexible material is a mesh.
9 . A device for securing an elongated medical article to the skin of a patient comprising:
a base member comprising an upper base member surface,
a lower base member surface,
an opening through the base member from the lower base member surface to the upper base member surface,
fluid communication between the upper base member surface and the lower base member surface,
an arcuate channel projecting from the upper base member surface in proximity to the opening through the base member, and
a plurality of protrusions projecting from the lower base member surface.
10 . The device of claim 9 further comprising a wall portion extending outwardly from and at least partially surrounding the perimeter of the lower base member surface.
11 . The device of claim 9 further comprising an attachment member for attaching an elongated medical article to the arcuate channel.
12 . The device of claim 11 wherein the arcuate channel comprises a slot for the attachment member.
13 . The device of claim 9 wherein the base member further comprises a passageway radially extending through the base member to the perimeter of the base member.
14 . The device of claim 9 wherein the base member further comprises a recessed cavity in the lower base member surface around the opening through the base member from the lower base member surface to the upper base member surface.
15 . The device of claim 14 wherein an absorptive foam member is secured in the recessed cavity.
16 . The device of claim 15 wherein the absorptive foam member comprises a hydrophilic polyurethane absorptive foam and an antimicrobial agent.
17 . The device of claim 14 wherein the recessed cavity is extended to the perimeter of the base member.
18 . A fixation system kit for securing an elongated medical article to the skin of a patient comprising:
a) a base member comprising an upper base member surface,
a lower base member surface having a plurality of protrusions integral with and projecting from the lower base member surface which contact the skin of the patient forming a gap between the lower base member surface and the skin of the patient,
an opening through the base member from the lower base member surface to the upper base member surface for receiving the elongated medical article,
fluid communication between the upper base member surface and the lower base member surface for application of a polymerizable adhesive composition to the gap between the lower base member surface and the skin of the patient, and
an arcuate channel projecting from the upper base member surface in proximity to the opening through the base member;
b) an amount of polymerizable adhesive composition effective to affix the base member to the skin; and
c) an attachment member for attaching the elongated medical article to the arcuate channel on the base member.
19 . The fixation system kit of claim 18 wherein the polymerizable adhesive composition comprises a cyanoacrylate monomer.
20 . The fixation system kit of claim 18 wherein the base member further comprises a recessed cavity in the lower base member surface around the opening through the base member from the lower base member surface to the upper base member surface and the fixation system further comprises an absorptive foam member which may be secured in the recessed cavity.