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US4613323A Expired / Lapsed US ⏱️ 0.0 years remaining

Multiple function intubation apparatus and method

Assignee: KENTUCKY RESEARCH FOUNDATION TE, University of
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Filing: 1984-11-19
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Granted: 1986-09-23
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Expires: 2004-11-19
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Abstract

Abstract An apparatus and its method of use are provided allowing lavage, sump and enteral feeding operations with only one intubation. The apparatus includes a first tube having two distinct passageways. One of these passageways completely contains a second, feeding tube during intubation. Once the first tube is in place in the patient, the second tube is extended from the first tube so as to enter the stomach. The extension of the second tube opens ports in the first passageway of the first tube, thereby allowing sump or lavage treatment with the second passageway of the first tube serving as an air vent. A constriction in the end of the first passageway engages a band on the proximal end of the second tube to keep the tubes together. Once gastric emptying of the patient resumes, the second tube immediately moves into the duodenum then into the jejunum past the Ligament of Treitz and the first tube is withdrawn from the patient while maintaining the second tube in position for enteral feeding through feeding ports in its distal end.

Inventors

  • 👤 Jane A. Norton
  • 👤 Diana L. Twyman
  • 👤 A. Byron Young
  • 👤 Robert Rapp

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 00:37
CPC Classifications
A; A61; A61M; A61M25/00; A61M25/0067; A61M25/0068; A61M25/0069; A61J; A61J15/00; A61J15/0003; A61J15/0026; A61J15/0069; A61J15/0073; A61J15/008; A61J15/0088; A61J15/0096

Claims Analysis

Total Claims: 12
Claim 1
Independent Claim 171 words
An intubation apparatus for providing lavage, sump and enteral feeding functions and the like for a patient, comprising: a first tube including at least one passageway and having a first end for introduction into the patient; port means in the passageway adjacent the first end of the first tube; and a second tube having a proximal and a distal end, said second tube being received within the passageway of said first tube and movable between an intubation position wherein said second tube is contained within said first tube and an extended position wherein the second tube extends from the first tube so as to open the port means within the passageway for sump operation; said first tube including a constriction means between said port means and said first end and said second tube including means adjacent the proximal end for engaging said constriction means so as to retain the proximal end of said second tube within the passageway of said first tube when said second tube is in the extended position.
Claim 2
Dependent Claim 171 words
An intubation apparatus for providing lavage, sump and enteral feeding functions and the like for a patient, comprising: a first tube including at least one passageway and having a first end for introduction into the patient; port means in the passageway adjacent the first end of the first tube; and a second tube having a proximal and a distal end, said second tube being received within the passageway of said first tube and movable between an intubation position wherein said second tube is contained within said first tube and an extended position wherein the second tube extends from the first tube so as to open the port means within the passageway for sump operation; said first tube including a constriction means between said port means and said first end and said second tube including means adjacent the proximal end for engaging said constriction means so as to retain the proximal end of said second tube within the passageway of said first tube when said second tube is in the extended position.
Claim 3
Dependent Claim 19 words
The apparatus of claim 1, wherein said constricting means comprises a ring of reduced diameter within said first tube.
Claim 4
Dependent Claim 36 words
The apparatus of claim 1, wherein said engaging means comprises a band of increased diameter around said second tube that acts as a piston for extending the second tube from the first tube with pressurized fluid.
Claim 5
Dependent Claim 39 words
The apparatus of claim 1, wherein said second tube includes a weighted tip adjacent the distal end for aiding in positioning the distal end of the second tube, when in the extended position, within the duodenum of the patient.
Claim 6
Dependent Claim 12 words
The apparatus of claim 4, wherein said tip is of encapsulated tungstun.
Claim 7
Dependent Claim 20 words
The apparatus of claim 1, wherein said second tube is a silicone feeding tube including ports adjacent the distal end.
Claim 8
Dependent Claim 27 words
The apparatus of claim 1, wherein said first and second tubes include spaced radiopaque strips, thereby enabling viewing of the position of the tubes within the patient.
Claim 9
Dependent Claim 39 words
The apparatus of claim 1, wherein said first tube includes a second passageway extending substantially along the length of said first mentioned passageway and providing air flow to maintain ambient pressure adjacent the first end of said first tube.
Claim 10
Independent Claim 112 words
A method of providing lavage, sump and feeding functions to a patient with a single intubation, comprising the steps of: introducing a multiple function intubation apparatus through the nose of the patient and guiding the apparatus into the stomach; extending a feeding tube from the apparatus to open ports in an outer tube of the apparatus allowing lavage and sump function, said feeding tube remaining coiled in the stomach until gastric emptying advances the feeding tube into the duodenum; withdrawing the outer tube and proximal end of the feeding tube from the nose of the patient while maintaining the distal end of the feeding tube in the duodenum allowing enteral feeding function.
Claim 11
Independent Claim 112 words
A method of providing lavage, sump and feeding functions to a patient with a single intubation, comprising the steps of: introducing a multiple function intubation apparatus through the nose of the patient and guiding the apparatus into the stomach; extending a feeding tube from the apparatus to open ports in an outer tube of the apparatus allowing lavage and sump function, said feeding tube remaining coiled in the stomach until gastric emptying advances the feeding tube into the duodenum; withdrawing the outer tube and proximal end of the feeding tube from the nose of the patient while maintaining the distal end of the feeding tube in the duodenum allowing enteral feeding function.
Claim 12
Dependent Claim 30 words
The method of claim 9, wherein said extending step includes the step of injecting a pressurized fluid into the outer tube to force the feeding tube into an extended position.

References Cited (Backward Citations)

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US2614563A Cited
US2930378A Cited
US3426759A Cited
US3774608A Cited
US4300550A Cited
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USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1989-09-22 1990-03-24 1990-09-23 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1993-09-22 1994-03-24 1994-09-23 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 1997-09-22 1998-03-24 1998-09-23 $7700.00 Window Closed / Lapsed

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