One step cecostomy
View Patent ↗The present disclosure describes a cecostomy tube having a head with an opening and a valve. There is a flexible catheter with a lumen having proximal and distal ends, the proximal end of the catheter in fluid communication with the opening in the head, a portion of the catheter extending away from the head to define the distal end. The catheter also has walls defining inside and outside surfaces from the opening defined in the head to the distal end of the catheter. There is a retainer provided on the distal end of the catheter. The retainer can change shape from a first profile or configuration to a second profile where the second profile is larger than the first profile and the second profile is adapted to retain the cecostomy tube in place in a body. The device may be placed in a single, initial surgical operation.
1. An cecostomy tube comprising:
a head, the head defining an opening therethrough;
the head further defining a valve in the opening;
a flexible catheter defining a first lumen and having a proximal end and a distal end, the proximal end of the catheter in fluid communication with the opening in the head, a portion of the catheter extending away from the head to define the distal end, the catheter having walls defining inside and outside surfaces from the opening defined in the head to the distal end of the catheter;
a retainer provided on the distal end of the catheter, said retainer having a first profile and a second profile, said second profile being larger than said first profile and adapted to retain said cecostomy tube in place in a body; and
a second lumen adapted to deliver adhesive from the head to the catheter outside surface.
2. The cecostomy tube of claim 1 wherein said second lumen can deliver adhesive along the outside surface of said catheter between the head and the retainer.
3. The cecostomy tube of claim 2 wherein said adhesive is a monomer that polymerizes in the presence of a polar species such as water or protein molecules.
4. The cecostomy tube of claim 1 wherein said retainer changes from a first configuration to a second configuration, said first configuration being smaller than said second configuration for insertion of said retainer into the body, said second configuration adapted to retain the cecostomy tube in place in the body.
5. The cecostomy tube of claim 4 wherein said retainer changes from said first configuration to said second configuration in response to contact with fluid.
6. The cecostomy tube of claim 5 wherein said retainer is held in said first profile by a gelatin capsule prior to insertion.
7. The cecostomy tube of claim 5 wherein said retainer is held in said first profile by a gelatin coating prior to insertion.
8. The cecostomy tube of claim 4 wherein said retainer is a balloon.
9. The cecostomy tube of claim 8 wherein said retainer changes from said first configuration to said second configuration by being inflated.
10. The cecostomy tube of claim 8 wherein said balloon contains a foam.
11. The cecostomy tube of claim 2 wherein said second lumen has a plurality of outlet ports located on the outside surface of the cecostomy catheter for the adhesive so that the adhesive is distributed around and over the length of the catheter.
12. The cecostomy tube of claim 1 wherein said valve is a one-way valve selected from the group consisting of flapper valves and duckbill valves.
13. A method of performing a cecostomy, comprising the steps of:
moving the cecum into a position adjacent an inner surface of an abdominal wall,
creating a stoma from an outside of an abdomen, through the abdominal wall and into said cecum,
inserting a distal end of a cecostomy tube through said stoma, said cecostomy tube having:
a head, the head defining an opening therethrough;
the head further defining a valve in the opening;
a flexible catheter defining a first lumen and having a proximal end and a distal end, the proximal end of the catheter in fluid communication with the opening in the head, a portion of the catheter extending away from the head to define the distal end, the catheter having walls defining inside and outside surfaces from the opening defined in the head to the distal end of the catheter; and
a retainer provided on the distal end of the catheter,
wherein the retainer has a first profile and a second profile, said second profile being larger than said first profile and said second profile is adapted to retain said cecostomy tube in place in a body, said first profile adapted to allow insertion of the retainer through the stoma,
and wherein said cecostomy tube is installed in a single operation, and injecting an adhesive between said cecum and said abdomen from a second lumen in said cecostomy tube.
14. The method of performing a cecostomy of claim 13 further comprising the steps of stitching the cecum to the abdomen.
15. The method of performing a cecostomy of claim 12 further comprising the step of allowing said retainer to assume said second profile in response to contact with bodily fluids or other liquids.
16. The method of performing a cecostomy of claim 14 wherein said retainer is held in said first profile by a gelatin capsule prior to insertion.
17. The method of performing a cecostomy of claim 14 wherein said retainer is held in said first profile by a gelatin coating prior to insertion.
18. The method of performing a cecostomy of claim 12 wherein said retainer is a balloon.